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"
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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
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