HomeMy WebLinkAbout065-020-00665-02-6
Robert Webster �i 4
W/S Coutolenc`Rd., 2 mi.N.of Hupp-Couto
lenc Rd., Coutolenc
Permit #3877-7 P,E(ut' .,MH)
ELEC.
�GAS�
SUPP T STIRUCTURE REQ. Ol/a
C@�PACTION TEST REQ.
Contr: McMillan MH ',Ser, Paradise -
Permit #4948-/78MHI D
Issued_��j�Z 87
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;•PERM(f NO. 3877-78'E,E
PERMIT EXPIRES
Robert Webster
OWNER
�CONTR. owner
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LOCATION (A.P. 65.426 )
W/S Coutolenc Rd., Z'mi.N.ot Hupp Coutolenc
Rd., Coutolenc
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Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
t Called PG&E 9l//.3Z 7/l.
Temp. Gas Serv.
t \ Ca I I ed 136IFF
JOB
E FINALED
(Date)
t (Signature)
i
y ,
COUNTY OF BUTTE — DEPARTMENT'OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
F ewall
Ski Piping
Vms
Pa etst
Floor
Rest om Finish
2 Floor
Windols
3rd loor
S mwaII
Siding
To out
Sla'k
Roof Shekthing
Water PI n
Pier
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footingx
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph siclIly
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Tes
Temp. Gas
Slab Y
Final
Sanitation
Patio
FAAPLACE
Final
Footings
Footing
LECTR AL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beamf
IRE SPRINKL S
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanell
Mesh
MECHANICAL
Grd. FaAlt Prot.
Scra h
Heatint
Servi
B n
Coovng
T p. Pole
�Ish
Du s
oder round
h
V ntllation
Permanent
IN
oor Closer
Inal
inal
MOBILEHOME UTILITIES
Elec. Service Z Z' % 1 p(f A .
Elec. Pedestal
tb Water Piping
Sewer $• 2 7
y
Gas PipingLZ
BI E OME INSTALLATION - - - - - - - - - - - - - -
Support -
Elec. Continuity
Water Piping 9,1 7,- %Y
Drainage � y_ 7,p 0t�
Gas Piping g_ ,
DATE REMARKS OR CORRECTIONS
o • t�
7n (#
/pj (A.4,43�01.,q�
(NOTE: An entry must be made on this form each time you visit the job site.)
0
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
FIs the mobilehome located with equired 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) YesZ No
3. Are footings and supports properly sized, spaced, and braced as papproved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No�
4. Is the mobilehome level? (Sec. 5088) Yes ,/ No_
5. If m/oe than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No—
Water
p�
0 A. Is �f�lele connector ofadequate size and properly installed (1/2" IDmin.)? (Sec. 5566)
Yes
and working No
B. Test - Does water piping withst g pressure or 50 lbs. air test? Yes
C. Backflow - If�'Ip�c is not State of California approved, does station have backflow device
and pressure -re i, valve? Yes_ No
'Z_Wastes and Drains '�
A. Is connection made with Schedule 40 DWV and have flex connectors at each end?,Yes 4- No
B... Does it have minimum 4" per foot slope and is it properly supported? Yes__4Z4_
:+ C. Are any leaks detected in drainage system after running 3�10ns of water through each
fixture including washing machine standpipe? Yes_ No
D. If coach isate of California approved, does station have required trap and vent?
Yes No
1
RIZ-Gas.Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector of more than-.6.,,ft, long? Note: All piping is to be at least as
large as the mobil ome gas line inlet without reductions other than the mobilehome
connector. Yes. No
—
f
B. 'Test OK as per g followin p rocedur0 Yes No
a�
1. Open all appliance connector v�tives.
G
.2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"014" 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 mobilehoiqe with connector, tur --on gas, test connections with
.soapy water.
C. Are all appliance vents properly installed?" Yes_ No
Q
n
0
E ectrical - _...
A. Is service large enough to provi adequate amperage. to mobile:iome {must equal rating of
mobilehome with a minimum of 1 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes No_
B. Is there proper clearances around.panels? Yes P' No_
C. Is power supply cord or feeder assembly properly fused? Yes�o_
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.
S. 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? /4/0
11: If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
T
Length o C% Width Z/ ��l �X a -e;> 4!�'XrR4 Ald- a
A
Vehicle Serial No. ��/ c3 �i� — %// ���� �� ( �,7�X/��-✓lc�
State IdentificatiCO`N6. 11 / ?fin p — /// �� % /%/.�%�(,�'a�,L��/dcI
Additional Information or Comments: -
e
COUNTY OF B.UTMT — DEPARTMENT OF PUBLICkWORKS
v 7 County Center Drive — Orgville, California 95965
Telephone: 534-4541 j
APPLICATION AND PERMIT
Heceipt No. A v Z U-- I t v �/ '1�/�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date O
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address -
-,
Telephone No.
Contractor
Mailing Address £
Fireplace
Total Valuation
le hone No.
T-aPermit
Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
C?d
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. S 'OZ
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F04
Se�
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Pla s
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
I
Each additional outlet .30
Building sewer 5.00
BI Plans Recd
Parcel ova
s Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
00V OR
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
100100 AMPeoov OR LESS 25.00
Main service EA. ADO'L 100 AMP 1.00
NEW
OR ADDNST % ACCLBLOGS.LING CCUP. �) 2¢sgft
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 CONSTR. MULTI.OUTL T
NON.RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS 8
NON. (
RESID. (SINGLE OUTLET CIR.
EX. OCCUp 1 LETS OR FIXTIiPES 50 @
(OUTBA
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
i ��`•
Mobile Home Facilities 15.00
License No. ? r,/2 S' 7 ' Classification �iG /
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.
(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 purposes.
� � �
X Date
Signature of Permitee or Agent
7
$ J
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 f'or,4Vich fees have been paid.
D OF PUBLIC WORKS -79'
By Da j ��
Heceipt No. A v Z U-- I t v �/ '1�/�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date O
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
E 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 2277-7." for the following location:
tool. G�+o. % a.i/.r /1/
Owner / ,e
Owner's Address
MobilehomeMfg�r�-�f��/a Model 7l (-z - �
Year7
Insignia No -'L6? �11J6%,1-111 a 7b Serial No1117/fsl,,f.'1<i111/ f%.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
'
Date /- /l - % By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME:IS`RELOCATED
tWhite - Owner, Yellow - Installer, Pink - D.P.W. ;,;
r
BUTTE COUNTY DEPARTMENT' OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
o
1. Owner's name:
' 2. Installer's name: MOMILL':M1 MOBILE H01,11!= gF'RI/iCE
3.Is the site currently under permit? Yes 1-4 No./ /
(If yes, furnish permit number _ 3�7�. %� ) 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? -----------------------
/ C7 O
Amps
6.
What
is the mobilehome site service rating? ---------------------
Amps
7.
What
is the mobilehome site circuit breaker rating? -------------
/ O o
Amps
8.
Is there any other electric load to be served by the mobilehome
site
service? ---------------------------------------------------
Yes / /
No
(If yes, identify the load and size: (Load)
(Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
10.
What
is the type of gas service? ------------------------------ Natural / /
LPG
ll.
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 ft. on LPG.)
y
,
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. D Vf �� furnish Setup Model No.—,7K-OZ -7— Year 7 �'
Width Y (ft.) Box Length 60 (ft.) Tagalong or Expando Size ft. x 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.
(ft.)(in.)
Center support
locations*
(ft.)(in.)
(ft.)(in.)
F6D7-
(`ft.) (in.)
Footings (check one)
Single U 1, Wood either
pressure treated oz
foundation grade.
x 2. Other (specify)
Center support
footing sizes Supports (check one)
(in.)
�x F -1 -1' -.-Concrete block.
❑ 2. Other (specify)
(in.) (in.)
<--Tagalong or Expando,
show support details.
/Z x3o -- Typical Support
in.) (in.) Footing Size
(in.) (in.) �r G -- Max. Pier Spacing
(ft.)(in.)
Max. Overhang
(in.)l (in.) (ft.)(in.)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
8U1 pU GE COUMTY
DEPARrMEN1
Appk)OVE6
chis set oflans and specifications MUST b•
P P Coy
kept on the job at all times and it is unlawful to U
make any changes or alterations on same without /9CP e;
written permisson from the Department of Public
Works, County of Butte. j�..
yt
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_ 0_
J 40-5
00
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o�''ha\\ be. {r°`" axe' 1
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m i �He ,betty Ve COaa. pehpn9b4t en
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chum °{ a\\ ease eats• 13UTTE C
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,re ok the
side
t114-�Ivl ��
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NTY
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APPROV D
\gib
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1
NOTE:—All Materials & Workmanship Shall ge in 1
4.rcordonce with Recognized Good Practices and
of a quality nre,criberl for the Specified use in the 1
Uniform Building, Plumbing & Machanical Codes and- 1
the National Electrical Code, I I
a
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
` .. 7 County Center Drive - ,Oroville, California 95965
-� Telephone: 534-4541
APPLICATION AND PERMIT AA
BUILDING
Owner �yy� S
SQ. FT. OCC. BUILDING VALUATION
Mailing Address P, v . O
T lephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
prr�,,.11
Building Address �/ S 1. to kA, -r �b1�1�C, 2 -a
Plan Checking Fee&/or Penalty
Permit Fee
Z (A C(,fin C, ,0
PLUMBING No. @ FEE
• /
W l✓� 1
PERMIT FILING FEE $3.00
Each Trap 1.50
Lr-(, OA �,�'
Repair drainage or vent piping 1.50
A. P. No. 2 "-
5F
Zo ' 1
Water piping
Each gas water heater or vent 1.50
F s
�
USC. S tin Fire Dept.
FireZone
Use Permit
Gas piping system 1 -5 outlets t)
EQA
Parking Parcel
Plans Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer
Bld Recd
Parce p royal
Plans pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $ 3
$ '-
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR LESS 5.00 S�
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADO'L 100 AMP 2.50 S�
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNS// CONST.DWEACCLBLDGS.LING CCUP. &� 20sgft
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 CONSTR. MULTI.OUTLET 1
NON.RESID. BRANCH CIRCUITS/ 2.50ea
NEW CONSTR. POWER TJ,JS 9
NON.RESID. SINGLE O QEI L°14.
Ex. Occup(OUTLETS OR FIXT11PES g @r1
FIXED LNS
Ex. Occup. (OUTLETSPIRESIDIREA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 S
Misc. Wiring 6.25
License No. Classification
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ (p
$
MECHANICAL ;No.1 @ 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.
1 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 1 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 relatina to building construction. and hereby
Land Development Fee
$ J —
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date—
$ignoture of Permitee or Agent
Receipt No. y 1
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 BLIC WORKS
By A Date �z 7
(ding permit expires Date 7-7 %
T