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
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( I .�- 1 i F-
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to -be
OF
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T'—._. `'_1. ,--�— T a -t _•—•_-���� - —,— r _—t.__ — —lam. --� ' _ _.
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— - - - - 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