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HomeMy WebLinkAbout065-400-02465-40-24' ROBET BALLOU 135 T3in Pine Rd., lot 133, PP¢#3, Magalia contr:Tri-V Constr., Paradis�,y�r Permit #6346-75P,E ( til. LEC *-w-- _ GAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. PIZ) 65-40-24 CONTR Tri V Const., Paradise Permit #6517-75B (slab only & foun- datim/private garage) a 65-40-24 p +CONTR: Gehe0 s MH' s, Cheri o Permit ##129-76MIII +I s sued - / - 5-4o-24 CONTR: CAL GAS _ PERMIT #22-6P(GAS PIPING ONLY 65=40=24 -.-- Permit ____permit #4538-76B,E(new private garage & decks/MH) 0" 'A I ® ' �.I�/a. F ; l k PERMIT NO. •------4538-76B,E I PERMIT EXPIRES �% r { OWNER Robert Ballou CONTR. owner LOCATION (A.P. 65-40-24 .135 Twin Pine Rd., lot 133,. PP#3, Magalia { 0 Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. } Called PG&E f JOB FINALED v (Date) f (Signature) V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 1 i f BUILDING BUILDING (Cont'd) PLUMBING i Setback Firewall 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 Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Prov. for physically handica e Conformance of ex. Appliances Gas Piping & Test f� Footings Slab Patio Footings S' Masonry Walls Reinf. Steel structure Temp. Gas Final Sanitation FIREPLACE Final Footinq ELECTRICAL Fixtures FIRE SPRINKLERS Motors Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 1 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE —7 PARTMENT OF PUBLIC WORKS • 7 County Center'Drive — Uroville, California 95965 " Telephone: 534-4541 �( Qy/U— APPLICATION AND PERMIT - ---- the tsutte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date&& 1104_2DIRE OR OF BLIC WORKS Signature of Permitee or Agent Q / �/�� BY � Date � Receipt No. 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date a J .3-77 BUILDING Owner �� �` /4 LL O U SQ. FT. OCC. BUILDING VALUATION Mailing AddressS 1 P/n e- - ?A- ai0" Y 90 = R0 Telephone No.17'-75 73—/ 01 /• ��s4r9 v► � t2 miT �o� Fireplace Contractor ®LJl1 /�/��Q,r Total Valuation Mailing Address Permit Fee — Plan Checking Fee&/or Penalty Telephone No. Permit Fee — Building Address 3 �� �/!�/ //v@' K PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ®% 3 P � Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �p$"�0 �' Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W`Z.n Fire Dept. FireZone Use Permit Building sewer 5.00 EQA planrking s DeParc tions� r arc 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. ans Rec'd /P ,arcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Othe g Main service I 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 �r NEW CONST. DWELLING S, C,S,g� OR ADDNS. (ACC. BLDGS.�`]/ 2¢sq ft NEW CONSTR -OUT LET NON.RESI D. (BRANCH CIRCUITS) 2.50ea �• /, Y� `'] - �.A" � 15J-7- PLA" NEWGr NON -RESID R (SINGLE OUTLET POWER TCIR.US & 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:, Ex. Occup(OUTLETS OR FIXTURES) BA@tea @ loo Ex. Occu p• ( FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 Eram 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 authorize representatives of the County of Butte to enter upon the ahnva-mantinnarl nrnnorty fnr I .tl. TOTAL PERMIT FEE r permit ermitis hereby issued under the applicable Drovisions of - ---- the tsutte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date&& 1104_2DIRE OR OF BLIC WORKS Signature of Permitee or Agent Q / �/�� BY � Date � Receipt No. 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date a J .3-77 'PERMIT NO. 6517-75B i t , ( P s E 1 M MH UTIL. E - PERMIT NO. J PERMIT EXPIRES '4 70WNER Robert Balbu }CONTR. Tri V. Const., Paradise LOCATION (A.P. 65-40-24- ) f ` 135 Twin Pine Rd., lot 133, PP#3, Magalia {t . [f � A i; . Temp. Power Pole 1 Called PG&E a Temp: Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E J ,los ?i2-s • FINALED i (Date) i (Sig ature) t ( i. cF' a COUNTY OF BUTTE — DEPARTMENT' OF PUBLIC WORKS BUILDING INSPECTION RECORD ` 1 �I BUILDING BUILDING (Cont'd)' PLUMBING Setback Firewall 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! i 1 Piers Roofing ' Sewer Garage • Fdn. Vents Fixtures Footings 'A- Garage Vents Water Htr. Stemwall Slab ,. Prov. for physically i' .handicapped Heaters Appliances i Carport'" Footings Conformance of ex. structure 40 Gas Pi ing & Test F Temp. Gas i Slab Final Sanitation Patio ` FIRE LACE Final Footings - Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINK ERS Motors Framing e Test Water Htr. ??. Stucco Final ' Subpanels Mesh MECHANIC4L Grd. Fault Prot. Scratch 11 Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath F Ventilation ' ` = Permanent Door Closer Final Final DATE i REMARKS OR CORRECTI NS t i ! I 1\ J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Wildi7ng Receipt No.White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant p@I'mlt @XpIC@S Date BUILDING OwnerSQ. u FT. OCC. BUILDING VALUATION �1.A 0 Mailing Address �Hd� yob Telephone No. L Fireplace Contractor �— N S Total Valuation 0 " Mailing Address S� Fexuv ZN Permit Fee Plan Checking Fee &/or Penalty' �✓L Telephone No. i�3�{SS Permit Fee ^ ��-• Building Address o J W �fy /�yL PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 04 L.,f t4 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. (T •' 0 ^� y Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F // W'C. S tion F' Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Pa Declaration rce a P 60' R/W Im r p ove ents Lawn sprinkler system 2.00 Bldg. P Recdarcel A p Plans Approval Permit Fee Ifta NEW EL ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 B l7 L\ - 00V OR LE Main service 100 AMP ORSLESS 5.00 Qum vLl 4T/U11 ' Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Du lex ❑ Mobil Home [JOthers, OVER 600V Main service 100 AMP OR LESS 25.0 Main service EA. ADD'L 100 AMP 1.00 r , 4 -re lJ r1 -I �J Y�, IY- NEW OR ADDNST ( ACCLBLDGLING OCCUP. &\ 20sgft I NEW CONSTR. MULTI.OUTLET NON.RESID. (BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS & NON•R ESID. SINGLE OUTLET CIR. J I 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: �� �.+✓ST•2dc74/O.c. �o Ex. OCCUP(OUTLETS OR FIXTURES)50 P2N SAL @1 EX. OCCU FIXED APPLNS. OR Occup.(OUTLETS OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �OL�90 / Classification 14 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 @ I FEEPERMIT 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 authorize epresentatives of the County of Butte to enter upon the above- tioned property for inspection purposes. X Dateo'75 1. $ianature of Permitee nr d .,r TOTAL PERMIT FEE 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 b;eyp,,id. DIRECTOR Fj P�JBLIC WORKS / Wildi7ng Receipt No.White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant p@I'mlt @XpIC@S Date IL COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Vroville, California 95965 �_ �� Tel phone: 534-4541 APPLICATION AND PERMIT e Date/ , �" 76, Signature of Permitee or Agent Receipt No������ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ine butte county code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORDIRECTOR 0 UBLIC WORKS By— Date Z-13- % e wilding permit expires Date__ /���� BUIL ING Owner G U SQ. FT. OCC. BUILDING VALUATION,: Mailing Address Telephone No. Fireplace Contractorh� Total Valuation Mailing Address<776 S Permit Fee Plan Checking Fee &/or Penalty C e__3_ Tele hone N � Permit Fee Building AddressPLUMBING No. @ 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 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. Senff� FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. aPT ns R cid Parcel proval Plan pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1 r, /•� GG fl �Y 600V OR LESS Main service 100 AMP OR LESS 5.00 1 r_ TTTT Main service EA. ADD'L,100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service R 600V 00EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS. OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS &) NON- R. RESID. (SINGLE OUTLET CIR. 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: 9 , RV, Ex. Occup(OUTLETS OR FIXTURES)@2 BAL@(51 Ex. FIXED APPLNS. OR Occu P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 31;e 3023Classification �. l i L_ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 authorize representatives of the County of Butte to enter upon the abOVP-mention Pri nrnn Prty fnr inen—fi.,.. n G& O 30. QC PERMIT FEE �sn s-30- OZ Thiermitis hereby issued under the applicable provisions of Date/ , �" 76, Signature of Permitee or Agent Receipt No������ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ine butte county code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORDIRECTOR 0 UBLIC WORKS By— Date Z-13- % e wilding permit expires Date__ /���� f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Tel e,Fhone: 534-4541 APPLICATION AND PERMIT a:,? 7 -7� i •- ..rw�.w,vco "r "" �,uuniy vI ouuc to CIltul uNun uta above-mentioned property for inspection purposes. X'4&& 2 Date/'-/ / C5 Signature of ryPermmittee or Agent 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. (RECTOR OF PU LIC WORKS BY Date +n9__permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address �- Permit Fee Plan Checking Fee&/or Penalty !sJephone No. T S- Permit Fee Building Addresses PLUMBING No. @ FEE PERMIT FILING FEE $3.00 C% Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 20/1021�3 � Each gas water heater or vent 1.50 A. P. No. S Q ^ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Q�Od Each additional outlet .30 F s ftrri•ta n I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p ovements Lawn sprinkler system 2.00 ec Parcel Approval Plans Approval Permit Fee $a. 067 $ G NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1,001 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2,50 SinSingle Family Duplex Mobil Home 9 Y ❑ P ❑ Others ❑ Main service OVER 6001 +oo AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 NEW OR ADDNS. ( DACCLBLDGS.WELING CCUP. &} 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 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: w � --/ Ex. Occup(OUTLETS OR FIXTURES)50 @25a BAL@+ Ex. QCCU FIXED APPLNS. OR Occup.( (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 o Classification d—� License No.0 � b � Lr-%- Classification Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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 Work n'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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ �C •- ..rw�.w,vco "r "" �,uuniy vI ouuc to CIltul uNun uta above-mentioned property for inspection purposes. X'4&& 2 Date/'-/ / C5 Signature of ryPermmittee or Agent 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. (RECTOR OF PU LIC WORKS BY Date +n9__permit expires Date WOO chis sat of -plans acnsp��MUST be ��; "e Setback shall be OR tion: kept on the job at' all times and it is unlawful to the side property 54_ft ._fsr..orn .. make any changes or alterations on same without ' the centerline of the road 'r writtenermisss fr theartm f 2 e ft.. ea or, , 'ing, Works, Counly /o# a/ /17P /`� � � 9. j w Iz NOTE. ---"AI Materials & W rkrego sh p Spic l Be in w ,_; A 4 c, 0.: � Accordance with Recognize Goo4 Prci Ries c -n o.. x.., 'h a in the h of a qualit} prescribed .for fl a ,Spec-• -edl yes ,.� c Uniform Bui ding, Plumbing & achani al Codes and he Nations Electrical Code, CL 404 i\ 30 t.3 I JnVo L 'V W • o ro �� �n�l� y� tem _ v to s per ¢�¢n. o 3 Jte bounty .H.. ept. Re- I; `Q. uir �� (r; ,quo _ ��<;' ,�1,� n �� �'• .•;, � — � � t\n � .. . •1` 0 1 fie' J % . Zo�grCo; ? ' Aid' V'1 M Cl 1 ��Q7y 0 ?�`s taw Il ...AAA.IIw F.l [C A 6 ' � tt '��y .�6i. _.•.'. V�- A I utility c TM -- lo ated within 4 ft. outside.Ahe r r t ird section lof the mobile horn on the left u o h me. ' I/ /:FA ARi� COUNTY. BUILDING DEPARTMENI AP PROVED T-4;1-'- /FG �,�'J/.�=,�'i""," ✓T5' C - J6'L-iL%�;/�'. •%i;=;=,=?c.:� Imo' 1 _ S�� t^ •� d•:1;.1 � 1 �'- r..r_____----- ---_ /�,--1.':� - _tL? '.t---'---� _ _ RAY N UNJA CONSTRUCTION pECIFlCAT109v5 v MATE 1t,14;: ENGINEERING CONTRACTOR 2 Cciaeri � "-�� •��= -� LIC. NO. A 271019 5248 Scottwood Rd. Paradise, Co. 95969 FOR.. Rc FrT . `,3,'"TTY' 0u - ,76) 9 ,�'.. ' �_ ,c ''': CA. 9/9a/ 10 h JOB NO UNIT LOT ADDRESS �� res,olt 13 Fa• e . . BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: J4 023 ,E R-1— Bl/ LZ D N ,, >> 2. Installer's name: (9,C-A),C SC fes- T �/ U R/.i Z /Yo,YI 1 5 R Q l eA 3. Is the site currently under permit? Yes No —1 ( If yes, furnish permit number OR Is the site an existing.site? Yes / / No / Y (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 /1-/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- / d Amps 6. What is.the mobilehome site service rating? --------------------- /,o Q Amps 7. What is the mobilehome site circuit breaker rating? ------------- / D.D Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------------=-=----------- Yes / / No /vv`1. s f (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? -=------------=------- P_i4k__ 10. What is the type of gas service?re,- T"• 11. What is the gas pipe length from meter A tank to the'mobilehome? 12. What is the mobilehome gas demand? ------------------------------ I (Amps) atural / / LPG /✓/ (This information not required if pipe length less than -6 ft. on natural gas or less than 50 ft, on LPG.) (BTU) sL R. /73/ MOBILEHOME SU FFUK'f 11A•lA Mobil ehome Mfr. >2 V R if R G S T � ` � 'Setup Model No. Year -74 Width oZ (ft.) Length (ft.) -.ExpandoSize �ft.x ft. (Draw 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). K—. S Ingle . , Center Center Support Support Footing Sizes Locations (in.) g r- x 2� (f t�-7/I�n 09 P V4 . ......... (� in. Footings - (check . one) /,I/,. Wood 'either pressure treated or fdn.:grade.:' / 2..Concrete pad. 3. Other, specify _Supports (check one) /✓/ 1. Concrete block 2. Concrete piers 3. Steel piers . .......... .... ...... 4. Other, specify :j Typical Support p-ini. x3D Footing Size (in.) .............. dMax. Pier. ' S) i Spacing n. in. in.) ,. Overhang ^If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT_ APPROVED util.,MH PERMIT NO. 6346-75P,E n d.• I t P }, E t• r� M MH UTIL. ;i PERMIT NO. .l PERMIT EXPIRES i iibWNER Robert Ballou , 'CONTR., Tri -V Construction, Paradise LOCATION (A.P. 65-40-24 C135 Tiffin- Pine Rd., lot 133, PP#3, Magalia • �L f •iT 6�1 - jf moi•' �'• • `' FI �l t t 4- Temp. Power Pole Called PG&E ( Temp. Elec. Serv. k. Called PG&E �` • Temp. Gas Serv. Called PG&E BV FINALED � 7� (Dat I (i ature) /lam 9. Electrical 1. i. . '• A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum or00 amP7'and other faciliti s on lot, .e., wat r pumps garage, cabana, etc,? Yes No— glad 40/ , � Ll% �� B. Is there proper clearances around panels? Yes L/L 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 m.obilehome 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 Namestyle % 4, Length Width Vehicle Serial No. o State Identification No. Additional:Informati.on or Comments: 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_el 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes�No� 3. Are footings and supports properly sized, spaced, and braced as peter, approved plans? (Note possible variation at spring shackles.) (Sec 5"082 & 5083) Yes 9- "No , 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 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 ter, • --��•-�� ►LUL DLatie ornia approved, does staMion–have_ba_ckf� los w d and essure-relief Yes No L 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Y .s 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-gaI�lons of water through each fixture including washing machine standpipe? Yes No E D. Ifi is not State of Cal iforniaapproved, does_s•tat•ion 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 mobile me 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 A,11No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings j Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer .�. ' Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Pi in & Test Footin s structure Temp. Gas Slab Final Sanitatio Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures; Bond Beam FIRE PRINKLERS Motors' i'• ry. Framing Test Water Htr. Stucco Final Subpanels Mesh MEC H AL Grd. Fault Prot. Scratch atin Service Brown poling Temp. Pole Finish Acts Underground d2 Interior Lath Ventilatio Perma nt 1 Door Closer Final Final DATE REMARKS OR CORRECTIONS J -- o COUNTY OF BUTTE — DEPAP#TMEN,T OF PUBLIC WORKS 7 County Center Drive ; roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT A/ u orize r resentatives of the County of Butte to enter upon the above -me ned property for inspection purposes. XY""" Date - ignaturefof Permittee or ent 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 0 UBLIC WORKS BY Date ilding permit expires Date ' I_- "l, _;7 - BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor `' – Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address ��c–� �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 :3_ 40 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. ,j •'° -��— Zonil, Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W S i n Fire Dept. Fire Zone Use Permit Building sewer 5.00 rJ 00 EQA I PlansParking Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ 010 3 be NEW ADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , BZ% Main service 600V OR LESS 100 AMP OR LESS 5.00 C7 v+ Main service EA. ADD'L 100 AMP 2.50, J Q Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 SQQ _5aNEW CONST. DWELLING OCP. & OR ADDNS. ( CU ACC. BLDGS. ) 2�sgft NON•R ESD NEW CONSTR. (MULTI BRANCH CIRCUITS) 2.50ea may. L -[Z NEW CONSTR. (POWER APPARATUS & NON .RES I D. SINGLE OUTLET CIR. 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:._� Ex. OCCUp(OUTLETS OR FIXTURES) %'@�" BAL@1 FIXED APPLNS. OR Ex. FIXED E(RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �eiJ License No. �dL�iO /Classification 141 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rr%--Y I certify that in the performance of the work for which this A 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 $ $ 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 a th ' TOTAL PERMIT FEE $ u orize r resentatives of the County of Butte to enter upon the above -me ned property for inspection purposes. XY""" Date - ignaturefof Permittee or ent 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 0 UBLIC WORKS BY Date ilding permit expires Date ' I_- "l, _;7 Nil i rr.p !u.. t� p i.Fh� yrY1._ • ,r 1, ii1. � y= y ._,+�, t ,. � ( � 9�:t M � , 1 x. F .�. it _ •1,rt' rµ i•: r '',� ..: f�i r�; ^`;♦ .R..,�Y !''';.A ! �.. 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