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HomeMy WebLinkAbout030-212-028L9 030-212-028 06-1717 BARBOZA FAMILY TRUST, 887 14TH ST, OROVILLE Cont: LIFETIME EXTERIORS MH PERM FND(F.,X) tCAL WEST BUILDERS'INC.2043B ' o -21z i ,Lots 1,3,5, 14th & Fresno, Therma, i o (new - 3 houses) p s'�ag,30 _ 4 1 r ! i ! I t � u ! P � I 1 � I I! I � o ' � 1��--i��Y�i[yY"1�auy'itiij��^iC � � j�`j �., RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0037992 Recorded I Official Records 1 County of I Butte I CMCE J. GRUBBS I County 'Clerk -Recorder! I I 09:59M 25 -Jul -2006 1 REC FEE 10.00 CMWORNED COPY LN DD Page 1 of 2 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. BARBOZA FAMILY REVOCABLE TRUST REAL PROPERTY OWNER/LESSOR 88714 TH ST. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also propeny owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION 1 BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-1717 530 538-7541 BUY.DPG PERNYT NO. TELEPHONE NUMBER -2 - SIdNhTUR.E OF LOCAL AGW OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1971 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER S465X/U 44'X 20' A498695/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 030-212-028 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. the fonowmg descnbed teal PIOP atY in the County of BUM Safe of Califomia: Parcel L: as shown on th?t cerin F3a-n entitle?, "ABERCi"TlE TRAC-" 'FUC?I trap e8s Lot 3s of Butte State of Califo'-form on Recorded in the Office of the Recorder of the Conntg r i�'e:=rvar: 21, 1963s Book 28 of Maps, at PaEe Ind 413 i. DATED: �aiDEL L. EM -7A qtr• Staic of caiifotttia SS Cay of Butte I . me, Def fWL e. �l l ace the oodcmWnd, a ]RIMY PON= m and for said stat` p*omuy app—ed any known W!mc (or prow d to me on am bass of ) to br the pus,,(s) mlwat nand,) is/am so&= -b d W the w0m mmumcd and, armed W tt= Mai W&dUmy r mmU d the sant in hislbmVica audox med Capacity(ics), and am by s'naum(s) an the insbuwAmd tm pemn(S) or the cGIdy upon 6�1f of ®hick the puson(s) aa -d —sated the WAIN my hand and otiuial seaL s rrL ' N UR C12 C0?ApL omit FU�M�m Comly(Feum C., yY Coffm EM&GS t& 18.2 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 25 -Jul -2006 2006-0037992 Has not been compared vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. BARBOZA FAMILY REVOCABLE TRUST REAL PROPERTY OWNERILESSOR 88714 TH ST. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-1717 530 538-7541 B G PERhqT NO. TELEPHONE NUMBER -2 - SI TORE OF LOCAL A OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO UNKNOWN 1971 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER S465X/U 44'X 20' A498695/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SFE ATTACHED ASSESSOR'S PARCEL NUMBER 030-212-028 the fonowing described t ai Piop'..M COUE&Y of BBT State of California Parcel 1 F;�P entatied ; +�a�R�' VITIE TR&C? R wid ch map 'was I,ot 3, �.s shote on tst�t cert-l�i - Recorder of Buttes -State of Galifoa-nia�, on Of 11 Recorded in theeGOfficeBeo� 2 ofhe ps: at P =Cou pnd 48 i. February 21, 1. 3s - DATED: v,T L L. State of Caffocoia j SS_ Cauay of _P,utte 20 '� C�'� b fore mc, 1Z�Q,Y cyc �� the and a Aiotarp P br= m ad for said State p�Y appy \ !� Yo3 o.FY L D IBM& Jmoi.. man to = (or prod ft tis on the bads of Y -id--)' w be jagnmad —d the pason(s) wise 8=45);slate to the ®;thin ms e(s) amd on thehe mst� man,ilmd c d =),br�lf ofd the pason(s) aaed eaaamd the the pQsam(s) owthe �Y i- wtnTi W my hand and -Scat MML -6-� Y --am ca r" C,0m L # 11 ,• I FOUNDATION. SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-1717 Address or location of unit: 887 14 TH ST., OROVILLE CA 95965 Legal Description of Real Property: 030-212-028 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach ' Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: BARBOZA FAMILY REVOCABLE TRUST Owner's address: 887 14 TH ST., OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: A498695/6 SERIAL NUMBER OR V.I.N.: S465X/U MANUFACTURER'S NAME: UNKNOWN YEAR: 1971 OFFICIAL APPROVING INSTALLATION:�kv I 9tv, , P�n bAx-1 DATE: 7 21 Q PHONE: (530) 538-7541 H.C.D. 513C STATE., OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT . " CERTIFICATE OF TITLE Manuachued Home Decal No: ABI8798 Manufacturer MiName Trade Name GALAXY Model DOM I 001=1971 DFS 00=1971 - Ry 1971 E1p, Date OU 31, 2004 Serial Number LabeftMgnia Number Weight Length W01th SPC SCC Exemg the .Type S465X A498695 44' 10' AAW 04 SFD lLT S466t1 A498696 44' 10' fired Total Fees Paid Jun 09. 2004 $1,861.00 " TT i a ' t r.�, '°'•_+.�.j�:o-._ .rte"°' _.v"�?�~ IMPORTANT THE OWNER INFORMATION SHOWN ABOVE -MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY' AGAINST THE -DESCRIBED UNIT. THE CURRENT TITLE STATUS OF. THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 7 030.212-028 06-1717 BARBOZA FAMILY TRUST;' �•- r �� °Tr6, NOTES 887 14TH ST, OROVILLE i.Cont: LIFETIME EXTERIORS oUMty QMH PERM FND(EX) RESIDENTIAL +v APN: Permit No. ` Owner. Site Address: Contractor. Type of Permit: SPECIAL CONDITIONS CHECKED BY Q SRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: +=OK 0 = Not OK MANUFACTURED HOMES DATE ERMANENT FOUNDATION SOFT -SET :Rz j. A Asa, Zoning -Setbacks -Easements �`— 2 Soils; Special MH Support Sketch = 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator - 5 Elec Loctn-DIrncs-Drnd 'Amp -Concrete .z 6 Yard Gas; Loctn-Test-Wrap • Nat ❑ or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Llne 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged— 21 - e Downs Q Foundation ER? 14 Exits Z MISCELLANEOUS - DECKS -COVERS -CARPORTS -GARAGES 1 ZoningSetbacks-Easements 2 Figs; SoilsSz DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handralls 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing 11 Ext-, Steps-Doorsd.andiiigs 12 Braced Wall pnls 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers I °� /Uo Ht4 1411" 1-c- All a-4-1 5-1441 _ 1 Setbacks -Easements _ 2 Soils; CompactlonStructure Stability _ 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining _ 4 Elec Rcptcis/Lting; Distance -GR _ 5 Elec Pool Lting; 15 volts-GFI _ 6 Elec.Enclsrs; Conduit Entries Terminals-l-isted _ 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr _ 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Encisrs-pnlboardsansultn to Main Conduit 9 Health Dept Apprvl _ 10 •Plmb; Cir Test-Wtr Supply Test _ 11 Lt Niche , _12 Enclsr, Fencing -Alarms _ 13 Bonding, Diving board or Slide E Drawing RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR I DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ft4 Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Wain; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test Anchrs-RgltrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation DATE JFRAMING 1T Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders $ flr Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred CeilingsStairs-Chasers-Tubs 22 Headers A BeamsSi &'Bearing' 23 Hangers-Posf Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TnissShthg 25 Frplc Ties or. Type A Flue=Frplc Throat Cimc 26 Attic A&; Si &'Rini Fitton -Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctfi Framing -RC Channel 29 Prprty Line Firewall & Opngs • 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-W al Is -Ceilings 39 Infiltration Walls-Wndws • DATE JELEETRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ❑CU or ❑AL AC Wire Sz ❑ CU or ❑AL 48 Range Circ ❑ CU or ❑ AL Oven Circ as ❑ CU or DAL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnes pnis-Motors-Mech Eqp 51 Clothes Closet LtShwr LI -Spa Lt 52 Smoke Detector o' vT� d d41 53 Wtr Htr; Vent Acc-Cmbs`tn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr.Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub '& Shwr, 2nd flr - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas.Piping ,DO- DATE ff° DATE IMECHANICAL 61 AC Ducts Insuitn & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pitfrm if Furnace in attic DATE FINAL 66 Ext Steps -Door & SIdeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI A Bath Fxtrs & Tub Ace -Spa 71 GFI Are Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cime-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cimc 77 Elec Outlets & Rcptcls ai Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtetn; LPG Appince Undr House 3' drain 81 PImb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Ramex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cimc Dmge Planters ❑ Yes [::]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-PImb 89 Vnts abv Roof, PImb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, PImb 91 Ext Elec Trim, GFI RcptcWndrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvi 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler oma .r` • s` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT 'NO. BP061717 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under 'penalty of perjury that I am licensed under Issued Date: 07/17/2006 APN: 030-212-028-000 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. y K License Class : C Lt7 License Number: [ Site Address: 887 14TH ST ORO � 7-1 c xTc�- Date�— ontractor: . Map Index: Description: ex mh, ex site, perm fnd OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BARBOZA FAMILY REVOCABLE TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 887 14TH ST the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965-4311 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: LIFETIME EXTERIORS owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 80 GALAXY AVENUE sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 530-228-3421 sale.). ❑ I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: LIFETIME EXTERIORS and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 80 GALAXY AVENUE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Date: owner: 530-228-3421 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 746808 ❑ 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: in the of the work for which this permit is Valuation: $0.00 I certify that performance issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. 2'—i 7-0 Date: Applicant: v WARNING: lure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one / hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is reby issu6d under he appl' ble provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the is issued 3097 Civ.) Resolutio o , aGork in icated a ove fo whi h fees have been paid. �� performance of the work for which this permit (Sec Date: Name: By. PERMIT EXPIRES ON: Address: �L (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form r document of Butte County. I hereby authorize representatives of ButteeCCounty to enter upon the above mentioned property for inspection purpose Print Name: TQ &_- L 1 �' � T c -Q Signature: 7 7-0 Date: ❑ Owner -Er Contractor ❑ Agent for Owner ❑ Agent for Contractor u. c. twtioing verma ui-ib-u4 pg i /I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name 7 D irst Name Address '927 lqr4f City Vt LLc State Ziy5%/' Phone .��,c18Y6 Fax E-mail CONTRACTOR Name L Address GALA- Vim. City, State Com- Zip e SP6lP Phone �-J-6 3 4 Fax E-mail Lic. # �y6 Class 47 APPLICANT SIGNATURE X For o ce use only: ARCHI TECTIENGI NEER Name . rjc�� �Nr�h�DOL Address ' City I No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For o ce use only: APPLICANT INFORMATION Name . rjc�� �Nr�h�DOL Address SRA City I No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For o ce use only: Zoning Property Address 'F 77 ofT-7�- Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP/96/,-71 BIN N PROJECT LOCATION AP# Property Address 'F 77 ofT-7�- City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: e52 0N0ef-7-cu� STcw� O ..cl r: (9T cN Cs MA�­'FJaci`✓I':�D t fv ^ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 9a Received by: Amount: Bldg SRA Receipt #: v Sheriff v I � SMIP VI I Dat ,( Other es I (VVJJ ./ Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number.. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. O 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and'fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan. check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Concrete System BUTTE COUNTY BUILDING MASION APPROVE Engineer Approval State Approval MMWACTMED ROME/MOBUZ IIOMB FOUNDATION SY$TEM MU=AND SAFETY CODE. SSC!!ON 1!331 A"ROVED SUN= TO C0RREcTx)N8 NO78D APMVAL DOBB NOT AUTHORiZ8 OR AF►ROVE ANY OIL DEVIATION FROM REQUIREMENTS OF AMWAMA STATB LAWS AND RMUTIM am of CdWorlds D988dowt t$ouiq ww Ca-iy bowdopmed AND STAMARDB fir• 3nta GA, 30336 trjE 0Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (2(° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. 1 * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to wean. g selha11 hav��a� resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 s 0 Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach the"end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) ma pad 01 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using - - - - --- - nuts provided: 13. Insert strut in the frame bracket clamp, attach with 1 . nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. ��� SM1 144'_ a - r--, llY-2- 11���v DOWN ENGINEERING Nut & Washer J -Bok 1-3/4" Tube I �� Lateral Struts flag end) 1-1/2" Tube 4-#12x1" Tek Screws I -Beam Figure 2 U -901t & mounting Figure 1 Bracket ma pad 01 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using - - - - --- - nuts provided: 13. Insert strut in the frame bracket clamp, attach with 1 . nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. ��� SM1 144'_ a - r--, llY-2- 11���v DOWN ENGINEERING Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 21 -beam brackets & . 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems •2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Mj7M> L !'l la Page 4 of 8 rn 0 0 0 0 Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as ® o a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors : o. or, leave enough room for 1 to 2 threads provided. Place nut & washer on anch showing on top of bolt. Using a hammer, tap the wedge bolts into hole through r bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, - tighten wedge/anchor, bolt, securing bracket to the concrete. r y 5. Attach the 'end of the smaller tube to the bracket mounted 11 the pad, using the- - - ••h i� grade 5,1/2" x 2-1/2" bolt/nut provided. J" bolt over 6. Attach the flag end of the larger tube to the opposite I-beam using the "r°� ' the top of the 1 -beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x the two tubes arennected together 'tek screws) scothe holes provided in the lateral strut so that 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite en Comte bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slac�;`�Y 11. Tighten all nuts and bolts on system. & Z f'�ldy Page 5 of 8 tTIE DOWN ENGINEERING • Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per,kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut &Washer Ffgul+e t Beam Clamp ..� Bracket J -Bolt Long r— _ Xi2 Installation Placement -Beam Longitudinal Strut Xi2 Concrete concrete Longitudinal Hardware Kit %ome cna �Y 4 6T -Z,- lly-2. LI f Ilan Page 6 of 8 f 0 0 l l p 0 Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double section Home 0 -80' (76' BoW 4 Xi2 Systems' 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5.Xi2 Systems M33>1 6—i -S II - 2. l t Page 7 of 8 0 0 I / p 0 Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/203 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc T5 ll�f-2_ llll/�� Page 8 of 8 Fi� - - TUE DOWN ENGINEERING kD C 0 0 C) 0 PRE -INSPECTION REPORT OWNER: %%�/%���C, ,�,���� / DATE:_ LOCATION: 257 A.P. #• • 3D-- --��� CONTRACTOR: ZONING: PRE-INSPETION FOR:Lam' / �j-C �VT r DATE TO 1NS CTOR: / OU PERMrr HISTORY':(/NONE ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units:_ Currently Occupied AbandonedNacant Electric: Yes a No Electric currently On Off Condition of Electric Gas: Natural Propane None _ Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOM , Inspector: Date - Sketch buildings on reverse and indicate location on property. 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev.12/96)4 APPLI ATIONANDPERMIT A°°E°°ORPAPICKNUY°L91 ©�%, xorave BUILDING PERMIT OWNER Q` TLarrFa=E,�2 SO. FT. OCC. BUILDING VALUATION OWNMI AD OOMRA=jM NALL�r� TEL[PNONE OONTWTORI MUM ADORES° CON°TRUCnON UNDER LENDOM YAILM AOORM Fireplace Total Valuation i APIC"mar OR L40 NM LA:EFSE NO. Flip Fee $ 20.00 Permit Fee $ ARCWECT OR p10NEERI UNUNv ADDRESS Plan Checking Fee $ aUapq ADORES° Oe Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. susi"LONI NAY! - PARCEL YAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 0 /Duplex O Moblehome O Other Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each na water heater or vent 15.00 TYPE OF WO New O Addition O Remodel O UdGdes Instalntion O Other O Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ' ELECTRICAL PERMIT Filing Fee 20.00 Main Service aooA on Lsa 23.00 G , / ���/� ..i ` • S Main Service 200A TO 1000A 48.00 ti NEW CONST. owEi►ra occuP. 3.50 F°. OR ADONS. a ACC. 9T. NowREsiD.' euLnoLm� @7.50 POWER APPAFUTUe a SWOLE ounm qR. EX. OCCU OUTLET OR Fixtuncs 10 0 t.00 SAL .00 Ex. Occup. O,, DAPPo. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mist. Wiri - 23.00 J PERMIT FEE = MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: S Mobile Home Installation Fee $ Energy Inspection Fee b Occ CONST. 11 TOTAL FEE Z. 1 0. FEES I IMP I F1A00 I COf I pAACELI PO I NO I GSUE Y This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date _ TY PROPERTY RECORD SHEET OF BUTTE COUN �— PARCEL NUMBER -(CCIT fl'.- Book Page Block g Parcel Code i�NAft4 NAME 0:0- a13-0: / PROPERTY LOCATION R-7 Ll th Sf ZONING 9 5 Assessment Year 19 C)a 19 98 19 19 19 1.9 UTILITIES -SITE IMPS. Date 1)(/___)/_9a- os'-ag_g,y Electricity: Yes K Telephone ®• Appraiser 162 D,6 162 -1)13 33 162 162 162 162 Gas: Public 17 LPG ❑ None ❑ Supp. Assessmenf>.• Yes ❑ No DO Yes X No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Sanitary Swr.: Public X Indiv. ❑ Use Code 160 RAJ 160 /,P Al 160 160 160 160 Storm Swr.: Public ❑ NaturcIN Transfer Code 124 % 124 OI /pa % 124 % 124 % 124 % 124 Street: Conc.❑Asph. [A Dirt[] Grovel ❑ Acreage 17'8 178 178 178 178 178 Street Lights: Yes ❑ No Incomplete 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 C & G: Yes ❑ No Building Class 167 167 L.IG n-it4 167 167 167 167 Sidewalks: Yes ❑ No Bedrooms 168 168 168 .168 168 168 SITE TOPOGRAPHY Boths 169 169 169 169 169 169 Level 1:1 Rolling �g Other[] Effective Year 170 170 170 170 170 170 Slopes Up�4 Down E) S -S ❑ Area of Residence 171 171 171 171 171 171 At ❑Above ❑ Below El Grade Land Type 172 LotoHomesite❑ 172 LotAHomesite❑ 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑Momesite❑ 172 Lot❑Homesiie❑ View ❑ Of: Car Shelter 173 Yes ❑ No X 173 YesX No ❑ 173 Yes ❑ No ❑ 173 Yes ❑ NoEL 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ , WATER Pool 174 Yes ❑ No [� 174 Yes No ❑ � 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes [-] No ❑ 174 Yes ❑ No ❑ Quantity: Quality: Partial Complete % Complete % Complete % Complete % Complete % Complete % Complete Public 0 Well ❑ Ditch ❑ P.P. Acct. Checked ❑ No ❑ Yes[:] No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Supplier `T1-1�, /l `atet.f TYes Do �6 Aerial Photo Year 4r-atis4(- Topo Map Year MARKET DATA Soil Name Index Acres Comparable 1 0- e -7i-7 Ski — Comparable 2 3U_O3'7_ a3 Comparable 3 3b._/Or.)- Sale Date/Price Q�y7 DOO _ PRIMARY BASE SECTION Base Year 140 140 1? -7 140 140 1 14 Event Date 186 U -a _gf 186 D(E 9- 186 186 6 186. Land 109 5000 109 /�2@200 109 109 BU wty Asses 109 Avg. Soil Rating Improvements 110 L!'DOO 110 VOOO 110 110 110 10 LAND REMARKS: Trees and Vines 111 111 111' 111 JUL—L7-2006 111 !:,30 Y_ r30 Personal Property 11'2 112 '1121 112 112 112 Keyed By: --- --- - r --------- , SECONDARY BASE SECTION Base Year 240 1 240 240 240 240 240 Event Date 286 286 286 286 286 286 Land 209 209 209 209 209 — 209 Improvements 210 210 210 210 210 210 .Trees and -Vines 211 211 0 211 2111 211 211 Keyed By: / j |� `�� .f � }2 \ / \ \ [\{\�\ k|}\�{� { ol cl |~ C-1 n El � ( � | || | � � � guo 3 z L o U, El I L I 09 1 vsv-a.�y-oa9� �G .A 1 � 030—;Ll A - poz p - /3O, 6c,?o -a /A --o. 7) i i -R4- /t ell s To CO) � cry � -- �w� ,,.._,, �— .ure�c�ai � a-���;�r,� ,.� . �-- cry.- .� c�.�� � �.�� ��. �- �+��"�' ae��/ ,�, ,�r�-=-�,��-oma- ���Qe, ............. t ..... ..... . ..... ...... ........... ........... . ..... ...... . ..... . ....... ............. ........ . ...... .............. ...... ............ ;L ... , ............ . ..... ... ......... ............. ..... . ..... ............. .................... ....................... 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