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- 9 92-3146B;•P' ; t .
FELIX;, Manuel
.13080' Hos
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RE I ENTIAL
Y - 92-3146B,P
006-02-0-109
FELIX, Manuel Chico
13080 Hosier Ave,
contra Tom Fisk
k mh on perm fndn
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Dom
` OFFICE COPY
Address
f. GAS
Meter By Datel/yh `
ELECTRIC
Meter By,_ate
JOB FINALED (Date)
Signature
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (%c' =
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 -Bloc kouts-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 ft'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. 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/Mech. Fastners-Bond & Water
- ------------------------------------------Gas-----------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
--------------- ----------------------------------'------------------------
28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! / ga.
Cu or AI
- -----------------------------------------------------
29.
---------------------------29. Range Circ ! 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) OI( except n's
34. A.C. Ducts Insulation & Support
�..
------------ ------ --------------------------------------------------------------
+'r' 35. Vent FanExhaust above insulation
------------------------------------------------------------------------------
! •:'.: 36. Conden.ate Drain & Overflow: Size & Grade
�h------------------------------._...- -
• Furnance-Vent: Access -Comb. Air -Return Air Vent - 15 outlet
-- ----
38. Attic Access & Platform if Furnance in Attic
-------------------------- ------------------------------------------------------
Date Card B-1 Date Card B-1
-- -- --------------- - ----- --- -- ------ --- -- ----- -- - -- --------------------- -- - -------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 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.
---- -------------------------------------------------
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.-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
50.1 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 _ _ Card B-1 Date _ Card B-'1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except 4'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.
--------------------------71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
--------------
73.
------ 73. A.C. Duct in Garage -Damper
74. Wtr. Htf Vents -Clearance -Comb Air-Connector-P.R.V. ,
In Garage: Above Floor -Meth. Protection
------------- Equip.-------------------- - -- -
75. Plb.. Elec. & Mech. 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 C1 No;
Planters--O-Yes ❑ No
--------------------------------------- ----
81. Stucco: Brown -Finish
------- ----------- --------------- ---
82. A.C. Unit: Disconnect, Electrical, Plumbing
----------------------------------------- ---
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing -
----------- -------------------- -- ----
85. Exterior Elec. Trim. G.F.I. Receptacle -Underground
86. Ventilation Throughout House
-----------------------------------
87.
--------------------------------87. Glass Protection
--------------- -----------
88. Corrections from Previous Inspections
----------------------------------
89. Gas Test -Meters Tagged: Gas -Electric
---------------- --------------------- -- -----------
90. Water & Sewer Connected -C/O to Grade -HD Approval
----------------------------------
91. Energy -Compliance -Certificate. -Other Certificates
---------------------------------------
Date
------------------------- Date Card B-1 Date - Card B-1
-- -- - - - ----------------------------- ---
Date Card B-1 Date Card B-1
-------------------------------
Date Card B-1 DateCard B-1
Comments at Final:
' f
V=OK
O = Not OK I
= Not Applicable
Not Ready MOBILE HOMES MISCELLANEOUS
' =
Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
i
1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg.-Rfg.-Bracing
6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
/ /"Nat. or/ /" L"ft./ /"LPG 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
i 10. Roof; Shthg-Roofing
Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card 13-.1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s i
qt�10_2)2 •ming Requirements -Setbacks Easements Date Card B-1 Date Card B-1
=6= . Foot' • gs; Size -Spacing -Marriage Line a Date Card B-1 Date Card B-1
s; MHV65t-Demand-Valve-Connector G Date POOLS (Plans) OK except #'s
C&D<c MH Test-Crossovers-Breakers-Clearanc s 1. Setbacks -Easements
fain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability
*11,01:er; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness
Water and Sewer Connected -C/O to Grade -HD Approval
Dead Men -Lining
8. and Electricity Tagged
4. Elec.; Receptacles and Lighting, Distances-GFI
gw'Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI
of Occupancy 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.
Dat e�O^ --Card B-1 Date lti j�Yard B-1 3 Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
Date Card B-1 14A It Date Card B-1 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
i/ S h •o. l (S P S G r mol x 1
�So ilb,
Fin!. Ol
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Ei
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
31 yi�- 5t
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.
o.cdc2 roR� cess�.,i•r
�y T2*7 e� r ar iia c� r 1
KeQo, RPj m- be, s--4 /-11, rr.,y
I'D Vie
-39--)5411
Date (�1' Inspector
REV 11/91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
OWNER
NO.
41
A routine inspection indicates that the following violations of Butte County Ordinances exist at
i
the above address and should be corrected. Please notify this office when correction of work i
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.^
p� 1< l�Crt�wTG Q 74'A%Q 11 G �S'O%/S:
- or 4,5 Gir-ect rgl)C.,5: 0�4i i��cwf i
i� ss�cc v ��_ a_ �•��.�sS l•• t .w_ � .So / 1 S �-e� ate'¢ -'• -
Ft�r PY' a7fiy'L SOt 15
P.dt/. , i S ,r a al �•
-•�—�'°— _ ��"� !il rn �- � O N i .`,.r rw . Gr .,�n "r',1 1. �!i'fi ,'! ri j
D`inti �—�—
Date w —A--- Inspector -
REV 11/81
�Y COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
ER f /I*— ° — PERMIT N
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,cgntact this office immediately. .A A _
Date Inspector
REV 11/91
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Galiforni-a 959,65 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO. ! `
�1.
ASSESSOR 'PARCEL NUMBER
006-020-109
ZONING
ARMH 3
A
BUILDING PERMIT
OWNER
MANUEL FELEX
TELEPHONE
342-1591
,SQ, FT. OCC. BUILDING V LU TION
1344
7 ,57
OWNER'S MAILING ADDRESS 894-8511
13080 HOSLER CHICO 95926
CONTRACTOR'S NAME TC MH SER 633103
TOM FISK
T€ _ P 0
(QJ�,'
CONTRACTOR'S MAILING ADDRESS
813 KERN ST CHICO 95928
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
7 ,
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 238.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 119.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
13080 HOSLER AVE CHICO 95926
Permit fee
$ 372.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
7.00 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 15.00
Mobile Home Is W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: MH PERM FOUNDATIN 3 BDRM EST/SITE _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
Main service 200A TO 1000A)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑NO
I am licensed un(i P.t;pf4vlsions 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-Mobile
ontract-
ors. (Sec. 7044)
❑ I am exempt under Sec. ; Business and Professions Code
for this reason
NEW CONST.OR ADDNS. ( / ACC, BLDGS. DWELLING OCCUP.&)
3.6Qsq.ft.
NEW CONSTR ULT I.OUTLET
N.RESID BRANCH CIRC ITS
@ 5.00
/ POWER APPARATUS e�
\SINGLE OUTLET cIR.
Ex. Occup(OUTLETS OR FIXTURESFIXED
20 76
APLNS.
EX. Occup. OUTLETS P(RESID )REA.)
3.00
Temporary service
15.00
Ho
Mobileome Facilities
H
15.00
Misc. 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.
7� 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
LHood
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 conseque a of th granting of this permit.
X � r v �aAA A -)-a9'— 6 , F Z
Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" dee and emol't' n r4g �-, tr
ion of structures over 3 stories in height. o� (C vy
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONSTTVPE
TOTAL F E $ 4
HAZ
DFEE
IMP FLOo CDF
Rf P
HD Iss
This permit is hereby issued under the
sions of the Butte C my Code and/or
Work in ate o e for h fees
O F P LIC
B
P If EXPI • E ' Date
applicable provi-
�
resolution s to do
have been paid.
WORKS
Date
Receipt No. 122746 149.00 po
WHITE-D.P.W.. FELLOW -ASSESSOR. PINK-INSPEC OR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California; 95965 - Telephone: 916.'538-7541
APPLICATION'AND PERMIT
PERMIT NO.
ASSESS R A CEL BER
�� —0 !�Q
ZONING
y(?i1H
BUILDING PERMIT
OWNER
IA
TELEPHONE
3
SO. FT OCC. BUILDI
G VALUATION
O V YV LF�S'G
J�)�,/�1 /�Jy�� �-�/JI�
DSO R£$5✓ J L e Z_�
Jj••'}- 63
UU
CON 'SUN
3
CONTRACTOR'S MAI ING AD
/
C/
Fireplace
Fireplace
C ST}7U�ION NgS.R
MAILING
UNKNOWN
Total VElluation $
Filing Fee
$ 15.00
LENDER'S ADDRESS
Permit Fee y 76y — Z-"=
$ Q
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 7Znff
,
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILD NG ADDRESS 1 i /
permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
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 OO STRUCTURE
SF ❑ Duplex❑ Mobilehor>7�\� Other
i SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00 x(06
Mob le Home I S G VW 1
@ 15.00 Q
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ut1 itj�s Installation❑ Other ❑
Describe work: ��(�
22 kV-4� �:�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
S /
Main service 20000AAORLESS
2OR LESS
18.5
Main service 200A TO 1000AI
50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. ClassificationAL.
Fl 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.IIi\
OR ADDNS. ACC. BLDGS. /
3.66sq.ft.
NEW CON5TRESID, RANCHUTLET !
NO N•R ESID BRANCH CIRC ILS
la 5.00
POWER APPARA S e
(SINGLE OUTLE CIR.
Ex. Occup(OUTLETS 0514FIXTURES
20 0 75d
PA
Ex. OCCUp. OU TL Ex. IRESID ILN5REA.�
I .3.00
Temporary servic
15.00
Mobile Home F cilities
15.00
Misc. �yirin 9
15.00
Permit ee
$
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.
❑ 1 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
LHood
6.50
I Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 County in consequence of the granting of this permi .
X Date 7/
Signature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required For excavations over '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 $
HA2
0rEES
IMP
I FLOOD
I COF
I PARCLL FD
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.�
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-INSPECT/OR(GOLDENROD-APPLICANT
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District am Building Department . o.
County
A.P. Number C�' Jurisdiction city
Property OwneryAa,,,,'��
Property Location/Address 1 3080
Subdivison
Residential Development IV(
No. of Living MHl
Units
Commercial/Industrial
New
Departme
—Lot No.
= Sq. Footage
Addition (Gioup A)'
= Sq. Footage
Addition
(Floor Plans reviewed by School District Personnel)
Date
District Identification No.
School District certifies that 2Va�XW�
(A'plicant)
p -
(Stieet Address)
1r) .
(City) (State)
has complied with the requirements of Resolution No. 71
representing 3W -square feet.
I
School
If, sub
is
Paid by Check Number
Bank Number
Paid by Cash
to
(Including ExIerior
Roofed Areas)
71,
13 �0? 7i4�' ff If -
(Phone Number) -'
(Zip Code)
by payment of $ &Mxllot
r
I
Date
� 29W."k-,
?presentative signing this Butte County Schools Impact Fee
is notified by the applicable Local Planning Agency that this project
Environmental Quality Act (CEQA), this project may be subject to
- .- f , '. U t.- . - - '.� -7 c-, , - ,
White (applicant), Yellow (building department), Pink (school district)
feeformmkl (4/92)
I/
G'1s 1�t£1i�3���r rick
COUNTY OF BUTTE -DEPARTMENT OF P,JJBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
IV Building Inspector
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
2
3
4
5
6
7
8
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
All items have been submitted.
Plot plans, 3/4 sets, signed by preparer of plans. .....
Complete plans, 3/4 sets, signed by preparer of plans. ...../. Lr.... .
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ......................
EPggineered truss details and layout in duplicate (required prior to plan check). ... .
1VIo ilehom anufa�turer's installation instructions, 2 sets. ...........
Fees of $ ,► -9 U ..............
Impact f s s s own on attached schedule. ...?.... ` ... ...... ..
Cao ornia Department of Forestry plan approval/fees. ....................... .
42lood elevation letter (100 year flood) by California Engineer. .
Senitation and plot plan approval L;OY/ C (9 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). .. . I .
Pre-nspection request
Pre -inspection for required. .. to Building inspector. (Dale)
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 . .......................................... f
Documentation of legal access . ........................................ 1"
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits.
Mail to contractor.
office. Deliver with i
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 C.o. nter by_ Date
Contractor, designer, owner, was advised of above required data by _ phone i?l I C me 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
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
C,Og0lva�N 3 199.
13 0 8 u VLos Q, ",-k G -azo
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for 2 bedroom mobile home. Other ""014a;4-
NOTE-
Sanitarian
r
NOTE
Sanitarian Date
23'
VA h 4 Q) I/'�J �
C -H IV.
B4R
. . ...... .....
1WSb' -O* 44
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
ALT. KITCHE(V
OP
OP
Y
TUA
K I.
... 10 AA
7z
m
CLOUT LIVING ROOM
17'-0'X22'-8'
MASTER
BEDROOM DINING
I q,- o"x 1 1'-0" AREA
OPT. RECESSED
• ENTRY
........... I
ENTRANCE A.
MODEL 35638
2 BEDROOMS, 2 BATHS
APPROX. 1,316 SQ. FT. AppROVED
Butte County EmAronmental
&� 9 - 2,v--9 L
--------- --------
BEDROOM
j
BEDROOM
12'-0"X11'-0"
Ili
OPT. FRONT
WINDOWS
nOOD.
BY FLEMWOOD.
SW/17/MAY88
-------------------
S
w�Lt-
a
� J4 5 ,Tarn K
a _ viueY
N pole .. Q
APPROVED
Butte County Environmental Health t
v ✓
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI"LLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER-�/� / A.P. NO .
PROPOSED BUTT DING USE DATE A,-/9
REC. DATE REC
School Distric Fees
(paid at District Office)
2. Sheriff Fees
(paid at Building Department)
Residential .... X =$
unit amt.
Commercial(per sq.ft.) X =$
,,¢ sq.ft.
� 3. Urban Area Fees
(paid at Building Department
Residential (per unit) X =$
ir units amt.
Commerical(per sq.ft.) X =$
sq.ft. amt.
&e4. Recreation Dist:i.ct'Fees
(paid at District Office) ..........................
5. Drainage District Fees
(Contac Land Development) .........................
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance,of the permit.
APPLICANT
,d DATE
October 13, 1992
Job Number 92327T
Mr. Tom Fisk
TC Mobile Home Service
813 Kern Street
Chico, CA 95928
Subject: Proposed Mobile Home
13080 Hosler Street
Chico,.. California
Dear . Tom:
LRA ENGINEERING
3235 SUNRISE BLVD., SUITE #5
RANCHO CORDOVA, CA 95742
PHONE: 916/631-4455
It is proposed to place a mobile home at 13080 Hosler Street, Chico, California.
The foundation has been placed. Per your request, observations were made at
the site. The foundation soils are clay soils that have potential volume changes
with variations in moisture content. Therefore, screwjack supports should be used
in order to relevel the home whenever it is necessary due to the potential
expansive soils. Once the landscaping has been established, it is anticipated that
releveling will be minimal.
Very truly yours,
LRA ENGINEERING
Ahmad Badie, PXb., C.E.
Vice President
AB:laj
lab\92327t.1tr j
aGUrv�/Z /,��,�G[�'� • ATG s
/�SP�cT
Sacramento
91 Gi 929- I)2G
Walnut QUO*
6 10/043 0 733
c4;co
9 16/89 1 -6304
Santa tiuz
408/461.9417
Not Allo
Id3a ONImin9
aune do uanoo
2
Lt- 11, It
ot JA
October 13, 1992
Job Number 92327T
Mr. Tom Fisk
TCMobile Home Service
813 Kern Street
Chico, CA 95928
Subject: Proposed Mobile Home
13080 Hosler Street
Chico,. California
Dear Tom:
LRA ENGINEERING
3235 SUNRISE BLVD., SUITE #5
RANCHO CORDOVA, CA 95742
PHONE: 916/631-4455
It is proposed to place a mobile home at 13080 Hosler Street, Chico, California.
The foundation has been placed. Per your request, observations were made at
the site. The foundation soils are clay soils that have potential volume changes
with variations in moisture content. Therefore, screwjack supports should be used
in order to relevel the home whenever it is necessary due to the potential
expansive soils. Once the landscaping has been established, it is anticipated that
releveling will be minimal.
2 //
AB:laj
lab\92327t.1tr
Very truly yours,
LRA ENGINEERING
Ahmad Badie, PHb., C.E.
Vice President
BUTTE COUNTY
BUILDING DEPARTMENT
Sacrainanto Walnut (Ju ch/ca
91Gl929-WIG 7 51UiU43 G733 916/891 63114
Santa Cam
4UH14ti1.9417
AND WHEN RECORDED MAIL TO:
WW BUILDING DIVISION
7 COUNTY CENTER DRIVE
STRITT
ADDRESS OROVILLE CA 95965
CITY,
STATE.
and a
192-53460
92-0534601 Total
I
Recorded I
Official Records I
County of I
Butte I
M
Candace J. Grubbs I
Recorder I
1:33ptn, 20 -Nov -92 I C�OMS XX,I 1
NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the locai agency indicated is in accordance with California 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 per-
sons thereafter dealing with the real property.
MANUEL FELIX AND SUE BOHEMAN BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
13080 HOSLER AVENUE 7 COUNTY CENTER DRIVE
MAILING ADDRESS MAILING ADDRESS
CHICO, BUTTE, CA 95926 OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP
SAME 92-3146 (916) 538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENTDIN IT NO- TELEPHONE NUMBER
9 11/19/92
CITY COUNTY STATE ZIP
N TORE OF LOCAL AGE FICIAL DATE
SAME NONE
UNIT OWNER (If also property owner, write "SAME")
MAILING ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
DEALER NAME (If not a dealer sale, write "NONE")
DEALER LICENSE NO.
FLEETWOOD 1989 SANDALWOOD 3563B
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
CAFLK17A&B10839SW 24 X 56 RAD 512639/512640
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #006-02-0-109
THE SOUTH ONE-HALF OF THE NORTH ONE-HALF OF LOT 16, ACCORDING TO THAT CERTAIN MAP
ENTITLED, "HOSLER TRACT, NEAR CHICO, BUTTE COUNTY, STATE OF CALIFORNIA," WHICH MAP
WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
MAY 9, 1913 IN BOOK 7 OF MAPS, AT PAGE 6. EXCEPTING THEREFROM THE WESTERLY 50 FEET
OF LOT 16, HERETOFORE CONVEYED TO THE COUNTY OF BUTTE, STATE OF CALIFORNIA.
HCD FORM 433(A) 4/86
LEND OF DOCUMENT
AND WHEN RECORDED MAIL TO:
WK BUILDING DIVISION
7 COUNTY CENTER DRIVE
STMET OROVILLE CA 95965
ADDRESS
C1Ty.
STATE,
awd ZtP
-42-0534�U 1 92-053460
92r,
-`053(40 -1
Recorded: 1 '
Official Rtspnards I
..;County of' 1
•Candsce J. Zrubbcv I
Recorder 1
l s 33ptaa 20-Rov-92 I
SPACE ABOVE TM
Total
I
92-053460.'
,
`'"CONS `. � ,:�{� � •.1,.;
:CORDER 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 Heald,. and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the Ifni t described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed
by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per-
sons thereafter dealing with the real property.
MANUEL FF.LTX AND SUR BOHEMAN
REAL PROPERTY OWNER/LESSOR
13080 HOSLER AVENUE
MAILING ADDRESS
CHICO, BUTTE, CA 95926
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (If also property owner, write "SAME")
BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
92-3146 (916) 538-7541
BUILDING P RMIT NO. TELEPHONE NUMBER
11/19/92
SI0hI`ATURE OF LOCAL AGENCY OFFICIAL DATE
DEALER NAME (If not a dealer sale, write "NONE")
MAILING ADDRESS DEALER LICENSE NO.
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
FLEETWOOD 1989 SANDALWOOD 3563B
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
CAFLK17A&B10839SW 24 X 56 RAD 512639/512640
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #006-02-0-109
THE SOUTH ONE-HALF OF THE NORTH ONE-HALF OF LOT 16, ACCORDING TO THAT CERTAIN MAP
ENTITLED, "HOSLER TRACT, NEAR CHICO, BUTTE COUNTY, STATE OF CALIFORNIA," WHICH MAP
WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
MAY 9, 1913 IN BOOK 7 OF MAPS, AT PAGE 6. EXCEPTING THEREFROM THE WESTERLY 50 FEET
OF LOT 16, HERETOFORE CONVEYED TO THE COUNTY OF BUTTE, STATE OF CALIFORNIA.
0
°az IL
EHl OF h-
HCD FORM 433(A) 4/86
o
o iIIII ,:
C1,
yVHITY pEv
I
Address or Location of
Legal Dascription of
Real Property
C
13080 HOSLER AVE., CHICO
A.P. #006-02-0-109
NO.92-3146
CERTAIN MAP ENTITLED, "HOSLER TRACT, NEAR CHICO, BUTTE COUNTY, STATE
OF CALIFORNIA," WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF
THE COUNTY_OF.BUTTE, STATE OF CALIFORNIA, MAY 9, 1913 IN BOOK 7 OF
MAPS, AT PAGE 6. EXCEPTING THEREFROM THE WESTERLY 50 FEET OF LOT 16
HERETOFORE CONVEYED TO THE COUNTY OF BUTTE, STATE OF CALIFORNIA.
A E-Mobilehome/Manufactured Home E]Commercial Coach has been affixed to the
real property described above by installation on a foundation system pursuant to
Health and Safety Code Section 18551.
Ow+sr's Home: MANUEL FELIX AND SUE BOHEMAN
Owner's address: 13080 HOSLER .AyFi.., CHICO, CA 95926
INSIGNIA OR HUD NUMBER: RAD 512639/512640SERIAL NUMBER OR V.I.N.CAFLKI7A&B10839SW
MANUr-4CTURER'S NAME FLEETWQQL— YEAR OF MANUFACTURE: 1989-
11/19/92
98911/19/92
@ 7 \t: ��� \�
MCO a 1 3C r7/e01
916) 538-7541
M -i
TZA0.5 39
`_I-K ()A is 939 C/VFL�<1%-1fio83a5
�S tae ell. t3-n iris i n2L' r e /l� c+ _Vj i s w pe r` � Vx vt e,+ � U U�c9u �t1 bv� ,
Recarded at the request of
Northwestegn Title Company
---------------------------------•---------•---•----------------•------••...
Return to
OFFICIAL RECORDS
BUTTE COUNTY -CALIF
'44C RTHWESTEf;-CORD1 Lc L: '- Ill
Ma.nuel..E_.. and... Claudia..Ee11,x .................. UEC 14 IO 13 AiI 1976
t:R •--•__...,
c ln._Sears..Port er..B�ea 1tY-•--,---------------------- Loup►: r, l.ul_rloC O U II T Y RECORD
c f
3-�3--fiast..,2�d--S-tree-tom-- �h j,c o-�---�A •-•-------- E
Escrow No. __..18135_-C ..........
18`62
Grant Deed (Joint Tenancy) TRANSFM
MX PAID
For value received -George G. White and Frances White'-
GRANT.__-___. to Manuel E. Felix and Claudia Felix, his wife,
as JOINT TENANTS all that real property situate in the unincorporated area
County of Butte , State of California, described as follows:
The South one-half of the North one-half of Lot 16, according to that certain
Map entitled, "HOSLER TRACT, NEAR CHICO, BUTTE CO., STATE OF CALIFORNIA," which -
Map was filed in the office -of the Recorder of the County of Butte, State of
California, May 9, 1913 in Book 7 of Maps, at page 6. EXCEPTING THEREFROM the
Westerly 50 feet of Lot 16, -.heretofore conveyed to the County of Butte, State
of California.
AP NO. 044-03-0-109-0
0
Send tax statements to Manuel E. and Claudia Felix
1909 Mars Way, Chico, CA 95926
Dated---•--Decembar--194 ........ 19.-76---
( J -
-----------------------------••---•----••••------ =--------...------------
GEORGE G. WHITE FRANCES WHITE
I
STATE OF CALIFORNIA
................................ County of ............ BUT TE...........................................
On ....... Dec.emher.... LO ............................................... 19.16.-..., before me, ----- the --- u-nderaLgried........................ a Notary Public,
in and for said County and State, personally appeared ........... eorge-... ....White...and_.T.ranges--- whl.0..................................................
r�
•.......................................................•--._._......--•----•----.............._...............-•----._......-................_-•-•-----••---•-•---.......--......---...._........----......._................ O
known to me to be the persorrS.......... whose name.q
......... subscribed to the within instrument, and acknowledged to me that .....,eY... executed the some. � O
� V
>�ot OFFICIAL SEAL �...a
DOCUMENTARY TRANSFER TAX $..... 19-,-25 ............... JUSTIN T. SMITH iV
Computed on Full Value of Property Conveyed or:® 1 NOTARY PUBLIC - CALIFORNIA
PRINCIPAL OFFICE IN
F] Computed on Full Value Less Leins and s BUTTE COUNTY nom.
Encumbrances Remainin Thereon at Time of Sale. Commis n Expires October 18 1977
------------
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REALSTAT LO"AN COM ITM NT ,I. ETTER 9/2/92
"�Arci ,
SUE
130£0 I10SL R
CHIC00 CA 95926
EXCET 11t�F IGAGE
912 CLA .RK AVE.
YUBA CIM* CA 95991
(916) 674-1100
'BORROWER") I
We pre plewpil to h1form you that your request for a ,v,;t< residential real cAate loan D commercial real astute loan has been approved
as indicated below, iris louer constitutes offer commitment to make this loan to you based on the terms and conditions reflected in this latter.
The note, mortgage aad/ar trust deed nerd all other related loan documents will be art a form suppt;ed by the Leader. Any items
required frorn you must b4 acceptable to the T.cnder. your signat&e on the enclosed copy of this letter Indicates your abccaptunce of the
Lender's terms anti conditions of this real cstatc loan.
AN-10TUNTOF'LOAN: $65,000
TERM; 360 MONTHS
IT-41MESTRA`1 E' o , ;
RE?AYMA tNtSCIT-DV.L.E: 36o p`jt-n'S Q, 12 r)!MTS/YR
COMIvM.-h'1LN]' EXPIRATION DiVrE: lo/z/92
FIRST MORTGAGE AND/OR TRUST DEED ON
PROPERTY LOCATED AT: 130SG ROSLES,
ADIPMONAL SECURITY: CHICO, CA 93926
O1i"1M.R:
LOAN REQUIREMENTS
Ej 11C nate, mortCage and/or trust deed and all other related. (Toler income verification
loan dtmuttwnr -; will be in a rorm supplied by the Leader.
D Deposit($) veriCcation
ED Ro cipt of a commitment for mortgage andk)r trust dcW 600
insumnoe which indicates fee simple title to the Borruwer, free El Balance sheet rand/or profit or lo`s staternct't for the year(s)
and clear of any other liens, unless agreed to by Lender. i_--
Ej Receipt of an Abstract of Titre and related attorney opinion.
FE Rcccipt of a Real Estate Appraisal performed by an appralscr
acccptsblc if) I, ndcr and which establishes a fair market value
of at least $ ?15, 004
El Receipt of a mortgage Survey acceptable to Under
�, Comet financial v at.ement
yj Acceptable written credit ;report
0 Certificate of Good Standing Find Articles of lncn* rporadon
Resolution of Corporation
R=ipt of a non-refundable, commitment ice in the amount of F-] Copy of an executed Parviership Agreement
Certified copy of Ccrtificate of Co•partncrship
!1n [I original copy of an effectivc ex.tcnded fire and hard
insurance policy, which N5 been rutty paid for one, year and which [D Resolution of Fttrtrnexship
insures tic stibiect property for an amount cgw-d w the falr rrar:kbt
value,. The policy must contain a mortgage clatdsc naming the LJ Copy of Assumed Nairne Filing
Under as Mortgagee and/or Loss Faycc at the Lender`s discretion. —
E An El original El copy of a flood hazard insurance policy which
has bion fully paid rot one yeas and which insures the, subject
property for to amount at ]cast equal to the amount of die loan.
The policy must contain a mortgage clause naming the Lender
as Mortgagee road/or Loss Fayre at the Lcndcr's discretion,
C7 Rcai t of an executed copy of this commitment letter within
_days from tho date of this letter or this commitment
Will expire.
,COPY OF C't c)51' QST,�TFY.Fx'T Fnp, 131b4i1 . .
4,76
fit -LEASE OF TAX '1..Ir,L�_ T _
I?AY OFT' $28,Qc)Q 10 1HIr! 1!Lk1DL1jL''VQNS .TI'Enil[;r:
LInir�y TITLE r.5 CLQ`, kja&fit 5
[� t'rivate_ Mortgage Insurance -�
-
t , f Employment verification
The Laurier rescarves the right to revoke this eommitmont at any time if Lender becomes aware of a substantial change inyout ftmcial
conditia' which lender believes would impair your ability to repay this obligation and/or if Lender diseoven that any infosmadon contaitaed
an your loan application 'as untrue, incompicte or incorrect. The Lender will contact you to schedule 4 closing data. At titin tires of closing,
you should Tiring with you
If all conditions of 6%is conimitmerit are not fulfaLed by the Commitment Ewpi+ mon Date;, tf-ds Comnaitmemt temtirar -and expt' - — —
Any questions you may have should be ttirecirtl to BILL :<OEIILF,R I
W ha can be reached at
Excral, ,IGR'fCAGI
ACKNOWLEDGEMENT AND ACC EPTANCR
eoaaowi?- flaROWER
D & D MOBILE HOMES
2735 Esplanade, Site B
Chico, CA 95926
(916) 894-2191
NOTICE:THIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. r'
MANUFACTU ED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMtENT'
URCHASER: -4 1
A
ADDRESS: �^
SubJect to the terms and conditions stated on both sides of this agreement Seller ogress trio
MAK MODEL B. ROOMS APPROX.(NOT INCL.
•TOW BAR/EAVES.)
L W
SERIA N BER - PPROX. HUD OR HCD NO. D
• � DEL - DATE' ` .. • ' y
WHEEL
sell and -P, fthaser agrees to pu
❑_NEW <; -
❑ US ED
f. OF MFG.
3 tREA;- ,NT �i•� > f 3 H' -"/
-j SIP
ESCROW OPENSTKI/OTHER . .. _ .... �.... �...�.r .....r_�. '
-
ITEMIZED ACCESSORIES AND THEIR COSTS: (SEE ADDENDUMS)
USID HOMe snLEs TAX. IF tsT Sola PRVQo to 7 t
_...
y:
o
�J
07
MAKE. , • e JJ s TOTAL ADDITIONS -
• MODEL BEDROOMS '$�
TITLE N
TOTAL MFG. HO E & ADDITIONS: $-
O. SERI L NO. COLOR SALES TA
AMOUNT OWING ((TEMSNOT INTEGRAL TO HOME)
ACCOUNT No. FOUNDATION SYSTEM--
TO WHOM: DELIVERY
ADDRESS/PHONE
SET UP-,.--" + $
VENTIL N IMPROVEMENT -NEW ONLY HCD FEES
I HAVE REC VENTILATION IMPROVEMENT INFORMATIO FOR INSURANCE PREMIUM 40 �p .r. ---..,...t
THIS MFD./MBL. HOME. ESCROW FEES,- � V- � �Q
$;QSD
BUYER'S SIGNATURE N SCHOOL FEES
THE MANUFACTURER STATES TH S ATION BEEN $ ......r...r�
INSTALLED IN THIS HOME AS FOL WS: (NEW LY), OTHER
DOC. FEE (NOTA GOVERNMENTALCHARGE)
TYPE T E 'FACTOR
1. TOTAL CASH PRICE $'
ROOF
EXTERIOR WALLS ALLOWANCE. ON TRADE-IN
FLOOR LESS BAL. DUE ABOVE $
INSURANCE REQUEST NET ALLOWANCE $ r
Purchaser requests the following insurance= PAID HEREWITH•
through the se er and understands •$ •' a
that insurance will not be in force until accepted by a insurance carrier. .' CASH BEFORE DELL'-, $'
WARNING—Unless a charge is included in this Agreem t for Public Uability DESIGNATED DEPOSIT '
or Property Damage Insurance, Payment for ch Co rage is not provided $
by this agre a (INC. IN ON. PMT)
PURCHASER:2 "-LESS BUYERS DOWN PAYMENT $ 4
INSU NC - > 3. UNPAID BAL. ON CASH SALES PRICE $.
TYPE LIMIT R $ 4. FINANCE CHARGE $
TYPE LIMIT T $ 5. ANNUAL PERCENTAGE RATE 1 %
TYPE LIMIT TERM $ 6. TOTAL PAYMENT AMOUNT (3+4) $
NOTICE: NO PERSON IS REQUIRED AS ACONDITION PRECEDENT 7' UNPAID BALANCE DUE PRIOR TO DEL. $
TO FINANCING THE PURCHASE OF A. MANUFACTURED HOME- TO- B. TOTAL DEFERRED PAYMENT PRICE +
PURCHASE INSURANCE TH OUGH A PARTICULAR INSURANCE.. (2 6) $
AGENT OR BROKER.. ' PAYABLE ASOLEbW$
-'THE D LER CERTIFIES THAT THE-
ALLATION CONTRACTOR IS:
LIC; #
_ADDREST, fr.
CITY CA ZIP
A Contractor is required by law to be licensed and regulated by the
Contractors State License Board, P.O. Box 26000 Sacramento, CA 95827.
In the event the manufactured home cannot be delivered 'and/or' inspection completed
within the agreed delivery time due to nonperformance by the buy�uwyeraagtre?eesone of the following at the option of seller; either (1) to pay.$charges per day until a manufactured home installation acceptance
occupancy is obtained in ddition to all other consideration owing or (2) pay the sum
of $ in lieu of total consideration.
�aanGG1Y1G1Yt or-rvtSC TUU Kt:AU.11'. VR1F,11-T CONTAINS AN
Y.BLA1y) -
PACES 7 RE 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, Compiaints
conccrning the purchase of'a manufactured/mobile ilorue shaii be referred to the dealer, if it, is -not resolved, the comp`aint may be rsferred `to'4{re Department'
of Housing,anciCom,muniiy-Development, Division of Codes and. Standards, Occupational Licensing, Post Office Box 3i. Sacramento.' California"95812-0031
(teleph6hik800) 952-5275): A --failure to disclose pursuant'to this section'shall'not be thebasis--for=recissionof�.ponditional sale contract: "
The Manufactured Horne that.l am purchasing will be used as a residence. I further. certify that I understand that if, subject Manufactured Home Is used for aiiy;
purpose of r: t a residence, I may be liable, to the State Boar Qf Equalization; for the tax measured by the amount excluded pursuant to this certificate
PURCHASER
DATE'~'
RECEIPT OFA FILLED-IN COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY PURCHASER
Used or resale manufactured homes are sold "as is here is with all faults" and are sold Purchaser certified 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 event payofffigure
forih in writing. sonafrade=in toward the purchase a Manufactured or Mobile Home ere more thanquotedby thePurcha3er, 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 AGREEMENT ARE INCORPORATED HEREIN AND ARE FULLY
APPLICABLE AS THOSE SET FORTH ON T iETR*ONT;IDE OF THIS AGREEMENT.
SELLER:�� PURCHASER:
SELLER;
PURCHASE -
` / - Q +- DATE: Z 19
AUTHORIZED REPRESENTATIVE OF DEALER
Published by Batry D. Whittlesey Publications
4935 Hentherrlale Ln, • Caintichar;l, CA 55608 • (9 16) 488-1764
fillRfLUiTHRPPRIN'r4/1/91 SELLER'S COPY