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HomeMy WebLinkAbout056-140-030k 56-14-30 ugene & Jill Smith W/S arvey Rd., just b9fore Mt. >""Plea'sa t.Cemetie ry Permit Y)g%9-9, ELEC. 2004 �OA- N GAS /5 1-Py� SUPPORT STRUCTURE REQS, COMPACTION TEST REQ i - — ,L 56-14--ai / Contr: Gavett'sSer, 4a_a3k Permit#328,�4-&OMNI ���^ Issued �/ —� �� 1 1 1 i .I { i 1 j � 1: uj CoI{�'{• PEf�MiT NO. 2689=80P—,E 4 PERMIT EXPIRES ��OWNER Eugene & Jill Smith owner ' CONTR. LOCATION (A.P. 56-14-30 W/S Harvey Rd., just before Mt.Pleasant Cemetery C wleY, e r , 5 t R e �Ue• , r n Y � 1 .j Temp. Power Pole Called PG&E Te rElec. Serv. lied PG&E Gas Serv. Z S Uzd_R6& E nature) Mal Bldg. Fo tin s Stem all Slab Piers Garage Footings Stemwa l l `.: Slab Patlo Footing: isonry Wall Reinf. Stel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Irewall Soi PIPIng P' a ets 1st loor Res room Finish 2nd kloor Sidin Roof Sh thin Roofing Fdn. Vents Garage Vents Insulation Prov. for physica handicapped Conformance of ex. structure Final IRE SPRINKLE 3rd F I r To out Water PI in Sewer Fixtures j Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ECTRICA Stucco Final Subpanelif Mesw MECHANICAL Gird. F,& Prot. Sc r tch Heati Servi96 !Own Coo g T p. Pole Inish D is nder round terior-Lath entllation Permanent oor Closer Final inal MOBILEHOME UTILITIES - - - - - - - • Elec. Service �,z Elec. Pedestal Water Piping / `� Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE 1REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 1 MOBILEHOME INSTALLAT ION.INSPECTION CHECK LIST 1. . Is the mobilehome located witbe4equired 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 pew approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesy/_ No, 4. Is the•mobilehome level? (Sec..5088) YeZNo_ 5. - If more -than a single unit, are crossover connections properly installed? (Sec. 5088) . Ye so_ 6. Water - A. Is fle ble 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. Backflow - If coach is not Stateipf California approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule .40 DWV and have flex connectors at each end? Yes_ZNo B. Does it have minimum k" per foot slope and is it properly supported? Yes1No C. Are any leaks detected in drainage system after running 32allons of water through each fixture including washing machine standpipe? .Yes_ No D. If c a h is not State of California approved, does station have required trap and vent? YesNo ` 8. Gas Pip ng 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? No e: All piping is to be at least as large as the mobil ome gas line inlet without_ ductions other than the mobilehome connector, Yes No r' 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, rn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No ,9. .Electrical A. Is service large enough to provi-e adequate amperage -to mob�Iehom6(must equal rating of mobilehome with a minimum of0 amp) -and other facilities on lot,'i.e., water pumps, garage, cabana, etc.? Yes lj�No_ B. Is there proper clearances around panels? Yes /o_ pp y C. Is power su 1 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 I / 7 sy Manufacturer and/or Namestyle �. Length Width_tL_ Vehicle Serial No. S State Identification No. Additional Information or Comments: I 1z COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE S OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the .California Administrative Code, Title 25��bapter 5,- under permit number for the following location: �iiS7l%�n.tr ZL1l AX, z,,W',7-614,r'1)If 51- _17- Owner TOwner f.—W / 7Z Owner's Address 1<1X; //166216avro/I 4l Lri Cc) Mobilehome MfMode l/WWIL A Year, -!2.-7-9 Insignia No. 7,7V% //21 X4/2Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director o`f,PPublic Works 'a _ ate 7-- d By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RE.LOCATED " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californi995965 - Telephone 916/534-4541 APPLICATI6N AND PERMIT ASS ESSO PARCEL R ,�j•� U –� –® ZONING BUILDING PE - O N R _( F >E TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' MAILING A DRE/S�S� CON RAC/TOR'S NS�E /✓/ �> S'c,�//�E TE /Q CONT R' R''SMAI LING ADDRESS z� eeEALIPS e7 ; MA419i4A, 64 9_,5 - ss` CONSTRUCTION LENDER UNKNOWN -__ Fireplace Total ValuationI $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD N ADDR S ,4.Z R_ j> ✓Usk" 8457'j�446 PLUMBING PERMIT Filing Fee 3.00 M Pt eA 9h ,/TJv T �� r G`� Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping -. LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationOther ❑ Describe work: — on, PrF�s"[ 2 �p 3 O Q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 20sgft CONTRACTORS LICENSE LAW I de la under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in ful force and effect. 3� �7� --t0 � License No. Classification P ❑ 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 ULTI-OUTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. 250so @ Ex. Occup(ourLETs OR FIXTURES BAL@1 FIXED APPLES. OR Ex. Occup.(ouTLErs (R ESI D.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent 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. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 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 alPe l Iia ' ' 'es, 'udg ents, cos , and exp ses which may in any way accrue again sai n in cons ence of nting of this p'rmit. J �b _ X Date Signature o pplicant — wner ❑ Contractor ��gent ❑ 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 $ 160 Land Development Fee $ TOTAL PERMIT FEE $ r® 0 OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND �- 550 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE - O F PUBLIC WORKS BY -7 —Z3 PERMIT EXPIRES Date ��� Receipt No. q WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .� VN BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,'CA. PHONE :.. 534-4541 MOBILEHOME INSTALLATION SHEET K ell 1. Owner s name 2. Installer's name: (/ 3. ,Is the site currently under permit? Yep =/_.,' No (If yes, furnish permit number ) OR Is the site an existing site? Yes —1 No 7~. (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 No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. •What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------ ®V fps 8. Is there any other electric load to bye served by the mobilehome •1 -------- ------- Yes' No site service. --- v--------------- ---------------- (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? (in.). 10. What is the type of gas service?" Natural 7 LPG ll. What is the gas pipe length from meter or tank to the mobilehome? 9li (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) J . (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) BUTTE.COUN`I 1. BUILDING DEPARTMRj PROVC� F: V COUNTY OF U� TTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner�llG f ,U� , fi z Id Location C HA SS -4 Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1. THRU 10 Watts 1. Width 22� x Box Length x 3' _ -4 L, 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circuit ..... 1,500 4. Ovens ....................... 5. Cook Stove Top ............................... .6. Hot Water Heater 7. Dishwasher & Disposal 8. Clothes Dryer 9. Other (specify, i.e., motors, exhaust fans, etc.) f, 21 /'s2 Sub -total - Watts ..... �:., �, First 10,000 watts @ 100% ................................ = 10,000 _! Remaining watts @ 407 ........................ 10. Air Conditioner n a2 DC) watts @100%.. F jeAlRG� B O"IEF_ Largest Demand = � Central Heat System ! o watts @ 65'/... _ ) 2 3 TOTAL DEMAND 14ATTS REQUIRED io0 1 "Demand Watts Required" 230 = -_ AMPS De -rate Mobilehome to .................... ............... �r- -.tJ AMPS BUTTE MAW. IO Z-� BUILDING De PARTMIEN7 APPROVED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965. - Telephone 916/534-4541 APPLICATION AND PERMIT PER114LT NO 115%Ai I ASSESSOR P0,RCEL NUMBER ` .- ZONING BUILDING PERM(Lo/ OWNER TELEPHONE SQ. FT. OCC. BUILDING VAL ATION OWNER'S MAILING ADDRE S �.��/ COE�T NTA TELENE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS `f Permit Fee $ ARCHITECT OR ENGINEER- LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ------ Permit fee $ BUILDING ADDRESS vGr PLUMBING PERMIT Filing Fee 3.00 Each Trap Repair drainage or vent piping 2.00 Water piping 6040pp LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00Gas piping system 1 - 5 outlets42.00 D,Cp /O�Ot7 USEOFSRUCTURE [:1SF Duplex❑ Mobilehome Other SPECIFY Building sewer 60 O Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: Permit Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR1 OR LESS5.00j,� Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING O OR ADDNST ( ACCL BLDGS.CC UP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EJNON-RESID, I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is -in full force and effect. License. No. 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. MULTI -OUT LET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ! POWER APPARATUS IN \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@�` BAL�tOS FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities i 15.00 11S,00 Misc, Wiring 6.25 P Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 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 way accrue against said County i consequence of the granting of this permit. X Date_ Signa U of Applicant — Owner Contractor ElAgent ❑ An 0 A permit is required for ex avations over 5'0" deep and demolition or construct- of structures over I stories in height. Mobile Home Installation Fee $ Land Development Fee $ 6" C90 TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OF CONST. PAR EL ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREZ7 OF PUBLIC By 06, EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date f� /��� ���� [ion ve Receipt No. 2 T 7� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: J ' An "owner -builder" building permit has been applied for in your nameand bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally'plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name My SF_LF Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name MLI SCEP Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address PhoneType of Work MV SCF Signed: Property Owner Social Security numb r Date A NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831- and 9831and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.