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Home My WebLink About064-110-030Frank Pietrus iewicz 885 Carnegie Ad , lot'159, PP#13, Maga. ntr: J. T. McG-egor, Paradise Permit M576-78PP (, util.,NH) ELEC./O)A GAS SUP]iRl' 9T'RlfCTURE REQ.N, R COMPACTION TEST contr: S.eoso:,;,MoMbi=-Ie=Hmogmelo'S"eorv. Para. Perm' Yt6229-78M ed 30 PERMIT NO. 5566-78P,E PERMIT EXPIRES OWNER Frank Pietruszkiewicz J. T. McGregor, Paradise CONTR. LOCATION (A.P. 885 Carnegie Rd., lot 159, PP#13, Magalia i ,f • 1� N' 51 r; " n Q j ,z• t Temp. Power Pole 1 Called PG&E Temp. Elec. Serv. Called PG&E Zd Z3! �7��'G� �-', V Temp. Gas Serv. Called .PG& E K JOB r 3�� 2 FINALED (D te) (Signature) i C MOBILEHOME INSTALLATION INSPECTION CHECK LIST 0.I1,s the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No Al�Boes the mobilehome have required clearances above ground? (Sec.5085.) Yes X No � g Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesZ. No / //,, lits the mobilehome level? (Sec. 5088) Yes No_ more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No V jZWate �t Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No. a�Z.Test - Does water piping withstand working pressure or 50 lbs. air test? Yes; No C. Backflow -f o cis not State of California approved, does.station have backflow device and press r if'valve? Yes_ No �Je W stes and Drains Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No t� Does it have minimum 4" per foot slope and is it properly supported? Yeses No CIY. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No-�—Z If coach is not St of%�alifornia 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 mobileho e connector not more than 6 ft. long? No All piping is to be at least as large as mobilehome gas line inlet without ductions other than the mobilehome connector. No B. .Test OK as per fo owing procedure Y , No 1. Open all applian connector v� es. 2. Shut off appliance bur r nd pilot valves. 3. Air test with manom er to l 14" water column or test with slope gauge (minimum ® 6oz.-maximum 8 oz calibrated in enth pound increments. Test for 10 min. without drop. 4. Connect ga- meter to mobilehoiqe.with "connector, turn on.gas, test connections with soapy w er. C. Are all appliance vents properly installed? Yes_ No ® 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.? Yes4 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 141 De -energize electrical wiring system of the mobilehome at -the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. DSwitch 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 partA.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 Namestyle Length Width 672, Vehicle Serial No. - State Identification No. Off. 7x17 OV 7YT Additional Information or Come s: s AO 6 lo6 R COUNTY OF BUTTE — .DEPARTMENT OF PUBLIC WORKS " BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) jA PLUMBING etback Fir all 11 Piping Arms Para is st Floor in Bldg. RestrodN Finish Ag Floor ootin s Windows 3rd loor S mwall SidingTo out SlaRoof Sheathi •, Water Piplvg Pier Roofing Sewer Garage Fdn. Vents Fixtures Footingk StemwalA Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure A Appliances Gas Piping & Test Temp. as Slab Final Sanitation Patio REPL CE Final Footings I Footing EL CTRIC L Bond Bea FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. Falfft Prot. Scra Heat6fq Serviqlf Bro n Co ing T p. Pole FI ish D cts der round Int for Lath entilation ennanent D or Closer Inal anal MOBILEHOME UTILITIES------------------Elec. Service lec. Pedestal CK _/b-li-74 Water Piping Sewer Gas Piping -- MOBILEURMt INSTALLATION - - - - - - - - - - - - - - Support 1.e ' .ice. /d --,•'7—T Elec. Continuity Water Piping Drainage X Gas Piping DATE REMARKS OR CORRECTIONS L -7o 6jea �� is�� p/c FDrz 1 �3 �o �LrG V. vuTxLa X62 6?,+2,6,40 r. VR (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's -Address �!t �� f !ir :Lf �fi r i• ci ' r.'I _. Iobilehome Mfg. Model Year Insignia No.l ' %�-�<�% '� `�� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of.Public Works Date By�•'- t THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT *OF PUBLIC WORKS 7 County Center Dri\r, - Oroville, California 95965 Telephone: °534-4541 9 7 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 06 &h Telephone No. Contractor X-6 - as- %�i;! d7 V. Mailing Address Building Address e No. A. P. No. A ning & Plannin( Fees W. fratn-tation FireDept. FireZone Use Permit EQA I Parking Pians Parcel Parcel Ma 60' R/W I Im rovemen Plans Declaration P P Bldg. Plan&Aec'd I Parcel oval I Plar>�ovol NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER zz�w� Single Family ❑ Duplex ❑ Mobil Home Rf Others ❑ 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 7446* Classifications ❑ I am exempt from the Contractors License Laws of the State of California. 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. 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. 1 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. 01 X Signature of Permitee`oor nt Receipt No. Zea J / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace $ Total Valuation @ FEE $3.00 Permit Fee 5.00 Plan Checking Fee &/or Penalty 2.50 Permit Fee 25.00 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sarinkler system 2.00 Permit Fee $ ELECTRICAL No. PERMIT FILING FEE @ FEE $3.00 OR L Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. 41 nn...,. �. SID.R. ( BRANCH CIRCUITS)I 12.50ea Ex. OCCUDIOUTLETS OR FIXTIIRES BAL@'I FIXED APLNS Ex. OCCup.(OUTLETSP(RESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirino 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heatino Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee$ JFC OiD TOTAL PERMIT FEE $ T77 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. DIREC OAF LIC WORKS BY Date 6 — g permit expires Date T� BUTTE COUNTY DEPARTMENT OF •PUBLIC WORKS 7 County Center Drive; Oroville, CA. i PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET o 1. Owner's name: %7%cam% t�.(' �[�C�re/ i 20 Cc aka o 2. Installer's name:1,94_ C,"�?�� 3. Is the site currently under permit? Yes -� 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 No ( If no, clarify ) 5. What is the mobilehome electrical rating? -----------------------®p Amps 6. What is the mobilehome site service rating? ---=----------------- d Amps 7. What is the mobilehome site circuit breaker.rating? --------------- t> O Amps 8. Is there any other electric load to be served,by the mobilehome site service? --------------------------------------------------- Yes / / No 777� (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 / / 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.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. �,b furnish Setup Model No. -64 2 Year, Width(ft.) Box,Length(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). e - d All centersupports measured from front of mobilehome unless otherwise specified..' , i Footings (check one) pne� J FAA—T! Wood either pressure treated o foundation grade. l� x_1 7 T' (ft.)(in (in.) (in.) F&A,A_ Z. Other (specify) f4,07 - Center supfort locatio s* (fi:.)(in.) (f4.)(in.) (ft.](in.) (ftF01(in.) Center support footing sizes (in.) I (in.) (in.) (in.) (in.) (in.) (in.) (in.)((in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Supports (check one) 0-A; Concrete block. 2. Other (specify) ,(—Tagalong or Expando, show support details. j; x3 -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing » -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTT" — DEPARTMENT OF PUBLIC WORKS loo 7 County Center Drive — 5 le, California 95965 � Telephone: 534-434-4541 Qy APPLICATION AND PERMIT n au idyl I&W IcNlwcniauvub UI UIC IlVUn Iy UI DUlle to enier Upun ine above-mentioned property for inspection purposes. X aDate Z071F nature of Permitee orQpnt Receipt No. ZZZY2/ 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 RUBLIC WORKS BY Date 7,0 Building permit expires Date ct — �b'�79 BUILDING Owner i l ` SO. FT. OCC. BUILDING VAL4TJA Mailing Address Telephone No. Contractor Mailing Address 14 F_9,1014L70VrL Fireplace Total Valuation P14 R-14 /&E_ Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 (Jv Each Trap 1.50 Zoning Yp ification Qnly,- Repair drainage or vent piping 1.50 A. P. o. �Q d ATi Zoning & Planning Water piping /e%,DO Each gas water heater or vent 1.50 es C Sa i ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 E 6 ar ing arcel Plans Declaration Parcel M 60' R/W Improvements p Each additional outlet .30 Building sewer , 00 BI g. Plans Recd Parcel royal Pla . pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $f1lo n $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p 100 AMP OR ESS 5•�0 Main service 100V OR LESS00400v Single Family ❑ Duplex ❑ Mobil Home fM Others ❑ Main service EA. ADD'L 100 AMP 2.50 , (, MINIMUM MOBILES Main service OVER 600v 25.00 100 AMP OR LESS Main Service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELINGFOR OR ADONS. ACCLBLDGS.CCUP 7\ 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 le of: style Z:. M � G 2 r NEW CONSTR MULT I-OUTL T NON -REBID BRANCH CIRC11ITs)l 2.50ea NEW CONSTR. (POWER APPARATUS B NON -RES,D. SINGLE OUTLET CIR. Ex. Occur){OUTLETS OR FIXTIIPES BAL@101 Ex. Occup. FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �,,� License No. 21fCn!j-" Classification A Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ O $ 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 J$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 $ TOTAL PERMIT FEE $ au idyl I&W IcNlwcniauvub UI UIC IlVUn Iy UI DUlle to enier Upun ine above-mentioned property for inspection purposes. X aDate Z071F nature of Permitee orQpnt Receipt No. ZZZY2/ 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 RUBLIC WORKS BY Date 7,0 Building permit expires Date ct — �b'�79