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