HomeMy WebLinkAbout065-040-03065-04-30
[DONALD B. GAINES V
N/S Hupp-Coutelenc Rd.,app.2 mi.
W. of Coutelence Rd.-, Magalia
Permit ##499-76P,E'til ,MH) a/�G
E LE C . Z_�41aG.L�-G
GAS.
SUPPORT .STRUCTURE REQ.
COMPACTION TES,-T�REQ.
65-04-30
CONTR: EnglVsh John MH Sales, Paradise
Permit #1350-76MHI5 ll<8V2 L
Issued n -1 - �? 'S- 7l l
- _ -.. _ --_-J.��----� ,
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.PE&IT• NO. 499-76P,E
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. PERMIT EXPIRES c2,�ia���
OWNER Donald B. Gaines
I 1
�cONTR. owner.
LOCATION (A.P. 65-04-30 )
NIS Hupp-Coutelenc Rd.,app.�2- mi.W. of
Coutelence Rd., Magalia
1•
If
e
w
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E 7
Temp. Gas Serv.
Called PG&E
JOB 7� /.
I FINALED / l/ '
(Dat
� (Signat e)
Setback
iin Bldg.
ootings
StVmwaII
Sla
Pier
Footings\
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
CbUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING{- BUILDING (Cont'd) PLUMBING
Firewall
Soil Piping
Parapet
1st Floor
Restroom finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathin
Water Pi 'n j
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
AWater Htr.
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structure
Gas Piping & Test '`3 ri
Temp. Gas
Final t If 7 (, C,
Sanitation
FIREPLACE
Final 44h_4 1 7(. Rt
Footing \ I ELECTRICAL
Final
Fixtures
FIRE SPR)NKLERS
Motors
Test
Water Htr.
Final
Subpanels
MECHANIC
Grd. Fault Prot.
Heating
Service
Cooling
Temp. ole
Ducts
Underground
Ventilation
Permanent
Final
Final `W/4 7/ Com•
1
DATE REMARKS OR CORRECTIONS
WV
*2(1w �ivvli Im'�'
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17 (0
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(NOTE: An entry must be made on this -form each time you visit the job site.)
COUNTY OF BUTTE
DEPAPITMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
i
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. /3S0 --7 !, for the• followinngltoo ation:
-S / / (d rJ C. o ee re' L (-- C G /<`7 ' 14;71-` JiJ' LS t
Owner 4'11gC- 0 C.4 � 4 � S
Owner's Address N /-/u t)*a 1, a T( 12( Ciyc AM
Mobilehome Mfg. 6OC-0e.,-/ 'r -S 7- Model 4( r0 Year 7-5-'
Insignia No. Z 5 S y? 6' S'S -'7/ Serial No. () C00 (. 90)�
0(a0bg®L/
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date X� �j (.. By ��
THIS CERTIFICATE IS VOID WHEN OBILEHOME IS RELOCATED
` MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome locatedcai h required separation from lot lines anbuildings and
d buildigenerally
conform to plot plan? Yesl No
2. Does the mobilehome haye.required clearances above ground? (Sec.5085) Ye SX No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) YesK No
4. Is the mobilehome level? (Sec. 5088) Yes No
5. I.f 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)
Ye 9L
No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No
C. Backflow - If coags not State of California approved, does station have backflow device
and pressure -relief valve
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes'y No
B. Does it have minimum k" per foot slope and is it properly supported? Yesy No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe?.Yes No�4
D. If coach 11 State of California a rov ation 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 moehome 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 Vith 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_X No-
9. Electrical
A. Is service large enough to provide adequate amperage. to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp). and bther 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 nl.obilehome supply conductor, including neuL•ral.
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 /�✓Y
Manufacturer and/or Namestyle (, '
Length Width 2 -
Vehicle Serial No. I YES 12, /2 � C'%
State Identification No.
Additional.Information or Comments:
• COUNTY OF BUTTE — -UJEPAATMENT OF PUBLIC
7 County Center Drive Or&ille, California 95965
Telephone: 5a4-4541
APPLICATION AND PERMIT
WORKS
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PURI IC WORKS
By
B ilding permit expires Date Zj '
BUILDING
Owner 0>v'A-4,_b G,AJ C—.S
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor z ' 6 L/SH c /fit! //J /11r A/. SXY
Total Valuation
Mai I i ng Address <_'(7v <C.pA•,Z t< 0,_,p •
Permit Fee
Plan Checking Fee &/or Penalty
v
Telephone No.
h S17yPermit
Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
IV IS, CA Dio(, IIS IV C, 12q•
Each Trap 1.50
0 0a en C
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.160S —0 -alb.
Zoning & PlanningGas
piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
Bldg. PQawelec'd
Parcel oval
ans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
il�j L �,, A 7` r�'1 �' V �, , •,G�,U,,
Main service 100 AMP 0V OLESS
RSLESS 5.00
Main service EA. ADD'L too AMP 2.50
Main service OVER
100100 AMPsoov OR LESS 25,00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNS. ( ACCLBLDGS,LING CCUP. &� 22sgft
NEW CONSTR. MULTI.OUTLET
NON.RESID, (BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS .&)
NON-RESID• SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
//
FG �� Q -s /-F 1/U k J /�� �� S(S:
@250
Ex. Occup(OUTLETS OR FIXTURES)AL 109
B
Ex. OCCup ( FIXED APPLNTS (RES. OR
OUTLETS (REST D.) EA 2•00
Temporary service 10.00
o
Mobile Home Facilities 15.00
License No. ?-4uL /4, ( Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
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.
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 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 $
$
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
i
--
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PURI IC WORKS
By
B ilding permit expires Date Zj '
MOBILEHOME SUPPORT DATA
Mobilehome Mfr.. 4oL, o,.t ,1) " Setup Model No, l � �' Year
Width (ft.) Length (ft.) Expando `Size '_ ft.x '-�. ft.
(Draw support details below) .
J
On all mob ilehomV�manufactured after October 7, 1973, furnish manufacturer's installation'
manual and structural setup. sheets ..(if. not .on file with the County of Butte) .
Center Center Support
Support Footing Sizes
Locations (in.)
krt
in. in. in.
(f77� -(i.n:).(ine)...
-- Sin le . —1� Footings -(check.one;
ZZL Wood :either
pressure treated or
fdn.•grade...
/ , 2:::Concrete pad.
3.,:Other, specify.
Supports (check one;
971. Concrete block
2. Concrete piers
3. Steel piers
. ...................
/ /A. 4'. Other, specify 2:
.........
Typical Support
Footing 'Size'
in. in.
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Max. Pier:. ...
Spacing
in.
a
2- - Overhang
in.
BUTTE COUNTY
BUILDING r)�PARTMENT
ApfOVED:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7.County Center Drive, Oroville,.CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: A
2. Installer's name: <95�06 4- f -f -16 14 00 -.s
3. Is the site currently under permit? Yes t No
(If yes, furnish permit number �"' ) OR
Is the site an existing site? .Yes / / No 777
(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? ----------------------- 0 Amps
6. What is the mobilehome site service rating? --------------------- Amps
7. What is the mobilehome site circuit breaker rating? ------------- Amps
8. Is there any other electric load to be served by the mobilehome
site service? -----------LJ --.) I-, eJ v A) --------------------- Yes / / No
(If yes, identify. -the load and size: (Load)
9. What is the mobilehome site gas pipe size? ----------------------
(SPS)
10. What is the type of gas service? ----------------------------- Natural / / LPG
11. What is the gas pipe length from meter or tank to the mobilehome? Uh/_4) Z-�'-Z 570 (ft.)
12. What is the mobilehome gas demand? ------------------------------ r-. (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
4
t ,
COUNTY OF BUTTE , -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
Telephone; 534-4541
APPLICATION AND PERMIT
authorize representatives of the Co ty of Butte to enter upon the
above-mentioned property r ins c on purposes.
X6X Z)ate
Signature of Permitee dr Agent
Receipt No. Jq 13 3 7
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 Date
ui lding permit expires Date �L� 7
BUILDING
Ownerk, q t_ o _1 .
SQ. FT. OCC. BUILDING VALUATION
�!
Mailing Address19
n
�!!'e►g(��`f
Telephone No.
270
Fireplace
Contractor Ownvelt-
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building AddressN S 1�JG - C 4 �Ge
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Ad
12. k'h Ll J PD 47'6- G Y► '
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping .1.55 /0-1
Each gas water heater or vent 1.50
/-
A. P. No..tD S— dy `�� •
AA5
Zoning i g
Gas piping system 1 - 5 outlets j- 1 U
Each additional outlet .30
F696s
S io
.,FireDept.
Fire Zone
Use Permit
Building sewer ,s.n9- p '-
EQA
Parking
Pleann�s-
P rcel
D laration
Parcel Ma p
60' R/W
imp rov dients
p
Lawn sprinkler system 2.00
Bldg. I`rr�d
Parcel royal I- I
Pans Approval
Permit Fee 33—
$ .^
NEW ❑ ADDITION ❑ UTILITIES 2g OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS 5,00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50 Jcp�
OVER 600V
Main service 100 AMP OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service/ EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ACCDWELBLDGOLING CCUP. &) 20.sgft
NEW CONSTR. MULTI.OUTLET
NO N•RESID. BRANCH CIRCUITS) '2.50ea
NEW CONSTR. /POWER, APPARATUS & .�
NON.RESID. \SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
le of:
�z�s
Ex. Occup(OUTLETS OR FIXTURES) BAL21
APPLNSORst
Ex. OccUP•( FED D.) E
A) 2•�0OUTLE
Temporary service 10.00
Mobile Home Facilities 15.00 S "
License No. Classification
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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
1G' 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 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 relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the Co ty of Butte to enter upon the
above-mentioned property r ins c on purposes.
X6X Z)ate
Signature of Permitee dr Agent
Receipt No. Jq 13 3 7
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 Date
ui lding permit expires Date �L� 7