HomeMy WebLinkAbout079-200-073��.q-2
�. • . Warren T. Ambrose 2661 Brou
f <a-#73 Orov' le
hermit #567-79P(util.
4) ELEC .
GAS —
SUPPORT STRUCTURE REQ,
'�'
i' COMPACTION TEST REQ. t
t (� dontr: Loyd's Elec.,•Oroville s'r.
Permit #17 1-79E(elec. & yard light/
MH) L
• ■.��a .acme ' �. 1
NEW OWNER'S
HARRY GIORDANI
` 2661 Brougham Dr, lot 73, Orovil]
Contr: T.e Oaks at Lake Oroville
pe
s6
rmit #543 7-79MHI ',I
I
sued /.S. ...T i -_I.' r `
i
a
t ,
.:. , , =mac-
a.
567-79P !
PERMIT NO. -
• j� � J .
PERMIT EXPIRES V
Warren T. Am ose
OWNER
CONTR. Owner
f
LOCATION (A.P. 5-12-73 )
2646 Monte Vista Ave., Sp.#73, Oroville
-
Temp. Power Pole
,r Called PG&E -
1l Temp. Elea Serv.
Called PG&E
6477ITemp. Gas Serv.
Called PG&E
JOB
• FINALED
(Date)
(S i g nkfure)
i
COUNTY -OF -BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
OUVUCK
IFlr all
oil Piping
For
Para is
1st Floor
Mak Bldg.
Restro Finish
nd Floor
Folillings
Windows
3 Floor
Stem all
Siding
To 0
Slab
Roof Sheath\pg
Water king
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physicall
handica e.
Conformance of ex.
structure
Appliances
Gas Piping & Tes
Temp. Gas
Slab
Final
Sanitation
Patio
FA EPCE
Final
• Footlnas
Fantinn Xor•r
reg
Fixtures
Stucco
Final
Sub`anel
Mesh
MECHANICAL
Grd. Fah Prot.
Scralth
Heatini
Servic
BrAn
CoolAg
Tek. Pole
F ish
-RDU94s
4derground
In rior Lath
V ntllation
ennanent
or Closer
Incl
final
MOBILEHOM
UTILITIES ------------------ Elec. Service
Z3-7Z3-7eo
z Elec. Pedestal
Y 2 7.
Water PipingSewer
9
Gas Piping
E
Water Piping
IN ALLATION - - - - - - • • port
' rainage
Elec. Continuity
Gas Piping
� , 4
DATE
REMARKS OR CORRECTIONS
(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, 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 for the following location:
Owner
r -
Owner's Address
Mobilehome Mfg. -/'�� ' �' Model Year
Insignia No.X14 7 " �f 1 Serial
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date - By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
MOBILEHOME INSTALLATION._INSPECTION CHECK LIST
1. Is the mobilehome located wit 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 1-4o
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec: 5082 & 5083) Yeso_
4. Is the mobilehome level? (Sec. 5088) YesZ"No_
5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes V No
1
6. Water
A. Is fle le 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
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. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_II-No
B. Does it have minimum" per foot slope and is it properly supported? Yes'No,
C. Are any leaks detected in drainage system after running 3- allons of water through each
fixture including washing machine standpipe? Yes No
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 leastdas
large as the mobil, ome 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 with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, 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 mobileh6me (must equal rating,. -_f
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 around panels? Yes No
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 -fine,
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 Namestyle4� ,
Length Width LL/
Vehicle Serial
State Identification No.�-
Additional Information or Comments:
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-45414r/ 2— 2
APPLICATION AND PERMIT \ \VJ / ���
all LI IVI ILC 1CF/I C J CIIIalIVC6 UI UIV I,UUnIy UI DUMC lU enter upon ine
above-mentioned property for inspection purposes.
niri _
Date/- 31` 7f
r
Signature of Permitee or Agent
Receipt No. 1 U:7-�--
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.
/ u1 ,DIBECTOR.OF PUBLIC WORKS i
Building permit expires Date
BUILDING
'�—
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address 3;z-
OV
—/�
Tel
3 o�No. Z�S�
Contracto
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address .bio CfG
Plan Checking Fee &/or Penalty
Permit Fee
$
PLUMBING
No.
@ FEE
PERMIT FILING FEE
$3.00 —
Each Trao 1.50
Repair drainage or vent piping 1.50
A. P. No.
Zoin g
Water piping
1.50
Each gas water heater or vent 1.50
s
FireDept.
Fire Zone
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 5.00
Bldg. P ns Recd
Parcel A roval
Plans 'provol
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES OTHER ❑
permit Fee $
33
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE
$3.00
600V OR LE
Main service SS
,00 AMP LESS 5.00
Single Family Du lex Mobil Home Others
❑ P ❑ ❑
-L
Main service E4. ADDtoo AMP 2.50
Main service OVER s
V AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELING
OR ADDNS. ACCLBLDGS.CCUP. Y� 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
y
NEW CONSTR BRANCH CIRCUITS)
NON-RESID BRANCH CIRCUITS)
2.50ea
NEW CONSTR (POWER APPARATUS .$,
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXTIIRES 50BAL0@2511'
Ex. Occup. FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
�l 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 -1
@ FEEPERMIT
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
Land Development Fee
$ Pj--
TOTAL PERMIT FEE
$ �� Od
all LI IVI ILC 1CF/I C J CIIIalIVC6 UI UIV I,UUnIy UI DUMC lU enter upon ine
above-mentioned property for inspection purposes.
niri _
Date/- 31` 7f
r
Signature of Permitee or Agent
Receipt No. 1 U:7-�--
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.
/ u1 ,DIBECTOR.OF PUBLIC WORKS i
Building permit expires Date
MOBILEHOME SUPPORT.DATA
If other than single wide,
Mobilehome Mfr. � i&�� e furnish Setup Model No. SM a S -f1Year 7 9
Width_-Z4/-4_(ft.) Box Length 6 0 (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)
q�_ -01 1
ILx3& .
(ft.)(in.) (in.) (in.)
(ft.)I (in.) (in.) (in.)
1—x30 -- Typical Support
n.) (in.)- Footing Size
Max. -Pier .Spacing
I -- Max. Overhang
(ft.)(in•)
BUTTE COUNT`P
9UILDING DEPARTMEIC'i
APPROVF_Q
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions..
Single
211*'1. Wood'either
pressure treated or
��
{ /IMWfoundation
X,� V
grade..
(ft.)(in.)
(in.) (in.)
E] 2. Other (specify)
Center support
Center support
locations*
footing sizes
Supports (check one)
(in.)
ER�l. Concrete block.
x
2. Other (specify)
(ft.)(in.)
(in..) (in.)
4-Tagalong,or Expando,
show support details.
.(ft.)(in.)
(in.) (in.)
q�_ -01 1
ILx3& .
(ft.)(in.) (in.) (in.)
(ft.)I (in.) (in.) (in.)
1—x30 -- Typical Support
n.) (in.)- Footing Size
Max. -Pier .Spacing
I -- Max. Overhang
(ft.)(in•)
BUTTE COUNT`P
9UILDING DEPARTMEIC'i
APPROVF_Q
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions..
A '
BUTTE COUNTY DEPARTMENT OF .PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: .534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: //r9 2
r
2. Installer's name: v �� r �/I /e-,_
3. Is the site currently under permit? Yes /7/_ No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No / �7r
(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 / 14 No:/ /
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
(If
no, clarify
)
(
)
5.
What
is
the mobilehome
electrical rating? -----------------------
%�� �J
Amps
6.
What
is
the mobilehome
site service rating? ---------------------
Amps
7.
What
is
the mobilehome
site circuit breaker rating?
------------- / G
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?--------
y
(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.)
Setvicw the
+.mveimlAnr:.<.v
2.004¢ ICS
I !f4
i
a
iam
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnorize representatives Ot the County Or butte to enter upon the
above-mentioned property for inspection purposes. /A
*a Date 3` .2 )-7
Signature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow- ssessor - 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.
DIBECTIOR OF PUBLIC WORKS
B Date 2 7
Building permit expires Date 3—ed —?q
BUILDING
OwnerSQ.
FT. OCC. BUILDING VALUATION
'144,
Mailing
Mailing Address 12, C
Telephone No.
Contractor fir`
,�f -
Mailing Address ICJJ , ( 4 ��
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address 2
G -
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
j
A. P. No. �`�/ Z -
Zo Ing & Pia ming
Water piping 1.50
Each gas water heater or vent 1.50
F s
fZ
Sem•a:atiart
I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
. Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
B I do_Rkrnv-Rvc&d
PorceLAEErovol
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER.,
Permit Fee $
$
ELECTRICAL No.. @ FEE
PERMIT FILING FEE $3.00
Main service e00v OR LESS
too AMP OR LESS 5.00
Single Family Duplex Mobil Home Others
❑ P ❑ ❑
Main service EA. ADD'L too AMP 2.50 .5
Main service 1100 AMP OVER OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
OR ADDNSNEW // CONST. ACCDWELBLDGS.LING CCUP. B) 22sgft
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 (MULTI.OUTL T
NON.RESID 1 BRANCH CIRCUITS)J 2.50ea
NEW CONSTR. POWER APPARATUS 6
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTURES o ��
Ex. QCCU FIXED APPLNS. OR
p'(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 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.
ihave placed on file with the County of Butte a certificate of
Workmen'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.
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
$
TOTAL PERMIT FEE
$
autnorize representatives Ot the County Or butte to enter upon the
above-mentioned property for inspection purposes. /A
*a Date 3` .2 )-7
Signature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow- ssessor - 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.
DIBECTIOR OF PUBLIC WORKS
B Date 2 7
Building permit expires Date 3—ed —?q
w, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
' Telephone: 534-4541
APPLICATION AND PERMIT
_1
v — ,r.
auuwnce reprebentativezi ur the Luunry uI outte to enter upon the
above-mentioned property for inspection purposes.
X Date — �— 7
Signature of Per
mi
ttee or Agent
Receipt No.V..X
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the
B to County Code and/or resolutions to do work indicated
abo f r which fees have been paid.
6 If kIROF WORKS
114 Date " S -2
XWP
Building permit expires Date �" �" P6
BUILDING
Owner R' GLOP CIA `"
SQ. FT. OCC. BUILDING VA UATION
Mailing Address 40T G/J7?A9C1k
Telephone No.
Contractor "%fy K5.
Mailing Address Qxv DR-/��1
Fireplace
Total Valuation
Telephone No.
3_60j6
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Q
A. P. No. U Z 3
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Sa on
9
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel
Plans Dec ration
Parcel Map
60' R/W
Improvemen -
Each additional outlet .30
Building sewer 5.00
Bldg. Plans c'd I
Parcel royal
PI pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 60ov OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD -L 100 AMP 2.50
Main service OVER s 25.00
100 AMP O OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING OOR ADONST V ACCLBLOGS.CCUP. S) 20sgft
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:
Y
rXC 4-9 14-A-1 S
NEW CONSTR BRANCH CIRCUITS)
NON-RESID ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR POWER APPARATUS a
NON-RESID• SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES) o@I=
BAL@1
24
Ex. Occu FIXED . OR
P•(OUTLETS (RESRESID•) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.331V92-- 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 w ich requires every employer to be insured against liability
for W men'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 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 $
$ 340 az
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
$
TOTAL PERMIT FEE
$ on
auuwnce reprebentativezi ur the Luunry uI outte to enter upon the
above-mentioned property for inspection purposes.
X Date — �— 7
Signature of Per
mi
ttee or Agent
Receipt No.V..X
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the
B to County Code and/or resolutions to do work indicated
abo f r which fees have been paid.
6 If kIROF WORKS
114 Date " S -2
XWP
Building permit expires Date �" �" P6
C-4 e- 91r,5 �«w ... .... _ COT =7-3
' Work Shall Be in..
NOTE:—All Materials & . P //2 .k/ ..
are..,ni�ed (ood Pract�
Ac W fh R . .
of a duality r)rescribF':nr : the Specified us _ in the /6 L //z w
►,' & Machanical Co es and - /91 o 1
lriifa }ional Electrrc�a�\C:od�
the N 70.0
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i:his set of plans and specificartions
.sept on the j®b at ill ti un gin aw#ul ion 1 .. 3UILDIN DEPARTMENT
make any changes or alterations on same without ( ��
written. permisson from e pt of Pahl«
fthDeartmen�' ('�
Works, County of BUttA. ..APPROVELi- .-: