HomeMy WebLinkAbout066-080-025GEORGE ROSIlVKO a'31 f6-08-25
S Andover,. 1251 W. CAi ade. Dr, to
I�2 , 'Unit #1� Magel a�- - r_ ,.._�._t_
-.
'Contr. John Henry Const,_Magalia
Permit#3; 8-82P,E(util, MH)
•ELEC
GAS
COMPACTION TEST +
SUPPORT STRUCTURE R Fj-n�
'608-25 `.. .. _...
Contr: `Gene' Sahm tt-MH Ser, Vina'._
Permit#134-83h
Issued_
66-08-25 _~ r
Con : John Hnery Const, Magalia
Pe mit#547-83P(gas piping/3018-82)MH
66-08-25
13927 -Andover Dr, Lot 226 CC1, Ma_gal.ia °
Contr! Jensen Const, Magalia
Permit #928-83B,E (p t r b, cks/MH
a )
066-080-025 04-2430
•r.
RUSINKO, GEORGE +"'" _
" X13927, ANDOVER DR ' . I � �"
Cont.'SIERRA NIRS^`•'' "
n1
EX MH PERM FND EX
Cal Cfll �
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
07 -Sep -2004 2004-0054333
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health 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 persons thereafter dealing with the real property.
GEORGE RUSINKO AND ANNA E. RUSINKO
REAL PROPERTY OWNER/LESSOR
PO BOX 1569
MAILING ADDRESS
MAGALIA BUTTE CA. 95954
CITY COUNTY STATE ZIP
13927 ANDOVER DR.
INSTALLATION MAILING ADDRESS, IF DIFFERENT
MAGALIA BUTTE CA. 95954
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
04-2430 (530) 538-7541
BUILDING j ERMIT NO. —TELEPHONE NUMBER
9.3 •o+ -
SIG U OF LOCAL AGENLY–OFFICIAk DATE
O
D&&kffR NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
FAR WEST HOMES
1983
24X60 PD 2BR
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME/NUMBER
3217A/B
60'X 24'
248977/8
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 066-080-025
HCD FORM 433(A) REV. 8/91
WHITE- County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept.
A W
J
so
ROSINKO Grant Deed
PAR_ C19GOwe:
Lot 226 as shown on that certain Plop entitled, "PARADISE PIPERS
COUNTRY CLUB SSTATXS UNIT NO. 1", which 140 was, recorded in
the office of the Recorder of the County of Butte, State of
.California on Septeeber 14, 1971 in Book }S of Napa, at
Pages 57, 58, 59, and 60.
EXCEPTFNC TgBltMOM 81..1 minerals, oil, gas, asphaltum and other
hydrocarbon substances with provision that any and all mining
Oflthellaudons adescribed herel.hell be done �andithats�oUtside dmceagethe aha2lbedone
rcato
tho surface ofsaid land.
PARCSL:
A non-excluBive eaoevent 'ver lots A, 8, C, D, It F. C and E (the
caMmon areas) of said Paradise Pi®ea Country Club Estates Ltuit
No. 1.
Assessors Parcel No. 066-08"25-O00
Attachment A
MD 017 00CU ENE,
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE.
OROVILLE CA 95965
5
• , L - IIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIII
-: � M
2004-0054.33.3
Recorded
-I•REC FEE 10.00
Official Records
I CONFORM 1.00
County Of
4�
j
CANDACE J. GRUBBS
I
Recorder
ROSEMARY DICKSON
I _
Assistant
I Alyce
11:12AM 07 -Sep -2004
1 Page I of 2'' .. "
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health •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 ownerofthe real property.and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
1 .
GEORGE RUSINKO AND ANNA E. RUSINKO BUTTE COUNTY BUILDING DIVISION '
REAL PROPERTY OWNER/LESSOR - - LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
PO BOX 1569 7 COUNTY CENTER DRIVE
MAILING ADDRESS MAILING ADDRESS "
MAGALIA BUTTE CA. 95954 OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP
13927 ANDOVER DR. 04-2430 (530) 538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING � ERMIT NO. —TELEPHONE NUMBER
MAGALIA BUTTE CA. 95954 • = 9.3 • os} -
CITY COUNTY 'STATE ZIP SIG U E OF LOCAL AGE <\ FFICIAk DATE
SAME O '
UNIT OWNER (if also property owner, write "SAME") D&4klfR NAME (if not a dealer sale, write "NONE")
SAME f NONE
MAILING ADDRESS - 'DEALER LICENSE NO.
SAME
CITY COUNTY , -" STATE - ZIP - -
UNIT DESCRIPTION r
FAR WEST HOMES 1983 24X60 PD 2BR
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMUNUMBER
3217A/B 60'X 24' 248977/8 '
SERIALNUMBER(S) s LENGTH XWIDTH h •INSIGNIA/LABELNUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION , . ASSESSOR'S PARCEL NUMBER 066-080-025 -
SEE ATTACHED'
r
.
HCD FORM 433(A) REV. 8/91 ,
WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. '
�d
J(��)
�` --� I
RUSIMKb Grant Deed
P.ARC$L ORR.-
Lot 226 ars shown on that Certain )F&p entitled, "PARADISE PIIK3
COUNTRY CLUB ESTATES ITXXT No. 1"1 vhich X&P was recorded in
the orfice of the Recorded of the county of Suttle, State of
.California oa Septeeber 1A, 1971 in Book 3g of Naps, at .
PaSres 57, Se, 59, and 60.
IMCEPTIHC THENBPRom all minerals, all, gas, Asphaltum and other
hydrocarbon substances with proeinion that any end all wining
Oftheland
imdescribed soutside
herein andhell be done from ithatnodamagethe m be rca area
tho surimeQ of said,land.
PARCSL TV0.,
A non-ear,2nef!te easement 'over Iota A, R, Co D, E, P, C and dd (the
coaeon areas) of meld Paradise Plaeo country Club Estates Unit
No. 1.
Assemsor's Parcel No. 066-oao-025-000
Attachment A
s
•
RUSIMKb Grant Deed
P.ARC$L ORR.-
Lot 226 ars shown on that Certain )F&p entitled, "PARADISE PIIK3
COUNTRY CLUB ESTATES ITXXT No. 1"1 vhich X&P was recorded in
the orfice of the Recorded of the county of Suttle, State of
.California oa Septeeber 1A, 1971 in Book 3g of Naps, at .
PaSres 57, Se, 59, and 60.
IMCEPTIHC THENBPRom all minerals, all, gas, Asphaltum and other
hydrocarbon substances with proeinion that any end all wining
Oftheland
imdescribed soutside
herein andhell be done from ithatnodamagethe m be rca area
tho surimeQ of said,land.
PARCSL TV0.,
A non-ear,2nef!te easement 'over Iota A, R, Co D, E, P, C and dd (the
coaeon areas) of meld Paradise Plaeo country Club Estates Unit
No. 1.
Assemsor's Parcel No. 066-oao-025-000
Attachment A
FOUNDATION" SYSTEM
i CERTIFICATE`OF`QCCUPANCY + y
BUILDING PERMIT NUMBER: 04-2430
Address or location of unit: 13927 ANDOVER DR. MAGALIA, CA. 95954
Legal Description of Real Property: AP#: 066-080-025
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach '
Has been affixed to the real property above by,installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: GEORGE RUSINKO AND ANNA E. RUSINKO
Owner's address: 13927 ANDOVER DR. MAGALIA, CA. 95954
INSIGNIA OR HUD NUMBER: 248977/8
SERIAL NUMBER OR V.I.N.: 3217A/B
MANUFACTURER'S NAME:_ FAR WEST HOMES YEAR: 1983.
OFFICIAL APPROVING INSTALLATION:
DATE: �i • 3.04- '
PHONE: (530) 538-7541. ,
H.C.D. 513C 1.
STATE OF CALIFORNIA - BUSINESS. TRANSPOWATION AND NOUSIAIG AGENCY ARNOLD SCMMARZERE90PR, Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT SING ft
01vLe{on o1 Codeo end StanderdsTitle Search r
Date Printed: 08/1.3/2004 u£N
Decal i#: LA06345
Use Code:
3FD
Manufacturer; 51136 FAR WEST HOMES INC
Original Price C'-1de:
AJX
Tradenarne: FAR WEST
Rating, Year:
Model: 24X66 PD 28R
Tax Type:
LPT
Manufabtured bate: 02/24/1983
Last ILT Amount:
Registration Exp:
Date IL.T Fee Paid:
First Sold On: 03/02/1983
ILT .Exemption:
NONE
Serial Number .HUD Label / Insignia
Length Width
3217A 248977
60'
12'
3217B 248978
60'
12'
Record Conditions: PPE' Exempt
Registered Owner:
GEOR.GE RU$rNTKO
ANNA E RUSINK.O Trustees
PO BX 1569
MAGALIA, CA 95954
Laxt Title Date: 10/18/1990
Last Reg Card: 10/18/1990
Sate/.Transfer Into; Price 834,416.00'Transfcrrcd on 03/021983
Situs Address:
13927 ANDOVER DR
MAGALIA, CA 95954
Situs County., BUTTE
# * END OF TITLE SEARCH � �'
STATE OF CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY -IN
DEPARTMENT OF HOUSING AND COhfMZJNITY DEVELOPMENT a ,
DMSION OF CODES AND STANDARDS
REGISTRATION A.ND TTIZING PROGRAM
STATEMENT' OF FACTS
This unit is a: LJ Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper
Decal (License) No.(s)
06 639.5-
Trade Name
F'q R w E s i
I/We, the undersigned, hereby state:
*� 4A663gs "
Serial No.(s)
Sat 7 A
3 z17d
Me further agree to indemnify and save harmless the Director of Housing and Community Development, State
of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
I/We certify under penalty of perjury that the foregoing is true and correct.
Executed on g I6 oy at G2i�c� fid`
( ate) (City) (State)
Signature(s)
Printed name(s)
A10
Address L(66 O-A,/JZ
City - , State
W -r) 47(.( (REV 9/'91)
qvv _/ V 10�
i
INDIVIDUAL GIiJ1,NT DEED
(Endu®od hom ►eawlarse) undo► pmoos6Aoa 0.7)
TRUST TAANSFER
t
I
I
"becording RwpissDted ey arA rAig at
JAMES A, JORNSON
.Attorney aced Caunaelar at Low
7448 Skyvay
L Paradieef California 95969
%w. raa araare►rf MV
GEORGE and ANNA BUS1WK0
Poet Office Box 1569
magal:le, CA 95954
etl�4B385
90-041 : Rea Fee 7.00
Chook 7.00
R000rded t
Oftlosel Records )
County of t
Butts t
Candace J. Opubba :
Reaordee t
835060 20-SsP--20 t K 2
>Aa..w4ametnwe ees .
vo.o w.vfraq�esa vrarctel<tw esseun!1e!): Doeu►aenlaryr If+rcyter !aa ):8 g -R1- _ --
"W*Wed an hull VP144 o1 DroOerfy 00"W"GIA w 13 nnnopu)ed on ka vaaue 'ieew etahle ad Ilona and
WWWW43taeaea reset Ing at lime of "Ift
.in umb"$rpwelad femur Cl
alda)na Tount T4tnnaffra.o®6+ ¢62e6thee Revenue ondTeaat)on Code.cker'testa} deeo)hVn$ddec4wlthe apobcsWer
P9fK
Ta a gvorAM! sw:
To • ehor A a.h hvae nae afee adbeg Q Tea" with fnrsw "ding the revvrasm
Q To a trugl WhWM the InMor Of rhe rruslou a spouse q she apla•pWW4lWW%
ChZnve of lnntae heW WA'f IA46t '
0 atrmre Iruet to Muslo• Of 1616010"! 0100at4e wAare p0ef tfRnW4r 10 must wma f•ctuded hum roapprNsel
POR NO CONSIDtRAricm. tlrs vr%dsr*lgo*d huHbatnd and rifts grant to
GEORGE RUSINKO and ANNA E. RUSiNKO as co-trcuateet of gtle
GEORGE and ANNA S. RUSINK0 1990 TRUST
60 10610*11V 4e006ad real prev" to the COunb of, $U t &e _ 8;010 Of C&W*rMi
See Attachment A
ones ggotember 21. 1990. ���
—�$U9�hTDC�
8TATV Of CAt4FORe"
sR
cow,ey d Butte '-
0% September 21. 1990 aelote�rR �.�>�,��•�-c����� ��
a notfry ►044640 k one hfr 0444 SIM* oeM�ab •P. --a4 ANNA E. Ri USK rNo
GeOrge Rusinko and
Anna E. Auatnke
bw o n la no or WMved to ata on the taaota
of aatteRec y�,.-�/�• een�e
fObethF Meme+le (ameTfYseC/lbfeMyle MmrMN'
r/Ih6w tna If twroep- uw they
�V pqp�
faaaCe4aV r e�Rrf6AAa1
6.04.6. 446464
twoo ?as- a ei dr►et6fe •1106;0.
rI,IP1(..-
0
F
RUSIIM6 GC60t Dead
PAR ONV:
Lot 226 as Shown on that certain lf4 entitled, "PARADISE PINgS
COUNTRY CLUB HSTATRS UNIT NO. 1',
vb1ch M&P was recorded in
the Office of the Recorder of the County of Butte, State of
California
*a SePteftber 14, 1971 lb Book 38 of Maps, at
pages 57, se, 59, and 60.
. . . . . . . ...
911 minerals, oil, gas, asphaltum and other
hydrocarbon substaftcea with
provision that any and all mining
operations shell be done from orifices
II 1.
outside the murfaca area
Of the land described herein and that to damage shall be done to
th* '"'r"Ce Of Said,2and.
LARCRL TVO
A non-excl naive CsOeRtnt '0vAr Lots A, 3, c, D,Re F.C and M (the
canon areas) Of said Paradise Pines C.
No. 1. Country Club Estateo Unit
Assosaors Parcel No. 066-080-025-000
Attachment A
or 00CUMEM7,
7
SPECIAL CONDITIONS
CHECKED
• BY
SRA
FLOOD CERTIFICATE REQ:
_ FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
_ VERIFY
USE PERMIT CONDITIONS. "
SUB -STANDARD HOUSING LETTER
NOTES
RESIDENTIAL
{
;PERMIT NO. _
-066-080-025 4Y10 2430 1
1"
RUSINKO, GEORGE
13927 ANDOVER DR, MAGALIA
-
Cont° SIERRA MHS=
,
'
EX MH PERM FND EX SITE
1 14
S
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
'
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON
•
NEW MH'S).
-
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
SPECIAL CONDITIONS
CHECKED
• BY
SRA
FLOOD CERTIFICATE REQ:
_ FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
_ VERIFY
USE PERMIT CONDITIONS. "
SUB -STANDARD HOUSING LETTER
J=Op.
0 = Not OK
able
. = otReady
Card B-1 Date
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Card B-1
1.'Zoning Requirements -Setbacks -Easements
PER NENT END SYSTEM (ONLY)
2.
Soils; Special MH Support Sketch
,1-`�Zqping Requirements -Setbacks -Easements
3.
Sewer; Location -Test -Fall -C/O -Concrete
2. oongs; Size -Spacing -Marriage Line
4.
Water; Location -Test -Easement Needed (Sketch)
3. -Il -locking
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
4--tas; MH Test -Demand -Valve
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ft./ P LPG
-Er�ectricity; MH Test
7.
Well Clearance & Disconnect
J. MH Test
8.
Utility Clearance
7._Vjaier and Sewer Connected
8 as and Electricity Tagged
10.
Exits
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1.
Zoning Requirements -Setbacks -Easements
Date
2.
Footings; Size -Spacing -Marriage Line
POOLS (Plans) OK except #'s
3.
Gas; MH Test -Demand -Valve -Connector
Setbacks -Easements
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Soils; Compaction -Structure Stability
5.
Drain; MH Test -Fall -Flex Connector
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6.
Water; MH Test -Regulator -Connector
Elec.; Receptacles and Lighting, Distance-GFI
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Pool Lighting; 15 Volts-GFI
8.
Gas and Electricity Tagged
Elec.; Enclosures; Conduit Entries -Terminals -Listed
9.
Tie Downs -Type -Installation Cert.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10.
Exits; Insp.-Sketch
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures -Panel boards- Ins. to Main Conduit
11.
Cert. of Occupancy
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
PER NENT END SYSTEM (ONLY)
3.
,1-`�Zqping Requirements -Setbacks -Easements
4.
2. oongs; Size -Spacing -Marriage Line
5.
3. -Il -locking
6.
4--tas; MH Test -Demand -Valve
7.
-Er�ectricity; MH Test
8.
J. MH Test
9.
7._Vjaier and Sewer Connected
8 as and Electricity Tagged
10.
Exits
11.
TV-L-icense Decals
12.
11. Verify #'s with Office
Date
Date
Card B-1 ^ Date
Card B-1
Date
Card B-1 Date
Card B-1
04 -
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures -Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicabte
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
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 -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
FRAMING (Continued)
Card B-1 Date Card B-1
Date
Hangers -Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date
57.
Card B-1 Date Card B-1
Date
58.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Glazing Area -Glass Protection -Skylights -Plastic
24.
Fixture & Transformer Clearance -Ins. Protection
Shear Walls; Nailing -Bolts
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Brace Interior/Exterior Wall Panels
26.
Size Boxes & No. of Conductors Stapled
Insulation -Walls -Ceilings
27.
Romex Installed Close to Edge of Studs & C.J.
Infiltration -Walls -Windows
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Card B-1 Date Card B-1
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Card B-1 Date Card B-1
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ID Yes 0 No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Elec. Outlets at Wood Panal, Int. & Ext.
36.
A.C. Ducts Insulation & Support
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
37.
Vent Fan, Exhaust above insulation
Elec. Outlets & Receptacles at Kit. Counter
38.
Condensate Drain & Overflow, Size & Grade
Garage Fire Door; Swing -Landing -Closure
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
A.C. Duct in Garage -Damper
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
80.
41.
Sills Proper Materials & Anchors
81.
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
82.
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
83.
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
84.
46.
Headers & Beams -Size & Bearing
0
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -R se -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panal, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (FF.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
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:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP042430
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 08/26/2004 APN: 066-080-025-000
the Business and Professions Code, and my license is in full force and
effect.
License Class License Number: -4f7� W�
:
Site Address: 13927 ANDOVER DR MAG
Map Index:
Date: -6 u Contractor. O'�
Description: EX MH PERM FND
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: RUSINKO GEORGE 8r ANNA E TRUST
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
'
RUSINKO GEORGE ANNA E TRUSTEES
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
13927 ANDOVER DRIVE
she is exempt therefrom and the basis for the alleged exemption. Any
MAGALIA, CA 95954
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' Slate License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: SIERRA MOBILE SERVICE
such work himself or herself or through his or her own employees,
BILL REID
provided that such improvements are not intended or offered for
466 CIRCLE DRIVE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95966
proving that he or she did not build or improve for the purpose of
530 -534 -0599 -
sale.):
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: SIERRA MOBILE SERVICE
pursuant to the Contractors' State License Law.).
BILL REID
❑ 1 am Exempt under Article 3 of the Business and Professions Code
466 CIRCLE DRIVE
OROVILLE, CA 95966
Date: Owner:
530-534-0599
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 470386
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
y,2 S Z
Policy #:
Valuation: $0.00
❑ 1 certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
lu l�
Date: oZ T
Applicant: flu%
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
¢ 1, Z 40 it� 54 7. 9 O 8/1714 �-4
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This perhereby issued under the applicable provisions of the Butte County Code a, nrUor --
I hereby affirm that there is a construction lending agency for the
Resolutio'd work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
K-� „ �} ( "' �A
Name:
B Date:
y'
PERM XPIRES ON: 8 Z (c ' O 15 -
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposeess.
Y Signature:
Print Name: /
Date: Q
0 Owner 13 Contractor 13 Agent for Owner ❑ Agent for Contractor
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751 .
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
n
OWNER 1 PERMIT NO.
e
A routine inspection indicates that the following violations of bulte,,county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explapration;
please contact this office immediately. '
Date , � 3 -Z) Inspectors
REV 10/92
BUTTE COUNTY r I
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.neAdds
PERMIT NO.
BP042430
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 0$/26/2004 APN: 066-080-025-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number: 4 94
Site Address: 13927 ANDOVER DR MAG
,
Date: fff,LZZ11 1� Contractor:
Map Index:
Description: EX MH PERM FND
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: RUSINKO GEORGE 8c ANNA E TRUST
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
RUSINKO GEORGE & ANNA E TRUSTEES
7000) of Division 3 of the Business and Professions Code) or that he or
13927 ANDOVER DRIVE
she is exempt therefrom and the basis for the alleged exemption. Any
MAGALIA, CA 95954
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
`
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: SIERRA MOBILE SERVICE
such work himself or herself or through his or her own employees,
BILL REID
provided that such improvements are not intended or offered for
466 CIRCLE DRIVE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95966
proving that he or she did not build or improve for the purpose of
530-534-0599
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: SIERRA MOBILE SERVICE
pursuant to the Contractors' State License Law.).
BILL REID
O 1 am Exempt under Article 3 of the Business and Professions Code
466 CIRCLE DRIVE
OROVILLE, CA 95966
Date: Owner:
530-534-0599 .
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 470386
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance car mer and policy number are:
Carrier:S
Total Square Ft: 0 S. F.
"T a.S
Policy #: 7
Valuation: $0.00
❑ I certify that in the performance of the work for which this permit is
Census Code:
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith compI with thos/e provisions.
a G A) `t
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
,f - I :Z 404(:7. 9 6 8/t' 7/b
T
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit i hereby issued under the applicable provisions of the Butte County Coda 8nrt/or
I hereby affirm that there is a construction lending agency for the
Resolutions o do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
�� �'a �'
Name:
B y Date:
PERMXPIRES ON: 8 ' 1!0 - O ET
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner.. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of County tocenter upon the above mentioned property for inspection purposes.
,Butte
Print Name: Y c. ' �C/
Signature:
Date: Q
0 Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
OWNER
Name (;: �( G.wwc,_..ae,.• �a a
Address
City
State �, _
Zip s 5/
Phone
Fax
E-mail
CONTRACTOR
Name Sierra Mobile
Service
Address466 Circle Dr.
City 0 r o v i 11 e
State C A
Zip 95966
Phone 534-0599
Fax 534-0709
E-mail
Lic. # 4703861
Class B
APPLICANT SIGNATURE
X 4d�111
For office use only:
ARCHITECT/ENGINEER
Name
�C
Address
YG E C !R cZ r D K
City
ox"VrLt- C_
State
Zip
Phone
S3 `l oS9 �/
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X 4d�111
For office use only:
APPLICANT NAME
Name7��
�C
Address
YG E C !R cZ r D K
City
ox"VrLt- C_
State
Zip n-966
Phone
S3 `l oS9 �/
Fax y_ e) 7 6 cr
E-mail
Planner
APPLICANT SIGNATURE
X 4d�111
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BP a471+3
LOCATION
AP# 066
Property Address
13 9z 7 0^ -kawA R'� T4W;��
Cross Street
WORKER'S COMPENSATION
Policy Number
4257
Carrier State Comp Ins
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Foundation under existing M/H
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: 461 Amount: 54f • q O Bldg
SRA
Receipt #: 41 -'2 Sheriff
Date: g • 17.04 -
SMIP
Other
54-7-10 Total
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04
- v .-.-v �,.....i rvv �ti �-. �tiw. y- ia...-l.-r w �...,� .rw� _.J�.n .-.F v. .�=�JY .Y ✓, r
•
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBERK. J
Proposed Building Use: �X �� �'1 ��� ^'1 �N Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR.marked NA in order to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, jp)�'Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ . 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 20. Erosion`Control Plan Required........................................................................ ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
❑ '26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept .............:.............
28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization ...................................... :.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ '35. Existing violations and/or expired permits.........................................................
O36. Deed Restriction........................................................................................
37. &Grant Deed H. Title/Statement of Facts, ❑ Letter from Legal Owner, heck to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone 534 D 5,9,�y and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: /� �7 Date:
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
ontractor, esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by - Date:Y-1.441164
onac or, designer, owner, was advised of the ove data by Q phone, ❑ mail, ❑ count r by Date:
Plans reviewed by: MC, Date: • 2 O 4 Plans approved by: i -Date :
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
Butte County Department of Development Services Inspection Card
ee iTrt'0 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
e o OFFICE #: (530) 538-7541 FAX #: (530)538-2140
e o
e Visit our website at: www.buttecounty.net/dds
couN ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Ground work
Setbacks
Foundation/Footings
Piers
Grade Beams
Eufer Ground
Hold downs
Stemwalls
Slab -
Slab -Gars e
Gas Test Yard Pine
1 °` Lift
Final Lift
Under Floor/Slab
Framing
Shear Transfer
Plumbing
Mechanical
Gas Piping
Do Not Install Floor Sheathing or Slab
Until Above Sioned
Inspection Type Insp. Date
Framing
Rou h Framing
Rough Plumbing
Rough Mechanical
Rough Electrical
Rough Gas
Roof Sheathing
Straps
Shear Transfer
Shower Pan
Rough Sprinkler
Do Not Insulate Until Above Signed
Insulation
Wall Insulation
Ceiling Insulation
Do Not Cover Until Above Signed
Shear
Interior Shear
Exterior Shear
Braced Wall
Wall Covering
T -Bar Ceiling/RC
Sheet Rock -15 layer
Sheet Rock -2nd layer
Separation/Location
Framing/Openings
Gas Test House Pipe
Stucco
Lath
Scratch + Brown
Finish
PERMITS BECOME NULL AND VOID I! YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OF STATE LAWS
Inspection Type Insp. Date
F nal
--Plumbing Final
Mechanical Final
Electrical Final
Insulation Certificate
Final Sprinkler
Swimming Pool
Setbacks
Pool Steel/Pre-Gunite
Electrical Bonding
Enclosures & Alarms
Plumbing
Electrical
Gas Test
Li ht Nitch
Other Agencies Insp. Date
Public Works
Sewer
S ec Ins ection
Fire Department
Underground
Final Sprinkler
Fire Final
Temp Elect Auth
Elect Authorization
Gas Authorization
Permit Finaled
NOTES
Insp.
Date
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B. C. Insp. Card 02-17-04 pg 2
Building Permit Number: Oct -2q30
Owner Name: PA5 ahkd
Residential Construction Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
` Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100 -year flood plain. -Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 2of 2
Building Permit Number: (Dq — Z 4-30
Owner Name: R U Z)l ,n IL a
A
Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
Fire sprinklers are required in this structure.
The following parcel map requirements shall be met:
All structures and equipment including overhangs shall be clear of all easements.
A setback of 0 s ee from the side andw ee from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
.j
Vector Dynamics
Foundation System
INSTALLATION INSTRUCTIONS
for the State of California
Version 9/2/2003
FOOTER SIZES
WIND ZONE I
WIND ZONE II
- SINGLE
DOUBLE
- TRIPLE
HIGH PIER
- SINGLE
- DOUBLE
TRIPLE
V -DRIVE & PIER SYSTEMS
SOIL CLASSIFICATION
CONCRETE INSTALLATION
9
11
12
13
14
15
16
17
18&19
COMPONENT PARTS AVAILABLE UPON REQUEST
RELEASE
DATE
.9/2/03
9/2/03
9/2/03
9/2/03
912/03
9/2/03
9/2/03
9/2/03 ?
9/2/03 .
9/2/03
9/2/03
9/2/03
9/2/03
9/2/03
9/2/03
9/2/03
Approval
MANUFACTURED HOMEIMOBME HOME
FOUNDATION SYSTEM
RRALTH AND SAFETY CODE, SECTION 18551
APPROVED
SUBH= TO CORRECTIONS NOTED
k"ROVALDOES NOT AUTHORIZE OR APPROVB ANY
MISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
� �State of California
t PH:ZS
d Commuald Developmee�
�N AND STANDARDS
(sigma—)
STA
This AnApprowd Expires
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BUTTE COUN T
UILDINO DEPPARTME.�`
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INDEX
PAGE
SECTION
NUMBER
INTRODUCTION
2
GENERAL INSTALLATION
3
PARTS LIST
4 & 5
LONGITUDINAL DEVICES
6
PIER HEIGHTS-
7 -
SET -UP INSTRUCTIONS
8
FOOTER SIZES
WIND ZONE I
WIND ZONE II
- SINGLE
DOUBLE
- TRIPLE
HIGH PIER
- SINGLE
- DOUBLE
TRIPLE
V -DRIVE & PIER SYSTEMS
SOIL CLASSIFICATION
CONCRETE INSTALLATION
9
11
12
13
14
15
16
17
18&19
COMPONENT PARTS AVAILABLE UPON REQUEST
RELEASE
DATE
.9/2/03
9/2/03
9/2/03
9/2/03
912/03
9/2/03
9/2/03
9/2/03 ?
9/2/03 .
9/2/03
9/2/03
9/2/03
9/2/03
9/2/03
9/2/03
9/2/03
Approval
MANUFACTURED HOMEIMOBME HOME
FOUNDATION SYSTEM
RRALTH AND SAFETY CODE, SECTION 18551
APPROVED
SUBH= TO CORRECTIONS NOTED
k"ROVALDOES NOT AUTHORIZE OR APPROVB ANY
MISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
� �State of California
t PH:ZS
d Commuald Developmee�
�N AND STANDARDS
(sigma—)
STA
This AnApprowd Expires
�D?�ko ES$/ON9(
M.
No.6 245 v
p.
clvk
SOF CALIFO
BUTTE COUN T
UILDINO DEPPARTME.�`
A P P R fir' V
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Tie Down Engineering, Inc.
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
Introduction
These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer
to the. home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun-
dation system.
General
The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning
movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a
specified wind zone when the system is used as described in these instructions. Please verify state or local wind
load requirements prior to installation of the home.
The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the
two longitudinal main rails. The system is approved to be used on single or multi section homes:
Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater
on center; multi section main rail spacing of 75 inches or greater on center.
Nominal 8 foot or less top plate height at sidewalls-with main rail depth of 12" or less.
Maximum roof slope of 20 degrees (4.4" in 12" slope).
Maximum eave width (roof overhang of sidewall) of 12" for Zone- I, 8" fo Zone II
Maximum pier height under main rails -see page 7.
The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con-
sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area.
To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other
widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down
Engineering, Inc. at 1-800-241-1806.
The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500
feet of the coastline.
Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer.
These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates.
rr c
Page 2 California QV -9,124
GENERAL INSTALLATION INSTRUCTIONS
SITE PREPARATION
It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or
flowing beneath the home.
FOOTINGS AND FROST LINES
The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured
concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see
pages 20 & 21) to comply with local requirements for footer depth.
FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS
Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square
feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the
home. For pier locations in between the Vector Systems, use the normal foundation pads.
LUMBER/MOISTURE -TERMITE SHIELD
To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the
center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis-
tance and subtract 16". When using METAL PIER STANDS, measure. center to center frame distance and add 16".
ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED .
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the
same, the pre-cut boards will also be the same length in each Vector set-up.
STRAP INSTALLATION
All frame ties and diagonal straps must go from the anchor to
the top of the I -Beam. See illustration below.
I. Attach frame hook to top inboard
location of °I° beam. (Frame hook must be
attached to frame at points closest to floor support.)
2. Keeping in line with the hook, wrap galvanized
strap completely around "I" beam.
3. Pull strap past anchor head approximately ten inches
before cutting to allow enough strap to give a minimum
of five turns around the slotted anchor bolt.
4. Thread loose end through slotted bolt so that the strap is
flush with the other side of the bolt.
5. Tighten slotted tensioning bolt a minimum of five full turns.
Page 3 California' 1
2/03.9/
Longitudinal Stabilizer Devices
-The use of LSD systems on a . single or multi. section home replaces longitudinal anchors,
stabilizer plates and straps. * The Longitudinal Sta6ilizcation Deyicc (LSD) is vscci w;Ik fkc VCC1Cr
.Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The
number of LSD required is. shown on pages 10-13.
LSD
C
1. Longitudinal Foundation Pad
2. Beam Clamp (2 per system)
5. Longitudinal 5trut (2 Per system)
4. Tic Bracket (2 per system)
Combine Vector Dynamics
& LSD
Note: Two struts =1 L.S.D.
Can be used on one Pad or i
opposite ends of the home.
Examples of Possible Placement:
(Contact TIE DOWN for placment in other Wind Zones)
Wind Zone
I
Single Section
I
I
•I
I I
I I
I I
I I
I I
I
I I
I I
I I
I
I
I
Wind Zone
I
Double 5ection
18 Ft. Max. 32 Ft. Max,
Forgreater widths use
triple section design.
Wind Zone
I'
Triple Section
Wind Zone
I
Tag 5ection
48 Ft. Max.
Page 6 California
9/2/03
I
1
I
1
,
Wind Zone
I
Tag 5ection
48 Ft. Max.
Page 6 California
9/2/03
50 in
Max,
Maximum Pier Height
Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier
heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or
both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height
exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used
at each Vector System location with pies heights above 46" with the following exception: double section homes
that are 24' wide, in Wind Zoned., have a maximum pier height without anchors of 38". See page 12 for
double section home high pier set instructions.
50 it
max.
Unequal Pier Heights
Maximum
Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier
and the shorter pier cannot exceed 26".
Page 7 California 9/2/03
Set -Up Instructions for
Vector System #59018
'z,z•� O � 8 �1�
Long. U -Bolts
F
1. Set Vector Pads 4, inside brackets & straps
Clear all vegetation where pads will rest. Place- Attach the inside tie brackets to the U -bolts over
a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook
mer pad into the ground. or swivel strap w/nut & bolt. Place other end'of
the strap over opposite I-beam & down to out -
2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches
Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in
pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps
blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap.
as shown.
3. Outside Tension Bracket
Attach outside tension bracket as shown to out-
side of pads. a
JY' 1
.Page 8 Califor /2/03
WINDZONE I; SEISMIC ZONE 4
Vector Dynamics Systems Required for
Double Section Homes
(Materials Required) - - - _ - - h
m
oe
I `
oUb' seotior -
Co
y.
NOTE: Vector1 - ��•�;' `
Systems should be spaced as 'X
symmetrically as possible along the length of the
home. Pier spacing must be consistent with home
manufacturers' instructions and/or state requirements_.
Soil Classifications: 2, 3, 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
w-
Anchors Required": None ('Marriage wall anchors ma be re
No anchors required. For
pier heights up to 46"for WIND ZONE I'
28'-36' wide,
38"for 24' wide.
See Pg 12 for high pier
instructions.
v
rQ
mayho
Home Length
Vector Systems'
Required
Anchors Required
Per Side
ire y ome
L.S.D.
0 to 40'
2
0
2
41' to 66'
3
0
3
67' to 84'.
4
0
4
85' to 90'
.5
0
4
manufacturer)
'Note: L.S.D.-
Longitudinal- .
Stabilization
Device
See Page 6.
o Each Vector System requires one of the following: "7
1-4x4 or 2-2x4's pressure treated, wood compression member, -
Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)
2 sq. ft. pad
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
,Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 46 as
described in the table below:
SOIL CLASSIFICATIONS
Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1)
D2586) Torque Value (2)
1 Sound hard rock...... NA NA
Very dense and/or 40 -up More than '550 lbs - in.
cemented sands, coarse
2 gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse 24-39 350-549 lbs - in.
3 sands, sandy gravels, very
stiff silts and clays
4A Loose to medium dense 14-23 275-349 lbs - in.
sands, firm to stiff clays
4B and silts., alluvian fill 175-275 lbs - in
Peat, organic silts, 0-44 175 lbs - in.
5 inundated silts, loose fine and lower
sand, alluvium, loess,
varied clays, fill, fly ash.
(1) The purpose of the soil test probe is to gauge the strength of the soil below the surface
and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration
(flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The
overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.;
the pitch is 1.75 in. The shaft must be of suitable length for anchor depth.
(2) A measure synonymous with moment of a force when distributed around the shaft of the
test probe.
Vector Foundation Pads Equivalent to Footer Pads*
Footer Size: Footer Size:
16x16 = 256 sq. in. 20x20 = 400 sq. in.
or 16x18 — 288 sq. in. 1
or 7x25=425 sq. in.
- - -
EQUALS =' EQUALS -
2 -Vector Pads # 59275 1 -Vector Pad # 59271 - -
288 sq. in. or 432 sq. in.
1 Vector Pad # 59130
Vector Pad(s) exceed the surface area required when used as the equivalent liste bone.
*Foundations in soil with a bearing capaclty of less than 1,000 PSF must be designed by a Registered Professional En in tar with site
condilons
Page 17 California 9/2/03
PRE -INSPECTION REPORT
OWNER: s { DATE:
LOCATION: /3gs7 A-W00VV .,2 E),P-, A.P. 0 s ozS
'CONTRACTOR: ZONING:
REASON FOR PRE -INSPECTION Ex M N P r--2 ►-! ��
DATE TO INSPECTOR: J3 ( g Y>:f- PERMIT HISTORYf
( )NONE (,�`SSEE ATTACHED ' `
BUILDING INSPECTOR'S REPORT
Building Description:
Commercial/Usage:
Residential #. of Units: Mobile home # of Units:
Condition C:>14.
Sanitation:
Plumbing Worldng (es
Obvious Sewage Problems ( ) Yes
ACTION RECOMMENDED: ISSUE
Hold for permits or verify:
Inspector• (�
,
}
[",T7T T!'1TT TTTTT TTAT!`/[1 AAT TT�7TT[`ITl ♦ ATT TwTT:Ti
. ( ) No
} Y
Date:
Currently Occupied
( Yes ( ) No I
4
� t
Abandoned/Vacant:
Electric:
t
Electric Currently
( ( ) Off .
Condition of Electric
oo
Gas:
Currently
(-<On ( ) Off
Condition C:>14.
Sanitation:
Plumbing Worldng (es
Obvious Sewage Problems ( ) Yes
ACTION RECOMMENDED: ISSUE
Hold for permits or verify:
Inspector• (�
,
}
[",T7T T!'1TT TTTTT TTAT!`/[1 AAT TT�7TT[`ITl ♦ ATT TwTT:Ti
. ( ) No
} Y
Date:
--
�--- rte— - - -
- - - -
6-08-25
GEORGE ROS IN KO 3
' S Andover, 1251 Caec
" 2 soade. Dr lot
Unit #1, Magalia
Contr. John Henry Const
Per mit��3 882P - E ' Magalia
til 1,
ELF ,(uMH)
C
i GAS
- COMPACTION TEST
SUPPORT
STRUCTURE R
_ -
6" 08 25
Contr: Gene' S,ha MH Ser, Vina
Permit#134-832,1
j
`
,
Issue -
66-08-25
,John Hnery Const, Magalia
Permit#547-83P(gas Piping/3018-82)MH
-
13927 Andover Dr, _.. _.. 66-08-25 -
, Lot 226 CCI, Magalia I
Contr:
Jensen Const
Permit #928-83B(pq 'tMagrlia
,E ��e
��gcks /MH)Lo
1
4:
PERMIT NO. 928-83B,E
PERMIT EXPIRES
OWNER GEORGE ROSINKO
CONTR. ''Jensen Const, Magalia
ASSESSOR PARCEL 66-08-2$
LOCATION 13927 Andover Dr, Lot 226 CCI,
Magalia
l
.v
q
i
1
1 _
t.
Temp. Power Pole
y Called PG&E
8 Temp. Elec. Service
Called PG&E _
;! Temp. Gas Service
r.
o'
Called PG&E
1,
JOB FINALED (Date) S O
1
Signaturege :Z4
OK V
0' = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
D S, COVERS, CARPORTS, ETC. (Plans) OK except N's
1, Zoning Requirements—Setbacks—Easements
1 Avloni uirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
_
2, oot' s; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/O—Concrete
1�1
3. Pecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ~
4. Water; Location—Test—Easement Needed (Sketch)
1 4. Wood Awn.; Posts—Beams—Rfirs.—Connec.—Shthg:—Rfg.—Bracing
S. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
_ _
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; ovation—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
----
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
ate Card -BI Date
ate and -BI Date
POOLS (Plans) I(e c N's V
1. Setbacks—Easements
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements—Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4• Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10• Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -Bl Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDE OOR Plans OK exce tq's
Date F
Continued
1A,2oning requirements -Setbacks -Easements
4 .
rty Line Firewall & Openings
2. Ftq., Main; SoiIs-Steel-Elec. Grnd.- / /" Ftg. Depth
4T_
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
ig., Garage; Soils -Steel- / " Ftg. Depth
s; idt -Headroom-Rise-Run-Landing-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
50
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5 Smwalls, Main; Steel-Blockouts-Wrapped-Slab
5
Siding -Nailing -Veneer
Stemwalls, Garage; Steel-Blockouts-Wrapped-SI
5
Stucco Mesh -Drip Screed-Fdn. Vents-Underilr. Access
7. Piers -Fireplace Fig. -Steel
54
Glazing Area -Glass Protect ion-S<ylights-Plast ic
_
8. D.W.V.: Fall-Fittings-Test-2'way C/O -Sewer Test
55.
hear Walls; Nailing -Bolls
9. Gas P'pe; Size -Anchors
10. W r Pipe; Test -Anchors -Regulator -Service Test
Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joist§ -Vents -Cripples
Card -BI
Date and -BI Date
Card -BI
Date Card -BI Date
M
Card -BI
Date Card -BI Date
Card -BI
ate Card -BI Date
!Date
Date FINA lans) OK except q's
Card -BI Card -BI Date
Date
PLUMBI (Permit) OK except N's
5
77.
xt. Steps -Door & Sidelight Protection -Landings
o re -Me -te c I o r
_
14. Wate Ht.: Vent -Access -Combustion Airs
-Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
15. Water)Pipe; Test & Anchors -Nail Protection
16. D.W.V., Test-Fttngs & Anchors -Nail Protection
ng
_
17. Shower N; Test, First Floor -Tub Access
68.
G.f-+-1k-Mh Fixtures & Tub Access
18. Test Tub Shower, 2nd Floor -Tub Access
6
. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
62PStairs
& Rails
- -
-
r ace or Stove; Clearances -Hearth
6
lec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date.
ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -81
Date Card -BI Date
u ets & Receptacles at Kit. Counter
Date
RICAL Permit OK except q's
arage ire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
- _
_
20. ixture & Transformer Clearance -Ins. Protection
Receptacles Spacing -Lights &Switches at Doors
f89
Wt I It -Clearance-Comb. Air-Connector-P.R.V.-
Iarage; Above Floor -Meth. Protection
7
Plb, Elec. & Mech. Equip. Listed for Location
--�/
a Boxes & No. of Conductors -Stapled
7
lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
ex Installed Close to Edge of Studs & C.J.
-
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
ion -Foam -Looked in Attic ❑Yes
73
Guard Rails & Deck Construction -Post Caps
nce Circuits in Kitc n &Conductor Size
74
n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Loo- un er - ❑ Y s
-
26. Subfeed Wire Size /�-g or AI-A.C. Wire Size / / ga. Cu or At
27. ange Circ. / / ga Cu or AI -Oven Circ. / / ga. Cu or AI,
I_ulated Neutral `,Yes ❑No
75,
Following instld.: Dr e Yes E] No; Walks E] Yes o;
Planters ❑ Yes Io
-
28. Sere -Riser Conductors &Ground -Main Disconnect
76
st„cco Brnwo-Finish
Equip. learances; Panels-Motors-Mech. Equip_
77.
7
Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
e oof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
- 30. Clothes C set Light -Shower Light -
-------------
Card B -I __D_atel� _Card BI Date
Card B- Date Card -BI Date
73Jp1a2��eH-Disconnect, Electrical, Plumbing
80 xterior Elec. Trim; G.F.I. Receptacle -Underground
en r -trot t ioughout House
82. Glass Brotection
Date
MECHANICAL (Permit) OK except H's
_ _
83--gw+eetions from Previous Inspections
83-- rs-T&st-Meters Tagged; Gas -Electric
A_ ._Ducts; Insulation & Support
8 .-Water & Sewer Connected -C/O to Grade -HD Approval
_
32. Ven Fan;Exhaust above Insulation
33. Cond sate Drain _& Overflow; Size &Grade
86.
Energy Compliance Certificate -Other Certificates
34. FurnacVent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Ac ess & Platform if Furnace in Attic
Card -BI i
Card -BI I
Date rd -BI Date
Date and -BI Date
--
Card -BI
Card -BI
---- -- - - ----- --- - -- --
- _ Date -- Card -BI - Date
Date Card -BI Date
Card -BI
ate Card -BI Dale
Date
i
FVPlans) OK except q's
Comments at Final:
3 Sills; Proper Material &Anchors -
37. Walls; Studs -Nailing, Spacing Bract g-laces-Sound
38.--BearTti g 9Valls_ove_r Gir_de_rs & Floor_Nailin_g__
39.--_ &Fact -&top- n Walls (rat proof) _
, Furred Ceilings -Stairs -Chases -Tub
4141 eeam-Size & Bearing
�ost Caps -Anchors -Connectors - - - - -- ---
43 Ing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shlhnp.-Rfng.
replace Ties or Type A Flue -Fireplace Throat
4SZA_rrf cess: Size & Romex Protection -Draft Stop -Ins. Baffles
dr in_do_ws o_r Ex,- i_ng Doors -Sill Hgt. & Dimensions_- -- -
4 . arage Fire Protection Framing
- -
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE '
+ DEPARTMENT OF PUBLIC WORKS ,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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, need additional explanation, please contact this office immediately.
0/�v /if / /f /1 L1
Inspector � ~ �� � �` Date
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive- Oroville;"Caliivrma 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERI
I MIT N0
M
ASSESSOR PARE NUMBER
—•0 c�
ZZ Sr-�•
ZONING
. BUILDING PERMIT
OWNER -
e tJS! N O
TELEPHONE
30, FT. OCC. BUILDING VALUATION
el o0
12
OWNER'S MAILING ADDRESS
Z Q^
"
CONTR CTOR'S NAME \
�tNs —
TELEPHONE
9.20
"7333
/_ o e>
!� O
00
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 $ ZO
Filing Fee
$ 10.00
LENDER'S MAILING AD KESS
Permit Fee
$
ARCHITECT OR ENGINEE
LICENSE. NO.
Plan. Checking Fee
$ Z7 5-0
Penalty
$
ARCHITECT OR ENGINEE .'S MAILING, ADDRESS
'
Permit tee
$
BUILDING ADDRESS- y OVen &-
rC
PLUMBING PERMIT
FiIingFee , 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO/.
ZZ(v'
SUBDIVISION NAME
GC
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system'1 -5 outlets-
5.00
USE'OF STRUCTURE
SF [I Duplex ❑ Mobi lehomex Other
SPECIFY
Building sewer
5.00
Mobile Home GW S
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [V
Describe work: RCT n.ARDE (374,0064E: K2.� OP&A2 ®EG{C$•
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING O
OR ADDNS. \ ACC. BLDGS /
•Zt/p0Sgft /c,� p
-
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 ProfessionsCoe and my license is in•full force and effect.
License No.' v Classification On,-- 11
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTIR MULTI -OUT LET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS &1
NON.RESID. SINGLE OUTLET CIS, /
zo@s0aAL@3oQ
Ex. Occup(o X FIXTURES e
IED A POR
EX. Occup. OUTLETS ( RESID,)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc..Wiring 15.00
Permit Fee $ 7, (4. V
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to -building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also'agree to save, i demnify and keep harmless the County of Butte against
all liabilities, judgm ts, costs, and expenses which may in any way accrue
against oun i consequence of the granting of this permit., '
O� _7-93
Signature of pplicant Owner❑ Contractor Agent❑
An OSHA permit is req fired for excavations over 5'0" deep and demolition or construct-.
ion of structures over 3 istories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ld i
OCCUP. GROUP
M_/
TYPE OVST. ST.
PAR L
PD
N
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above' for which
DIRECTOR OF P
vo.
By_
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
LIC WORKS
Dat `!
Receipt No. D Z�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. n3018-82P,E (MH)
PERMIT EXPIRES
OWNER GEORGE ROSINKO
CONTR. John Henry Construction
ASSESSOR PARCEL 66-08-25
LOCATION S/S Andover, 125' W Cascade Dr, Mag
lot 226,Unit 1
y
X.
fl
'i
�t
�d
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Cal d P & E 1 fir``
9 ZdV L
Tem ervice
Called PG&E
r V
JOB FINALED (Date)
Signature
l
J' OK
O = Not OK
- = Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
1V_ 4 • +
Date
MO EHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, cTC. (Plans) u.. ,.zcept h
Zoning Requirements -Setbacks -Easements
1, Zoning Requirements -Setbacks -Easements
Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
Sewer; Location -Test -Fall -C/0 -Concrete
4. ter ion -Test -Easement Needed (Sketch) r
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails -
4• Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg. -Bracing
ctricily; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.os„ res
IQ
e-tiZa-tior-Test-Wrap:/ L"ft./ /"Nat. or/ /"L" ft./ /"LPG
6. Carports; Windows -Doors
Utility Clearance
7. Elec.
Al
Card-
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
L. Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's ;°
Date
_
POOLS (Plans) OK except N's
llg Requirements -Setbacks -Easements
1. Setbacks -Easements
oot' gs; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3.s MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4 Ie icily; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. rzja H Test -Fall -Flex Connector
.5. Elec.; Pool Lighting; 15 volts-GFI
r1—-6. a1w, UH Test -Regulator -Connector y
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
a r d Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool L_ghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
its; p. -Sketch
1 t. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Z and -BI Date
Card -BI
Date Card -BI Date'
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
- . ��Y�v
W
3Z(7 Ali
'#c
20 a*.
(
J = OK
O = Not OK t
= Not Appl y ble
Read
= Not Ready w RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech, Protection
15.
16.
Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Prctection
20. Fixture & Transformer Clearance -Ins. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
73.
Insulation -Foam -Looked in Attic ED Yes
Guard Rails & Deck Construction -Post Caps
_
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Dyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
-_
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
-
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82,
Glass Protection
Date
MECHANICAL (Permit) OK except p's
83.
_
Corrections from Previous Inspecticns
84.
Gas Test -Meters Tagged,; Gas -Electric
-
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
Condensate Drain & Overflow; Size & Grade
_33.
_ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
-_
Date- - Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
.1 _
37.
38.
39.
_Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls_ over Girders & Floor Nailing-----
ailing____39. Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing - -
(NOTE: Anentrymust be made each time youvisit jobsite)
I;UUN i Y Uf oU I ft
DEPARTPAENT OF PUBLIC WORKS. °
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — R#rone-877-3435
c7 7_2 :.Z r% 6 i - X S-7
C(DORRECTI® ®INCE.
Z-3207 A02clae-
BUILDING
OR PROPERTY ADDRESS
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.
X C BiGrc9i�NLI/� C '12okeC�1 "a,?0 1nW-
CE4
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive,.OroviIle — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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.
Inspector I Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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.
Inspector Date
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 51 under permit
number '� for the following location:
Owner 7z )CC, I M eC 7
Owner's Address
Mobilehome Mfg. Model Year" `
Insignia No. ?F��i-7 ' %h` Serial No. -
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works f
A �
Date I::f lc, / By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
3V?Pi Ci R3T10.3 7 MMM T c?: OV; 01.:9: q 10) W3#4TAAgz-O t
MA-AU, - .31JAa ,3..;JIVO%iO
YJHAqU3
,30 W NA)jjjT%])
a1n m:3ziufts:, sc{i fJ1iw ni b3JJs1?r.i itw,d awl ; modslition: v.i&F
ltittl3q T�bnu ,c. ^siZsd:i ,PR Ali`;` ,3boD sytiezl-JuiznbA sinT�400 st:1 }o
—_---.—_____:noiisool piwolfo3 341 •tai
I
— - ,•isnvr7
Cni19>?
Ins uoi,413•,ol wads :,di 13 tsnnqueao •tot hyi3i.tlsa vdslstJ ai if
.bsi lo3r> -)d vsm
P) -,o`71 oildu`l lo zoios•ziQ
vfl
O3TAOOJaR $1 3MOH3JI80M H3HW GIOV ZI 3TAORIT1133 21HT
.YY.9.C1 - Ani9 ,islislan! - wollsY ,utnwO - wjdW
31130
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Californid 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PAR EL NUMB --
--Q -- Zj
ZO 1
f /
BUILDING PERMIT
OWNERGeor e Rosinko
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME -
John HenryConstruction
TELEPHONE
1873-0668
CONTRACTOR'S MAILING ADDRESS
P.O. Box 509, Ma alfa Ca.
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
FilingFee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING DDRESS �
PLUMBING PERMIT
Filing Fee .10.00
Each Trap
1 2.00
Repair drainage or vent piping
5.00
a
Water piping
LOT NO.
226
SUBDIVISION NAME
Unit 11
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehom2kXl Other
ff�� SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New® Addition F-1 Remodel❑ Utilities Installation❑ Other E]
Describe work:_ mobile home utilities
Permit Fee
$ -3 d
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eDDV OR LESS
100 AMP OR LESS
5�f�
Main service EA. ADD'L 100 AMP
2.50 Zg
NEW CONST. I DWELLING OCCUP.y)
OR ADDNS, % ACC. BLDGS. '
2Q Sq ft
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 andmy license is in full forces and effect.
License No. L 346997 Classification_ A
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR -OU LT 2,50 ea
NON.RESID BRANCH E
CIRC ITS
NEW CONSTR (POWER APPARATUS 6
NON -REST D. (SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES @1
BAL z
FIXED APPLNS. OR
EX. OCcup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00tea'"'
Misc. Wiring 7.50
T1
Permit Fee $ 37
Contractor
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 shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
Contractor
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
But&toen upon the above-mentioned property for inspection purposes.
ao save, Ind y and k armless the County of Butte against
judgme c ts, ex asses which may in any way accrueagaCouvr y 1 cons quen of ranting of this permit.
%� Date�O"�Z—�Z
Signature of Applicant — Owner ❑ Contractor ® Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-PfAq
ion of structures over 3 stories in
Mobile Home Installation Fee $
TOTAL PERMIT FEE $I
OCCUP.GROUP
TYPE OF CONST.
PA
ssall,
This permit is hereby issued under
of the Butte County Code and/or
work indicated above for which
— !,JOf1 JDF PUBLIC
By0Vd
PERMIT EXPIRES Dat
the applicable provi-
sions
resolutions to do
fees have been paid.
WORKS
Date
0 'rheight. �t— �/
Receipt NO. 7 �/ %
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
Return to DPW
a Section 26-8.1 of the
be recorded prior to
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Butte County Code requires this acknowledgement :COTE rEQ!
issuance of a building permit. ,,s�, '
Am Z 16 it +�
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of ELEANOR M.i_,.CzERt 141
this property may be subject to inconveniences or discomfort arisin&EERx-RECORDER
from the use of agricultural chemicals, including, but not limited to herbicides,
4FE
pesticides, and fertilizers; and from the pursuit of agricultural operations,includiiig,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which'occa-
sionally 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 n�, necessary_, farm operations.
All that real property situate in the County of'Butte, State of California,
described as follows:
All that'! certein r nl property situate in the County of
Butte, State cif California,_described-as3follows:
Ii a "ter:
LIM%= L ONE: 1 ,
01
Lt2t 226 ' as shown on that certain Map entitled, -PARADISE PINES COUNTRY
;�C_iUB BSTATES`UNIT°NO. 1", which Map -was recorded in the .
:,Olfice•of the Recorder of 'the County of Butte, State of
:CAlifornia,"on September 14, 1971 in Book. 38 of Maps, at
pdgea'S7; 58, 59, and 60.
`--;:EXCEPTING THEREFROM all minerals; oil,gas, •asphaltum and other hydro
carbon -substances with provision that any and all mining operations
,s
} d. .
hall' be done. -from orifices outside the surface area of.the land des-
ribed"herein'and•that'no damage shall be done to.the'surface of sai land.
P 8 _ TWO:
A rion`exclusive easement;over• Lots A, B, C, D, E,, i4 G and H(the common
areae)ot'.said,,Paradifie -Pines Country•b Estates -Unit No. 1.
t State of CAG/F )
SS.
County of
W. BENDER
NOTARY PUBLIC
• " Butte County
State of California
Ay Commission Expires Dec. 16, 1983
ProcPnt A' P ATn
PROPERTY OWNE
On this the P/ day of _ OG7-�re_rt-
before me, the undersigned Notary Public, personally -
appeared �
known to me to be the person(s) whose name(s) nx
subscribed to the within instrument and acknowledged .
that _ executed the same for the purposes,`
therein contained.
„IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notary Public
END OE DOCUMENT
0
x
FOX
-o
rn
re!
I
1
, t c ', .r'
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
- - 7 County Center Drive - Oroville, Cali(.vtnia,95965 - Telephone 916/534-4541
of APPLICATION AND PERMIT
PERMIT NO.
n
ASSES R ARCEL UM ER
5'
ZONING
BUILDING PERMIT
o
19
TELEPHONE
SQ. FT. OCC.1 BUILDING VA ATION
OWN R'S MAI G ADDRESS
' TRACTOR'AM
TELEPHONE/(
C TRA TORS MA TNG ADDRESS `' /
�f I, Irl 96 V /�
9 %
Fireplace
CONSTRUCTION LENDER UNKNOWN _
Total Valuation $
Filing Fee
$ t 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ fir'
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDIr. AD RESS )
S S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
P CEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF [:1Duplex ❑ Mobi lehome her
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Additio ❑ Remodel ❑ Utilities ❑ Instal latiortff� Other ❑
Describe work:' ^r 4- In
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD•L 100 AMP
2.50
NEW CONST. DWELLING OCCLIP.&
OR ADDNS. ACC. BLDGS,
2t/4sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
lr.�—✓
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.- 3 / u � :3 Classification C� Cm /
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS .&)
&
NON-RESID. I SINGLE OUTLET CTR
Ex20@50:
. Occu] P�OUTLETS OR FIXTURES SALO 30t
FIXED APLNS
EX. Occup. OUTLETS P(RESID )R 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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, judgm nts, c sts, d expenses which may in any way accrue
against said County i "on que of the granting of this permit.
X Date_%' /���
"
Signature of Applicant — Owner ❑ Contractor V Agent ❑'
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ .76
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
NO
t5 U£
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PEWIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
-iinn
Receipt No. /1p�c��
WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
't
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT
ASSESSOR PAR L NUMBER
�.BUILDING
ZONING
PERMIT
OWNER -
�� O 4
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
C RACTOR' NAME
TELEPHONE
8 1/O�,O
CON RACTO 'S MAILING ADDRESS
Fireplace
C ONSTRUC TI N LLA
ENDER"
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADD ESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S AILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
l
Water piping
5.00
LOT NO.SUBDIVISION
�j
NAME
cc,
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outletP
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome [ Other
VPJ SPECIFY
Building sewer
5.00
Mobile Home I S I 61W I
10.00ea Q
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: <5;aS JRV4%..z[., rQP—
Permit Fee
$ 7
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.8,
OR ADDNS. ACC. BLDGS.
,
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Businesszo@s0e
and Professions de and my license is in full for a and effect.
License No. ZClassification
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. UL' -OUTLET 2.50 ea
NON-RESID BRANTCH CIRC ITS
NEWCONSTR. POWER APPARATUS &
NON .RESID. (SINGLE OUTLET CIR.
Ex. Occup(o TS OR Ftx TURES eAL@300
IXEDPR
Ex. Occup. OUTLETS (RESID )EA. 2.00
p
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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
�l a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon th above-mentioned property for inspection purposes.
I also agree to s e, i demnify and keep harmless the County of Butte against
all liabilities u nts, sts,le enses which may in any way accrue
gamst sal n f ranting of this permit.
Date��'��'
Si a ure o pplicant — Owner ❑ Contractor ff Agent ❑
n OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
o0
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
1 ECTO LIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
D ato
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
t
., r,t•
March 1983.1 . .
y,
r•'
t
7
-
.Vft
•
'
Gone Schmidt
9miMG U
b
Re: permitOPX-O
a
•
'►l ,.
j
kp 066-08825• ;
®0092
g
Apr MM t i •, o.<
lu g
, " �..
'
With tefOVOI Rue tea? t•thO Gbava �subjecc 40d the
to Install mo>�llih
ireste�llet:ion �e�a�it~ 3�u obtained
M
a!, mi lbi OeolrgeE RODIn So on lot 226 Paradlee Pines Country
club ualt >5t YOUV 00bildhwe. Installation work .ie compli at 3 and
' ...
yftell-Oa
tGLI•01®p�G61e` �Y 4 MII1i,Gi 4���.C�♦ . ' S .
1 -- t 4 r 1 a � 1 ( ..
ob
TREE aauY�i P�at�a s t~i i�Gt o oc;upaaey.. ttA 'be Is until' the fid•
•
/hey B6. c+,`tti y }�A p -bNy �U y r. I .. .•°
gas ' o4w 4i�Fe M�3• i AirliJAD t6 .4:��Ay �i41� '�f�re� t4v a Sd' �i i�s
equ p0afte tl
,
•
�
Oliould4 YoG b4ve any qudatio3 a 'Col. trt�'Sa alitter, �ieao co�rwGei Egs 'ul a.;
yours ire tcruly1.
!'
Original signed by
,•
. J.' F. Glender. ,
r�e{re�sryv:., p
VYi V ifi,
... • r
p X.
p-Vyyy�tOyf'. C21 ftle y(y _
�•f�P 6IVQ ' Y,iCf7. '�O�VO'
.a - .
r ...-.
'
' E
cc: Joh Henry Construction, P.O.• BOX 5096
Mb$811A, CA 93954
-'
paradise Office
4
. i
File No.
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For Information J)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng. / S.I.
Sub. & Pcl. Maps
Permits
ti
ELECTRICAL, MECHANICAL, AND PLUMBING
CONSTRUCTION ( NOT FLAN CHEICKED )
SHALL. COMPLY WITH CURRENT EDrilON
OF NEC, "UIIC ANC UPC.
NOTE:
See the aftaChed
Rp.-;i 1p-ntial Construction
BLeggi emg nts
Pages
o4-243omc,
BUTTE COUN I .y
gUIL®ING DEPART P"
A P P R OV
U',r ct CO-) ar-) G� -
0 ,-
y
v
a
� �
7 7
Z ti
�
vl
Z W
�
J
�
O
V
U
W Q
Q
Q
�
ti
ELECTRICAL, MECHANICAL, AND PLUMBING
CONSTRUCTION ( NOT FLAN CHEICKED )
SHALL. COMPLY WITH CURRENT EDrilON
OF NEC, "UIIC ANC UPC.
NOTE:
See the aftaChed
Rp.-;i 1p-ntial Construction
BLeggi emg nts
Pages
o4-243omc,
BUTTE COUN I .y
gUIL®ING DEPART P"
A P P R OV
U',r ct CO-) ar-) G� -
DVI OF
G - E0 NA Qus-I
13 ci A ti D6uE tit D
J�\P6pl. I N A �1 S cl.S��