HomeMy WebLinkAbout065-380-009;��06,5; 38-0-009' t 91-4127
COMMON. FUND MTG'CORP,
CONTR -UNKNOWN
.ROSEWOOD, MAGALIA
MH ON PERM' FNDN . ',�,q.
FW- MA,
NOW
ift, 'I
RESIDENTIAL
065-38-0-009
COMMON FUND MTG-CORP,
ONTR: UNKNOWN
9ROSEWOOD, MAGALIA
MH ON PERM FNDN
F ---OFFICE COPY
Address
GAS
Meter B Date 04AL
ELECTRIC
Meter By Date
sem.
11113A
DoM
ho,
U Li
%123yy
JOB FINALED (Date) — 2X3122 -
Signature
= OK
O = Not OK
=Not Applicatgle MOBILE HOMES
= Not Ready
Date MO ILE HOME UTILITIES Plans OK except #'s
V-Poning Requirements -Setbacks -Easements
Sojls; Special MH Support Sketch
.,Sewer; Location -Test -Fall -C/O Concrete
Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
Gas; Location-Test-Wr / P -1-1t.
/ /"Nat. or/ /•'L"it. /"LPG
7. Well Clearance & Disconnect
Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
P'Zoning Requirements -Setbacks Easements
2/Footings; Size -Spacing -Marriage Line
as; MHT t-
Demand-Valve—Connector
4--El-ectricity; MH Teaf--Crossovers-Breakers-Clearances
5. r in; MH Test -Fall -Flex Connector
6. ter; MH Test -Regulator -Connector
er and Sewer Connected -C/O to Grade -HD Approval
�r Gas and Electricity Tagged
xits; Insp.-Sketch
4t.-'6a4_e4-O cc u pa n c y
Date Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS {o
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements �a
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOL,8r(Plans) OK except #'s
1.i'' ;(backs -Easements
3.2. (oils; Compaction -Structure Stability
Pool Structure; Steel -Connections -Thickness
'Dead Men -Lining
4t-Elec.; Receptacles and Lighting, Distances-GFI
5oElec.; Pool Lighting; 15 volts-GFI
9_Elec.;Enclosures; Conduit Entries -Terminals -Listed
7�clec.; Bonding; Metal w/5' -Circulating Equip. -Heater
t'y;Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
Health Department Approval
TU` Plumb.; Cir. Test -Water Supply Test
Date j'_ _ _ 'u B-1 ('?/ Date Card B-1
Date ;=hard 6-1 (_ Date Card B-1
I
Qf'10� � (i,/ •02 to � Gv
✓=OK
O = Not OK
= Not Applicable RESIDENTIAL (;
= Not Rea
Date UN RF 'OOR (Plans) OK except M's
n i ng -Setbacks -Easements -Flood -Slope
1 %eFtg., Main; Soils-Elec.•@rnt-elf X/" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
Stemwalls, Main; Steel-Blockouts-Wrapped
•6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
v?515. Access & Ventilation,
16. Insulation
Date jbard B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK exceptg's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------- -- - -------------------------
17. Water Pipe; Test & Anchor -Nail Protection
--------=- --- ------------------------
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
------------- --- ------------------
-
---19.-Shower Pan: Test. First Floor -Tub Access --_ --
_ 20. Test Tub &_Shower, Second Floor -Tub Access
----------
21. Gas Pipe: Size & Anchors
------------ --------------------- ------------------------------------------
Date Card B-1 Date Card B-1
-------- ---------------------- ------------
---------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except k's
22. Fixture & Transformer Clearance -Ins. -Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------------------- ------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
------------------------------------------------ ----------------
25. Romex Installed Close to Edge of Studs & C.J.
-----------------------------------------------------------------------
26. Equip. Ground made 'up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
--------------- ---------------------- ____ --=---------- -------------
28. Subfeed Wire Size / i ga. Cu or AI-A.C. Wire Size ! / ga.
Cu or AI
- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral - 0 --Yes - - - ❑ No
--------------
30. Service -Riser Conductors & Ground -Main Disconnect
- - -------------------------------------
-------------
---------------------------
--- 31. Equip_Clearances Panels-Motors-Mech. Equip.
------------------------------------ - ----
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
----------------------
------------------------------------------- ------------------------------
Date Card B -t Date Card -B- 1
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except p -s
34. A.C. Ducts Insulation & Support
---------------------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
------------ ------------------------------------------------------------
36. Condensate Drain & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
----------------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
-------------------------- --- ------ -- --- ----- -- ----- ------------ ---- ---- - ------ -
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39. Sils. Proper Material & Anchors
------ ---------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------------- ----------------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
---------------------
----------- -------------------------
42. Draft Stop in Walls (rat proof)
- -
-------------------------------------------------- --------- -------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
----------- ----------------- -----------------------------------------
44. Headers & Beam -Size & Bearing
►ingle & Duplex)
Date FRAMING (Continued)
---_ 45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
- - - - 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
---- 49. Bdrm. Windows or Exiting Doors Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
- - -- - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
_____ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Root Overhang -Attic Vents -Rafter Outriggers
-----------
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
-------------59.---Insulation-Walls-Ceilings
-------- --- -
60. Infiltration -Walls -Windows
------------------------ i
Date - - -- Card B-1 ---- Date - Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ft's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
---------------------
------
64. Bedroom Exiting
------------------------
------------- 65.
----------- -
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
---------------
67. Stairs & Rails
------------
68.
---------- 68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
---------- -----------------------------
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
-- ---- --- -
----------- --
71. Elec_ Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
--------------------------------
73. A.C. Duct in Garage -Damper------------
_
74. Wtr. Htr , Vents -Clearance -Comb. Air-Connector-P.R.V. ,
In Garage: Above Floor-Mech. Protection
75. Plb. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & -Deck-Const ruction- Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No:
Planters _❑ Yes ❑ No
81. Stucco: Brown -Finish
------------- 82 -A.--C -Unit: Disconnect. Electrical, Plumbing
----------------------- --
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect. Electrical, Plumbing
-----------------------
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
-- --------------- -
86. Ventilation Throughout House
- - - - - - --------------------------
87.
- -----------------87 Glass Protection
------------------ -------
• 88. Corrections from Previous Inspections
--------------------------------------- ----------------
89. Gas Test -Meters Tagged: Gas -Electric
----------------------------------- -------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
---------------- -
91. Energy Compliance Certificate -Other Certificates
------------------------------------------------ --
Date Card -B-1 Date Card B-1
Date Card B-1 Date Card B-1
------------------------------------- -
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER
L -II 1-7• 5I
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed.H* you -have any question pertaining to this
matter, or need additional explangtron, please contact this office immediately.
Date ..�, ���� � �� Inspector
ti
Date ..�, ���� � �� Inspector
"
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
--•- 747 E l l iott Road, Parad i se — Phone: 872-6307
CORRECTION NOTICE
rte'! fl✓j1M - �JaG� %� y'(i L// 1 -7 -
OWNER
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
r:
S�12rj-c G-2 D 0 Y D Y -f
Date Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
1
CORRECTION NOTICE
p
oammy / 1%i/
OD ER PERMIT NO.
e.
A routine inspection indicates that the following violations of County Ordinance f'
exist at the above address and should be corrected. Please notify this office
1.w
when correction of work is completed. If you have any question pertaining to this 4
matter, or need additional explanation, please contact this office immediately.
Date Inspector'�3�
3
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center•Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
:A
;.v
040MMOA) 1 �iN) _k
R
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please ct this office immediately.
19 / �A���� cont1r/a-e,CMrA74—S.
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Date —C Inspector J
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO. '
91-4127
,i
ASSESSOR PAFi CEL NUMBER
65-38-09
ZON IN6a
R1
BUILDING PERMIT CV
OWNER
Common Fund Mtn Corp872-8696
TELEPHONE
,SQA FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5910 Clark Rd, Ste M, Paradise 95969
230 R , 730
CONTRACTOR'S NAME
unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee 1
$ 215.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 107.75
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING AD RES
Rosewood, Ma alfa
Permit fee
$ 338.25
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
226
NAME
Sierra Del Oro Est #3
PARCEL MAP
Water piping
7.00 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehomefl Other
SPECIFY
Gas piping system 1 - 5 outlets
5.001 5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New Addition❑ Remodel[—] Utilities❑ Installation❑ Other
Describe work: perm fndn 2 bdrm _
Permit Fee
$ 42.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50 18.50
CONTRACTORS LICENSE LAW
I declare 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 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
Main service 200ATO1000A)
37.50
DWELLING OCCUPM
NEW CONST.OR ADDNS. ( / ACC. BLDGS. /
3.6Qsq.ft.
NEW CON5TR ULTI-OUTLET
NON.RESID BRANCH CIRC ITS
@ 5 00
ROWAPPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup( OR FIXTURES
20 76
Ex. OCCUp. OUTLETS PRESID )FIXED APLNS.REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ 33.50
—
WORKMEN'S COMPENSATION INSURANCE
I 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
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.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
in g
rHood
6.50
ilation
Penult 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 County of
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, sts, and expenses which may in any way accrue
against ai Count in con eq ce of the granting of this permit.
X Date l v�7 1�/
Signature of Applicant — Owner LP Contractor ❑ Agent ❑
An over 5'0" deep and demolition or construct-
ion oofsHA structures tis over 3guired storiesoin height.
Mobile Home Installation Fee $
Ener Inspection Fee $
9Y P
occ
CONST TYPE
TOTAL FEE $ 413.75
rlAz DFEES
IMP
FL
CDF
PARCEL
Vi
PD IS
This permit is hereby issued under the
sions of the Butte County Code and/or
work Indic d abo r which fees
DI OF PUBLIC
By
PERMIT EXPIRES Date /
applicable provi-
resolutions to do
have been aid.
WORKS P
Date
Z —6-9Z
Receipt No. p p
WHITC-D.P.W.. YELLOW-A58C330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
U
COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
( One Form' B a ' lding) J/
?Building Department No. OP -4 L `
--strict City D County E2-i"urisdiction
.perty Owner �i�►a✓ /v,d /1
V �
Project Location/Address CL/r%4!�
Subdivision St IrR4la �e�,,� ,� Lot Number 2Z-�
Residential Development:
21�ti a a Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New, Addition (Including Exterior
Roofed Areas)
!�Bu.�-lpding Department Representative Da e
**************************************************************
(Floor Plans reviewed by School District Personnel)
et
District Id No.
A 46 A J, /.�',/ School District certifies that
pl�Acant
-(\Street Address)
Y) (State) ,i
ne Number)
has complied with the requirements of Resolution No.
by the pa me, t of /C�•4/�'�`U representing/ Q square feet.
School Di`s rict Representative ff `Date'
PAID BY CHECK NO.��
BANK NO
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
J
Murul
c�lorzt9a9'e
Butte County Building Dept.
Elliott Rd.
Paradise, CA 95969
Re: Application for Building Permit
Gentlemen,
The above captioned firm hereby appoints Yvonne Lalor as its
representative in completing the application for the subject.
She functions in this capacity without liability to Butte County.
Her actions have the full authority of the below signed.
Gordon S. Harrison,
President
GSH/yl
Quail Run Professional Plaza 0 5910 Clark Road, Suite M 0 Paradise, California 95969 9 (916) 872-8696
COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION
, -
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER „ A.P. NO.
PROPOSED BUILDING USE DATE
4EC. # DATE REC
1. School District Fees
-� (paid at District Office)
400/2. Sheriff Fees. ''
(paid at Building De n'E)
:.Residential .........• X
unit amt -,J • � J16 0
Commercial(per sq.ft.) X =$
sq.ft. amt.
Urban Area Fees
(paid at Building Department
Residential (per unit) X
# units
Commerical(per sq.ft.)
amt.
X =$
sq.ft. amt.
4. Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development) .........................
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid, prior
to issuance of the permit.
APPLICANT+ ,. ��� DATE
r`r-Cq"•A'��nf""'"'�.n"�yy3...o'�.r,y�-�"�i,+S•C��y„Y�1.-=r�p''i+.nI�KV'.�.�rt Y3Rx.'�*”�,....�'!t-rry�sFc'K"ri�1r=�'%�i�r.""�*�r�`��Yy�t"Cat*rr3��Ts�i+:�:"y 'T�.(.
COUNTY OF BUTTE - DEPARTh ENT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER �o/%'!/yloiJ ��vo No�tr4&ye Caelp- A. P.
Proposed Building Use �y /�,EiQ/�'t e2QR • Building Inspector CS^./
No. �65- -3g ao�
Date // 2? F/
At time of permit application, I was advised the following data must be submitted prior'to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ .........
2. Plot plans in,duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome instal ation data including manufacturer's installation
instructions ..... ............................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
Scho I District fees paid ..............
414. Sanitation approval from /"'" Oise- Health Department Ca
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: ' (B) Parking: ......
8. Improvements may be required. Contact Land Development Section DPW _
—OF -1-9- Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required . Pre-Inspec.request to i
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
2.3. Owner -Builder Verification (Given to owner o, Mail to owner o) .....
24: Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature author*aatio '
26.
27.
Wh n ou issue the per rpit,rprg�e s as follows: –Ma o o r, Mail to contractor.
Telephone 1��((�� t� and ho II for pickup at office. Deliver w.
/inspector.
Other_ r rnerd'on Hdrr i 9lnw n
Applicant Date �i 7 �J
Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date
Copy of plans sent Health Dept. _Fire Dept. Other Date By
The following data must be submitted prior to rmit issuance: (Circle new item not checked above).
1. Index permit for above items No. kic
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by
Contractor, designer, owner, was advised of above required data, by—phone —ma II_counter
Plans checked by 12 �L— Date M' 5-1 Plans approved by
:L—Sets of plans on hold in
Copy—DPW
File cabinet AP folder
..date
date
Date
TO: Building Department
FROM: Encroachment Permit section r
RE: Driveway Clearance
/79 Mon / vy�` ®�/ AP #
owner location
Driveway permit / i�o L- has been issued for the above property.
date
si ature
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
- Owner Location r._ AP#
Plan Approved for: Sewaqe Disposal
✓ 'dater Supply
Water Supply
Hold final for:
Water Supply
Final clearance O.R. for: /
Clearance for -o2bedroom mobile home. Other
sit o-v�l�
NOTE
Date
Sanitarian
(Corporation) 1
9 !-49660
STATE OF CALIFORNIA �+ t
E � ss.
COUNTY OF '
on. No u e m b e e a(, ,/ 9 9� before me, �e Lt.,M D e /'.CY y .t/,O0 a Notary Public
in and for said State, personally appeared m) x 0 N S' • N r4A.21 4 O N ,
(known to me) (or proved to me on the basis of satisfactory evidence) to be the
President,.aeRl�
gamete y of the corporation that executed the within Instrument (known to me) (or proved to me on the basis
of satisfactory evidence) to be the persons who executed the within
Instrument on behalf of the corporation therein named, and
acknowledged to me that such corporation executed the within = OF001AL MSL
instrument pursuant to its by-laws or a resolution of its board of KATHY DMA!
directors. -fd �G
WITNESS my ban and official seal. f a
Segnature My ( Op cow" WA M
ftpbn Pa. IM
Form 3216 (CA 12.82) END OF DOCUMENT_ (This area for official notarial wall
Return to DPW AGRICULTURAL STATEK'N'J' OF ACKNOVILE11GEMENT
- - - --_ --- 91_- 6.6 p.�_y2
_ _ FUR-RESiDENT1AL'DEVELOPMENT -
Section 26-8. 1 of - the - Butte County Code
requires this acknowledgeit►ent be recorded ,
prior to issuance of a building permit.
The property described herein is adjacent
to land or included within an area zoned
91-049660 1 Rec
Fee 7.00,
for agricultural purposes, and residents
I STF
1.00'
of this property may be subject to incon-
Recorded I Check 8.00
veniences or discomfort arising from the
Official Records I
use of agricultural chemicals, including,
County of I
but not limited to herbicides, pesticides,
Butte I
and fertilizers; and from the pursuit.
Candace J. Grubbs
of agricultural operations including,
Recorder I
but not: limited to cultivation, plowing,
8:50am 2 -Dec -91 1
XX 2
spraying, pruning, and harvesting which
occasionally generate. dust, smoke; noise, and odor. Butte County has established
agricul-
tural zones which have as a priority use for
productive agricultural purposes,
and residents
within said zones and on adjacent- property
should be prepared to accept such
inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows:
All. 1.hat: certain real property situate -in the Comity of Butte, State of
Ca.l.if:orr►aa, described no follows:
Lot: 226, as shown on that Certain Map entitled, "SIERRA DEL ORO ESTATES
UNIT NO. 3", 1-11.6 h Map was recorded in Lite office of Lite Recorder of: the
Connty of. W.it:te, State of California, on .lune 3, 1960, in Boole 35 of Maps,
at pages 27, 20 and 29. '
t
EXCEPT' NG AND RESERVING TIIEREFROM all of: the valuahle mineral.n beneath the
Fnn••f:arm of the said land with the r.ighl: to 10:1.1-10 arid extract: salt] mirierals,
Lt. 1)0:1.1x► ac.►reecl and ►nider.•alood that in al.l. mining oper.al:ions the surface of
elaid lando will be protected against damage and that all. such mining shall
_. he carr•Led on From ti.nniel.n, shafts or drifts having' their coni.Eleen ontnf ie
the surface area of the above described realty, all as excepted and
reserved In the Deed from ;Magalia Mining Company, a corporation, to E. D.
Shorts, et ux, recorded :"Hepte►nber:4, •1997, in Book 423,of t1►.►t.te' County
Of ficial. Records,' at 'page•; :305
Date: /1-a1 to -C//
PROPERTY 014NERS :
fes.
State of ) On this the day of 19 before me, the
SS. undersigned Notary Public,'personally appeared
County of )
z
ElPersonally known to me. 0 Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged
executed the same for the purposes therein contained.
WHEREOF, I hereunto set my hand and official_ seal.
Present A. P. No.Ll
Je
�T�T�
otary Public
that
IN WITNESS
10
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NOTES °`I 0,'`
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IMPORTANT MESSAGE
FOR—
A. ' M.
ORA.M.
DATE TIME P.M.
M
OF /
PHONE 2 C�6 /
AREA CODE - NUMBER EXTENSION
TELEPHONED
PLEASE CALL
CAME TO SEE YOU
WILL CALL AGAIN ,
WANTS TO SEE YOU
RUSH
RETURNED YOUR CALL
SPECIAL ATTENTION
AAESSAGE /!/
SIGNED T
LITHO IN U.S.A.
TOPS We FORM 3002S
TELEPHONED£x
a
PLEASECALL�'5
s
-CAME TO SEE YOU
t02
� K S
AGGAIAI N
WILL CALLPIR
,
S'�:X'-BdgL .2 .G;`f%
_RETURNED YOURCALL
ISiS£`l£ AftuK�.sii '44•E,j siysh
5 ENTONYy4
(
"
ENDORSE HERE.-
DO
ERE:
DO NOT SIGN / WRITE / STAMP BELOW THIS LINE
FOR FINANCIA41NSTITUT10N USAGE ONLY -
m
COUNTY OF BUTTE
7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965-3397
DEPARTMENT OF PUBLIC WORKS
DEPARTMENT OF HOUSING AND COMMUNITY
DEVELOPMENT
MANUFACTURED HOUSING SECTION
P.O. BOX 31
SACRAMENTO CA 95801
AND WHEN RECORDED MAIL T0:
WK
Butte County Bldg. Dept.
STRM 7 County Center Drive
AWRM Oroville CA 95965
cm,
STATE.
aid ZP
SPACE
NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the locai agency indicated is in accordance with California Heolth and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed
by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per-
sons thereafter dealing with the real property.
Common Fund Mtg. Corp.
REAL PROPERTY OWNER/LESSOR
5910 Clark Rd. Ste. M
MAILING ADDRESS
Paradise, Butte, CA 95969
CITY COUNTY STATE ZIP
6459 Rosewood Drive
INSTALLATION MAIUNG ADDRESS, IF DIFFERENT
MAGALIA, Butte, CA 95954
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (If also property owner, write "SAME")
Butte County
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 County Center Drive
MAILING ADDRESS
Oroville, Butte, CA 95965
CITY COUNTY STATE ZIP
91-4127 (916)538-7541
BUILDING PERMIT NO. TELEPHONE NUMBER
2-3-92
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
Cousin Garys Factory Built Homes
DEALER NAME (If not a dealer sale, write "NONE")
MAILING ADDRESS DEALER LICENSE NO.
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
Skyline Homes. 12-20-1991 Oak Manor
MANUFACTURER'S NAMEA6 DATE OF MANUFACTURE MODEL NAME/NUMBER
0670-0404"& 0670-0404 BE- 52 X 24 ULI 342344 & ULI 342345
SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 065- �g0-009
SEE ATTArNFn
1�E147 OF h0�
�••• HCD FORM 433(A) 4/86
e o I
Order No. 3-154563
SCHEDULE °C
The land referred to herein is described as follows:
All that certain real property situate in the County of Butte, State of
California, described as follows:
Lot 226, as shown on that certain Map entitled, "SIERRA DEL ORO ESTATES
UNIT NO. 3", which Map was recorded in the office of the Recorder of the
County of Butte, State of California, on June 3, 1968, in Book 35 of Maps,
at pages 27, 28 and 29.
EXCEPTING AND RESERVING THEREFROM all of the valuable minerals beneath the
surface of the said land with the right to mine and extract said minerals,
it being agreed and understood that in all mining operations the surface of
said lands will be protected against damage and that all such mining shall
be carried on from tunnels, shafts or drifts having their orifices outside
the.surface area of the above described realty, all as excepted and
reserved in the Deed from Magalia Mining Company, a corporation, to E. D.
Storts, et ux, recorded September 4, 1947, in Book 423, of Butte County
Official Records, at page 385.
AP No. 065-380-009
T
COUNT■ OF BUTTE
BUILDING DEPT
DEC 0 3, 1991
Coy CU C'
i
B C)
RMff NO.91-4127
Addreu or Locotion of 6459 ROSEWOOD DR, MAGALIA
Deuription
A.P.#065-380-009
Real Property .
SEE_ATTACHED.
A EMobilehome/Manufactured Home Commercial Coach has been affixed to the
real property described above by installation on a foundation system pursuant to
Health and Safety Code Section 18551.
Owner's name. COMMON FUND MORTGAGE CORP.
Owner's address: 5910 CLARK RD. , SUITE M, PARADISE, CA 95969
INSIGNIA OR HUD NUMBER: ULI 342344/345
MANUZACTURER'S NAME
(OM.ud Ma --V r.fall~)
Mca 613C r7ie0)
SERIAL NUMBER OR V.I.N. 0670-0404AE/BE
YEAR OF MANUFACTURE:
a 7