HomeMy WebLinkAbout065-370-014Tj
FRA_ ES BOYD
120 De Oro Dr., lot 157, Magalia
Permit# 67g-75P,E(util., MH)
ELE _�Jv1511s
GAS
SUPPORT TRUCTU REQ.
COMPACTIO 7 EST REQ.
P 65-37-14 n
CONTR: Kentwood MH a es, Chico
Permit# 172,3-751vHI %S /Joo-
I Issued
Permit 4639-75B AP 65-37-1
(Cov, deck/MH)��v
65-37-14
B 1u0�°
120 Del Oro Dr., lot 157, PP#3, Magalia
contr: Joe Fillippelli, Paradise
Permit #1406-79B,E(new cabana/MH)
I
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1
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FRA_ ES BOYD
120 De Oro Dr., lot 157, Magalia
Permit# 67g-75P,E(util., MH)
ELE _�Jv1511s
GAS
SUPPORT TRUCTU REQ.
COMPACTIO 7 EST REQ.
P 65-37-14 n
CONTR: Kentwood MH a es, Chico
Permit# 172,3-751vHI %S /Joo-
I Issued
Permit 4639-75B AP 65-37-1
(Cov, deck/MH)��v
65-37-14
B 1u0�°
120 Del Oro Dr., lot 157, PP#3, Magalia
contr: Joe Fillippelli, Paradise
Permit #1406-79B,E(new cabana/MH)
I
i
1
Tj
FRA_ ES BOYD
120 De Oro Dr., lot 157, Magalia
Permit# 67g-75P,E(util., MH)
ELE _�Jv1511s
GAS
SUPPORT TRUCTU REQ.
COMPACTIO 7 EST REQ.
P 65-37-14 n
CONTR: Kentwood MH a es, Chico
Permit# 172,3-751vHI %S /Joo-
I Issued
Permit 4639-75B AP 65-37-1
(Cov, deck/MH)��v
65-37-14
B 1u0�°
120 Del Oro Dr., lot 157, PP#3, Magalia
contr: Joe Fillippelli, Paradise
Permit #1406-79B,E(new cabana/MH)
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INCIDENT NUMBER 12994
EVENT NUMBE 13250
LOCAL FIRE NUMBE
STATE FIRE NUMBER 616
...........
CASE NUMBER 155
LOCATION 14796 DEL ORO DR
... _.. _....... .......... _,...,..
RP IMETTiEE CALLS I PHONE NUMBER 873-3029
WILDLAND FIRES ❑ ESTIMATED ACRES
1-0,
STRUCTURE FIRE RESIDENTIAL
OTHER FIRE
......
MEDICAL AIDS
PSA/OTHER
HAZ MAT
i
Billable Incident ❑
COMMENTS
FIRE INFORMATION
FIRE INFO SENT HO EMAIL BY MSB TO STA 33
I-❑ _ ❑-
7 -DAY LOGGED❑ INITIALS TB
INCIDENT NAM HAYES
START DATE 11/ 9/2005 START TIME 2 35
FC -40 INFORMATION
FC -40 ❑ DATE OF FC -40 INC
AGENCY INC # INC P#
FC -40 COMP DATE FC -40 COMP BY j
County Notifications EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑
BUTTE
COUNTY
NOV 16 2005
DEVELOPMENT
SERVICES
Yob --7a
PERMIT NO.
PERMIT EXPIRES
OWNER Beth Pellum
Joe Fillippelli, Paradise
CONTR.
LOCATION (A.P. 65-37-14 �
120 Del Oro Dr., lot 157, PP#3, Magalia
Temp. Power Pole
Callc4 PG&E
Tempr�Elec. Serv.
Called PG&E
Ten p. Gas Serv.
Called PG&E
OB
11 FINALED �L+
IIIYYY!!! (Date) j
0
(Si-gnatur
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECT16H RE -CORD
DATE REMARKS OR CORRECTIONS
o(C _0 n
17
(NOTE: An entry must be made on this form each time you visit the job site.)
BUILDING
BUILDING (Cont'd)
PLUMBING
Setbackq--S--Ze
0.,
Firewall
Soil Piping -
Forms
Parapets
list Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Pi i
Piers
—
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaII
Garage Vents
ulation - 2- -^
Water Htr.
Heaters
Slab
Carport
Footings
rov. for ph sically
handicappedy
Conformance of ex.
structure
Applianc s
Gas Pip g & Test
Temp. as
Slab
Final .. `Z -�-
Sanitation
Patio
FIREPLAC
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough •- Z
Reinf. Steel
Final
Fixtures -�
Bond Beam
FIRE SPRIN ERS
Motors
Framing
-)CL
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECH ICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under round
Interior Lath
7--
Ventilation
Permanent
Door Closer
Final
Final — Z 7---
MOBILEH6IVIEUTILITIES--------=--------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
BI EHOME INSTALLATION - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
o(C _0 n
17
(NOTE: An entry must be made on this form each time you visit the job site.)
CERTIFICATIONS
As required by the State regulations, -both the builder and the insulation
applicator must sign a card certifying that the proper "R" values for all
insulation locations have been installed. An example of a certification
card, which is furnished by the builder or insulation applicator is'shown
in Fig. 13.
THIS IS TO CERTIFY THAT INSULATION PAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT, ENERGY REGULATIONS,
CALIFORNIA ADMINISTRATM CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
n —01D-
ree o Number lFacz No.
EXTERIOR WALLS ,M
Manufacturera_! ,1 9 j Thickneu/Type A 11 �� _ R Value
CEILINGS I
Batts: Manufacturer' \i Thickness_ rY Y;9 - R Value
Blom: Manufacturer Thickness No. Bags Wt./Bag
Sq. Ft. Covered R Value
FLOORS
Manufacturer -43 • y).I( f
Thickness/Type21=. R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer`�_ Thickness/Type R Value
GENERAL CONTRACTOR (�Q✓Q . ,1 LICENSE NUMBER_
BYC4� �J \ r -T.ITLTL`EDATE
INS TION CONTRACTOR LICENSE NUMBER
1
BY TITLE DATE
Fag. 13
8-14
I
COUNTYtOF BUTTE
Department of Public Works
7 County Center Drive
Oroville ----- 534-4541
ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES
Owner - � 2 � t5�.rb, I'�, � � �.1 yr)
Location ;z 0=1.32,;�
Mobilehome Installation Permit No.
FILL IN INFORMATION FOR ITEMS 1 THRU 10
Watts
1. Width x Box Length (�(� x 3 = 24 2; a 0
2. 2 Kitchen Appliance Circuits ................. = 3,000
3. 1 Laundry Circuit ............................ = 1,500
4. Ovens .... .14., lj o ........................ = l ,. be)
5. Cook Stove Top ...... L..................
6. Hot Water Heater .............................
7.
Dishwasher & Disposal ........................ =:
8. Clothes Dryer ................................
9. Other (specify, i.e., motors, exhaust fans,
etc.)
Sub -total - Watts ..... �,01 / an
a,o r r m
First 10,000 watts @ 100% ................................ = 10,0c0?0
Remaining r watts @ 40% ....................... _ -7 �p
10. Air Conditionerwatts @100%..
Largest Demand `?�'C7
Central Heat System _ watts @ 65%.. _ j 7 'T, . 0
) -�
TOTAL DEMAND WATTS REQUIRED ............. 3 ai(r13 S
"Demand Watts Required" + 230 ............. ............ = l +P--- AMPS
De -rate Mobilehome to .................................... AMPS
•1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIle, California 95965
Tel eph>)nc:' 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned perty for inspection purposes.
X Date=
ignature of Permitee cir Agent L CF -5s
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.
DIRECTOR OF PUBLIC WORKS
By "Date 41_3-7,2
siding permit expires Date q—__3—CPd
BUILDING WU
Owner
SQ. FT. OCC. BUILDING VALUATIO
Mailing Address
Telephone No.
Contractor
Mai I i ng Address --
Fireplace
Total Valuation a'a
T lephone No.
7 _
Permit Fee
Building Address Z V
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
(J 3 S
Repair drainage or vent piping 1.50
S-�-3-7-- /Y
A. P. No.
Z S9 8 Panning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W.
Sa I ti2p
IFireDept.
FI re Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel
Plans Declaration
Parcel Ma
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Nons Recd
Parcel Ap roval
Plans Ap oval
Lawn sprinkler system 2.00
NEW
ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 �y
Main service 100 AMP ORV OR LESS5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service EA. ADD'L 100 AMP 2.50
Main service 1 OEAMP oR LESS 25.00
Main service EA. AOD•L 100 AMP 1.00
CONST.NEW DWELLING LDGSCCUP. &)
OR ADDNS% ACC2�Sgft
/
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
c
State of California Business & Professions Code under the name
style of:
:;nip. FF Ii_, I
NEW CONSTR. /MULTI.OUTLET
NON-RESID, `BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS a
NON-RESID. SINGLE OUTLET CIR.
EX. OCCup OUTLETS OR FIXTURES BALI
� ) BAL@10¢
EX. Occup. FIXED OU LETS P(RESID )KEA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No., I Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ ZS
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
Wor en's Compensation.
_lhave placed on file with the County of Butte a certificate of
AWorkmen's Compensation Insurance.
iecertify 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 buildinq construction, and hereby
I Land Development Fee
$
TOTAL PERMIT FEE
$4 J ZS
authorize representatives of the County of Butte to enter upon the
above-mentioned perty for inspection purposes.
X Date=
ignature of Permitee cir Agent L CF -5s
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.
DIRECTOR OF PUBLIC WORKS
By "Date 41_3-7,2
siding permit expires Date q—__3—CPd
4639-75B
PERMIT NO.
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES
OWNER_ Francis Boyd
CONTR. owner
'LOCATION (A.P. 65-37-14 )
120 Del Oro Dr., Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED i r
(Date)
(Signal re) �-
COUNTY OF BUTTE —• DEPARTMENT'OF PUBLICAORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
4VIfFirewall
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
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Roucih
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
�7
Framingr /
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatinq
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
pr
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
7 County Center Drive — Oroville, California 95965
Tel ephowe:' 534`4541
APPLICATION AND PERMIT
WORKS 1-11
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
--x _{!� Date /l 1
Signature of Permiteeejor Agent
Receipt No. / 5- (/ ;Z_ 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"F PUBLIC WORKS
By DatO � 7J
kuildi'ng permit expires Date
BUILDING
,. �/7G
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address/,,'a �.r Quo
/L�
,o7
Telephone No.
'
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address ��® ��
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
X7
Each gas water heater or vent 1.50
A. P. No. 4"_r
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
FireDept.
FireZone
Use Permit
Building sewer 5.00
- on
EQA
Parking
arcel
Declaration
Parcel Ma p
60' R/W
m
Im roveMs
p
Lawn sprinkler system 2.00
�Pla�ns'
Bldg. aP9'ns Rec
yAppd Parc�roval
Plans ' "'oval
Permit Fee $
$
NEW U ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel 02 or less) (more than 12)
-
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
25
Light fixtures b l 0 10
Receps., switches & fix outlets 2
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. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole b.00
License No. Classification
Misc. wiring
_ I am 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
Workmen's Compensation Insurance.
jj�� I certify that in the performance of the work for which this
permit .is issued I shall not employ any person in any manner
sbb 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
$ Obi
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
--x _{!� Date /l 1
Signature of Permiteeejor Agent
Receipt No. / 5- (/ ;Z_ 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"F PUBLIC WORKS
By DatO � 7J
kuildi'ng permit expires Date
MH- Uti J.
'PERMIT NO. 1678
P
E
M
E
MH UTIL.
"PERMIT NO.
PERMIT EXPIRES
,OWNERFrances L. Boyd
1CONTR.
LOCATION (A.P. 65-37-1-4
120 Del Oro Dr., lot 157, SDO#3, Magalai-a
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED-4"
(Date)
(Signdtu
J
COUNTY OF BUTTE - DEPARTtt`ENT OF PUBLIC WOK�
7 County.Center Drive - ,Oroville, California 95965/ / v
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of butte to enter upon the
above-mentioned property for inspection purposes.
x Date 3 /
Sign Lure ofPermitee or Agent
Receipt No. /J1(9 & :�— /
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 OF P LIC WORKS
BY ate%f�^�
���..
ilding permit expires Date........................�`....:. �'.....
BUILDING
Owner S L OV
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
n 62,�
�S'C� Wli�-
Telephone No.
Fireplace
II I
Contractor exp IYtO �� �*V,"1e- Sales
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
i
G�lcei
Telephone No.
3 3l9Z!
Permit Fee $
$
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE J$2.00
/
�L I o i�o 2.
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. ��- 7-/
Z
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
.60' R/W
Improv ents
Lawn sprinkler system 2.00
Bldg. PIaf-Reed
g.
Parcel000"
proval
Pla s Approval
Permit Fee �
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL @ FEE
_No.1
PERMIT FILING FEE $3.00
// ,L
116-1,4e- (/y[S4A 41tt0
Main service incl. 1 meter
Additional meters, each 1.00
Single Family ❑ Duplex ❑ Mobil HomeX Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixturesbal Bio
Receps., switches & fix outlets �2
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California IBusiness /& Professions Code under the name
sty!/��t/1 t,t��rJu I /CO br'� /' N _Xi({
Hood, Ex. Fan or F.A. Furn. Motor 1.00-
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No._z Classification �6/
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURA
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.
have placed on file, with the County of Butte a certificate of
Workmen's Compensation Insurance.
F-1I certify that in the performance of the work for which this
permitis issued I shall not employ any person in anykmanner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEENCE
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
` t
1%IJ5' d -Al o'4)
TOTAL PERMIT FEE
$�
authorize representatives of the County of butte to enter upon the
above-mentioned property for inspection purposes.
x Date 3 /
Sign Lure ofPermitee or Agent
Receipt No. /J1(9 & :�— /
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 OF P LIC WORKS
BY ate%f�^�
���..
ilding permit expires Date........................�`....:. �'.....
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) ` PLUMBING
Setback, �Z
Forms
Main 81i1g.
Footings' •
Stemwal l
Slab
Piers 1
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab;'.
Patio`
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch'
Brown
Finish
Interior Lath
Door Closer
DA TE
Firewall
Soil Piping
Parapets
1st Floor
/ Restroom Finish
2nd Floor
Windows
3rd Floor
Sidin
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Prov. for physically
handicapped
Heaters
Appliances
- Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Final '—�
Sanitation
X FIREPLACE
Final
Footin
Throat
Final
FIRE SPRINKLERS
ME
REMARKS OR CORRECTIONS
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault o
Service
Temp. Pole
Underground
Permanent
Final We
Tu04� K41' 064CA?,- Apt
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-* No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No
3. Are footings and supports properly sized, spaced, and braced as per.approved plans? (Note
possible variation at spicing shackles.) (Sec. 5082 & 5083) YesZ�'o�
4. Is the mobilehome level? (Sec. 5088) Yes }G No
5. If more than a single unit, are crossover connections properly installed? .(Sec. 5088)
Yes No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes L/ No
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes. No
C. Backflow - If coach—is not 'S tate 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 4".per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after running 3 -gallons
lons of water through each
fixture including washing machine standpipe?,.Yes No
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 izilet without reductions other than the mobilehome
connector~_ Yes No
B. Test.OK as per-'f-ollowing procedure? Yes_ No
1. Open all applz�n e connector valves.
2. Shutoff appliance bu •er and pilot valves.
3. Air test with manometer to 1 "-14" water column, test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated itenth poun ncrements. Test for 10 min, without
drop.
4. Connect gas meter to mobilehome cont ctor, turn on. gas, test connections with
soapy water.
C. Are all appliance,vents pro rly installed? Yes_ No
R
:3, Electrical
A. ;Is.sex-vice 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 d No --2.; IJO` P
B. Is there proper clearances around panels? Yes '-<10_
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.
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 NamestyleCeZj�
Length` Width
Vehicle Serial No.
State Identification No.�
Additional Information or Comments:
COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WOK
7 County Center Drive - Oroville, California 95965 J(�
Tel ephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
X X o?C§� ,L�at �3y DIRECTOR OF P BLIC WORKS
Signature of Permitee or Agent B L�� n r 7 —
' B Y Date 7 7
Receipt No. 'TO ��Y
White-D.P.W. – Yellow -Assessor - Pink -Inspector – Goldenrod -Applicant B ding permit expires Date..................q'"... ........
BUILDI G
U
Owner _s _ Qv 4-0
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
11T.16phone
ZA'_
No.
Fireplace
Contractor �j� _
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checki ng Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address_
ci
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
t1
Z'I 0 �
Each Trap, 1.50
Repair drainage or.vent piping
1.50'
'
Water piping
00
Each gas water heater or vent- 1.50
A. P. No.
— j
Zonin
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Feta'
d_e'
� a on
Fire Dept.
'Fire Zone
Use Permit
Building sewer
EQA
Parking
Plans
Parcel
Declaration
Parcel p
60' R/W
p ovements
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel k4roval
Pla Approval
Permit Fee
$
$
NEW ❑ •ADDITION ❑ UTILITIES i OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00 G C)
Main service incl. 1 meter 1
Additional. meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
SFS�,
fA[��' G C—
Water Heater or Space Heater
1.00
Light fixtures20025
bal(@10
Receps., switches & fix outlets 2 0Ira 1
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the o
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. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 15.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
�( I am exempt from the Contractors License Laws of the State of Califomia.'
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..
1,
❑I,have placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
�® 1 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
Hood 2.00
Permit Fee $
$
I certify that 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
$ �(
authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
X X o?C§� ,L�at �3y DIRECTOR OF P BLIC WORKS
Signature of Permitee or Agent B L�� n r 7 —
' B Y Date 7 7
Receipt No. 'TO ��Y
White-D.P.W. – Yellow -Assessor - Pink -Inspector – Goldenrod -Applicant B ding permit expires Date..................q'"... ........