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HomeMy WebLinkAbout064-260-009William Hall AP 64-26-09 /_VZ -305 Creston Rokd, Magalia q Permit #,A 82-75 E E EQ.��00 EC_ - GAS_ U SUPPORT STRUCTUREREQ. 0 T COMPACT ION TEST REQ. AP 64-26-09 Permit 4714-75 MHi �-CONTR: English John MH ar i Issued 9- 64-26-9 -e7 - 4.,__�NTR-.�f!6_yd-1R-oberts', -ParadiseL Permit #580-7.6B,E(newjprivate gar- age & d ecks 64-26-09 Contr: Ken Brown Const Permit#3714-84B(new porch'IcSover)UL/WAL 8 e C*q PERMIT NO. 586276B,E PERMIT EXPIRES. OWNER William Hall CONTR. Lloyd Roberts, Paradise LOCATION (A.P. 64-26-9 385 Creston Rd., .lot 153, Unit #k15,Magalic- Temp. Power Pol Called PG.�,�wr&,E Temp. ElecxSen Ca l,,I,��e✓'A G& E Tema.3Gas Serv. ,Called PG&E JOB FIN FINALED (Date) (Signature) COUNTY OF BgTTE — DEPARTMENIOF—PUBLIC WORKS BUILDING INSPECTION kECORD DATE REMARKS OR ORRECTIONS e 2 �1 Z/,> /-197 xe-� o , e (NOTE: An entry must be made on this form each time you visit the job site.) QUILDINq BUILDI (Cont'd) PLUM ING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation A— Patio FIREPL CE Final Footings Footing qLECTRICA Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRI IKLERS Motors Framing — 3• Test Water Htr. Stucco Final Subpanels Mesh MECHA NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR ORRECTIONS e 2 �1 Z/,> /-197 xe-� o , e (NOTE: An entry must be made on this form each time you visit the job site.) ' 1 COUNTY OF BUTTE . -- LieP.ARTMENT OFCPUB LIC 7 County Center brivd - oroviIIe, California 95965 T elP,phone: 534-4541 APPLICATION AND PERMIT WORKS authorize representatives of the County of Butte to enter upon the above-mentioned pro . ty for ' spect' p S. r Date - — $i ature ermitee or A ent Receipt No. J (-36--z- 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/PI1BLIC WORKS By Date ilding permit expires Date _ �'��" 77 BUILDING Owner �(i/c,c,/vyl ��� SQ. FT. OCC. BUILDING VALUATION 0 Mailing Address Telephone No. Fireplace Contractor L o !O • 1�26VCLTS. Total Valuation 3 / Mailing Address d-(, ),20 cy , Permit Fee Plan Checking Fee &/or Penalty R`Q j�lS� elephone No. �� Permit Fee $ Building Address 2�is%C�h PLUMBING No. @ FEE PERMIT FILING FEE $3.00 (-1 iq Each Trap 1.50 ,U7 s a tj"0 f,T 41 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. J;, "� 9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Ftised W,--" i FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. P4rft-'kec'd Parce proval Plans val Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3. Main service e00v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP 0OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 ! UPJ F ' q ,� 6- V U v NEW �p OR ADDNST ACC. DWELLING V) 2¢Sq ft �� •. NEW CONSTR. MULTI.OUTLE NON•RESID. % BRANCH CIRCUITS) '2.SOea 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 & rofessio s Code under the name St le of: Y / 7 F Ex. OCCUp(OUTLETS OR FIXTURES) BAL@109 APP LNS. OR , EX. QCCU (OUT P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 ' Mobile Home Facilities 15.00 License Nam %% 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. �eve placed on file with the County of Butte a certificate of rkmen's Compensation Insurance. I certify that in the performance of the work for which this El 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. 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 OrdinancesTOTAL and State Laws relating to building construction, and hereby PERMIT FEE $ © O authorize representatives of the County of Butte to enter upon the above-mentioned pro . ty for ' spect' p S. r Date - — $i ature ermitee or A ent Receipt No. J (-36--z- 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/PI1BLIC WORKS By Date ilding permit expires Date _ �'��" 77 PERMIT NO. 3+714-84B PERMIT EXPIRES OWNER WILLIAM HALL CONTR., Ken Brown Const ASSESSOR PARCEL 64-26-09 LOCATION 13936 Creston, Magalia Temp. Power Pole Called PG&E Temp. Elea Servi Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature J = OK O = Not OK 1 Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 2. Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAI.r(Mngle and Duplex) Date UN ER OR Plans OK exce t#'s Date FRA G Continued 4 -'Zoning requirements -Setbacks -Easements . Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth -49-EDoors-One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth tai ; JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill_N,*CVif9ra'SA95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. l - ASSESSOR Pq�� CEL NUMBER ' _i' ;L to — oq. ZONING — BUILDING PERMIT OWNR k, TELEPHONE SQ. FT. OCC. BUILDING VALUATION O Od NC/ OWNER'S MAILING ADDRES tZR CONTR C((T� ��O�R'S t�E jj�(�r ,, KM AapV• k T LEPHONE { �• CONTRACTOR'S MAILINGE�S �`044L\� J \ W i0. Fireplace CONSTRUCTION LENDER �— UNKNOWN Total Valuation $ Pwoo-as, Filing Fee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ Zb ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15 - 5 - Penalty Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 6-0 4. BUILDING ADDRESS 3 3 �o ��-p�„�� PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome - Other "`7tt"' SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New10 Addition❑ Remodel[:]Utilities❑ Installation[] Other Describe work: A0 x 30 PC) Rr40 0y�'i2_• _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 - Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sgit CONTRACTORS LICENSE LAW I dgle under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Businessz0@s0C and Professions Code nd my license is in full f and effect. �/ License No. ' TqClassification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST R U TI.OUTLET 2.50 ea NO N.RESID BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS 1 NON. & RESID. SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES 3AL®30 PTS FIXED Ex. Occup. OUTLETS (RESID ILNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Iti I have placed on file with the County of Butte Building Department LCL a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti , judgment osts, and expenses which may in any way accrue agains aid ounty don q e of the granting of this permit. QQ X Date -t'``om q Signature of Applicant - Owner g pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0 ' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 15 i:9 OCCUP. GROUP I TYPE OF CONST.PARCE �.. PD H ISSUE This permit is hereby issued under sions of the Butte County Code and/or di f hi h work above or which k i d t b DIRE T R OF PUBLIC By. PE T EXPIRES Date the applicable provi- resolutions to do f have aid. ve een b p WORKS Date ^, 47, "J /�� Receipt No. ��� a.� WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y 3 P-) -7,5 - 3, M 7,57- PERMIT NO. P E M f. MH UTIL. ,PERMIT NO. 4382-75 P2E (util—NH) PERMIT EXPIRES OWNER William Hall , ,CONTR. Tri -V Construction LOCATION (A.P- 64 26 n9 385 Creston Road, Magalia i. Temp. Power Pole Called PG&E ZAmwp. Elec. Serv. 2(2, Called PG&E 461 ' 446 62 A Temp. Gas Serv. Called PG&E JOB FINALED M y 3 P-) -7,5 - 3, M 7,57- PERMIT NO. P E M f. MH UTIL. ,PERMIT NO. 4382-75 P2E (util—NH) PERMIT EXPIRES OWNER William Hall , ,CONTR. Tri -V Construction LOCATION (A.P- 64 26 n9 385 Creston Road, Magalia i. Temp. Power Pole Called PG&E ZAmwp. Elec. Serv. 2(2, Called PG&E 461 ' 446 62 A Temp. Gas Serv. Called PG&E JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab > Roof Sheathing' Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test - Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE Q REMARKS OR CORRECTIONS / or, 7/Z -3/7 <0- Zzi Aem ..�. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �� 7 County Center Drive – Oroville, Caljfornia 95965 Telephone: 534-4541 1 APPLICATION AND PERMIT pf By ✓ �' Date e e Ri No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING Owner ' SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor -- LGSSK%/Lr Total Valuation Mailing Address � Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 �, a "/s– S-3 Each gas water heater or vent 1.50 A. P. No. _ --�� KT o ^� '*►� Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s I! FireDept. FireZone Use Permit Building sewer 5.00 p_a� EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Im rove ents p Lawn sprinkler system 2.00 �J D Br4Q—.1 la s Re_ Parcel Approval l� Plan pprovol Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , 6 -e Main service incl. 1 meter cr. Qtp Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 E7– MlAf FZ– Pew %%O�lL Water Heater or Space Heater .00 2U Light fixtures b Receps., switches & fix outlets 20025 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: , ' 61GT/OcJ C� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 100 Temp. Power Pole 5:00 ,. License No. . 7i W J Classification Misc. wiring�� ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,,Zl, cry% $ / MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I 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 s to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation L2.00 Hood 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 authorize re resentatives of the County of Butte to enter upon the above -me ned property for inspection purposes. X Date4% �S —Signature of Permitee or A nt TOTAL PERMIT FEE $ G y 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 ILIC WORKS 4_ l./�1� e_1 _ai •-.� e pf By ✓ �' Date e e Ri No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date JOUNTY OF BUTTE — .DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 q'7 / / t— Telephone: t34-4541 "( APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address e2, Permit Fee Plan Checking Fee &/or Penalty Telephone No. 77 Permit Fee Building Address �� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 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. --?i(p � Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F saRi�en FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel kpproval Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER V ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 service incl. 1 meter Additional meters, each 1.00 Sub-panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook-top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 60 2 1010 Receps., switches & fix outlets 20 P25 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: L-NCR ZIS�( ..�� f-/� �'1, /��S�S Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 t S`�f 0-7)e �� � �� �4►_ fs P Temp. Power Pole 5.00 . License No.Classification Misc. wiring ❑ 1 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection urposes. Date �S ,,((�� S' nature of Permitee or Agent Rt &490. /36s/z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1N 6L-�y) 3o Oo TOTAL PERMIT FEE 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_r1—� 134/ding/permit expires Date ���7� 9. El c-trical ~ " Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage,.caUana, etc.? Yes No Is there proper clearances around panels? Yes No Is power supply cord or feeder assembly properly fused? Yes No D. I ontinuity test satisfactory as per the following procedure? Yes No De -energize electrical wiring system of the mobilehome at the pedestal. 2�Make sure that the power supply cord or feeder assembly conductors, including neutral _Iconductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. Connect one lead o` a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. All non-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. 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 tater and sanitation? 11. If everything okay, sign off card and tag services. MOBT-LEHOME DATA. Manufacturer and/or Namestyle Length 5� Width G cl Vehicle Serial No..- State o. State Identification No, i1% [tel 7 /7-3 Additional Information or Comments: •MOBILEHOME INSTALLATION INSPECTION CHECK LIST /is - the mobilehome located with required separation from lot lines and buildings And generally.. conform to plot plan? Yes4 No Z/ Does the mobilehome have required clearances above ground? (Sec.5085) Yes No Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No • Is the mobilehome level? (Sec. 5088) Yes No If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yesl( No si! Tlater Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yeses' No Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No Backflow - If coach is not Stade of California approved, does station have backflow device and pressure -relief valve? Yes No 7. 'I stes and Drains Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No Does it have minimum" per foot slope.and is it properly supported? Yes__// No 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 AIA 8. Gas Piping and Gas Vents A. Connector - Is mobilehome-connected to the gas supply with an approved 3/4" minimum obiI home connector not more than 6 ft, long? Note: �Al.l—p`iping is to be at least as la as the mobilehome gas line inlet without re actions other than the mobilehome connect Yes No B. Test OK as per llowing proce ure? Yes No 1. Open all applia a connector valves. 2. Shut off appl-iance burne and pilot valves. 3. Air est with manometer to 10"-1 nater column, or test with slope gauge (minimum /6oz.-maximum 8 oz.) calibrated in ten ound increments. Test for l0.min. without drop. 4. Connect gas meter to mobilehorne vi th connector, soapy water. C. Are all appliance vents properly installed? Yes No- jas, test connections with uuuvTx ur bulir vepartment Or ruDllc Worx 7 County Center Drive, Oroville, California PHONE.: 5344541 r MOBILEIiOME INSTALLATION INFORMATION Lot Facilities 1. Plot plan dimensioned, location of mobile and uti 'ty connections? Yes No 2. Electrical. service equipment ampacity ZO-Z�, Circuit breaker ampacity Permanent.Wiring Connection Ampacity Receptacle Ampacity 3. Gas:. Natural Gas riser size 4. Drain inlet size 3 5. T•Tater riser. size r 6. Are utility connections located outside the rear 1/3 of the mobilehome.within 4 feet of the left wall? Yes ---NO If not, shoe; dimensions.above. 7. Is the mobilehome clear of septic tank, leach fields and located outside public utility easements? Yes 4-- No 8. Do you propose to do other work on the property other than the mobilehome installation which will require a permit! Yes No If so, specify 0 W H H O Z *For plans and specifications of support system,'see other side. Mobilehome Data H 1. O Length Width Z �, c 4Y�,, e Z Manufacturer o e� �s i`f,>�C�,32p x Vehicle Serial No. Z>6 o Insignia Control No. y 2. Feeder assembly' pacity /sp Conduit size %-- - 11 Power supply cord (amps) 3. Gas inlet size itl C Mobilehome connector size --!--- Capacity 4. Drain connector: describe on reverse side 5. Water connector: describe on reverse side 6. Designed loads: Roof live load _3 0 psf. . Wind load / 5— psf. (only for mobilehomes manufactured after October 7, 1973) . 7. Manufacturer's installation instructions? Yes A--- No 8. Will the mobile home be installed on a separate support structure? Yes No t/ *For plans and specifications of support system,'see other side. Lc' / //"-L nc A/0- / U nJ f T /��!�S— 4 Q-7- IS 3 i k1 ADDITIONAL CO1,,fi1!7:;TS S Drain Connector, Describe 3 Al 1-4 � • Z- — C,4y I— Water Connector, Describe -� 8 �j ALL LOAD BEARING SUPPORT AND 1WTING INFOPdIATION Pier Spacing Used S i� '`el !- Maximum Pier Load 0 n Maximum Column Load (multi -units its ,\ o Soil Bearing Capacity l��D Footing Dimension Used 'z. k/ Z k 3 v TYPE OF PIER USED V `V Steel Concrete Concrete Block h Oter . C. . TYPE OF FOOTING MAT:'RIAL USED Pressure Treated Wood Z_k/ d Concrete �' rj�f� Redwood (Grade) b Other Approved Type LOAD BEARING SUPPORTS BUTTE COUNTY .BUILDINf DE?gRTME NT APPR0VE . D chis set of piano and spccifxations MUST b� kept an +0 job at all times and it is unlawful to make any changos or alterations on same with t man permisson from the Department of Public oynfy of 8utW I _ O 411 00 L 9i b�� S fid. fra�D d 50 ft. frOM the road, permWi cava ovorha I -- //i - i it � , n ', c' ! i � � ,`. �i �� i ,._ _n ... .`_. "i 'i.',' lig �a �?���, �.� u� ;�: i i '�� i� l J n� ��' i 6'?. � i 1 il�' i� �