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061-460-006
. ^ 55,"' BRECKENR,l DGE'C- z 'BER DAVIDSON, BRUCE' RECK CREEK ELEC /I DAV ID So N BR U -ION jESTi.,,REQ 0. UPP RT 061-46-0-006 �w 1.11 DAVIDSON, BRU CONTR: UN WN MHI - '0'006 BRUCE DAVIDSON 55 Breckenridge Court, Berry.C,reek., _00W _^ '' - RESIDENTIAL 061-46-0-006_. BRUCE DAVIDSON -- 1 ' 94-0881 B 55 Breckenridge-Court, reckenridge Court (Mobilehomperm fdn) e/ Berry Creek �j� 3/�� V=OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil 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/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond G;;-& Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size/ / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'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/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Coil ings-StaIre-Chases-Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Ring. 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. 1 nsulation-Walla-Cei II nos 60. Infiltration -Walls -Windows Date/Initials 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 -Mach. 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. 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 -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. 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 Comments at Final: V=OK ' O'= Not OK =Not Ready Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements-Setbacks-Easements "2 Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O Concrete 4. Water; Location-Teat-Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Gas; Location-Teat-Wrap: / /" L" ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'s 1. Zoning Requirements-Setbacks Easements 2. Footings; Size-Spacing-Marriage Line 3.. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Teat-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fell-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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. Electric 8. Frmg; Sils-Anchors-Studs-Rftm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 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 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval % Plumb.; Cir. Test -Water Supply Test COUNTY OF BUTTE - DEPARTMENT OF bE� kLOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7RA1� �PVMIT NO. APPLICATION AND PERMIT W D g ASSESSORPARCEL NUMBER ZONING BUILDING PERMIT OWNER — • TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 95965 CON,FtI`Vne r NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONfTROUnTIeON LEVDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee 545 19$ ;n ARC979 l oneR ENGINEER 1 LICENSE NO. Plan Checking Fee $ ' 177 10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ IL recicenridge Court, BC PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome ❑ XOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other MX Describework: Perm Fdn (exist MH) 26 X56 PERMIT FEE 1$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO I000A ) 46.00 NEW CONST. DWELLING OCCUP. SO, OR ADDNS. ( & ACC. BLOS. ) 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underP Provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification &I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-flESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) &SINGLEOUTIETCIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIX ED APPwS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou in copse nce of the granting of this permit. X Date Sig a ure of Ap llcant wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 469.60 HAZ D. FEES I IMP F10 r� CDF � PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ByeEAMTM D to PERMIT EXPIRES ON 7�& 9.s" (Dire) 162407 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • s COUNTY OF BUTTE - DEPARTMENTOF DEVO?MENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 . j PERMIT APPLICATION DATA SHEET OWNER Arm C ei)�a V'�_S O n i '� A. P. No. Q� ( + "(�d -a�z Proposed Building Use Arm i` Building Inspector KM Date / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1, All items have been submitted. 2. 3. 4. 5. 6. 7. 9. 10. 11. 12. 13. 14. 15. 16. 17. 1& 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. Plot plans, 3/4 sets, signed by preparer of plan`s. ........' ................. Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............. f............................... Energy Design Compliance and supporting,documentation. .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. ... . Pre -Inspection request- Pre -inspection for required. .. to Building inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _)............ Recorded copy of Agricultural Acknowledgement Statement . ................. . Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ........................................ . Mobilehome utility clearance . .......................................... Documentation of legal access. ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ........................................ WheP you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 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 permit issuance: (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 Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE Department of Developiient Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed:. Prope Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.. COUNTY OF BUTTE s BUILDING 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 t f CORRECTION NOTICE i ✓i 4 r1ln PERMIT NO. A routing inspection indicates 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, Date A1124rl 4,fZ Inspector - .11&0 -REV 10/9 , AND WHEN RECORDED UK M: WK BUILDING DIVISION 7 COUNTY CENTER DRIVE ASTWT s OROVILLE .CA.95965 arv. STATE, Md a (94-018350 94-018350 194-018350 94'-018350' I Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 10:17am 26 -Apr -94 I 1� Rec Fee Total .F4. COMS NOTICE OF MANUFACTURED -HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION 'SYSTEM .00 .00 I XX 21 Recording of this document al the request of the locai 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 oil per- sons thereafter. dealing with the real property. BRUCE DAVIDSON REAL PROPERTY OWNER/LESSOR P. 0. BOX 1455 MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 55 BRECKENRIDGE COURT INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK, BUTTE, CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 94-0881 (916) 538-7541 BUILDING PEEN., / E LEPHONE NUMBER 4/25/94 SIGNATURE OF LOCAL AGENQI'OFFICIAL DATE NONE DEALER NAME (If not a dealer sale, write "NONE") DEALER LICENSE NO. UNIT DESCRIPTION CHAMPION 2/1/92 673-C MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 992-673-3287 26'X56' RAD624296/624291 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A • P • #061-460-006 SEE ATTACHED LEGAL DESCRIPTION. ENT Os & Q' - ��""' HCD FORM 433(A) 4/86 C0 GRANT DEED FORA VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JOHN FREEMAN hereby GRANT(S) to BRUCE W. DAVIDSON, an unmarried man the real property in the City of Unincorporated area, , County of Butte State of California, described as PARCEL.I: Parcel 4, as shown on that certain Map recorded in -the office of the Recorder of the County of Butte, State of California, on August 24,•1979,.in Book 73 of Maps, at page 2. PARCEL II: A non-exclusive public easement for ingress, egress and public.utilities over Breckenridge Court, as shown on that certain Map recorded.in the office of the Recorder of the County of Butte, State of California, on August 24, 1979, in Book 73 of Maps, at page 2. ...- :;`may_ ------ y----- --- t C"" T AT r CCU C' B btAA1T Na94-0881 Address or location of 55 BRECKENRIDGE CT. BERRY CREE ww Legal Description of A.P. #061-460-006. Real Property - SEE ATTAHED LEGAL DESCRIPTION. A 7—..Mobilehome/Manufactured Home D Commercial Coach has, been affixed to t:-.= real=property described above by installation on a foundation system pursuant t.. - Health and Safety Code Section 18551. BRUCE DAVIDSON Owner's name: P 0 BOX 1455, OROVILLE, CA 95965 Owner's address: INSIGNIA OR HUD NUMBER: RAD624296/624297 SERIAL NUMBER OR V.I.N. 992-673-3287 MANUiAQURER'S 'NAME CHAMPI (GMas Apwo.-a b.db�en� 612c: nisoi MAw-0rr, G-.' YEAR OF MANUFACTURE: 1992 4/25/94 \ '\T to", (916) 538-7541 ►sca t: ui cl at tioquesi UI: Commonwealth Title & Escrow Co. \Order No. Escrow No. `V10600 Loari No. s WHEN RECORDED MAIL TO: BRUCE DAVIDSON 1628 EL VERANO WAY BELMONT, CA 94002 91-12151 91-012751 ; Rec Fee 5.00 DOC 17.05 Recorded Check 22.05 Official Records County of ; j Butte ; ;Candace J. Grubbs Recorder I _B:OOam: .4.7Apr-91. ; JJ 1 MAIL TAX STATEMENTS T0: DOCUMFMARY TRANSFER TAX ...... Computed on the consideration or value of property conveyed; OR . Computed on the consideration or value leu liens or encumbrance SAME AS STATED ABOVE remains pat time of sale. ignature of Declarant or Agent d rmininp tax — F Irm Name AP 061-46-0-006-0 COMMONWEALTH TITLE & CROW COMPANY GRANT DEED FORA VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JOHN FREEMAN hereby GRANT(S) to .I . BRUCE W. DAVIDSON, an unmarried man the real property in the City of Unincorporated area, / County of Butte State of California, described as PARCEL I: Parcel 4, as shown on that certain Map recorded in the office of the Recorder of the County of Butte, State of California, on August 24,"1979, in Book 73 of Maps, at page 2. PARCEL II: A non-exclusive public easement for ingress, egress and public utilities over Breckenridge Court, as shown on that certain Map recorded. in the office of the Recorder of the County of Butte, State of California, on August 24, 1979,.in Book 73 of Maps, at page 2. } k }r 1 ' r JOHN FREEMAN STATE OF CALIFORNIA COUNTY OF Butte I On An—ri 1 2- 199— before me, the undersigned a. Notary PublioIna d for:seiQ State, per .� 'John. Freeman1.: `a'. sonally appeared — ■ personally known to me. for proved to me on the basis of satisfactory STEVE SEXTON a evidence) to be the persons) whose name(s),Is/are subscribed to the NOTARY PUBLIC -CALIFORNIA . e • Butte County ■ within Instrument and acknowledged to me that he/she/they executed 48 MY Commission Expires Sept. 10, 1993 ■ the same. ' �■■■e■■ieoia■e•st■o■aats■■i® WITNESS my hand 7anicial seal. . (This area for official notarial seal) Slgnatur Formates MAIL TAX STATEMENTS AS DIRECTED ABOVE END OF DOCUMENT 17-10 Fui'llu River Blvd. 3130 Espluncid ;;`-:0 /> nIolope it 1'449002&ov1lle:- CA 95965 Chico, CA 95926 I:cd Muff, (;.\ ;; `i:'.:: Marysville, CA 9!�0J1 (916),53`3=1403 (916)•343-5611 (916) 527-9497 j916) 741.3813 HCD # 91235 Y Contractor's License # 261905 NOTICE:THIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT PURCHASER: 04 W DATE: ADDRESS: PHONE - CITY: uiiv STATE:93/Z • ZIP: 47 AALESPERSON: va Subject to the temrs and tondlNons s " • on both aldist'of.* agrwment Seller'agrws to sell and Purchaser agrees to purchase the following MFQ/MBL Homes MAKE.- MODEL i r k rrt r ' B. ROOMS a- APPROX, (NOT INCL TOW BAR/EAVES I NEW f SITUS 6 W �� ❑ USED • SERIAL NUMBER . , ! , APPROX. DEL. DATE t u%. *" ^t' + r HUD OR HCD NO. + t. DT. OF MFG. GA.W 1 - THE COST OF THE MFD./MBL. HOME INCLUDES THE ED ES FOR THESE ITEMS. ' ,;, 6q. F•T. LIVING AREA MFD. HOME PRICE a ow1BAR,r QWHEELS,_$eJV EEL muss,$�GIiREs, glxLEs �y-, s -S ITEMIZED ACCESSORIES AND THEIR COSTS:'USED HOME SALES TAX IF ANY OST SOLD PRIOR TO 7/1/80) $ «voa, K �u,r --=-h a,�w,s,)w'rc•> ;,,+. t ,t• ''- -- ------ -- - -- -• --- ---- --- -� V �ac� (i',.. r�Zast�...s +tai �s ���;���u��C_`£�t��f '���-,-rCr__ed C �i� �,_f/l�e�v� d-- i�ft�.�.�►` _ ---- -_---- 01 DESCRIPTION OF r TOTAL ADDITIONS $ _7 e G - KE MODEL BEDROOMS TAL MFG. HOME & ADDITIONS: $ 4eZ 7� TITLE NO. SERIAL NO. COLO SALES TAX (ITEMS NOT INTEGRAL TO HOME) $ .r FOUNDATION. SYSTEM $ /vQ ,�• DELIVERY.,,'- $ ,I - AMOUNT OWING COUNT NO. TO WHOM: /PHONE MCD FEES -. ' .,; $ Q VENTILATION IMPROVEMENT -NEW ONLY 1 HAVE RECEIVED VENTILATION IMPROVEMENT INFORMATION FOR INSURANCE PREMIUM, ,Is lt�/�1'/'0 �`fIP/U�`/.•$ �— THIS MFD./MBL. HOME. ESCROW, FEES ,,;' • I ;,l;;,a - $ BUYER'S SIGNATURE SCHOOL FEES. % ef/ed•�•'ty-.Amis OCOn&C-r $ ' $ --- THE MANUFACTURER STATES THAT INSULATION HAS BEEN INSTALLED IN THIS HOME AS FOLLOWS: (NEW ONLY) DOGj;FEE (NpT AfGOVERNMENTA' CHARGE) TYPE THICKNESS 'R' FACTOR 1. TOTAL .CASH PRISE ROOF 2 Z ALLOWANCE ON TRADE-IN , $ --o — LESS BAL DUE ABOVE • $"' �: � _°$,�- - .. ••a -a., f' •"� d•, Lt .. t l : t! : " s .; . PAID HEREWITH r ;' : ; $ EXTERIOR WALLS FLOOR'NET-ALLOWANCE INSURANCE REQUEST Purchaser requests the following insurance through-#lh seller and understands that insurance will not be in force unpl p b e insurance carrier. �5 ?- CASH BEFORE DEL -, r • $ ar ?� " f WARNING—Unless a charge is included ` ; Is�Ag�reArnsnt for Public Liability DESIGNATED DEPOSIT,,� is not provided or Property Damage Insurance, Payment 1c;;#97 by this agreement s• (INC. IN ON. PMT). , ' r PURCHASER: �i V 3 F"I" Z. LESS BUYERS DOWN PAYMENT $ C, INSURAN! I� � 3. UNPAID BAL. ON CASH SALES PRICE $ -gyp 4. FINANCE CHARGE $ S. ANNUAL PERCENTAGE RATE /o 6. TOTAL PAYMENT AMOUNT (3+4) $ ? 7. UNPAID BALANCE DUE PRIOR TO DEL. $ TYPE LIMIT Moll$ TYPE + LIMIT -M $ TYPE LIMIT TF 61A 9 FJ n F$ P. H NOTICE: NO PERSON IS REQUIRED A NDITION , PRECEDENT TO FINANCING THE PURCHASE O r AN FACTURE Met TO •8.•-TOTAL=DEFERRED PAYMENT PRICE (2+6) $ I W PURCHASE INSURANCE THROUGH PA I�UPURCHASE INSURANCE THROUGH PA I U` R I C } ''(-- AGENT OR BROKER.. 'PAYABLE AS FOLLOWS �" �, , ,� - f•(sir a ,4? 5,QEALERCER1J6I F^ a r T z�.> �..• at .. r INSTALLATION CONTRA r: NAM�. BUSINESS ADDRESSa ", p 1 e et• In the event the manufactured home cannot be delivered 'and/or' inspection completed r; R x , ' 1 within the agreed delivery time due to nonperformance by the buyer, buyer agrees to CITY . ti%•+°�`r - _ +. y . one of the following at the option of seller, either (1) to pay $ /J._ A Contractor is required by law to be licensed and regulated by the charges per day until a manufactured home installation acceptance or certificate of occupancy is obtained in addition to all other consideration owing or (2) pay the sum Contractors State License Board; P.O. Box 26000 Sacramento, CA 95827. Of $ in lieu of total consideration. •D0 NOT SIGN -THE PURCHASE AGREEMENT BEFORE YOU READ IT - OR IF ITCONTAINSANY BLANK SPACES TO BE FILLED IN. (B) YOU.ARE ENTITLED TO A -COMPLETELY FILLED-IN COPY OF THAT AGREEMENT AND, IF PURCHASING A MANUFACTURED/MOBILE `HOME' COVERED' BY'A WARRANTY, A COPY OF THE WARRANTY. Complaints concerning the purchase of a manufactured/ mobile home shall be referred to the dealer. If it is not resolved, the complaint may be referred to the Department of Housing and Community Development, Division of Codes and Standards, Occupational Licensing, Post Office Box 31, Sacramento, California 95812-0031 basis for (telephone (800) 952-5276). A failure to disclose pursuant to this section shall not be the recission of a conditional sale contract. The Manufactured Ho that I e pur g will'be used a a residence. I further certify that I understand that if subject Manufactured Home is used for any purpose other than side I I a e liable, to�heoard of Equalization, for the tax measured by the amount excluded pursuant to this certificate. __//. DATE T! I� PURCHASER ` ' RECEIPT dF A FI ED -IN COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY PURCHASER Used or resale manufactured hofnes are stild 'as is here is with all faults- and are sold Purchaser certifies that he is of legal age, and agrees to sign a Security Agreement without guarantee or warranty of whatsoever kind or nature, except as otherwise set accordingtothe terms herein.In the eventpayoff figures on a trade-in toward the purchase forth in writing. of a Manufactured or Mobile Home are more than quoted by the Purchaser, the Purchaser The Purchase Order is subject to credit approval and is not binding unless signed by an hereby agrees to pay this excess on demand. authorized representative of seller. ALL TERMS AND CONDITIONS SET FORTH ON THE REVERSE OF THIS AGREEMENZ INCORP EE HEREIN A ARE FULLY ' APPLICA AS THOSE SET FORTH ON THE FRONT SIDE OF THIS AGREEMENT. SELLER: PURCHASER: SE 01 PURCHASER: ' Th 9gr� AUfHORIZ E DFDEALE i f 6 r�.,i a: 1 _ r�,, -... ,`` PuMishad by Barry D. Wlrittlasev ublicatirxu , --ti .t& L., _ • , BY --5255:0 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Codi requires this acknowledgement be recorded prior to issuance of a building permit. The prcperty described herein is adjacent 91-052530 1 Rec Fee to land or included within an area zoned I Cash Recorded for agricultural purposes, and residents Official Records I of this property may be subject to incon- County of veniencesor discomfort arising from the But Butte t use of agricultural chemicals, including, Candace Grubbs I but not limited to herbicides, pesticides, and fertilizers; and from the pursuit Recorder of agricultural operations including, 9:29am 23 -Dec -91 I but not limited to cultivation, plowing, spraying, pruning, and harvesting which XX 5.00 5.00 1 occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that .r_edl :property, situate in the County of Butte, State of California, described as 'follows: ALL THAT CERTAIN REAL PROPERTY SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL 1: PARCEL 4 AS SHOWN ON THAT CERTAIN, PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER ON THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 24, 1979, IN BOOK 73 OF MAPS, AT PAGE(S) 2. f RESERVING THEREFROM A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER BRECKENRIDGE COURT AS SHOW ON PARCEL MAP. PARCEL II: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER BRECKENRIDGE COURT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF ` CALIFORNIA, ON AUGUST 24, 1979, IN BOOK 73 OF MAPS, AT PAGE(S) 2. 12/11/91 a� Date :w. BARBARA EDGAR 6 PROPERTY OWNERS: [;: r Pn NOTARY P LIButte Q AL4FORNIA ty ® State of ) SS. County of ) CERTIF TO A -i rc�� AND R CT COPY Commonw Ith Title and Escrow C o Butte County On this the 11th day of December , 19 91 , before me, the undersigned Notary.Public, personally appeared Bruce W. Davidson F] Personally known to me. E] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Yublic END OF DOCUMENT 0 � ? s ? - I e OJ o41. 0".,. Q4-0 r d RESIDENTIAL 061-46-0-006 , 91-4255 l DAVIDSON, BRUCE ` �i CONTR: UNKNOWN 55 BRECKENRIDGE CT, BERRY CREEK MH UTIL 'f P12- OFFICE l2 OFFICE COPY Address i tiDate ELECTRIC Meter BY Date -Q,2 JOB FINALED (Date) Signature Z MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0.1/1 Address or location of mobi lehome Owner's name 1'6. eg ne r l S n h Owner's address Insignia or hud n Manufacturer's name l �Gt<:..".7�0 r�✓i Serial number of V.I.N. 9y.1 - 93--325 Year of manufacture icial Approving Installation) I / (Date IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. ' . COUNTY OF BUTTE DEPARTMENT "OFPUBLIC WORKS 1469 Humboldt Road,' Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (91.6) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates 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, please contact this office immediately. j�i� l />/Yf�N /NCn�e-G7e� Date 3 // !L Inspector REV 11/91 - - '�`-^w ,:.:--1-« � •^n=�`37""''-.�'fi3Y."� _ �._ � . `•J��„� �.:_y�.�*.- ,” { ;�^'"7"'.i �"+?�"'e..+T-a ��'`,+-'rr' r. ? COUNTY OF BUTTE _S • DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 • 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 y CORRECTION NOTICE ..: O (I ass o PERMIT N0. .i A routine inspection indicates that the following violations of County Ordinance y exist at the above address and should be corrected. Please notify this office 'x when correction of work is completed. If you have any question pertaining to this? matteror need additional explanation, please contact this office immediately., ^ • ' L '. / `"gra. Date /2-' ZG ' 9/ Inspector /y '" COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road; Chico, CA - (91 d-,) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916)8716307 1t CORRECTION NOTICE CUI�.iSnh !JZ_ `/215-4 OWNER PERMIT NO. A routine inspection indicates 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 -11 you have any questions pertaining to this matter,'or need_ additional explanation, please contact this office immediately." 1H+11./M ui eon 0 12115 L DY '�o�-G!. 5 Sic. Date 3 /J"Z Inspector REV 11/99 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except #'s nt. 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 -Bloc kouts-Wra pped 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 #'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 --Date Card B-1 Date Card B-1 -=------------------ --------- ------------- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection - ------------------------------------- --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -- ----------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ------------------- 26. ----------- 26. 'Equip Ground made'up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------- ---=------------------------ 28. Subfeed Wire Size 1 ! ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At ------------------------------------------------------- ------------------------------- 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 -Meth. Equip. - ----------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------- --- - ---------------- 33. Smoke Detector - ---------------------------------------------------------------------------------- Date Card'B-1 Date Card -B- 1 Date Card B -t Date Card B-1 Date MECHANICAL (Permit) OK except u's 34. A.C. Ducts Insulation & Support ------------ ------------------------------------------------------------------ 35. Vent Fan. Exhaust above insulation --------- ----------------------------------------------------------- 36 Condensate Drain & Overflow; Size & Grade ----------------------- ------------------------- 37. --------------------37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- ----- ---------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card -B-1 --- ------------------_B- --- -------------- ------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- ----------------------------------- ------------------------- ------------- 40. -Walls -Studs --Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ---------------------------------------------------------------- ---------- 42. Draft -=- Stop -in--Walls- (rat proof) ----------------------------------------------------- -------- 43. Fire -Stops. Furred Ceilings -Stairs -Chases -Tub ------- -.------------------------------------------------- 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) Date' FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rtng. 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. Properly 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 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 -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. 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 -Meth. Protection --------------- 75. Plb. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck 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. Stucco: Brown -Finish ------------- --- 82. 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 Date Card B -t ------------------------------------------ -- - Date Card B-1 Date Card B-1 ----------------------------- Date Card B-1 Date Card B-1 Comments at Final: J=OK ,r + O=Not OK Not = Not Ready, MOBILE HOMES Date .MOB E HOME UTILITIES (Plans) OK except If's . e'T1,Z9Ring Requirements -Setbacks -Easements .Soils; Special MH Support Sketch Sgw@r; Location -Test -Fall -C/O Concrete !Water; Location -Test -Easement Needed (Sketch) L,,57 -Electricity; Location-Clearences-Grnd Amp -Concrete 6. GasLoca ' a-J.esL-_Wrap.:. /"L"ft. , ! / /"Nat. or/ /"L"ft./ /"LPG �C. S 7 el!_Clearance & Disconnect tility Clearance Date 2 -6 -qt Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOB!JE HOME INSTALLATION (Plans) OK except O's Zo 'ng Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line --5. 6dS—MPrT'est-Demand-Valve—Connector Electicity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector Ater; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8. G,esstd Electricity Tagged Exits; Insp.-Sketch Cert. of Occupancy Date3•//•9ZCard B-1� Date Card B-1 Date Card B-1 Date Card B-1 f, P_ P 62_42q 6 /17-7 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except tf'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 i 4 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except q'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 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 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 OWNER PERMIT MH UTIL.CLE,A,RRANCE DATE 26 INSPECTOR�_f� ELECTRIC GAS Support. Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YESI NO YES NO 2 00 C� �� COUNTY -'OF BUTTE - DEPARTMENT OF PUBLIC WORKS (JE7, MIT N0. 7 County Center Drive - Oroville, California 95065 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 061-460-006 ZONING Int BUILDING PERMIT OWNER BRUCE DAVIDSON (415) TELEPHONE 508-90+6 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1628 ELVERANO WAY BELMONT CA 94002 CONTRACTOR'S NAME UNKNOWN TEL PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OREENGINEER NON LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADCRESSS BRECKENRIDGE CT BERRY CREEK Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel[] Utilities InstalI ti n her ❑ ffiDescribe work: G. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS SS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.81 NEW CONST.OR ACDNS. ( ACC. SLOGS. // 3.6Qsq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. Ex. Occup. OUTLETS (RESID,)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin g '15.00 Permit Fee $ — 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. IX I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation d I I 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou ty inc nsequence of the granting of this permit. XDate �y �� Signature of Applicant — Owner Contractor ❑ Agent El An OSHApermit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee Energy P $ OCC CONST TYPE TOTAL FEE $ 105.00 HA2 DFEES I IMP FLOOD — CDF PAR PD Iss This permit is hereby issued under the of the Butte Cou y Code and/or work indicbo or which fees OF PUBLIC PE MIT EXPIRES Date applicable provi- resolutions to do do have been paid. WORK `By ate Receipt No. 103548 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT 9,F�.PAJBLIC WORKS - BUILDING DIVISION y , 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 A PERMIT APPATION DATA SHEET Permit No. OWNER ru CC Af ti A. P, o. Q Proposed Building Use Building Inspector Date t - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED' ; 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. eMngineered truss details and layout in duplicate (required prior to plan check) obilehome installation data including manufacturer's installation Instructions ................. 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 012. ark pa ......................... ` rc) 1�;©h ids. School District fees paid .............. oZ 4. Sanitation approval from Health Department 15. City of Chico plumbing permit .................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. c rded copy of Agricultural Acknowledgment Statement ......... 5. a er f signat uthoriz on ' 1,71 0 ! r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant44a,141 .Date Copy of ! .az-Mat form sent Health Dept. Fire Dept. —fir Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be sub t p I to ermit issuance: (Circle new item -not checked above). 1. Index permit for above item N . 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---inail_coun r by ,date Contractor, designer, owner, was advised of above required data by—phone,—mall cou ter by date Plans checked byDate Pans approved by_�W Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER ) r �z C G- 40,v' d O v'1 A. P. NO._ PROPOSED BUILDING USE !` DATE REC. # DATE REC 1/ 1. School DistrictFees 0r1-- 4h; a;I �jS (paid at District Office) V--""2. Sheriff Fees (paid at Building Department) Residential ......... X =$ unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees, (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees „(paid at District Office) „ ........................ 5. Drainage District Fees (Contact Land Development) ......................... 5: Other 7. Other At time of permit application, I was advised" the above fees are required to be paid prior to issuance of the permit. e DDT TTC I / I .- �.: C:��1T DAR__ � L COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. Callfbrnla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT A$SESBOR PARCF�L _NUMB ©� { ZONING BUILDING PERMIT OW R % rk Ci L 1 TELEPHO E 0 � 0 SO. FT. OCC. BUILDING VALUATION OWNEIj'�M AILI G ADDRESS IIQ/o/ //aa�t (((C��i�YY 1/& �I moor CO RA TOR'S AME U/ TELEPHONE CON ACTOR'S MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN a Total Valuation $ Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ A9 Ener Plan Checking Energy g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS � Penalty $ BUILDING ADDRESS ✓� «' n r (� f Permit fee $ C/ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome2f Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel / Utilities ❑ Installationg Other ❑ Describe work:( rr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR ESS 200AORLESS 18.50 Main service 20GATO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p J y (check one): ❑NON-RESIO I am licensed. under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my_ license is in full force and effect. License No. Classification ❑Ex. 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 CONST. DWELLING OCCUP.y\ OR AODNS. ACC. SLOGS. // 3.60 sq.ft. NEW CONSTR. MUCTI-OUTLET BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 76d FlAt FIXED Occup. OUTLETS PRESID IREAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — 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 Conserv to Seif-insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permlt 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature pp ❑ Contractor ❑ Agent ❑ nature of Applicant - owner _ An 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 FeeS 60, Q Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ JO HAz 1 11 FEES I IMP I FLOOD COF I PARCEL I PO No ISSUE This permit is hereby issued under the sions of the Butte County Code and/or sions work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date . Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, COLO ENROO-APDL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RMIT NO. ASSESSOR PARCEL NUMBER 061-460-006 ZONING ILA 11,0001 BUILDING PERMIT OWNER BRUCE DAVIDSON (415) TELEPHONE 508-9046 s°• FT. occ. BUILDING VALUATION OWNER'S MAILING ADDRESS 1628 ELVERANO WAY BELMONT CA 94002 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20, 00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking Fee 9Y 9 $ Penalty $ BUILDING ADDRESS BRECKENRIDGE CT. BERRY CREEK Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. 4 SUBDIVISION NAME PARCEL MAP 73-2 Water piping 117.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 30,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [n Installation ❑ Other ❑ Describe work: 3 BDRM _ Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS R LESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$POWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen• sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.64sq.1t. NEW CONSTR MULTI -OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APLNS.❑ Ex. Occup. OUTLETS IPRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 19.00 Misc. Wiring g 15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Coolin g Hood 6.50 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C my in consequence of the granting of this permit. � ����.�^' Date J X;� Signature of Applicant — Owner Contractor ❑ Agent An 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $113.50 I HAz DFEES IMP FLOOD — COF I PARC PD HD ISSUE v This permit is hereby issued under the Bions of the Butte County Code and/or work indicated ab ve for w ich fees OR F P BLIC By KIZ PEFWITE PIR Date 1Z•" Z,g7q/Z_ applicable provi- � resolutions to do have been paid. WORKS Date �/ Receipt No. j(L15[LR WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF B.UTTt= DEPARTMENT OFtiF JBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI,LLE,:CALIFORNIA 95965 - TELEPHONE: 916/538-7541 O PERMIT APPLICATION DATA SHEET f 3 Permit No. OWNER rG0C- �41 V ✓, A. P. L4 o. Proposed Building Use �%1'i� ti Building Inspector 111�Date t At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submit 2. Plot plans in duplicate/ riplic d, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. chool Di�trigt fees paid .............. 4. 0 Sanitation approval from ✓by I �/ C_- Health Department' 15 City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... _(�e Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector.' Other Applicant i / i .Date jZA/Cl Copy of !.az-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 permit issuance: (Circle new item not checked above). 1. Index permit for above items No. l 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 _mall—counter by date Plans checked by &u Date Z '1 Plans approved by NO Date _12[231Of Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller Callfdrnla 95 - Telephone: 916.1538-7541 APPLICATWAND PERM PERMIT NO. ASSESSOR PARCEL NUMB 'X - -Jf60 — O (0 ONING BUILDING PERMIT owNY'Uo E v 'c SID TELEPHO SO. FT. OCC. BUILDING VALUATION OWNER'S MAI LIG• ADDRESS CONT A TO S NAME 1\ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS , UCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCM ECT OR ENGINEER Yle LICENSE NO. Plan Checking Fee ,; O, Energy Plan Checking Fee $ AR HIT�ECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP ID - Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home CS)I G(WJ @ 15.00 721570 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti igMLIQ Installation❑ Other E]Permit Describe work: Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 Main service 20CATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one • )• ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OccUP.d) OR ADONS. ACC. SLOGS. I 3.64sq.ft. NON.RESIO R BRANCH CIRCUITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20 76d Ex. OCCU OUTLETS IRESFIXED ID IREA. p• ) � 3.00 -. Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — 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-ITrsure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating • Hood 6.50 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner _ ❑ Agent ❑ g pp ❑ Cs over An OSHA permit is required for excavations over 5'0" deep and demolition or construet- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES Il . HAz 1 0FEES IMP I FLOOD I cDF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. / T WHITE-O.P.W.. YELLOW-A3eE3SOR, PINK -INSPECTOR. GOLD ENROD-APPL I CANT Return to DPW AGRICULTURAL. STAM%ENT OF ,ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code,.• . requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 91-052530 1 Rec Fee 5.00I to land or included within an area zoned Recorded Cash 5. 00 I for agricultural purposes, and residents Official Records I of this property may be subject to incon- County of veniencesor discomfort arising from the Butte But t I use of agricultural chemicals, including, Candace Grubbs but not limited to herbicides, pesticides, ReRe or der Recorder and fertilizers; and from the pursuit I g;29Dec -91 of agricultural operations including, I XX 1 but not limited to cultivation, plowing, -"' - -- - - -- - spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and .odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .property,.,situate. in the County of Butte, State of California, described as follows: ALL THAT CERTAIN REAL:. PROPERTY SITUATED IN -THE STATE OF- CALIFORNIA„ COUNTY OF BUTTE, DESCRIBED AS -FOLLOWS:. , PARCEL 1.: PARCEL 4, AS SHOWN ON THAT CERTAIN, PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER ON THE COUNTY OF BUTTE,, STATE OF CALIFORNIA,.. ON- AUGUST 24, 1979, IN BOOK: 73. OF MAPS, AT PAGE(S) 2.. :'_RESERVING THEREFROM ANON -EXCLUSIVE PUBLIC EASEMENT -FOR INGRESS AND EGRESS AND FOR PUBLIC.UTILITIES-OVER BRECKENRIDGE COURT'AS=SHOW-ON PARCEL MAP. PARCEL I•I: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS -AND EGRESS AND FOR PUBLIC UTILITIES OVER BRECKENRIDGE COURT, AS SHOWN ON THAT`CERTAIN-PARCEL.MAP, RECORDED IN THE OFFICE:OF THE RECORDER OF THS COUNTY"OF BUTTE, STATE'OF CALIFORNIA, ON AUGUST -24,.1979, IN BOOK 73 OF� MAPS, AT' PAGES) 2. ..�____eeeseeeeeeeseetfeeme� Date: 12/11/91 a BARBARA EDGAR PROPERTY' OWN ERS : °. NOTARY PUBLIC-CALJFORNLA L; BuffB Cauriy C7 �e�a®ffs®sraeeesseeesseseeee0. State of ) On this the 11th day of December 19 91 before me, the SS. undersigned Notary.Public, personally appeared County of ) Bruce W.. Davidson --ERTIF TO 84 E] Personally known to me. ® Proved to me on the basis AND R COPY of satisfactory evidence. Commonw Ith Title and to be the person(s) whose name(s) is Escrow Co o Butte County subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary ublic :... � r...Xr.•..p«W..r.,,r...,_.,n�.a :>'` �A«......._.C"n rr.a,_ '. �'yv`j:,..:iir- i` �ah�ffy;�r fR;: y.,.,a;"r+g':,t+,,...�r1�S+'r�.r'`r�,. • „ .�a?"..xr >,Y -,t �"'"7 BUTTE COUNTY SCHOOLS.DEVELOPMENT FEE CERTIFICATION FORM (OneForm per Building) Q�{ "L11(oo�lD g p �. A.P. Number Building Department No. /0/-062, School District f hAiii in' -11 ity " County I'V I Jurisdiction Property Owner Project Location/Address 5 o h� i Subdivision Lot Number Residential Development: Sq. Footage 15 # of Living HI Addition (Group R) Units Commercial/Industrial: New uilding Department Representative 171 ' Sq. Footage Addition (Including Exterior i Roofed Areas) Date (Floor Plans reviewed by School District Personnel) :riot Id No. 9 2 0 4 0 6 School District certifies that (Applicant N ) (Phone umber) eez_lc4--,►- t- li 4 treet Addr ss) A L I- , — (). "Ay City)/ (State) (Zip Code)/, has complied wi the requirements'of Resolution d No. �Q ' 9 by the payment of $ O�, representing quare feet. �. School Dis rict Representative Date PAID BY CHECK NO. 7 REMARKS: BANK NO �' A PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916)538-7 4' AGRICULTURAL BUILDING EXEMPTION PERMI3" PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure desigOed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. '" jj� f� �"- `T� �"" �v ZONING U OWNER &UC �/J PHONE NO. OWNER'S ADDRESS _ �0. AmroV % L LOCATION OF BUILDING N oFon L)&Le hovvt- 1 3�0 USE OF BUILDING 0 SIZE OF STRUCTURE q 0 ��y _ X �' oD SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME 2L STEEL CONCRETE OTHER (Specify) TYPE OF SIDING&J00 ROOF COVE e -� FLOOR TYPE^^�� ESTI&4A EDC�OST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: n/�� /),,_ FRONT SIDES 960 fD 1�71�- REAR 50 yr, Yl�401 L%p AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. P A� Date '113 3 /7� Signature of Owner 4 Permit Fee - $60.00 Receipt No. /56 ,Y-30 The above described AG Building is exempt om a building permit. FLOO I PARYC V1 ROOF G I ISSUE Manager Building Division By 4*;Date ry White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant '�rv-...... �., .. .., ,. .i,K' �•�• v.v.-" .��..•_ at-..-. t..•r'rt•i. ..,....�-.»..,-'T ry.. X, .... -r';,,o �+f.�VTl�... A,,.r •ra nl� .,,.�......+r..,r.. ., , ..-n . ,. Wry.•,,. ,.`.. COUNTY& b&TTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 P RMIT APPLICATION DATA SHEET A OWNER A. P. Proposed Building Use Building Inspector Date T 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, signed 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 details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 3. Flood elevation letter (100 year flood) byy_�California Engineer. Health Departm... . 14. Sanitation and plot plan approval 0A -U ent. ���/. �✓ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pr�4;sp-e-cti-on. r-equ-eV- 20. Pre -inspection for 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 . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other t Parcel Creation Acreage Applicant Date I Copy of Haz-Mat form sent Health Dept. Fire Dept. 'r Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (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 Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works MOBILEHOME SUPPORT DATA If 'other• than single wide, Mobilehome Mfr. �L�►�(��®b� furnish Setup Model No. L Year Width s (ft.) Box Length 60 (£t.) Tagalong 6r Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated,or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block. -12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 2 .10 Line 2 i Main Beams Line 2 , — — — — — Main Beams � Line 2 Line Line 1 - - — — — — — — — — — —..-Line `� } Tag or Triple i.i nP 4 r' Line Line 1 Piers: \ Line 1 Openings: Size -Min------------ „x Size -Min. ----------------=- „X „ v . Spacing -Max. - "------ Each Side of Openings From Ends -Max- ------- r_ With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min - ------------ „x „ Size -Min------------------- ,L. o Spacing -Max.--------- ,_� „ Spacing -Max .--------------- , From Ends -Max.------- From Ends -Max -------------- Line 3 Roof Dads: Size -Min ------------- Location ------------Location (From Front) 1 _� Line 4 Piers: Size -Min .------------ „ Spacing -Max.--------- , From Ends -Max.------- _ •� Line 5 Roof Loads: - Size -Min ------------- ..x ,.x 1.,L- „ nx11 ,L- „ „x „ „x n lox „ .x'P ..I�W-ox-,I 11�?,ox310„I „x ,.I „x ,.I lox 11 „x „ Size -Min .----------------- \ Spacing -M----------- }---=--- •1 From Ends -Max.------------- _ Location (From Front) f iota a�pAasM� • , ®v��D PPRO$4E:D BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS b ki 0 A E 7 County Center Drive, Oroville, V . PHONE: 538-7541; DAUB' �;,'•,, MOBILEHOME INSTALLATION SHEET 1. Owner's Name: t`l C u k O SO Mo 2. Installer's Name: ci'ea'7 aim � S MoLtj+_ I eHoeg- S'evotC �e 3. Is the site currently under permit? Yes No (If yes, furnish permit number `� 5 ) OR Is the site an existing site? Yes No F] (If yes, furnish two plot plans.) 4. Will the mobilehoae be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No 17 (If no, clarify w 5. What is the mobilehome electrical rating? --------------- 1.50 Amps 6. What is the mobilehome site service rating? ------------- � oo Amps 7. What is the mobilehome site circuit breaker rating? ----- /So Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No 17 (If yes, identify the load and size: W d (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- ~ A (in.) 10. What is the type of gas service? ------------------- Natural LPG D 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 4 (BTU) h TO Building Department FRom: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal �_ Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply _ Clearance for bedroom mobile home. Other NOTE * * * rn � :Sanitarian Date To ❑ AM nat1 Time -e ,.UPM WHILE Y U`WERE OUT M r 9 - of Phon ) Mo re Number Extension PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message c Q lam= t, rre?, C� Operator A E A S T M A N v 4C200 00© TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Woe ti- C -a t O E.H. USE ONLY Plat Plan Atuched Plow Plan Athchad Scotto B.D. / caner / Locati-on G/APS Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for —"I-- Other (547W & F (.c/ ' 7W e Final clearance O.K. for: Environmental Health R/92 AND WHEN RECORDED MAIL TO: BUILDING DIVISION 7 COUNTY CENTER DRIVE STREETAos OROVILLE CA 95965 RIES CITY, STATE, MW ZP 9.4 -- 18350 194-018350 1 Rec Fee .00 I Total .00 Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I I10:17am 26 -Apr -94 I COMS XX 2 NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the locoi agency indicated is in accordance with California Heolt!+ and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the »ni t descr ibed hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. BRUCE DAVIDSON BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY P. 0. BOX 1455 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 55 BRECKENRIDGE COURT INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK, BUTTE, CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 94-0881 (916) 538-7541 BUILDING PERMIT N • ONE NUMBER 4/25/94 SIGNATURE OF LOCAL FICIAL DATE NONE DEALER NAME (If not a dealer sale, write "NONE") DEALER LICENSE NO. CHAMPION 2/1/92 673-C MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 992-673-3287 26'X56' RAD624296/624297 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL. DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #061-460-006 SEE ATTACHED LEGAL DESCRIPTION. �oENT OF &0 �•• HCD FORM 433(A) 4/86 c �"� �• caer • '� &,VITYCE r o f _ 9 8-350 GRANT DEED FOR' A •VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JOHN FREEMAN hereby GRANT(S) to •l BRUCE W. DAVIDSON, an unmarried man the real property in the City of Unincorporated area, County of Butte State of California, described as PARCEL I: Parcel 4, as shown on that certain Map recorded in the office of the Recorder of_the County of Butte, State of California, on August 24, 1979,.in Book 73 of Maps, at page 2. PARCEL II: A non-exclusive public easement for ingress, egress and public.utilities over Breckenridge Court, as shown on that certain Map recorded.in the office of the•Recorder of the County of Butte, State of California, on August 24, 1979,.in Book 73 of Maps, .at page 2. _ ;— END OF DOCUMENT ot 1 ~' GYa 17 rq This set of plans and specifications MUST be �;. kept on the job at all times and it is unlawful tc make -any changes or alterations on same with out written. permission from the Department of Public Works, County of Butte. fv� 5 aG in d NOTE. Mc+ericals & Workmanship Shall Be C1 Accordance with Recognized Good Practices and -..� C of a quality prescriaad far tF►eSpecified aeical Codes and ' tV<1 �' Plumbing & M `�V.. '� Uril¢Orni Building, fhe National Electrical Code. cif 5 111 fiSaTRa f;"e PrOPO* lines and aibate of SET � 60 k from the road FPi20v C� cenlAriin�s shaii be clear of CALJ-H -Delpl-. pl_of structures or equipment except pC-A N for a 2 ft. eave overhang. t clew, o�'all eatsemen+s coj;l/c 7.40 BUTTE COUNTY BUILDING DEPARTMENT ��% APP* ROVED e� 24 X 36 PRINTED ON NO. 1000H CLEARPRINT • f��i r t , i i t r i r 1 24 X 36 PRINTED ON ND. 1666H C"PRINr • r J _ 1 24 X 36 PRINTED ON ND. 1666H C"PRINr •