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HomeMy WebLinkAbout065-280-006ill A 5-28-6 / William Stein ;�Q� .9/gjrl*7 1210 Magnolia Dr., lot 19, SDO#l, Mag. contr: Tri V Const., Milia Permit I 54-78P,E(u�41. ,MH) ELEC. GAS SUP ORT tTRUCTURE REQ. —1Zj9 COMPACTION TEST REQ. 65-28-6 Contr: SOS -MH Ser, Paradise Permit #5581-78MHI Issued 9- a a2 -7$ �V'�,���� IJ 4454-78P,E PERMIT NO. i fA ` PERMIT EXPIRES EI William Stein OWNER CONTR. Tri -V Const., Magalia J " LOCATION (A.P. 55-28-6 ) 1210 Magnolia Dr., lot 19, SDO#l, Magalia t' +A AI r^i iA t� 4 +� r ♦. iib+ a+ / • 1 J� Temp. Power Pole Called PG&E Temp. Elea Serv. Z� 1 Calle PG&E 7d T TempvGas Serv. - Called PG&E r �De FINALED b (Date) (Signat<u ,) J. 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 5, under permit number 3 i for the following location: Owner Owner's Address / 1 ' ' i Mobilehome Mfg. r, E.0 ' Model Year - Insignia No. r' �� 4� �� 1+ Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date f By 1 THIS CERTIFICATE. IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical _ A. Is service large enough to provide adequate .ampe,rage-to mobilehome (must equal rating of mobilehome witha minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? YesNNo_ B. Is there proper clearances around panels? Yes \ (No_ C., Is power supply cord or feederassembly properly fused? YesNo D. Is continuity test satisfactory as per the following procedure? YesNo 1. De -energize electrical wiring system of the mobilehome at the pe a al. 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. 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 theelectrical 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 Length (aO Width oZ Vehicle Serial No. C A -I '7 7 I� -7? 3 15 State Identification No. Additional Information or Comments: 0 { r , MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedth required 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) YeNo 3. Are footings and supports properly sized, spaced, and brace s per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesJ No 4. Is the mobilehome level? (Sec. 5088) Yes' 7 _ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes�o 6. Water A. Is fl xible connector of adequate size and properly installed (1/2" ID m -in.)? (Sec. 5566) Yeso B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is n S ate of California approved, does station have backflow device and pressure -relief valve? s_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye�C No B. Does it have minimum " per foot slope and is it properly supported? Yes 0 C. Are any leaks detected in drainage system after runni g .33 gallons of water through each fixture including washing machine standpipe7,Yes No D. If coac is not State of California approved; does station have required trap and vent? Yes o 8. Gas Piping and as Vents A. Connector - mobilehome connec ed to the gas supply with an approved 3/4" minimum mobilehome co ector not more th n 6 ft. long? Note: All piping is to be at least as large as.the m ilehome"gas lin inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following proc ure? Yes No 1. Open all applia ce connec or valves. 2. Shut off applianc"V burne and pilot valves. 3. Air test with manoVteto 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.bratedin tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to/mo i\lehome with connector, turn on gas, test connections with soapy water. C.. Are all appliance ventl - prop installed? Yes No stucco 'r — y I Final i I Suboaned . Mesh nish 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION. RECORD l erior Lath BUILDING BUILDING (Cont'd) PLUMBING etback F I r'ftv all Soil Piping FISMS Para is 1st Floor Akin Bldg. Restro Finish Nnd Floor otin s Windows 3 Floor St wall SidingTo 0 lk Slab Roof SheathNpg Water Nping Piers Roofing Sewer Garage X Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal l Insulation Heaters Slab Carport Footings Prov. for ph sicall handica ed Conformance of ex. v structure X Appliances Gas Piping & T t Temp. as Slab Final Sanitation Patio 0FREP6#CE Final Footin s Footing EC ICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLEFLk Motors stucco 'r — y I Final i I Suboaned . Mesh nish Du is l erior Lath ntilation oor Closer anal HOBILEHOME UTILITIES ---- --------- Elec. Service Water Piping Sewer BI E MEINST L ATI N -------------Support Water Piping ` Drainage DATE REMARKS OR CORRECTIONS Grd. F It Prot. Servs TAP. Pole oder round Permanent if final Elec. Pedestal 7 Gas Piping Elec. Continuity ., Gas Piping v 1 a (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County, Center Drive - * Orovi I le, 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. !� Date ffib -- $ignoture of Permitee or ent Receipt No. / 9 a 19 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 pJak �j DIRECTOR.6?A UBILIC WORKS 11 Iding permit expires Date �7 Z Z- BUILDING OwnerSO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. ! Contractor �-D,S sNg JoiQL/G2- Mailing Address /6 ,(;g��,z 00d Fireplace Total Valuation / 6 YhoneN �g-7/y Permit Fee Building Address 2•/p .,W40Ao)V .14- De, Plan Checking Fee &/or Penalty Permit Fee oT /ej PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 ,*l/lV Repair drainage or vent piping 1.50 / A. P. No. ,, 5-- 9 -- � Zoning & Planning Water piping 1.50 , Each gas water heater or vent 1.50 F tsnta"n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans I ParcelEach I Declaration I Parcel Map 1 60' R/W I Improvement additional outlet .30 Building sewer 5.00 �� Bldg. P ams Recd Parcel A oval Plans4erprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ­0 Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home, Others ❑ Main service EA. ADD'L 1.00 AMP 2.50 -IJ100 ,41 X02&744,17293�7 7 S 0''%� OVER 600V AMP OR LESS Main service 25.00 ' Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELLING OR ADDNST ( ACC. LDGS.CCUP. 4\ 20sq ft 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 BRANCH CIRCUITS) NON.RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS 6 NON.RESID. ,SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES BAL@1 FIXED APLNS. Ex. Occup. (OUTLETS �R ESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No���9��,�i� � 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. have placed on file with the County of Butte a certificate of 3 '--' Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 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 Land Development Fee $ In, ,4jt TOTAL PERMIT FEE $ 'v® authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. !� Date ffib -- $ignoture of Permitee or ent Receipt No. / 9 a 19 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 pJak �j DIRECTOR.6?A UBILIC WORKS 11 Iding permit expires Date �7 Z Z- MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfrfurnish Setup Model No., Zk 9 -- .% P-4_ Year Width�09"_(ft.) Box Length&,,d> (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. / Wood either AA' pressure treated c . .foundation grade. (ft.)(in:) (in.) (in.) F�.2. Other (specify) Center support Center support LJ LJ locations' 'footing sizes Supports (check one) (in.) Concrete block. ' / x E] 2: Other (specify) (ft .)(in.) (in.) (in.) 4 -----Tagalong or Expando, show support details.. (in.) (in.) x -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) ) ii -- Max. Pier Spacing �- �v (ft.)I (in.) (in.)I (in.) *If center piers are other than drawn above, -draw in locations, spacing, and dimensions. L / ii -- Max. Overhang Rft.)(in.) BUTTE COUNTY BUILDING DEPARTMEN1 APPROVED %a- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 'J 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? ----------------------- F ; > Amps 6. What is the mobilehome site service rating? --------------------- o Amps 7. What is the mobilehome site circuit breaker rating? ------------- 26:t?a 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? ---------------------- (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.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Ignature of Permitee or Ag t By Date © '�`I —7U Receipt No./ jTJ-3 - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant �Iling permit expires Date 7� T BUILDING 1VI -IJ Owner C.I✓l�� S �-�s SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mailing Address c- JTotal Fireplace Valuation (1 w I epho�e j�o. /,3 Permit Fee Building Address PI anCheckingFee &/or Penalty Permit Fee �-dL - PLUMBING No. @ FEE f Q v I t PERMIT FILING FEE $3.00 Each Trao 1.50 /t'l Ran%g Verification Only Repair drainage or vent piping 1.50 A. P. No. - — ZjM.I Water piping f o Each gas water heater or vent 1.50 Fe 4e n Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer Yn B.P_Iec I �'d Parce'I A val Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ LITILITIESX OTHER ❑ Permit Fee $ pi $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR Main service 100 AMP ORSL=SS 5.00 Single Family ❑ Duplex ❑ Mobil Home NT Others ❑ Main service EA. ADD -L. 100 AMP 2.50 �'S® 500 SQ. FT. MINIMUM p c EOR MOBILES EOR O Main service 100VEARMP800V OR LESS 25.00 ' Main service EA. AOD'L 100 AMP 1.00 NEW CONST./ DWELLING OCCUP. 4' OR ADDNS. ( ACC, BLDGS. 20sq ft 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: AL NEW CONSTR BRANCH CIRCUITS) NON.CRESID.ONST ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 RESID. (POWER NON- ( OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B L@; Ex. Occup. ( VI REE5 OUTLETS P(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 IS License No. :t26 �I 0 / 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. @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify th t I have read this application and state that the above informati is correct. I agree to comply to all County Ordinances and St a Laws relating to building construction, and hereby autho ze esentatives of the County of Butte to enter upon the ab e- Toned pro erty for inspection purposes. X Date 1 Land Development Fee 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 for which fees have been paid. DIRECTO WORKS Ignature of Permitee or Ag t By Date © '�`I —7U Receipt No./ jTJ-3 - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant �Iling permit expires Date 7� T Pe rr.4 t Suggart lC z-VU43r¢