HomeMy WebLinkAbout065-120-049�
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65-12-49
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Permit .77P,E(uti,5
ELEG-
GAS
sUPP RT CTURE REQ
COMPACTION TEST REQ ----&2�-
65-12-49 Para.
contr: Paradise Modular Conceptss
Permit #2380-77MHI
Issuea
u
--
T
. PERMIT NO. 1845-77P,E
PERMIT EXPIRES
OWNER George Streiff-
CONTR.
treiffCONTR. owner
, LOCATION (A.P. 65-12-49
E/S Trails End R., app.1000'N.of Stieffer Rd.,
Magal is
i
r
Y +
:1
A
J
Temp. Power Pole
_ Called PG&E
Temp. Elec. Serv.
Called PG&E S
r Temp. Gas Serv.
C 'fled PG&E
vFIN
OB , -7
ALED `�6- /�
(Date) •
(Signature
{
�;..5 COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
J 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 4 U 7) for the following location:
Owner
Owner's Address
Mobilehome Mfg., Model Year '7
Insignia No. OSerial No. IS 5 7 5
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date L - i 13y �r;�':•
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING front'd) PLUMBING
Sel#ack I Fvewaii Is 1 Piping
Malk Bldg.
Rest"Nom Finish
Fo tins
Windo
Stem all
Sidin
Slab
Roof Shea in
Piers
Roofing
Garage
Fdn. Vents
Footin s
Stemwa I I
Garage Vents
Insulation
Slab
Carport
Footings V
Prov. for phsical
handica e.1
Conformance of ex.
structure V,
Slab
Final
Patio
REP ACE
Footings
Footing
Masonry Walls
Throat
Relnf. Steel
Final
Bond Bead
JFIRE SPRINKLEF
Framing
Test
Stucco
Final
Mesh
MECHANICAL
F nish D is
1 rior Lath entilation
f.00r Closer inal
MOBILEHOMEUTILITIES ------------------ Elec. Service 7. 7
Water Piping Sewer
M0816EHOME INSTALLATI N n-, - - - - - - - - - Support
Water Piping _ • 77 Drainage /
DATE REMARKS OR CORRECTIONS_
A9 Floor
2n Floor
3rd koor
To out
Water PI i
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
Motors
Grd. F It Prot.
Servi
TyCiJ. Pole
nder round
Permanent
Inal
,Z SC Elec. Pedestal
Gas Piping .0 —7 i
Elec. Continuity
Gas Piping L
(NOTE: An entry must be made on this form each time you visit the job site.)
An
r
9. Electrical
A Is service Large enociglk to provide ,:adequate amperage to. nlobileliome (must equal rating of
mobi_leltome �,jith a-.nin.Lium of x,00 amp) and other faciliti_Eis on lot, i.e., water pumps,
Oarage, cabana, etc.? Yes n!/ No
B. Is ther.-� proper clearances around panels? Yes o_
C. Is power supply cord or feeder assembly properly fused? Yes— 1\0—
T). Is continuity test satisfactory as per the following procedure? Yes o
1. De -energize electrical wiring system, of the mobilehome at the pedestal.
2. Make sure that tl-ie 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 xuau to cairn niUOl..L'eiwuie supPiy c.ui'iuuCtGr, 1110 iiulttg YieuLrdl.
5. .All nor. -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 alae above procedure, the power supply cord or feeder assembly
conductors shall. be connected to the site ,service equipment. A further continuity
te.;L shall then be made between the ,,,rounding electrode and the chassis of the
1110bilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
alae T,; job card si-ned by llealth Department for water and sanitation?
1;.. If everything olsay, sign off card and t.a services.
MOBTLlJ;l0ML DATA
Manufacturer and/or Namestyle
LengthWidth
Vehicle Serial No. 5
State Identification No.
°.di,itional Information or Commients:
ti0}3II,11iO2L13 I14S'.CAL'L,ATION INSPECTION CHECK LIST
1. Is the. mobilehomG 1ocatCd 1a1.i_11 required seha.ratiop from lot lines and buildings and generally
conform to plot plan? Yc::j No
2. DOCS the mobilehome have required clearances above ground? (Sec.5085) Yes4"No
3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note
possible. variation at spring shackles.) (Sec. 5082 & 5083) Yeses No_
4. Is the mobileh6me level.? (Sec. 5088) Yes No
5. If mo eI� n a'single unit; are crossover connections properly installed? (Sec. 5088)
I'e0
5, Water
A. Is flex'ble 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 `�o
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 6 --'No
B. Does it have minimum z;" per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after running 3- allons 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 f No '
B. Test OK as per following procedure? Yes V_ 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
_Z'*'No
COUNTY O� BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 o
7
APPLICATION AND PERMIT
.UU IVI ILC IC)JI CACIUCILIVCS UI llle UUUnly UI MUlle tU enter upon ine
above-mentioned property for inspection purposes.
X Ir Date G
ignature ofC`iteeee or Agent
Receipt No. /J / G"fV7
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.
DIRECTO F PUBLIC WORKS
BY Date 4-7-77
wilding permit expires Date — (6-7-77-
BUILDING
Owner S
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
%AiTICI, 73P/ Sr
eifho ne o.
Fireplace
/
C0rA1ee4o (/ }53 - c'Vlvf/ _ ?1,9R19,0 /Se— -
Total Valuation
Mailing Address -- ^/ ,L
Permit Fee
Plan Checking Fee&/or Penalty
&0fC AIV
Telephone No.
Permit Fee
BuildingA d 1
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.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Foes' I
Vd-C. I
-Set3i-takes
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
IParking I
Plan
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. PlIlans Recd
Parcel royal
Pla provol
Permit Fee $
$
NEW ❑ A ITION Q UTILITIES ❑ OTHER]
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
tL
Main service 100°o AMP ORSLESS 5.00
_
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER 600V
Main service 00 AMP OR LESS 125.00
Main service EA. ADD'L too AMP 1.00
NEW LING O
OR ADDNST ( ACCLBLDGS.CCUP. &) 20sgft
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
St le of:
y
Ex. Occup(OUTLETS OR FIXTURES)@25C
BAL@1
Ex. Occu FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License N Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ Is
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.
PV1 I have placed on file with the County of Butte a certificate of
L4 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.
MECHANICAL No.1 @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 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
d
TOTAL PERMIT FEE
$
.UU IVI ILC IC)JI CACIUCILIVCS UI llle UUUnly UI MUlle tU enter upon ine
above-mentioned property for inspection purposes.
X Ir Date G
ignature ofC`iteeee or Agent
Receipt No. /J / G"fV7
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.
DIRECTO F PUBLIC WORKS
BY Date 4-7-77
wilding permit expires Date — (6-7-77-
.Y
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County -Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: `
2. Installer's name:
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? ----------------------- /Qy Amps
6. What is the mobilehome site service rating? ------- _:'�=-✓="-� S Amps
7. What is the mobilehome site circuit breaker rating? ------------- /C/,� y Amps
8. Is there any other electric load to be served by the mobilehome
site service? -------------------------------------- .------------- Yes
(If yes, identify the load and size:
(Load)
No
(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.)
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.)
—
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. /11V -'Setup Model No. -24 9 Year % 7
Width (ft.) Length (ft.) Expando Size ft.x ft.
(Draw 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)..
S
�x
(ft.) in., (i .)(in.)
__-) -7i
- - X
'n.) (in.) ;
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
1�
11 `v�e0
0.j
Footings (check one)
Wood either
pressure treated or
fdn. grade.
2. Concrete pad.
/ / 3. Other, specify
Supports (check one)
/q -t -.-Concrete block
2. Concrete piers
/ / 3. Steel piers
/ / 4. Other, specify
lq �Typical Support
/ `sxS'"� Footing Size
s
i
i
i •
s
S--_ Max. Pier
Spacing
(ft.) Ufi.' )
-'-- -)Max.
- -O ' Overhang
(f l'in:
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
Center
Center Support
Support
Footing Sizes
Locations
(in.)
nlL.....
_.
�x
(ft.) in., (i .)(in.)
__-) -7i
- - X
'n.) (in.) ;
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
1�
11 `v�e0
0.j
Footings (check one)
Wood either
pressure treated or
fdn. grade.
2. Concrete pad.
/ / 3. Other, specify
Supports (check one)
/q -t -.-Concrete block
2. Concrete piers
/ / 3. Steel piers
/ / 4. Other, specify
lq �Typical Support
/ `sxS'"� Footing Size
s
i
i
i •
s
S--_ Max. Pier
Spacing
(ft.) Ufi.' )
-'-- -)Max.
- -O ' Overhang
(f l'in:
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspe do purpos
6
71
X M�ut. "%S-
Signatu e f Permitee or Agent KJ I OF
Receipt No. �L(do ?rJ—x
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 haveen paid.
DIRECTOR/OR PUBLIC WORKS
By Date `T— Z 7 — -7 7
ilding permit expires Date 7,P
BUILDING
Owner S''��� ��cF
0
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 2 v,, I d 0-i-
Telephone No.
i 3 b 79 7
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address J/ 5-1aR of TRAM
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 400
Aft p p jg
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50 �p
Yi@I[fE1W69111
Each gas water heater or vent 1.50
A. P. No. Gs�—/ �— -j�f
n'1—
Zoni P L
Gas piping system 1 - 5 outlets 1.50 m o o
Each additional outlet .30
F
Vel:�
Sa on
Fire Dept. Fire Zone
Use Permit
Building sewer 5.00 0,00
EQA
Parking Parcel
Plans Declaration
Par el M�
P
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
Bldg. Plans Recd
�tParcel Approval
Plans provol
Permit Fee $ 3,,"
$ 3 fJC
NEW ADDITION ❑ UTILITIES ® OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 300
OR LE
Main service ;0000 AMP ORSLESS 5.00 �Op
Main service EA. ADD'L too AMP 2.50 401111@P
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 1100EAMP oR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONST DWELING
OR ADDNS. ( ACCL BLDGS.CCUP. &) 2¢sq ft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS)-2.50ea
NEW CONSTR. (POWER APPARATUS .&)
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) 50 @ 254P
109
Ex. Occu FIXED APP LNS. OR
P•(OUTLET$ (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 (Spa
License No. 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.
❑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.
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 Ordinances
and State Laws relating to building construction, and hereby
N /! ,(o ..+► r'
�S
TOTAL PERMIT FEE
$ �� D�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspe do purpos
6
71
X M�ut. "%S-
Signatu e f Permitee or Agent KJ I OF
Receipt No. �L(do ?rJ—x
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 haveen paid.
DIRECTOR/OR PUBLIC WORKS
By Date `T— Z 7 — -7 7
ilding permit expires Date 7,P