HomeMy WebLinkAbout072-580-003NANCY LASZKO
49 Dancing Wind Rd., Oroville
correspondence
a
0.ti„ _PERMIT#95-1061 f _
S LASZKO-JUNGNITSCH,~ Jonathan-& Nancy
f49 Dancing'Wind.. Rd.', oro- ville-" /
Cont;.•Skycrest B1dg.Systems
Mobilehome Utilitie's Fi
'ELECTRIC
GAS LINE°
'C ORPACiIdN TEST REQS ` v
SUPPORT-STRUCT REQ
PERMIT#95-1684,
LASZKO-JUNGNITSCHNancy ,&• Jonatl an
, 49,,Dancing'.,Wind Rd. Oroville
Cont;:" Skycrest Bldg System F
MH, on Perm Fnd 'fJ
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RECORDING REO•UESTED BY:
AND WHEN RECORDED MAIL TO:
NAME BUILDING DIVISION
STREET 7 COUNTY CENTER DRIVE
ADDRESS OROVILLE CA 95965
CITY,
STATE
and ZIP
.95-026345 95-026345 95-026345.
5-+02 �4� V�Rec ..Fee .001
` 1 Total" 00.
�' -• s
. .;, Recorded ,•-,: I • ' � r , .
(Official, Records! .1 .
`:County Aof s«
K '
• Butte•j
Candace J. Grubbs.r.l, Y s i.
=Recorder'
222�im' ,8-pug.95`'1 ;=.COMS'''XX '3
SPACE ABOVE THIS UNE 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.
NANCY J. LASZKO-JUNGNITSCH AND
REAL PROPERTY OWNER/LESSOR JONATHAN W. JUNGNITSCH
P 0 BOX 961
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
49 DANCING WIND ROAD
INSTALLATION MAILING ADDRESS: IF DIFFERENT
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (If also property owner, write "SAME'l
MAILING ADDRESS
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
95-1684 (916) 538-7541
BUILLDjN�G PERMIT NO. TELEPHONE NUMBER
8/7/95
SIGNATURE OF LOCAL AGENCrOFFICIAL DATE
NONE
DEALER NAME (If not a dealer sale, write ••NONE'l
DEALER LICENSE NO.
CITY COUNTY STATE ZIP .
UNIT DESCRIPTION
.SKYLINE 1995 OM6501I
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
nr,7n_nQr,9-HA/0670-0962-HB 52'X24' ULI 406668/406669
SERIAL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
LENGTH X WIDTH
ASSESSOR'S PARCEL NUMBER
SEE ATTACHED LEGAL DESCRIPTION..
OFyo'
INSIGNIA/LABEL NUMBER(5)
A.P. #072-26-0-105
��1ENT
HCD FORM 433(A) Rev. 6/91
WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Budding Dept.
<:................
90-00174 81-16824 ���13�
DESCRIPTIONs
All that certain real property situate in the County of Butte, State
of California, described as followss
PARCEL I: -
Parcel 3, as shown on that certain Parcel Map entitled, 'BEING THE NM 1/4
OF THE SM 1/4 OF SECTION 11 7.19N., R.5E., M.D.B. 6 M.", said Parcel
Map was filed in the Office of the Recorder of the County of Butte,
State of California, on July 28, 1981, in Book 83 of Maps, at Page
65.
TOGETHER WITH AND RESERVING THEREFROM all non-exclusive easements for
road and public utility purposes as shown on the Parcel Map referred to
herein.
_
—PARCEL If:
A non-exclusive right of way 60 feet in width, over a portion_of the
Northwest quarter of Section 11, Township 19 North, Range 5 East, -K.6.8.
& M., lying 30 feet on each side of the following described centerline:
BEGINNING at a point in the South line'of said Northwest quarter of said
Section 11, from which point the West one-quarter corner of said Section
bears South•89' 40' 41" West 2537.40 feet; thence along said right of way
centerline North 4' 46' 40" East 102.09 feet; thence North 17' 50' 20"
West 278.60 feet; thence North 54' 39' 10" West 323.32 feet; thence North
83' 25' 50" West 424.70 feet; thence North 43' 30' West 163.89 feet;
thence North 81' 40' 20" West 265.56 feet to a tangent curve concave to
the East having a radius of 50 -feet; thence along said curve, through a
central angle of 123' 43' 40' for a distance of 109.97 feet; thence North
42' 03' 20" East 107.24 feat; thence North 32'•57• East 466.82 fest;....
thence North 12' 10• East 78.83 feet; thence North 53' 15' 31" East.50.00
feet to a point in the centerline of Lwpkin County Road.
PARCEL III:
A non-exclusive right of way 90 feet in -width for road and utility
purposes over a portion of the Northwest quarter and a portion of the
Southwest quarter of. -Section 11, Township 19 North, Range -5 East,-.N.D.B.
4 M., lying 30 feet on each side of the following described centerline:
.COMMENCING at a point in the South line of said Northwest quarter -of sold
Section 11, from which point the West one quarter. corner of said. Section
beare'South 89' 401-410 West 2537.40 feet; thence along said right of way
centerline, North 4' 460•40' East 102.09 feet; thence North 17' 50' 201
West 276.60 feet; thence: North 54' 399 10" West 3,23.32 feet to a point
hereinafter designated as Point "A", and the true point of beginning for .
the line being described; thence South 0' 49. 29" East 12.54 feet; thence
South 39' 49' 10" West 207.58 feet; thence South 60' 35. 300" Nest 136.25
feet; thence South 85' 31' 'West 148.95 feet; thence South 51' 15. 30"
West 138.71 feet; thence South 69' 50' 30" West 110.95 fest; thence South
56' 18' 40" West 138.21 feet; thence South 33' 43' 40" West 130.04 feet
to a point in the South line of .said Northwest quarter of said Section
11; thence continue South 33' 430 40" West 76.64 feet;'thence South 7'
17' 30" West 160.01 feet to the and of said line.
(continued)
90--QOt Ti .. t@t-1355
PARCEL IVs J
A non-exclusive easement for road and public utility purposes over a
portion of the Sw 1/4 of Section 11, T.19N., R.5E., M.0.8. 6 M., ors=
'e strip of land 60 feet in width lying 30 fast on each side of.the
following described centerline.
...:...:............•.•.•..•:•.. BEGINNING ata'
point on the East -Nest centerline of said Section 11, froe
which the East quarter corner of said Section 11 bears North 89' 40. 410
East 3817.53 feet; thence from the point of beginning South 33' 430. 40'.
West 125 feet, more or less, to the North-South centerline of the said
::•':: :?'?'? Southwest quarter; thence Southerly along the said North-South centerline
to a point which lies 65.00 feet Southerly of the Southwest 1/16 corner
and the end of this description.
i;,:;:•...t;; •.:�, <:,•;+,
__ PARCEL Vs-
A non-exclusive easement for ingress and agrees and
Summer View Drive os
er
and Dancing Mind Drive, shown onthatcertainaPircel '
Map' entitled, 'BEING THE NM 1/4 OF SY 1/4 OF
�=
.THE SECTION
R.5E., M.O.B. is M.•, said Parcel -Map was filed in the
12 T.19N:,
Office of the
Recorder of the County of Butte, State of California, on
July 28, 1981,
in Book 83 of Maps, at Page 65.
EXCEPTING THEREFROM that
� portion lying within the bounds of Parcel I,
above.
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END OF DOCUMENT 0 oP oc usi .
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[X]Mobilehome/Manufactured Home
]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: NANCY J. LASZKO-JUNGNITSCH AND JONATHAN W. JINGNITSCH
Owner's address: P 0 BOX 961, OROVILLE CA 95965
INSIGNIA OF HUD NUMBER: ULI 406668/406669
SERIAL NUMBER OR V.I.N. 0670-0962-HA/0670-0962'HB.'
MANUFACTURER'S NAME- SKYLINE rF
YEAR 1995
OFFICIAL APPROVING INSTALLATION:
8/7/95
DATE: PHONE: (916) 538-7541
H.C.D. 513C
z Z z MISS
Z"
90-00 174
Order N.O.
Escrow No.
.......... ...
WHEN RECORDED MAIL TO:
Nancy J. Laszko-Jugnitsch
-7 5 7 RloydToP3
0ec.).*"e, CA.9%944.
MAIL TAX STATEMENTS TO:
same as above
90-000174 R&c Fee 9.00
Cash 9.00
Recorded
Official Records
County of
Butte i PARTY SHOM
Candace J. Grubbs I
Recorder I
12:41pa 2 -Jan -90 : BG 3
DOCUMENTARY TRANSFER TAX 1 —0-
- CAwro~ on Ow cons4mrstion or vorie of propm" cormovet OR
— C4nvwud on ow consiftrorim or woos Ism iwm m wcumbrWw"
m"Sn" at liffm of ata
J9.4r00 s4v-twe of 06-hWe" or Aem" *am ux — IF km fts."
0
JOINT TENANCY GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby &*nowjedqed,
Nancy J. Laszko-Jugnitach, vho, acquiced title an
Nancy J. Laszko
hereby GRANTCS' t*Kancy J. Laszko-Jugnitsch and Jonathan W. Jungnitgch,
husband and wife, as joint tenants
the rod prop" in On City of
County of Butte SOW of Catifornia, docrAnd as
Please see attached for legal deacciption
DOW Decenbecjd,1989
5TATE0FC*AJF0ffifiA
o0U"W 'Utte 3.
on 12/,.7o /,89
balme mm Wo rndrisned. a Notary plrefe in WW for mm st" po,
sones rr+rren
Nancy J. Laszko
pttso aft kwon 10 ~ ow pond I* aw on am buls d
NhM "W"N Was &jbwftd U aw
vAWdn rlteueaae and 8000aftdOW 00 HM OW 11WWafthey
a* 8"m
w:rrNr.ss =., cmcpw sea
- OM= 'SEAL
PATSY L CAl=
E( -
NOTARY VMIC - CALWORIM
aWAL a0m m 1% m,
cv%a amm Gm *"Wm'.Q%1WW too)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
1002 (6182)
C
STATE OF CALIFORNIA
!� DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF COOES,AND STANDARDS
REGISTRATION AND TITLING SECTION
STATEMENT OF FACTS
This unit is a: 2 Mobi1ehome El Commercial Coach Floating Home E]Truck Camper
Decal (License) No.(s)
Trade Name
Serial No,(s)
SK`/ e- /NE
0 G- 76- 01(.2 - 1-I-
0962_ N-8
I/We, the undersigned, hereby state that the unit described above:
IS NEW AND HAS NEVER PREVIOUSLY BEEN PLACED ON OR ATTACHED TO
LAND.
Affiant further agrees 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 jat _ ' Co C19
(Date) (Cy) (State)
.Signat re of each affiant Printed name of.each affiant
GNC j�E"i9cJCla,49M�
Address —L3 -el&B
City 0 __ ca State
NCD 476.6 (Rev 11/86)
CA
i, -RESIDENTIAL
072-260-105 PERMIT#95-1061 l
LASZKO-JUNGNITSCH, Jonathan & Nancy
49 Dancing Wind'Rd., oroville
Cont; Skycrest Bldg Systems
Mobilehome Utilities
{
. 3
r
rti
JOB FINALED (Date) —
Signature
J=OK
O=Not OK
Not Applicable
Not Ready MOBILE HOMES
=
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P1 ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Y
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; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts -Bea ms- Rftrs.-Connectors
. Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
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, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
T Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_
Boxes- Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓=OK y
O = Not OK
=Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except ft'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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except n's
-------- -16.-- Water Htr.: Vent -Access -Combustion Air -Baffle
------ ------------------------------------
17. Water Pipe: Test & Anchor -Nail Protection
---------------
18. D.W.V ; Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test. First Floor -Tub Access
-------------- - ---------------------------
20: - Test -Tub & Shower, -- Second Floor -Tub Access
------------------------ ------ ----------
21. Gas Pipe: Size & Anchors
------------------------------------------------------------------------ -
Date Card B-1 Date Card B-1
--------------------- --------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
------------------------------
23. E-lec. Receptacles Spacing -Lights & Switches at Doors
---------------- ------- ---- -------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
--------- ------------------------- -----------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
-----------------------------------------------------------
26. Equip. Ground made-up w!Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
----- -----------------------------------------------------------
28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! / ga.
Cu or Al
-------------------------------------- - --------------------------
29. Range Circ. ! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------------------------------- --------------------------------
-------------- 30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip_Clearances Panels-Motors-Mech. Equip.
- --------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
---- -- - --- - ---------------- -- -- - ------ -- - --- ----------------
33. Smoke Detector
------------------------------------------------------------------------------------
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
--------------------------------- - ------------ --------------------------
Date Card B-1 Date Card B-1
Date- MECHANICAL (Permit) OK except tr's
-----------
34. A.C. Ducts Insulation- --
& Support ------------------------------------ -------------
35. Vent Fan Exhaust above insulation
-----------------------------------------------------------------
36. Condensate Drain & Overflow: Size & Grade
---------------------------------------- _
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
--=--------- ------ ------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
---------------------------------------- -----------------------------------
Date - __C-ard B-1 Date Card B-1
--------------------------------------------------------------------- ----------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
-
--------------------------------------------------------------
------------- 40. -Walls- -- Stud -s -Nailing. - Spacing --&-Bracing-Plates-Sound----------------------------------------------------- - ---
41. Bearing Walls over Girders & Floor Nailing
-- - --- ------------------------------ --------------------------
42. Draft Stop in Walls (rat proof)
----------------------------------------------- - -------- - -------------- --------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------------------------ ----------------------------------- ---------
44. Headers & Beam -Size & Bearing
►ingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
--------------------- -
50._Garage Fire Protection Framing
_ 51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
_ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
---------------- ---
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
------- _--- 57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date FINAL (Plans) OK except ft's
61. Ext. Steps -Door & Sidelight Protection -Landings
-------------
--- -------------
62. Smoke Detector
- -----------------
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
------------ -------------------
64. Bedroom Exiting
------------------------
_________ 65. _G F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel. Breaker Sizes & Labels
------------
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
--------------------------------------- -
69. Elec. Outlets at Wood Panel: Int. & Ext.
------ --------
70.
------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
---------- ...----------------------------- - -
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
-------------------------------
73.
-----73. A.C. Duct in Garage -Damper
---------------------------------------- -
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
--- ----- ------------------------------
7;. Insulation -Foam -Looked in Attic ❑ Yes
-------------------------------
------------------------ --
78. -Guard -Rails -& Deck -Construction -Post Caps
----------------------- ---
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
-------------------------------------
81.
----- ------------81. Stucco Brown -Finish
- - - -- -
82--.A.C.-Unit: Disconnect. Electrical, Plumbing
-------------------------
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
- -- -- ----------------------------- -----------
84. Water Well; Disconnect, Electrical, Plumbing
-----------------------
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
- ---------- --------- -------
--------------- --
86. Ventilation Throughout House
-- --- --- --------------------------------------
87. Glass Protection
--------------------------------------------
88. Corrections from Previous Inspections
------- ------------------- -----------------------
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
------------ ------------- ------------------
91. Energy Compliance Certificate -Other Certificates
------ -----------------------
Date Card B-1
Rate--
- - -- Card B-1
Date Card B-1---
Comments at Final:
Date Card B-1
Date Card B-1
Date Card B-1
COUNTY OFBUTTE -DEPARTMENTJOFGEIe+ELOPMENTSERVICES - BUILDING DIVISION v
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT D ��
ASSESSOR PARCEL NUMBER 072-260-105
U ZONING
BUILDING PERMIT
OWNER NANCY & JONATHAN LASZKO—JUNGNITSCH
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
PO BOX 961 OROVILLE 95965
CONTRACTOR'S NAME
SKYCREST BLDG SYSTEAi
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIQ40WN
Total Valuation Is
LENDER'S MAIUNG ADDRESS
Filing Fee
$ 20,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
49 DANCING WIND RD
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump Water heater
23.00
UXgSEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome "❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublities 6 Installation ❑ Other ❑
Describe Work: 2 BEDROOM
Mobile Home
@20.00 60.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filina Fee 20.'00
Main Service EODV OR LESS
( 2ooA OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.''rr
License Class C— 4 7 Lic. No. Ict S T 1 Z
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( 8 ACC. BUDS. )
SO.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIA.
Ex. Occup. ( OUTLET OR FDTTURES )
20 @ 1.00
BAS S0
EX. Occup. OUTLETSFIXED (RES D.)EA
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 9Q nn
Misc. Wiring
23.00
PERMIT FEE
$ 63.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I 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.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
sa
My workers' compenInsurance carrier and policy number are:
Carrier un rig
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to 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
fo with comp lwith those provisi s.
X Date
Signat a of Applicant - ❑ Owner ❑ Con or ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in Peight.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE.
$
Contractor
Mobile Home Installation Fee Is
Energy Inspection Fee $
OCC
-17
CONST. TYPE
TOTAL FEE $ 6.00
HA2.
D. FEES IM FLOOD
CDF
AR
PD HD
E
This permit is hereby issued under
of the Butte Countyode and/or
indicat9lellt v for ich fees have
BY
PERMITEXPIRESON
the applicable provisions
Resolutions to do work
been paid.
Date ,/� l
/
6 �`� 7(
(Date)
r
$OLQ Q/ b �QU 17��?
Receipt No. N,
WHITE-D.D.S.-B.D. CAN Y -ASSESS PINK -INSPECTOR GO! APPLICANT
-- --�- COUNTY OF BUTTE "
BUtL61NG DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
' 1469 Humboldt Road, Chico, CA - (916) 891-2751 .
7 County Center Drive, Oroville,=CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE' $r
/ Ja S -7 �rG .lig
OWN
NO.
A routine inspection indicate's'that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation, `-
p�le/se `intact this office immediately.
�'t'1 YOU 1�21'e 1 I
Date 7Inspector
v
REV 10/92
COUNTY OF BUTTE
$UiLDING=DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA ' (916) 538-7541
747 Elliott Road, Paradise -,CA - (916) 872-6307
CORRECTION NOTICE:.
rOWNE �- PERMIT NO
A/ab
inspection indicates that the following violations of Butte County Ordinances exist at "'
ta ad ress and should be corrected. Please notify this office when correction of work 4
ite . If you have any questions pertaining to this matter, or need additional explanation,
pn act this office immediately.
L
)1Z JA
REV 10/92
COUNTYOF BUTTE -DEPARTMENT 0, bt-V)ELOPMENTSERVICES -BUILDING DIVISION
7COUNTYCENTER DhIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
r,..
PERMIT APPLICATION DATA SHEET
I t I I
• - itLT�05e11IR
Building
1• ► . vyWRZI
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
c DATE RECEIVED BY
1.
All items have been submitted ..... ................... ............ .
2. Plot plans, 3/4 sets, signed byipreparertlof plans. ...,i....... �............. .
3. Complete plans, 3/4 sets, signked by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .....................:...................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ..................... .
8. Engineered truss details and layout inn duplicate (required prior to plan check). ... .
hi.
Mobilehome data and manufacturer's installation instructions, 2 sets. .Fees of $ I a . C�17 . .............. Impact fees as shown on attached schedule. :` . .
12. California Department of Forestry plan approval/ s. q.... .....
1*1 Flood -elevation letter (100 year flood) by ��lifornia Engineer . ................. .
Sanitation and plot plan approvaHealth Department . ............
79 City of Chico plumbing permit .....
.
' - 16. Plot plan and business license approval from City of Biggs/Gridley.
t 17. Planning approval for (A) Use: (B) Parking: ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
I?V-t-_ 19. Driveway permit (construction approval required prior to occupancy). . .
PreInsp* s on request
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
44. Owner -Builder Verification (Given to owner Mail to owner �. . .
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ............................................
29. Documentation of legal access . ..................... :...........
...: .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements.
...............
31. Existing violations/expired permits . ......................................
32. Plan check list . ......................................................
33.
X �,i��� n Q K- o r
When ou issue the permit, process as follows: Mail to owner Mail to contractor.
Telephone 3W-2ed land hold for pickup atQj—ayj� j � office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant - ,:;,. - �"` Date d °/ 9r
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to per it ince: (Circle new item not checked above).-'
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone. mail Counter by _ Date
Plans checked by G \'iN3 6n1 g Date Plans approved by _ GI BQ aW-5 Date
_ — Sets of plans on hold in File cabinet )C AP folder
Copy - Department of Public Works
RESIDENTIAL
072-260-105 PERMIT#95-1684
LASZKO-JUNGNITSCH, Nancy & Jonathan
49 Dancing Wind Rd.., Oroville
Cont; Skycrest Bldg System
I f
MH on Perm Fnd
eco
THE HCD FORM 433A FOR THIS MH.CANNOT
BE RECORDED UNTIL ONE OF THE FOLLOWIN
HAVE BEEN TURNED IN TO THE BLDG DIV:
(1) LICENSE'PLATE(S)
(2) LICENSE DECAL
(3) STATEMENT OF FACTS
OFFICE COPY
Address
GAS
Meter. By
e
ELECTRIC
.--
Meter By
to !s
f.
JOB FINALE ( a e)
Signature
J=OK
O=Not OK
=Not Applicable
Not Ready MOBILE HOMES t
=
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
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; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Well Clearance & Disconnect 7. Electric
8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
fi 10. Roof; Shthg-Roofing
Date Card B-1 " Date Card B-1 11. Ext.; Steps -Doors -Landings
Date Card 8-1 Date Card 6-1 o
Date MOB OME INSTALLATION (Plans) OK except #'s
Z op-f'_'g Requirements -Setbacks Easements
01 o tings; Size -Spacing -Marriage Line i
MH Test -Demand -Valve -Connector
Electricity; MH Test -Crossovers -Breakers -Clearances
rf* S. Drain; MH Test -Fall -Flex Connector
6. Water H Test -Regulator -Connector k4
ater and Sewer Connected -C/O to Grade -HD Approval l`
Gas and ectricity Tagged
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, Distances-GFI
� ., xrts; Insp.-Sketch
,. 1-
5. Elec.; Pool Lighting; 15 volts-GFI
10. 'Cert. of Occupancy
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
1i
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Date rCard 6-1
Card B-1 t
+
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
__pate
Date Card B-1 Date
Card B-1
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
I
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex) '
' =
Date UNDERFLOOR (Plans) OK except ft's Date FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post -Ca ps-Anchors-Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth re 47. Fireplace Ties or
_ _p Type AFlue-Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except P's
1E. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test, First Floor -Tub Access --
20. Test Tub & Shower. Second -Floor -Tu b Access
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card -B-1 -------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
------------------------------------------------------- ----
------------23.-Dec. Receptacles Spacing -Lights & Switches at Doors
------------ --------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
--- - - - --- --------------- ----------
--
--------
_ ____ __25 Romex Installed Close to -Edge -of Studs & C.J.
26.- Equip. -Ground- madeup wlMech. Fastners-Bond & Water
------------------------------------------------ ----------Gas.----------------
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
----------------------------------------------------------------------------------
28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size ga.
Cu or At
--------------------------- --------------- -----------------------------
29.
---------------------------
29. Range Circ. / r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
--- ----- - - ---------- ----------- --- -------- - - --- - - -
30. Service -Riser Conductors & Ground -Main Disconnect
--------------------------------------------- ---------------------------
quip_Clearances PEquip.
--------------31. E-------------anels-Motors-Mech.
-------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
------------ ----------------------------- ------------------
----- ------
33. Smoke Detector
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
-
----------------
---------------------------------------------- ----------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti's
34. A.C. Ducts Insulation & Support
----------------------------------------------------------------------------- ---
35. Vent Fan: Exhaust above insulation
- -------------------------------------------
36. Condensate Drain & Overflow: Size & Grade
-------------------------------------------------------------- - ----- ----------
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
----------- ------ ----- -- --------------------------------------------------
38,
------------------------------------------------
38 Attic Access & Platform if Furnance in Attic
---------
------------------------------------ ------ ----------- ------------------------
Date Card B-1 Date Card B-1
----------------- -------------------------------- -------- --- -- --
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 4's
39. Sils. Proper Material & Anchors
------- ---------------------------------------------------------------------- -
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
--- -------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
- - - ------------------------------------------------ ------
42. Draft Stop in Walls (rat proof)
----- ------------------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------------------------------------------------------------------------
44. Headers & Beam -Size & Bearing
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52 Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
-------------
------
----------- --------------------
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Root Overhang -Attic Vents -Rafter Outriggers
--------------55. Siding -Nailing Veneer
--------- ---
_ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
- 57. Glazing Area -Glass Protection -Skylights -Plastic
-----------------
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
---------- -
60. Infiltration -Walls -Windows
------------------
Date
-----------------Date Card B-1 Date Card B-1
------------------------------- --
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings -
------------------------- --
62. Smoke -Detector
-------------- ---------------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
-------------- ------------ -
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
------------- -------------------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
-
--- ---------------------
70.
--------------------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
---------_----------------- ------- - -
71. Elec. Outlets & Receptacles at Kit. Counter
--------- ------------------------------- ------
72. Garage Fire Door: Swing -Landing -Closer
------------ -------------------------
73. A.C. Duct in Garage -Damper
74 Wtr. Htr Vents -Clearance -Comb Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75.-Plb. Elec. -&-Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
7,. Insulation -Foam -Looked in Attic ❑ Yes
----------------------------------------- -
78. Guard -Rails & Deck Construction -Post Caps
-------------------------------------- -
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
.....-------------------------------- ----------- --
80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
---------------------------
81.
.------- ---------------81. Stucco: Brown -Finish
------------------------- ---
82. A.C. Unit: Disconnect. Electrical, Plumbing
- ----------------------- ---
83. Vents Above Roof: Plb9 A pP liance-Firep lace. -Clearance to
Openings
----- ----------------- --- -- -----
84. Water Well: Disconnect, Electrical, Plumbing
----- ----------------------------
85. Exterior-Elec. Trim: G.F.I. Receptacle -Underground
- - - - - - - - - - ---------------------- -----
a6. Ventilation Throughout House
. --- _--------------------------------------------
87. Glass Protection
------ _ _ ------------------------------------------
aa. Corrections from Previous Inspections
--- ---- --------------------------------------------
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
----- -- ------
91.
----91. Energy Compliance Certificate -Other Certificates
----- -------------------------------------- ---
Date Card B-1 Date Card B-1
----- ---- -- ---- --------------------------------------
Date Card B-1 Date Card B-1
------------------------------------------ ---
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
j
APPLICATION AND PERMIT 4 9S �&?�
ASSESSOR PARCEL NUMBER 072-260-105
U ZONING
BUILDING PERMIT
OWNER
NANCY & JONATHAN LASZKO—JUN
TELEPHONE
NITSCH
SO, FT, OCC. BUILDING VALUATIO
OWNER'S MAILING ADDRESS
PO BOX 961 OROVILLE 95965
1248 R 67,392.00
CONTRACTOR'S NAME
SKYCREST BLDG SYSTEM
TELEPHONE
CONTRACTORS MAILING ADDRESS
13468 WY 99 CHTC09 99026
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
247.75
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
161.05
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Penalty $
BUILDING ADDRESS 49 DANCING WIND
PERMITFEE $
428.80
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome (:X Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EYX
Describe Work: PERM FOUNDATION
(SEE #,E95-1061 FOR UTILITIES)
Mobile Home I S I GI W
@20.00
PERMITFEE g
Contractor
ELECTRICAL PERMIT
Filing Fee 20:00
Main Service000v OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
1N...RESID.
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9(commencing Section with 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class G [{ Lic. No. .� 9 5 4� I z
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS. )
SO.
3.52 FT.
NEW CONST. MULTI -OUTLET
( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL .50
Ex. Occup. OUTLEtDrs �aEslo.�ea
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier ALL/AW r— L=-- /A45 CO QE00/4/C',
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number SA% 0 1w a l til q / Z
(The above sections need not be moc be i the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to 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
forth ith comply th those provisi
/
X Date u L �/��_
Signat i a of Applicant - ❑ Owner 0 Con(ZFor YAgent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 428.80
HAZ.
I D. FEES
I IMP I FLOOD
I COF PARCEL I PD I HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte Count Code and/or Resolutions to do work
Indic d a e fo w�iich fees have been paid.
,✓`� �'
By Date 7
PERMITEXPIRESON ,- -9(Q
(Date)
Receipt No. 180720
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
_.F _ .tee. _, ..«�.'^... t�.� «.n.—..��- .x -,.r °.n �... -.-.- s•y(�•-....yea.`,.7(��'�..•���...^e✓i.�t-.. �r._,;,.. _. ...s`v�r"`t .. �. 1-.
. ��y�j�
COUNTY OF BUTTE - DEPARTM NTi �E EVELOPMENTSERVICES -BUILDING DIVISION
TE�"bRl E - ORO ILL CALIF. RNIA 95965 -TELEPHONE 916 538-7541
7COUNTYCEN ( )
PE'RMITAPPLI.CATION DATA SHEET
OWNER � f-4- q)'1 c i A . No. 2 ---2-,6
Proposed Building Use,�.c�-y.. �� . Building InspectorL Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, s g ed by preparer of plans . ..........................
3. Complete plans, 3/4 sets signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ .
5. Hazardous Material Form. $ ......................................... .
6. Energy Design Compliance and supporting documentation . ...................
7. Statement of Intent for Non -Heated and A/C Buildings. ............ !-..... .
8. Engineered truss detailsand layout in duplicate (required prior to plan check). ...
Mobilehome data and manufacturer's installation instructions, 2 sets'.. ' ...... , . .
ees of $ . ................ ............. .
Impact fees as shown on attached schedule..
California Department of Forestry plan approval/fees. ......... ... ` . `....... .
13. Flood elevation letter (100 year flood) by California Engineer. ...1.................. '
14. Sanitation and plot plan approval Health Department.
15. City of Chico plumbing permit . ...................... � .'?.... ........ _ .. .
16. Plot plan and business license approval from City of Biggs`/Gridley. ' ......... ".. .
17. Planning approval for (A) Use: t(B) Parking: ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .
oA
20. Pre -inspection for toBuispectinsreq°
p required. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ........................... .
23. Owner -Builder Verification (Given to owner , Mail to owner _). .. `....... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. `Letter of signature authorization. .:.................... , ................
26. Copy of recorded deed of parcel. creation and 60 right of way to a public road. .....
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . .....................:..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements.
...............
31. Existing violations/expired permits . ..................................... .
Z7 Plan rhar-k lict it
When you issue the permit, process as follows: Mail to owner1 Mail to contractor.
✓ Telephone ��— and hold for pickup at �"� l-Dv1 1 office. Deliver with inspector.
Other o c
Parcel Creation
Acreage Applicant Date Jv��( (� 95
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date V
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted
1. Index permit for above items No. _
2. Additional items required:
nce: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above,required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by<; r (3 9 o�S Date 7'7-20!!1
Sets of plans on hold in File cabinet ?; AP folder
Copy - Department of Public Works
COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916) 538-7541
OWNER-� S A . P . #
PROPOSED BUILDING USE DATE
( REC. # DATE REC
SCHOOL DISTRICT FEES
(paid at District Office) .................... .. v�d dC�
SHERIFF FEES
(paid at Building Department)
Residential ...... _x 807�
unit amt.
Commercial (sgft) x =$
sq.ft'. amt.
3. URBAN AREA FEES
.(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office),... ..............
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00......
(paid at Building Department)
7. OTHER
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT DATE
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District L -P m Building Department No.
A.P. Number O7,2 Jurisdiction: �_ 'City. County.
Property Owner
Property Locatic
Subdivison
Residential Development
No. of Living
Units
Lot No.
Sq. Footage
MHI Addition (Group R)
Commercial/Industrial 0 0 Sq. Footage
New Addition (Including Exterior
oofed A as)
wilding DepartmentMe-presentative Date
(Floor Plans reviewed by School District Personnel)
District Identification No. a20 C�
School District certifies that ry
(A plicant)
(Street Address) D (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. - / _I' - /d by payment of $ o2/4�1
representing la y square feet, An 2926 $
FULL MITIGATION $
__ y 5i-
School District Represents i Date
Paid by Check # Remarks:
Bank Number
Paid by Cashbali
If, subsequent to the School District Representative signing this Butte County Schools impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmki (11/94)dmm
LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. / l0(0/
OWNERS A.P.
NAME: Lr `�tln!2iYlINUMBER: O"7
/OS
PRINT LAST NAME FIRST
COUNTY ZONING
DESIGNATION: 0 FLOOD ZONE:_ X FLOOD MAP: �7�
APPROVED:
CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION:
COMMENTS/CONDITIONS:
LEGAL ACCESS REQUIRED:
YES NO
YES NO
Gor3 83 PM lP5
to '9(2
PARCEL CREATION BY MAP X C1h—�G9 G/ Ld — ivo Ordaz CV -40
DATE OF RECORDING �ZZB /S 1 LOT 3 BOOK S3 PAGE S
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BEPA/D TO THE BUIL DING DI VISION UNLESS OTHERWISE NO TED.
1. Maintain a 50 ft. building setback from centerline of road.
1 /
2. Maintain a 20 I building setback from right-of-way/marline of 12M OI W6, VlL�iND D9,
3. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
4. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
5. Pay T.D.D. (Thermalito Drainage District) fee in the amount .of $
6. Maintain a 100 ft. leachfield setback from all existing wells.
7. Maintain a ft. leachfield setback from
8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees.
9. A traffic mitigation fee for, each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division.
10. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
11. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
12.
CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER.
LD 12M - C:%WP5I%F0RMS.K%BLDGPERM.CLR
mAy 2 V95
�-ana UevelOPM()ra'SW-
95-01891 1 Rec Fee
I COP
And when recorded mail to: Recorded I Cash
Building Division Of ficial Records I
County of
07 County Center Drise 1
Uro.illc, Ca. 95765 Butte 1
Candace J. Grubbs I
Recorder I
2:12pm 12 -Jun -95 1 PUBL
12. 00
2.00
14.00
XX 3
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESJIRENTIAL DEVELOPMENT
Section 26.8 of the Butte County Code requires this acknowledgment to be rgDrded prior to issuance of a building permit. The
property described herein is adjacent to land or included within an arca -roned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use of agricultural cherttirtis. including. but not limited io
herbicides, pesticides. and fertilizers-. aid from the pursttit of agricultural operations including. but not limited to cultivation.
plowing, spraying. pruning, and hanesting which occasionally generate dust, smoke. noise. and odor. Butte County has established
agncultural purposes and residents within said 70ncs and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal. neeessan• farm operations.
All that real property sinuate in the County of Butte. State of California. described as follows:
Date CC.� S
PROPERTY OWNERS: t -
J -r I _-! n uJ \1 \ c H �•-( c- LA S Ko -.3U f4 F
)S 6t
• 4 N A _ —C7
MT
State of California )
County of )
On C-, ( -CI `� before me.
personally appeared I -'�C it L ! ' L -/\i ' C i (I z d 1('7 I , ; l� i r 1-� C �a `t , . ,r ; r , \ .c' I personall% .
known to me (or proved to me on the basi3 of satisfactory evidence) to bq)the person(s) whose nam (s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executcd the same in his/her/their anthorized capacitv(ics), and
That by his/her/their signatures) on the instrument. the persan(sor It entit r ! ton behalf of which the person(s) acted.
czccutcd the instrument.
WITNESrNotary
ODIE HULK
/ mmission# 1054700 Mir CPS �Vp
Public
tte County, Caltlomla s
$igrtatu� % / �� Sc t• Commission Exp. APR. 5. 1999 ,Fa, ,
411 that certain real property situate in the County of Hutto, State
of California, described as follows: -
PARCEL I:•
Parcel 3, as shown on that certain�Parcel Map entitled, "BEING THE NW 1/4
OF THE SW 1/4 OF SECf ION 11 T.19N., R.5E., M.D.B. & M.", said Parcel
Map was filed in the Office of the Recorder of the County of Butte,
State of California, on July 28, 1981, in Book 83 of Maps, at Page
65.
TOGETHER WITH AND RESERVING THEREFROM all non-exclusive easements for
road and public utility purposes as shown on the Parcel Map referred to
herein.
PARCEL II:
A non-exclusive right of way 60 feet in width, over a portion --..of the
Northwest quarter of Section 11, Township 19 North, Range 5 East,-M':D.B.
& M., lying 30 feet on each side of the following described centerline.:
BEGINNING at a point in the South line of said Northwest quarter of said
Section 11, from which point the West one-quarter corner of said Section
bears South'89' 40' 41" West 2537.40 feet;'thence along said right of way
centerline North 4' 46' 40" East 102.09 feet; thence North 17' 50' 20"
West 278.60 feet; thence North 54' 39' 10" West 323.32 feet; thence North
83' 25' 50" West 424.70 feet; thence North 43' 30' West 163.89 feet;
thence North 81' 40' 20" West 265.56 feet to . a tangent curve concave to
the East having a radius of 50 feet; thence along said curve, through a
central angle of 123° 43' 40" for a distance of 109.97 feet; thence North
42' 03' 20" East 107.24 feet; thence North 32' 57' East 466.82 feet;
thence North 12' 10' East 78.83 feet; thence North 53' 15' 31" East 50.00
feet to a point in the centerline of Lumpkin County Road.
PARCEL III:
Anon exclusive right of way go feet in -width for road and +wtility
purposes over a portion of the Northwest quarter and a portion of the
Southwest quarter of Section 11, Township 19 North, Range 5 East, M.D.B.
& M., lying 30 feet on each side of the following described centerline:
• w
COMMENCING at a point in the South line of said Northwest quarter.of said
Section 11, from which point the West one quarter corner of said Section
bears South 89' 40' 41" West 2537.40 feet; thence along said right of way
centerline, North 4' 46' 40" East 102.09 feet; thence North 17' 50' 20"
West 278.60 feet; thence North 54' 39' 10" West 323.32 feet to a point
hereinafter designated as Point "A", and the true point of beginning for
the line being described; thence South 0' 49' 29" East 12.54 feet;.thence
South 39' 49' 10" West 207.58 feet; thence South 60' 35' 30" West 136.25
feet; thence South 85' 31' West 148.95 feet; thence South 51' 15' 30"
West 138.71 feet; thence South 69' 50' 30" West 110.95 feet; thence South
56' 18' 40" West 138.21 feet; thence South 33' 43.' 40" West 130.04 feet
to a point in the South line of said Northwest quarter of said Section
11; thence continue South 33' 43' 40" West 76.64 feet; thence South 7'
17' 30" West 160.01 feet to the end of said line.
,V11RLLL 1 V :
A non-exclusive easement for road and public utility purposes over a
portion o"f the SW 1/4 of Section 11, 1.19N., R.5E., M.D.B. 6 M.', over
a strip of land 60* feet in width lying 30 feet on each side of the
following described centerline.
BEGINNING at a point on the East-West centerline of said Section 11, from
which the East quarter corner of said Section 11 bears North 89' 40' 41"
East 3817.53 feet; thence from the point of beginning South 33' 43' 40"
West 125 feet, more or less, to the.North-South centerline of the said
Southwest quarter; thence Southerly along the said North-South centerline
to a point which lies 65.00 feet Southerly of the Southwest 1/16 corner
and the end of this description.
A non-exclusive easement for ingress and egress and public utiliti-e:_9ver
Summer View Drive and Dancing Wind Drive, as shown on that certain Parcel
Map entitled, "BEING THE NW 1/4 OF THE SW 1/4 OF SECTION 11 T.19N.-,
R.5E., M.D.B. & M.", said Parcel Map was filed in the Office of the
Recorder of the County of Butte, State of California, on July 28, 1981,
in Book 83 of Maps, at Page 65.
EXCEPTING THEREFROM that portion lying within the bounds of Parcel I,
above.
...
m
END OF DOCUMENT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE:(916)538-7541
Nancy Laszko DATE May 18, 1987
508 Liberty
E1 Cerrito, CA 94530 RE:Building.Permit Application for
Mobilehome utilities
A.P. #72-26-105
, With reference to the above subject:
Attached is:
X Application for permit _X Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs X Typical Plan Sheet
X Owner -Builder Verification Form List of Codes Enforced
OTHER Recorded Agricultural Acknowledgement Form
XX We need the following information:
XX Permit application signed and completed where indicated with all copies returned.
XX Fees of $ 92.50 payable to Butte County Treasurer.
XX Certificate of Workmen's Compensation Insurance or check exemption statement.
XX Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
XX Plot plans in TRIPLICATE
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section
sets of plans in accordance with the changes marked in red.
XX Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
XX 7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
(DPW).
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
XX Completed Owner -Builder Verification form.
Recorded copy of deed showing
XX Recorded copy of agricultural acknowledgement statement.
L_XXL OTHER If your driveway will be off a County maintained road, you will need to obtain
an encroachment permit.
Should you have any questions concerning the above, please contact this office.
JFG/aj
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
Chief Building Inspector