HomeMy WebLinkAbout021-131-03621-131-�6
LL
AVIES
630 WesZt`bz* Verty Rd, ridley
Contr: Garlan omes
Le1, MH)
Permit 2:26-88P,E
L
L r
GAS 4-)^7
S SUP
UPPORT STRUCTURE REQ�
C OMP
OMPACTIC)N,,,.TEST'REQ. -v�,d
1-131-36
ContR': Ca — e'��r �,7,MH
Permit��24-88HHI
IS
6
92-2700 BPE'
y d
""'DAVIES Lro
dl
41 `630 --W Liberty ',Rdlq:'�, Gr.i, ey
r�h/p'erm*-f ncin
19
01
I
I
AND WHEN RECORDED MAIL TO:
mw BUILDING DIVISION
7 COUNTY CENTER DRIVE
sTREET OROVILLE CA 95965
ADDRESS
cr",
STATE,
Aw ZP
CORRECTED COPY
9,3 0 1544
93-001544'1 Total .00
I
Recorded I . COUNTY OF BUTTE
Official Records I BUILDING DEPT
County of JAN 2 � $5j
Butte
Candace J. Grubbs I
Recorder I
2:13pm 13—Jan-93 I COMS XX 2,
TK3 Fr_1 CIM= USE C:,'.Y
NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document of the request of the locoi agency indicated is in accordance with California Healtlh and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the 13nit described
hereon, upon the real property described with certainty below, as of the clate 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.
M. LLOYD DAVIES BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT md CERTIFICATE OF OCCUPANCY
1903 WESTERN AVE. 7 COUNTY CENTER DRIVE
MAILING ADDRESS
LAS VEGAS, CLARK, NV 89102
CITY COUNTY STATE ZIP
630 W. LIBERTY ROAD
INSTALLATION MAILING ADDRESS, IF DIFFERENT
GRIDLEY, BUTT", CA 95948
CITY COUNTY STATE ZIP
SAME
MAILING ADDRESS
OROVILLE. BUTTE, CA 95965
CITY COUNTY STATE ZIP
92-2700,,�, (916) 538-7541
BUILDIN IT TELEPHONE NUMBER
1/5/93
RE OF IOCAI AGENCY OFFICIAL DATE
NONE
UNIT OWNER (If also property owner, write "SAME") DEALER NAME (If not a dealer sale, write "NONE")
KAILING ADDRESS DEALER LICENSE NO.
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
KITT 1988 L887TC20
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
11037A&B 24X55 RAD 094,'_134/094r�Q6
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEIL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AfP_#O21-L3-j-0_36j
SEE ATTACHED LEGAL DESCRIPTION
S 11�
oftAl Or&
HCD FORM 433(A) 4/86
C,
0
93-0 1544
Lot 23, of Gridley Colony No. 9, according to the Map of said Colony,
filed in the office'of the Recorder of the County of Butte, State
of California, July 10, 1907, in Book 6 of Maps, at page 58.
EXCEPTING THEREFROM:
The East half of Lot 23, Gridley Colony No. 9 according to the
Official Map thereof, which map was recorded in the office
of the Recorder of the County of Butte, State of California, on
July 10, 1907 in Book 6 of Maps, at page 58. The West line of
this parcel is parallel with the East line of said Lot 23.
NO PEP.O.cuAw . END OF -DOCUMENT
- _' 'U.
15355
EXHIBIT."A"
All that certain real property situate in the County -of Butte,
state of California, described as follows:
A:
All of Lot 22, of Gridley Colony No. ding to
the Map ony, filed in the office of rder of
the Coun tate of California, J 907, in Book
6 of Map ng Easterly of owing described
line:
COMMENCING at the Southwest t 22, said"point being'the
intersection of the Northerl e West Liberty Road.(formerly--
Cameron Road� with the Eas n s Oak-Rbad (formerly
'
Miller Ave.); thence No 51' 40". ng the Southerly.line
of said Lot 22 and th e ly line of rty Road (formerly
Cameron Rd.) a dis 343.00 feet, o t int of beginning for the
line herein des thence from said rue Po' iming Northerly
and para e Easterly line of L Wis. Oik Rio erly Miller
Ave.) a of 639.07 feet to the Northerly line Lot 22,
and th of terminus of this line.
E THEREFROM the Northerly 18 feet as described in B ok I
ds at page 42, recorded on March 25, 1918 -records of he
nty of Butte.
Lot 23, of Gridley Colony No. 9, according to the Map of said Colony,
filed in the office'of the Recorder of the County of Butte, State
of California, July 10, 1907, in Book 6 of Maps, at page 58.
EXCEPTING THEREFROM:
The East half of Lot 23, Gridley Colony No. 9 according to the
Official Map thereof, which map was recorded in the office
of the Recorder of the County of Butte, State of California, on
July 10, 1907 in Book 6 of Maps, at page 58. The West line of
this parcel is parallel with the East line of said Lot 23.
NO PEP.O.cuAw . END OF -DOCUMENT
- _' 'U.
V., - - ,t -
06
AND WHEN RECORDED MAIL TO:
H= BUILDING DIVISION
7 COUNTY CENTER DRIVE
STREET OROVILLE CA 95965
AWRESS
CITY,
STATE,
Aw ZP
CORRECTED COPY
93 -*0 1533
co
- -JAN 2 2 :w'wv
93-001533'1 Total .00
I
Recorded I
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder I
10:41am 13 -Jan -93 I COMS XX 2
MICE .11=11 10"s Vl�z Tel rICTIM'" ME 111,1?
NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document of the request of the locat agency indicated is in accordance with California Heoltfi and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the uni 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.
M. LLOYD DAVIES BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR
1903 WESTERN AVE.
MAILING ADDRESS
LAS VEGAS, CLARK, NV 89102
CITY COUNTY STATE ZIP
630 W. LIBERTY ROAD
INSTALLATION MAILING ADDRESS, IF DIFFERENT
GRIDLEY, BUTTE, CA 95948
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (If also property owner, write "SAME")
LOCAL AGENCY ISSUING PERMIT ond CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
92-270a Z11 (916) 538-7541
BUILDIN"P#A TELEPHONE NUMBER
1/5/93
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
NONE
DEALER NAME (If not a dealer sale, write "NONE")
HAILING ADDRESS DEALER LICENSE NO.
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
KITT 1988 L887TC20
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
11037A&B 24X55 RAD 094334/094636
SERIAL NUMBER(S) LENGTH X WIDTH ----------INSIGNIA-/ LABEL' NUMBER(S)
1(rP. #021-13-7-1=036-J
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER— 'N
SEE ATTACHED LEGAL DESCRIPTION
HCD FORM 433(A) 4/86
0
RESIDENTIAL
BPE
021-13-1-036
DAVIES, Lloyd. d, GfJley
630 W Liberty R
mh/perm fndn
2)
XO
\0
'0
JOB FINALED (Datel \f-- .11�
SignaturA
,J OK
0 Not OK
Not Applicaole
Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK exce�t #'s
1. Zoning Requirements-Setback6-Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Ease men I Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L-ft.
/ P'Nat. or/ P11tJ P'LPG
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning R eq u i re ments-Setbac ks- Easements
2. Footings; Soils-Siz�-Depth-Spacing-Connectors-Stee.1
3. Decks; Griders and�or Joists-Decking-Bracing-StairsT-'�ails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
, Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. --Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date \Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements I A,
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-Panelboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-11 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test- Dema nd-Valve -Con necto r
4. Electricity; MH Test-Crossove rs- Brea kers-C lea ra nces
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning R eq u i re ments-Setbac ks- Easements
2. Footings; Soils-Siz�-Depth-Spacing-Connectors-Stee.1
3. Decks; Griders and�or Joists-Decking-Bracing-StairsT-'�ails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
, Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. --Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date \Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements I A,
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-Panelboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL (f
Date MallfRIFLOOR (Plans) OK except It's
Zon i ng -Setbacks- Easements -Flood -Slope
V,1.Ftg!, Main; Soils-Elec. Grnd.fj-,�4Ftg. Depth
j 3t Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
tg., Porches & Decks; Soils -Steel-/ /Ftg. Depth Iq
X.,!!f�5.1>?ernwaiis, main; st,�el-Blockouts�Wrapped Uf+ I go
6. Sternwalls, Garage; Steel- Blockouts-Wra pped
6a. Hold Downs and Special Anchors
5K Steel -Wrapped
Piers-Firepli-ace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -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; Clea rance- Mate ria I -Su pport- I ns.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 00 .
,.�ess & Ventilation 17g:)
16. Insula tion
Datd,�/- B- 1 Date Card B-1
Dat I,-' Date Card B-1
Date!CJ' PLUM61-NG (Permit).OK except ft's
Water Htr.: Vent -Access -Combust ion 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 #'s
22. Fixture & Transformer Clearance -Ins. Protection
- ---- - ---- - - - -------- - ----------- - ------- - --------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Cond uctors-Sta pled
- - - - -------- ---------------------- 7-
25. Romex Installed Close to Edge of Studs & C.J.
-- - --------------------------- -------------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
-- - - ------------------------ -----------------
27. 2 Appliance CircUtSrin Kitchen & Conductor Size!GFI
------------------------------------------------ ------ -------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / I ga.
Cu or At
-------------------------------------- -------------- I ---------------------------------
29. Range Circ. ! / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
------------------------------------------------------ - ---------------------
30. Service -Riser Conductors & Ground -Main Disconnect
-------------- - --------------------------
-------------- 31.-Equi-p.-Cleara-nces Panel s- Moto-rs- Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
-- ---------- - ------------------- ----------------------------------
------------------------------------------------- - --------------------------------
-Date --------------- Card -6- 1 -------------- Date ------- - ----- Card -B-1 -------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
------------- 34. A. -C. -Ducts Insu-1ation &-Support -----------------------------------
-------------- 35. -Vent Fan:- Exhaust -a-bove insulation ------------------------------
36. CondenFate Drain & Overflow: Size & Grade
------------------------------------------------- - -------------------------
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -1 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 #'S
39. Sils. Proper Material & Anchors
------ - -----------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
-------------------- ----------------------------
41. Bearing Walls over Girders & Floor Nailing
--------------- ------------------------ - --- - -------------------
------ ------- 42.- Draft -Stop -i -n- Walls (ratp_roof)____, ------ ---------- - -----------
------------- 43.- Fire -Stops: Furred Ceilings -Stairs -Chases -Tub---------------.
44. Headers & Beam -Size & Bearing
oingle & Duplex)
Date FRAMING (Continued)
Hangers -Post Cap,5-Anchors-Connectors
46. Clrig� Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
---- - --- 50.- Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs: Width -Headroom -Rise-Run-Landi ng- Fire Protection
----------- -54.. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
-- ---------- 56.- Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
3 57. Glazing Area -Glass Protection -Skyl ights- Plastic
---------------
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
------- - -----
---------------- - ---
-------------------
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
------------------ ---
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor- Ducts-Mech. Protection
-------------- --------
64. Bedroom Exiting
----------------
------------- 65.-G.F.I-.& Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
----------------
67. Stairs & Rails
------------------ ----------------
68. Fireplace or Stove: Clba rances- 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 -Close r
--------------------------------
________._____73._A.C._Duct in -Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
--------- I ---- 75.-Plb., Elec.-&-Mech. Equip. Listed for.Location.
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
----------------
7;. Insulation -Foam -Looked in Attic 0 Yes
-------------------------------
78. Guard Rails & Deck Construction -Post Caps
--------------------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
--------------- Clearance Looked -under Floor-- 0 Yes
80. Following instld.: Drive 0 Yes C1 No; Walks 0 Yes 0 No:
Planters 0 Yes 1:1 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- Underg round
--------------------------------------
186. 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-1
-----------------------------------------
Date Card B-1 Date Card B-1
--------------- - --------
Date I Card B-1 Date Card B- I
Comments at Final:
--------------------------------
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
It
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 conta t his office immediately.
inZXAa1,nF' �4t 1-/
lwlln
Date
.t. -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
g-').2106 J3
—k
r)A)o��l Es
OVXER* PERMIT NO. :f4
A routine inspection indicates that the following violations of Butte County Okdinanc es'ekis't i it .":X
the above address and should be corrected. Please notify this office when'coriection'of work,�
is completed. If you have any questions pertaining to this matter, or need additional explanation;
please contact this office immediately.
4�-
,7
n1 IF 6-0 r --.4.L
V
FW
� ; `�O
, � -'6 J
CAL_ —7—V
"o 4 7�"o A -A-)
Date
REV 11
Inspector
COUNTY OF BUTTE - DEPARTMENT dF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Callfornle 95985 - Telephone. 916,'538-7541 -2 '700
APPLICATION AND PERMIT
_A35Z$3OR PARCUL NUMBER
021 _ 131-036
ZONIN 0
A 5
BUILDING PERMIT
OWNER
LLOYD DAVIES
TELEPHVNE
846-0589
SO.FT. OCC. BUILDING VALUATION/
1600 R
86 4UU
9
OWNER'S MAILING ADDRESS
P.O. BOX 1214 GRIDLEY 95948
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
86.400
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
s 269.50
ARCHITECT OR ENGINEER
DAVID DAHAMIEN
LICENSE NO.
Plan Checking Fee
$ 134.75
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
630 W LIBERTY ROAD GRIDLEY 95948
Permit fee
$ 419.25
PLUMBING PERMIT
FilingFee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SU BDIVISION NAME
PARCEL MAP
Water piping
7.00 7.00
Each qas water heater or vent
7.00,
USE OF STRUCTURE
SFEI DuplexF] MobilehomeM Other
SPECIFY
Gas piping system 1 - 5 outlets
5.001 5.00
Building sewer
15.00 15.00
Mobile Home S I G
@ 15.00
TYPE OF WORK
r_1
New " AdditionE] RemodelE] UtilitiesEl InstallationEl OtherE]
Describe work: MH T F.XTSTTNG qTTF TQ 'RF PTACED ON
FOUND -A -TION
Permit Fee
$ 42.00 J
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 600V OR LESS
200A OR LESS
18.50 18.50
Main service 200A TO 1 OOOA)
-
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
rJ I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELL NG OCCUPM
OR ADONS. ACC. BLDGS.
3.64 sq.ft.1
NEW CONSTR. MU L-T'*OUTLET
NON.RESID% BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup( OUTLETS OR FIXTURES
20 @ 760
AL 8 AF;kI
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00
Permit Fee
$ 33-50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F_� The permit is for $100.00 (valuation) or less.
F-1 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.
F I shal I not employ any person in any manner so as to become subject
)ir 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
Fi I ing Fee 15.00
Heating
Cooling
FHood
6.50
I Ventilation
Permit Fee
$
LContractor__
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_9,punty in c ce. of the granting of this permit.
15P It&Z ;= — ale . 2/9&P/�P17-
Signature of-Ap V. ant — OwnerO Contractor El AgentF-1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storie,,(in height.
Mobile Home Installation Fee
Energy Inspection Fee $
OCC
CONST TYPE
!
TOTAL FEE $ 49A.75
E
I IIIAZIDFEESI
IMP
I . FLOOD
I COF
I PARCEL/I
PD
I tP
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
"�,,.JDIFIECTOF OF PUBLIC
By 45
PE5MIT'EXPIRES Date
applicable provi-
resolutions to do
have been paid.
W ORKS
Date/�—df--fz_
_1—,
Receipt No. 122406 11.20 QQ — /'30 -3
WHITE�O*P�W .. 1FLLOW-AS.6(5fSOR, PINK -INSPECTOR. GOLD ENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLICIWORKS - BUILDING DIVISION
4
7 COUNTY 6ENTE ,D41VE - (P&ILLE, C�UFOi*lk 95965 - TELEPHONE (916) 538-7 e4�
�� P . - Ilk
ERMIT APPLICAfribk DATA SHEET
OWNER P. No. 13 /- 036,
Proposed Building Use /0//-J� 1VAf Building Inspector Date 7
At time of permit application, I was advised the following data must be submit!e6 prior to permit processing and/or issuance:
DATE RECEIVED BY
I 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 . ....... V.
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 . ............... .......
13. Flood elevation letter (100 year flood) by California Engineer . .......... ......
14. Sanitation and plot plan approval I _ Health Department . ..... : .......
15. City of Chico plumbing permit . ................... �: .......................
16. Plot plan and business license approval rom City of Bi6gs/Gridley . ........
i from*'
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about T(A)mprovements (B) Drainage ............
I
19. Driveway permit (construction approva required prior to occupancy) . .............
Ire -Inspection reqLFest
20. Pre -inspection for required. to Building Inspector jDate)
21. Contractor's license information. (NojName 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 . ......................................
Plan check list . .........
33. =CAge 14 3 ��' A P'.0 e4 A3
34. Cid&& :V2 f� c, a 2 L U 21-a4z-
k - I
Whe:2n6u isslue the permit, process as follows: Mail to owner. Mail to contractor.
I
Tele hone A2a4-A&�- r pickup at office.
&�- -1 " aT, d old fo Deliver with inspector.
Other 0 IeD
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date
Copy of plans sent Health Dep!. - Fire Dept. Other Date By
The following data must be submitted prio� t permit issuance: (Circle new item not checked above).
1. Index permit for above items No. A
2. Additional items required.,
Contractor,o��ner, was advised of above required data by W"one - mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone - �nail -&u&er by _ Date
Plans checked by -1 Date Plans approved by_ Date
Sets of plifs7qi�&Jd in LSW-311.rr cabinet AP folder
Copy - Department rPublic.Works
�'COUNTY OF BUTTE'- Department of Public Works
7 County. Genter Drive, Oroville, CA.. 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "own*er-builder" building permit has been applied for in-y6ur--name.and bearing
your signature...
Please co*mp*lete and return this information a . t your earliest opportunity to avoid
unnecessar . y delay in processing and issuing your'building permit. 'No building permit.,
will be -issued until this verification is received.
1. 1 personally plan to provide the*major labor and aterials for c.bnstruct.ion of
the proposed property improvement .(yes or.no). 149-b
2. 1 (have/have 'not) signed -an application for a building permit
for the proposed work.
3-..-,l have contrac.ted with the following persan.(firm). to provide the proposed
construction:
Name
Address City
Contractors License No.
Pho-ne-
4. 1 plan to provide portions of this work, but I have hired the following person.
to coordinate, supervise, and provide the major work:
Name
C. t
Address I Y.
'Phone Co-fitractors'Libense. No.'
5. 1 will provide some of the work but I have contracted (hired) the following
persons -to provide the work indica,ted:
Name Address Phone Type of Work
Signed:
Property Owner
Social -Security Number
Date -7/?2 -2-
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 per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center DrIve - Oroville, Callfornia 95965 - Telephone: 916.'. 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER 021-131
ZONING,1-45-
BUILDING PERMIT
OWNER A-
TELEPHONE
j?y
A6 -45-801
SO.FT. OCC. BUILDING VALUATION
R'S MA �S
0 E I'LING A;P� r
TFireplace
CONTRACTOR'S NAM.
EPHONE
CONTRACTOR'S MAILING ADDRESS
c
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 2G 9 S-0
ARCHITECT OR ENGINEER
19,4v(D jm(HmiN
LICENSE NO.
11-791L
Plan Checking Fee
A
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ C),
PLUMBING PERMIT
FilingFee 1 15.00
Each Trap
I 5.00i
Solar or heat pump water heater
1 20.001
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFO Duplex[] Mobilehomeh�� Other
SPF.CI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
Newir—I Addition[] RemodelF_,, UtilitiesEl InstallationEl Othero
Describe work: 4# C, _51'7-C 7-0 96
U
LiAJ
Permit Fee
J
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 60OV OR LESS
200A OR LESS
18.50
Main service 200A TO 1 OOOA)
37.50
CONTRACTORS LICENSE LAW
1 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 Ao. Classification
F-1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed UUIILIdGt-
ors. (Sec. 7044)
F_� I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.81
OR ADONS. ( ACC. BLDGS.
3.64 sq.tt.1
NEW CONSTR. MU LT'*OUTLET
NON-RESID, R.NC. CIRCUITS)
@ 5.00
(POWER APPARATU &
SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FiXTUREL
20 @ 75d
AL (@ 464
FIXED APPLNS. OR
Ex. Occup. OUTLETS I RESIO , EA)
3.001
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'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 I . nsurance 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
Fi I ing Fee 15.00
Heating
Cooling
Hood
6.50
Venti lation
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
Signature of Applicant - Owner 0 Contractor [I 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
Energy Inspection Fee $
Occ CONST TYPE
;
TOTAL FEE $
HAZ
I D FEES I
IMP
CD
RCIL PO
7
Ob 'ISSUE
T his 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 2-
WMIYE-O.P.W., YELLOW-^SSE330M. PINK -INSPECTOR, GOLD ENROD-APPL I CANT
FPOMi 8.16 d8s 0405
Ct-,I.J Et,.4G INEEP ING AUG - 1 -9-2 2:2-8 'PM�. P 0, 0, 2-
, 4
vmfmc
Cru4m Ave. SuNe A-2 DATE2
&X?sfv,a",t* .1
I b
I R GE BEAM SUPPORT VERTICAL LOADS
%D
ROOF ILL, a D.L. PS.sr.
PL.F
1000 P.S.F.
o-,
ol
IIJ4.
ip�
I r-19
C/Y�0%e
5;)
x 3t15 -
AND WHEN RECORDED MAIL TO:
BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
AWRESS
CITY.
STATE.
amd IF
93-0 1356
93-0013561 Total
I
Recorded I
Official Records I
County of
Butte
Candace J. Grubbs I
Recorder
.00
2:39pm 12 -Jan -93 I COMS XX 1
SPACE ABOVE THIS LK FOR RECORDER USE ONLY
NOTICE OF 14ANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document of the request of the locoi agency indicated is in accordance with California Heoltfi and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the un i 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.
M. LLOYD DAVIES BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR
1903 WESTERN AVE.
MAILING ADDRESS
LAS VEGAS, CLARK, NV 89102
CITY COUNTY STATE ZIP
630 W. LIBERTY ROAD
:�'INST*.,�_.TION MAILING ADDRESS, IF DIFFERENT
GAMY_EtY, BUTTE.,,- CA 95948
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (If also property owner, write "SAME")
14AILING ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
KITT
M;
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
92-2740 (916) 538-7541
TELEPHONE NUMBER -
1/5/93
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
NONE
DEALER NAME (If not a dealer sale, write "NONE")
DEALER LICENSE NO.
L887TC20
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
11037A&B 24X55 RAD. 094334/094636
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #021-13-1-036
THE EAST HALF OF LOT 23, GRIDLEY COLONY NO. 9 ACCORDING TO THE OFFICIAL MAP THEREOF,
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON JULY 10, 190q.LN BOOK 6 OF MAPS, AT PAGE 58. THE WEST LINE OF THIS
PARCEL IS PARALLEL WITH THE EAST LINE OF SAID LOT 23.
00
HCD FORM 433(A) 4/86
END OF DOCUMENT
OIL141 OF,4,
0
LWITY Ot'
AND WHEN RECORDED MAIL TO:
mw BUILDING DIVISION
7 COUNTY CENTER DRIVE
STMET OROVILLE CA 95965
AWRESS
cffy.
STATE.
sod 2F
CORRECTED COPY
93-001544 93-0oi544'. 3-001544
93 00
93�001,5441 Total 00*
Rvicdrded
Official, Recorap I
county,oi,.,
Butte
dandace J.,Grubbgr I
� &% 4%, - � p L
'Rec6rder
_-2s,130a 13 -Jan -93 .1 comsi XX 21
SPACE ABOVE THIS
RECORDER USE"ONLY
NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH,..
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document of the request -of the locoi agency indicated is in accordance with Calif ornioi-l-lealtfi. 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 thecounty 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.
M. LLOYD DAVIES BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR LOCAL AGENCY, ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
1903 WESTERN AVE. 7.COUNTY CENTER DRIVE.
MAILING ADDRESS MAILING'ADDRESS - -
�LAS VEGAS, CLARK, NV 89102 OROVILLE B =-E, -CA 95965
C17Y COUNTY STATE ZIP CITY C04JNTY STATE ZIP
630 W� LIBERTY ROAD
92-2700,,�, (916)'538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING/4)(MI TELEPHONE NUMBER
GRIDLEY, BUTT—, CA 95948 zn��_ 1/5/93
CITY COUNTY STATE ZIP srMNAfURE OF LOCAL AGENCY OFFICIAL DATE
SAME. NONE
UNIT OWNER (If also property owner, write "SAXE") DEALER NAME (If not a dealer sale, write "NONE")
14AILING ADDRESS DEALER LICENSE NO.
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
KITT 1988 L887TC20
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMUR
11037A&B 24X55 RAD 09034/094636
SERIAL �NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUM8ER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P #021-13-1-036
_EE ATTACHED LEGAL DESCRIPTION
jj.
-k'
T
I
HCD FORM 433(A) 4/86
ovkT Or
CIO
41*t11V1Ty 00
-88-15355
EXHIBIT
All that certain real property situate in the County -of Butte,
State of California, described -as follows:
All on.of Lot 22, of Gridley Colony No. ding to
-Map lony, filed in the office of r C
he ®rrder of
the County o tate of California, J 907, in Book
6 of Maps, at pa ng Easterly of owing described.
line:
COMMENCING a:t the S uthwest 22, said point being the
intersection of the Northerl West.Liberty Road (formerly-'
Cameron'Road� with-th is Oak Rbad (formerly
Miller Ave.i; thence ng the Southerly line
of said Lot 22 and th erly line of., rty Road (former.ly
Cameron Rd.) a dis 343..00 fee ' t, to t int of becrinning'for the
line herein des thence from said True Po inning Northerly
and parallel e Easterly line of Lewis 09 Ro erly Miller
Ave.) a d' of 639.07 feet to the Northerly line
and th of terminus of this line.
E THEREFROM the Northerly 18 feet -as described in B o
ds at page 42, iecord4d"on March 25, 1918.records of he
nty of Butte.
Lot 23, of GrJdley Colony No. 9, according to the Map of said Colony,
filed in the office of the Recorder of the County of Butte, State
of California, July 10, 1907, in Book 6 of Maps, at page 58.
EXCEPTING TMEREFROM:
The East half of Lot 23, Gridley Colony No. 9 according to the
Official Map thereof, which map was,recorded in the office
of the Recorder of the County of Butte, State of California, on
July 10, 1907 in Book 6 of maps, at page 58. The West line of
this parcel is parallel with the East line of said Lot 23.
= QE.P.0r_UMW -
$TIM
AWRESS
Cr",
STATE,
- ad ZP
W'
AM WHEN RECORDED MAIL TO:
BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
_,3.
, Ap AIRF -101
NC'N' 0(yout
-CORRECTED COPY
93-00153:3 93-001533
193-0015331, Total
Recorde8
Officiftl Recordsi'_l
County of --e!- �lj
Butt
-CandAce J. Grubbe "`(%_1
I c
Re d
,,,por or
I 3,0141am ;(3-Jari-93,
coms, 2
XX
-SPACE ABOVE THIS LK FOR -RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME, (MOBILEHOME),�OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document al the request of the locai agency indicated is in accordance with California Hecltl,. and Safety Code Secti6n
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.
M. LLOYD DAVIES BUM COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR LOCAL -AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
1903 WESTERN AVE. 7 COUNTY CENTER DRIVE'
MAILING ADDRESS MAILING ADDRESS
LAS VEGAS, CLARK, NV 89102 OROVILLE,.BUTTE, CA 95965"
CITY COUNTY STATE ZIP
630 W. LIBERTY ROAD
INSTALLATION MAILING ADDRESS, IF DIFFERENT
GRIDLEY, BUTTE, CA 95948
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (If also property owner, write "SAME")
CITY COUNTY STATE ZIP
92-270a, (916) 538-7541
5UILDIN"jI#AIT/,r TELEPHONE NUMBER
1/5/93
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
NONE
DEALER NAME (If not a dealer sale, write "NONE")
MAILING ADDRESS DEALER LICENSE NO.
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
KITT 1988 L887T C20
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
11037A&B 24X55 RAD 094334/094636
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERI.S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #021-13-1-036
SEE ATTACHED LEGAL DESCRIPTION
HCD FORM 433(A) 4/86
r�t4T Or
C, AL
0
A"'o c
IVIT1 0"'
01
Addnm 'or Location of
Legal Description of.
Real Property
CFj(A-
�A T CCU
B
630 W. LIBERTY ROAD, GRIDLEY
A.P. #021-13-1-036
92-2700
MIT NO.
��14
V
SEE ATTAC D LEGAL DESCRIPTION.
A F—.Mobilehome/Manufactured Home Commercial Coach has been affixed to the
real property described above by installation on a foundation system pursuant tc
Health and Safety Code Section 18551.
Ovmwr's narne: M.. LLOYD DAVIES
Owner's address: 1903 WESTERN, AVE., LAS VEGAS, CLARK, NV 89102
INSIG141A OR HUD NUMBER: RAD 094334/094636 SERIAL NUMBER OR V.I.N. 11037A&B
MANUCACTU Is E KITT - VC A 0 nr " A kj"r A —T In 1988
1/5/93
MCD 613C (7/00)
916) 538-7541
JAN .11 `93 16:32 BIDWELL TITLE GRID. P. 2/3
BUTIEE COUNTY BUILDING D
A=i. AMI
FAX NO. 538-2140,
j
1/�M M. LLOYD DAVTl:FS AND jg'.,jE._,A. DANT
CES HERp !rpA�m Tjjpz m D= N()
Xy � , r - * (,- A
HAS - BE MST/OR IS WAVAZIABLE Ain TILAT SAID DX_AL NO. IS FOR DUDE, L 1\10*
L887TC20, KANUFACMED BY INIT TVFG C , TPPl)UWM KI - L�
Q . T LD, NLANUFACIURM Oil 1/29/88.
ITE SERiAI, NTOS ATRE IZ877C20SN1103'7A & L8877C20SN11037B, LAPEL Nos. zpE
RAD094334 & RAD09A 636 -LEGNTH lS -768 X 168 MM. 768 X 168, T,`9E__EURrf�ER =Llyz
THAT WE ARE THE MISTEPED WIWS foR SAXD ME= HWE V.jHICF. IS LCCATM AT
630 W lZBPl.M M. f GRIDLEY, CA. 95948. , A,09PY -OF, THE CURRENT. TITLE SEARarl -IS
Z.
TTACHED 'IMIRM FOR 'YOM FURTHER RaTRENC2.
M. illovd
��,;rane A. Davies,*.
JAN 11 '93 15:09 BIDWELL TITLE GRI.D. BTEC FP�,3/:
L;l L-3,
- - 1&91.6 844 To siYDIWELL
.1 /93 REDD I NG
59 F ROM
Ni T
�T.ATE PEN- ---
H 0 u s I H Ao D'M* 15 P, 1� y
-F
ON 01 A
�IT L -D
TITI-E TRADEN
L 7?
AM7 giT MFG CQ F!Rs,t SOLD ON:
MA�jjj5g-,TURED ON ON NO , OE
-IJUDC-L: L-8B7?TC20 R,CC. CLASSt RF -CT E-Av P RA'y 1 . - I
tj.0t4F - T,F�. j , CAL pROPERT
TAY,
SNCxLF- FAMILY
;ION: L EIN C, 7 1--,
T E X Ev. F -R ( S.
68
$F RAW 4-3-34
L8sM2lDSlLqj i s3 -7A 1p.0094636
STATUS IF R/O Cy-ANGE
r -ND - '46 EXEmPT -musi- R -APPLY FOR LAST -23-�
DA -VIES M LLOYD/
�'T,'F-RED IA14E A sms
w 1,1BERTY
GRTDLEy CA 95948
:Ss: 630 jj, LIBERTY
I A-rlL)N ADDRE 'W-RIDIL - ey CA 95948
5-
LAS�T
LEf,AL SEC FAC Bl(
�60 F- 20 ST Al'.- 14:0
;;Hi.c:c CA' 9597-8
PERF'aCTED ON:
END OF TME SErIRCH
-TH-141 -1-1'981 15-0-3 BID14ELL TITLE' GR.ID.
ESCROW INSTRUCTIONS
TO: BIDWELL TITLE kNO ESCOOW COMPANY
RF--: Davies/MCFaLrlarlle
630 W ijj:>.--rty Rd., Gridley, Ca. 95948
P. 2/3
Date --- !an-, 1.1 - L9 9 -3
Office Grjdlg�L
Escrow No. 4=1-�-898Z—
�scrow Officer B, BledsOe-
�7 -HE SA22 OF TIM ABME' ',;,-�NICED PROPER'In
THE UNDERSIRM UNDERSTANDS A 11) PZCEPTS qI
INICMUDING A 110131LE HOME WHICH IS P=G Tpq�NIST-,TFC,�M TO Jk S2TGLE FAMILY RESM-a= BY
'RQ S D
T -,m i�EcopDrr-., OF A 433 FOP,111 BY' THE C0=Y OF P-TJT -JE - SPJD YOBILE. Is Kv, 1 A ECAL
�7K), LAMM, MODEL NO- 1.887TC20, SERIAL N(,-). L8877C20SNj-110372'- 'a L8877C20SM11037B,
TD WITF
LABEL No. RAD094334 & RAD094636. S� SALE IS AUTPLRIZ.�D FMM f"'a O�ZERS'GN
NO. DFIvWM FOR SAM.
DEED "D
FORMER, TH . E UjMF-RSIGjzm Hmu)s Nou h KITH A QUITCIATTI V FAVOP OF 14 - LL01
DAVIP,S TMIUCH YOU ME XMDR1ZED 10 -�KEMTRD FOR yoLT.R U.,.ZE IN TIM AROVE RFI�CED
ESCr� SAM QUIT=4 DMV IS FOR 'ffM PTJPPOSE OF THE
U.1 Vjj7fj N<) DDtqTD FOR &VIE. RopERjy, =ZECR BMIG A PART OF THE
MOB11B HUME BEMMVG TODEZRM TO -nM REAL P
SALE HEREIN
�aA. qDAVIES -
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4 ,
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_'kE;1iLL_T1TLE,fi<Z8Ci 6 ANY
f
'41-142380
one 0
AM WIM FAICORDO MAIL TO
F -ii
MR. M. 4,LOY6 DAVIES
ell
'1402 FWy. 70 -
Oroville,' Ca. , 95965
CNY a
L _j 88-01 Rea Few 7.00
ov. Ou
MA& TAX NTATEMEMS TO Recorded Total 67.50
Official Records
County of
Butte
Same as above Candace J. Grubbs BIDWELL TITLE CO.
Recorder
cay a
Stan L 0:00am 17 -May -88 RB 2
SPACE ABOVE THIS LINE FOR RECORDER'S USE
AP 0 021-111-1-036 & 038,' Individual Grant Deed
- THIS FORM FURNISNEI) BY BIDWELL TITLE & ESCROW COMPANY
The undersigned grantor(s) declare(s): t
Documentary transfer tax is $ 60, 50 71
X) computed on full value of property conveyed, or
) computed on full value less value of liens and encumbrances remaining at time of sale.
)0 Unincorporated area:'( ) City of — , and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, FLOYD F. SANNAR
herebj GRANT(S) to M. LLOYD DAVIES, a married man
the following. described real property in the
County of Butte State of California:
SEE ATTACHED EXHIBIT "A" FOR LEGAL DESCRIPTION
Dated: may 12, 1988 �V1.1JI.- .
Fla*dl F". Sannar
STATE OF CALIFORNIA
COUNTY OF Butte �Ss.
I on MaX 13, 1988 before
me, the undersigned, a Notasy Public in and for said State,
personally appeared Floyd F. Sannar
--------------------
-FeTiambricriumi wmrvr proved to meon the basis ofsat-
isfactory evidence to be the person —whose name is LINDA F. WIZILSON
subsecibed to the within instrument and acknowledged NOTARY
that ne executed the same. Ou COUNTY
W"ESS my hand and official seal. #Ay Coon. Jpi,*. Fb. I S. I M
Signature (This am for official notarial sell)
L nda F.M.1 loon
FOW JGM� (W MAIL TAX STATEMENTV AD UIVICUTIZZU PAMVC
I ft"
DEC 1�F '-32 09:23' PLL PACIFIC. HT3.
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DATE*
TO: -
ROM:.
NO - OF PACES lNCLUDIUC,ill-IS COVER SHEET
PLEASE CONFIRM RECEIPT YES NO
COMMENTS:
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I 1�het, P.0-, Box �X Yuba City, 0A 95992) - (916) 671-56-6,, Fax: 6) 671 -0545
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'Your applicatJon .1: r a rcal. estate 10all for tile property located at
630 - West I Liberry Rd., Gridley, CA 93948
"'I"; been �11)pr('VO4LI T ubjecL to tile r-011OWil)9 conditions -
LOAM ,'�MDUN-r $ 09-7
al 'INTEREST RAT'I.:- 8
30 YI-S. x 15 yrs. Rate Locl�ed::.yes---
Con-v J;, HA X VA T�,jte No
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PROOF UP IIA—ViAHM -tN URANICE' ON S UBJECT PROPFIVPY TO Bl DELIVERED TO TIIE
T 111 L, COMI-1ANY. I .
Termite Report & C�earance Requirud: yes3 x No
Well all,] Septic Cl larapee Required . Yr -,,,L; —.x. . NO
UNDERWRITING COMDI-�IONS AS AS FOLLOWS;
AM, PACIF'[C MORTUC_, nel�elvc-i thc- r-1.6yht; to vaid thj.:3 Lip' vill in L-11,
t pro
c'vellt: tl'1(!Ec- is z1T, a I lver:3e change, _n the fj.jj�-t,jcj,a1 conditlon of the
borro%,er(s) c�r tl-,E!
Pl-OP'2-tty P-ri(:)r t" loan funding.
Fulld.'; Will not be Jf�,bursed (HICil. Che above conditions Ilave b&en
revii�wad fti'd are ap roved hy our underwriter,
Sincc-rely-,
es
Daneen Bauman
Loan Processor
". tj
6,1 Bridge Sire,�i, P,O.! Box x Y
Yllb�i City. C'A 95992 16) 67 1 rax.: (916) 671-05,15
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Bidwell'Fitle
& Escrow
01 Conipany
S --mg thr
—,th.-tair si.rr 102V
Lorene Ilarlier
Orovillc Branch Manager
PRELINITNARV TTI'I,E.RFPORT
0 Oroville
183.5 Robinson St.
P0. Box 811
Orovii1c.CA95965
(916) 533-2414_
n Chico
19 1 F. Filth St.
P.O. Box 3037
Chico.CA95927
(9161XIM-2612
Vern E. Dranc
County Manager
Don A. Drane
Assistant County Manager
GRIDLEY OFFICE
650 Kentucky St.
Gridley, CA. 95968
0 Paradise Attn: Linda Wilson
6"OSkyway Authorized Agent for
P.O. Box 490 TicorTille Insurance
Paradise, Ca 95967 Company of California
(916)877-6262
Vivian Cleveland
Paradise Branch Manager
LW
ORDER NO.:
ESCROWOFFICER: Linda Wilson
SHORT TERM RATE- NO
PURCHASER: none
In response to the above referenced application for a Policy of Title Insurance, BIDWELL TITLE & ESCROW COMPANY
hereby reports that it is prepared to issue, or cause to be issued, as of the date hereof, a Policy or Policies of Title Insurance
describing the land and the estate or interest therein hereinafter set forth, insuring against loss which may be sustained by
reason of any defect. lien or encumbrance not shown or referred to as an Exception below or -not excluded from coverage
purs.uant to the printed Schedules, Conditions and Stipulations of said Policy forms.
The printed Exceptions and Exclusions frorn'the coverage 'of said Policy.pr Policies are set forth on the attached cover. Copies
of the Policy forms should be read. They are available from the office which issued this Report.
This Report (and any supplements or amendments thereto) is issued solely for the purpose of facilitating the issuance of a
Policy of Title Insurance and no liability is assumed hereby. If it is desired that liability be assumed plrio7o t e issuance of
a Policy of Title Insurance, a Binder or Commitment should be requested. -
May 9, 1988
Dated as of at 7:30 a.m.
Title Off icer
DS/dls
The form of Policy of Title Insurance contemplated by this Report is:
El ALTA Residential Title Insurance Policy — 1979 '
0 ALTA Loan Policy — 1970 with ALTA Endorsement Form 1 Coverage (Amended 10-17-70)
CLTA Standard Coverage Policy — 1973
ALTA Owner's Policy Form B — 1970 (Amended 10-17-70)
The estate or interest in the land hereinafter described or referred to covered by this Report is a fee.
Title to said estate or interest at the date hereof is vested in:
FLOYD F. SANNAR and PEARL F. SANNAR,
his wife,'as Joint Tenants
At the date hereof exceptions to coverage in addition to the printed Exceptions and Exclusions contained in said Policy form
would be as follows:
F.17F. T71 n:) ri-� 7;A7
1. General and Special County taxes for' -the fiscal year 1988-89,.
including possible personal property taxes, now a lien, but
not yet due or payable.
2. The lien of supplemental taxes, if any, assessed pursuant to
the provisions of -Chapter 3.5 (commencing with Section 75)
of the Revenue and Taxation Code of the State of California.
3. All taxes, assessments and obligations of Sacramento and
San Joaquin -Drainage. -District. According to the records
of said District, there are no unpaid t&xes and/or I assessments'.
4. All taxes, assessments and obligations of Reclamation District
No. 2056. The taxes thereon are,included with County taxes
and are collected at the same time an'd manner therewith.
5. All taxes, asses-sments and obligations*of Butte Water District
The taxes thereon are included with Cou'nty.taxes and I are collected
at the.same time and manner therewith.
NOTE: For any amounts due contact:
BUTTE WATER DISTRICT
735 Virginia Street
Gridley, Ca. Phone 846-3100
6., Right ofWay for the purpose stated herein and incidental purpo.ses
Granted to Irrigated Land Company'
For irrigation purposes
Recorded on November 12, 1906
Recorded in Book F of Covenants at page 262
Butte County Rec'6rds
The exact location of the above right of way is not clearly defined
of record.
7. Right of. Way for the purpose stated herein and--incident'ail purposes'
Granted to' Irrigated Land Company
For irrigation purposes
Recorded on May.17, 1907
Recorded in Book F of Covenants
at page 397,
Butte County Records
The exact location of the above right of way is not "clearly defined
of record.
8. Easement for t . he purpose stated herein and incidental -,purposes
Granted to Butte Canal Company
For. irrigation purposes
Recorded on February 17, 1909
Recorded in Book log of Deeds, at page'468
Butte County Records
The exact location of the above easem'ent is'not� clear ly defined
of record.
co n f -J. i i Li (.:� el
4-142380
9. Right of Way for the purposL- stated herein and incidental purposes
Granted to Sutter Butte Canal Co.
For maintenance of ditch
Recorded on March 25, 1918
Recorded in Book 170 of Deeds at.page 424',
Bu ' tte County Records
Affects Parcel A.
The exact location of the above Right of way is not'clearly defined'
of record.
10. Right of Way for the purpose stated herein and incidental purposes
Granted to' Orvel E.. Barrow
For canal
Recorded on April 3, 1930
Recorded in' Book 47 Official Records, at'page 213
Butte County, California
Affects Parcel B.
The exact location of the above Right of Way is notclearly
defined of record.
A Lease, affecting.th.e premises herein, executed by and between
the parties named herein, subject to the Covenants and Conditions
therein
Dated August 20, 1974
Lessor Floyd F. Sannar and Pearl F. Sannar,
his wife, as Joint Tenants
Lessee United Oil and Gas Company, a California
corporation
Term
Recorded on May 28, 1975
Recorded in Book 1989 * of Butte County Official
Records at page 299.
TAX NOTE:
General and Special'County taxes for the fiscal year 1987-88.
a) First Installment : $82.35, PAID
Second Installment : $82.35,, PAID
Land : $11,048.00
AP# 021-13-1-038-0 Code 075-019 Assessment No. 14677-1
CORRECTED BILL. As to Parcel A.
b) First Installment : $73.83, PAID
.Second Installment : $73.83, PAID
Land : $9,441.00
AP# 021-13-1-036-0 Code 075-019 Assessment No. 146'75-1
CORRECTED BILL. As to Parcel B.
CONTINUED
. . . ......... ......
SCHEDULE C
The land rpferred,.to herein is described-as'follows:
All that certain real property situate in the County of Butte,
State of California, described as follows:
PARCEL A:
All that POrtion of Lot 22, of Gridley Colony No. 9, according to
the Map Of said colony, filed in the office of the Recorder of
the Coulity of Butte, State of California-, July'lo, 1907, in Book
6 of Maps, at page 58-F lying Easterly of the following described
line:
COMMENCyNG at the Southwest corner of Lot 22, said point being the
intersection of the Northerly line of the West Liberty.Road (formerly
Cameron Road) with the Easterly line of Lewis Oak Road (formerly
Miller Ave.); -thence North 890 51' 40" East along the Southerly line
of said .1,ot 22 and the Northerly line of West Liberty Road (formerly
Cameron Rd. ) a distance of 34 3. 00 feet, to the true point of beginning for the
line herein described; thence from said True Point of Beginning Northerly
and parallel With the Easterly line of Lewis Oak 'Road (formerly Miller
Ave.) a distance of 639.07 feet to the Northerly line of said Lot 22,
and the Poitlt Of terminus of this line.
EXCEPTING THEREFROM the Northerly 18 feet as described in Book 170
of Deeds at page 42, recorded on March 25,, 1918 records of the
County of Butte.
PARCEL B:
Lot 23, of Gridley Colony No. 9, according.to the Map of said Colony,
filed in the office of the Recorder of the'County of Butte, State
of California, July 10, 1907, in Book 6 of Maps, at page 58.
EXCEPTING THEREFROM:
The East half of Lot 23, Gridley Colony No. 9 according to the
Official, Map thereof, which map was recorded in the office
of the Recorder of the County of Butte, State of California, on
July lo, -1907 in Book 6 of Maps, at page 58. The West line of
this parcel is parallel with the East line of said Lot 23.
ORDER NO. 4-142380
NOTE:
The County Recorder' -s Office will charge, in addition to the regular
recording charges, an extra * $20.00 recording fee, unless a document
evidencing a change of ownership is accompanied by a.preliminary
change of ownership report. In -lieu of said report, signed by
the transferee, the Recorder will accept.an affidavit that.the
transferee is. not a resident of'California.' Title ' billings
will be adjusted to reflect.such additional fees when applicable.
DC- NOT DESTROY THIS ORIGINAL NOTE: When paid, said original note, together with the Deed of Trust securing same,
must be surrendered to Trustee for cancoillation7ind rete�tion before recoil�eyance will be made.
NOTE SECURED BY DEED OF TRUST
(INSTALLMENT—INTEREST INCLUDED)
$ 45, 000.-00 Gridley California, May 12, 1988
In installments as herein stated, for value received, I/we, jointly and severally, promise to pay to FLdY--D F.
SANNAR
ororder,at place designated by payee the sum of
FORTY FIVE THOUSAND AND N01100 ------------------------------ DOLLARS
with interest fro Ma)4 170 1988 on unpaid principal
at the rate of ten —per cent pe annum; principal and interest payable in installments of
-FIVE HUNDRED AND N01100 ----------- ($500.00) ------------------- DOLLARS
ormoreonthe same. —dayofeach calendar month,
begiriningonthe 17th —day of Jiint- 19 8 8 and continuinq until
'�id principal
May 17th, 1998, at which time the entir� unp
balance, Plus any accrued interest due thereon will become all due and
payable
Late charge: A late charge of 6% of the monthly payment will be due
on monthly Payments tendered more than 10 days late.
In addition to the above monthly installments, payor agrees to pay
an additional $1,150.00 towards the principal amount due on this note
each year beginning f, 1989.
"This note is sublect to Section 2966 of the Civil Code, which
provides that the holder of this note shall give written notice to
the trustor, or his successor in interest, of prescribed information
at least 90 and not more than'150 days before any balloon payment is due"
Each payment shall b e credited first on interest then due and the remainder on principal; and interest shall thereupon
cease upon the principal so credited. Should default be made in payment of any installment when due the whole
sum of principal and interest shall become immediately due at the option of the holder of this note. Principal and
interest payable in lawful money of the United States.
If the trustor shall sell, convey or alienate said property, or any part thereof, or any interest therein, or shall be
divested of his title or any interest therein in any manne - r or way, whether voluntarily or involuntarily, without the written
consent of the beneficiary being first had and obtained beneficiary shall have the right, at its option, to declare any
indebtedness or obligations secured hereby, irrespective of the maturity date specified in any note evidencing the
same, immediately due and payable.
If action be instituted on this note I/we promise to pay such sum as the Court may fix as attorney's fees. This
note is secured by a DEED OF TRUST to BIDWELL TITLE AND ESCROW COMPANY, a corporation, as Trustee.
M. Lloy4ff Davies
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
FOPIM #STE-NOT.05 (W87) DO NOT DESTROY THIS NOTE
-a22tGa-P,E(MH)
PERMIT NO.
PERMIT EXPIRES
OWNER LLOYD DAVIES
CONTR. GarlandHomes
21-131*36
ASSESSOR PARCEL
LOCATION .630 West Liberty Rd, Gridley
sA/ 7
Temp. Power Pole
Called PG&E
I A 1 �2 -P-f' r A—)
Temp. Elec. Se
Called PGi
Temp. Gas Ser
Called PG�
JOB FINALED
Signature
OK
0 Not 'OK
Not Applicable
Not Ready MOBILE HOMES
Date MOPtE HOME UTILITIES (Plans) OK except #'s
V."Ziapirig. Req ui rements-Setbacks- Easements
W_Sgas-,-Special MH support -Sketch
S_ew,6r; Location- est- a - - oncrete
Water; Location -Test -Easement Needed (Sketch)
Ele_ctricity;; ocation-Clearances-Grni:m Amp -Concrete
,,a."basj �ation-Test-Wrap: / OP11t.
_.k,A-oT'Nat. or/ P'L"ft./ P'LPG
V-7. Utility Clearance
Card-BIIZ�rD Date)p. ),07Card-Bl Date
Card -81 Date - Card -Ell Date
Date '44OJ3,tLEHOME INSTALLATION (Plans)'OK except #'s
&1'.74ohing Req ui rements-Setbacks- Easements
42Footings; Size-Spaci ng-Marri age Line
k3 -*'Gas; MH Test- Demand -Valve -Con nector
� �.Electricity; MH Test -Crossovers -Breakers -Clearances
Prain; MH Test -Fall -Flex Connector
14.'Vater; MH Test -Regulator -Connector
K -Water and ewer Connected -C/0 to Grade -HD Approval
.-. ars'and Electricity Tagged
!Wxits; Insp.-Sketch
1VCert. of Occupancy
Card-B1Qj::) Dat9/0 2� " ard-B1 Date
11 rf
Card -Ell Date Card -B1 Date
I
MISCELLANEOUS
Date DECKS, COVERS,CARPORTS; GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; rders an or Jo sts-Deck ng-Brac ng- tairs-Ra Is
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum: Awn.; Col u m ns -Con necti ons-SpI ice- Deca I- Encl osu res
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors- Land I ngs
Card -B1 Date Card -131 Date
Card -81 Date - Card -Ell Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compacflon-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 -Panel board s- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.: Cir. Test -Water Sui)i)lv Test
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
=OK -
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* =, Ni�r,-Rpady�'
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth _
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
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. Equip. Ground made upw/Mech. Fasteners -Bond Gas &Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F'.1.
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. ga. Cu or Al -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
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, 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. Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. CIng. Joist-Rftr. -Ties- Purl in -Roof Brac.-Truss-Shthng.�Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Frami n g
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
53. Stairs; Width -Head room -Rise- Ru n- Land i ng- 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-Cig.
60. Infiltration-Walls-Wndws
Card -131 Date Card -B1 Date
Card -131 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Land i ngs
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75, Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. 1 nsulati on- Foam- Looked in Attic 0 Yes
78. Guard Rails & Deck Construction Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 11 Yes
80. Following instId.; Drive -0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
8i, Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle-Underg round
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -Bl Date Card -B1 Date
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
MOBILEHOME INSTALLATION ACCEPTANCE
r COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CeNTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO. 55
Address or location of mobilehome (7—� 0 11p
I
Owner's name
Owner's address (I �zl 1" 0 V�� �-4 1I Ir I C4 14--f .4—
W Insignia or hud number:?'..4,-:� Oqq 3 3 v
Manufacturer's name
r Serial number of �J,N. h '7 A- 4 Year of manufacture (3 4n
ficial Approvin�l Installation
(Date)
IF THE MOBILEHOME IS MOViD OR RELOCATED, THE MOBILEHOME INSTAL I LATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive. Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
au
OWN Ei�_ PERMIT -NO.
. WR I
RMHV�_
MI '4'= V, I
' MWORIJ " - On � �_111101'
, MEFAMCFAWWWATMA rAzww ION A -
A�
Inspector Date
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of.work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this %fice immediately.
. WR I
RMHV�_
MI '4'= V, I
' MWORIJ " - On � �_111101'
, MEFAMCFAWWWATMA rAzww ION A -
A�
Inspector Date
COUNTY OF BUTTE - DEPARTIVIE�T OF PUBLIC WORKS ERM ' IT NO.
7 County Center Drive - Oroville I . Cafifornia 95965 - Telephone: 916/538-754(*'**0) s7c76 -
APPLICATION AD PERMIT 74s�'
ASSESSOR PARCEL NUMBER
;ZJ -
ZONING
5;e �7_ .
BUILDING PERMIT
OWNER
4 o)nO /)A u
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NA�019
6(-0-f O�.f I
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Pco<--y --7"AA Zq_',ac:�A PJ-;P;,VZ_
Fireplace
CONSTRUCTION LENDE
F� WN
Total Valuation $
Filing Fee
$ r14 -4)o
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 5
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. 'I
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [:1 DuplexFj MobilehorreN Other
SPECIFY
Gas piping system I - 5 outlets
5.00
Building sewer
5.00
Mobile Home (Irs 0 -OW J)
"_3
_F0 .00 ea 45 9�:
TYPE OF WORK
NewF� AdditionD RemodeiEl Utlllties�0 Installation[] OtherF1
Describe work:
Permit Fee
$ 4!�2_le
Contractor
ELECTRICAL PERMIT
FilingFee 10.00.
J00V OR LESS
main service 00 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
rk.-A-
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No.3 t(19'A/ Classification
1, as the owner. or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ID 1, as the owner, am exclusively contracting with licensed ULPIRFUCt-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.01)
OR ADONS. ACC.BLOGS. 21/20sqft
NEW CONSTR. M ULT'_OUTLET '2.50 ea
NO *RFSID, RAIC. CIRCUITS)
BOWER APPARATUS.&)
(SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES .20050t
ALO 30C
OCCUP. FIXED APPLNS. OR
Ex. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F -I The permit is for $100-00 (valuation) or less.
Ej 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 Wf-Insure.
1;;4] 1 shall not employ4any 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 becomo �uui 7"
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
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
$
Contractor
I certify that I have read - this - application and state that the above inToArmation
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue,
again un
CS�Tn onsequence of the granting of this permit.
g
Date
Signature of Applicant - Owner E:1 Contractor 0 Agent R1
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
Energy Inspection Fee
TOTAL PERMIT FEE $
OCCUP.1
CONST.TYPEI
JSCHOOL�00[�ZlCr
JL;?rJ1<3SUE
This permit is hereby Issued under
sions of the But te County Code and/or
work Indicated above for which
DIRECTOR OF PUBLIC
By
PEAMIT EXPIRES Date
I
t he applicable provi-
resolutions to do
fees have been paid.
WORKS
Date A?
Receipt No. 7 :2
WHITE-C.P.W.. YELLOW-ASSES30M. KNK-INSPZCTOR. GOLDENROD-APPL I CANT
B
COUNTY OF UTTE -6EPARTM",T OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROOIILIE�59�tll�QRNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. N
0.
Proposed Building Use Building Inspecto Date
At time of permit application, I"was advised the following data must be submitted prior to permit processing
and:/orissuance: DATE RECEIVED APPROVED
1. All-items.have been submitted . . . . . . . . . . . .
2. Plot-�rons in duplicate/tripli-cate, 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. Plans with Energy Design Compliance Statement . . . . . .
6. -- -School District "Fees Paid" Stamp -on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization . . . . . . . . . . .
10. Sanitation approval from 4V__9r_d I Health Dept.
11. Planning approval for (A) Use: — (B) Parking: -
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner
-15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
I P re -I n spec.s request to —(Date)
.17. Pre -Inspection for Required. Building In pector
.18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
-20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to nkan check).— P
_0 C,2�� z;_)i_ J-1-4 C1 12 4, A 4 - P::::f ' —40 A -W 6
When you issue the permit, process as follows: _Q41 ii, Zo-owner, —Mail. to contractor.
�9
Telephone- and hold for pickup aS��bffice, —Deliver w/inspector.
j
Applicant� Date
Copy of plans sent — Health Dept., —Fire Dept., — Other . Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. A
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---jnai I —counter by— date
Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date
Plans checked
Copy—DPW
Date Plans approved
Sets of plans on hold in —File cabinet _AP folder
Date
a
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Diiveway Clearance
owner
location
AP #
Driveway permit gble)F3 has been issued for the above property.
n b
—,�(j - �Pf
sign/re date
TO Bui-ldino,Department
FROM: Envirorimentfil Health
SUBJECT: Sanitation Clearance
on
owner Loc.ati'/ AP#
Plan Approved for:. Sewage Disposal
water SuppiY 4 -
Hold final for:. Water Supply
Final clearance O.K. for:' Water Supply
Clearance for bedroo ome. 'Other
NOTE * * *
S a nitt —ar 1 an
Mc RV
re(Iiiircs
prior to
26-8.1 of the BLI t 1 0 COu III y �od c.
this ockiiuwled9(1flI(:I_IL be rocordod
5SUOIICC 0 n Duil(ling permit.
The properLy described herein is ad jacent,
86-02113070
Rec Fl6e 5.. -001 -,1 -
to ]and or 111ILluded within an area zoned
Cash 5 00 -
I ;
for agriculLural� purposes' and resideriLs
I
Reco'rde-d.
!*!, , .
of Lhis property may be subjCCIL Lu incon-
Official Records
'-,of
1
vf*%niences or discomfort ;.w;rising fron) Ole
6ount' y
SHOW.'
igriculLural chemiLaIS,
us(? of including,
-.7 �Butte',
_�PAWV
bill. 110L limited to tterbic� pesLicides,
des,
Canda Gr.6bb�'
,ind fertilizers; and from the. pursuit
Recorder
of' agricultural operations including
8: 15ami 24-A69-88
17 BG
but. not lJmiLed, to CUIL[VoLion, plowing,
sprayi ng, pruning, and linrvesting which
o(casionally generaLe dust., smoke, noise, and
odor. But te -CouliLy
hus eSLIII).] ishod ;Ikril III
llirnl zones which have jis -) Pl'iOriLy us,,- 1()r
pruduct ive igricuiLural
purposes,
wllhill,s�lld zones und on'ad jacent. property
should be prepared to acCopl.
such i Ili 4111VI'll 1:,::(
(W (11-iSLO11"cirm frf�m norm -al, necessary rarm,
All LhaL real properLy situate ill Lhe ('ounl.y of Butte, Stu
Le of' Cal iforiiia. th-
10 1 lows:
,�va t c
Lot_��, of. �Gridley-Colony No. -,g, according to the Map of said Col
filled in the office.of the Recorder of the County of -Butte, State
of Ca'-Ii-fdrhia -July -10 1907, in Book 6 -of - Maps, at page 58 -
EXCEPTING THEREFROM:
The East half of ' Lo t 23, Gridley Colony No. 9 according to the
official Map thereof, which map was recorded.in the office
of the Recorder of the County of Butte, State.of California, on
jul-y 1.0, 1907 in Book 6 of Maps, at.page 58: The West line of
wfj�h ��W6-tast" line 'of said Lot,'23'.-
this parcel -'is paraj:le-l*
rKUPERIV 0"IF.R.
r
C �WAI
011 this the A��d a y 0 f 2LTA—�_�� 19
SS. the uriders i giied Nol ii r c , pYrsonal ly jppeored
CoullLy of Arr�
L Ix, Yd 04vt
AA vy, S
Personally known to me. Cl Proved l.u.me oil the hasi.-i
Of satisfactory evidellce.
to be the person(s) whose name(s) Ark -F
stibso-l-LbCd LO the wiihin instrument. and acknowledged Lll;il
executed Lhe same ior LI'le purpOseS therein contained. IN WITNFN.�"
WHEREOF, I hereunLo SCL my.hand and official seal.
SEAL
OFFICIAL SEAL
GARY D FIFE
1) 7NOTARY PUBLIC - CALIFQ
rcscrit. A.P. No. Q
Uj� COU T
—h I I C
_Fu
BUTTE COUNTY NoLyry
N.1y comm. expires MAR -20,1989
END OF DOCUMENT
-Cb
I
A-
4
��eturn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL.DEVELOPMENT
'Secti.on 26-8.1 of the Butte Count
requires Lhis acknowledgement be recorded
prior to issuance of a building permit.
Lot 23,"of Gridley Colony No. 9, according to the Map of said Colonyt
filed in the office of the Recorder of the County of Butte State I
of Ca7lifornia, July 10, 1907, in Book 6 of Maps, at page' 5;.
EX i CEPTING THEREFROM:
The East half of Lot 23, Gridley Colony No. 9 according to the
Officia - 1 Map.thereof, which map was recorded in the office
of,�he Recorder of the County of Butte, State of California, on
July 10, 1907 in Book 6 of Maps, at page 58. The West line of
this parcel is parallel with the East line of said Lot 23.
Date': PROPERTY"OW'NERS:
Yo �W/65
A)F
S t a t e o f On this the
,/-2'day of 19 Yff before. me',
SS. the undersigned Notary Public, personally appeared
County of &7-ra )
0 4V Al I/A�513
2,dV1 azs
FtTersonally known to me. E] Proved to me on the I)asis
of satisfactory evideiice.
to be the person(s) whose name(s)
subscribed to the within"instrument and acknowledged LhaL.
executed the same for the purposes therein contained. I.N WfTNI-NS.
WHEREOF, I hereunto set my hand and official seaI. * -
OFFICIAL SEAL
GARY D FIFE
NOTARY PUBLIC - CALIFORNI )K_—
Present A.P.- No. :P- /3- BUM COMM Ktary Publ
My comm. expires MAR 20,1989
EN6 OF DOCUMENT
The property described herein is adjacent
.1313-030927
Rec Fee 5.00
to land or included within an area zoned
i Cash 5.00
for agricultural purposes, and residents
Recorded
of Lhis property may be subject to incon-
official Records
veniences or discomfort arising from the
County of
PARV SHOWN
use of agricultural chemicals, incl�iding,
Butte
but not limited to herbicides, pesticides,
Candace J. Grubbs
1
and fertilizers;, and from the pursuit
Recorder
i
of agricultural operations including,
12:00pm 12 -Sep -88
BG I
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County
has esLablished ;1gricul.-
,Lural. zones which have as a priority use for
productive agriculLural. purposes, and re-. i d ei i i �;
within said zones and on adjacent property
should be prepared to
accept sucli hic()iivciii(-iw(,
or disconform from normal, necessary farm operations.
All. that real property situate in the County
of Butte, State of
Californ:i'a, des(-ri1)c(1-;is
follo�s:
Lot 23,"of Gridley Colony No. 9, according to the Map of said Colonyt
filed in the office of the Recorder of the County of Butte State I
of Ca7lifornia, July 10, 1907, in Book 6 of Maps, at page' 5;.
EX i CEPTING THEREFROM:
The East half of Lot 23, Gridley Colony No. 9 according to the
Officia - 1 Map.thereof, which map was recorded in the office
of,�he Recorder of the County of Butte, State of California, on
July 10, 1907 in Book 6 of Maps, at page 58. The West line of
this parcel is parallel with the East line of said Lot 23.
Date': PROPERTY"OW'NERS:
Yo �W/65
A)F
S t a t e o f On this the
,/-2'day of 19 Yff before. me',
SS. the undersigned Notary Public, personally appeared
County of &7-ra )
0 4V Al I/A�513
2,dV1 azs
FtTersonally known to me. E] Proved to me on the I)asis
of satisfactory evideiice.
to be the person(s) whose name(s)
subscribed to the within"instrument and acknowledged LhaL.
executed the same for the purposes therein contained. I.N WfTNI-NS.
WHEREOF, I hereunto set my hand and official seaI. * -
OFFICIAL SEAL
GARY D FIFE
NOTARY PUBLIC - CALIFORNI )K_—
Present A.P.- No. :P- /3- BUM COMM Ktary Publ
My comm. expires MAR 20,1989
EN6 OF DOCUMENT
CO
op Curr
wofws
91988
16
All
C,
c
CO
op Curr
wofws
91988
P -P-17
91"
AP #
OWNER
PERMIT
MH UTIL.CLEARANCE DATE j/
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test.Req.
-vice
,e,
Other
Load
Type
Pipe
Size
Len'szth
YESil NO
YESI NO
A
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS (),,PERMIT O_
7 County Center Drive - OroVille,.California 95965 - Telephone: 916/538-75 1. Slk
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
4 _R
BUILDING PERMIT
OWNER
T E LEPHONE
SQ.FT. OCC. BUILDING VALUATION
�,.WN�� MAILING ADDRESS
r ).,- 1, A y6R )L
C C
027 F_K9Y f14
T . EL
5
C NT -is
A"t (5 C 0
Fireplace
—CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENCER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
.BUILDING ADORE
01' 6: S 7—
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO. SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF[:] Duplex[] Mobilehome
LX Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G
�0-00e�
TYPE OF WORK
Newn AdditionO RemodelEj Utilities[] Installatioaig Other
Describe work: 0
14, '94
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
6001 OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
PQLI
and Professions Code and my license is in full force aLicLeffect.
;!!!� - L
License No. C/ ",I' Classification - '
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
0 1, as the owner, am exclusively contracting with licensed C0111.1aut-
ors. (Sec. 7044)
F] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.ai)
OR ADDNS. ACC.BLDGS. 21/2 0 sq ft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXTURES 20@50t
5AL@ 300
OCCUp. FIXED APPLNS. OR
Ex. OUTLETS (RESID.) EA 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] The permit is for $100.00 (valuation) or less.
N�I have placed on file with the County of Butte Building Department
_a. Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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 s_4LdCouglty in consequence of the granting of this permit.
X Date
Signature of Applicant i;:.:; -, Contractor El Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of str ctures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee
—
TOTAL PERMIT FEE $
OCCUP.1
CONST,TYPEJ
MNULJFLO--JP-%J,,Z
r
INISSUE
This permit is hereby issued under
Ions of the But te County Code and/or
work indicated above for which
DIRECTIO OF PUBLIC
By
PERa'(EXPIRPS Date
the applicable provi
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. >? 5
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLD ENROD-APP L I CANT
7r
COUNTY OF BUTTE - DEPARTMEtSIT OF PUBLIC WORKS - BUILDING DIVIiION
7 COUNTY CENTER DRIVE - OROVILLE1 6�IF 6/538-754�1---,/
,IWNIA 95965 - TELEPHONE: 91
PERMIT APPLIcATIdN DATA SHEET
Permit No.
0 W N E R A. P. No.
Proposed Build.ind Use Building lnspectW�� Date
At time -of permit application, Iwas advised the following data must be submitted prior to permit processing
andJ6r issuance: DATE RECEIVED APPROVED
1. All-4tems have been submitted . . . . . . . . . . .
t p I -i
k 41 '
2. �C�q Ans in duplicate./triplicate, signed by preparer of plans.
3. Complete plans in du'plicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
R. Plans with
_jEnergy Design Compliance Statement . . . . . .
chool District "Fees Paid" Stampon Floor Plan. ceq-
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . / . . . . . . . . ...
9. Letter of signature authorization . . . . . . . . . . .
10. Sanitation approval from Health Dept.
11.- Planning ' approval for (A) Use: (B) Parking: -
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contracto�'s License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerEl, Mai I to ownerE])
—15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
P re -1 n spec.s request to (Date)
17. Pre -Inspection for Required. Building In pector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
.21. Engineered trusses in duplicate (required prior to plan check). -
22.
When you issue the permit, pro e s follows: —Mail to owner, —Mail to/contractor.
---=--�Te I e phone 5(v and hold for pickup at—office., —Deliver w/inspector.
UOPY OT plans sent — meaiin uept., —I- ire uepi., — uiner uaie
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
t Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by —phone---jnai I —counter by— date—
Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by—,date—
Plans approved by&A??20
Plans checked by Date Date
Sets of plans on hold in —File cabinet —AP folder
Copy—DPW
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One form.per,',Building)
A. P. Number,,2/-/
Building Department No.
School.District (::;712 12 City = -County Jurisdiction.
Pro perty Owner j)e4vlE-�S
P 'ject Location/Address
ro
Subdivision Lot Number
Residential Development:
Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. F�botage,
New Addition (Includirfg Exterior
Roofed Areas)
Building Department Representative D4te
District. Id No*,.*
_S-eh,&e� District certifies that
4Appliggnt Name) APhone Number)
z,�
(Street Address)v
(Citv (State) (Zip Code)
has complied with the requirements of Resolution No.j7—j--4,f-17
by:the payment of $ representing 16-ao square.feet.
Schabl'District Representative Oate
PAID BY 'CHECK NO.. REMARKS.:' -
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district'.).-.
SCHOOL.FEE (5/88)
9
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHONE INSTALLATION SHEET
owner's name:
2. Installer's name:
30' Is the site currently under permit? YeI3 =_____No,
(If,yes, furnish permit number
0
Is-- the site -an existing site? Yes
(If, yes',- -furnish'two (2) pl'ot plans.)
4.' Will th�e mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear Pf. all setbacks..,and easements? Yes No
(If no, clarify
5.,::What..is the mobilehome electrical rating? ------------------------ Amps
6 What*is the mobilehome site service -rating? ----------------- d C) Amps
7.. What is the mobilehome site circuit breaker rating? ------------ - 676,)—Amps
8. Is there any other electric load to be,. -served by the mobilehome
site service? --------------------- --------- -------------------- Yes
No
(If yes* identify the load and size: (Load) Amps).
9. What is the mobilehome site gas pipe size? ---------------------- - (in.)
10. What is the type of gas service? ----------------------------------- Natural7mr, LpcG
11.
12.
What is the gas pipe length from meter or tank to the mobilehome? t.)
R U
What is the mobilehome gas demand? -! ----------------------- :YIBTU)
(This information not required if pipe length less than: WtM' tural
or less than 50 ft.. on LPG.)
tp
CrI
MOBILEHOME SUPPORT DATA
If 6t�er.than single wide, -77
Mobilehome Mfr. kt furnish Setup Model No._ — yea,:�
)4idt (ft.) Box Lengt (ft.) Tagalong or Expando Size te. `13X
(SHOW SUPPORT DETAILS BELOW)
on all mobilehomes manufactured after October 7, 1973i furnish manufacturer's installation
manual and'structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobijq�qrqupless otherwise specified.
Loc
�11A&_a (check one)
Single
S—T.—Wood either
pressure treated ot,
(f t.) (in.) in. in.
L
I&
(f t.) (in.) (in.) (in.)
(ft.Vin.) (in.)I(in.)
*If center piers are other than drawn above,
draw in. -locations, spacing, and dimensions.
foundation grade.
2. Other�(speclfy)
Supports
Ocheck one)
Concrete' block,
.2 i Other.. (specify)
4—Tagalong or Expando.'
show support -details.
-1x X3 11 Typical Support
(in. i -n.) Footing Size
eH -ZV4---"Cr -- Max. Pier Spacing
(f t.) (in.)
Max. Overhang
(in.) (in.)
Center support
Center support
locations*
footing sizes
(in.)
(in.) (in.)
(f t.) (in.) in. in.
L
I&
(f t.) (in.) (in.) (in.)
(ft.Vin.) (in.)I(in.)
*If center piers are other than drawn above,
draw in. -locations, spacing, and dimensions.
foundation grade.
2. Other�(speclfy)
Supports
Ocheck one)
Concrete' block,
.2 i Other.. (specify)
4—Tagalong or Expando.'
show support -details.
-1x X3 11 Typical Support
(in. i -n.) Footing Size
eH -ZV4---"Cr -- Max. Pier Spacing
(f t.) (in.)
Max. Overhang
l4
FOR PIER BLOCKING ONLY
u
1-13
T— Ll
I�Azr
I
4ZOZI
F-4
00 o
Zl' -.z
�gd 4&� IL
-wly-30 /.?,X
A �,�OLJ41`11`J -94PPogr
ALL DIMENSIONS BASED ON EXTERIOR WALLS
so
TH�S rRINT IS VOID
AFTER GO DAYS FROM
THISGATE. 7J -7p
NOT&___:A-ff Moferl-als Workmamshlo
Accordance wifh Recognized Good � S69 16 IN
ractice, and
Of a qualify presoribed for the Speolfied uie in the
Uniform Building, Plumbing & Mechanical Codes and
-AG Nafional El"frical Code.
.71da ut &F plam and tpecificafions MUST b:.
kept on tho job a+ all times and it is unlawful
make any changes or alterations on same wifly�.
wrif*en permission from the Department of Puly.
lie Works, County of Buffe.
r
within
utility connections shall be
4 ft. of the mobilehome, eithOr
directly behind or within the rear
half of the roadside (left) of the
- M - O'b lie h o rn e.
A pomif will be required for the
bnk&H&n of +he rnobilehonvL
TXG 0
A setback of 5 ft ftm
property lines nd a Istb4*1 C_
-C rn. -the road
Ot OUTT.
centerline shall be clear of Pt
"n" Oxrt�
Stj7Ct6jesor_'j--g- ---
for a 2 ft. eave overhanq.
NP
L o -Yo /0 A v, iF--r
LW_'C-S;r L "5 '&-iq ez
OWLIDING DEPARTMEM
APPROVED
when H.C.B. stemwall (o w
W-4' is used)
" IIIIUflllll KS ;:�s .�, • Illrll(IIII �:�'! ' Ll 111
Fill
.. I
V IIII I'�' ' ~; II
#4's Vert. at 32"O.C.— `iPoured';' -�
;-tzars (Req'd. only when H.C.B. Conc. 11
stemwall is used) „ or H.C.B11
Bose Of ,. qi16 Slot 12 stemwail !�/•
PRe. I *4 Con - .t. - ,...
i SECTION �-I .
`I 1®
Note:
1
(• t 2
Cu"Off Btm. of Existing Siding and Install
Z Bar. Renall w/8d at 4"O.C. W
� No. -17918 `
UNLESS SIDING IS HELD BACK
Exp.�7
2, Field Install?(M�n.)
Hardboord, Opt. 3/8 (Min.)
APA Rated Pi""d. Sheathing 9jf OF C��`��em
Nail w/8d at 4��O.C. Edges,
8d at 12'0•C• FieldALT15 r—O A,7r 15 rm d- P.A.'-rlo k� WALL C HA,5-sis Sjf'T6.-_'
fTE COUNTY
4011 DI DEPARTMEW
..5,
PACIFIC CONSULTING ENGINEERS'RML V Isft
4020 11 Camino Are: Suite A-2 1A P
Sacramento, Calit. 95821 Phone:'916-482-1318
Existing Ext. Siding----�--1�
Floor material
Bend Flange Chassis I Beam '
8d at 4'"O.C. ^ —' --
Floor Joist
As Shawn
Field Install Z Bar ---�
MIN.
�_y
<�_
2"(Min.)See NotelBelow
8d ot_4�'O.C. -- --
j
1O Go. Chassis
2 x 4 Blk'g• (When Necessary)
U)4: 804_
A -t-1)
Beam seat
Nail to Rim Joist w/16d at 16"O.C.
se( tf'11`iW
'
2x4 Top Plate Nall to Blk g. or
li"ffd'
A @ L �,
This Connection Is Required for
u
Rim Joist w/l6d at 160O.C.
`��
Connection- See
"E"
FHA Approved Foundations.
3/8" X 6A.B.
Detail
DETAIL E
_Ponywoll-2x4's at 16 O.C.
GLo50jZ
2 X 4 P.°I: E
Steel PandLabeled
a a Min.
N.T.S.
- -- ----
.B t 6'-' "
I/2 X 10 A.B. at 6 - 0 O.C.
*4
.,
._...� 4000#
Con't.(Req'd. only
It
when H.C.B. stemwall (o w
W-4' is used)
" IIIIUflllll KS ;:�s .�, • Illrll(IIII �:�'! ' Ll 111
Fill
.. I
V IIII I'�' ' ~; II
#4's Vert. at 32"O.C.— `iPoured';' -�
;-tzars (Req'd. only when H.C.B. Conc. 11
stemwall is used) „ or H.C.B11
Bose Of ,. qi16 Slot 12 stemwail !�/•
PRe. I *4 Con - .t. - ,...
i SECTION �-I .
`I 1®
Note:
1
(• t 2
Cu"Off Btm. of Existing Siding and Install
Z Bar. Renall w/8d at 4"O.C. W
� No. -17918 `
UNLESS SIDING IS HELD BACK
Exp.�7
2, Field Install?(M�n.)
Hardboord, Opt. 3/8 (Min.)
APA Rated Pi""d. Sheathing 9jf OF C��`��em
Nail w/8d at 4��O.C. Edges,
8d at 12'0•C• FieldALT15 r—O A,7r 15 rm d- P.A.'-rlo k� WALL C HA,5-sis Sjf'T6.-_'
fTE COUNTY
4011 DI DEPARTMEW
..5,
PACIFIC CONSULTING ENGINEERS'RML V Isft
4020 11 Camino Are: Suite A-2 1A P
Sacramento, Calit. 95821 Phone:'916-482-1318
C
I5WWALL A000f P014'5:
51 T' 1D ve". "s.10'
r5VVULY /,,rA& t7
21-01
(�0I -0 11 O',
e: AWI_! rAGr -AG� �IDLS I �51t?CW 10111 i tIG1 DI2 r
GGtIS' tiG I� x �4 �Ni►��� 1/2° ti l0� A G (o - D' d•�,CM�><.�
avi. W Flim 20 I I I CaDT SNOW
(MAY 1,44ATI t7 ALC
5017W1(1.L ,6.uGFiOa DOLT-$
-----% - - - ----- ------ ---------------------------------- _- --- --------- -----------1
I I ! ! I I I t t I � I I l i I► I I 1
L_-� L--! L_� t---4
I (
rl i
I 4l01 silo G 331-40 O. s. t. _ _ I I
1 I
r i I
i --I i --i i--� i- I ;--� i- i t i,
I I ► ! I i I i I
i I I I I I I I i t I
I I I I I I I I I 1__ w L_ _J Li
L -J -_-1-J-�
'I
L_ , L_� L__I I--� L-
II n�l✓ r Did LE
: no
0
----
I
I I I I I I i I i I i I I I I I _ I � ► � I � ,--i✓'"J f I �r �
1 I ' I ra Ir I j I i I i I I i�' �t15E 2- 2i1x 12�x 2� �J000� I ILS L_J
W60P 1D
l_�
I �+5 i, I/ I - 2 K ri�Dy W/ 1- 2 x 12 X 2�4 G 05h I I
I'AP ( OV&P TO 00 r 06! . i 1
12��Z4�(0 )Woat7 rAD I
G �,J,�f` �i'AGLD AJA. NRXIHom Or I I
I i
i
I I I I I I I i f I I► ! I I I I I I I I;t,{ t
� I I I
i i I i I j I ► I I I I , I I 1 t I; �I L_J L_J
I L --I --I L_ L-► L--� - - _�_ _ _ _'-_-' _ L_1 _ _ M- - - - - - - - - - - - - - - - - — �
777/2
(• �--- ---- ---- — -- -- — -- — —_ -----_ __ _--------------------------- ----- •J
1-- ------------ -------------------- _— ---- —
1-O�
rFovin v4TiLATla0 O
56t ,r r, vAed 150 5a. FT j-frl6AL Ar 401e0,F�;rs
slMWAL oil
A i�r la OLrh
J
Existing Siding ----...
Field installed Z Bar
01Z&
GOTa11,
/2" �=7C= ltd"�.
at - O dC:
#4 Cont
#4's Vert at 32"aC.
•
SCALE
�4
Floor Materioi
F::�ovkiPAI T'fv�l
6U I'r pT
VIp.
,l and Wedges or
Q i...9_ in. 1 avOilAR
SECTION B B
SCALE 3/4"= i -0
11
Location cit structures &
Oquipment shall be as shown
$k clear of all easernerits.
TbM set od plans and speoMeattons MOB 'i' be
kepi an the job at all times and it is unlawful tai
inkka any changes or alterations on rine without
Written permission from tba DeparUnent of Publio
!r%is, County of Butte.
ltt'WE: Ail Materials t3' Workmanship Sball Be In
Accordance with Reeognfted Good Practices and
of a Quality Prweribed for the Speciticd use
iii the Uniform Buildir4, Plumbing & Mechanical
Oodes and the National Elsctrical Code.
pof,44. -_ 4JV , . TS j�A-f 9i 15XIe j_l 04l.
T��-�vrFviC� rr� rI�Y k opt TH5 fe u►10ATrv�l.
O-Afg: OT AI= '6AIflA4,15 THFY Apr Tv
P5 ,a,tat�Eb•
Cut .Exist'g. Siding 2"(Min.)
And install 2.8or-
See. Note 6
,Evert + ; Afwq E 11
GOBI c.
Of
*4 Vert. at 32" fJ.C..•
Cane.
2X alk'q.
For, 14" X 6"
Vent
6IU, Nall To
8111(19,w/11.6d at i6" Q.C.
Chassis
Existing Ext. Siding
Floor Joist
Field install Cl sure
Strip to.110100 Exist. 2 x 8ik'q
Sld'sng `Notll ry 8d i �'° Zx 6 P.T. Plate
4"M Edg+e t€;
" 44 Rebar Can't.
iG19 SIX 14s oc
CLOSURE dE TAIL.
SCALP flu l -01,
5.:� 2®p O��OfE Hq
. Oq F2
dUT & COUN W
3UILDING DEPARTPIENI
* EXP• 3�
APPR VES X191
F Of C ALAE
GENERAL NOTES
I. THIS FOUNDATION PLAN IS DESIGNED TO BE USED
WITH MFG`D. HOME-
MAKE:--- K
OMEMAKE:_.K T ..
MODEL' 7
2. DESIGN LOADS:
ROOF LIVE LOAD: 240 P.SF
FLOOR LIVE LOAD: 40 P.S.F.
WING LOAD. W P.S.F
SEISMIC ZONE
3, THIS FOUNDATION IS FOR PLACING MFG'D. HOMES
CONSTRUCTED W/ LONGITUDINAL OR CROSS .JOISTS.
4. ALL CONCRETE SHALL, HAVE A COMPRESSIVE
STRENGTH OF 2000 P.S.I. IN 28. DAYS.
5. THIS FOUNDATION PLAN IS DESIGNED. TO BE
CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO
EXISTING SOIL. PROBLEMS.
C. MFG`D. HOME MAY BE SHIPPED FROM, THE FACTORY
WITH SIDING CUT BACK 2" AND 7- BAR INSTALLED.
7. FOUNDATION CONTRACTOR SHALL VERIFY ALL
DIMENSIONS BEFORE CONSTRUCTING FOUNDATIOI` 4 -