HomeMy WebLinkAbout065-310-01765-31-1.7 \Y�/
G. Woodwardlo"
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1260 Northwo 1, lot 52, PP#I,. Magalia _
Permit� 85-76P,E(ut�,MH)
ELEC.
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GAS y
SUPPORT STRUCTURE REQ. /V0 j
COMPACTIN TEST REQ. �Jy
65-31- 7
Permit #4359-76MHI,,�,,
Issued �14177
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PERMIT NO. 3858-76P,E
PERMIT EXPIRES
OWNER G. Woodward
CONTR. owner
LOCATION (A.P. 65-1-17 )
1260- Northwood, lot 52, PP#I, Magalia
j,
d
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E '
FINALED
(Date)
(Signature
°. 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 aro nd panels? Yes No
C s power supply co or fee r assemo er y fuse es" S f
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.
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
Manufacturer and/or Namestyle
Length `� G� WidtVs7
Vehicle Serial No. os
State Identification No.. A(92'523
Additional,Informati.on or Comments: 2 OQ
Ido ���• ,
,y
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
L Is the mobilehome located with 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) Ye SX
No
3 A're flletlQan
ood ��ts ope�sizer, /paac!d4,7_a__nd braced as per approved plans? (Note
ossible variation at s ring shackles. Sec, 5082 & 5083 Yes No
P P a ) ( )
4.. Is the mobilehome level? (Sec. 5088) Yes4 No�
.5. morean a single unit, are crossover connections properly installed? (Sec. 5088)
Ye _
® Water
A. Is flexible 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, ckflow - If coach is not State of California approved, does station have backflow device
/Aln'a 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 k" per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after running3-gallons of water through each
fixture including washing machine standpipe? Yes No�
D, f coach is not State of .Cal ifornia approved, does station have required trap and vent?
s
No
8 Gas Piping and Gas Vents
A. Connector -" minimum
Is mob ileh�me connected to the gas Supp y with an approved 3/4
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 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 tdith slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without
drop.
4. Connect gas meter to nobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? YesINo
COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping — 73 --
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. forphysically
handica ed
Conformance of ex.
structure
Appliances
Gas Pipinq & Test
Temp. Gas
Slab
Final
Sanitation, -
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under round
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE / REMARKS OR CORRECTIONS
��- Com-
���r � � `�- / �v "'� � � `( Gam✓ .
(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 - Oroville, California 95965
Tel eplmne: 534-4541
APPLICATION AND PERMIT
-76
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X /�Jc - 6.06"`'T/1 F pate - b
Signature of Permitee or Agent
Receipt No. l 7 b% (3 I
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 O"UBLIC WORKS
By Date
�Ullng permit expires Date �j - 7
BUILDING
Owner ,clo
SQ. FT. OCC. BUILDING VALUATION
Mailing Address ap
I�0. p S
`
Telejhone No.
Fireplace
Contractor W rvOrL,
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
a� ��//��
/9160/� ��T�� 0 0�J D C.-
Each Trap 1.50
`#V Atf
Repair drainage or vent piping 1.50
Water piping 1.aA-pe-r-
//, 7- L %f
Each gas water heater or vent 1.50
A. P. No. G S ^ 3 (^ ,
Zoning &Planning
.-
Gas piping system 1 - 5 outlets
Each additional outlet .30
Fe
ti FireDept.
FireZone
Use Permit
Building sewer S.GB•
EQA
I Parking
Plans
Parcel
Declaration
Parcel Ma 60' R/W
P
Im pr ements
Lawn sprinkler system 2.00
Bldg. R4nyM Rec'd
Parcel Ap r al
PI s Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIESW OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00"
001���, �'p 2 �.ic %V" l J
600V OR LESS
Main service 100 AMP OR LESS 5.00
S _ 7
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 11R 600V
10 0 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.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
sty le of:
Ex. Occup(OUTLETS OR FIXTURES)*L@
BALMwq
Ex. Occu FIXED APPLNS. OR
P• OUTLETS (RESIO.) EA) 2.00
Temporary service 1;0.00
Mobile Home Facilities f5.00
License No. Classification
Misc. Wiring 6.25
D111am 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
izi-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
t2.00
Hood
Permit Fee $
$
I certify that I have read this application and state that the above I3v
information is correct. I agree to comply to all County OrdinancesTOTAL
and State Laws relating to building construction, and hereby
"�
PERMIT FEE
$ �-
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X /�Jc - 6.06"`'T/1 F pate - b
Signature of Permitee or Agent
Receipt No. l 7 b% (3 I
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 O"UBLIC WORKS
By Date
�Ullng permit expires Date �j - 7
COUNTY OF BUTTE—' ;RTMENT OF PUBLIC WORKS
7 County Center•Drive — . Oroville, California 95965
Tel ephorie: 534-4541
APPLICATION AND PERMIT
X ��� �%T 'at �; , Ulr r_u I Urs U UCSLIU WUH1\0 L
L'eiignoture of Permitee or Agent By Date 7—/
Receipt No. ; 7_/ 14 ?Z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant �Zlding permit expires Date
BUILDING l
Owner pIneg (,U "t?-lg,
SQ. FT. OCC. BUILDING VALUATION
Mailing Address � 1�1�/L (, C uo ' Re S.a 7
n /I
rr l /�!
Telephone No.
Fireplace
Contractor 0W Cvt. �S/() (�,.
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
Building Address (p
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
A Q7' S�2 / /
Each Trap 1.50
Repair drainage or vent piping 1.50
Zoning Verification QnJZ
Water piping x-56 /U
Each gas water heater or vent 1.50
A. P. No. (oS / '-
%�2onih n
�`
Gas piping system 1 - 5 outlets A-50
Each additional outlet .30
Fe
W. .
S io
Fire Dept.
Fire Zone
Use Permit
Building sewer
EQA
Plans
DeParkin] * claration rare Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. P4.a,9 ed'd
�DTfLcel Approval
Pla s Approval
Permit Fee $
$
NEW ADDITION
❑ ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
3 '
PERMIT FILING FEE $3.0000V
OR
Main service 100 AMP ORSLESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home VLJ Others ❑
Main service VER 600V
10 0 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
-too so FT mumum
NEW CONS. DWELING
OR ADDNST ( ACCLBL GS.CCUP. &) 20sgft
NEW CONSTR ( MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS)2.50ea
`, p0(tjply r
I.O iV1J
NEW CONSTR. POWER NON -R ESID (SINGLE OUTLETTCIR.&
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) 109
Ex. Occu p•(OFIXED APPLNS. OR
UTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
® 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee
c
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.
2L 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
J2.00
Hood
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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
�'�
/ A A , ^ ..
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 ,aid.
X ��� �%T 'at �; , Ulr r_u I Urs U UCSLIU WUH1\0 L
L'eiignoture of Permitee or Agent By Date 7—/
Receipt No. ; 7_/ 14 ?Z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant �Zlding permit expires Date