HomeMy WebLinkAbout030-090-009Butte County Department of Development Services
www.buttecou nty.netldds
7 County Center Drive
Oroville, CA 95965
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
14 January 2005
Janice Cline
1589 18`h St.
Oroville, CA 95965-4108
RE: • Butte County Code Violation
1589 18"' St., Oroville, CA 95965
APM 030-090-009
Dear Janice Cline:
The Butte County Department of Development Services, Code Enforcement section has
determined by inspection and research that there are currently code violations present on your
property at the above -referenced location. Specifically, the violations include:
1. Unauthorized camping or otherwise occupying a recreational vehicle.
2. The keeping of inoperable vehicles in public view.
This is an advisory notice that these uses are in violation of the Butte County Code, as follows:
Butte County Code Chapter 24, Section 24-65 - Applicability of zoning regulations.
All uses of land within a zoned district not specifically authorized or permitted by
regulations are prohibited.
Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone
does not "specifically authorize" large accumulations of junk. The storing of more than
100 square feet of "junk" on a parcel is one of the items used to determine that a
"junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a
Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are
considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed
J unkyard location or not, from storing junk in public view.
• Butte County Code Chapter 24 Section 24-260 (a) - Camping Limitations and
Prohibitions. No person shall place or park or allow the placing or parking of any trailer
coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the
occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping
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1
Janice Cline
AP#: 030-090-009
14 January 2005
Page 2
(as defined in Section 24-305.095) on public or private property within the County for a
period in excess of 9 days in any one calendar year, except in an outdoor recreational
facility, campground, recreational vehicle park, or hunting/fishing camp, lawfully
established and maintained pursuant to this Chapter.
The determination that these violations exist on the property is based on the following definitions
in the Butte County Code:
• Butte County Code Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded
material in general that may be turned to some use including, but not limited to, any old
iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of
bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole
or in part, kept, stored, located, situated or piled in public view, and all other similar
personal property ordinarily defined and classified as "junk" kept, stored, located,
situated or piled in public view and not screened from public view by a fence.
• Butte County Code, Chapter 24, Section 24-305.451 - Violator. An adult owner, tenant,
occupant, resident or other person having possession, control or any other ownership
interest in or the right of access to the premises, who is suspected or alleged to have
violated or to be in violation of any Butte County Code provisions of the Chapters
specified in Butte County Code Section 24-305.451.
• Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or
maintaining for occupancy any place for temporary living, sleeping or other human
occupancy purposes. "Camping" does not include: The parking or storage of an
unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a
privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or
recreation vehicle, connected pursuant to county permit to permanent sewage disposal
and water supply systems; or occupying a trailer coach or a recreation vehicle for any
accessory use allowed in the applicable zoning district.
It is the County's goal to obtain voluntary compliance with the Butte County Code: However,
you should be advised that Butte County has an active code enforcement program which provides
an effective means of enforcement. If voluntary compliance with this notice is not accomplished
by correction or abatement of the violation(s), enforcement may be pursued through the issuance
of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be
fined and a Notice of Violation may be recorded which will include a description of the action
necessary to abate the violation.
In order to bring the property into compliance with the Butte County Code and avoid further
enforcement actions, you are hereby requested to take the following abatement or correction
action:
1. Remove all inoperable/junk vehicles from the property.
2. Cease and desist camping activities on the property in accordance with the Butte County
Code, Chapter 24, Section 24-260(a).
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Janice Cline
AP#: 030-090-009
14 January 2005
Page 3
You have thirty 30 days to voluntarily comply with the above directions or to present an
acceptable plan for abatement or corrective actions. Should you have any questions concerning
this matter, please contact me at the address or telephone number listed above.
Sincerely,
0
Nick Hoekstra
Code Enforcement Officer
NH:mj s
cc: Department of Development Services, Code Enforcement
umniimimmi51
9
030-090-009 PERMIT#98-0017
SCHWARTZ, Wallace SHELTON, Pete 102-67B
i
1589 18th St., Oroville {
Demo/SF VIA
3
1 �4 30-09-9
030090-00T~PERMIT#98=0018 1589 18th St., Oroville
(replace porch 8� siding)'
SCHWARTZ, Wallace a _ '>-3 _ 6 7
1589 18th St., Oroville
Mobilehome Utilities
`:,ELECTRIC
GAS-
h� --
COMPACTION TEST
SUPPORT STRUCTURE .
030-090-009 PRMIT#98-0019
SCHWARTZ;. "gallace.
1589 18th Si,", Oroville §4 I {
Mobilehome n �Q✓`w►�y�f -r
U ' f
RECORDING REQUESTED BY:
AND WHEN RECORDED MAII, TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
1998—QrGb27el, 79
Recorded
I REC FEE .00
Official Records
I CONFORM .00
Count? OfBut
I
e
OROVILLE, BUTTE, CA 95965
CMAM J. GRUBBS
I
Recorder
I
98,70019 530 538-7541
I
I Maureen
02:23PM 02 -Jul -1998
I Page 1 of 2
r
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.
WALLACE L. SCHWARTZ AND KAY KRAMER
BUTTE COUNTY, BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
P. O. BOX 2389
7 COUNTY CENTER DRIVE
MAIL.BNG ADDRESS
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
OROVILLE, BUTTE, CA 95965
CITY COUNTY SPATE ZIP
CITY COUNTY STATE ZIP
1589 18TH STREET
98,70019 530 538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT
B NO. TELEPHONE NUMBER
OROVILLE, BUTTE, CA 95965
A4 -A-1 6/30/98
CITY COUNTY SPATE ZIP
SIGNA OF LOCAL GENCY OFFICIAL DATE
SAME
NO
UNI' OWNER (if also property owar, write 'SAME')
DEALER NAME GP not a dealer salt, write *NONE")
zy"I■thlr7d fir7.7
cm Cosrm WAM EP
UNIT DESCRIPTION
BENDD( 1978 ---
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER
RB2089A 64'X12' CAL069185
SERIAL- NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 030-090-009
SEE ATTACHED LEGAL DESCRIPTION.
HCD FORM 433(A) REV. 8/91
WHITE - Couety Reeortler CANARY - HCD PINK - Applicant GOLDENROD- Building Dept.
A. p. ocib - 090 010
ORDER NO. BU -163023-3
.DESCRIPTION
THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
A PORTION OF LOT 1 IN BLOCK 116 AND A PORTION OF THE SOUTH HALF OF
THERMALITO AVENUE (NOW ABANDONED), AS SHOWN ON THAT CERTAIN MAP
ENTITLED, "MAP OF THERMALITO, BUTTE CO., GALA.", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON JUNE 8, 1887, AND DESCRIBED AS FOLLOWS:
t
BEGINNING AT THE NORTHEAST -CORNER OF SAID LOT 1, SAID CORNER BEING
ON THE WEST LINE OF 18TH STREET; THENCE SOUTH ALONG THE EAST LINE
OF SAID LOT 1, A DISTANCE OF 35 FEET; THENCE WEST AND PARALLEL WITH
THE NORTH LINE OF SAID LOT 1, A DISTANCE OF 175 FEET; THENCE NORTH
AND PARALLEL WITH THE EAST LINE OF SAID. LOT 1, A DISTANCE OF 75
FEET TO THE CENTERLINE OF THERMALITO AVENUE (NOW ABANDONED) ; THENCE
EAST ALONG THE CENTERLINE OF SAID THERMALITO AVENUE (NOW.
ABANDONED), 175 FEET TO THE WEST LINE OF 18TH STREET; THENCE SOUTH
ALONG THE WEST LINE OF 18TH STREET, 40 FEET TO THE POINT OF
BEGINNING.
PAGE 4
V
RESIDENT=IAL h *:
030-090-009 PERMIT#98-0018 '
SCHWARTZ, Wallace
1589 18th St., Oroville
PERMIT.NO.-Mobi-lehome Utilities` '— --'-
PERMIT EXPI'!._
OWNER �— 00 /'7-
CONTR. 1CONTR.
.f
ASSESSOR PARCEL
LOCATION
�f
i
CAL 662�5�
,
OFFICE COPy
FAddress
r
Temp. Power
IGAS ,� I
Meter By
Called P ELECTRIC aa,
1 Meter By ae
}Temp. Elec. ��� •
Called PG&E
Temp. Gas Service
. I
1 Called PG&E
JOB FINALED (Date)
r Signature
-0
V=OK
O = Not OK
Not ' = Not Repady /MOBILE HOMES
Date
mg Requirements - Setbacks - Easements
,i ,OWSpecial MH Support Sketch
r Location-Test-Fali-C/D-C n to
6AYater, Location -Test -Easement Needed (Sketch)
oily;
Location•Clearances-Gmd-/ /Amp -Com
. Gas; Location-Testmrap• YL
fa Nat oil M*tL/ /LPG
fti* 1 – –.—. Y
8. Utility Clearance
Card B-1 Date Card B-1
Card B-1 Date Card B-1
.E HOME INSTALLATION (Plans) OK except #'s
Aing,Requirenrents- Setbacks Easements
elfggs; Size -Spacing -Marriage Line
is; MH TesWernarKWalveConnector
,ctridty; MH Test -Crossovers -Breakers -Clearances
ain; MH Test-FalWlex Connector
Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas an tricity Tagged
owns -Type -Installation Cert
1 ts;
Insp.-Sketch
Cert of Occupancy
er manertt Foundation Only: License Decal
it �� Card B-1Date and B-1
Cana B-1 a Date - Card 8-1
}
1 •
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plane) OK except Gk's
1. Zoning RequiternentsSetpacks=Easements
r 2. Footings;.SailsSiaa- thSpaang•ConrkectwsSteel
3. Decks; Girders and/or Joists4)eddng-BrachgStairs-Rails '
�}
4. Wood Awn.; Posts Beams-Rftrs.-Connectors
Shthg.-Rfg.Sracing
5. Alum. Awn.; Columns-ConnecbwsSplice-Decal Enclosures
_
6. Carports; Windows -Doors
_
7. Electric
8. Frmg.; $ils-AnchorsStuds-Rflrs-Trusses
9. Siding; Nailing—Veneer—Stucco-Mesh
10. Roof; Shthg-Roofing
11. Ext; Steps -Doors -Landings
12. Braced Wall.Panels
i
_*
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
i!
3. Pod Structure; Steel -Connections -Thickness
Dead Men -lining
4. Elect; Receptacles and Lighting. Distance -GR
r
5. Elec.; Pod Lighting; 15 Volts-GFI
?�
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal wX-Circulating Equip. -Heater
_
8. Elec.; Grounding; Equip. w/8 Circulating Equip.-Flool Lghtg.
Boxes•Erdosures-Panelboards-Ins. to Main in Conduit
/
9. Health Department Approval
_
10. Plumb.: Cir. TesHNater Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
O = Not OK
= Not Applicable
* = Not Ready
RESIDENTIAL (Single & Duplex)
Date
-
UNDERFLOOR (Plans) OK except #Is
Date
'1. •ZoningSetttacks-Easments-FloodSlope
Card B-1 Date Card B-1
.2.-•FAR.,'Main Soils-Elec. Gmd. / /` Fig. Depth
3:.
Ftg GAtage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
63.
.4.
Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth
64.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
65.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
66.
6a.
Hold Downs and Special Anchors--.
.
67.
7.
Slab, Steel -Wrapped
68.
8.
Piers -Fireplace Ftg.-Steel
69.
9.
D.W.V.; Fall -Fitting -Test 2 Way C/O -Sewer Test
70.
10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
Elec. Outlets at Wood Panel, Int. & Ext.
12.
Electric Underground
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
Elec. Outlets & Recepticales at Kit. Counter
14.
Girders -,Sills -Anchor BoltsJoists-Vents-Crippies
Garage Fire Door; Swing -Landing -Closure
15.
Access & Ventilation
16. Insulation
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meeh. Protection
77.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
80.
PLUMBING (Permit) OK except #s
17. Water Htr.; Vent -Access -Combustion Air Baffle
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
18.
Water Pipe; Test & Anchor -Nail Protection
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
19. D.W.V.; Test Fittings & Anchor -Nail Protection
83.
20.
Shower Pan; Test, First Floor -Tub Access
84. A.C. Unit Disconnect, Electrical -Plumbing
21.
Test Tub & Shower, Second Floor -Tub Access
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
22.
Gas Pipe; Sure & Anchors
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #`s
Gas Test -Meters Tagged, Gas -Electric
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.
Date
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
Card B-1 Date Card B-1
28.
2 Appliance Circuts in Kitchen & Conductor Size GFl
Card B-1 Date Card B-1
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga Cu or AI
Card B-1 Date *Card B-1
30.
Range Circ. / / ga Cu or Al -Oven Ciro. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels -Motors -Meth. Epuip.
33.
Clothes Closet UghtShower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38.
FumanceVent Access -Comb. Air-Retum Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1. Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
40.
Sits 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
Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling: Joist-Rftr Ties-Purlin-roff Brac.-Truss-Shdng.-Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdmt. Windows or Exiting Doors -Sill Hgt & 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-Ruri-Unding-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. Giaang 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-Conector-
In Garage; Above Floor -Ducts -Meeh. 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 & Recepticales 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 -Meeh. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.FI.)-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 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 Throught 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
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:
i
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES`
411 Main Street; Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
Cx_
r
rr
CORRECTION NOTICE
—
OWNERto
PERIVICT 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 you If completed. have an
p y y q��u stions pertaining to this matter, or need additional explanation,
rs. please contact thi immediately.
1 1 �11 /11 ✓I i? _1 in /1 —!v / i
114,
' Date •-� — Inspector
r.,---.FREV 10192
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 Cour)ty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT qg- anz gzzl
-
ASSESSOR PARCEL NUMBER
030-09-0-009
ZONING
BUILDING PERMIT
OWNER
WALLACE SCHWARTZ =
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
$
OWNER'S MAILING ADDRESS
P0BOX 2
CONrRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS -
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
-
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome IR Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other
Describe Work: -REPLACE DEM SF
�Y1'1 1
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
O Q�
ELECTRICAL PERMIT
Filing Fee 20.00
R LESS
Main Service 20.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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 full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
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.
❑ 1, 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 ( TO 1000A
46.00
NEW CONST. DWELLING CUP.
OCCU
.LDS.
OR ADD NST. (
3.51tF°:
MULACC.
UTLET
—NON-RES..AN"'C"',@7.50
POWER APPA RArus
8 SINGLE OUTLET CSR.
Ex. Occu OUTLET OR F°cruREs
20 @ 1.00
BAL @ .50
Ex. Occup. DIF�ITXE RESfD.OREA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
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.
❑ I 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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Cof�e!, I slZll
forthwith comply with those provisions.�1%6'��' k;
! 'f `
X rl -�`r�1 � 1 Date _---_—
Signature of Applicant -'❑ Owner ❑ Contractor Agent
(
An OSHA permit is required for excavations over 5'0' e1ep and demolition or construction
of structures over 3 stories in height. 'Z/�S1
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
`
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home installation Fee $ 00
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ °
HAZ.
,�
D. FEES IMP
_.L —
FLOOD
LO
CDF
rDF
PARCEL PD HD I
RC
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,
%A
By ate
6!
PERMIT EXPIRES ONk
06 to)
Receipt No,/
WHITE-D.D.S.-E.D. C ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, CaWfornia 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSORPARCEL NUMBEA
ZONING
BUILDING PERMIT
OWNER.
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OW S DRESS
pJ14 15
6
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAPJNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
S 20.00
ARCHITECT OR ENOWEERS MAILING ADDRESS
Permit FeeE
[/02s—
Plan CheckingFee
S 3
euLDwGADDREss 5g
Energy Plan Checking Fee
S
'
S
PERMIT FEE
$ ,
LOT NO. SUBDNBIDN9 NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome "er
SPEC"
Each Trap
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
. TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work:
Gas piping sVstem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W 1
(9?20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Feel 20.00
800V OR LESS
Main Service PGOA OR LESS
23.00
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 full force and effect,
License Class Lic. No.
OWNER-BUILDER DECLARATION
1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P nY P 1 ry P
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.
❑ 1, 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
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' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 9 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
131 certify that in the performance of the work for which this permit is issued, l 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
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 5'0' deep and molition or construction
d
of structures over 3 stories in height
Main Service Pow To 1000A 46.00so
NEW CONST. pyyEyypp O�Up, SO
NEW ONS ( a ACC. SLIDI 3.50x:
pppyRaiO MULTFOUTLET CG 7.50
PS0 APPARATUS
a swGLE oun tT TP,
Ex. Occup. OUTLET OR FIXTURES eA2001.000
Ex. Occup. �D'L°P�' °R
ovn.Ers RESID. Ew 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
—Cooling
Hood 8.50
Ventilation
PERMIT FEP S
Mobile Home Installation Fee $
Energy Inspection Fee S
Occ
_
CONST. TYPE
TOTAL FEE $
HAZ.
D FEES
IMP
FLDoo
COF
PARCEL
PD
Ho
ssuE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
to
ReceiptNo. a3/AL3. •�
WHITE-D.D.S.-B.D. CANA IY-ASSESSOR PINKANSPECTO GOLDENROD -APPLICANT
t''y r „4 V110— *�7seay� ��p `- �,..w .
P,
rY
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET =
OWNER: ASSESSOR PARC ER: 3O —
Proposed Bu' ing Use. Building Inspector: ' LDate:
At time of permit application, i was advised the following data must be submitted prior to permitroctss g and/or issuance:
DateNReceived By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------ I -------------------------
0
--- --------------------------------------------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ azardous Material Form. ------------------------------------------------------------------------------------------
. Manufactured Home data and installation instructions ' &_4 --------------
010.
------------
❑ 10. ees of $-------------------------1----�-,--_-'-----------------------------------------------------
-�/-� -- -----------------------------------------
1112.
----------------------------------------
Impact fees as shown on the attached schedule. i
❑ 12. California Department of Forestry plan approval/fees.----- ------------------------------------=---------------
❑ 13. Flood elevation certificate.
1:114. Sanitation and plot plan approval Health Department.
e
❑ 15. City of Chico plumbing permit. ---------------------------------------
❑ 16,. Plot plan and business license approval from the City of Biggs. ---
❑ 17. Planning approval for (A) Use: (B) Parking
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---.
020. Pre -inspection for
required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification).
❑ 22. Workers' Compensation carrier and policy number. -----------------------
1__123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -
1124. Letter of signature authorization. --------------------------------------------
1125. Recorded copy of Agricultural Acknowledgment Statement. -------------
_ ❑26. Letter of intent on building use. -----=------
#q7. Manufactured Home utility clearance. -----
028. Existing violations and/or expired permits.
❑ 9. 433 A, ❑Grant Deed, 11M.H. Title, El Check to H.C.D $
Other: /
en you issue thepermit roceCsss as ollows bail to owner, ❑Mail to co tr tor.
Telephone -� T and hold for pickup at D office. ❑ Deliver with inspector.
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: _= Date: By:
• /.-illi
(Date)
Index permit application for the above items numbered:
2. Additional items required:
❑ Plan Check List
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised bf the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building
Divis counter, by Date:
Plans reviewed by: Date: Plans approved by: C= Date: % , 2 -
Sets
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
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COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE;CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: yo -7-- ASSESSOR PARCEL ER: O O
Proposed Building Use: Building Inspector: Date:
At time of permit applic tion, I wWs id4ised the following data must be submitted prior to permit p ces ing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted .---------------------------------------------------------------------------------=---
❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------
133. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -----------------------------------------------
❑ 8. Hazardous Material Form.---------------------------------------------------------------------------------
❑ 9. anufactured Home data and installation instructions including Tie Down Specifications.
P'4Fees of $ q!4 . �S -------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------
1113.
--------------------------------
❑13. Flood elevation certificate. -----------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------------
❑ 15. City of Chico plumbing permit.-----------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------
❑ 17. Planning approval for (A) Use: (B) Parking: -•
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy).
020. Pre -inspection Pre -inspection for
required. Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- -------------
E122. Workers' Compensation carrier and policy number. ----------------------------------------- ------------------
E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------=------------------
❑24. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. xisting violati ns and/or a fired permits. - --------------------------------------------------------------------
9. ❑433 A, 'Grant Deed, ❑ M.H. Title, heck to H.C.D $
aa. . ---------------
E130. Other: -------
III -0 -Ag. c8:1&
When you issue the permit, process as follows Cl Mail to owner, ❑Mail to contractor.
❑Telephone c�, 5q -4,55qs and hold for pickup at y7Mi Lp office. ❑ Deliver with inspector.
Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other:
Date:
Date: By:
Date: By:
(Date)
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
la. B.- I
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally pl to provide the ajor labor and materials for construction of the proposed
property im ovement : YES NO 11
2. I HAVE , HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with -the following person (firm) to provide the proposed construction:
NAME: -
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: / -
PROPERTYOWNER: "114610
SOCIAL SECURITY NUMBER:
DATE:
NOTE: This Owner -Builder Verification is required by Section 19831 and 19_832 of the _
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
y�,r""".,,,`i''i�f�Vii++r''r,�"7J'Y'�'-"f'3r^tG�P(�'fi''Y>a`6T�iR^" _"-v'v`�.n'i�'w'1^�P4. t�*�,�uC'X'��'�"pce^�.r..--.p..r,.:��-. y:,..- d.•+�;;fr�,`t M7,r r.,.,.
" COUNTY OF BUTTE
;DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
617 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE(916) 538=7541
SCHEDULE OF FEES DUE
i
OWNER Sr �(,A f A.P.-#_
1
PROPOSED BUILDING USE DATE 1KO, .
°REC # DATE REC �Y:*�� •.t e
1. BUILDING PERMIT FEES
-- Balance Due ................ $
-- Additional Fees Due ........... $ rM °,` { •�
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $a
2. SCHOOL DISTRICT FEES
(pai at District Office)
f3j.S'HERIFF FEES (paid at Building Division)
Residential ........ x $360.00 =,)$
Units
Comm rcial (sq.ft.)... x $0.03 = $.
r
Sq. Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
. #Units Amt.
Commercial (sq.ft.) .. x =$
Sq. Ft. Amt.
5. RECREATION DISTRICT FEES
e<6.
at District Office)
HERMALITO DRAINAGE DISTRICT FEES
.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
f 8. WATER TENDER FEES (Battalion #
4$200.00'(paid°at-Bu lding-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�'plan�dhecking process.
APPLICANT
Original -Owner Copy -Building Div.
DATE
(Rev. 12/96)
BUTTE COUNTY SCHOOLS IMPACT FEE -CERTIFICATION FORM
(One form per Building)
School District
U 1tv ),
Building Department No.
A.P. Number
0*�o—/r)...o(�!
Jurisdiction:
City [)n . County
Property Owner
Property Location/<
Subdivision Lot No.
Residential Development y y
No of Living Mokeeme Addition
Units Installation
Commercial/Industrial
A'' New Addition
(Floor Plans
District Personnel)
�6'LSchool District certifies that
(Street
Sq. ootage
;(Group R) n Y
Sq. FootakId"
(Including Exterior
Roofed Areas)
Date
(Applic nt)
(Phone Number)
Q
(City) (State) I (Zip Code)
has complied with the requirements of Resolution No. �Od yO by payment of $,O
representing square feet. JFBiiiM $
ULL MITIGATION
School District Represents ve Date l7
Paid by Check # Remarks: and G^C.0
W;117�
o Gti mac/
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 66020(a), 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.xis (2/97)dmm
ups
This set of plans and specifications MOBT be
kept on the. job at all times and it is unlace to
make any changes or alterations on Game -without
7nItten Permission from the Department of Ptibllo
WOrks. County of Butte.
An Materials & Workmanship Shad Be fn .
Ag®®r"nce with Recognized Good MAU06.6 and
of a Quality Prescribed for the Specified use
in the Uniform Building, Plumbing W Meobbauiog►
Codes and the NSUOD i Rjeouw l Oode.
1liCl-�IN�>
RES ANO ESO ALL SASEME
MO
ALL 'Be C `R THE SIDE AN,
�-
ONESNth. SH FROM , SINES Art:: Y
OFR pROPERTt (� _ ,�S
BACK SHA4�
A FROM TH
FT. ROAD
FROM THE pule
ND E
�v �• %Jc*T W NDN
OC R OF S eAvE ®, Q OX /0 v
FOR
yA.�IL Y/
7,k - -
q -ore 77,
Mobilehome Manufacturer: 6 ,e Manufacture Year:
If other than single wide, furnish Setup Model Number:
Width: l �2- (ft.) Length: ft.) Tagalong or Expando Size_Z_!a__(ft.) x 7 (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[Aj Other:
SUPPORTS: Concrete block[A Other:
Provide Tie Down Specifications for all Mobilehomes:
.................................................
L Tor Triple f :� C -J
.................................................
Line 1 Piers:
Size minimum: r i x
Spacing maximum: Y `
From ends -maximum] / ` .s-" `
5
4
0
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with width over: `
Line 2 Piers: Line 4 Piers:
Size minimum: [/a ]x[36]. Size minimum: [ i,R] x P� ].
Spacing maximum: I y ` e Spacing maximum: `
From ends -maximum: From ends -maximum: l 'O - `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
Pier Footings Sizes and Location
SINGLE WIDE
MULTI -WIDE
Line 1
0
ive 1
Line 2
Line 2
............. ............. ............0 ......:..
.........p .
...[J ...............
............... .B .............. P
.......... J9......
Line2
e 2
Line 1
Line 3
Line 2
ain Beams
.........................................:...............:..............................
Line 2
Line 1
.................................................
L Tor Triple f :� C -J
.................................................
Line 1 Piers:
Size minimum: r i x
Spacing maximum: Y `
From ends -maximum] / ` .s-" `
5
4
0
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with width over: `
Line 2 Piers: Line 4 Piers:
Size minimum: [/a ]x[36]. Size minimum: [ i,R] x P� ].
Spacing maximum: I y ` e Spacing maximum: `
From ends -maximum: From ends -maximum: l 'O - `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
1. Owner's Name:
2. Assessor's Parcel Number: �XJ — a'.1012 —670
3. Installer's Name: 0 ZAW C
4. Is the site currently'under permit? Yes[4No[ ] Permit No m aolR
5. Is the site an existing site? Yes[ J No* (If yes, furnish two plot plans).
6.. What is the electrical rating of the. mobilehome? o O Amperes.
7. What is the mobilehome site circuit breaker rating? Amperes.
8. What is the electrical rating of the mobilehome site? e,���`� Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] No[✓rif it is, what is
the rating? Amperes.
10. Is there any other electric load to be s ed by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] No[ If yes, please identify the load and size:
a) The mobile home site:
Load- Amperes -
b) The main service:
Load- Amperes -
11. Type of gas service,at mobilehome site: Natural[�ropane[ ] None[ . J
12. Size of gas pipe at the mobilehome site from the meter or
tank: inches.
13. What is the gas pipe length from the meter or tank to the mobilehome? eft.).
14. What is the mobilehome gas demand? 14� B.T.U. *
*(This information is not required if the -pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
May 1995 8.5
77w�'
�+
'1v
AND WHEN RECORDED NIHIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
98-000552
1
Recorded I
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder I
9:28am 7—Jan-98 I
- My
Rec Fee 8.00 2
IHF 2.00
Cash 10.00
PUBL XX 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, 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 Count}' of Butte, State of California, described as follows.-
SEE
ollows:
SEE ATTACHED LEGAL DESCRIPTION
Date: \ `��C�, PROPERTY OWNERS:
State of California )
County of�� )
me,
personally appeared \ t'�� `�� ���. �.���� Z personally
known to me (or proved to me on the 611isis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the instrument.-
WITNESS my hand and official seal. ANGELA D. MASMOTTO o�p
CawalaOon 0IM4124 Mir MI
Si `tsuftOm*,
14 Mmmlastm Exp- 8'M.16.1998
A.P.# O - CSC --CCS
.IAN '14 1998
BUTTE COUNTY
BUILDING DIVISION
NOTE TO RECORDER: DO NOT RECORD THIS SIDE
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
Instructions for recording Agricultural Statement of Acknowledgment:
1. Insert the legal description of the property in the space provided on the other side of this form.
The legal description is the narrative description of the property - which will be on your deed. If
you don't have access to the deed, the Recorders Office can provide this information. (The
description may be handwritten or typed in the space provided or attached on a separate sheet is
more space is required).
2. Property owners must sign in the presence of a Notary Public and have the form notarized
3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County
Center Drive, Oroville (the Administration Center building). The Recorder will record both the
original and copy. They will keep the original and return the copy to you. Just bring the copy
back to the Building Division at 7 County Center Drive.
RECORDER'S FEES: $7.00 - 1 st Page
$3.00 - Each Additional Page
RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday)
DESCRIPTION
ORDER NO. BU -163023-3
THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
A PORTION OF LOT 1 IN BLOCK 116 AND A PORTION OF THE SOUTH HALF OF
THERMALITO AVENUE (NOW ABANDONED), AS SHOWN ON THAT CERTAIN MAP
ENTITLED, "MAP OF THERMALITO, BUTTE CO., CALA.", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON JUNE 8, 1887, AND DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHEAST CORNER OF SAID LOT 1, SAID CORNER BEING
ON THE WEST LINE OF 18TH STREET; THENCE SOUTH ALONG THE EAST LINE
OF SAID LOT 1, A DISTANCE OF 35 FEET; THENCE WEST AND PARALLEL WITH
THE NORTH LINE OF SAID LOT 1, A DISTANCE OF 175 FEET; THENCE NORTH -
AND PARALLEL WITH THE EAST LINE OF SAID LOT 1, A DISTANCE OF•75
FEET TO THE CENTERLINE OF THERMALITO AVENUE (NOW ABANDONED) ; THENCE s
EAST ALONG THE CENTERLINE OF SAID THERMALITO AVENUE (NOW.
ABANDONED), 175 FEET TO THE WEST LINE OF 18TH STREET; -THENCE SOUTH
ALONG THE WEST- LINE OF 18TH STREET, 40 FEET TO THE POINT', OF'
BEGINNING.
PAGE 4
A
i
91-50468
92-0504681 Rolf. P.M
1 Chuck
Recorded 1
OftioLel Records I
County of 1
Dutto I
condone J. OrubbA 1
Recorder I
17147pe 9 -Nov -92 1 PURI,
s.Cnatu ttIl �l'Pit bg thpsp Frompitta:
111mt..........l w�.��....NMII/YM11. N ............... .......I...» ................... 1,,,I..........I......»,..I... w»A..,,..
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"JIL............. allltrney ..............(11 fe,r1, file ....UTll........filed in ..Bili..» nnmr........... cud fur..NIN... utr
Rolf) hrarffl QB..J►ltY..JINIl.l1I.T...I CnBOf111I.1.0tA..AP.i►T..l!i{QCCA�X......»..................................
111 II.'lllaall, fill, file, 1'1111ed, imil f11e0rl.a all 111th 111"11 if/ n11111oy, 11rbff, 1111111, Ileelfllllif. 1l,y41'ffl,
hrlplydl, infnmlll, /lhddrpd. n'uWklr• 111111 dr"Inudf lrhrillnl,pl,. Ill Orr nmo or 111ell rlrnwflrr
1tn�lk ,{f �I1�Al1IA+H�'R1111,..u., mall 11.1110, UIP, "Nd
ilMnmlf f' . �'1'I'1l p'jr'lhri', "r 6ehlnl:h.q bf.. .. A,•
NII' ON 11"M/tV►+ MIM...I
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. II4YML......... M r1M1r.Ir1M 110 IMt rr'PrN'fy Ilene
1111nehul►ue, asu'.1, offPlhrnrlln, 110141 its mulINYhl11d steelYillplw .400'140wMw, 044ris rw4+r«:.jY le,M
11111'hnrses far Ohio 411111r /i�•ie um111111....1,1 r111f In ultnll:.11..1,,. 114111►«ua.ol fit e11NI1Arl for. IllrehAlr.
mrfll�r, 111111 (11011 h1f1111. 1/1"171111'1111, villi hN1p111111111111111, 111111 Qrrrlll $he- 10111111 Ani) P8460`6111111 Qf all
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1 419. "IN►vY. 011111RAN6, comity If%, my Of 1110141 Ilj hull. hNll hylulll+erlll/ 111"111. IIm11m/8116 NJ
hr►rdil4mfnla Upon uich lernu rind rQndillom. and ander such eouennnll 01 ...PX— 1Aall IA1411 fill
aha loohoot 14 �r, buy. tell. notortR1111r, hyp"Ihrrelr, and ori any wayand�A7 fully np nlr4nerdeal
in and 1riI ;"Jt, lalrrr. tend mrrc6endhol, eknlrl In rclion, and olbw r) In nelrlo4 or he
arliue,, l,4/l la du !Ivry l.u.l .lf 111 oillr11 of lehnl Adele, ter 4iAd fervors. and alul Joar— .IN .. 4011114
....1119....... male_ ...... ., 01111146 ....»ITIS.».:.... rel •end dead to oTrhe, Sir. HMI, wraculf, acknowledge.
and dcliarr rlrrdl6 butt, and rrfipmeni, of hasp, eavtaanlc, l4daalrlref, rdrfroauak, le arf 11, deeds
sof fruit and we11alryfineel Ihrrrandrr, hypolflrrselioal, bollo4lder, ehrrleelpwrlieu. & oft r
hills. hued.. filter. to el 111, r11141rarrf n/ drhl, ratrAlrl Arid Intl frrtian of mo►Id4pe, i4dpnr b
ow
u111er defib, and 411rh Ildllrr en.Uaalwllt hl wr111nM of Il,hoolefrr blood rod 11 Illre as m4y be nensw►r.
011"1+nlrol. fee prnllrr he file Il►nnlllro lucladlnd rnihllnlrnlr of 4ecoNnll ratoolumble. nolicq of the
reprrlyd alrignalrnld of ciu•h arrunnl., and crneelblina of oueh 110110!; 0110, In ass of lon 6l, f rr. of
nlhreirire. 1114dia.l ill fROUnre IJ11r1,
I'
(5ful g unto ».H.iU &(lid driarnoy..... .. felt power to perforin alairy set *4111 1011 which
........... fluty IMF& nerrrrl.ri, fu be done in and absent tiff premises, Of fully to sell fAlantc and
_................................ might or could do If penonselly proNnl .-- I-••-
Irlrywlrl 111 »....N»....
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herby rooli/ring .............».......»., ....».... • ore0ase to Gw Jails 6y
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dale elf...........Ql....._........... line, f11n11srind nine f111ndrod wild..,.. 92.,1.17«.« . ,%t»..».1.«•»••,•.»..••
i
Slearfl and lka vrrd In Ihr fternlre of
WALLACr. L. SCHWARTZ of
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1119 VALLCV TITM CONPANY
ESCROW NO.: 130644AN-1
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WALI.ACR L. SCIIWARTZ
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6292 T.ANCASTLR 991VC
PARAOIRR,C A 95969
TI
A
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91-50468
92-0504681 Rolf. P.M
1 Chuck
Recorded 1
OftioLel Records I
County of 1
Dutto I
condone J. OrubbA 1
Recorder I
17147pe 9 -Nov -92 1 PURI,
s.Cnatu ttIl �l'Pit bg thpsp Frompitta:
111mt..........l w�.��....NMII/YM11. N ............... .......I...» ................... 1,,,I..........I......»,..I... w»A..,,..
rill V Ihrrr 110%,11411t 01.1114111 ................ QAR!f...(It»I111111ATN ................... .......,...,1..,..,..........,11,...,..,1
"JIL............. allltrney ..............(11 fe,r1, file ....UTll........filed in ..Bili..» nnmr........... cud fur..NIN... utr
Rolf) hrarffl QB..J►ltY..JINIl.l1I.T...I CnBOf111I.1.0tA..AP.i►T..l!i{QCCA�X......»..................................
111 II.'lllaall, fill, file, 1'1111ed, imil f11e0rl.a all 111th 111"11 if/ n11111oy, 11rbff, 1111111, Ileelfllllif. 1l,y41'ffl,
hrlplydl, infnmlll, /lhddrpd. n'uWklr• 111111 dr"Inudf lrhrillnl,pl,. Ill Orr nmo or 111ell rlrnwflrr
1tn�lk ,{f �I1�Al1IA+H�'R1111,..u., mall 11.1110, UIP, "Nd
ilMnmlf f' . �'1'I'1l p'jr'lhri', "r 6ehlnl:h.q bf.. .. A,•
NII' ON 11"M/tV►+ MIM...I
Itw. M ..,11U.».
. II4YML......... M r1M1r.Ir1M 110 IMt rr'PrN'fy Ilene
1111nehul►ue, asu'.1, offPlhrnrlln, 110141 its mulINYhl11d steelYillplw .400'140wMw, 044ris rw4+r«:.jY le,M
11111'hnrses far Ohio 411111r /i�•ie um111111....1,1 r111f In ultnll:.11..1,,. 114111►«ua.ol fit e11NI1Arl for. IllrehAlr.
mrfll�r, 111111 (11011 h1f1111. 1/1"171111'1111, villi hN1p111111111111111, 111111 Qrrrlll $he- 10111111 Ani) P8460`6111111 Qf all
Innrllh, and allo
/dpdo Still seaun
lhro, r.lnre. he 11117111w Ihrr
rf lt, flood 10 Ir4sn, hl , NII ..«.A11X•••M►p••111A,
vi1118Qr1:It411N1\111fa4�11�'Rh12i.Rft'�X.•1111...11........................... «.1..1.11......111..1....111.11.«««
1 419. "IN►vY. 011111RAN6, comity If%, my Of 1110141 Ilj hull. hNll hylulll+erlll/ 111"111. IIm11m/8116 NJ
hr►rdil4mfnla Upon uich lernu rind rQndillom. and ander such eouennnll 01 ...PX— 1Aall IA1411 fill
aha loohoot 14 �r, buy. tell. notortR1111r, hyp"Ihrrelr, and ori any wayand�A7 fully np nlr4nerdeal
in and 1riI ;"Jt, lalrrr. tend mrrc6endhol, eknlrl In rclion, and olbw r) In nelrlo4 or he
arliue,, l,4/l la du !Ivry l.u.l .lf 111 oillr11 of lehnl Adele, ter 4iAd fervors. and alul Joar— .IN .. 4011114
....1119....... male_ ...... ., 01111146 ....»ITIS.».:.... rel •end dead to oTrhe, Sir. HMI, wraculf, acknowledge.
and dcliarr rlrrdl6 butt, and rrfipmeni, of hasp, eavtaanlc, l4daalrlref, rdrfroauak, le arf 11, deeds
sof fruit and we11alryfineel Ihrrrandrr, hypolflrrselioal, bollo4lder, ehrrleelpwrlieu. & oft r
hills. hued.. filter. to el 111, r11141rarrf n/ drhl, ratrAlrl Arid Intl frrtian of mo►Id4pe, i4dpnr b
ow
u111er defib, and 411rh Ildllrr en.Uaalwllt hl wr111nM of Il,hoolefrr blood rod 11 Illre as m4y be nensw►r.
011"1+nlrol. fee prnllrr he file Il►nnlllro lucladlnd rnihllnlrnlr of 4ecoNnll ratoolumble. nolicq of the
reprrlyd alrignalrnld of ciu•h arrunnl., and crneelblina of oueh 110110!; 0110, In ass of lon 6l, f rr. of
nlhreirire. 1114dia.l ill fROUnre IJ11r1,
I'
(5ful g unto ».H.iU &(lid driarnoy..... .. felt power to perforin alairy set *4111 1011 which
........... fluty IMF& nerrrrl.ri, fu be done in and absent tiff premises, Of fully to sell fAlantc and
_................................ might or could do If penonselly proNnl .-- I-••-
Irlrywlrl 111 »....N»....
• " .....»N..»«.•».. «I.« .rw.l M.»«wIM...1....•..»•••w
~« »_ »and,rr.nffrmingliltthoil ..it9. 11...••-••••«•«.1„111« said attorney .»..... .
herby rooli/ring .............».......»., ....».... • ore0ase to Gw Jails 6y
_................................................................»I....Ib4lll4wfllflydo
rirllie of Ihrse lur.rnl..
.111 M1111f80 hlTPllt•.....I,... have 010111118111 lel ».r ll4nd... « thr.».�«� ..•••«
dale elf...........Ql....._........... line, f11n11srind nine f111ndrod wild..,.. 92.,1.17«.« . ,%t»..».1.«•»••,•.»..••
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Slearfl and lka vrrd In Ihr fternlre of
WALLACr. L. SCHWARTZ of
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In the yi4r uond glint hundred and-11111MI—no molarypublk.
WT -UL-
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f I co,onito(oned and Jwd "'Pers-
pd"g"..,—dojg;v(bdd in and who', normo _LL_oybsc r1bol (a
, rats,81 to logo to be the e
414 acknowledoej is mfrounto lit MY bond and core, MY 001cial Jog'
ittlesp ungly
in
111, day and year in thin cirlificalef"
Na mbli le. 91110 Of COWOM's
oneMyco.m(sligm
WIN PUIUH
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END Or L—
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AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
ORO%1LLE CA 95965
BUTTE CoLgm RECOIIm
SERIAL NO. Q-1'
RECORDED N THE Oi
MID VALLEY MLA C-0~
DAII
T. y q JAN 71'998
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, 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:
,1
SEE ATTACHED LEGAL DESCRIPTION
Date: —\ ��C� PROPERTY OWNERS:
State of California )
County of
before me,.
S
personally appeared �\ t'��( \� �cN ��\ V \ Z personally
known to me (or proved to me on the Oasis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and officiat seal. D. MASMOTTO �+p
Commbsion 81034924 W CPS1
Si tBMcourty,caluomia ® a
DESCRIPTION
ORDER NO. BU -163023-3
THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
A PORTION OF LOT 1 IN BLOCK 116 AND A PORTION OF THE *SOUTH HALF OF
THERMALITO AVENUE (NOW ABANDONED), AS SHOWN ON THAT CERTAIN MPP
ENTITLED, "MAP OF THERMALITO, BUTTE CO., GALA.", WHICH MAP WAS
RECORDED "IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON JUNE 8, 1887, AND DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHEAST -CORNER OF SAID LOT 1, SAID CORNER BEING
ON THE WEST LINE OF 18TH STREET; THENCE SOUTH ALONG THE EAST LINE
OF SAID LOT 1, A DISTANCE OF 35 FEET; THENCE WEST AND PAR_ALLEL'WITH
THE NORTH LINE OF SAID LOT 1, A DISTANCE OF '175 FEET; THENCE NORTH
AND . PARA�L£L . WITH THE EAST LINE 'OF - SAID =LOT- 1;'.-A'- DISTANCE OF .- 75
FEET TO THE CENTERLINE OF THERMALITO AVENUE i(NOWvABANDONED) ;',THENCE "
EAST *;.'ALONG "THE •, CENTERLINE - OF SAID :f� THERMALZTO'` ;AVENUE (NOW.
ABANDONED); 175 FEET TO THE WEST LINE OF. -18TH -STREET; THENCE .SOUTH
ALONG --THE WEST LINE • OF ;,18TH 'STREET,, 40`- FEET TO -THE':---POINT. � OF
BEGINNING.
4 -
PAGE 4
'_x
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS
7 County Center Drive - Oroville, Calbrnia. 5965 - Telephone (916)538-7 PERMIT NO.
(Rev. 12'/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
Q
ZONING
ILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P 0 BOX 2189 DROVITLE CA 9996S
CONTRACTOR'S NAME
OWNFR
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'SMAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER •
LICENSE NO.
—Fling Feb $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS -
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
•
SUBDNI$IONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 9 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heafpump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK
Describe Work: DEMO
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G1 W1
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
R LESS
Main Service OA OR LESS
23.00
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 full force and effect.POWER
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
La 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. DWELLING=UP.
OR ADDNS. ( & ACC. BLDS.
s0
3.50FT.
NON -R S+10T MNLCTI.OUTL,RcET
@7.50
APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occu OUTLET OR FDRURES
20 @ 1.00
SAL @ .so
ED UNS
Ex. Occup. ouiTs RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
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' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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
PortWith comply wi those provision/This
`7 ���
X+ ` k Date.
Signature of kpplicant - ❑ O ner ❑ Contractor ,❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
�HZ-
D. FEES
IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSU
permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fe s have been paid.
,
By ..to
PERMIT EXPIRES ON
a e
Receipt No.
WHITE-O.D.S.-B.D ANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
. ,.- .a. r; .."�
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r
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the jor labor and materials for construction of the proposed
property iment : YES- NO ❑
2. I HAVE 7HAAVE NOT ❑ signed an application fora building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE:
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the _
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
Demolition Permits':,
Asbestos Notification Statement
Date
AP#
Pursuant to section 19827.5 of the California Health and Safety Code, all
demolition permit applicants are required to fill out this form.
"19827.5. A demolition permit shall not be issued by any city, county,
city and county, or state and local agency which is authorized to issue .
demolition permits as to any building or structure except upon the receipt
from the permit applicant of a copy of each written asbestos notification
regarding the building that has been required to be submitted to the United
States Environmental Protection Agency or to a designated state agency, or
both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations,
or the successor to that part. The -permit may be issued without the applicant
submitting a copy of the written notification if the applicant declares that
the notification is not applicable to the scheduled demolition project. The
permitting agency may require the applicant to make the declaration in writing,
or it may incorporate the applicant's response on the demolition permit appli-
cation."
Attached is a copy of my written asbestos notification to the United States
Environmental Protection Agency for the demolition project located at
Signature of Applicant
OR
I hereby declare that a written asbestos notification to the United States
Environmental Protection Agency is not applicable to this demolition project.
Signature of Applicant
2/19/91
r
.RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
02 -Jul -1998 1998-0027679
Has'not been compared with
original
Butte COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME NOBILEHOME) 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 descnbed 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.
WALLACE L. SCHWARTZ AND KAY KRAMER
REAL PROPERTY OWWER/LESSOR
P. O. BOX 2389
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
1589 18TH STREET
INSTALLATION MAIJNG ADDRESS, IF DEFFERENr
OROVILLE, BUTTE, CA 95965
CITY COUNTY SPATE ZIP
SAME
UNIT OWNER (J alae ptoperV owner, write'SAME')
MAUING ADDRESS
k1jelvallmejawN . N"
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY MUING PERMIT and CE CMCATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAIJIG ADDRESS
OROVII.LE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
98 19 530 538-7541
B NO. TELEPHONE NUMBER
6/30/98
SIONATUf OF LOCAL IGENCY OFFICIAL DATE
NO
DEALER NAME ('dnet a dealer sale, write *NONE*)
DEALER LICENSE NO.
BENDIX
1978
---
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME/NUMBER
RB2089A
64'X12'
CAU69185
SERIAL NUMBER(S)
LENGTH X WWTH
INSIGNUVLABEL NUMBER(S)
REAL _ PROPERTY LEGAL DESCRWMN ASSESSOR'S PARCEL NUMBER A.P. # 030-090-009
SEE ATTACHED LEGAL DESCRIPTION.
HCD FORM 433(A) REV. 8/91
WHITE - Camly Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
A. p. opo- 090- 009
ORDER NO. BU -163023-3
DESCRIPTION
THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
A PORTION OF LOT 1 IN BLOCK 116 AND A PORTION OF THE'SOUTH HALF OF
THERMALITO AVENUE (NOW ABANDONED), AS SHOWN ON THAT CERTAIN MPP
ENTITLED, "MAP OF THERMALITO, BUTTE CO., GALA.", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON JUNE 8, 1887, AND DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHEAST -CORNER OF SAID LOT 1, SAID CORNER BEING
ON THE WEST LINE OF 18TH -STREET; THENCE'SOUTH ALONG THE EAST LINE.
OF SAID LOT 1, A DISTANCE OF 35 FEET; THENCE WEST AND PARALLEL WITH
THE NORTH LINE OF SAID LOT 1, A DISTANCE OF 175 FEET; THENCE NORTH
AND PARALLEL WITH THE EAST LINE OF SAID LOT 1, A DISTANCE OF 75
FEET TO THE CENTERLINE OF THERMALITO AVENUE (NOW ABANDONED) ; THENCE
EAST ALONG THE CENTERLINE OF .SAID THERMALITO AVENUE .(NOW.
ABANDONED), 175 FEET TO THE WEST LINE OF 18TH STREET; THENCE SOUTH
ALONG THE WEST LINE OF 18TH STREET, 40 FEET TO THE POINT OF
BEGINNING.
PAGE 4
BUILDING PERMIT NUMBER: 98-0019
Address or location of unit: 1589 18TH STREET, OROVILLE CA 95965
Legal Description of Real Property: A.P.#030-090-009
SEE ATTACHED LEGAL DESCRIPTION.
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been afiuced to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: WALLACE L. SCHWARTZ AND KAY KRAMER
Owner's address: P. O. BOX 2389, OROVILLE, CA 95965
INSIGNIA OR HUD NUMBER: CAL 069185
SERIAL NUMBER OR V.I.N.: RB2089A
MANUFACTURER'S NAME: BENDIX
OFFICIAL APPROVING INSTALLATION:
DATE: 6/30/98
H.C.D. 513C
PHONE: (530) 538-7541
M at the Request of
,,d Valley PU* Bit Escrow Company
Otder No.
Escrow No. 163023-3 MAM
Loan No.
WHEN RECORDED MAIL TO:
WALLACE L. SCHWARTZ and KAY
P.O. BOX 2389
OROVILLE, CA 95965
MAIL TAX STATEMENTS TO:
SAME AS ABOVE
SVM ER
SERIAL_N
N4a OR
RECORDEON40 --
COMPAW
MID VALLL'I'�
DATE pEcoRDM I /q s'
SPACE ABOVE THIS LINE FOR RECORDER'S USE
DOCUMENTARY TRANSFER TAX $13-75
X Computed on ow omaideradon or value of property cooveyedt: OR
ConVwed an tw oonaidershon or vekA ba Hens or enaxmbnnoes
tameininp at dm of We.
Ij--In I I are -w •a--• ge r.@ WIG r7
APO 030-090-409
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged,
MORRIS E JUDY, a married. man
hereby GRANT(S) to
as to an undivided 1/2 interest
WALLACE .L.SCHWARTZ, an unmarried mad AND KAY KRAMER, an unmaRled woman, as to an
undivided. 1/2 interest
the real property In the unincorporated area of the
County of . BUTTE State of Califomia,
described as
SEE ATTACHED LEGAL DESCRIPTION
Dat
}
STATE OF QIi111INNINA I I t,�► o i 5 )a
COUNTY OF v Q- ►nil t I : o ► }
Or `VQn-21n,a.6ex- i 1 19.ct7
pal so'Iallfv appeared �ne-i�v r' 0—m y a i �'.� i��• +
kwoiS Ltuac
personalty known to me (or proved to me on the basis of satisfactory
evidence) to be the perso(s) whose ram(s) la/are subscribed to the
within instrumernt and acknowledged to me that he/st*Ahey executed
the same In his/her/their authorized capacty(tes), and that by
Ns/twAheir signatures) on the Mutrumerx the person(s) or the entity
upon behalf of which the person(s) acted, executed the kistrument,
WITNESS hand and official seal.
Signator
raiz -L.' tluooara
a
FICIAL SEALED L HUBBARDY PUBLIC. STATE OF ILLINOISMMISSION EXPIRES:O�r0ai00
DEPARTMENT USE OMLY%TATE
OrBUSINESS, TRANSPORTATION AND HOUSING AGEN&� DEPARTMENT USE ONLY
DEPARTMENT OF HOUSINGAXOCOYMUMITY DEYELOPMEXT NEW DECALDIVTSKNt OF CODU AND %TANDAAM
REGISTRATION AND TITLING PPA)GRAMSTIC$r"APPLICATION FOR DUPLICACERTIFICATE OF TM -E I,j OLD DECAL.
ODE
L
Nan.e d Merwboturw
MFG ID •
Tro& Na�
Modd Nre or
De1e d M�tK4er�
CaYL D.rLer Lioe.w ♦
DoU d Trwlw 4o Doriw t7o0
MFG
L Ewe wptl'on•
De4e I" Load New
I
DECALA C.ENEE 0.
MANUFACTURER SERIAL NUMBERS)
HUD LA8E1 OR HCD INSIGNIA I
LENGTH
(Inolro
WIDTH
(inolhwj
WEIGHT
(p� '•
DATE FIRST SOLD
(y "N"M l he„.b„„y
ADD U;41—..
❑
pE3°Ai:iTl I
USE OILY
USE =OE FJLPIx0CN WIT'E TAX
TY�'E� ORIG C=T PFUCE CODE
YR
SALE Pnt CE
PK
LLT
EXT
LP't
PPT
RECEIPT NUMBEA(S)
RECEIPT DATE(S) �• CLERK*S INITTAL3
SALE DATE
ILI
REGISTERED
OWNER(S)
Name %
Name`
FTnt
Lot M Iddie
,.
MRF
PENT
PEN2
2
MAIUNG ADDRESS
LOCATION ADDRESS
OF UNIT
313 �, Stall
•�
TRF
C S—qtucs
l 1 hL'•7~�,
TOO
LEGAL OWNER
DUPT
DUPR
MAILING ADDRESS
BhMt city,
S1/BD
APPLICATION FOR TRANSFER BY NEW OWNERS
IlWe request that the new Certificate of Title and Registration Card to be issued as follows:
CONE
REPO
REGISTERED
OWNER(S)
[Print true
m
nae(%))
Lett Fk* MWdb ;
, `�r(1 e r�
RREG
RSF
z � �
C K --v ?�`\Cl ' �. i
PLT
I
N .pplic.Dl. el+.cic orw c the forovArg, ❑ TENCOM OR ❑ JTRi3 ❑ TENCOM AND ❑ COMPRO
UTP
RI
MAIUNG ADDRESS
FUTURE MAIUNGSb
`J V
ADDRESSCCP
LOCATION ADDRESS Sb.sl--t CIy Co.wAY
OF UNIT \ �li�{`-t]r, rte• �
ASF
MMP
LEGAL OWNER
(P•il" Sue nM*)
TOTAL
N . io.bM, chock ono d t1h. foLloovirT, ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO
MAILING ADDRESS
Sb.el Cly 544" ZP
FIRST JUNIOR
LIENHOLDER
(prlrl true
N app4iCAWo, cheek one of the Id . ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO
4AIUNG ADDRESS
abMl Cly Sufi ZIP
ADD rr I.M ❑
-_
NOTE: SECTION I,'CERTTFICATTON OF MISSING TT TLE' ON THE REVERSE SIDE MUST BE COMPLETED. TO COMPLETE A TRANSFER OF
Of THIS FORM.
H C D 44Q4 • Sid. 1 (REV 121"
TRAUt NAML
ECTION 1. CERTIFICATION OF MISSING TITLE.
The original HCD Certificate of Title or DMV Ownership Certificate (pink slip) was:
Lost,
❑ Stolen. If the title was lost or stolen after receiving it from a party other than the Department, enter
thheet party's name here: BANK OF AMERICA
u Illegible, ❑ Mutilated. A mutilated or illegible title must be surrendered to the Department:
❑ Not Received from the Department. This box can only be checked by the Legal Owner of Record (lienholder), or
if none, the Registered Owner of 'record.
I/We certify under penalty of perjury under the laws of the State of California that there are no liens against this unit
other than those shown on this application and the statements made on this application are true and correct.
I/We agree to indemnify and save harmless the Director of the Department of Housing and Community Development for
any loss suffered resulting form the issuance of said duplicate Certificate of Title.
Executed on November 21, 1997 Oroville, California
at
(Date) (City) (State)
Si,,:nature
H"� Peggy Haines;-�''irancia e is
Printed Name of Person Completing Certification
SECTION 2. RELEASE OF OWNERSHIP AND/OR INTEREST
A. RELEASE OF REGISTERED OWNERRELEASE TE
►
B, RELEASE OF RE OWNER E RELEASE DATE
►
C. RELEASE OF REGISTERED OWNER
RELEASE DATE
► ; I � f; i •
I ..
2 A. RELEASE OF LECIAL OWNER (UENHOLDEFq 1 , •
FELFA>ZEIDATE l
k,-B'AN>C'�OFMAT19RICA
Nov . 21, 1997
B. RETEXT)ON OF LEGAL OWNER `
DATE
ASSIGNMENT OF LEGAL OWNER
DATE
SECTION 3. DEALER'S RELEASE OF ACQUIRED UNIT :.
3 A. NAPE OF DEALER .P_"r_.•�-"—`��-_ �--_�-.�- - — - -- - DEALER NUMBER
► 1
B, RELEASE OF DEALER
RELEA.&E DATE
SECTION 4. NEW REGISTERED OWNER SIGNATURE(S)
4 a NEW REGISTERED OWNER SHMATURE
If -this transfer is the result of
a sale, tM sato pr" and sale
►
dart* must be emerod below.
B. NEW R� STERED ER SIGNATURE
PURC/4ASE PRICE, _
►`._���
t
C. NEW REGISTERED OWNER SIGNATURE
PU E DA -
[
H C D 46k4 • 946* 2 (R E\' I>VXN ,
n.^ i
Aico 475.4
COAC11 DECAL NO.
1735
cn�.ir NN Nfn .
UI; I•AItTM ENT Ur 1-IOUSIrNO AND COMMUNITY DIM?LOPMENI-
01Vt51oN or•^cooE3 AND STANDARD.^
MANUr ACTUltEU IIOU91Nt: 51ICTION
POWER OF ATTORNEY
MAN UFA CTUItGR TRADE NAME SERIAL Np,r51
BENDX
_RB.20.89A__ — --i----
To tha Department of Housing and Community Di:veloprnrnt,Sacramento, California, and to whom it may concern:
I (print fill/ nunrcJ, .__:KRAMER_ KATHERINE
I (print jnllname), SCHWARTZ _ WALLACE L.
'MIDULBf�
the undersigned do hereby duly appoint the following named person,
MID_VALLEY TITLE COMPANYto act as my attorney in fact, only to sign papers and documents that may be necessary in order to secure California registration of or to transfe
my interest in the above-described unit.
I further agree to guarantee and save harmless the State of California and the Director of Hdusing.and Community Development from al
responsibility which might accrue rroln the issuance of California registration or transfer of such unit.
r
NOTE: An attorney in fact cannot make an affidavit or certificate of tho truth of facts unknown to him.
-
SignedVr1��1��
This /� da of ��CLL _G•l�'^� L._C:.. 19�
y (/
fVAY Or MVNTNI 1MON'tNI-- YIAA
NCU .7)..
MV OILS N OM E tCOMML'•RCIAL
COACH UECAL NO.
S
SJ 1735
OLI'ARTMLNT Or'NOUSING AND COMMUNITY DEVELOPMENT .^.,
DIVISION OF CO.D.S AND STANDARDS / \
MANUFACTU,IILD IIQUSING SCCTION
POWER OF ATTORNEY �'r►•,
MANUFACTUHrn TRADL NAME— MOM
AL NO.TS ,
BENDX
To the Department of Housing and Community Development, Sacramento, California, and to whom it may concern:
I (grin! full name), MITCHELL WAYNE M.
F IN,T
NIDD I[
I (print full name), _
lwfTl. r�T
MIDUI�t
the undersigned do hereby duly appoint the following named person,
MID VALLEY TITLE COMPANY
to act as my attorney in fact, only to sign papers and documents that may be' necessary in order to secure California registration of or to transfe
my interest in the above-described unit.
I further agree to guarantee and save harmless the State of California and the Director of Housing and Community Development from al
responsibility which might accrue from the issuance of California registration or transfer of such unit.
NOTE: An attorney in fact cannot make an affidavit or certificate of tho truth of facts unknown to him.
Signed__��
Signed
This _ day of —_- 19
-fT=A�r
,SIAIE UI° CALIFUNNIA - BUSINESS, 1RANSVURIA111N AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF'CODES AND STANDARDS
MANUFACTURED HOUSING/REGISTRATION AND TITLING SECTION
P. 0. BOX 1828
SACRAMENTO, CA 95812-1828 PHONE: 1-800-952-8356
DATE: 10/07/97
MID VALLEY TITLE/ESCROW CO
2295 FEATHER RIVER BL
OROVILLE CA 95965
ESCROW FILE #: 1.62181
BUYER SCHWARTZ
DECAL #: SJ1735
ID # RB2089A
MAKE BENDX
PID 10/07./97
NOTICE OF ESCROW CLOSING/ESCROW CANCELLATION
1. UPON THE CLOSE OF ESCROW, COMPLETE SECTION 1 ESCROW CLOSING AND MAIL
THIS FORM WITH THE COMPLETED TRANSFER APPLICATION TO THE DEPARTMENT AT
THE ABOVE ADDRESS.
OR
2. UPON THE CANCELLATION OF ESCROW, COMPLETE SECTION 2 ESCROW CANCELLATION
AND MAIL THIS'FORM-ALONE'TO THE DEPARTMENT AT THE ABOVE ADDRESS.
SECTION 1. ESCROW•CLOSING
ESCROW FILE NUMBER 162181 ESTABLISHEDiFOR-THE DESCRIBED UNIT
HAS BEEN CLOSED. I AM SUBMITTING --THE TRANSFER' -APPLICATION TO THE DEPARTMENT
FOR PROCESSING._
EXECUTED ON ICS ICS AT
SIGNATURE OF ESCROW AGEI
SECTION 2. ESCROW CANCELLATION
ESCROW FILE NUMBER 162181 ESTABLISHED FOR THE DESCRIBED UNIT
HAS BEEN CANCELLED. I AUTHORIZE THE CANCELLATION OF THE 120 -DAY MORATORIUM
CURRENTLY ON RECORD.
EXECUTED ON AT
(CITY) (STATE)'
SIGNATURE OF ESCROW AGENT
HCD 700.3
0001.00 01-280-00589
Decal (License) No.(s)
SJ1735
STATE OF. CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND .COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
REGISTRATION AND TITLING SECTION
STATEMENT OF FACTS - SMOKE DETECTOR
DESCRIPTION OF MOBILEHOME
Trade Name
BENDIX
Serial No.(s)
RB2089A
I/We the undersigned hereby state that the unit described above is equipped with an approved smoke detector which
Is in proper working order as of�
(Date)
I certify under penalty of perjury that the foregoing is true and correct.
Executed on1 I c�� \C' � at
(Date) (City) (State)
Signature
Address
HCD 476! 6A (REV. 5/91)
City
HCD-APPROVED (10/91)
IMPORTANT NOTICE
State
The California Health and Safety Code requires that all used manufactured home and used mobilehomes be equipped
with an approved smoke detector which is in proper working order on the date title is transferred. For the purpose
of this;requlrement, a transfer Is defined as any change, addition, or deletion of registered owners.
Upon transfer of title, the Statement of Facts above must be completed and submitted to the Department of Housing
and Community Development along with the appropriate titling documents.
This certification must be provided to the Department of Housing and Community Development each time title to the
mobilehome is transferred.
Reproduced by First American Title Insurance Co. (MHSFSD)
CONDITIONAL TAS 'CLEARANCE CERTIFICATE
yMobilehome
ESCROW COMPANY NAME & ADDRESS
MID VALLEY TITLA & ESCROW CO
P 0 BOX 1068
OROVILLE, CA 95965
E3 Floating Home
Date Requested:
ESCROW NUMBER
1621.81-3DT
12/10/97
NAME & PHONE NUMBER OF ESCROW OFFICER
DENISE tERRIAB
(916) 533-6680
NAME & ADDRESS OF CURRENT REGISTERED OWNER (SELLER)
LOCATION OF HOME NOW:
MITCHELL, WAYNE M JR7095 HEWITT AVE.
SARGENT, MALINDA V
PALERMO, CA 95968
7095 HEWITT AVE
Parcel NUMber (If known):
PALERMO, CA 95968 9110-000.-'088/026-080-011
i N
NAME OF BUYER (APPLICANT) & ADDRESS TO WHICH FUTURE TAX STATEMENTS SHOULD BE MAILED," %,1,'T
KRAMER, KATHERINE AFTER'fit('
A,
7095 HEWITT AVE 7095a11EWITT AVE,
PALERMO, CA 95968 '!,'PJPALE'RMO `SCA�P5968
MAKE
.Y
EAR 4' Parcel Nurntiei (Ifknown):j,
"IN
:
BENDIX .1978i1 91'0- .000; 80
088/026-0-011
;,4
MANUFACTURER'S SERIAL NUMBER(S) DECAL (LICENSE) NUMBER(S)'
tj , ;1!1
RB2089A SJ; 17351="11 I
CERTIFICATION OF TA-VCOLLECTOR
!� q i i:q "I
provisions of law and to sat :prciVis'1onsdfsectiW,4 - 61
To pay taxes in accordance with various 8 9 7 oNfie. Hea dand Safety
d on or bef6re'
Code, the total amount of Ml a
4-5 1, n A
If not so paid, the amount of $ 0 00 -`,'mu�t,66 paid on'II
41
r
THIS CERTIFICATE,IS'y 11D ON AND AFT,. ER
-Qdate
12/11/97,
IOROVI
Executed on -at" , -, I .. -1 GA
- -Y
, '(dolt) rI eo� (city)
County tax collector for 14 -J Count .State of California.
J), I rip
12/3.1/97
Issued on
(date)
PI; (Signature& title oft official)
CMi1IA--ISWENDEMAN;- DEPUTY
IF
CERTIFICATION' OF ESCROW OFFICER
I hereby certify under penalty for perjury that the tax liability stated above has been paid in full on orbefore the date required and all
terms of this statement of conditional tax clearance have been complied with. A copy of this certification has been returned to the tax
collector with the payment.
Executed on
at
(city. state)
Escrow closed on
(date) (Signature of escrow officer)
§ 18092.7 H & S Code TDL 10-02 (1-88)
.�•.➢: —; vrd`;r.q,r.�.°..,. sub.��v'S�'R;�'>'y''��f3'g:vk�°;'. .r���+:r .+vr:i+'9F'R.'.r�_ :{ 'qFJF
f7"'•;•:�J6��6.{�r�r'� `+1.s..' yyl.Py1iF� St �, j..�y,..a�'r..-1s::. �+.P"C',yf .,;.bpm.•.. r
030-090-009 PERMIT#98-0017
SCHWARTZ, Wallace
1589 18th St., Oroville
L!�oSF�9?
-.-�vY+ ����,. � ...a�wr.-s-� -.,r•'K�`+'-T••r-w.�'+,+-c�rrc;rw-�--�.r�--.;.. ,.-.-.�,,,�,,,�+::Y�'�......-,
I
COUNTY OF BUTTE- DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -7541 -" PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT lam' ()n��_
ASSESSOR PARCEL NUMBER % e'
030-09-0-009
ZONING 1
_811115L ING PERMIT
OWNER
WATIACT, SCHWART7
TELEPHONE
514-5545
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P R T 05065
CONTRACTOR'S NAME
OWER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Ir
—FilingFee $
20.00
Permit Fee $
•
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin 6 Fee $
BUILDINGADDRESS
Q 1 ST OROVIT,12
Energy Plan Checking Fee $
$
PERMIT FEE $
Ar. nn
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USE OF STRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑i
Describe Work: DEMO
Gas piping system 1 - 5 outlets
15.00
Building sewer ,-
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service =A OR LESS
23.00
-
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 full force and effect.P
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
1-® I, as owner of the property, or my employees with wages as their sole compensation,
n 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
Mein Service ( To
46.
NEW CONST. DWELLING OCCUPCU.
oR ADDNs. ( a ACC. BLDS.
so SO
3.5¢FT;
NE N MUT
NON•RESWoo DT BRANC I IRs
@7.50
OWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ ,.00
BAL @ .so
NS
Ex. Occup. Ou1EjFTS RD
S,OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I—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.
❑ I 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
Policy Number , ,
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
y 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
forthwith comply with those provisions. /&� / 1
/ ) — "alt,
l (— D7 Gl.t,/�6—L ---
X l � A. _ D/alai
Signature of Applicant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSU
This permit is hereby issued under the applicable provisions
in the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
-4 Y Date ! A
B, •%i -f` r
PERMIT EXPIRES ON 1 % , t
ssol�ver
ReceiptNo._2 ,Id��c�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 PERMIT O.
(Rev. 12'/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONIN
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
P 0 BOX 2389, OR0111112 CA. 9,59615
CONTRACTOR'S NAME
TELEPHONE
.
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS -
-
Plan Checking Fee
$ 23.00
BUILDINGADDRESS
1589 18TH STREET, OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
393.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ MobilehomeA Other
SPECIFY
Each Trap
7.00.
Solar or heat'pump water heater
23.00
Water
Water piping
15.00
as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑X Installation ❑ Other ❑
Describe Work: REPLACE DEMO SF
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home JUJq&T
@20.00 60.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
a00V OR LESS
Main Service zo.AORLESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
gith Sti7000 )f Di3f thBid PfiCd
9 (commencin wecon ovision oe usness anroessons oe,
and my license is in full force and effect.P
License Class Lic. No.
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. DWELLING OCCUP.
OR ADDNS. ( g ACC. BLDS,
SO
3.50FT:
NEW CONS. MULTI -OUTLET
NON-RESID.TANCH"RC
I U
97.50
OWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
P'
20 Q 1'00
BAL Q .50
Ex. Occup. pUTELETS RES ) EA
5.00
Tem orar Service
23.00
Mobile Home Facilities
-
20.00 20.00
Misc. Wiring
23.00
PERMIT FEE
$ 63.00
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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
certify that in the performance of the work for which this permit is issued, I shall
Alnot 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
f rthwith comply with those provisions.
j��T
(lca- ✓.-it��-7� ` _L Da______
Signature of Applicar - ❑ Owner ❑ Contractor .CI Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL F $ 166.00
HAZ.
,.,
p, FEES
_.
IMP
s
F O
CDF
PARCEL PD HD
ARC .-
ISSU
Lf
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
/ 13 Qd
D teo ,1� G e
1713 qa
( 1 J 7
IDal
Receipt No. 231489'
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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COUNTY OF BUTTE- DEPARTMENT OF DEFEE°OPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATTON DATA SHEET
OWNER: ASSESSOR PARb
L ER: — O
Proposed Building Use: Building Inspector: Date:
At time of permit application, I was advised the following data must be sub ed prior to permitrace sing and/or issuance:
M. Date Received By
111. All items have been submitted.----------------------------------
Plot plans, 3/4 sets, signed by the preparer of plans. ----------
3. Complete plans, 3/4 sets, signed by the preparer of plaps. -
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
w
06. Energy Design Compliance and supporting documentation. -
El 7. Statement of Intent for Non -Heated and A/C Buildings. -----:
118. Hazardous Material Form. ------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.
❑ 10. Fees of $ -------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------
❑ 13. Flood elevation certificate.----------------------------------------------------------------------
0 14. Sanitation and plot plan approval Health Department. -------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------
❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
0 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---.
❑ 20. Pre -inspection for
required. Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification).
❑ 22. Workers' Compensation carrier and policy number. -----------------------
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -'
a ❑ 2A. Letter of signature authorization. ------------------------------
25. Recorded copy of Agricultural Acknowledgment Statement.
026. Letter of intent on building use. --------------------------------
1127. Manufactured Home utility clearance. -------------------------
1128. Existing violations and/or expired permits. ------------------------------------------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, Cl Check to H.C.D $
1130. Other:
(Date)
When you issue
etthe
/permit, process as follows ❑ Mail to owner, ❑Mail to tractor.
Telephone ,�V`t- S�'f-� and hold for pickup at office. ❑ Deliver with inspector.
Applicant: G G<c rc�a�Ai : ate:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
Index permit application for the above items numbered:
2. Additional items required:
❑ Plan Check List
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: 4
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: .
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
R
.M
i
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i
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�
a,
O.B.-
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide ��NO
labor and materials for construction of the proposed
property imp :YES ❑
2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: /� >
PROPERTYOWNER• c �aw c ,d
SOCIAL SECURITY NUMBER:
DATE:
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the _
California Health and Safety Code. This verificatiom
n ust be completed and
returned to our office before we are permitted to issue the permit.