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027-120-021
M� 9 027-120-021 02-0754 IARLA & JACLIC CON -r: 1) & D 1-16PNVI Q-13- NEW MI -I I,EIZM PND NBVSI�� r A Cry 9N. 027-120-021 SHELTON, JACK 03AG157 15 DUSTIN LN, OROVILLE AG BLDING BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm Implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR O. ZONING A-5OWNER J c PHONE NO. 530 '33561 OWNER'S AD KESS 15 t,.) "n (A 5 e, of-oville- LOCATION OF BUILDING ` es FV USE OF BUILDING t L , ® S ' e_!-) Q e— SIZE OF STRUCTURE 30-K as = bva -; / _Z L' X2l-' = LI SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME' X- STEEL 6r e0 CONCRETE ' OTHER (Specify) TYPE OF SIDING ROOF COVERT G FLOQR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT n �""� SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a comrrierciall building. «.; I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. A Date 9 ~a5 "''c)-3 Signature of Owner Permit Fee -$60.00 The above describedUG Building is exempt from a bLfirding per 't. FWD I PAR L I P. ROOF G ISSU Receipt No. nager Building Division t - L 9 D.a By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant q� NOTES t s ' O r RESIDENTIAL 027-120-021 + 02-0754 . SHELTON, KARLA & JACKIE .. /S - DUSTIN LN.� 'ORO VIL LC CONT: D'& D HOMES , NEW MH PERM FND NEW SITE `r ��THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF,THE FOLLOWING HAS i;;EEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE , INSPECTOR MUST RETREIVE). (2 STATEMENT OF FACTS (ONLY-ON,NEW MH' S). i IN PECTOR TO VERIFY, SERIAL & LABEL #'S.. t _ _ .A.,�,yr..y .-.,-......-w!'+...+..'—.-. .: ?rte"' �.-w. k �- ....•. ....tea �....--' SPECIAL CONDITIONS CHECKED BY SRA + FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. f VQ' -..,r"` _ OFFICE COPY i Address Meter By Da?e Z13_CZ: ELECT —� Meter y Date Address -------------- ' GAS er By Date__ F ECTRIC er By Dae ` �Z • f r JOB FINALED (Dat 0 4. Signature I V= OK r 0 = Not OK - = ot able =NNReady Ready s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Cert. of Occupancy ' 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Card B-1 Dat/Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILEp6AE INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 _Z9King Requirements -Setbacks -Easements Card B-1 Date Card B-1 noting ize-Spacing-Marriage Line FINAL (Plans) OK except #'s s; est -Demand -Valve -Connector 1. _ . I%Vicity; MH Test -Crossovers -Breakers -Clearances - U. -96 --`Drain; M Test -Fall -Flex Connector 6. er; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy ' 14r -Permanent Foundation Only; License Decal Footings; Soils -Size -Depth -Spacing -Connectors -Steel Date Card B-1 Dat/Card B-1 Date Card B-1 Date Card B-1 Ilv l� 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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 11. Light Niche Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,'= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (S Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ f' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r' Ftg. Depth 5. Stemwalls, Main; Ste el- Blockouts-Wrapped 6. Stemwalls, Garage; Stee l-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance- Material -Support - Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss -Shting.: Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes J NoMalks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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 ... r. T^V ,�+' I.,,.3Yf+_.rrr-K•.T'n'er+-."i+Ce"�"�.er�ly2'a���iwrv'3� �'e+%���yy COUNTY OF BUTTE. k" BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES : A. 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 w sti t CORRECTION NOTICE y �_ 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 notice this office when correction of work is have an you If completed. p y y questions pertaining to this matter, or need additional explanation, lease contact this office immediately. &A,. u2- 1 Date Inspector) a REV 10/92 s -4 COUNTY OF BUTTE '. BUILDING DIVISION r. DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 89172751 — 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. , % f pw �J?ALL (/ jZ�j 3 i k 11 V, :4 -:��' ....a,.�d,.3aa,Cs-a �7�b�-5eti:�si�f.-r�'�t,.�;,�•,,�.'� COUNTY OF'BUTTE i _ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 89172751 4 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. wa A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pi ontact this office immediately. �f. --6 , :r •S� f 1.' cu b c: (4AD FLEETWOOD HOMES OF CALIFORNIA, INC. 18 N. PIONEER AVE. , PO BOX 1308 WOODLAND, -CA. 95776 MC# 17 Date of Manufacture HUD label No.(s) PFS0758425 _PFS0758426 Manufacturer's Serial Number(s) and Model Unit Designation WOODLAND PARR 4453A CAFL217A25557—WP13 ;CAFL217B25557—WP13 "Design Approval by (D.A.P.I.A.) PFS CORP. This manufactured home Is designed to comply with the federal manufactured home construction and safety standards In force at time of manufacture. (For additional information consult ownWs manual.) The factory installed equipment includes: Equipment Manufacturer Model Designation For Heating NORDYNE MlMB056 For Cooking WHIRLPOOL SP3020 Refrigerator WHIRLPOOL ET4W Water Heater RHEEM 7130D Smoke Detector RIDDE 1275E A HOME CONSTRUCTED FOR X ZONE I ZONE II ZONE III EXP. "D" This home has not been designed for the higher wind pressure and anchoring provisions required for oceallooastal areas and should not be located within 1500' of the coastline in Wind Zones II and III, unless the home and its anchoring and foundation system have been designed for the increased requirements specified for Exposure D in ANSI/ASCE 7 - 88. This home has ( ) has not (X) been equipped with storm shutters or other protective coverings for windows and exterior door openings. For homes designed to be located in Wind Zones It and III, which have not been provided with shutters or equivalent covering devices, it is strongly recommended that the home be made ready to be equipped with these devices In accordance with the method recommended in manufacturers printed instructions. Design rcof load zone map: North 40 psf X South 20 psf X Middle 30 psf Other psf D,` � COMFORT HEATING This manufactured home has been thermally Insulated to conform with the requirements of the federal manufactured home construction and safety standards for all locations within Uo value Zone 1, 2 , 3 . (See map at bottom) Heating equipment manufacturer and model (See list at left). The listed heating equipment has the capacity to maintain an average 70 degrees Fahrenheit temperature in this home at outdoor temperatures of — 10 4degrees Fahrenheit To maximize furnace operating economy, and to conserve energy. it is recommended that this home be installed where the outdoor winter design temperature (97 %%) is not higher than —51 degrees Fahrenheit. The above information has been calculated assuming a maximum wind velocity of 15 mph at standard atmospheric pressure. COMFORT COOLING 17 Air conditioner provided at factory (Alternate 1) Air conditioner manufacturer and model (see list at left). Certified capacity B.T.whour in accordance with the appropriate air conditioning and refrigeration institute standards. The central air conditioning system provided in this home has been sized assuring an orientation of the front (hitch end) of the home facing . On this basis the system is designed to Maintain an Indoor temperature of 75°F when outdoor temperatures are °F dry bulb and °F wet bulb. . The temperature to which this home can be cooled will change depending upon the amount of exposure of the windows of this home to the sun's radiant heat. Therefore, the home's heat gains "If vary dependent upon its orientation to the sun and any permanent shading provided. Information concerning the calculation of cooling loads at various locations, window exposures and shadings are provided in Chapter 22 of the 1989 edition of the ASHRAE Handbook of Fundamentals. Information necessary to calculate coding loads at various locations and orientations is provided in the special comfort coding information provided with this home. X❑ Air conditioner not provided at factory (Alternate II) The air distribution system of this home is suitable for the installation of central air conditioning. The supply air distribution system installed in this home is sized for a manufactured home central air conditioning system of up to 6 3 , 0 0 0 B.T.U. fir. rated capacity which are certified in accordance with the appropriate air conditioning and refrigeration Institute standards, when the air circulators of such air conditioners are rated at 0.3 inch water column static pressure or greater for the cooling air delivered to the manufactured home supply air duct system. Information necessary to calculate coding loads at various locations and orientations is provided in the special comfort cooling Information provided with this manufactured home. To determine the required capacity of equipment to cod a home efficiently and economically, a coding load (heat gain) calculation Is required. The cooling load is dependent on the orientation, location and the structure of the home. Central air conditioners operate most efficiently and provide the greatest comfort when their capadty closely approximates the calculated cooling load. Each home's air conditioner should be sized in accordance with Chapter 22 of the American Society of Heating. Refrigerating and Air Conditioning Engineers (ASHRAE) Handbook of Fundamentals 1989 edition, once the location and orientation are known. INFORMATION PROVIDED BY THE MANUFACTURER NECESSARY TO CALCULATE SENSIBLE HEAT GAIN Walls (without windows and doors) .................................... 'U' .06 Ceiling and roofs of light color ......................................... "U' .03 Ceilings and roofs of dark cola ....................................... 'U' .03 Floors........................................................................ •u• .05 Air ducts Infioor........................................................... 'U' .05 Air ducts in ceiling......................................................... 'U' NA Air duds installed outside the home ................................. -U" .25 The following are the duct areas in this home: Air duds in floor ................................. :......................... 71 sq. ft. Air duds in ceiling.......................................................... NA sq. ft. Air ducts outside the home ............................................... 56. 5 sq. ft. JNES U -VALUES 1 0.118 2 ® 0.098 3 = 0.079 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT o. (Rev. 12/96) � APPLICATION AND PERMIT 0 .��� ASSESSOR PARCE'. NUMBER 027=120-021 ZONING BUILDING PERMIT OWNER SHELTON KAPJA & JACKIE TELEPHONE SO. FT. OCC. BUILDING VALUATION 1208 R 65 232.00 . OWNER'S MAKING ADDRESS 150 PINE ST. #44, CONCORD, CA 94-520 CONTRACTOR'S NAME D&DHOMES TELEPHONE 9 42-3301cGNT2243FEATHER RIVER BLVD. OROVILLE CA 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ b ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee 486.50/2 $ 234.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS r DUSTIN LN. I OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 277.25 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Ct Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others] Describe Work: NEW MH ON PERM FND- Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 RUEFling 800VMain Service 2o.A OR IESS 23.00 23. 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (ccmmencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is n 111 rce and effect. 1� �p7 ,cam License Class Lic. No. [ OS / U S OWNER -BUILDER DECLARATION I 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 Main Service 200A To 1000A 46.00 NEW CONST. DWLLING OCCUP. SO OR ADONS. ( aEAcc. su)s. 3.5¢,. NON-RESID. BRANCH CIRCUITS MULTI -OUTLET @7.50 a SOWER APPARATUS O OCCU OUTLET FIXTURES gqL I;So Ex. Occup. ouT>Ers R61DOEn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' ompensation insurance carrier and policy number are: Carrier ett^ cba_o Policy Number p 0 1/ Ooc�$'( ro (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 f I should become subject to the workers' mpensation provisions of section 3700 of the Labor Code, I shall forthwit omply 'th pr isions. X Date 2" -- Signature f Applicant ner ❑Contractor ❑ Agen An OSHA permit is re it or excavations over 60" deep and demolition or construction of structures over 3 nes in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOT L FEE $85 25 HAZ. --� p, I P FL O p 0. LSSU 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. �b2!'(� .z .2 By Date PERMIT EXPIRES ON (0 63 Date Receipt No. 343690 $385-25 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION :• 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 i H.MIT NO Rev 12/96) APPLICATION AND PERMIT - A;SESSORPARCELNUM8ER A ZONING BUILDING PERMIT e 2—_7 — OWNER -- a d l TELiYMONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING KESS PERMIT FEE 1 $ ELECTRICAL PERMIT Main Service OOOV OR LESS ( zooA oR LESS ) Main Service CONTRACTPNME - D \\,�\J TELEPHONE 3 ;z-2 CONTRACTOR'S MAIUNO ADORE'S ► i 5 CONSTRUCTION LENDER LEI:DEN S "UNG ADDRESS Ex. Occup. ARCHITECT OR ENGINEER EJC. OCCUp• LICENSE NO ARCHITECT OR ENGINEERS MAILING ADDRESS B-JILOING ADDRESS �.tr1 N G- s V 3'W ( ii LOT NO, SUB6g ONNS NAME 11 (� _ 64 ^ L-7r1'h1 PARCEL MAP US(EOFSTRUCTURE 5ViJ1Zae-. SF ❑ Duplex ❑ Mobilehome A, Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utili-d1els ❑ Installation ❑ Other Describe Work: 1�'� • 1 Vv ` IP�C.t/17-� T "PEPArT FEE PA10 SPA SHERIFF OTM AMOVNT RECEIIIEO r _ , •aectstr NVMOet 3�WD " 70 N hJT =NT'O COMM ReceiptNo. WHITE •D.O.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT Fireplace Total Valuation Is Filing Fee $ Permit Fee S $ Plan Checking Fee $ Energy Plan Checking Fee $ PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer —.i Mobile Home I SIG I W PERMIT FEE 1 $ MECHANICAL PERMIT Heating Hood Ventilation iling Fee 07 0 23.001 15.00! 1 5 00 1 5 00 1 0 @20.00' 20.00, 20.CO 49E. (,0 Filing Fee; 20.00 23.00-L� 46.001 3.541..1 _ @7.50; ol�l 5.0011I 23.00— 20.00; -- 1--- 23.00: I Fee 1 20.00 6.50 ! 1 PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee 1 $ Occ CONST. TYPE TOTIAL FEE $ HAZ. D. FE IV I FL.00! CO -L 11f ..V"' �. 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. By PERMIT EXPIRES ON Date ._ PERMIT FEE 1 $ ELECTRICAL PERMIT Main Service OOOV OR LESS ( zooA oR LESS ) Main Service ( 200A TO 1000A ) NEW CONST. OR ADONS. / DWELLING OCCUP, d ACC. SMS. ) I NEW CONST. NONRES10. MULTI.OUTLET \ ( BRlUJCH CIRCUITS POWER APPARATUS 6 SINGLE 0 , CIR. Ex. Occup. ( OUTLET OR FIXTURES ) EJC. OCCUp• FIXED APPLNS. OR (OUTLETS (RESIO.) EA I r Temporary Service I_ Mobile Home Facilities Misc. Wirinq PERMIT FEE 1 $ MECHANICAL PERMIT Heating Hood Ventilation iling Fee 07 0 23.001 15.00! 1 5 00 1 5 00 1 0 @20.00' 20.00, 20.CO 49E. (,0 Filing Fee; 20.00 23.00-L� 46.001 3.541..1 _ @7.50; ol�l 5.0011I 23.00— 20.00; -- 1--- 23.00: I Fee 1 20.00 6.50 ! 1 PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee 1 $ Occ CONST. TYPE TOTIAL FEE $ HAZ. D. FE IV I FL.00! CO -L 11f ..V"' �. 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. By PERMIT EXPIRES ON Date ._ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 'S ASSESSOR PARCEL NUMBFR Proposed Building Use: I 1 t Counter Technician: 4A��—Date: �H v Items required in order to apply for a perm' . All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. PIV R6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other .. Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 5. Statement of Intent for Non -heated and A/C Buildings ................................ . � ; �. W6., Sanitation and plot plan approval from the Environmental Health Department in 1go,0 - . ❑ City of Chico Plumbing permit ............................ .. ....... .. 18. California Department of Forestry plan approval paid. Sent by: ....... ❑ 19. Planning approval for (A) Use: Q �-- (B)Parking: (C) Parcel Check: 1-j— ( 6 o2 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... AA'21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ............................................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ........ °............ �4 26. Letter of Signature authorization.................................................................... 27.. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 2'9. E,x'mg violatio}�jand/or expired permits ................................................. I � Grant Deed, �►NM.H. Title/Statement of Facts, ❑ Letter from Legal Owner, Check to H.C.D. $ ❑ 31. Other: �> When issued Telephone and hold for pickup. I have been infor of t e aba a ite nd requirements for obtaining a buildi g permit. Applicant: e� Date: 1. Index permit a �icati�ona above items numbered: l� ? Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the ab ve data by ❑ phone, ❑ mail, ❑ counter, b Date: , Plans reviewed by: Date: 2Z _ Plans approved by: Date: Structural reviewed by: Date: D Z Structural approved by: Date: 156L03Z6 2 Note transfer by: orDate: If I Yellow: Building Division E.H. -Us E ONLY Plyt Plan Attaehed'\� + k [ '� �� U r n Floor Plan A had /' Sant to B.O. 27 TO: Building Department FROM:. Environmental Healtha-- SUBJECT: Sanitation Clearance Owner Location . • AP# Plan Approved for: Sewage DisposalsWater Suppl Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: N_-, tkzS meIdG ,�5 , Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. PR POSED BUILDING USE 1. BUILDING PERMIT FEES ^o --Balance Due ........................................................ $ ®( --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ A.P. # QX7- l' d20 -Q- I DATE 41 o a RECEIPT # DATE REC. / --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES ©�U1 1 (paid at District Office) 'a f o- ' s 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ 3lOd • U v a --- Commercial (sq. ft.) ...................... Units Sq. ft. 4. URBAN AREA FEES Residential ............................ x # Units x $0.03 = $ Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plaVhecking process. APPLICANT �_/ / _/�F DATE 7 �_ Pursuant to Government Code tion 66 , you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have, been imposed on your project. You days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) n 0 , CIAc � � O L X30.1� a School District, A.P. Number Property Coroner Property Location/Address I - BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) 0 _ Y L-1 r�, [" Building Department No. Jurisdiction: City County Subdivision w Lot No. a c� o....................................o........................: �a8' Residential Development Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Groin R) Units Installation Conversion Permit # '(No foundation inspection): ................................................................................................................... Commercial/Industrial Sq. Footage (Including Exterior Roofed Areas) oa Date w' (Floor Plans reviewed by School District Personnel) District Identification No. (� OnviN.le jt�� TT t School District certifies that LIAO, °I'Applicant) xp-&4-"J� &z�-- 6�0 -7M (Srt Address) (Phone Number) to r I I 0 959&& (City) (State) Q (Zip Code) has complied with the requirements of Resolution No f o /�j - -/ � by pay en f $ t y�D r� representing A square feet. A8�2 � $ PULL MITIG 1 N, $ School District Representative Date Paid by Check t1 Jr*f Remarks: L,to tvt l .e Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201ai, within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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) feeform.xls (10/98)dmm 0 SITE PLAN REVIEW APPLICATION Date: — 2— O 2 AP# (3 Z Permit Number (if applicable) 0 APPLICANT INFORMATION Parcel Size: G j 1"LAC Owners Name: S)+Ej_T'O Owners Address: ) 56) P I)J G C�) Co.)C0 CA C) y 92® Telephone No.: 532 — S.3 C> j Situs Address: b0STI}J 1-0, Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition IN Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved 15 Conditionally Approved ❑ Resolve Problems Prior to Approval IM Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached • Flood Zone: • Flood Panel No.: 02 Index Date: b— 8— 9 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Variance ❑ Minor Use Permit ❑ Administrative Permit ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:A-5 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 5o C t_ Side 3 Side Street Rear -5 3 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal. ❑ Verify Legal Parcel ❑ Verify Legal Access []Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Paee 3 of 5 IR Subdivision ikfap/Parcel Map: _S-Te-rZ L1j,)&— S U 6 Map Date of Recording: 6-10- A9 O Lot: 2 Book: H U Page: bLI 16-7 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: ® Comply with the following Conditions of Approval: ® Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel.. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access., and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality tifanagement District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." foundations are required. ❑ Class A roofs are required. Page 4of5 ❑■ u 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy DocumentABuilding Permit Site Plan Reviewl.doc Page 5 of 5 led -YTA) f ) ZY xz _a� 021 -IF ,sw::33M -A 9 m 20/2-; ZIA- � AU Cl Cl C)'v Ilmn, o o anog -k-54 0 Z&9 I' C71 I �,Gt <5mqw-bu), 9 -Y � MM k`) J, -)-z /- - -) & J> 2 // -- - ) O V, 2 + F)<g K11533 ��Rfl �— W,, 4.9 v- — 64-- 39'-4" 4 O 39'-4" GAS rj �- 25'-' 0` SL NER 4655{ 3658 6 T F jCATHEDRAL 13'-10" 17'-10" Kos - NOTES: »LE WOODLAND PARK I- REVISED TOPS OPTIONS -10/25/01 -iz LINE DRAWING S'.N \> , � 1'HAVE READ '45' WILL BE L orFWNS E f. LL �N BUYER INITIALS c cD UJ C— r'7 r`i m U43 0-F E <c 06 E z 3 crl C/2 E v r - v n x z 0 cn w 0 rn rn N .fes 3658 FLAT SW o ' A. GARCfA SCALE MODEL NO. SERIAL NO. SHT. 1 r:lo/20/01 REV: i WP4453A STANDARD OF 1 i a It P S APPROVED f,�!D #%,r AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRM; OROVMLE, CA 95965 CORY of Document Recorded !02 -Apr -2002 2002-0016416 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Section 26-8 of the Butte FOR RESIDENTIAL DEVELOPMENT County Code required this acknowledgment property described herein is adjacent to land or included within an area zoned for prior Itural issuance of s building pen -nit. The dents of th�s property may be subject to inconveniences or discomfort from the use of agriculturachemicals, ,i eluding, but not limited to herbicides, Pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, Plowing, spraying, Pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State Of California, described as follows: Date PROPERT)' OWNERS: State of Calif is County of b A- r`G-� On UALLH- I(P _Z0626 before me, Personally appearedSltAQ—_ t-) ersonally known to me (or proved to me on the basis of satisfactory evidence to be the person(s) ose name(:) Ware subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/thelr authorized capaclty(ies), and that by his/her/their signature(:) on instrument, the person(,) or the entity u instrument. Pon behalf of which the Peron(:) acted, executed the /J WITNESS my 4d anA Off seat n Slgnatu A.P. L/ : @Comm. CYNTHIA A. COSTA to.COMM. # 1279287MARY PUSI_i%-CALIFORNIA COUNTY OF BUTTE Expires Oct. 30, 2004 0,1/07/2002 12:35 BIDWELL TITLE OROVILLE 4 D*D OROVILLE NO.551 ' A . /ll� SCHEDULE C w ORDER NO.: 00198432401 - CAC THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNYA, DESCRIBED AS FOLLOWS: PARCEL I: LOT 21 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "STERLING SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 10, 1990, IN BOOK 118 OF MAPS, AT PAGE(S) 643 65,66 AND 67. PARCEL A: A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY EASEMENTS OVER DUSTIN LN. AS SHOWN ON THAT CERTAIN MAP ENTITLED, "STERLING SUBDIVISION", WUIC$ MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST I0,1990, IN BOOK 116 OF MAPS, AT PAGE(S) 64,6S, 66 AND 67. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH LYING EASTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE INTERSECTION OF THE WEST LINE OF LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FORTUNE ACRES, UNIT NO. V, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK "A" OF MAPS, AT PAGE(S) 23123A AND 24, WITH THE SOUTH BOUNDARY OF GRUBBS ROAD, AS SAID ROAD EXISTED ON JUNE 1,1989; THENCE SOUTHERLY ALONG THE WEST BOUNDARY OF SAID LOT 2, A DISTANCE OF 60 FEET TO THE END OF THE HEREIN DESCRIBED LINE, PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EITHER SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: PA mm D03 -- -- �•�w�� 111Lc UKUV1LLt V*D OROV1LLE N0. 551 D09 0. ORDERNu.: 00198432-001 - CAC SCHEDULE C (CONTiNI71�D) COMMENCING AT THE NORTHWEST CORNER OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED Ili THE OFFICE OF TIM RECORDER OF THE COUNTY OF BUTTE, ST4TE OF CALIFORNIA, ON FEBRUARY 2,1982, IN 800K 87 OF MAPS, AT PAGE(S) 49; THENCE ALONG THE NORTRERLY LINE OF SAID PARCEL 3, NORTH 60° 49120" EAST, A DISTANCE OF 83.57 FEET, MORE OR LESS, TO THE CENTERLINE OF THAT CERTAIN 60,00 FOOT ROAD EASEMENT, AS SHOWN ON THE AFORESAID PARCEL MAP AND TIM TRUE POINT OF BEGINNING OF THE LINE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT of BEGINNING SOUTH 220 22' 02" EAST, A DISTANCE OF 442.62 FEET; THENCE SOUTH 000 09139" WEST, A DISTANCE OF 526.05 FELT, MORE OR LESS, TO A POINT ON THE SOUTH LINE OF SAID PARCEL 3 AND THE END OF SAID CENTERLINE. SAM EASEMENT BEING FURTHER SHOWN AS CROSACOUNTRE ROAD, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNTA, ON FEBRUARY 2,1982 IN BOOK 87 OF MAPS, AT PAGES) 49. AP NO. 027-12o-021 EXEG.,,� coMp.2 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CCIPY of Document Recorded 24 -May -2002 2002-0026979 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE 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. JACKIE L. SHELTON AND KARLA M. SHELTON REAL PROPERTY OWNER/LESSOR 150 PINE ST. #44 MAILINU ADDRESS --- CONCORD BUTTE CA 94520 CITY COUNTY STATE ZIP 15 DUSTIN LN. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95966 CITY COUNTY STATE "LIP SAME UNIT OWNER Ofalso property owner, write "SAME") MAILINU ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY. CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-0754 530)538-7541 BUILDING ERMIT NO,j TELEPHONE NUMBER Z' 05/23/02 JGt 'GRE OF LOCAL AG C /OFFICI DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD 2002 WOODLAND PARK MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER CAFL217A/B25557-WP13 45 X 26 PFS0758425/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERISI REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 027-120-021 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE. - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. 7" �F00,Ut Aex 4Ip1 ! SYS'TE� zd � . � ; a i. C 4 (y,,9 - y' ...'7 t' 7µt i °}Y [ f' i ,— "'y:. .r P.a -: U ,f'•' t'.cc ... s '+t i ,; 4r` r�,l�f �'E.� yr � ! �i ~� S .Vr �, 4 a1 TS: t t i - • i BUILDING PERMIT NUMBER: 02-0754 Address or location of unit: 15 DUSTIN LN., OROVILLE, CA: 95966 Legal Description of Real Property: A.P.# 027-120-021. SEE ATTACHED ., ^-. . � .-. - ... '..4' a �.<. . ., w r •' , r.. _ . -_ .+ .. - N ..� - . .- v • '"F'W .M' i a v v. - - ....,. ' f r. - . (x) Mobilehome/Manufactured Home r O 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: JACKIE L. AND KARLA M. SHELTON Owner's address:' 150 PINE ST. #44, CONCORD, CA. 94520 t INSIGNIA OR HUD NUMBER: PFS0758425/6 SERIAL NUMBER OR V.I.N.: CAFL217A/B25557-WP13 MANUFACTURER'S NAME: FLEETWOOD YEAR: 2002 OFFICIAL APPROVING INSTALLATION: DATE: 05/23/02- PHONE: 5/23/02 PHONE: " (530) 538-7541 H.C.D. 513C ATTACHMENT AP#027-120-021 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot 2, as shown on that certain Map entitled, "STERLING SUBDIVISION", which Map was recorded in the Office of the Recorder of the County of Butte, State of California, on August 10, 1990, in Book 118 of Maps, at Page(s) 64, 65, 66 and 67. APN. 027-120-021-000 _.. _ PARCEL 11*;_ A 60 foot right of way for road and public utility easements over Dustin Lane as shown on that certain Map entitled, "STERLING SUBDIVISION", which Map was recorded in the Office the Recorder of the County of Butte, State of California, on August 10, 1990, in Book 118 of Maps, at Page(s) 64, 65, 66 and 67. Excepting therefrom all that portion lying within the bounds of Parcel I, described herein. PARCEL III: A non-exclusive easement for road and public utility purposes 60 feet in width lying Easterly of and adjacent to the following described line: Beginning at the intersection of the West line of Lot 2, as shown on that certain Map entitled, "FORTUNE ACRES, UNIT NO. 1", which Map was recorded in the Office of the Recorder of the County of Butte, State of California, in Book "A" of Maps, at Pages) 22, 23A and 24, with the South boundary of Grubbs Road, as said road existed on June 1, 1989; thence Southerly along the West boundary of said Lot 2, a distance of 60 feet to the end of the herein described line. PARCEL IV: A non-exclusive easement for road and public utilities 60.00 feet in width, lying 30.00 feet on either side of the following described centerline: Commencing at the Northwest corner of Parcel 3, as shown on that certain Parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, on February 2, 1982, in Book 87 of Maps, at Page(s) 49; thence along the Northerly line of said Parcel 3, North 60 deg. 49' 20" East, a distance of 83.57 feet, more or less, to the centerline of that certain 60.00 foot road easement, as shown on the aforesaid Parcel Map and the true point of beginning of the line herein described; thence from said true point of Page 2 Legal Description AP#027-120-021 beginning South 22 deg. 22' 02" East, a distance of 442.62 feet; thence South 00 deg. 09' 39" West, a distance of 526.05 feet, more or less, to a point on the South line of said Parcel 3 and the end of said centerline. Said easement being further shown as Crosacountre Road, as shown on that certain Parcel Map, recorded in the Office of the Recorder of the County of Butte, State of California, on February 2, 1982, in Book 87 of Maps, at Page(s) 49. a 05/09/02 11:51 FAX 590 532 3904 D & D HOMES 04123z20N2 09:36 BIDWELL TITLE OROVILLE -i D*D OROVILLE 0002/007 NO. 210 DO1 BBCo91dGtKi6'BOU88�tIf► ��� �—�tib�9072 MID VALURY TP! Z & ESCROW CO. Rqcordod Ary wF= blrtl M a j 7ACKM AND EABI.A SHELTON 1900 PWI STRZWr 444 OONCORO, CA 94520 Cfflcial Recordo CPU t Of A 'j:-GWIM RR11�I&1 ORac Aga rh��et3 �t-28®i YAAt FEE 15.95 I t dfat�een 1 Sege II of 3 Abava Tido Lbo Qat Reooidaes U=O* A.P.N.; 027-Ull-Ol Older No.: IDUI 1 KW bmaw Pio.: 19UMOM IVJ GRAW DEM 7= pNDA85iMM GRAl4Z R(t) MXAMM T04T DOMM10frARY TRAfl WM TAX !S: OotJ1mdampum 1�yy oo vdlne al se vu� o'0oei or x 1 =oePoraead aom; [ ) city ot_t am � die o4 sate, FOR A VALUABLE OONSIDBRA130N, Rxei l of wbM in bemby mlatoaladge4, PAUL M. 9AltT1'ON1 and DOLOBBB L. eAAfl'QN><. ifttobottd and iN1te bmby BRANT($) to JAC= L, BULTON RW KAM A M. MM4W. Raftod and Wlfe as Jots Twtanb due fallowing dedor(bed PMPa W is tato wanwip MUd AM of tbe, Caaad of Butte Spee of Callfamin; i U60 C QLWN Or th )I 6 on , October 10, .V01 bohcomo,_ Dti.cbelle A. Miller, tjo= Axhlic pmeoeolyr oppmd Paul K. Sentanl Md I blor®e L. Ratonl, r moth to no (or Piavad to ma oa dm bads of a &V4 to bs go Pans(s) 0M alme 0 Imam vu mftd to do Tsible Wmaa01 aa4 aabarlo 04 to M9 09 Wthdby OliaMd to came N hbNeQltrale aommiase aq=Ity((aa) atd otet try M0/bvajur qu m w on AD 111 PM dP pmreaa(a a) or mo ot" VP bdWof 410 tae perwW) wad, eaoevood Ow futnmmat. WA' M my tread amt oW&W mN. o vm&a... got 8 �e "k area far aftw mea al aal. MICHELLE R. MILLER Cae+M44110117$414 9ft 051 Notary Puapo t1Y11� CsiYllgf. �oAdo my Ow"Ir tat 1w. AFL 2, sea Mail T" 6fatm=te tn; SAM AS At1OVII or Addnm NOW Below I 04/23/2002 09:36 Bi DWELL TITLE OROUILLE 4 D+D OROVILLE DESOMIPTIONs Q003/007 NO. 210 002 ORDER NO. FiJ-191220-3 THE LAND REFERRED TO HEREIN 19 SITUATED IN THN STATE OF CALIFORNIA, COUNTY OF BUTTE, AND I9 DXBCRI9ED AS FOLLOW: LOT 2, AS aNONN ON THAT CERTAIN MAP RNTITLEU, "STMING aMDIVIBION,', WHICH MAP WM RECORDED IN THE OFFICE OF THE RECORDER OP THE COUNTY OF BUTTS, STATE OF cALI80RNIA, ON AUGUST 10, 1990, IN BOOK 116 OF MAPA, AT MEW) 64, 65, 66 AND 67. APN 027-120-021-000 A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY MAS MEMTS OVER DUSTIN LN. A8 SHOW ON THAT CERTAIN NAP ENTIT14RD, "STERLING SUBDIVISIOwn, wmicH MAP wAB R6CORDSD IN THE OFFICE OF TEE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 10, 1990, IN BOOK 119 OF MAPS, AT PAGN M 64, 65, 66 AND 67. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCCL I, DWCRIaED HEREIN. A NOR-RXCLUSIVB FASBMENT FOR ROAD AND PUBLIC UTILITY PWORE13 60 FEET IN WIDTH LYING EASTERLY OA AND ADJACRNT TO THE FOLLOWI110 DESCRIBED LINEC BEGINNING AT THE INTERSECTION OF THE WEST LINE OF LOT 2, AS SHOWN ON THAT CERTAIN W ENTITLED, "FORTUNE ACRES, UNIT NO. J.", WHICH MAP a$ R.ECORM IN THE OFFICE OP TRE RBCOR.DBR OF TRE COUNTY OF. BUTTE, STATS OF 0"ZVORNIA, IN BOOK "A" OF MAPS, AT PAGE(8) 23, 23A AND 28, WITH THE SOUTH BOUNDARY OF oRUB$6 ROAD, A6 SAID ROAD EXTSTOD ON JUNE 1, 19691 THENCE SOUTHRUY ALONG TM WEST 8011NDARY OF SAID LOT 2, A DISTANCE OF 60 FEET TO THE END OF THE HEREIN DESCR.IAED LINE. 2mmis IY1 A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES 60.00 FEET IN WIDTH, LYING 30.00 MT ON EITHER BIDE OF THE FOLLOWING MICRIBED CENTERLINE: COMENCING AT THE NORTHWEST COMM OP PARCEL 3, AS BROWN ON THAT CORTAw PARCH MAP, RECORDED IN Tim OFFICE OF THE RECORDER OF Tax COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 2, 1992, IN 800K 87 OF MAPS, AT PAGE (8) X49; THENCE ALONG THE NORTEiER,LY LIMB OF SAID PARCEL 3, NORTH 60 DBC/. 49' 20P EAST, A DISTANCE OF 83.57 FXET, CONTINUED -- vvi vat Vc L1: ad. rnn 5du 532 3303 D & D HOMES 04/23/2002 09:36 BIDWELL TITLE OROVILLE i D+D OROVILLE X004/007 NO. 210 903 i ORDER NO, BU -191220-3 MOILS OR LEGS, TO TM CM;TERLINS OF THAT CERTAIN 60.00 FOOT R4AD EASMeW, AS 8HOWN ON THE AFORUSAID PARCH MAP M THE TRUE POINT OF i38OINNING OF THE LAVE HERRIN DESCRIBM TRENCR SRM SAID TADS POINT OF BEGINNING 90UTH 22 DVQ- 22' 02" RAST, A DISTUCE OF 642.62 FEET; TRIC$ SOUTH 0 0 D60. 09' 3 9" WEST, A DISTANCE OF 52 9.0 S FEET, 14ORE OR LESS, TO A POINT ON THS SOUTH LIN& OF SAID PARCEL 3 ARID THE EM OF SAYD CENTERLINB. OAID BAGMaW BRING FURTHER 8HOWN AS CROSACOUNTRIT ROAD, AS GHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OPPPICE OP THE RECORDRR OF THE COUNTY OF BtTTTH, STATE OF CALIFORNIA, ON PBARMRY 2, 1992, IN BOOK 67 OF MAPS, AT MOB (13) 49. 05/09/02 11:52 FAX 530 532 3304 D & D HOMES_ @J 008/007 STATE OF CALIFORNIA NUM ER. OUSINESS. TRANSPORTATION AND HOUSING AGENCY . 7.� 1• DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT b I DIVISION OF CODES AND STANDARDS MANUFACTURED MOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN ' ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING 2 X ❑ NUMBER OF TRANSPORTABLE SECTIONS SFD (SINGLE FAMILY DWELLING) MUMH (MULTI -UNIT MANUFACTURED HOUSING /// COMMERCIAL COACH: OCCUPANCY GROUP\v` MANUFACTURER NAME: MANUFACTURER LICENSE NUMB : FLEETWOOD HOLES OF CALIFORNIA, INC. 953 4 M��UF�CTI€�Sft� . CA 95776 SUGGESTED RETAIL PRICE: PO BOX 1308 WOODLAND (Street) Ity) t Slate (ZI MANUFACTURER TRADE NAME: MODEL NAME ANDIOR NUMBER: DATE OF MANUFACTURE: WOODLAND PARR 4453A 2002 04/02/2002 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFER ii�— CALIF. DEALER NUMBER OR DATE OF TRANSFER: FLEETWOOD RETAIL CORPORATION OF CAHAk IA TRANSFEREE DESIGNATION: DBA: FLEETWOOD HOMES OF OROVILLE 1061581 04/02/2002 DEALER OR TRANSFEREE ADDRESS: 2243 FKATHER RIVER BLVD OROVILLE CA 95965 (Street) Oi Statt (zip) INVENTORY CREDITOR NAME: FLEETWOOD RETAIL CORP INV FNTI]RYCfEZITgR $S_ MSO DESK 2150 WEST 18TH ST SUITE 300 HOUSTON TX 77008 (Street) (City) (Slate) (ZIP) SECTION 1� MANUFACTURER SERIAL NUMBER HCO INSIGNIA OR 14VO LABEL NUMBER LENGTH WIDTH WEIGHT INCHES INCHES POUNDS 1 CAFL217A25557-WP13 PFS0758425 S44 160 19,46 2 CAFL217E25557-WP13 FFS0758426 544 160 16,60 TRANSPORTER NAME: D & R TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 179 DUR.HAK CA 95938 Islreen C.y) state z; DESTINATION FOR UNIT DESCRIBED ABOVE. NAME (Street) (Cd) (State) j I cenity under penalty of pa" undef the taws of 1116 31919 of CBIIbm19 t11B1 the 9Deve IBGe Bre IrUe 9ne C4R9C1. 04/02/2002al WOODLAND YOLO CA EAswed on (Dote) , (C-ly) (Counts (State) SIGNATURE OF AUTHORIZED AGENT: DISTMBUTON: ORIGINAL (PINK) FORWARD)T0 HE INVENTORY CREDITOR. UNLESS THERE IS NONE. THEN FORWARD TO THE PURCHA6F9 IDEgLER OR TRANSFEREE). COPY 1 (WHITE) FORWAR VIE DEPAATMBNT AT P.O. BOX 1828. SACRAMENTO. CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) OELIvER HE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0. Sloe 1 . (7t97) DEPARTMENT OF HOUS%N6*ANC CO 0�1 YTy DEVELOPMENT DIVISION OF COOES AND STANDARDS REGISTRATION AND TITLING SECTION This unit is.a: Mobilehome L Decal (License) No.(s) Trade.*Name I/We, the undersigned, hereby C9 ► - STAtMNT OF FACTS Commercial Coach =..) LJ Floating- Home LJ Truck C Serial No.(s) , state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Corr Development, State of California, and subsequent purchasers of said unit, for any loss may suffer resulting from registration of the above-described unit in California, or i issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. E-xecuted. on 'j� �'� at C)Eer � Date (City) ( ate:. Signature of each ffiant Printed name of .each affiant Address '-Z)J5-r/ rJ City - vat - z0.02 t State . HCO 476.6 (Rev 11/86)