HomeMy WebLinkAbout065-330-059- --. - - - AP" 65-=33=59
C. -.Kinney __ _ _ _ _ 59,
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,2023 Glenwood Dr.,.Magalia ,14 �7
Permit 3704-75 P,E (Atil./ i
ELEC. -i , ail A
f
GAS cell
SUPP RT ST C: fA40 _
COMPACTION TEST REQ.�%�
AP 5-33-59 l..
P rmit# 4029-7 5MHI S
Issued° /�� %v` 9.a��7
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MH UT M.
PE�VIT NO. 3704-75 P,E
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MH UTIL.
PERMIT NO.
PERMITEXPIRES-
.,OWNER - C. Kinney
7CONTR. owner
i'CO G&TA ON (A. P. 65-33-59
IV23 Glenwood Dr., Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.-9��-,�7-$r-
Called PG&E
Tern/Gas Serv.
P
alled PG&E
/J 0 B
4,
FINALED z A
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MOBILEHOME INSTALLATION INSPECTION CHECK LIST
]/. Is.the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Ye SX No
Does the mobilehome have required clearances above ground? (Sec.5085) Yes No
Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes ,Y No
Is the mobilehome level? (Sec. 5088) Yes' ` ; No
If Xm- han a single unit, are crossover connections properly installed? (Sec. 5088)
Yes
J/at r .
Is flexible connector of adequate size and properly installed (1/2" ID Mi, n.)? (Sec. 5566)
Yes No
Test - Does water piping withstand working pressure. or 50 lbs.. air test? Yes4 No
�. Backflow If coach is not State of California approved, does station have.backflow device
and pressure -relief valve? YesX_ No�
�. Wastes and Drains
Is connection made with Schedule 40 DWV and have flex connectors at.each end? Yes No
�B. Does it have minimum 4" per foot slope and is it properly supported? Yes No
Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture. i hiding washing machine st andpipe?, .Yes NO
j6. If c ac is not State of California approved, does station have required trap and vent?
1 Yes No
8. Gas Piping.'and Gas Vents
Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome Gonne for not more than 6 ft: long? Note: All piping is to be at least as
large as them ilehome gas line ,vithou,t reduc s other than the mobilehome
connector. Yes No
B/ Test OK as per following proc dure? Yes No
/ Open.all appliance connec or valves.
Shut off appliance burner nd pilot valves.
Air test with manometer to 10"- water column, or test with slope gauge (minimum
• 6oz.-maximum 8 oz.) calibrated in tenth pound increments.. Test for 10 min, without
drop.
Connect gas meter to mobilehomewith connector, turn on gas, test connections with
soapy water.
�. Are all appliance.vents properly installed? Yes No.
Electrical
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
Is there proper clearances around panels? Ye S4 No
Is power supply cord or feeder assembly properly fused? Yes Y No
�. Is continuity test satisfactory as per the following procedure? Yesx No
1.De-energize electrical wiring system of the mobilehome at the pedestal,
27 Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
Switch.all breakers and switches in the mobilehome to the "on" position.
Connect one lead of a test instrument to the mobilehome grounding conductor and
apply.the other lead to each mobilehome supply conductor, including neutral.
�! 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.
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_ Width ?`
Vehicle Serial No. cR,
State Identification No. L9�
Additional- Information or Comments:
5
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 Sidina To out
Slab Roof Sheathing Water Piping
Piers Roofing Sewer G
Garage Fdn. Vents Fixtures
Footings Garacie Vents Water Htr.
Stemwall Prov. for physically Heaters
Slab handicapped Appliances
Carport Conformance of ex. Gas Piping & Test
Footings structure 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 Tem . Po y�
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE REMARKS OR CORRECTIONS
q /z
011
�/6/�
. v '
Owner /ham
Mailing Address 2O
Contractor
Mailing Address
Building Address.?e,43
COUNTY -OF BUTTE —' DEPARTMENT OF PUBLIC WORKS -/7ZO3 5'_
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541 /
APPLICATIO(V AND PERMIT D!"�/
BUILDING
1 SQ. FT. I OCC. BUILDING VALUATION
Telephone,No
ephone No.
A. P. No. 6� J " �� Zoning & Planning.
F/.# s W C S ion I Fire Dept. FireZone Use Permit
EQA Parking Parcel Parcel Ma 60' R/W Improvements
Plans Declaration // P p ovements
Bldg. Pl6ns ec'd ParceP/Approval Pla Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER2]
Single Family ❑ Duplex ❑ Mobil Home Others ❑
37 o' - Vis'
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:
License No. Classification
Fireplace
Total Valuation
Permit Fee .
F I an Checki ng Fee &/or Penalty
Permit Fee
. PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service incl. 1 meter
Additional meters, each
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven
Water Heater or Space Heater
Light fixtures
Receps., switches & fix outlets
Hood, Ex. Fan or F. A. Furn. Motor
Evap. cooler, gar. disp. or D.W.
Air conditioner or heat pump
Water pump
Mobil Home Facilities
Temp. Power Pole
Misc. wiring
FEE
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
n I am exempt from the Contractors License Laws of the State of California. Permit Fee $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE. PERMIT FILING FEE $3.00
1 am aware of the provisions of Section3700 of the California Labor Heating..
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 Cooling
Workmen's Compensation Insurance. '
c I certify .that in the performance of the work for which this Ventilation
permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood 2.00
California. 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:
e
X Date ' !
Signature o Permiiee r Agent
Receipt No!✓34/-;>/ -
White-D.P.W. — Yellow -Assessor, ink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE $ 3p
This permit is hereby issued under the applicable provisions of
At the Butte County:Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF UBLIC WORKS
By -Date
11�/uilding permit expires Date
COUNTY OF BUTTE DEPARTMENT OF PUBLIC W ��7011� `7�
7 County Center Drive — Oroville, California 95965 l 7 /
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-menfloned property for inspection purposes.
ate / •—
Signature of Permitee or Agent,
Receipt No. f
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 01/PUBLIC WORKS
By i1 Bated
Widing.permit expires Date 7 `�::�-7
BUILDING
Owner v'
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address .r
Telephone No.
Fireplace
Contractor ej
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
/�
Building Address C. EA0PERMIT
PLUMBING No. @ FEE
FILING FEE $3.00 C�
ti�
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. S 33 S
�`T�
Zonin
Gas piping system 1 - 5 outlets 1.50
Each additional' outlet' 30
FSa
' 'on
Fire Dept.
Fire Zone
Use Permit
Building sewer •5.00
EQA
Parking Parcel
Plans Declaration
parcel Ma p
60' R/W
Im rov fnents
p
Lawn sprinkler system 2:00'
d e
Parcel proval
Pla Approval
Permit Fee $'
$
N W ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE J$3.00 d
Main service incl. 1 meter
Additional meters, each 1.00 .
Sub -panel (12 or less) (morethan 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
F% �//v FL
Water Heater or Space Heater
21.00
Light fixturesb I fd 10
Receps., switches & fix outlets
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap,cooler, gar'.disp.orD.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities. ( 5.00 /,:T Cr
Temp.'Power Pole 5.00
License No. Classification
Misc. wiring
gram exempt from the Contractors License Laws of the State of California.
Permit Fee $
MECHANICAL No. @ 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.
❑I have placed on file with the County of Butte a certificate of
W men'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 $
$
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
TOTAL PERMIT FEE
$ G
authorize representatives of the County of Butte to enter upon the
above-menfloned property for inspection purposes.
ate / •—
Signature of Permitee or Agent,
Receipt No. f
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 01/PUBLIC WORKS
By i1 Bated
Widing.permit expires Date 7 `�::�-7
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive; Oroville, California
_ PHONE: 534-4541
T•Pngth
MOBILEHOME INSTALLATION INFORMATION
Lot Facilities -. Mobilehome Data
qo
1. Plot plan dimensioned, location of mobile 1. Length�Width
and utility conr:ections? Manufacturer
Yes No Vehicle Serial No.M
2. Electrical -service equipment am acity,; Insignia Control No. r y
Circuit breaker ampacity / 2. Feeder- assembly ampacity —
Permanent Wiring Connection Conduit size
A-npacity � � �� Power supply cord (amps)
Receptacle_ �'pacity �Q� v 3. Gas inlet size �
3. Gas: Naturals LPG -�j�'"' / Mobilehome conniec r size
Gas ris•2tr size Capacity. �+
4. Drain inlet size f 4. Drain connector: describe o.:re-ve-cse side
5. Water riser_ size Z 5. Water connector: escrib on'reverse side
6. Are utility cozinec i s located outside 6. Designed loads:
the rear J_/3 of t 2 mobilehome within � Roof live load sf.
4 feet of the left wall? Yes No Wind load sf .
If not,. show di.^ensions. above. (only for mobilehom s manufactured after
7. Is the mobilehome clear of septic tank, October 7, 1973)
leach fields and located outside public 7. Manufacturer's installation instructions?
utility easements? Yes_ No Yes No__t,/
8. Do you propose to do other work on the g. Will the mobile home -be installed on a
property other than the mobilehome separate support tructure?
installation whi will require a permit Yes— No--�
Yes No1�
If so, specify
*For Dlans and specifications of suDDort system, see other side. ��
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MOBILEHOME INSTALLATION INFORMATION
Lot Facilities -. Mobilehome Data
qo
1. Plot plan dimensioned, location of mobile 1. Length�Width
and utility conr:ections? Manufacturer
Yes No Vehicle Serial No.M
2. Electrical -service equipment am acity,; Insignia Control No. r y
Circuit breaker ampacity / 2. Feeder- assembly ampacity —
Permanent Wiring Connection Conduit size
A-npacity � � �� Power supply cord (amps)
Receptacle_ �'pacity �Q� v 3. Gas inlet size �
3. Gas: Naturals LPG -�j�'"' / Mobilehome conniec r size
Gas ris•2tr size Capacity. �+
4. Drain inlet size f 4. Drain connector: describe o.:re-ve-cse side
5. Water riser_ size Z 5. Water connector: escrib on'reverse side
6. Are utility cozinec i s located outside 6. Designed loads:
the rear J_/3 of t 2 mobilehome within � Roof live load sf.
4 feet of the left wall? Yes No Wind load sf .
If not,. show di.^ensions. above. (only for mobilehom s manufactured after
7. Is the mobilehome clear of septic tank, October 7, 1973)
leach fields and located outside public 7. Manufacturer's installation instructions?
utility easements? Yes_ No Yes No__t,/
8. Do you propose to do other work on the g. Will the mobile home -be installed on a
property other than the mobilehome separate support tructure?
installation whi will require a permit Yes— No--�
Yes No1�
If so, specify
*For Dlans and specifications of suDDort system, see other side. ��
ADDITIONAL C011,2117 "NITS
Drain Connector, Describe .2
0..��,, A'df% ;Z �/fix �'yf7�c2` ods
e�
Water�:Connector, Describe -4-o-,
"!0,0 --.-,oi—_ e-7
7,1
LOA:. BEARING SUPPORT AND iF'OOTING INFO ,TATICi�r
Pier Spacing Used^ ~"'- �^
Max{mum Pier Load'
Maximum Column Load (mu -I i -units only)
Soil Bearing Capacity -
` ! J Footing Dimension Uscd
ppX•
`V TYPE OF PIER USED f,
Steel Concrete Concrete Block
Other
TYPE OF FOOTING MATERIAL USED
Pressure Treated Wood
Concrete
Redwood (Grade)
Other Approved Type
LOAD BEARING
SUPPORTS - .
BUTTE COUNT(
WILDING DEPARTMENT
APPROVED
BUTTE OUNTY
it s
BUILDING
'
.07
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ans aid -specifications MUST be
f his set - o P
sept as the job . at all times and it is unia"O io
r iterations on same wit�►suf t
make any-changos or a
F eiit. of'PuRC
wreitenl permisson from the Pepe"
E
of
Works, County -
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be
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Ali t'"ty -4 f t. outside the a
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