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021-132-045
. - lw "`-"-'` ... ':t �"Y��. f. --o d ,.,,, ..._..� �_ „�,�.Y� i"`�s-ea - - - - ...v _•-�r-Tt,--.. ,r i -IL 4 - Donald L. Talley ' l t f'(I, I7 N/S W.Liberty Rd.,app.250'.E.of French Ave., Gridley Colonylk4, Gridley Permit # 66-76P,E(u41.,MH) GAS � SUPPORT STRUCTURE REQ. /111V , COMPACTION TEST --REQ. dil0 AP_,21-132-45 Permit 775-77MHI ItUEDa97 021=13-2=045. '95 =1884 BPE TALLEY,. Don and normae' _,528 West Liberty, Gridley (MH/perm fdn) v�. '' `� 1.5 :v �-� �- - --- --Y----- - y, - -- -- 1, - -- � I RESIDENTIAL ,3 021-13-2-045 95-1884 BPE TALLEY, Don and norma 528 West Liberty, Gridley (MH/perm fdn) i' i . f tl 4 ? JOB FINALED ( te) — " Signature J=,OK O = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements =Footings, Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector Electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector MH Test -Regulator -Connector L4.--VVaterjand Sewer Connected -C/O to Grade -HD Approval 8 s tl Electricity Tagged (9 zits; Insp.-Sketch Cert. of Occupancy DatE�_j 7W t>rd B- Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements ' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability t 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except 149tning-Setbacks-Easements-Flood-Slopelope g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped o. zaemwans, uarage, Weei-VOCKouts-wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date '+ 9sl7ard B- Date Card B-1 Dat / rd B-1 /Date Card B-1 Date PLUMBING (Pefmlt),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------- --- ------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------- ---------------- - ------------------ 19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access ---------------------------------------------- -- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------- -------------- ---------------------- - - ----------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection .-------------- ----- --------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---- ---------------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled --------------------------------- ----------- -------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------- -------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ---- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------- ---------------- ----------- -------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size / ! ga. ------------------ Cu or --- ---AI ------------------------------------------------------ ----- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ----------------------------------------- -- --- --- 30. Service -Riser Conductors & Ground -Main Disconnect ---------- ---------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ---------- -------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B_1 Date Card B_1 ------------- ----------------------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ---------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------------ ----------------------- -- -------- 36. Condensate Drain & Overflow. Size & Grade --------------------------------------------- ----------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------- --------------------------------------------- I ------------- 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 F NG (Plans) OK except a's -39. Sils. Proper Material & Anchors _..� - -- ----------- ----------------------- --- `-- - �-- - ''40. Walls Studs _Nailing_ Spacing & Bract -Pia es -Sound --------------------------- - 41. Bearing Walls over Girders & Floor Nailing I 42. Draft Stop in Walls rat roof - - --------------------------------------- ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------ 44. -----------------------------44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Rome Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ------------- 56.- Stucco Mesh-DripScreed-Fd. Vents-Underflr. Access -------- ----- •+""_ 57. Glazing Area -Glass Protection -Skylights -Plastic SS. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings -------- _ -- 60.-1nfiltration -Wal Is=Windows- ------------------ -------------t- -J - Date. Card B-1 1, -Date Card B-1 --- ----------------------------- Date- Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ---------------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. 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 --------------------------------------- - -23.-'A.C.- Duct in -Garage -Damper 74. Wtr. Htr_Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage. Above Floor-Mech. Protection ---------------------------------------- - 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------- -- 78. Guard Rails & Deck -Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ---------------- - 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing .. - -- - -- -- -- --------------------- ' ---- --- 83. Vents Above Roof: Plb9 APP liance-Firep lace. -Clearance to Openings - --------------------------- --- -- 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle- Underround .._. --------------------------- --- 86. Ventilation Throughout House ... - - - - - -- - -------------------- ------------ 87. Glass Protection ----------------------- 88, - -------- ----------- 88. Corrections from Previous Inspections - - - -- - --- -- - - --- ---- ---- ----------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ------------------------------ ------------- 90. - -&-Sewer & -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 Card B-1 Date Card B-1 Comments at Final: J COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754}-�T KRWT NO. APPLICATION AND PERMIT `�J / YY ASSESSOR PARCEL NUMBER 021-132-045 ZONING A5 BUILDING PERMIT IV_ OWNER DON & NORMA TALLEY T846N 5883 SQ. Fr. OCC. BUILDING VALUATION OWNER'S KWUNG ADDRESS 528 W LIBERTY RD GRIDLEY 7,392,00 CONTRACTOR'S NAME COUSIN GARY'S TELEPHONE 343-8494 CONTRACTORS MAILING ADDRESS 13468 INY 99 CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 247.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking -Fee-_ $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 28 W LIBERTY PERMITFEE $ G IDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. 96 SUBDIVISION'S NAME CRTD COT, 46 PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Water piping 15.00, 00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15-00 Building sewer 15.00 TYPE OF WORK New IR Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MNYX MIT PERM FOUNDATION Mobile Home I S I G W @20.00 PERMITFEE $69.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ,fu/ll force and effect. 9� Cu/ 7' License Class (' Y Lic. No. ;9 OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.52 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) �0 @ 1:00 Ex. Occup. OUTLETS PLNS. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier &(_tAK� //Vs (°p11(6 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (ALf4 9� I- C+��Z (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with comply w' those provisions. C Sindic X Date flitior Signature of Applicant - ❑Owner ❑Contra ❑AgentAn OSHA permit is required for excavations ove 'O"deepandde or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 398.75 HA2. I D. FEES IMP FLOOD cDF PARCEL PD HD U This permit is hereby issued under of the Butte Count Code and/or d ve fo which fees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. 9S �� Date ?5 (Date) Receipt No. ] 807RR WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I �:�:F:tri-'i"�"1'n.,�'''"'r''t!7!'WE�4+�ESp�.oN�h�'�'��_ 1?�i�''�ti1t �'aKu"'t%`7YI'�Kt•ht`�, i'�'rJ"�.'4'C�'C`i�n''lk.'FtH .. ;.rtnlL��r 1''�-\ - -s...- `COWNTYOFBUTTE - DEPARTMENTOFDEVEL b PMENT SERVICES - BUILDING DIVISION 7 COUNWr[!NT jDRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER j / Aro v -�-3 Proposed Building Use /�- Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: RECEIVED. DATE RECEIVED BY All items have submitted. .....:-. _ r�� Plot plans, 3%4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heatedand 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. . esof$ ........................................... 1 Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Mood elevation letter (100 year flood) by -California Engineer. .. ........... . jer"4 Sanitation and plot plan approval OAQ Health Department . ............3�=S- 15. S 15. City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. . t Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvemefits (B) Drainage. .......... . ---- 19. Driveway permit (construction approval required prior to occupancy). ..........Ire -Inspection �. quest 20. Pre -inspection for required. . to Building Inspector(Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. h 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 . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use. F—eX! 577. /1.1 oY . • TQ • $& •fray E� • • • • • • • • • • • 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 . ..................... . s as tollows: Mail to owner. -----Mail to contractor. and hold for pickup at 0 office. +` Deliver with inspector. Other Parcel Creation y� Acreage Applicant •0-1-C ate Q (J 75 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior 1. Index permit fot above items No.i 2. Additional items required: it issuance: (Circle new item not checked a ontractor designer, owner, was advised of above required data by _29 phone —mail Counter by (i Date R-17 - Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Plans checked ,by G (33o,J� Date Plans approved by �T (R, f3 a`� Date –S •3 Sets of plans on hold in File cabinet N— AP folder Copy - Department of Public Works E.H. USE O Y Plot Plan Attached Floor Plan Attached Seat to B.D. R 1.) /7, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1 /,Q Owner • Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for _D-., bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE:— Environmental Health. Specialist Date r .r COUNTY -.OF BUM — DEPARZIMNT OF DEVEI.OPMEW SERVICES — WnZI iG DIVISION - 7 COUNTY CENTER DRIVE, OROVILLE CA.95965 _- "TEL-EPHONE.- (916) 538-4541: _ . OWNER- -22- `� 1� . T : A.P. # -0yr PROPOSED BUILDING .USE 174� DATE REC.. # DATE REC SCHOOL DISTRICT FEES (paid at Distr t Of ice).. ................... 420 SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sgft) � z =$ sq.ft•. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x _$ # units amt. Commercial (per sq.ft) x _$ sq.ft. amt. &/11-4. RECREATION DISTRICT FEES (paid at District'Office)......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE . = _'. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _ 1469 Humboldt Road, Chico, CA - (916) 891=2751 7 County Center Drive, Oroville, CA - (916) 538¢7541 747 Elliott Road, Paradise, CA - (916) 87276307 -CORRECTION NOTICE 4 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please con this office immediately. de f P2- AJ 4Q . ca T -2, e-_ -;� ' / - (� Am c tae &4:7-4;1 .] Date`Cj Inspecto REV 10/92 s Yx r wry ft Irv" *a. y T3 ev �'s}K K i .,r r� �v u; 'f�'. 0+ro-:VL�^Iu fir, ' BUTTE COUNTY SCHOOLS,IMP.,ACT.FEE CERTIFICATION FORM (One Form Per Building) School District GrU j D Building Department No. A.P. Number1 �—�' S Jurisdiction: City �ounty - '*- A — 'a Property Owner Property Location%Address+ Subdivison Residential -Development Commercial/Industrial `No. of Living MHI Units New t _Lot No. 0 Sq. Footage' Addition (Group R) °Et�CS 77S - 7 0 Sq, Footage Addition (Including Exterior Roofed Areas) r Date (Floor Plans reviewed by School District Personnel) District Identification No. / S` -4-. / Al O School District certifies that (Street Addregs) (Applicant) 9�;`9 pty) Q > (state) f y — - , (, ip vode) has complied with the requirements of Resolution No. �- c/ 3 �/� by payment of $ representing �/'%2. Z. ,,-square feet. AB 2926 $ District Representative FULL MITIGATION i Date r Paid by Check # I Remarks: jcu Bank Number -' ' Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 ti ?' -..CERTIFICATE OF OCCUPANCY'k-,, This mobilehome has been installed in accordance with the requirements of the- California Administrative Code, Title, 25, Chapter 5, under permit number 775-77 for the following location: /V�-5'- aw." r. . Owner's Address Z/J 9,l .G+/ Mobilehome Model Year 127; Insignia No. Serial No. /7� It is hereby certified for occupancy at the above described location aiul may be occupied. Directorof-PublicWorks Date '// / B �'V r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED " I 6 PERMIT NO. 6665-76P , E 'h PERMIT EXPIRES OWNER Donald L. Talley. CONTR. owner LOCATION (A.P. 21-132-45 N/S West Liberty Rd.,app.250'East of French Ave. Gridley Colony #4, Gridley i j itf Temp. Power Pole Called PG&E Joe Temp. Elec. Serv. z�T77 Called E Temp. Gas'Serv. Caged PG&E ' �OB FINALED G; (Date F, _ r � (Signature) t, . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Co�t'd) PLUMBING Setback Firewalij Soil Pipin • Forms I ParapetA 1st Floor,' Main Bldg. Restroom Finish 2nd Floor, Footings Windows 3rd Floor ` StemwaII Sidina To out Slab Roof Sheath6 I Water PI in Piers Roofing Sewer / f Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phy sica y handica e Conformance of ex structure A liances Gas Piping &Test Temp. Gas Slab A Final Sanitation Patio FI EPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam IRE SP JINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECH NICAL Grd. Fault Pr t. Scratch Heatina ServIce Q, Brown Cooling Temp. Pole z Finish Ducts Underground l Interior Lath Ventila on Permanent Door Closer Final Final -;IrfjW DATE_ REMARKS OR CORRECTIONS V 1 (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST l Is the mobilehome located wi required separation from lot lines and buildings and generally conform to.plot plan? YesNo 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. ar--cannect.ions properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566 Yes No B: Test - Does water piping withstand working pressure or.50 lbs. air test? Yes o C. Bac f ow - c i ornia approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each \e/nd? Yes No B. Does it have minimum" per foot slope and is' it properly supported? Yes X No C. Are any leaks detected in drainage system after running -gallons of water through each fixture including washing machine standpipe? Yes NoX, D. I co State of Cal iforniaState of California a�roved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobijehome gas line inlet without reductions other than the mobilehome connector. Yes-A.No B. Test OK as per following procedure? Yes/ No - 1. Open all appliance connector valves.. 2.. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. 'Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No k 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage,,cabana, etc.? .Yes_X No B. Is there proper clearances around panels? Yes_X No C. ISS power 'supply cord or feeder assembly properly fused? Ye S4 No D. Is continuity test satisfactory as per the following procedure? YesNo 1. De -energize electrical wiring system of the mobilehome at the pe estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. A1.1 non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line),• including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6: Upon 'completion of the above procedure, the power supply cord or feeder.assembly condu6:tors.shall be connected to the site service equipment. A further continuity test `shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, th641ot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length S—d Width _-7 vehicle Serial No. State Identification No. -7% Additional.Informati.on or Comments: COUNTY OF BPTT.E — +DEPA-ATMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 'T Telephone: 534-4541 • APPLICATION AND PERMIT A/I �cIJ�cJcnlaUvcJ UI 1116 VUUlily VI Quilt W CIIICI uPUII LIIC above-mentioned property for inspection purposes. X � L�Date Signature of Permiteee or Agent ff Receipt No. M9�`�v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY e Date Building permit expires Date i7 �7 BUILDING ir Owner dev SQ. FT. OCC. BiUILDING VALUATION Mailing Address Q D G IQ ( e phone Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address s 1 i IN! PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,06 O 2 G Each Trap 1,50 ' Repair drainage or vent piping 1.50 Water piping Or Cc/oil V ' Each gas water heater or vent 1.50 A. P. .2 .� S Fes t tib ire Dept.1. FireZone 2onr�g; Pn se Permit Gas piping system 1 - 5 outlets .1 W Q ,� 1E ach additional outlet .30 Building sewer EQA Parking Plans Par ele Deco ation a 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Recd orcel Approval Plans rovol Permit Fee $ 3,cv $ 3:3 km NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3., Oa Main service V OR LE 10000 AMP ORSLESS 5.00 S, �}p Main service EA. ADD'L too AMP 2.50 7,, To Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVR 60 Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 500 SQ. FT. MINIMUM NEW CONST. I DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea FOR B NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: H, ra 04 OQ/00 Ex. Occup(OUTLETS OR FIXTURES)@L@1 BAL@1 Ex. Occu P•(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Z , p-0 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , $,�(� WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 0 to-goOG TOTAL PERMIT FEE $ �cIJ�cJcnlaUvcJ UI 1116 VUUlily VI Quilt W CIIICI uPUII LIIC above-mentioned property for inspection purposes. X � L�Date Signature of Permiteee or Agent ff Receipt No. M9�`�v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY e Date Building permit expires Date i7 �7 -�� rhis set of plans age .>.... •• rrs MUST b<. kept on the job :at all times and it is .unlawful NOTE:---l-All Materials &'WorkManship Shall.Be in make any changes or alterations on same withoui Accord -once with Recognised Good Practices andwritten permisson from the Department of publ;, ofa qualify prescribed for the Specified use in the Works. County of Butte_ Uniform f3�li ding, Plumbing & Mechanical Codes and . the Nafien I-Elecfrical Code. j�� • 2 r (3�- — Ys' ko` Fo. O a. e Ll- w«,XJ�6e.i*r R9 Yea, N 0.. ^r' W� a k°' o 0 o . J a� o v- k oa �` nJ G 4:� 0= O� BUTTE COUNTY BUILDING DEPARTMENT APPROVE aD(D.s>. #a� L ` E _ E E LO O � N ; �- . a, Nib Ln � C:) LO a� s s0-0 o vi H a m s o > a CJ Q �NooCqa - ®0 C�� 0E® j�� • 2 r (3�- — Ys' ko` Fo. O a. e Ll- w«,XJ�6e.i*r R9 Yea, N 0.. ^r' W� a k°' o 0 o . J a� o v- k oa �` nJ G 4:� 0= O� BUTTE COUNTY BUILDING DEPARTMENT APPROVE I E 1• _ I 'COUNTY OF -BUTTE '— DEPARTMENT OF PUBLIC WORKS y 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �77 "r ....................................... ..... authorize representatives of the County Of Butte to enter upon the above-mentioned property for inspection purposes. X ate Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O'FVUBLIC WORKS By Date 7- Z- 7 wilding permit expires Date ` 7— -Z Z' -7,? BUILDING' Owner 40 6A ei .4 [, p / L' SQ. FT. OCC. BUILDING VALUATION 44 Mailing Address 1 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Addresse �� PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Ag!5-17' 2C—/' Each Trap 1.50 �/ 2 L Repair drainage or vent piping 1.50 Water piping 1.50 ' 1 le Co 4 Each gas water heater or vent 1.50 A. P. No. d� I — — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W. 5a� I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel P 60' R/W Im r p ovemen Lawn sprinkler system 2.00 dg. Plans Rec'd Parcel pproval Plans . royal Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Y- P Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 . Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS. OCCUP. &) 22sgft ' NEW CONSTR MULTI -OUTLET NON.RESI D. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS &) ( NON RES,D. (POWER OUTLET CIR. / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: qtog Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc.-Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 © 1A- S 1A 0 ©, TOTAL PERMIT FEE $ p authorize representatives of the County Of Butte to enter upon the above-mentioned property for inspection purposes. X ate Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O'FVUBLIC WORKS By Date 7- Z- 7 wilding permit expires Date ` 7— -Z Z' -7,? BUTTE COUNTY DEPARTMENT' OF PUBLIC WORKS 7 County Center Drive, Oroville-, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's. 'name: 2. Installer's name: /_. 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number -7 p P OR Is the site an existing site? Yes / / No 2 7: (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 6 Amps 6. What is the mobilehome site service rating? --------------------- f B d Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome situ service? - �� �"� --j Kp g p --------=------- M -y----------- 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? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? ,fes• (ft.) 12. What is the mobilehome gas demand? ---------=---------------=---- (BTU) (This information not required if pipe length less than 6 ft. on.natural gas or less than 50.ft. on LPG.) "j, MOBILEHOME SUPPORT DATA . Mobilehome Mfr. Setup Model No. Year'21---11 Width (ft.) Length y (ft.) Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of.Butte). } Sin lFootings. (check one) Aon/ / 1. Wood either � pressure treated or Censer Center Sup ort �q '� fdn. grade. Suport Footing S'zes Locations (in.) f 2. Concrete pad. �- - —x - } I / / 3. Other, specify s (TfY. in. �i .) (in.J I Supports (check one) 1. Concrete block x ! / / 2. Concrete piers (.ft) (in) n. )Tin--) 3. Steel piers 2K-7 4.• Other, specify Typical Support Footing Size (in.4f ep ) (3. .) I fAo Max. Pier - , ,^ Spacing (Ot ") (ft.) ('in.) (f in.) 4.10, 4 Septie i if (in.)(in.) •ii +'� 1 ax. I �` ' I= _ Overhang . *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY' BUILDING DEPARTMENT APPROVED BUILDING PERAM NUMBER: 95-1884 Address or location of unit: 528 W. LIBERTY ROAD, GRIDLEY CA 95948 Legal Description of Real Property: A.P. #021-132-045 SEE ATTACHED LEGAL DESCRIPTION. [X]MobilehomeManufactured Home [. ]Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DONALD L. AND NORMA LEE TALLEY Owner's address: 528 W. LIBERTY ROAD, GRIDLEY CA 95948 INSIGNIA OF HUD NUMBER: ULI399739/399740 SERIAL NUMBER OR V.I.N. 06-70-0652-H-A%B SKYLINE 1995 MANUFACTURER'S NAME: YEAR: OFFICIAL APPROVING INSTALLATION: DATE 9/20/95 PHONE: (916) 538-7541 H.C.D. 513C Z XCREST-BUMOIR n9-4504/121'1— INTIFS-DA K 4&ET STREET .0 P ;�aX"4—,REDDtNI3,CAUFORNIKSM; -V .. IT -3.5 "S 4 A_Ojj;: �i'L'' 030;2-21 . . ............. . . ...... RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: NAME BUILDING DIVISION 7 COUNTY CENTER DRIVE 318EET OROVILLE CA 95965 ADDRESS CITY, STATE and ZIP .95-032356•' 95-032356 95-032356 .� . 95632:356-1` Rec•Fee 00 +. I` Total'- _; 00 `t. 'Recorded Official Re'cordB 1"' County -of. I • ,.' r- }' Butte • I ::f �. -;Candace :'J. =;Grubbs tl '•�'> Recorder, 'LA 11":49am 21 - Sep, 95 I COMS XX t ,2 SPACE ABOVE THIS UNE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate' of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DONALD L. AND NORMA LEE TALLEY BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 528 W. LIBERTY ROAD 7 COUNTY CENTER DRIVE MAILING. ADDRESS MAILING ADDRESS GRIDLEY, BUTTE, CA 95948 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 528 W. LIBERTY ROAD 95-1884 (916) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER `"'�%�=J�f GRIDLEY, BUTTE, .CA 95948 ��s�L 9/20/95 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCYJjQ0ICIAL DATE SAME NONE UNIT OWNER (If also property owner, write "SAME'] DEALER NAME (If not a dealer sale, write "NONE'l MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE 1995 OAK MANOR/2227-E MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 06-70-0652-H-A/B 56'X26' ULI 399739/399740 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) A.P. #021-132-045 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. `NENT OF yo h" oe � HCD FORM 433(A) Rev. 8/91 WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept. LEGAL DESCRIPTION A.P. #021-13-2-045 A PORTION OF LOT 26 OF GRIDLEY COLONY NO. 4, ACCORDING TO THE MAP OF SAID COLONY FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, FEBRUARY 5, 1907 IN BOOK 6 OF MAPS, AT PAGE 8, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 26, SAID POINT BEING AT THE INTERSECTION OF THE CENTER LINE OF FRENCH AVENUE WITH THE CENTER LINE OF WEST LIBERTY ROAD, FORMERLY CAMERON AVENUE, THENCE EAST ALONG THE SOUTH LINE OF SAID LOT 26, AND THE CENTERLINE OF WEST LIBERTY ROAD, A DISTANCE OF 340 FEET; THENCE NORTH AND PARALLEL WITH THE WEST LINE OF SAID LOT 26, A DISTANCE OF 528 FEET TO A POINT THAT IS 132 FEET SOUTH FROM THE NORTH LINE OF SAID LOT 26; THENCE WEST AND PARALLEL WITH THE SOUTH LINE OF SAID LOT 26, A DISTANCE OF 340 FEET TO A POINT ON THE WEST LINE OF SAID LOT 26, SAID POINT BEING IN THE CENTERLINE OF FRENCH AVENUE; THENCE SOUTH ALONG THE WEST LINE OF SAID LOT 26 AND THE CENTERLINE OF FRENCH AVENUE, A DISTANCE OF 528 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM THE NORTHERLY 264.0 FEET, AND THE WESTERLY 250 FEET. RESERVING THEREFROM AN EASEMENT FOR WATER IRRIGATION, OVER THE NORTHERLY 12 FEET AND THE EASTERLY 12 FEET OF THE ABOVE DESCRIBED PARCEL OF LAND. SAID EASEMENT IS FOR THE BENEFIT OF AND APPURTENANT TO THE EAST HALF OF LOT 35 OF GRIDLEY COLONY NO. 4, ACCORDING TO THE OFFICIAL MAP THEREOF, RECORDED IN THE OFFICE OF THE COUNTY RECORDER. OF SAID -COUNTY OF BUTTE, STATE OF CALIFORNIA, FEBRUARY 5, 1907 IN MAP BOOK 6 AT PAGE 8, AND SHALL INURE TO THE BENEFIT OF AND MAY BE USED BY ALL PERSONS, WHO MAY HEREAFTER BECOME THE OWNERS OF SAID APPURTENANT PROPERTY, OR ANY PARTS OR PORTIONS THEREOF. i w' �rY.� '� r,•:, -RECORDING REQUESTED BV', -4+ Order No. 100277, gAMD wMlM ato.olD MAIL •o ''r'Mrs ))onr,ld L'Tnl.leya rti 1,;,;?= 15116 ?�'1.allon .venue a� �...... Norwalk, co-, 90050 r 1.••i _ n` : L -, J us .un.nm To � Hre Mrs'. Donald L. Talley 'Route 2,. Box 291-A r��`. c+: s...• est Liberty Road J 7w. ridley,.- Calif. 95948 _ • ;.Ic; CORDS •:GU4TY-CALIF n b ?:OUESYED BY � ��mu CM 9 AN all COU t.!: REO% -i4 FEE SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed - y,;.�• • '( IP• , C+ THIS FORM FURNISHED aY TICOA TITLE INSURERS ,I k Y f^ I 7 {. fl l c� The undersigned grantor(s) declare(s): Documentnry transfer tax is 3 fi - (10 ?C-;) computed on full value of property conveyed. or () computed on full value less value of liens and encumbrances remaining at time of sale. ,. Unincorporated area: ( ) City of and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Glern C. C1nnn :ond Lulubel.le Clarr, h n :•10..fo nnci "•,homer.. ;i. C1epp herebv GRANTS) to Donald', r,. Tolle; and i'<orme L. Tall.n,',v, hin :wife. as joint t,,ner.ts the following described real property in the County of .511tto State of California: X A portion of Lot 26 of Gridley Colony No. 4, according to the map of said Colony filed in the office of the Recorder of the County of Butte, State of California, February 5, 1907 in Book 6 of Maps, at page 8, and more particularly described as follows: BEGINNING at the Southwest corner of said Lot 26, said point being at the intersection of the center line of French Avenue with the center line of West Liberty Road, formerly Cameron Avenue; thence East along the South line of said Lot 26, and the centerline of West Liberty Road, a distance of 340 feet; thence North and parallel with the West line of said Lot 26, a distance of 528 feet to a point that is 132 feet South from the North line of said Lot 26; thence West and parallel with the South line of said Lot 26, a distance of 340 feet to a. point on the West line of said Lot 26, said point being in the centerline of French Avenue; thence South along the West line of said Lot 26 and the centerline of French Avenue, a distance of 528 feet to the point of beginning. EXCEPTING THEREFROM the Northerly 264.0 feet, and the Westerly 250 feet. RESERVING THEREFROM an easement for water irrigation, over the Northerly 12 feet and the Easterly 12 feet of the above described parcel of land. Said easement is for the benefit of and appurtenant to C _ N r - the East half of Lot 35 of Gridley Colony o. 4, according to the Official Map thereof, recorded in the office of the County Recorder-,.- -of ecorder•,.•- •of said County of Butte, State of California, February 5, 1907 in. m Map Book 6 at -page 8, and shall inure to the benefit of and may �" be used by all persons, who may.hercafter became the owners of co said appurtenant property, or any parts or portions thereof. _ o Dated iovcmbor._2j 12V) 7.ionri G. STATE OF CALIFORNIA ss. COUNTY OF :Lt-t-e—I 1� P on . -De.c..2 iJ,9-7-&lieboro- mr, the unAr• signed, a Notary Public in and f,,r said Stair, per-anally appeared vlenn .0 jC:Ita LuLu eL_LLp_p.3,a-pp ___and ThoMag R-CIRPP k."." I. rnr OFFICIAL SEAL I., be the per-n—S, -wh-e name-aZe— illrd If' lhf• within EUC-UNE A, C),;:!IGHT ca C= In-iruml-ril flail a,kr.jjwjj,jg,,(I flie- snaw. NOTARY PWLIC - CALWORNIA alilic couNry 5 A AL NT'A -LCS� J-;HT It ,L'C - 'AL, NIA -".4 C' WITNESS my brad on,l -,rr,,,ial rnl. f-ly comm. vp!re; GES 0, 1979 Euge Delight Vi Signator(Z Title Order No. Eqcrow nr bmii No. —END--0E-DQ='P' •' AAAII TAW STATEMENTS AS DIRECTED ABOVE STATE OF CALIFORNIA i DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION 'AND REGISTRATOIONCANDSTITLINGANDARDS SECTION STATEMENT OF FACTS This unit is.a:5? Mobilehome 0 Commercial Coach Floating Home -0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) �SKyCINgff o6,-7o--0C,5z — H — /-1 ' 0 70 — o65a -- 1-4 - 8 I/We, the undersigned, hereby state that the unit described above: 1 Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any.loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on SEP7_ 1495 at 0goV/ Z_ 6r c (Date) (City) (State) Signature of each affiant Printed name of each affiant a€^i6_' . S EA v_cH,09 PrP Address 3116 E— 61W y 22 City e A(I co State C 14 HCO 476.6 (Rev 11/86) '� '' •'? 3479774, �; _, BARRY D. VMTTLE4 Y i(�l1BUCATIONS (916) 488-1764 e COUSIN GARY'S FACTORY BUILT HOMES 13468 HWY 99 558901 Chico,,' CA 95926 (916) 343-8494 HCD # 91265 • Contractor's license # 295412 NOTICE:THIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT PURCHASER: DoNwIzzI L it 460M LI5 MU6V/ /VOeAN JL*xW TA1.L4•s DATE: %- 24- 9S ADDRESS: SZR W. L1aJC_47CI /Z0 PHONE: DAY 1144. _518.3 /Sri,niGti rA0 44:V43i CAI ITcocOCnnl•1J,M PHONE: EVENING *#.I' 0461 SvbJect to the terms and conditions stated on both sides of this agreement Seller agrees to sell and Purchaser agrees to purchase the following MFD./MBL Home: MAKE' - j,�:>'t:; ;�••.' .` MODEL L�'/iiQA� B. ROOMS I APPROX. (NOT INCL. TOW BAR/EAVES.)� NEW ADDRESS. sZ8 L511U �AL�1 QiO ❑ USED L L� W. City, QA9JO� ZIP qS9� Couny. 8flllt .,�Sl'•`' (.i •'vr��,•`':'t. ,._. APPROX. HUD OR FICD.(`10. ;t: .•DEL. DATE ',i�., DT, OF MFG. ,OP, E FDiMBL.yHOME EXCWDES THE;USTED.PRICES FOR MESE REINS: ;' �: •` �.y;i�, .'.....Ft: i r." ...._,:+• , {Gi:l_iN'.11 SQ..FT. LIVING AREA I•.r,,'}��i`': �1i �. _. B FA' s o EAT a� o FA rov+i'IaAR, WW HEELS, WHEEL HUBS, IREH, AXLES /2 3 / MFD. HOME PRICE $ pp~�T6 Of1D., •, .;:a.�:, p�N ';; 1'.% ESCROW O,STKI/OTHER .el.' :• Y."''^+ .`": �•' USED HOME SALES 1AX, IF ANY, 1SF SOLD PRIOR TO 7/11/ 80 $ D?ACCESSOR(ES:'ANDyTHEIR.COSTS:.(SEE.ADDENDUMS Imo: 1�+-"v:;;•.' __ B LO.. % RCLED.`AD,DENDUM:ATTACHED HERET01A`,:_.._._.__.. CESUBJECT-170 SITE.,APPROVAL V! �..,,, t 51� '. A 1Y j1h6•. t . :,": "K;>.'4{.) _,t.._.._O. g .6a s _._ S-- Y -- t •,• �a ';4, r� �.;i ) k'r:f, rr n �r•� ��c.L4 = •� a ', /{�.:.^r'' r;yr tis, St>f;=1 0:.a.�a .:.. ,.�•Yll!. ," ,p... "��'" _._..—..... .... ....... ._ _. _......_ _ DESCRIPTION OF r TOTAL ACCESSORIES (OUTSIDE HOME) $ 1%11 TOTAL MFG. HOME & ACCESSORIES $ — MAKE MODEL SALES TAX (ITEMS NOT INTEGRAL TO HOME) $ SERIAL NO. H FQV.NDATION SYSTEM DEUVPRY: ''$ : •` •."'� ;� t.C,:"•:' AMOUNT OwING COUNT NO. F.�res.:.1,: TO WHOM: ADDRESS/PHONE INSURANCE PREMIUM (ONLY IF SOLD BY DEALER) $ VENT ION IMPR EMENT-NEW ONLY ESCROW FEES I HAVE RECEI VENTILATION IMP EMENT INFORMATION FOR C OOL FEES $ " /O $$' THIS MA BL HOME. O Raj!+.. • . ;. $ ' ;' :ra} ;..�:�4, t� BUYER'S SIGNATURE DOC. FEE (NOT A GOVERNMENTAL CHARGE) $ 1.10TAL CASH PRICE $ S f13• THE MANUFACTURER STATES THAT INSULATION HAS BEEN INSTALLED IN THIS HOME AS FOLLOWS: (NEW ONLY) $ ` TYPE THICKNESS R' FACTOR ALLOWANCE ON TRADE -1N 1004 ;}y.;l.•'<:, r;" g. '; .i,Y+ SP�t .A ;LESS HAL DUE :ABOVE $ }.• . �. rr { .ton r `N�VALLOWANCE $ y�'�41D.HEREWITH $ .:.' .. '.CASH BEFORE DEL $ D SIGNA7ED DEPOSIT . $ 500 (INC:,IN.DN. PMT) . ROOF 22- EXTERIOR WALLS 1 FLOOR ;�_. ..._..:• :.... I TICE ; INSURANCH010 WARNING—Unless a charge is inclIrl thin g e, At for ,ublic Liability or Property DamagP InsuranVe, Paymeht.fpr such govPi6ge WN PAYMENT oo 3• LESS BUYERS DO $ S 3. UNPAID BAL. ON CASH SALES PRICE $ +'' �. `' ;t ';, is not provided by this agreement, p ;;); � :•.:' 4. FINANCE CHARGE $ v f s7 NOTICE: NO PERSON IS RE R � D""°dS ,A CONDITION 5. ANNUAL PERCENTAGE RATE ,✓ PRECEDENT TO FINANCINGT THE PURCHASE )OF A 6. TOTAL PAYMENT AMOUNT (3+4) $ �.. MANUFACTURED HOME TOy' Pt- CHAS INSURANCE THROUGH A PARTICULAR )NS R '1 /�G T OR ' 7. UNPAID BALANCE DUE PRIOR TO DEL. $ 8. DEFERRED PAYMENT PRICE (2+6) $ BROKER. �{ Al BB - i TOTAL „i_ ' ` ;F' ! : I PAl(ABLE'AS FOLLOWS: HE DEALER CERTIFEST' E i Lav .,» :�INSTAL:ATIONCONTRACTORIS ':..':.;t P' es u ng, ystems LJa*°.:.!:; , BUSINESS ADDRESS 13468 HWY 99 In the event the nlanulacttued hcnne cannot he detivered'and/or' inspection completed within 1110 mimed d0livery limn duo to nmtperlonnmrce by the Imyer, buyer agrees to w*y.*;i 1,_... jco. CA ZIP 95926