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HomeMy WebLinkAbout058-740-0184 William Reynolds S/S Big Bend Rd., app-4 mi.past end of pavement, Concow Permit #255-79P,E(u_�}1., MH) P� GASB—/'7_-)q SUPPORT. STRUCTURE REQ .-I,�, COMPACTION TEST RQ. Contr : Feather ^RiverHomes, Y.0 Permit #4595-79 I �"/ U Issued PERMIT NO. 255-79P,E PERMIT EXPIRES William Reynolds 'OWNER i. - "CONTR. Owner c -LOCATION (A.P. 62-17-19 ) SIS Big Bend Rd., app.4 mi.past end of Paveme Concow i V r r+ I; h i Temp. Power Pole Called PG&E Temp. Elec. Serv. x Called PG&E v icfie14. Temp. Gas Serv. J s Called PG&E JOB �; FINALED 7W, -7a v)�avf'l z (Date) a` (Signature) I! 1I. 6. Upon completion of the above.procedure,•the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length_' Width,— Vehicle idth Vehicle Serial No . "'%,3(,L� / ;j y CZ/—Cp State Identification No.C� /� J 2 Additional Information or Comments: 9. Electrical _ A. Is service large enough to provide adequate amperage-to•mobilehome (must equal rating of mobilehome with a minimum of 1510 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes j/_ No B. Is there proper clearances around panels? YesNo C. Is power supply cord or feeder assembly properly fused? Yeses No D. Is continuity test satisfactory as pbr.the following procedure? Yes No 1. De -energize electr'ieal wiring'system of the.mobilehome at the pedestal. 2. Make sure that th power supply cord or`feeder assembly conductors, including neutral conductor, have beerNisconnected r� 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas fine, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above.procedure,•the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length_' Width,— Vehicle idth Vehicle Serial No . "'%,3(,L� / ;j y CZ/—Cp State Identification No.C� /� J 2 Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ o 2. Does the mobilehome have required.clearances above ground? (Sec.5085) Yesa�No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes,L---No 4. Is the mobilehome level? (Sec. 5088) Yes 4 ---No_ 5. If morean a single unit, are crossover connections properly installed? (Sec. 5088) Yes ro_ 6. Water A. Is flexi le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ /j 4- 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yesy No B. Does it have minimum 4" per foot slope and is it properly supported? Yes// No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No D. If coach is not State of California approved, does station have required trap and vent? Yes_ No——N 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes_ No_ /V A B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number - ,�- i for the following location: _A/—<' Owner , Owner's Address Mobilehome Mfg. 147 Model Year Insignia No. Serial It is hereby certified for occupancy at the above described location -d d— may be occupied. _ / Director of'Public�Works Date7A,4.c $y t THIS CERTIFICATE IS VOID Wt.—.i AOBILEHOME I�;RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) A PLUMBING S back Fir all Nil Piping For s Para is V Floor Ma Bldg. Restro Finish 2 Floor Fo tins Windows 3rd loor Stem all Siding To out Slab Roof Sheath)og Water Pi 'n Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for physically handicapped Conformance of ex.Gas structure A Appliances PIpIn - & Test Temp. Gas Slab X Final Sanitation Patio IREPL CE Final Footings Footing LECTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr Stucco Final Sub ane Mesh MECHANICAL Grd. F ult Prot. Scrat Heat ' Servi Bro n Co ng T mp. Pole Qoor Closer trial MOBILEHOME UTILITIES --------- == Elec. Service 71, Water Piping Sewer —S,r ME INSTALLATION ------- ------Support 17 Water Piping:243/ Drainage 15 �—r.7— ?j DATE REMARKS OR CO FFinal Elec. Pedestal % Gas Piping Elec. Continuity j Gas Piping r (NOTE: An entry must be made on this form each time you visit the job site.) V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-450 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. oe Signature/of Permitee or Agent Receipt No. /� 0> White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF,,PUBLIC WORKS BY Date Z-1&4 ilding permit expires Date / /6'— BUILDING Owner �f E y��( SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address /1 ,C 95 9.ZG ; Contractor u1/r6 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address E Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 (9a Each Trap 1.50 /rPQ�{f Repair drainage or vent piping 1.50 >�/ p A. P. No. (J 424-Plon Ing Water piping 1.50 Each gas water heater or vent 1.50 F d FireDept. FireZone Use Pe It Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel M p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 d,00 Bldg. Plans ec'dParcel A proval PIo Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES In- OTHER ❑ Permit Fee $ 00 OD ELECTRICAL No. @ FEE PERMIT FILING FEE $3.003 r OL) 800V OR LESS Main service 100 AMP OR LESS 5.00 ,OD Single Family ❑ Duplex ❑ Mobil Home ❑— Others ❑ Main service EA. ADD'L 100 AMP 2.50 ^a Main service OVER e O 25.00 100 AMP OR LESS Main service/ EA. ADD•L 100 AMP 1.00 NEW CONSTOR ADDNS. C ACCDWELBLOGS.LING CCUP. Y) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID, MULTI.OUTLET NON.CONS BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS B) NON.RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES) 5B @1� OI FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S ,(, License No. Classification Misc. Wiring 6.25 f ,ab coI am exempt from the Contractors License Laws of the State of California. Permit F e $ $ a(p f C MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $' 1,41 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. oe Signature/of Permitee or Agent Receipt No. /� 0> White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF,,PUBLIC WORKS BY Date Z-1&4 ilding permit expires Date / /6'— sl COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 5595-79 authorize representatives of the County of Butte to enter upon the above-ment' ned property for inspection purposes. XA"'­—Date 2 Signature of Permit Agent Receipt No. o White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butt County Code and/or resolutions to do work indicated abov 2VRE h fees have been paid. R OF PELIC WORKS Date �' �v /� r Building permit expires Date 7'" ® rGatew? BUILDING Y) Owner J LIQ 4-1001-4 Ic v t)� SQ. FT. OCC. BUILDING VALU ON Z Mailing Address Telephone No. Contractor Mailing Address Q $ �% ' Fireplace Total Valuation Telephone No. �� Permit Fee Building Address 1 Plan Checking Fee&/or Penalty Permit Fee r ® — PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 L.0 Repair drainage or vent piping 1.50 !/� A. P. No. (p 3-7 -' `)S Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Freres I tO d. I -8en4a4en Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P ns Recd L Parcel A oval Plans A ,oval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER � permit Fee $ $ Ss' -5 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST * OR ADDNS. ACCLBLDGS.LING CCUP- Y\ 22sgft I1 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ` % / �iQi�T�/�� i(aT/�le /�4.we"$ NEW CONSTR. MULTI-OUTL T NON.RESID. BRANCH CIRCUITS/ 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTURES B L@; Ex. Occup. (FIXED LNS.OUTLETS P(RESID.)REA% 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 367 1,2.,T Classification df Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby e -� $, TOTAL PERMIT FEE $" p authorize representatives of the County of Butte to enter upon the above-ment' ned property for inspection purposes. XA"'­—Date 2 Signature of Permit Agent Receipt No. o White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butt County Code and/or resolutions to do work indicated abov 2VRE h fees have been paid. R OF PELIC WORKS Date �' �v /� r Building permit expires Date 7'" ® rGatew? BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 m MOBILEHOME INSTALLATION SHEET 1. owner's name: C2A L��S 2. Installer's name: 3. Is the site currently under permit? Yes � No t (If yes, furnish permit number ) OR , Is the site an existing site? Yes / / No x— (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify service? -------------------------------------------p--------- ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome A site service rating? --=------------------ Q� Amps 7. What is the mobilehome site circuit breaker rating? ------------- .� Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------------------p--------- Yes' No (If yes, identify the load and size: Load) ®2n (Amps) 9. What is the mobilehome site gas pipe size? --------------/----- -- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / / 11. What is the gas pipe length from meter or tank to the mobilehome? .(ft:) 12. :What is the mobilehome gas demand?'------------------------------ , (BTU) (This information not required if pipe length,less than'6.ft. y on natural gas or less than 50 ft. on LPG.) MOB ILEHOME SUPPORT DATA If other than single wide Mobilehome Mfr. ,�,C GU/�S/� furnish Setup Model No. �'y k ?z! e Year Width_D s_(ft.) Box Length�(ft.) Tagalong or Expando SizeZ10 ft. x c,7e-3 ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either . AA pressure treated or foundation grade. x (ft.)(in:) (in.) (in.) a x3o ❑ 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) 1: Concrete block. Z/ r/ x ❑ 2. Other (specify) (in.) (in.) _2y 3C, *—Tagalong or Expando, show support details. (ft.)(i,\ r,, (in.) (in.) Typical Support (in.) (in.) Footing Size Z X-3 (ft.)(in.) (in.) (in.) / �r -- Max. Pier Spacing (ft.) (In.) L I -- Max. Overhang (ft .)I (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENI APPROVED *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. I T ; d 4 TT_ / I i I y eGo I i Qui !n i '# 'e 1c 77 -14 ,_ +,I I i 1 j I I: I I I II i y '• i�_— ��i_ l i i� � i' I'( ': ' �- ! I i i 1 1 1 11 r i - ' •' i �' I t i t i 1 I i- d - ' •1.-' ,1.. 1' _ I l i 1 j i I 1 i 11' a Ort ( I .�- 1 i F- z-;- - r fa I i ---T i i—j I ( I�� __ rr �' i I I I 1'nLT R? I 1' � I I� I I! j 1 I' i `• � ��„ _ I �v " rimae �i i I I I rvp to -be OF ' 10 T'—._. `'_1. ,--�— T a -t _•—•_-���� - —,— r _—t.__ — —lam. --� ' _ _. QI Ap to A -^�--'---�----- - •� �.`_.-�� ,. , -_ -± _—.- -- -_._.___ _- - '_- _' r- j—� i moi' ' i _ — - - - - 1 — 4---- =-- - - - — — — - - - - - - i BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 695 OLEANDER AVENUE 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD CHICO, CALIFORNIA OROVILLE, CALIFORNIA PARADISE, CALIFORNIA 343-4211, Ext. 62 534-4281 877-0852 APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM ff Owner's Name +' ,RM V D lL f' Assessor's Parcel No.�,� �7 Applicant's NameI tl frh �C����L�Q�f Phone Mailing Address 1. Construction site yG"�a!/d a(�. cS�2CSL%lrtr (7 e� ��✓/ O„Wtr a - m,6;,7 -direction and distance to nearest crossroad) 2. Lot size GJ/v feetx V /feet. S/ne. Ivacres 3. Application for new system for new buiIdingAuxiliary or secondary system❑ Repair of or.addition to old .system❑ New system to replace existing sewage disposal facilities❑ 4. Type of building to be served by proposed system: Mobile Home[6kr Length 4.O Width 15 Home ❑ Number bedrooms Z' Number baths Z' Garbage grinder Yes 25”, No ❑ Other ❑ (Specify) 5. Water supply for premises: (Must be safe, potable water) Community ❑ Private well OtherT,0k/1t)G S Water supply for adjoining properties: Community❑ Private well Other C5, /?/IV 61 s -A ia 941:1=2:. Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a. Property lines. e. Show direction and approximate amount of slope. b. Location of all proposed and existing buildings, f. Source of water. structures, driveways and parking areas. g. Water lines. c. Location of large trees, rocks, or other obstacles. h. Set back lines and easements. d. Location of any well, spring, creek or other body'of i. Proposed sewage disposal system and area water on the parcel and within 100 feet of property line. for replacement. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling may be occupied or the system backfilled, or put into use. I also understand that a safe potable water must be supplied to the new building or dwelling before occupancy can take place. Date PLANNING REVIEW Legal Parcel Yes ❑ No ❑ Zoning Use Permitted Yes ❑ No ❑ Comment By Date Signed FOR OFFICE USE ONLY Water Plans Cleared Potable Water Permit Issued Permit' Denied Comment Date By