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HomeMy WebLinkAbout065-172-014Lorraine Miller 140 Tikker Ln., lot 370/N2, Fir Haven R= {' Sub, Magalia contr: Par-A-Dise Const., Parades -Permit #2712-7 P,E util.,MH) DEC. l k GAS7 • SUPPORT' STRUCTURE RQ._ C TIONTEST REQ. r (� f/91% K 65-172-14 ermit ##3261-78P(gas piping) MH _ 65-172-14 Contr: Hiltons MH Ser, Magalia Permit ##3318-78MHI/ / • Issued J 4 271'2- 7811", E PERMIT NO. PERMIT EXPIRES Lorraine Mler OWNER CONTR. Par-A-Dise Const., Paradise LOCATION (A.P. 65-179-14 14.0 Tikker Ln.,. lot.370/Nk, Fir Haven _.Sub Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv.- Called PG&E Temp. P' Gas Serij. Called PG&E JOB B FINALED (Date) (Signatu �+ COUNTY OF BUTTE ;DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE 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 51 under permit number '—for the following location: Owner Owner's Address Mobilehome Mfg. 1 Model 2 Year�L4> Insignia No. '' ' 'r7 7✓ Serial No. 1 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date L, / - t By �� r /l... THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS,. • BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING ck F ewaII II Piping s PApets t Floor ain Bldg. Restr om Finish 2n Floor ootin s Window 3rd Fx0or S mwall SidingTo ou Sla Roof Shea in ater Pier Roofing !SewerA Garage Fdn. Vents Fixtures Footinak Stemwa l l 4 Garage Vents Insulation 4 Water Htr. Heaters Slab Carport Footings V Prov. for physical handicapped" Conformance of ex. structure V A liances Gas Piping & Test Temp. Gas Slab Final A Sanitation Patio FJAEFkACE Final Footin s Footing LECTRICA Masonry Wall Throat Rou h Reinf. SteI6Final Fixtures Bond Be m kIRF SPRINKI FA Motors Framinq Test Water Htr Stucco Final Sub ane Mestf MECHANICAL Gird. F It Prot- Scoftch Heatin wn CoollIg Du s VerIorth V ntilation r Inal MOBILEHOME UTILITIES ---------------- Elec_ Service 4 Water Piping is - Sewer BI EHOME INSTALLA --------- Support O,7- Water Piping Drainage DATE /! !� /7 4' REMARKS OR CORRECTIONS � mac// •e, � U Servi96 T mp. Pole oder round Permanent final Elec. Pedestal G Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ZNo 2. Does the mobilehome have.required clearances above ground? '(Sec.5085) Yes ✓ No 3. Are footings and supports,properly sized, spaced, and braced asXr approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes— No 4. Is the mobilehome level? (Sec. 5088) Yes_ No_ 5. If :17,-han a single unit, are crossover connections properly installed? (Sec. 5088) Yes No - 6. Water A. Is flex-ible 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" 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 Noe/ 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 4-�NoI 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- 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 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. 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?. 11. If everything okay, sign off card and tag services. , MOBILEHOME DATA� Manufacturer and/or Namestyle P� (J� Length -13 L/ Width =� Vehicle Serial No.. X7 State Identification No. t4,16-2 3 m - d Additional Information or Comments: 13 COUNTY OF BUTTE) — DEPARTMENT OF PUBLIC WORKS . ;.�; 7 County Center Drive — Oroville, California 95965 3,��J� Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. e X Date Signatur of Permitee or Agent Receipt No.1� 7 q 0 - 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 0 PUBLIC WORKS By Date wilding permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor ticO N ` Mailing Address (� , Fireplace Total Valuation ` T lephone No. 0, Permit Fee Building Address Plan Checking Fee Vor Penalty Permit Fee 7 0 /K �G �� �/' PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �/► �1 !-= L /� Repair drainage or vent piping 1.50 A. P. No. 5 -0"-' q` Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s Wk -'j Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans I Parcel Declaration Parcel Map 60' R/W Impro ements Each additional outlet .30 Building sewer 5.00 � Bldg. ei'ans Recd I Parcel AeErovoK Plan Approval Lawn sprinkler system 2.00 NF1W ❑ ADDITION ❑UTILITIES ❑ OTHER Permit Fee $ $ 0ti / -2k ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V ORL ESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 CONST C ACCDWE. BLDG•LINC CCUP. 4\ ORWADDNS20Sq It CONTRACTORS LICENSE LAW State of California Business & Professions Code under the name style of: NEW CONSTR MULTI.OUTL T NON.R ESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS .&) . Ex. Occuo(OUTLETS OR FIXTI1RES B L@;00 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 9 �_ �/ 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. EA1 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 6fkome,,subject4b 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.'1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ .- L. authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. e X Date Signatur of Permitee or Agent Receipt No.1� 7 q 0 - 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 0 PUBLIC WORKS By Date wilding permit expires Date 1. 2. 3. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET owner's name: Installer's name: Is the site currently under permit? Yes No ( If yes, furnish permit number a T 16', ) 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 i ./ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 0 Amps What is the mobilehome site gas pipe size? -------=-------------- d 6. What is the mobilehome site service rating? ---------------------, f Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other el'ectric-load'to be served by the mobilehome mobilehome gas demand? ------------------------------^" (BTU) site service? --------------------------------------------------- Yes / / No 9. 10. 11. 12. (If yes, identify the load and size: (Load) (Amps) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) What is the mobilehome site gas pipe size? -------=-------------- (in.) What is the type of gas service? -----------------------------. Natural / / LPG What is the gas pipe length from meter or tank to the mobilehome?rTLJ (ft.) 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 ly0cle 1/2/14 Cop /( F_ If other` than single wide, , Mobilehome Mfr. furnish Setup Model No. Year, Width ` 0 (ft.) Box Length b (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. Footings (check one) Single- Fj 1. Wood either pressure treated ox foundation grade. (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) f 0.7,/ P// t, (in.) 1. Concrete block. /.? x 0 2. Other ( specify) (ft.)(in.) (in.) (in.) 4( --Tagalong or Expando, show support details. [� a .� . (ft.)(in.) (in.) (in.) /a x,710-- Typical Support (in.) (in.) Footing Size i? x b •s (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, �d.raw in locations, spacing, and dimensions. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - — 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Q Da 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. DIRE OR OF PUBLIC WORKS By Date Z 7 '"' permit expires Date to L BUILDING Owner Jtpf " )2L SO. FT. OCC. BUILDING VALUATION Mailing Address kqQ(.,1 elephone No. fa Contractor c�� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address K Af Plan Checking Fee &/orPenalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 0 Each Trap 1.50 L0• Repair drainage or vent piping 1.50 A. P. No. S ^/� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fellw�11G� S ire Dept. FireZone Use Permit Gas piping system 1 -5 outlets -1-5a 10 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 an ec d Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ �— ELECTRICAL No.1 @ FEE � PERMIT FILING FEE J$3.00 Main service 1000V OR 0 AMP ORLESS5.00 Single Family Duplex Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100100 AMPs00v OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADDNST ( ACC. BLOGS.DWELLING CCUP h) 20 sq ft CONTRACTORS LICENSE LAW 1 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 12.50ea NEW CONSTR. SIPOWER APPARATUS 8 NON-RESID. NGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTI1PES SAL@ FIXED ALNS Ex. Occup. ( OUTLETS P(RESID )REA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I- 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. 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 Land Development Fee $ TOTAL PERMIT FEE $- 3 T authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Q Da 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. DIRE OR OF PUBLIC WORKS By Date Z 7 '"' permit expires Date to L J COUNTY OF -BUTTE – DEPARTMENT OF PUBLIC WORKS `• 7 County Center Drive- = `Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of t3utte to enter upon the above -menti ec�^groperty r ection purpos %C X Date Signature of PPermiteee or Agent �, Receipt No. / z/ Qor0 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. �DIR F BLIC WORKS y By— Date_ permit expires Date ob BUILDING Owner SO. FT. OCC. BUILDING VAL TION Mailing Address Telephone No. Contractor S' Mailin Address �O `� ' Fireplace Total Valuation 1I Tele hone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 7%002-e PLUMBING No. @ FEE �. 714 PERMIT FILING FEE $3.00 d Each Trap 1.50 a� - �' Repair drainage or vent piping 1.50 A. P. N LL� RT� �J �� �� Z°nin Water piping Each gas water heater or vent 1.50 F S n atI Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Improve nts Each additional outlet .30 Building sewer Q, ®f%(' y� a s ec d Parce A royal Pla 'Approval Lawn sprinkler system 2.00 P Y NEW ❑ ADDITION ❑ UTILITIES,® OTHER ❑ Permit Fee $ ,$ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 DO Main service 600V OR LESS loo AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ P ❑ ®' ❑ -L Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS,LING OCCUP. !) 20 sq It 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�f: la, 1-4 - D's -e �c , J s � NEW CONSTRES'D, -OUTLET NON.RESID BRANCH CIRCUITS 12.50ea NEW CONSTR. POWER APPARATUS d NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUQ(OUTLETS OR FIXTI1QES 5BLZ' FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3 2 3 L// U Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. CI� 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 N0.1 @ FEE PERMIT FILING FEE J$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 Land Development Fee $ TOTAL PERMIT FEE $ 7? kia authorize representatives of the county of t3utte to enter upon the above -menti ec�^groperty r ection purpos %C X Date Signature of PPermiteee or Agent �, Receipt No. / z/ Qor0 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. �DIR F BLIC WORKS y By— Date_ permit expires Date ob