HomeMy WebLinkAbout064-590-0214 ,
Jack dapek
20,,,Zeabury. Ct.-, lot 101, PP#11, Maga:
cont Powers Const., Magalia i
• it
Permit X4803 -80P 'E(util:',MH) }
ELEC.
GAS //- /9.r0
SUPPORT STRUCTt.RE REQ.
t - COMPACTION MT RAQ, "
64-5� --21y 0' �� {
Contrf Bernie Mobile Home Ser, Par.
Permit#57OMHI
Issued z "a /"Yo
64-59-21
4 Permit k6101-80B(new open-deck/MH.) L
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6101-80B
PERMIT NO. ) y�
j PERMIT EXPIRES / MIO/0
;:.i. Jack Chapek
{ OWNER
` owner
CONTR.
64-59-21
ASSESSOR PARCEL
6265 Seabury Ct., lot 101,PP#13
LOCATION
Magalia
• j
.•s j
i
i
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i
,I
Temp. Power Pole
I
Called PG&E
Temp. Elec. Service
Called P�G&`E
! Temp. Gas Service
•j
j
Calle"dPG&E
J0Bly LED (Date)
j
Signature
V = OK
O = Not OK
- = Not Applicable~ MOB'ILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
(D E COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1, g quirements-Setbacks-Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
2. ootings; S' e -Depth -Spacing -Connectors
s; 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 N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
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/0 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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable RESIDENTIAL (Simile and Duplex)
= Not Ready
Date
UNDERFLOOR Plans -OK except #'s
Date
FRAMING (Continued)
1.
Zoning require men ts-Setbacns-Easements
48.
Property Line Firewall &Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums &Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
Romex Installed Close to Edge of Studs & C.J.
72,
Insulation -Foam -Looked in Attic E] Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes E] No; Walks El Yes [I No;
Planters ❑Yes ❑No
28.
29.
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances; Panels-Motors-Mech. Equip.
76.
Stucco; Brown -Finish
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet -L ight-Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opn s.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
_-
_Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date
FRAMING(Plans)
36.
OK except q's
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
41.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size Bearing
42.
43.
44.
_& _
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
• APPLICATIN AND PERMIT
ASSE O AR NUMBER
�p �- — _ a, I
ZONING
,
BUILDING PE
to
OW�� fLTELEP
TONE
SQ. FT. OCC. BUILDING VALUATION
7
OWN'Z'IMAILING ADD SS
CY
CONTRACTOR'SNAME
0 W is
ELEPHONE
CONT
ACTOR'S MAILING ADDRESS
C S RUCTION LENDER
UNKNOWN
Fireplace
Total Valuation Is
LENDER'S MAILING ADDRESS
Permit Fee
$
AR HIR ENGINEER
LICENSE NO.
Plan Checking Fee
s,
$ �V
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDC;ADDRE S ��
10 SIWc3utr�—
PLUMBING PERMIT
Filing Fee 3.00
tib
Each Trap
2.00
Repair drainage or vent piping
2,00
Water piping
LOT NO.
SUBDIVISION NAME
4-1t
PARCEL MAP
1
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: —
�� �Es�L
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service IS
100V OR 000 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW
OR ADDNST ( ACCLBLOGS.LING CCUP,&�
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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 CONSTR MULTI -OUTLET 2.50 ea
NO N.RESID, BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &)
NON.RESI D, (SINGLE OUTLET CIR.
Ex. ODcup(OUTLETS OR FIXTURES 50@�
BAL@10¢
FIXED APPLNS. OR
Ex. Occup. (0UTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
5 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.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
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 li ilitie judgments, costs, and expenses which may in any way accrue
ag s ounty ' con uence of the granting of this per t.
X Date��'� ��
Si ature of Applic t — Owner Contractor EJAgentwork
n OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories iinJheight.
Mobile Home Installation Fee $
Land Development Fee $
??
TOTAL PERMIT FEE $ c�
OCCUP. GROUP
��_ f
I TYP DF CONST,
N
PARC
✓
PD
HD
s�
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIREC R OF PUBLIC
By
PERIV EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/2—I
y—�
Receipt No. ��'s 7
WHITE-D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO.`4803-80P,E
PERMIT EXPIRES
1 OWNER Jack Chapek
( CONTR. Powers Const., Magalia`
ASSESSOR PARCEL 64-59-21
LOCATION 20 Seabury Ct., lot 101, PP#11 ,
_ Magalia
0
Temp. Power Pole
Called PG&E
lec. Service
Called PG&E %� -�� fifl s W11 o(d d
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
I�
Signature
j
I'
C
J = OK
O = Not OK '
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date UNDERFLOOR (Plangy OK except #'s Date FRAMING (Continued)
i
1. Zoning requirements -Setbacks -Easements
Card -BI Date Card -BI Date
Date ELECTRICAL (Permit) OK except N's
48.
Property Line Firewall & Opi'nings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
Elec. Receptacles Spacing -Lights & Switches at Doors
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
Romex Installed Close to Edge of Studs & C.J.
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
2 Appliance Circuits in Kitchen & Conductor Size
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes [:]No
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
Equip. Clearances; Panels-Motors-Mech. Equip.
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ft .-Steel
Card -BI
Card -BI
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
FRAMING(Plans) OK except p's
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
11. Electric; Underground
38.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
12. Plenums & Ducts; Clearance -Material -Support -Ins.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_41.Header
42.
43.
43.
44.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
45.
46.
Date Card -BI Date
_
Card -BI
Garage Fire Protection Framing
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except N's
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17. Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
61.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs &Rails
19. Gas Pipe; Size & Anchors
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date ELECTRICAL (Permit) OK except N's
20.
Fixture & Transformer Clearance -Ins. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
23.
Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
25.
2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes [:]No
28.
Service -Riser Conductors & Ground -Main Disconnect
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
30.
Clothes Closet Liaht-Shower Liaht
Card B -I
Date Card -BI Date
Card B -I
Date Card -BI Date
Date
MECHANICAL (Permit) OK except #'s
31.
A.C. Ducts; Insulation & Support
32.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
___33.
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
Date_ _ Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans) OK except p's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
_39.
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_41.Header
42.
43.
43.
44.
&_Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
46.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hpt. & Dimensions
_
47.
Garage Fire Protection Framing
63. Fireplace or Stove; Clearances -Hearth
64. Elec. Outlets at Wood Panel; Int. & Ext.
65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic ❑Yes
73. Guard Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instld.: Drive ❑ Yes j] No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76. Stucco; Brown -Finish
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79. Water Well; Disconnect, Electrical, Plumbing
80. Exterior Elec. Trim; G.F.I. Receptacle -Underground
81. Ventilation throughout House
82. Glass Protection
83. Corrections from Previous Inspections
84. Gas Test -Meters Tagged; Gas -Electric
85. Water & Sewer Connected -C/O to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date _
Card -BI Date Card -BI Date
Comments at Final:
(NOTE: Anentry must be made each time you visit jobsite)
J = OK
0 = Not OK < • z
= Not Applicable MOBILEHOMES r MISCELLANEOUS
� - N t R d
_ o ea y
I
Date
MOBILEHOME UTIL•.S-TIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, STC. (Plans) OK except t1's
Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
od p I
2. Footings; Size -Depth -Spacing -Connectors
Y --,Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
A,'Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
$/Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. G; s- :/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
ity Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI 44aate
Card -BI Date
Card -BI
Date Card -BI Date
Date
11ROBILEHOME INSTALLATION (Plans) OK except it's
14,�oning Requirements -SA ,bfcks-Easements
Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. F ngs; Size-SOaeing=Marriair a
2. Soils; Compaction -Structure Stability
- emand-Valve-Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. I-leotrhfTy; MH Test-CreksoVe-rs-Breal%r5S Clea nces
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Q%gkr JAZ Test -F®14 -Flex 4of rector
5. Elec.; Pool Lighting; 15 volts-GFI
6. WEIR T&r-'1egu onfitTor
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. r and Sewer C nnected-C/0 t rade-
7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8nd Elec icily Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
xR,, Insp.-Sketch
Ar"Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-
Date and -BI Date
JCard-B]
Date Card -BI Date
Card B -I
Date Card -BI Date
j Card -BI
Date , Card -BI Date
*lids Ilk
9. Electrical -
A. Is service large enough to provide ad -equate amperage -to mobilehome'(must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps;:
garage, cabana,'etc.? Yes_ No
B. Is there proper clearances around panels? Yes_ No_
C. Is power supply cord or feeder assembly properly fused? Yes No
D. Is continuity test satisfactory as per the following procedure? Yes_ No
1. 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
conductor, have been disconnected,
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 line,
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 Serial No.
State Identification No.
Additional Information or Comments:
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome loeated with required separation from lot lines and buildings and generally
conform to plot plan? Yes_ No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ 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_ No
4. Is.the mobilehome level? (Sec. 5088) Yes_ No
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
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_
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ 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
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
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
„ Y
CERTIFICATE OF. OCCUPANCY'
This mobilehome has been installed in accordance with the requirem6nts
of the California Administrative Code, Title 25, Chapter 5, under permit
number<727'?-- $;'0 for the following location:
Owner
Owner's Address 4Z
Mo_ bilehome.Mfg -`,a ` Model.�V-� --Year,-4' -
2 -, Serial No: -5 .-
Insignia No.�� �� 5� -* ° `
It is hereby certified for occupancy at the above described location_ and.
may be occupied.
Director
of -Public Works
Date !/>�i./.-�, gy
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED '
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
s DEPARTMENT OF PUBLIC WORKS
' 685 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
�f 7 County Center Drive, Orovilie — Phone 534-4541
Skyway and,Elliott Road, paradise — Phone 877-3435
COARECTIO'N NOTICE
M
BUILDING OR PROPERTI("CDDRESS
A•routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation_ please contact this office immediately.
(a O Vel s
4-'W M t
Inspector Date %�/Z.3. I 0
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 `� Q
APPLICATION AND PERMIT ��V." inl..
ASSESSOR PARCEL ^.� ro NU BER
ZO IN
BUILDING PERMIT ,DD ��
O WNE - %J /
TELE FHONE
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
O r• c f
CONTRACTOR'S MET NE
to S •ovt/ - p
CONTRACTOR'S MAILING A�S
K �O
CONSTRUCTION LENDE
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ C
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ �c, C) C)
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUPS N NAME f PA CEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeX Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationg- Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 1000 AMP OR1 OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST DWELING
OR ADDNS. ( ACCLBLDGS.CCUP,&)
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
rf�
I`�f1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 2 7 S S -y Classification
❑ 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 NON -RES,.. BRANCH CIRCUITS 2.50 ea
NEW CONSTR.POWER APPARATUS .&)
NON-RESID. (SINGLE OUTLET CIR.
ExOccup(OUTLETS OR FIXTURES 50 @250
. BAL 0 tOZ
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
FZL-.I have placed on file with the County of Butte Building Department
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.
MECHANICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
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 representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Bette against
all liabilities, judgments, qoz4s, and expenses which may in any way accrue
against aid County ' e nce of the granting of this permit.
X D to
Signature of Applicant Owner 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 $
Land Development Fee $
TOTAL PERMIT FEE $ C, UC)
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
1 11
ss�
V
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI TOR OF BLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date <['
�_
Receipt No. 4�G-,G
WHITE-D.P.W., YELLOW ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
� ; � �
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• �- -A. � MOB ILEHOME SUPPORT DATA
If -other than single widey�
Mobilehome Mfr. [ furnish Setup Model No. (;/% :3�A-� Year
Width z (ft.) Box Length..,940 _(ft.) Tagalong .or Expando Size Lf x -1!9• 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 un ess o herwise specified.
Footings (check one)
1W Single 1. Wood either
/J6 � A�'. ,� ,_�. pressure treated or
Afoundation grade.
x
(ft.)(in.) (in.) '(in.) T
E] .2. Other (specify)
Center support Center support.
locations* footing sizes
(i .)
(ft.) i% .(in.) (in.)
tn„QJI�
A � '
.
(in.) (in.)
Supports (check one)
�J 1: Concrete block.
2. Other (specify)
t
*-Tagalong or Expando,
show support details.
2 xVj
-- Typical Support
(in.) (in.) Footing Size
(ft.)(in.) '- (in.) (in.) Max. Pier Spacing
�� -- Max. Overhang
(ft.)I (in.) (in.) (in.)
1
BUTTE COUNTY
: +.. ILDINC nF?ARTMENT
APPROVE®
*If center piers are other than drawn above,
'draw in locations, spacing, and dimensions. 3
BUTTE COUNTY DEPARTMENT OF PUBLIC
WORKS
7 County Center Drive, Oroville,
CA.
PHONE: 534-4541
P
MOBILEHOME INSTALLATION SHEET
1.
Owner's name:
2.
Installer's name: lo� k
3.
Is the site currently under permit? Yes /!—/" No
(If yes, furnish permit number
) 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. away from
septic tank and
leach
fields and
clear of all setbacks and easements? Yes / ✓/� No
( If no, clarify
)
)
(
5.
What is the mobilehome electrical rating? -----------------------
Z C2a
Amps
6.
What is the mobilehome site service rating? ---------------------
Z n AO
Amps
7.
What is the mobilehome site circuit breaker rating? -------------
2 QO
Amps
8.
Is there any other electric lead to be served by the mobilehome
site service? ---------------------------------`-----------------
Yes
/ /
No /A//
(If yes, identify the load and size:
(Load)
e'
(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.)
(BTU).
12.
What is the mobilehome gas demand?:------------------------------
(This information not required if pipe length less
than -6 ft. on natural
gas
:- , ;.,or less than 50 ft. on LPG.)
to
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to
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.014,
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BUTTE COUNTY
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gUll:�?i�ir DF
A\RTMENI
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AP pR
VED
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO
;, .. 7 County Center Drive-'Oroville, California 95965 - Telephone 916/534-4541 d
~ APPLICATrON AND PERMIT
.A
AS SSOF� PgJEL NUM�ER V y
YY P (/�
ZQ�tN•hTl�
,`/.\Iy/ I
BUILDING PEART
OWNER Jack Cha ek
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
Powers Construction
TELEPHONE
Q
U
P
CONTRACTOR'S MAILING ADDRESS
P.O. Box 776 1 a alial. Ca. 95954
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LE S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDREse,
20 Seabury Ct. PP 11 Lot 101
PLUMBING PERMIT
Filing Fee JpAlk _
Magalia
Each Trap
1 2.00
Repair drainage or vent piping
2.00
Water piping
X '—
LOT NO.
101
SUBDIVISION NAME
Paradise Pines Unit 11
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome0 Other
SPECIFY
Building sewer
10
Lawn sprinkler system
2.00
TYPE OF WORK
New❑ Addition E] Remodel❑ UtilitiesQ Installation❑ Other ❑
Describe work: develo.p lot for mobile home
Permit Fee
$ 30 "
Contractor
ELECTRICAL PERMIT
Filing Fee 9D 9ef1-
Main service 100 AMP OR111 OR L LESS5•�0
"
Main service EA. ADD'L 100 AMP
2.50 !AF
N EWADDNS. IDACCLBLDGLING OCCUP,&)
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
® I am licensed under provisions of Chapt. 9, Div.3 of the Business
and Professions Code and my license is in full force and effect.
License No. 386864 Classification A
❑ 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
NEWCONSTR j MULTI -OUTLET
NON .RESID. `BRANCH CIRC ITS 2.50 ea
NEW CONSTR. (POWER APPARATUS 91
NON-RESID, %SINGLE OUTLET. CIR. /
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL@i0s
FIXED APP LNS, OR
Ex. Occup.(OUTLETS (RESID.) EAJ
2.00
Temporary service 10.00
Mobile Home Facilities X 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor Cooper Plpctri In
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
® I have placed on file with the County of Butte Building Department
a Certificate 6f 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.
MECHANICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
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 representatives of the County of
to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sad Coukty. Inc equence of the granting of this permit.
�}
X,LYa �. R�� Date "l�
Signature of Applicant — Owner ❑ 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 $
Land Development Fee $
TOTAL PERMIT FEE $
7.2Butte
OCCUP. GROUP
I TYPE OF CONST.
I
PA:/CL
PD
HD
ssuE,
This'permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO F PUBLIC
BY
PEFWT EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
(
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Y
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t