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HomeMy WebLinkAbout061-340-029Frank J . Thome-- "mo�ii ��,�,�c��, E/S Oro Quincy Re:�W •' 12 m N. of Bald Rock Rd., Brusch Creek Area - Permit# 740-77P,E(util.,MH) ELE� , o GASB — SUPPORT STRUCTURE REQ. ,7-L4 ^ s COMPACTION TEST REQ. 7,,6 77 1-02-64 - - — f/# 6 P�� 51-77MHI Issued_ 0 p f 0 w . PERMIT NO. 21'40-77P,E �• ,.r Jr, 'tft PERMIT EXPIRES 'i OWNER Frank J. Thome -w CONTR. owner •; tt° LOCATION (A.P. 61-02-64 E/S Oro Quincy Rd.,app. 12 mi/N.of Bald Rock Rd., Brush Creek Area t . f Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&Ef Q 33 Temp. Gas Serv. JOB FINALED � —I (Date (Signature) r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) A7 � S l Piping For PLUMBING bervack ewall S l Piping For Pa ets 1 t Floor Mai Bldg. Rest om Finish 2n Floor Fo tins Windo 3rdNoor Stem all Sidin T�ter Slab Roof Shea In Wi I Piers Roofing Se Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation N Water Htr. Heaters Slab A Carport Footings v Prov. for phsical liandicappel Conformance of ex. structure v Appliances Gas PI-Inq & Test Temp. as Slab A Final A Sanitation Patio REP ACE Final Footin s Footinq E E C T R I C)XkL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLE& Motors Mesh MECHANICAL Grd. Fallit Prot. Scra Heati Servi Bron Coo ng T mp. Pole F ish D is nder round In rior Lath ntilation Permanent or Closer Inal Final MOBILEHOME UTILITIES Elec- Service 7 Pedestal Water Piping Sewer Gas Piping E ME INSTALL TI N - - - - - - - - - - - - - - Support — Elec. Continuity -- Water Piping G— Drainage Gas Piping ` �".1 DATE O 7 REMARKS OR CORRECTIONS .5X,e/7'- t7'o OBD s tl W o ? d � � C_ GAS K0 7- ND .SV A10 co"- 10 r (NOTE: An entry must be made on this form each time you visit the job site.) 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, hapten 5, under permit number for the following location: O� Gk1Ak/C 1� Ownera?/ 5, Mb0i14=— Owner's Address Rf)v-- 3 % I S._%Z. Cklf� Mobilehome Mfg. 4� Model Year Insignia No. oZ%� Z-- Serial No. It is hereby certified for occupancy at the above described location and may be occupied. DireAw�s� Date By THIS CERTIFICATE IS VOID WHEN MOBILE ME ISVRELOCATED 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 f, for the following location: Owner�io� Owner's Address E Mobilehome Mfg. Model Year Insignia No. Serial No.�' It is hereby certified for occupancy at the above described location and may be occupied. Director°.of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED Jt 71-120 - 7 Al 17; 7 lee 1A I *l ii0}3.Ti,1?ii0.il? I1'd57'A1,LA'1'l:ON.INSPFCTION CHECK 1.,IST 1. Is the mobilehome located wi.j_li_.cquired separation from lot lines and buildings and generally conform to plot flan? Yc:� No 2, Does thEl mrAbilehome have required clearances above ground? (Sec.5085) Yes IVo 3. Are footin--;s and supports properly sized,'spaced, and braced as pee proved plans? (Note possible variation at spring shackles.) (Sec, 082 & 5083) Yes es_ No 4. Is the mobilehome 1 ° Ye level.? (Sec. , 5088) s_ No� 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No 5, Water. A. Is te�xjieonnector of adequate size and properly installed (1/2" ID min.)? (Sec. 5"566) Yes B. "Test - Does water piping withstand working pressure or 50 lbs, air test? Yes '--No RARA "ackfl.ow - If coach is not State of California approved, does station have backflow device - and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end?�Yeso_ B. Does it have minimum per foot slope and is it properly supported? Yes L'1_5� C. Are any leaks detected in drainage system after running 3 -gal of water through each fixture including washing machine standpipe? Yes No DtILLL coach is not State of California approved, does station have required trap and vent? MI Yes No 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 mobile."°me gas line inlet without reductions other than the mobilehome connector. Yes./ No B. Tes K as per following procedure? Yea_— Ydo_ i Open all"appliance connector valves. ;- dlShut off appliance burner and pilot valves., r 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. Cor_nect: gas meter to mc,bilehorne with connector, turn. on gas, test connections with soapy water.' C. Are all appliance vents properly installed? Yes No 9. Electrical �?. Is service large enougli to provide adequate amperage to mobilehome. (must equal rating of mobilehome with a ::;in.u::um of 10000 1 P) and other faciliti.ris on lot, i.e., water pumps, garage, cabana, etc. YeslNo B. Is them proper clearances around panels? Yes, No C. Is power supply cord or feeder assembly properly fused? Yes_ No D. Is ntinuity test satisfactory as per the following procedure? Yes_ No De. -energize electrical wiring system of the mobilehome at the pedestal. 2 Sake sure that the power supply cord or feeder assembly conductors, including neutral conductor, haVE1 been disconnected. -S 111, all breakers and switches in,the mobilehome to the "on" position. 4Connect one 1 -n.. -id of a test instrument to the mobilehome grounding conductor and _ r . t _ 1. .. ... _ _. 1 cUYiy ti.e oiu.ei ., a.Cau to e.ai:1u rl1UU, L.LCLWIILC Siipp7iy Cuf►u1uCtUr, lllcliiull►g fLeuLrdt. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completicn of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:=;t shall then be n.ade between Lhe grounding electrode and the chassis of the rlobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. Ts job card si-ned by health Departmeat for water and sanitation? 1.;., If everything ol:ay, sign off card and ta,; services. MOBTLLi O.ML DATA Manufacturer and/car Namestyle Length Width / d Vehicle Serial No. State Identification NojylH C, r.&I i.tional InfornatiOn or Corcunents: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,,1116-1-77 M Z�_� autnorize representatives of the County of Butte to enter upon the \ ,above-mentioned property for inspection purposes. Y7C ate Signature /of Per ee or Agent Receipt No. 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. DIRECT OF PU LIC WORKS .o BY Date P— u rg permit expires Date _ ?— 17-- BUILDING Owner64 SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address pY -3 0 6 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address s — L' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 A)dEach Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 r Each gas water heater or vent 1.50 A. P. No. (� 'O� 6 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA IParking Plans Parcel Declar Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcelrovol P I a provaI Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER„® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q — Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. ( ACCLBLDGLING OCCUP. &� 22sgft NEW CONSTR MULTI -OUTLET NON- (MULTI-OUTLET BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 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 st le of: %r Ex. Occup(OUTLETS OR FIXTURES) BAL2109 Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit 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 rmit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE 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 O 01 TOTAL PERMIT FEE $ 6 autnorize representatives of the County of Butte to enter upon the \ ,above-mentioned property for inspection purposes. Y7C ate Signature /of Per ee or Agent Receipt No. 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. DIRECT OF PU LIC WORKS .o BY Date P— u rg permit expires Date _ ?— 17-- MOBILEHOME SUPPORT DATA Mobilehome Mfr. c (r / Setup Model No. Year J Width /6 (ft.) Length (ft.) Expando Size. ft.x ft. (Draw support details below) . On all mobiiehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not.on..file with .the County of Butte). *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check -one) Wood.. either . pressure treated or fdn. grade. 2. Concrete pad. 3. Other,:specify Supports (check one) 7, 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support Footing Size �........__.._v_� . Max. Pier Spacing Max. Overhang r BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville; CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes No (If yes, furnish permit number? �Q r % �%) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. .aaway 'from septic tank and leach fields and clear of all setbacks and easements? Yes /!// No / / ( If no, clarify ) may,,, 'otid _ 5. What is the mobilehome electrical rating? //�='----------------- / z 3` Amps 6. What is the mobilehome site service rating? _4&__A1_0------ Amps 7.. What is the mobilehome site circuit breaker. rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than 50 -,fti;Jon LPG.) ' site service? --------------------------------------------------- Yes /�/� No (If yes, identify the load and size: (Load)- 21j (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. on natural gas or less than 50 -,fti;Jon LPG.) ' V' t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' y 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT a7yo-�� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / ry j X ate Signature of *)�k Agent Receipt No. —5- 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 / —/ — -1 B Ilding permit expires Date 7-1- % BUILDING Owner p 14 k SQ. FT. OCC. BUILDING VALUATION Mailing Address O8 S Telephone No. Fireplace Contractor 14 112 14 Mailing Address Total Valuation Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address s `n0 C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,o -O Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �j a--v�—----II�Zan�— Gas piping system 1 - 5 outlets 1.50 , Each additional outlet .30 Fee tfIN.C. Sa.( Ion Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declarati Parcel Ma p 60' R/W Im rov ments p Lawn sprinkler system 2.00 Bldg. Plans Recd P Coo - Plans Approval Permit Fee $ rQO $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,QQ Main service 1000 1 OR LE AMP ORSLESS 5.00 i Main service EA. ADD'L 100 AMP 2.50OVER Single Family ❑ Duplex ❑ Mobil Home Others ❑ 600V Main service too AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( DACCLBLOGS.LING CCUP. &) 20sgft NEWCONSTR. MULTI -OUTLET NON .RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (POWER OUTLET CIR. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ Ud Ex. Occup(OUTLETS OR FIXTURES)@�'a BAL�1 FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �(�a License No. Classification Misc. Wiring 6.25 ,,yRI am exempt from the Contractors License Laws of the State of California. Permit Fee $ V4,,619 $ 6 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�21 I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 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 ;Z:' TOTAL PERMIT FE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / ry j X ate Signature of *)�k Agent Receipt No. —5- 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 / —/ — -1 B Ilding permit expires Date 7-1- % NOTE: ----All Materials & Workmanship S .All Fle in Accordan.c with R,:cognized Good Vvactic d of v duality prescribed for the Specified use iin 'axe Uniform Building, Plumbing & Mechanical Cod6s cmd the National Electrical Code. . ThQ)+k1VS0tbr..ck shall be 5 ft from the side property lin j ar.cl from the c©nterline of rhe road, permitting a maxi- mum of a 2 fY. eavc overhang but entirely out of all easements. ti`✓P.3! lY� It}zt i4) e.4 h,.j . 'c.. r�`� i.1.1.v f � i e.'fZ gc k/:f ; (:L7f er S®ptic S Is}em to Dept. Re. gut•to ,, auire'n'e�"s. 3 . A All utility conations shall be locc.1'ec wii hi;l 4 f . outside the rear I -tae nF Ne mobile home cn thw a �:, ;+ side of fhe mobile �L CSO ea dot t°e' be <e °`o�e�,o P' a� °'�`°� °{ I j BUTTE COUNT)I (P t /�� Y7L BUILDING DEPARTMENT i - sL 4-Y 1% .APPROVED CSO ea dot t°e' be <e °`o�e�,o P' a� °'�`°� °{ I j BUTTE COUNT)I (P t /�� Y7L BUILDING DEPARTMENT i - sL 4-Y 1% .APPROVED