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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 I s , rtp :; i ��. a b �, �: � � �p. +i' �', � � '` 1' ti4 ;•PERM(f NO. 3877-78'E,E PERMIT EXPIRES Robert Webster OWNER �CONTR. owner i LOCATION (A.P. 65.426 ) W/S Coutolenc Rd., Z'mi.N.ot Hupp Coutolenc Rd., Coutolenc t N t .Y tt. i r I t ' i i 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 / K _ 0_ J 40-5 00 �J Q f! f' t i t� a e S ser OAC Jb� R 04 R P o�''ha\\ be. {r°`" axe' 1 ° M a t►rely m i �He ,betty Ve COaa. pehpn9b4t en Side \ , e °{ tin v e °v er i _ der\�r <<01 `I' chum °{ a\\ ease eats• 13UTTE C dui 3UILDING D k a ;too sae oaks` &.�\e ,re ok the side t114-�Ivl �� �q EU Ems! NTY M APPROV D \gib �-0 v F C LE�� 1 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