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HomeMy WebLinkAbout071-400-0271.- %/_yt) -Z'7 �t-us--LOT = Rober itchell SE/S Sim ons Rd., app.2 mi'.NE of Orovil Quincy Hwy, Oroville ermit 4#1765- OP,E_ (utll . ,MH) ELEC . - S-9-6 - xf G-CWk GAS - SUPPORT STRUCTURE RE COMPACTION TEST REQ, 71-0- 0 Contr: Lincoln Villag Permit�#339 ; ---@' I �1 IIssued lo 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 %ii for the following location: Owner Owner's Address Mobilehome Mfg. Model _ Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. •CC4-NTY JIF BUTTE DEPARTMENVOF PUBLIC WORKS 695. Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE PokT- Al / 7CN & c. (-- BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 'I: ,'PERMIT N0. 1765-80P,E PERMIT EXPIRES )OWNER Robert Mitchell t CONTR. owner 71-08-107 LOCATION (A.P. ) /NE SE/S Simmons Rd.,app.2 mi. of Oroville } Quincy HIS., Oroville i HWY • f i f c {i i I Temp. Power Pole 1, Called PG&E Temp. Elec. Serv. • 3 Calle PG&E F Temp. as Serv. • ' lied PG&E J B go INALED (Date (Signature) { COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ack FI wall Soil (ping For Par ets 1st loor Mai Bldg. Rest r m Finish 2nd kor Window 3rd Flo r Siding To out Roof Sheakina Water PI in Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physical) handicapped Conformance of ex. structure V Appliances Gas Piping & Test Temp. Gas Final . Sanitation F EPL CE Final Footing — E ECTRICA Throat Rough Final Fixtures IRE SPRINKLERS Motors Test Water Htr. Final Sub ane) MECHANICAL Grd. Failt Prot. oron j Coolpg Tpinp. Pole F ish Dubs nder round In rior Lath V ntllation Permanent oor Closer anal Final MOBILEHOME UTILITIES '----'--------•--- Elec_ Service 2d t3'l�— Elec. Pedestal Water Piping Sewer —(�' — ��j-9 Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity 3rw Water Piping Drainage Gas Piping DATE 41 REMARKS OR CORRECTIONS 0" ;20®4 o2� `DZ C4.) b7— 141 (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. -Is tke mobilehome located with r iced separation from lot lines and buildings and generally conform to plot plan? Yes 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 3. Are footings and supports properly sized, spaced, and braced as per,owed plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ o_ 4. Is the mobilehome level? (Sec.. 5088) Yes ot 5. If more t � a single unit, are crossover connections properly installed? (Sec. 5088) Yes u 6. Water A. Is flexi econnector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)' Yes Q_ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes Io � . 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. I's connection made with Schedule 40 DWV and have flex connectors at each end? Yes LiIQO C% 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- ons of water through each fixture including washing machine standpipe? .Yes_ Noi --�I� coach is not State of California approved, does station have required trap and vent? Yes_ No 8. Gas Piping and Gas Vents A. Connec - Ismobilehome connected to the gas sup y with an approved 3/4" minimum. mobilehome c nector not more than 6 ft. long? ote: All piping is to be at least as large as the mo 'lehome gas line inlet without reductions other than the mobilehome connector. Yes o B. Test OK'as per followin rocedure? Yes .No 1. Open all appliance con ctor valve , 2. Shut off appliance burner and 'lot valves. 3. Air test with manometer t 10"-14" wat column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) cal' rated in tenth pot increments. Test for 10 min, without drop. 4. Connect gas meter o mobilehome with connector, turn on 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 t--No— B. Is there proper clearances around panels? Yes t--43xY C. Is power supply cord or feeder assembly properly fused? Yes.---No— D. Is continuity test satisfactory as per the following procedure? Yes X150 De -energize electrical wiring system of the mobilehome at the pedestal. .Y. 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. 4onnect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 1 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. „Ja�-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 NamestyleL�®� Length Width Vehicle Serial No. State Identification No. CO&O-L ( T 4, Additional Information or Comments: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT iffIT NO. ASSESSOR PARCEL NUMBER -7 bXor- ) G � ZO ING -� BUILDING PERM OWNER ifH GC/Ly�r y�� //'L I�� TELEPHONE SO. FT. OCC. BUILDING VA ION OWINN�ERy'S� MAILING ADDRESS C f MIONE T L�� CONTRACTOR'S MAIL NG ADDRESS �c>raf L)� cod �x o, wZbu( =1 ;- 9-1-7� CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation Is LENDER'S MAILING ADDaF« Permit Fee $ ARCHITECT OR ENGINEER A� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS �— Permit fee $ BUILDING DDRESPLUMBING PERMIT Filing Fee 3.00 D Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MA Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[-] Mobilehome4aooebther SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ odel ❑ -Uti lities ❑ Instal lation her ❑ Describe work: _ r �% ce Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. .&� OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare u der penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and y license is in full forc and effect. License No. a Classification / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON•R ESID, ( SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 50@x` BAL�1oc FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MEC ANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any ay accrue a Ai sa County in co se nce of the granting of this_p7ermi X e ` / f/ 0 nature of Appl cant — Owner❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ , Land Development Fee $ TOTAL PERMIT FEE $ OcCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSO�, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date fI(- —/•p cif Receipt No. 3 "l'i�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT F, BUTTE COUNTY•DEPARTMENT•OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. `PHONE: 534-4541', MOBILEHOME INSTALLATION SHEET 1. Owner's name: O �` %Z� m ,1'e 2. Installer's name: �'/ a ca b -A Ih L()"+9 Ina AZ LF 3.. Is the site currently under permit? Yes 71 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 /tom No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �J Amps 6. What is.the mobilehome site service rating? --------------------- c2, 0 O Amps 7., What is the mobilehome.site circuit breaker rating? ------------- 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: fu- �%!/ (Load) a (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?-------- I ---------------------- (BTU) (This information not required if -pipe length less than 6 ft. on natural gas or less than 50 f t , on LPG,) . �f BUTTE COUNTY BUILDING DEPARTMENT APPROVP-D I MOBILEHOM SUPPORT DATA If other than single wide, Mobilehome Mfr. Fnsn.)�. furnish Setup Model No. Year' /l O Width o%i (ft.) Box Length Ste- (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 (in.) (in.) Center support Center support locations* footing sizes (in.) 11/1. to (ft.)(in.) (in.) (in.) J 1-32 W (d, � �O (ft.)(in.) I (in.) (in.) (in.) (in.) xjq (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. pressure treated or foundation grade. 2. Other (specify) Supports (check one) lLj�" Concrete block. 2. Other (specify) Tagalong or Expando,' show support details. IaZ x �1 -- Typical Support in. in. Footing Size �� -- Max. Pier Spacing (ft.)(in.) -, -1 -- Max. Overhang (ft.)(in.) 11 COLIN- IY 6F BUTTE — DEPARTMENT OF PUBLI W04T 7 County Center Drive - Oroville, California 95 65 Telephone: 534-4541 APPLICATION AND PERMIT B L ING Owner eo/3EF M 6H6- SO. FT. OCC. BUILDING VALUATION Mailing Address L/4 d4pakiq 03 le -'— 4Telephone 7- o� Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee BuildingAddress SE SIDEc�/ILi/LfQAj Plan Checking Fee&/or Penalty Permit Fee APP `L A4 /, AIC 49 VILI-e PLUMBING No.1 @ FEE /��/,,►Y/ 7 PERMIT FILING FEE $3.00 .� Each Trap 1.50 r� / ° ,� (080 �U, Repair drainage or vent piping 1.50 A. P. No. 7/ — O,% r /0 ' Zoning &Panning Water piping /C), 00 $ Each gas water heater or vent 1.50 F 11 FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets /,0.007 EQA Parking Plan Parcel Declaration Parcel ap 60' R/W Improvements Each additional outlet .30 wilding sewer /U,O Bldg. PI s Rec'd w Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES U OTHER ❑ permit Fee $ r pQ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , OI✓ Main service 100 AMP OR00V OR SLESS 5.00 5,0d) . Single Family ❑ Duplex E] Mobil Home11" Others ❑ Main service EA. ADD'L too AMP 2.50 `L',S� Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING 4'\ 20sgft OR ADDNST ( ACCLBLOGS.CCUp' //1 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 st le of: %r NEW RESID. BRANCH CIRCUITS) NON.CONST BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTtIRES) g L�; Ex. OFIXED APPLNS. OR CCU p• OUTLETS (RESID.I EA) 2•Q� Temporary service 10.00 Mobile Home Facilities 15.00 /,57 0,0 Misc. Wiring 6.25 License No. Classification I I am exempt from the Contractors License Laws of the State of Cal ifomia. 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. 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. 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 propertyfor inspection purposes. Date Signature of Permitee or Agent Receipt No. 3 _70 ?I White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ Z'7, MECHANICAL No. @ FE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ 25-1 QQ TOTAL PERMIT FEE $ p This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above or which fees have been paid. D R CT OF PUBLIC WORKS e17% IJ Date094 �q ' Building permit expires Date This set of plans and specificotions MUST ber kept on the job at all times and it Is alterat ®nto s on same without hlout make any changes or written permission from the Department of Public Works, County of Butte. ' rN. sA ek 3� \ Utility connections shall within 4 ft. of the mobilehom , either t� directly behind or wi in the rear half of the roadsid left) of the mobilehome. r . ,.cgcco -'A# AM of a encs Wif teria/S Uhif quality 'R 0r the A/cf °epi geSC a ec% f��I �d Go hip Shat �6i he P Elect ca/ C 9 & Ade.•laspec, 1,ecl cf', 8e fA 1 \ C es 0 and t A TANK vf,4A .foV WSW A permit will be' required for the installation of the mobilehome. C ;f �pQoPoSED A soback of 5 ft. from the praperty lines and a setback of Wft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. N .1 76 9 ,9 sum Comff BU9i.D1N16 DE,'AR1M�f!I APPROVED.