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Home My WebLink About031-237-017r<: i 31 -237 -IW j r7' - , � � Robert Jordan r.0`� O� 775 Yuba Ave., Thermalito l jg�mit #2209 fZ79P,E(util. ,MH) LC • SYJ ORT S=FRUCTURE REQ. 031-237_-}� �OMMION TEST REQ. ,�rp SUMMARY „SHEET. FOR LAND DIVISIONS Robert G Jordan ' �"q " .. 31-237-�. S/E corn Yuba Ave & 8`th .:Str. , A 210-79MHT :-APPLICATION-FOR CERTIFICATE Q,F N 031 237 -9 -{fir. CERTIFICATE OF MERGER. d 031-23-7- 17193-2778 P,E ROBERT.G'."JORDAN 10/08/93 JORDAN, ROBERT � 41 a 775-YUBA AVE, OROVILLE � /%y�/ 4 031-237-017 PERMIT#96-149A d CONTR: EXECUTIVE HOMES, ;9 031-237-017 JORDAN, Robert RELOCATE MH_UTIL'y.—775 Yuba Ave. Oroville ELEC Ag Exempt Permit -Horses & Hay GAS COMPACTION TEST REQ Ucl g3 SUPPORT STRUCT REQ �(%7 _031-23-7401)v7 _ 93-2779 MHI - JORDAN, ROBERT 775 YUBA AVE, OROVILLE l /� CONTR: EXECUTIVE HOMES MHI 031-237-017 y� -03-0904 JORDAN, ROBERT,-' 775 YUBA AVE,-OROVILLE EX MH PERM FND EX SITE } COPY of" Document Recorded. RECO,RDING.REQUESTED BY: 16-9pr-2003 - `2003-0923869 • Has ,not been compared with original 4 - } BUTTE .COUNTY RECORDER T AND WHEN RECORDED MAIL, TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBIL'EHOME) 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. ROBERT JORDAN BUTTE COUNTY BUILDING DIVISION. . REAL PROPERTY OWNERILESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 775 YUBA AVENUE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS - OROVILLE BUTTE -CA _ 95965 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP - SAME 03-0904 530 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BIUILQNG PERMIT NO. TELEPHONE NUMBER SAME .: 7% .� 415-03 •' CITY - COUNTY STATE • ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL - - DATE SAME NONE UNIT OWNER (if also property owner, write "SAME") - • DEALER NAME (if nota dealer sale, write "NONE") , SAME NONE MAILING ADDRESS - - DEALER LICENSE NO. - CITY - COUNTY STATE ZIP •� ' UNIT DESCRIPTION - FL EETWOOD ESCRIPTION FLEETWOOD HM INC. 1993 a ' _' - STONE CREEK./ 5663D MANUFACTURER'S NAME * DATE OF MANUFACTURE 't MODEL NAME/NUMBER CAFLP I 7A/B 15 5 1 SK' 66'X 261' RAD 718751/2 SERIAL NUMBER(S) . . " LENGTH X WIDTH — INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER . AP #,031-23M.17 SEE ATTACHED f , —,-f- At HCD.FORM 433(A) REV: 8/91" ' WHITE -County Recorder ' 'CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. - - r BUILDING PERMIT NUMBER: 03-0904 Address or location of unit: 775 YUBA WVENUE, OROVILLE CA 95965 Legal Description of Real'Property: AP # 031-237-017 ' SEE ATTACHED _ (x) Mobilehome/Manufactured Home t O Commercial Coach l } 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: ROBERT JORDAN Owner's address: 775 YUBA AVENUE; OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: RAD 718751/2 SERIAL NUMBER OR V.I.N.: CAFLP 17 A/B 15 51 SK MANUFACTURER'S NAME:FLEETWOOD HM INC.. YEAR: 1993 OFFICIAL APPROVING INSTALLATION: DATE: 4-15-03 PHONE: (530) 538-7541 ' E H.C.D. 513C t rE �f STATE OF CALIFORNIA' DEPARTMENT OF HOUSING: AND COMMUNITY. DEVELOPMENT RFGISTRATION,CARO MORILFHOMF DECALNO. LAU6913 MANUFACTURER' NAME/10 TRAQE NAME ' MODEL DOM DOT DFS SPC ,.' EXPIRATION FLEETHOOD HII IHC/09534 STOIIE CREEK. 5663D 09/21/93 09/23/93 10/15/93 U SERIAL NUMBER LABE.I1INSIGNIA NUMBER aO 00T00 WDTH6 U '93 EXEMPT' E �1 CAFLP17A15517SK RAD71851 OW 0E 000151 / 0 S F� 2 CAFLP171315517SK RAD710752024700 000000. 000156. 3 .. , . a TOTAL. a FEES s . ? = PAID s ' $70.00 A; JORDAN ROBERT G -; 775 YUBA AVE o OROVILLE CA 95965- R 5965 -� - E a RJORDAN ROBERT G DUPLICATE COPY E• f G M TO BE FILED WITH THE MOBILEHOME I A .775 YUDA AVE �� S I. PARK OPERATOR AS REQUIRED BY LAW '. L E.- OROVILLE CA 95965." R E Ne U • u. - +, z • ' o s :. 775 :.YUBA' AVE N T E u' OP.OVILLE CA 95965,,-d'' " R S .. - ,.............„„„"„,.,� � �!n 7�n4 ate, :Cf �'`t y •3l � s - L FORD CONSUIIER FIH CO IIIC:` E ..' . , - .�...,................. � • G i :'T•-^�;.Y?'", Via, - A 3602 INLAND EMPIRE BL 8200 O OIITARIO § S CA W a DATE: 10/127/93.14:09:00, IS f J U F .: N I � - f • I R - O S r R T `` l E N SL O C D N E D. R . IMPORTAIIT 03-320-007.40 THE OWNER I14FORMATION SHOWN ABOVE.MAY NOT REFLECT_ALL LIENS -RECORDED WITH THE , DEPARTMENT OF.HOUSING AND COMMUNITY DEVELOPMENT.AGAINST•THE DESCRIBED.UMIT. ..i THE CURRENT TITLE STATUS -OF -THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300055 MANUFACTURED HOME RETAIL INSTALLMENT CONTRACT/SECURITY AGREEMENT THE TERMS OF THI,S,,CONTRACT ARE ON BOTH SIDES OF THIS PAGE EXECUTIVE HOMES < Name ADDRESS 30.42 ESPLANADE OF Address SELLER CHICO City . ROBERT G. JORDAN (Please PrinQ Name(s) cl SECU I N MBER S) ADDRESS 775 YUBA AVENUE OF Address FOR OFFICE USE ONLY BUYER OROVILLE BUTTE CA Zip 9596.6- OFFICE NO. City County State Code' DEALER N0. ACCT. N0. Proposed Location of 775 YUBA AVENUE OROVILLE 95966- Manufactured Home Te . o. As used herein, "Buyer" means all persons who sign this contract as buyer or co -buyer, jointly and severally, and "Seller" means the seller/creditor named above. In consideration of the following time sale purchase, Buyer promises to pay Seller the Total of Payments shown below in accordance -with the payment schedule shown below. Buyer has, as of the date of this contract, purchased from Seller, on a time sale basis under the terms stated herein, and received and accepted in its present condition the following described manufactured home together with the furnishings, equipment, appliances and accessories included in the manufactured home at the time of purchase ("Manufactured Home"): The Seller has made the Truth in Lending disclosures contained in this contract unless another party is identified here: N/A ANNUAL FINANCE CHARGE Amount Financed Total of Payments Total Sale Price PERCENTAGE 1 $ 0.00 1 1 ❑ want 0do not want single RATE The dollar amount the The amount of credit The amount you will have The total cost of your pur- The cost of your credit as credit will cost you: provided to you or on your behalf: paid after you have made all payments as scheduled: chase on credit including your dow, e t ' "99N a yearly rate: 10.50 $ 75405.00 $ 53931.00 $ 129336.00 .,10 of $ $ 1 (our payment schedule will be: I . Number of Payments Amounts of Payments When Payments Are Due $ Monthly, beginning Noverriber.1, '19 9 $ Security: You are giving a security interest in: ® :the Manufactured Home being purchased ❑ real property you own located at: Late Charge: If a payment is more than 15 days late,•you will be charged 5% of the unpaid amount of the Installment or $5.00, whichever is less. Prepayment: If you pay off early you may be entitled to a refund of part of the finance charge. Assumption: Someone buying your Manufactured Home may, under certain. circumstances, be allowed to assume the remainder of the contract on the original terms. See contract terms below, on reverse side and in your additional contract documents for additional information about nonpayment, default, required repayment in full before the scheduled date and prepayment refunds. ITEMIZATION OF AMOUNT FINANCED: 1. Cash Price (including sales tax of $ 142410, $4 59665 10 Cash Downpayment 1975 FLE Trade in (Year,6 eke, Model ) Length Width (1 (1I1 Gross Value�D0�. iens $ 0 1 00 Net Trade In Value (Seller to pay ofQ $ 5500 00 2. Total Downpayment $ 5999 10 3. Unpaid Balance of Cash Price (1 minus 2) $ 53656 00 4. Amounts paid to others on your behalf a. To Insurance Companies (1) Property Insurance Broad Form Expiration Date i Comprehensive $ 0.00 N/A Vendor Single Interest $ 0.00 N/A (2) Credit Life Insurance $ 0.00 b. To Public Officials (1) License Fee $ 0.00 (2) Registration $ 0.00 (3) Lien Notation Fees $ 0.00 (4) Certificate of Title $ 70.00 (5) D.O.C. Stamps $ __ ___. 0.00 (6) Tags , $ 0.00 (7) Filing Fees $ 0.00 c. To ESCROW $ 175.00 Qnsert name and description) d. To $ 0.00 (Insert name and description) . Total (a, b, c, d) $ 245.00 5. Unpaid Balance (3 plus 4) $ 53931 00 6. Prepaid Finance Charge $ 0 00 7. Amount Financed (5 minus 6) $ 53931- 0 DESCRIPTION OF MANUFACTURED HOME New Used ❑ Trade Name FLEETWOOD Year 1994 Model STONE CREEK 26' . Length 66 Width _ Serial No. CAFLP17A15517-SC, Serial No.'CALFP17B15517-SC Additional Accessories And Furnishings Item Serial `# 4 TON A/C OPTIONAL CREDIT LIFE INSURANCE: Buyer understands that credit life insurance is not required as a condition'of the -extension of credit by Seller. Any application for credit life insurance is subject to the insurance company's approval. TYPE I TERM OF INSURANCE I PREMIUM I SIGNATURE Single Decreasing Term Credit Life Insurance First -O months of contract. 1 $ 0.00 1 1 ❑ want 0do not want single MAR-26-2003 1B400 2538399395 2536399395 P.10i13 CASE NO. aozo6575-002 ENDORSEMENT 116 ' t Attached to ind`foiming apart of Policy No. CL 15191002776 , t _ Issued by . Stewart Title Insurance Company The Company assures the Insured that at Date of Policy there is located on the land A Single Family Dwelling _ 1m Qwn as 775 YUBA AVENUE, OROVILLE, CA 95965. and that the map attached to this policy chows the correct location and dimensions of slid land according to - _ the public records which. The Company hereby insures the insured against loss which the insured shall sustain in the event , thtst the assurance herein shall prove to be incorrect This endorsement is made a part of -said policy cud is` subject to all of the teems and provisions thereof and of any prior endorsements thereto. ExceptI to the extent expressly stated, it neither modifies any of the terms and provisions of rho policy and any prior endorsements; nor dons it extend the effective date of the policy-and any prior tindorsements, not does it increase the. face amount thcreet~ Dated: janu,ary 24, 2003 at 9.00, A.M. Stewprt,Title Insursace Company ! '. AudW1Md SlVMQ $TBC/endl16 1 r- t 1 • MRR-26-2003. 17:36 2536399395. 2538399395 P.03 SCHEDULE A OMCC, tle No,: 00206575-002 Policy Na.; CL l5><91002776 Data ofpolicy; Jaounry 34, 2003 at 9:00 A.M. Amount of Insurance; $79,000.00 Premium Amount; $400.010 1. Name of Insured: QFUND FINCir.'I;NC. ABA QU4FUND LZINDINq,.an Oregon corporztlga Z, The Bstato or taterftt its the land which is encumbered by this Mortgago is: A Foe 3. 'title to the Estate or Intocest in said land is Vested 10r ROBERT JORDAN, r married man as his separate property 4. The isssurcd mortgage and assignments thereof, if uy, are described as follows: A Deed of Trust to secure an indebtedaeeo in the original amount shown belawi . ' Dated January 13, 20D3 Trustor Robert Jordan, a single person. Trustee c Bidwell Title & Escrow Beneficiary Qfund Fincl, Inc,.DBA Qualfiuld Lmndivg, an Oregon cosporattorl Amount r' $79,000.00 O8carded on Jssivary.24, 2003 lbetorded in Butts County Official Rrcords Serial No• 20034564 5. .na land rcfetred to ip this Policy ss situated in the County of Batu: State of California, and is.d.9cribod as follows: See SCHEDLTLE Cattaahed hereto and made apart hereof, rolicy lra.: ,, a. L V &Zr avv.• i iv EXCEPTIONS FROM COVERAG>v This policy does not insure agauut lose or damdgc (and Die Cbmperiy will not pay costs, attorneys' fees or expenses) which arise by reason of; PART SPECIAL EXCEPTIONS: 1. General and Special County taxes for the fiecai yepr 3003-04, including possible parsons,l property taxes, oow a lien, but not yet due or payable. 2.' General and Special County taxes for the fiscal year 200243 First Installment ! S55.99, paid Second rnSWllmeltt $55.39. due February 1, 2003, delinquent April 11, 2,003 Land 55,621.00 Improvements 511;477.00 Exemption $7,000.00 Al? No. 031-231417 'Code 104.010 3, Generoj and Special County taxes, for clic fiscal year 2002-03 First Installment $10410, paid Second Installment' :' $10410, due February 1, 2003, delinqueot April 11, 2003 Land 519,930.00 Itnproyements.. 3 -0 - Exemption 9-0- Ap No: 031-237.018. Code 104.010 4. General and Special County taxet for the fiscal year 3002-03 Tirst Installment. :9x300.55, paid Second rnstallmeot a 5300,55, due Tobruary 1, 3003, delinquent April 11, 2003 Land : S -0 - Improvements g.0 personal 1krvperty, Mobile Home 559,000.00 Txemption S -0 - AP No. •031-237-017 Code 104-010 Bill No.9IM23-721.000 MAR -26-2003 17'-37 .2538399395 "SCREDULF, ]B - FART I (CONTINUED) : Ofce File,No.; 0006675-OOZ 2538399395 ,, P.05 YOI1Cy 1`!0.; 6:L dDAy love r ro 7. Agricultural Statement of Acknowledgment for Residential Devclopmeut Executed by ''Robert Jordan Recorded an September 3,1993 Recorded In Butte County 0[ficiai Records Serial No. 93-38319 „ • ENA OF BXC9MONS Cgttritcrsign � ', - • fi .Au[hOlIL�1 SignstOry ' t, + RECORDING REQUESTED BY The undersigned grantor(s) declare(s): +' Documentary transfer tax is $ -0- ®1!/02e_e f (- ) computed on full value of property conveyed, or ( ) computed on full value less value'of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of ,and FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, r ' `. RUTH - JORDAN 'hereby REMISES, RELEASES AND QUITCLAIMS to ROBERT JORDAN,,: a married man as his sole -and separate property, the followingdescribed real property in the County of Butte - ,State of California:' Lots 10, li, 12, '13, '14, 15 and 16 in, Block 50, ,according. •to that certain Map entitled, "Map of Thermalito, Butte County,Cala.", which'Map was recorded in the office of the.Recorder-of 'the County of Butte,.State of California, June 8,,1887 and the North half of Yolo Avenue (heretofore abandoned) lying Southerly'of and adjacent to said Lots. Dated: August 1989 C� R TH JORIiA STATE OF CALIFORNIA 1 COUNTY OF 'Butte iSS. On August -2.3 1989 before me, the undersigned, a Notary Public in and fo'rsaid State,, personally appeared ,. Ruth Jordan personally known to me or proved to me on the basis of sat- d isfactory evidence to -be the person_whose name i a *4.., " OFFICIAL SEAL' subscsl�ee to the within instrument and acknowledged PATSY L CARTER ? that executed the same. , I ; g NOTARY PUBLIC - CALIFORNIA WITNESS my hand' d official seal: - . P BUTTE COUNTY My comm. expires NAY. 13, 1992 Signature � bi .QW*I% CA 05,965 t (This area for official notarial seal) Y - ORDER H t _ AND WHEN RECORDED MAIL TO Name Robert Jordan 7 -75 -Yuba Ave. s Street Address Oroville, CA 95965 curs state � e9-031994 Rec Fee. 5.00 • 1' Cash 5.00 MAIL TAX STATEMENTS TO Recorded Official Records w County,, of _ 4RN SH_0_WN_..,;.. . P:ame- .. _ ... .. �. .Butte ... r Street same as above , Candace J. Grubbs Address Recorder City& State IY .. 8:01am 24 -Aug -89 VS 1 i SPACE ABOVE THIS LINE FOR RECORDER'S USE' 0. I 2,x7.00 j; Individual' Quitclaim. Deed AP# — THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The undersigned grantor(s) declare(s): +' Documentary transfer tax is $ -0- ®1!/02e_e f (- ) computed on full value of property conveyed, or ( ) computed on full value less value'of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of ,and FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, r ' `. RUTH - JORDAN 'hereby REMISES, RELEASES AND QUITCLAIMS to ROBERT JORDAN,,: a married man as his sole -and separate property, the followingdescribed real property in the County of Butte - ,State of California:' Lots 10, li, 12, '13, '14, 15 and 16 in, Block 50, ,according. •to that certain Map entitled, "Map of Thermalito, Butte County,Cala.", which'Map was recorded in the office of the.Recorder-of 'the County of Butte,.State of California, June 8,,1887 and the North half of Yolo Avenue (heretofore abandoned) lying Southerly'of and adjacent to said Lots. Dated: August 1989 C� R TH JORIiA STATE OF CALIFORNIA 1 COUNTY OF 'Butte iSS. On August -2.3 1989 before me, the undersigned, a Notary Public in and fo'rsaid State,, personally appeared ,. Ruth Jordan personally known to me or proved to me on the basis of sat- d isfactory evidence to -be the person_whose name i a *4.., " OFFICIAL SEAL' subscsl�ee to the within instrument and acknowledged PATSY L CARTER ? that executed the same. , I ; g NOTARY PUBLIC - CALIFORNIA WITNESS my hand' d official seal: - . P BUTTE COUNTY My comm. expires NAY. 13, 1992 Signature � bi .QW*I% CA 05,965 t (This area for official notarial seal) Y - NOTES t ' r , RESIDENTIAL 0317237-017 PERMIT NO. 1 -JORDAN, ROBERT'' - ; ^ - .03-0904 ' 75 YUBA AVE, ORO VILLE EX MH PERM F1VD EX SITE THE �• HCD FORM - 433A FOR THIS NIH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS ,4 BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATES) OR DECAL (THE INSPECTOR MUST RETREIVE). STATEMENT OF FACTS (ONLY ON qq -t•,...°NEW MH'S). , INSPECTO,R,TO VERIFY SERIAL & LABEL #'S. i SPECIAL CONDITIONS — SRA FLOOD CERTIFICATE REQ. _FIRE SPRINKLERS REQ. —SPECIAL INSPECTION ITEMS VERIFY' USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t 11 i i l 2 JOB FINALED (Dater �O / Signature qv CHECKED BY J=OK 0 =,Not OK . = NotReadyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s. • 1. Zoning Requirements -Setbacks -Easements Gas; MH Test- Demand-Valve=Connector' 2. Soils; Special NIH Support Sketch 5. 3. Sewer;. Location -Test= Fall -C/O-Concrete Water; MH Test -'Regulator -Connector 4. Water; Location -Test -Easement Needed (Sketch) 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Tie Downs -Type -Installation Cert. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. P Nat. or / P' L "ft./ P LPG 11. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements ' 2. Footings; Size -Spacing -Marriage Line 3._ Gas; MH Test- Demand-Valve=Connector' 4. Electricity; MH. Test=Crossovers-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -'Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged, 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date go PER NENT END SYSTEM (ONLY) L2. 3. 4. 5. ing Requirements -Setbacks -Easements -Footings; Size -Spacing -Marriage Line Blocking Gas; MH Test -Demand -Valve Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals ' 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B71 Date Card B-1 1. Setbacks -Easements MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Will Panels 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 3. Pool Structure; Steel -Connections -Thickness . Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards -Ins. to Main Conduit 9. Health Department Approval ' 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK Re RESIDENTIAL (Single & Duplex) - = Not Applicable =Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftq.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Date FRAMING (Continued) 15. Access & Ventilation 48. 16. Insulation Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Card B-1 Date Card B-1 Date 53. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 55. 17. Water Htr.; Vent -Access -Combustion Air Baffle Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 18. Water Pipe; Test & Anchor -Nail Protection 58. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. 23. Fire Sprinkler; Test 70. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Receptacles at Kit. Counter 25. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 26. Size Boxes & No. of Conductors Stapled 76. 27. Romex Installed Close to Edge of Studs & C.J. 77. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Plb.; Elec. & Mech. Equip. Listed for Location 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Elec. Receptacles in Garage (F.F.I.)-Romex Protection 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect Guard Rails & Deck Construction -Post Caps 33. Equip. Clearances Panels-Motors-Mech. Equip. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 34. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor 0 Yes 35. Smoke Detector Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Water Well, Disconnect, Electrical, Plumbing 36. A.C. Ducts Insulation & Support Exterior Elec. Trim, G.F.I. Receptacle -Underground 37. Vent Fan, Exhaust above insulation Ventilation Throughout House ' 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 93. Card B-1 Date Card B-1 Date 94. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Address Posted 41. Sills Proper Materials & Anchors Fire Sprinkler 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing Card B-1 Date Card B-1 44. Draft Stop in Walls (rat proof) Card B-1 Date Card B-1 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House ' 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone,(530) 538-7541 PERRyMI Nod as ) /,1 `/ 5 (Rev.12/96) � , APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER '6%31-237-01 ZONING BUILDING PERMIT OWNER Jordan, Robert _ S3:3-4183 SO. FT. OCC. BUILDING VALUATION 1716 92,664.W OWN°i5 iii Yuba Avenue,Oroville Ca 95965 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 92.664.W ARCHITECT OR ENGINEER UCENSE NO. Flin Fee $ 20.00 Permit Fee 608/2 $ 304.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $197.60 BUILDING ADDRESS 775 Yuba Ave Oroville CA 96965 Energy Plan Checking Fee $ $ PERMIT FEE $ 521.60 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.001rj,QO Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U61ifies ❑ Installation ❑ Other ❑ Describe Work: ex MIMParm Fnd excite Gas piping system 1 - 5 outlets 15-0015.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 50.()() ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.PSINGLE 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: �s] 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 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLD S. 3.50FT, NONRESID. MULTI -OUTLET @7.50 8 OUTLET OWER APPARATUOIR.S 200 100 Ex. Occup. OUTLET OR FIXTURES BAL. @ .50 Ex. Occup. oFUT1EETSAE=' oERn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 —T p` tri nn PERMIT FEE $ 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. 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.1— 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 Code, I shall forthwith comply with thosepprovisio t. / X Date / /� Signature of Applicant =' ®° Owner ❑ Contractor ❑ Agel;f An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stor As in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation I , PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 571.60 HA2 D FEES IMP FLOOD .........,.�.. CDF PARCEL pD HD ISSUE 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 j� Ad`f / (jY �/�, Dae PERMIT EXPIRES ON ` Date' Receipt No. `% �' y WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev'. 12/96) APPLICATION AND PERMIT 03_10M ASSESSOR PARCEL NUMBER 031-237-017 ZONING BUILDING PERMIT OWNER Jordan, Robert .� +�183 SO. FT. OCC. BUILDING VALUATION .OWNER'S G ADD SS 7% Yua Avenue, Ca 95965 1716 $ , 664.00 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDERS MAILING ADDRESS Total Valuation $ 92,664.00 ARCHITECT OR ENGINEER LICENSE NO. —Fling Fee $ 20.00 Permit Fee 608/2 $ 304.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 197.60 BUILDING ADDRES775 Yuba Ave Oroville CA 96965 S Energy Plan Checking Fee $ PERMIT FEE $ 521.60 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15-0015.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Px M Perm Fnd exsi to Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Fee 20.00 800VOR UE 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. 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 I000A 46.00NEW CONST. DWELLING OCCUR so OR ADONS. ( & ACC. BIDS. 3.5¢FT, T. peSID. MULTI -OUTLET @7,50 POWER APPARATUS a sINGLE ourLEr aR. :0050 EX. OCCU OUTLET OR FIXTURES BAL @' 50 Ex. Occup. OFuTLEEDTS AM1010EA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I h reby 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. 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.) J( 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' 1 compensation laws of California, and agree that if I should become subject to the workers' compensation pro sions of section 3700 of the Labor Code, I shall forthwith comply wit thos rovisio X _ Date azzK Signature of IdA ner ❑ Contractor ❑ Agen An OSHA permit is req u' e f r exgcavations over 5'0"deep and demolition or construction of structures over 3 st 'sin height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 571.60 HA2 D FEES IMP FLOOD CO F PARCEL PD HD IS UE 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 B Dat '7 y PERMIT EXPIRES ON Defe Receipt No."f 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT c;oUNly OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI ING DIVISION 7 County Center Drnr_ Orovitle, Caf'hornia 959 ielaphone (53 ) 536-951 63 I APPLIGATIONAND PERMIT BUILDING PERMIT �taACT7CS YViCaa /C = L3= wwa A7DR� et& 6;mmm M=C= oa eaca�� Baena a"nams usp-OFS i7tucr ' ;F 13 Duplex 0 MoWaboane O 011ier TYPE OFWopx nl a ,, rire��nce ToW Valuation �— � Fee Pe2mR Fee Plan Chen 12 An Enemy Plan ohs --1 r;= --L U FWMi3lMu East Trap Sofsr or hest SMA gw watw he G-= O -%Bi*m sewer e � �a S *MMIT FEE P.Alb SRA $ SKc'k�« $ • . • "604r McarrD $ 9,71 6�1a 5 20.D0 S ng Fee S SRMIT Fibg Fee I 20.D0 7.0D wElmr MEIN 23.0D 15. DD bTcirywd IS.DD 5 aat9eis I S.DD I 1 S.DD G w E�20.DD s RR I �e ree 20.D0 66B'm SatYi� mm► io usw 11�29 Cal" Mm M ocawmm urn�.n�w R S { 6 SB�t61F OtlRJ G1RG7R LX FZ;ID APPLE OA Tem�aran► Satvi� fir• PkgmrT F=— S XF-CHAM1O I PERMIT �►9 C�fine Fee I 2D.DD 5.>0 P�iaslT r� I s Mo56e Hmne hsslalfa8on Fee F cnergyhs=w bon Fee � D a �TAL FEE $ TO� K" 221" CO#MM MLZ d F� P.�7D rCF P.aR PD F� GLF_ R•e�;Fts. This Parma is hereby issued undat She appii-=SIe prsysbrs of the Huhn County CSde andvar Res--zilu is tD do i^ntk imoe:el=_d s'}vve int wi,irh lies have b==n Paid E ky Dsia ) F-=PMiT E- PipcS o" COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER `� ` 3 ^v/ Proposed Building Use: / V / Counter Technician: '�``'/ Date: (� Items required in order to appl for a per 't. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. 2 Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received f By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ y' ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings....................................................... r ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) O 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. _ ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in _ ❑ 17. City of Chico Plumbing permit......................................................................... _ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... _ ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: _ ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... _ ❑. EncroactUnent Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). $LP�re- pection for �( fV7 !1 -epi, required ................ _ ntractor's license information. (Number, Name Style, Classification) ...................... _ ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. _ ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _ ❑ 26. Letter of Signature authorization.................................................................... _ ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... _ ❑ 28. Manufactured home utility clearance............................................................ _ V29. Existing violati ns a - or expired permits ......... .....��.. m QC _ 30. Grant Deed Title/Statement of Facts, lJ'Letter froLegal Owner, k to H.C.D. $ l" ❑ 31. Other: When issued Telephone 576o- QQeEj and hold for pickup. I have been infor ed f t aboZ<ems d requirements for obtaining a building permit. nPPI can 1. Index permit applicat", rf for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, O mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the abo e ata by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: - Date: '% Plans approved by: f H7 Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow Ruildinv Divicinn n .. PRE-INSPECTION7REPORT . OWNSR DATE: "f4-63 LOCATION: A.P./w #- • CONTRACTOR: • f ZONING: PRE-INSPETION FOR. DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE ( AS FOLLOWS: BUiwm iNspitCTOR'S RBPORT' Banding Description: Commer+ciawsaga: ^ Residential/# of Units: Currently OccWiod Abandoned/Vacant ' Electric: Yes_ . No Electric currently On Off Condition of Electri Gsu: Natural Propane r None ' Currently Oa Off . Obvious Problems: - Sanit-ation': Plumbing Working t Well Working F Potable Water _ - Obvious SewageProblems Comments. ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. i Date J` Sketch buildings on reverse and indicate location on proper' COUHTY OF BU T TE - DEPARTMEHT OF DCYELOPLEERT SERVICES - BUILDING DMSIOH 7 County Center Niva • Orovilla, Ca!•hornia 95965 ►Telephony (530) 536-IS41 03sn ApPLIGATIONANDPERMif ' Firepieoe ems �oa� T owl YahtatfDn = �oxes"� Fiim Fee S 20.DD . Permit FeD S 3 O ee� Acaa �� CMd , Pian t�ee�n Fee S �..,.�.�_ -%wgy Pian Ch=ug Fee uwouz S P dIT r1= --- $ mrm Sj�}Gflb5ti4lL� PArr1 NAP 'P�LHI•i i ITLw0 Fee 2D.D0 E$�t TM 7.DD MEM ARUCTMM 8> or hesf p=p water h 23.DD tF i] DVL-A D I Beboane O Mar Water aibg • t 5.1>e s -%:pasWater hallmr cr ywd IS.DD TYPE OF womc Q= pyng system7 - 5 =Jftts 1 S.DD Now 17 A p mei D Mas 1p / "w O ar 0 stunt tg sewer I S.DD lzf Pill Dame ward PMW ro S ' B..MMAL F=-RGIT IFling Fee 2D.00 • M* Setv�e 29.D0 FEE PAab $�j sRA $ AMOVW $ �7 g rt To afff WT zwo COMM Rb—vie�RF� awwjj-.a ( om % Tv sem► Mn= Da FC7j= s PEAMFT FEE :; tdbb6e Hcana n r=ee s 'cnargy lnspe�n Fee S a OTAL FEE $ !wL d F_T I PJ7D CnF I pyiCg PD !� iris parml is hereby �--sysd under ffie sppt---.' is przvisors of The Huth County G7ie and ar Rm=hrrmas b d:, work m:fid ebme far which fees have ba=n Pali 9y Ds� PERMTT DZptp_5 Did l 1/ '. ✓ v jig/ fly 31-237-', F7 Robert Jordan 775 Yuba Ave., Thermalito mit 1,1�2209 '9P,E(urt'l.'MH)'ljlqMj L C. fA 10"lArkt-p GA 19OWCTURE REQ. ILAe I 0 ION TEST REQ. 31-237--A rm' k 210-79MT 9 7 031-23-7-@ 93-2778 P,E JORDAN, ROB 775 YUBA AVE, OROVILLE CONTR: EXECUTIVE HOMES RELOCATE MH UTIL ELEC GAS C PACTION TEST RE V3 SUPPORT STRUCT REQ ,&20 031-23-7-(, 93-2779 MHI JORDAN, ROBERT 775 YUBA AVE, OROVILLE CONTR: EXECUTIVE HOMES J / MHI 0 oar07 aw 01_(� 3 031-237-j— - SUMMARY SHEET FOR LAND DIVISIONS Robert G. Jordan S/E corn. Yuba Ave &-8th Str., 01 APPLICATION FOR CERTIFICATE (I CERTIFICATE OF MERGER 031-237-9+i ROBERT G. JORDAN 10/08/93 Aft 031-237-017 PERMIT#96-149A JORDAN, Robert 775 Yuba Ave., Oroville Ag Exempt Permit -Horses & Hay 11 V 4'. 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. - I personally plan.to provide the major labor and materials for construction of the proposed property improvement: YES,* NO D I HAVE X HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME: DRESS• CITY: PHO CONTRACTOR'S LICENSE NO.. 4. I plan to pro a portions of this, work, but I have hired_ the following -person to coordinate, supervise, and pro the major work: NAME: , ADDRESS: - CITY:, PHONE: CC RA 'S LICENSE NO. 5. I will provide some of the o'rk but I hav P e contracted the following persons to provide the work indicated: NAME ADDRESS PRONE YPE OF WORK SIGNED: PROPERTYOWNER: --A.,�' ---------------------- ------------ -------------- 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 O.B. I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cavy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors: is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. ;rely, el C. Vi?1' .B.O. M ger, Builg Inspection NOTE. This Owner -Builder Information is.required by Section 19830 of the California Health and Safety Code OVER f , .RESIDENTIAL �p� 93-2778 P,E 031-23-7-011 JORDAN, ROBERT 775 YUBA AVE, OROVILLE CONTR: EXECUTIVE HOMES ` RELOCATE MH UTIL / IV_ IVIlk 1, r ' R `r> OFFICE COPY e Address Ci GAS :. a ;a Meter By Dat` S .� ELECTRIC j jMeter By Da.t• y• 'd r.2r' �i` 1 • J JOB FINALED (Dat `�✓ r. Signature ,�,./ V=OK O=Not OK Not Appl�ic = Not Readyl� / MOBILE HOMES 1. Zoning• Requirements -Setbacks -Easements L` i s; Special MH Support Sketch 3 e e , Location -Test -Fell -C/O Concrete ater; Location -Teat -Easement Needed (Sketch) , V , 6. Gas; Location -Teat -Wrap: / P'L"ft. ^1J / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clea nce Date/Initials MONIELt HOME INSTALLATION (Plans) OK except #'s 1.'Z9g Requirements -Setbacks Easements •> r Footings; Size -Spacing -Marriage Line r �as; MH Test-Demand-Valve—Connector `��-Eleetcicity; MH Test-Crossovers-Breakers-Clearances ein; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector ter and Sewer Connected -C/O to Grade -HD Approval Y—ads and Electricity Tagged �knE:@xits; Insp.-Sokir- 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test I V=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors _Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled -25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval �I 91. Energy Compliance Certificate -Other Certificates Commenti, at Final: t L C UNTY OF BUTTE - DEPARTMENT OF DEVELOPMEkT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538-7541z ,PEF�MI No. APPLICATION AND PERMIT ASSESSORPARCEL NUMBER — —237-011 ZONING AR BUILDING PERMIT OWNER ORF,RT TELEPHONE 533-4983 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BDaDIo�R€ bBA AVENUE l lJ PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 OROVILLE, CA 95965 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S W 20'00 20.00 TYPE OF WORK New ❑ Addition El Remodel C)Utilitiegx� Installation ❑ Other 1:1 Describework: RELOCATING UTILITIES. PERMIT FEE $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 21011 OR LESS OOAORLESS ) 23.00 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. OLDS. ) SO 3.50 FT,. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) 7b I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions QocLe andy.Jicense is in full force and effect. License No. %'j�Classification } Ci y� ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring �23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 1l 11 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S 63,00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseque of the granting of this permit. g —Z X Date Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL F $ HOZ• D. FEES IMP O CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS/,/ BY Date ' PERMIT EXPIRES ON 9e, (DII, rel If Signature of Applicant - ❑ OwnerContractor ❑ Agent An OSHA permit is required for xcavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Receipt No. 14$16$ WHITE-D.D.S.-e.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - COUN YOF BUTTE /,- -BUILDING DIVISION 7COUNTY CENTER DRIVE - OROVILLE, CAdPORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER `w_ Abeart O rQ Q A. P. No. Proposed Building Use Building Inspector F Date At time of pe, it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1, All items have been submitted . ................................. . 2 r .. 3, .4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . Complete plans, 3/4 sets, signed by preparer'of plans. ......:............... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . Hazardous Material Form . ............................................ . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . .............. City of Chico plumbing permit. ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development.about (A) Improvements (B) Drainage. .......... . Driveway permif (construction approval required prior to occupancy). . . Prednspection request Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. No., Name Style, Classification . Certificate of Workmans Compensation Insurance . .......................... Owner-Builder�Verification (Given to owner , Mail to owner ). ........... Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization . ..................... `.................. . Copy of recorded deed of parcel creation and 60 right of way to a public road. . . Letter of intent on building use . ......................................... Mobilehome utility clearance . ........................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................... �. When you issue the permit, process as follows: Mail to owner. Mail to contractor. X Telephone 1-1,990 and hold for pickup at � rwr) office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept, Fire Dept. Other Date - The following data must be submitted prior to permit issua d' C le ew item not checked 1. Index permit for above items No. 2. Additional items required: By Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by =Date Contractor, designer, owner, was advised of above required data by_phone_,mail' 1 Cou t' r by Date Plans checked by Date Plans approved by_ Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r Iti�a'r�`w�v .....+.�' �.. ^ ar�•'...� r,�� .A,i .,..'1°-S_r. � .-r r•, "y^ •-� w : i"•'A S-k,y►-'^ r s. "'`_ • ..rt COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. .` A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. . Date Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA -.(916) 872-6307 _ CORRECTION NOTICE OWNER- PERMIT NO.. ; A routine inspection indicates that the following violations of. Butte County Ordinances exist at the above address and should be corrected. Please notify this office whencorrection of work is completed. If yo a any questions pertaining to this matter; or need additional explanation, `please on this office immediately. 046 5e_ IF O: ,L00 U.V 40 N /� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Courjty Center Drive - Oroville, California'95965 - Telephone (916) 538-754 PE MIT o. APPLICATIOM AND PERMIT ASSESSOR ARCELNUMBER 031-237-011 ZONING AR BUILDING PERMIT OWNER ROBERT JORDAN TELEPHONE 533-4283 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 775 YUBA AVENUE, OROVILLE,CA CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE, CHICO, CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 775 YUBA AVENUE PERMIT FEE $ 43.00 OROVILLLE CA PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome NIX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities O Installationj;K Other O / r^ Describe Work: MHT _ / ltiif::fce ' PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 p., Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. ) 3.50 SO. FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) `&l am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions ode and ►�Y ' ense is in full force and effec . License No. L tiS CS Classification (, _ a O I, as the owner, or my employees with wages as their sole com ensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20@1.00000 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count cons nce of the granting of�this permit. 4 q X Date p 13 Contractor O Agent Signature of Applicant - O OwnerItai An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100-00 Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 143.0 HAZ. I D. FEE IMPFLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUBLIC WORKS BY r PERMITEXPIRESON ,O !D tel provisions to do work paid. 71 a ate ' ReceiptNo. 14£9166 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IF MOBILEHOME INSTALLATION ACCEPTANCE COWITY OF' BUTTE ; DEPARTMENT OF P.U..`Li'C.WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIV NIA 95965 — TELEPHONE: (916) (916) 538-7541 PERMIT NO. / Address or loc Owner's name Owner's address Insignia or hud number �"% _' (D /�,[�y v� Manufacturer's name Serial number of V A.NC74C p /� ""wear of manufacture —115 ', F (official Approving Installation) (Date IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. �t-D 3I- 5,3-7-D// COUNTYOF BUTTE'- DEPARTMENTOF -OkV1.4 PMENT SERVICES -BUILDING DIVISION >-� '�::;' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95S.�6!�lL TELEPHONE (916) 538-7541 ,f • Yn%' PERMIT APPLICATION DATA SHEET OWNER Q r\ - '`.A. P. No. ©3 / - d _ 0T Proposed Building Use Building Inspector Date �S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY - 1. All items have been submitted . ................................... 2. Plot plans, 3/4 sets, signed by preparer of plans.. r•- 3, Complete plans, 3/4,sets, signed by prepareof plans. ..... ................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans.': ............ 5. Hazardous Material Form . .................................. 1. . . . . . . . . . . 6. Energy Design Compliance and supporting documentation . .................. 7 Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. dam. 4e. .)ae_ 10. Fees of $ I ...............................�k:r n 11. Impact fees as shown on attached schedule. .....................':....... . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . .nlc � 14. Sanitation and plot plan approval �F9Z- Health Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for required. .. o Building �specto� (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance ............................................ .[21,2 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... pPla -hec list. . 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephonef -619.9 5nd hold for pickup at /' (^� office.7X W Deliver with inspector. Other Parcel Creation, Acreage Applicant Date 1-5 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other i Date The following data must be submitted prior to permit issuance: (Circ 1. Index permit'for above items No. M, - L 2. Additional items required: m jot checked above). By Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans. -approved by _ Date Sets of plans on hold in File cabinet AP folder Copy - Department.of Public Works Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans. -approved by _ Date Sets of plans on hold in File cabinet AP folder Copy - Department.of Public Works { COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DMSION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965— TELEPHONE (916) 538=7541 OWNER. rd of ti A.P. PROPOSED BUILDING USE //% DATE 93 REC. # DATE REC SCHOOL DISTRICT FEES pp (paid at District Office)... ......... l� 2.' SHERIFF FEES (paid at Building Department r; s Residential...:.. x _$ unit amt. Commercial (sqft) x _$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department)e x ;e� i V Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x _$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at Dis.tri'ct Office).................. ... 5. DRAINAGE DISTRICT FEES (Contact Land.Development Division)............... 6. SRA FIRE INSPECTION AND, PLAN CHECK = $89.00...... (paid at Building Department)` 7.- OTHER 8. OTHER At time of permit application, 'I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE '3 9:� COUNTY OF BUTTE -.DEPARTMENT OF PUBLAG WORKS PERMIT•NO.~ �Y ----' 7 County Center Drive - Orovlller California 9�5ps - Telephone: 16 '538-7541 APPLICATION AND PERMIT - - '',J E 1za�-115 6�7 3`b6?-DANJ ER'S MAILING ADDRESS 77-7 S J C O -v£ . ITRAECTOR'S N,AM w')•1 V E Hq�r, �s .TRACTOR'S MAILING ADDRESS S'D %j Z C-5 -FLA" 0.16 ISTRUCTION LENDER EER'S MAILING ADORE UILDING ADDRESS '1 -►S y-\) '3iA AYIE T NO. I SUBDIVISIO 153 3 —428.3 ©6-vv1L,6 TELEPHONE 991-11099-L ' UNKNOWN PARCEL USE OF STRUCTURE SF ❑ Duplex[] Mobilehome'� Other SPECIFY TYPE OF WORK New [__..� Addition7; RemodelC Utilities ❑ Installationp, Other ❑ Describe work: BUILDING PERMIT S0. FT. OCC. BUILDING VALUATI Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Ener,gy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S G Fw7 Permit Fee Contractor ELECTRICAL PERMIT Main service sOOV OR LESS 200A OR LESS Main service 200ATO1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is in full ;force and effect. License No. \04D 5"�_'t Classification C.—� �r1 ❑ 1, as the owner, or my employees with wages as their sole compen- sation. will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.9 OR ADONS. ACC. SLOGS. // NEW CONSTR. UL I.OU LET NON.RE SI BRANCIRI POWER APPARATUS e ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR.FIXTORES FIXED APPLNS. OR Ex. Occup. OUTLETS IRES10.1 EA) Temporary service Mobile Home Facilities Misc. Wiring Energy Inspei Permit Fee — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Contractor MECHANICAL PERMIT Heating 1 have placed on file with the County of Butte .Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner 30 as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you.must forthvyith comply with such provisions or this permit shall be deemed revbked.. Cooling Hood Ventilation Permit Fee Contractor I certify that 1 have read this application and state that A above information is correct. 1 agree to comply to all County Ordinances and State Laws relating ' to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for Inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai aid C ty In consequence of the granting of this permit. Mobile Home Energy Inspei occ CON HA2 Filing Fee 1 15.00 18.50 37.50 3.60 sq.ft. @ 5.00 20 76a � •3.00 15.00 15.00 15.00 S Fi I Ing =Fee 6.50 ista(lation Fee . $ ion Fee.; $ TYPE TOTAL FEE $ /DO = 3. (50 Date g " This permit is hereby issued under the applicable provi_ _ Signature of Applicant — Owner ❑ Controetor Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0 •deep and demolition or [on.fr„et• work indicated above for which fees have been paid._ ion of structures over 3 stori4tsin height. DIRECTOR OF PUBLIC WORKS - Receipt No. By Date PERMIT EXPIRES Date - WNIT[_D.►,W„ T[L'LOW-ASS(SSee, PIN%-1NSP[CTall♦ aal DtN 110D•APPLICANT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District ��Q t'7 t'O n / y Building Department No. A.P. Number Oily 13 "�� Jurisdiction 0 City F County Property Owner ' Property Locatic Subdivison W Residential Development Commercial/Industrial y4 No. of Living ` nMHI Units C-ne p is Ce S NewD Lot No. Sq. Footage / I/ Addition (Group R) C-' X I S t i r't Q �% ��J Sq. Footage Addition (Including Exterior Roofed Areas) �fa3/93 Building Department Representative Date t (Floor Plans reviewed by School District Personnel) istrict Ideritfi a ion No. 940043 �� N L�hCJ School District certifies that (Stree. Address) A (Applicant) (Phone Number) (City) (State)) (Zip Code) .has complied with the requirements of Resolution No. ��7 " 9� by payment of $ I'mJ71 representing square feet. School District Rer Gem is Paid by Check Number Bank Number Paid by Cash 9 3 Date Remarks: )sequent=to'the School District Representative signing this Butte County Schools Impact Fee ication Form, h'CSchool District is notified by the applicable Local Planning Agency that this project 4,..+-- ng reviewed un�er(the� California, Environmental Quality Act (CEQA), this project may be subject to White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) MOBILE HOME MU!i�T BEAR-KU..D. LABE�S h o fq � ExiSTi.V6 _off TSS u A - 23'7 - Oil Q � Gr AS nMETEfL RE�Cj4Te GA5 A 1� : �1111�Iatex�als Workmanship Shall Be �a ACAordence with Recognized Good Practices an' ' Of a. Quality Prescribed for the Specified use Uniform Building, Plumbing &lkechaniW Codes and the rational Blectrinal Oods. T9 set of pl=— s mLd specMattions MTT3'r be _ kept on th0job at all times and it is unlawful to make an;Y changes or alterations on same without written permission from the Department of Public Works, county of Butte. enUe Aldir EOUIPMENT INCA. 0 S SMALL BE CLEAR OF All. tASEME . A SET. SACK O„ - S, F`f. FROM THE SIDE A:'.': l F t .Face 'f Wf REAR PROPERT1f LINES FT. FROM TSE ROAD CENTERLINE Sl IAS CLEAR OF STRUCTURES AND EQUIPMENT EX -.: TM A 2 FT. EAVE OVERHANG. e E. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET - - 1.• wner's Name: , 2. Installer's Name:Xf 3. Is the. site currently under permit Yes No (If' yes, furnish+. permit ,number' . y ) OR Is the site an,existing site? Yes No (If yes, furnish.two plot plans.) 4. Will the mobilehome be' -located at least 5 ft. away from septic tank and leach• fields and clear of all setbacks and easements? Yes No ` (If no, clarify, 5,.--'What--is, the-mobil-ehome electrical. -rating? ---=----------- \� Amps 6. What is *the mobilehome site service rating? -------------- Amps 7. What is the mobilehome site circuit'br'eaker rating?'- ` 1'"� Amps 8. Ts there any other electric load to be served by the mobilehome site service: .- "�--- �---- .' ;.Yes � No (If yes, identify the load and sizer (Load)_(Amps) 9. What is the mobilehome site gas pipe size? -------= -- -- (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the,., mobilehome? ------------------ ----------------------- 7 (ft. * 12'. What -is the mobilehome gas demand? --- =--'-=------=--- (BTU) *(This information not required if pipe length less than 6'ft:.on natural gas or less than 50 ft. on LPG.). C21 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.��W�'� furnish Setup Model No. 4S%b —3� Year ��i°► (r r , It Width— 3 06 (ft.) Box Length \\ 9 (ft.) Tagalong or Expando Size---I&—ft. x _� ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)®1. Concrete block.�2. Other (specify) Pier Footing Sizes and Locations IV SINGLE -WIDE MULTI -WIDE Main Beams -\ _ _ _ _ Lin Line 1 � Line ± — — _ Main Beam — — s — — — — 2 Tag or Triple Line 1 Piers: Line 1 Openings: Size-Min.---------Size-Min ---------------- „x n Spacing -Max. --------- , Each Side of Openings From Ends -Max. ------- '_ " With Width Over - -------- Line 2 Piers: Line 3 Piers: der Bearing Wall Only) Size -Min. ------------ �ik 3 ®„ Size -Min.------- x Spacing -Max. --------- _ Spacing -Max ---------------- , , From Ends -Max.------- 1 '_ " From Ends -Max --------------- Line 3 Roof Loads: Size -Min. ----------- x3� x 3a. Ig Location (From Front) o - n Line 4 Piers: Size-Min.-�-------- Spacing -Max .--------- „ From Ends -Max.------- 12—f 7- I. -L ocation (From Front) 'k J�„ 3 ` x3v, �/.,x 3p., IIx 11 x "A Line 5 Piers: (Under Bearing Walls Only Size -Min.------- -- --- --- . I.x Spacing -Max .--------------- From Ends -Max.------------- - QISi23i93 ' 15 38 FLEETWOOD HOMES ' WOODLAND - CA'- V-1391 `8753 � � . � ., D91 - - - - - = DOUBLE WIDE. PMRING`WORKSHEET— -�-.- - f1:0:'E� "��6' - - r � PSF ROOF.-LOAV L NT'- /-%T - --_ --SEE PERIMETER PlERlNG c: c �!nTc.r•.� / RF()Ci1RFMFNTS TABLE. - • ... - - _= =tea- - - _ - - - SEE MATING LINE PIERING TABLE---=-- - - w !n. �. �� r w •n• r � rte• �•r w• ' w . `.� � �•� r �� _... _— - FRONT OF SEE PERIMETER UNIT PIERING REOVIREMENTS TABLE ' NOTE: SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR REOUIREMENTS OF -MAIN - RAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TABLE" RIDGE SEAM ..12 3 s} % ;•7 : $ : : �% : `'. /O " 0057 LOCATIONS PGIT' PorwT POST POST OST P05r FobT POST D T POST PIER LOAD CAPACITY Ik LSS. / i W68 &03l - i IJ'A':rJ;JM, Cit= PIECE FD:)TING SIZE X'13&XZ(a 3(&X X,1 wlo M, 1V X It, FADz aµr� �ju�►d� i�eabLE - rosA. Fawn t t 140TE: Footing sizes based on 1000PSF Sail bearing value. It soil conditions differ sae the Pier Load Capacity drawlW or the Home Teohnical Installation Manual for metfiod of calculation. PERIMETER PIERING PEOUIREMENTS TABLE - PIE=.S REQUIRED DOORSIDE WALL' ROADSIDE WALL•'.. JAIZB STUDS Al - DOOR OPENINGS AND ' AND --- OVER; 4c' - MASONRY. FACED FIREPLACES INI OVERHANG CAtLOOyl .- PORCH POSTS ATR •- CESSED SAVALL WHEN HEAVY •APPLIANCES r - �- v� YODIIAENSlOftS ARE F.RONi FRONT OF UNIT. ... .a�a�,e,•e..v:..ee-r�r_�Ms...�..-,..,... t..�+Yr-s.�•. :7_:: ..- -- BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7 1 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. QL Agricuftural building is defined as follows: Agricultural building is a structure designe and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This stru ure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. Q� i - ZONING OWNER PHONE NO. OWNER'S ADDRESS r-7 c LOCATION OF BUILDING Oq USE OF BUILDING SIZE OF STRUCTURE ' X _ 2QCSD SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME ✓ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERT G A FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:/ I r FRONT 5- 4401- SIDES & - REAR 2® , "-V AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation ' USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will ntact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirem is in eff ct at that time and before occupancy. Date �ZTZ Signature of Owner Permit Fee S60.00 The above described AG Building is a mpt from a building permit. Receipt No. FLOOD AV' J V. I ROOFjFdG IS E Manager Building Division — By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE DEPARTMENT OF .PUBLIC WORKS BUILDING INSPECTION rRECORD BUILDING BUILDING (Cont'd) PLUMBING S back irewall Sokpiping Fo s Plkrapets 1 sAF Ioor MAV Bldg. Re room Finish 2nd Xoor F tins Winckws 3rd FAQr Ste all Sidin To out Slab Roof Sh athing Water PI in Piers. Roofing Sewer Garage Fdn. Vent Fixtures Footings Stemwal I Garage Vent Insulation Water Htr. Heaters Slab Carport Footings V Prov. for physic Ily handica ed Conformance of ex. structure Appliances Gas PI In &Test temp. Gas Slab Final Sanitation Patio IR LACE Final Footings "iiFooting IEL"`TRICL F Bond - btucco I I Final I Sub an s Mesh MECHANICAL I Grd. FAR Prot. Scr ch I Heatl a X I servile Pole Finish I Dults nder round Ig6rior Lath ntilation Permanent 10. or Closer 1111nal final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILE OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Contin—ty Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the ��a�li orni Administrative Code, Title 25, Chapter 5, under permit number' for the following location: 77 SE �4u6--a -A ►� Owner T\-^ M R. y i ! 0 Y Q,--4 kN Owner's Address 7 -7 5 V\r�'i A d e- Mobilehome Mfg. <-V2L iib© Model 1? - Year -!9 Insignia No. >01-71(,- -3l, Serial No. It is hereby certified for occupancy at the above described location and may be occupied. r� q Director of Public Works Date 1 `{ gy (�da V THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. } MOBILEk _ LAT�ION INSPECTION -CHECK LIST 1. Is the mobilehome located withequired separation.�froin'lot lines and buildings and generally conform to plot plan? Yes_ e" o 2. Does the mobileh'ome.have required clearances above ground? (Sec.5085) Yes �' 3. Are footings and supports properly sized', spaced; and braced as-peproved plans? (Note possible variation at spring shackles.) .(Sec.-. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes, t 5. If moretthh -a single unit, are crossover connections'properly'installed? (Sec. 5088) Yes o 6. Water A.,' Is flex' a connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes P No C. Backflow - If coach is not S t f California approved, does station have backflow device and pressure -relief valve? Y o 7: Wastes and Drains A. Is connection made with.Schediile 40 DWV and have flex connectors at each end? Ye�- No B. Does it have minimum k" per foot slope and is it properly -,supported? Yes (iNo C. Are any leaks detected in drainage system after running 3 -gallons of water through.each fixture including washing machine standpipe?,.Yes_ No D. If coat State of California approved; does station have required trap and vent? Yes o 8. Gas Piping and Gas Vents 1 �fJ A. Connector - Is mobilehome-connected to the gas supply with an approved 3/4"' minimum mobilehome connector not �more;than\6 tft: j long?b. Note All piping is to be atrleast as large as the mobil ome gas linnl e (iet without reduction s. other than the mobilehome connector. Yes_ No B. Test OK as per following procedure? Yes, '',� 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C.. Are all.appliance vents properly installed? YeslzNo_ X110 9. Electrical A. Is service large enough -to provide adequata amperage-tomobilehome(must equal rat ing o j' mobilehome with a minimum of 1 amp) and other facilities on lot, i.e., water pumps,' garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes �- No C. Is power supply cord or feeder assembly properly fused? Yes No � N ..__- _... D. Is continuity test satisfactory as per the following procedure? Yes o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each.mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of'the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. , 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle oto_,,�A_ Length Width �- Vehicle Serial No. 1-7 ) LOA State Identification No. )ee_� Additional Information or Comments: COUNTY OF BUTTE = -[DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OI'oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the Coun of Butte to enter upon the above-mentioned property for inspec - n purposes. Date Signature of Perm itee Agent t-� Receipt No. ` c White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. 1PORE OF PU IC WORKS B . Date "7 Building permit expires Date 7"` %" cf-6 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address ��'1o3 9�j2�d Telephone No. 5-713- Contractor a� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee r� Building Address - - GCJ(- �t t� t� Ig E Plan ng Fee&/or Penalty ee Permit t Fee U At,p��jPLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 ,r-f6-4LC4f1_I rz Repair drainage or vent piping 1.50 A. P. No. I —�3 —'I L �Z'oning$ F'lannin9 Water piping 1.50 Each gas water heater or vent 1.50 Fdesr W -C- SaIM Tt�o—n I Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 o/ Bldg. PlanK Recd � �� Parcel A mal j� Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLOGS.LING CCUP. Y� 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS 8 NON -RESID. SINGLE OUTLET CIR, Ex. OCCUP(OUTLETS OR FIXTIIRFS 6 1� W FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA) % 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ 30 $ o02 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 6� authorize representatives of the Coun of Butte to enter upon the above-mentioned property for inspec - n purposes. Date Signature of Perm itee Agent t-� Receipt No. ` c White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. 1PORE OF PU IC WORKS B . Date "7 Building permit expires Date 7"` %" cf-6 s , F MOBILEHOME SUPPORT DATA . If other than single wide, Mobilehome Mfr. 7�D furnish'Setup Model No. Year Width; (ft.) Box Length ��"U {ft );'Tagalong or Expando Size_ ft, x�ft. s*4 _{ (SHOW SUPPORT DETAILS BELOW) �1, - < On all mobilehomes manufactured after October 7, 1973; furnish manufacturer',s installation - manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of.. _ 11 mobilehome unless otherwise specified. Footings°.(check one) Sin le g / 1: Woo&dither pressure treated or x _. foundat ion' grade . (ft.)(in:). (in.) 2,• .0 r (sPec,fY) . nn ate` � Center sup ort /n)nd Centerrt. y locations footins Supports (check one) (in I 1. Concrete block. r 2. Other (specify) x (in. (in.) 4- y ..Tagalong , or ,Expando, show support details. (ft:)(in.) f in.) (in.) .. , r x iv. Typical Support,_ (in,) (in.) Footing Size ',ft.)'(in:)� (in.) (in.) -- Max. Pier Spacing �_- $(ft.) -- Max. Overhang , 0 (ft.) (in.) (in.) in. (in.) BUTTE COUNTI 'BUILDING DEPARTMEN -APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE.COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:. NZ6 bard19 J�3 2. Installer's name: of kmj-c- 3 Is the site currently under permit? Yes / / No 727 (.If yes, `furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �,-d o Amps 6. What is the mobilehome site service rating? --=----=------------- �� D Amps , 7. What is the mobilehome site circuit breaker rating.? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No 7177 (If yes, identify.the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- -Natural/ LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 -ft. on natural gas or less than 50 ft. on LPG.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Ofoville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the Countyf Butte to enter upon the above-mentioned property for inspecti .rposes. ate Signature of Permitee r gent Receipt No. 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov or which fees have been paid. hg- ,q&R OF P ELIC WORKS Date Building perm) expires Date BUILDING Owner SQ. FT. OCC. BUILDING AT10N Mailing Address ��• l (� 3 �O�w ID i(,� � J Telephone No. J5_3 -3 -CV.. -70_ Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee .-t Building Address�.�g{��—��j� / aD C Plan Checking Fee&/or Penalty Permit Fee 7- YLAAA &j�� 5 �. PLUMBING No. @ FEE _025 PERMIT FILING FEE $3.00'-3. Each Trap 1.50 " ( Repair drainage or vent piping 1.50 A. P. No. Al - a3? - 1 Z �� Zoning & Planning Water piping 1.5010.60 Each gas water heater or vent 1.50 F s //��,� Safiifation I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 10. c> O EQA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W Improve T2 is additional outlet .30 Building sewer 5.00 10, DQ Bldg. Plans Rec'd Parcel Approv.I Plall Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES. OTHER ❑ permit Fee $ i$ 33 oc ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .0C� Main service 600V OR LESS �-` p' 100 AMP OR LESS 5•QQ (/V Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 , SCS Main service OVER e 25.00 V AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLOGSCCUP. 4) 2¢sgft ' CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR, MULTI -OUTL T NON.RESID ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS.&J NON.RESID. SINGLE OUTLET CIR, Ex. OCCUP(OUTLETS OR FIXTI1RES g L25 Ex. Occup. (OUTLETSP(RESIDREA) 2.00 Temporary service. 10.00 Mobile Home Facilities 15.00 ,6-?> License No. Classification Misc. Wiring 6.25 FT I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5-o $ jC MECHANICAL NO. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ElI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that 1 have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ GZ TOTAL PERMIT FEE authorize representatives of the Countyf Butte to enter upon the above-mentioned property for inspecti .rposes. ate Signature of Permitee r gent Receipt No. 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov or which fees have been paid. hg- ,q&R OF P ELIC WORKS Date Building perm) expires Date THERMAL.ITO',IRRICATION DISTRICT ,. 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 T°ELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: r7 ti Owner's Name: � � � --ri ' -' << Date: Address: Acct. No: A.P. No.:. 5/ �3 % / I Phone: '' % e;_ No. Units: Applicant/Agent: Agents Proof: .`✓ Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR J FR A 0 K 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: k -IL, Date: 7 5 7% Remarks: =a 7 A 7, c, � E' ,�� r ,� .�,� �" (, /t- -� ti0QC J0 4f A 3s Sc�� X10 ( 1-7 I MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). Q 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TIO, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID SUMMARY SHEET FOR LAND DIVISIONS APPLICANT ROBERT G • JORDAN J��? _ oFpT 7e 7 5 Yuba Ave.. Or ovi 1 le . CA 95965 ADDRESS OWNER Same a PROJECT DESCRIPTION APPLICATION FOR CERTIFICATE OF MERGER r --l— JvPnll'P LOCATI and 8th Street. ThermailLU a��µ• SESSOR'S PARCEL NUMBER(Si 31-237-11 tn. Lots 10 & 11 ASNT" ZONING, GENERAL' PLAN_ GENERAL PLAN CONFORMANCE REPORT PROJECT CONSISTEi LAND CONSERVATION ACT CONTRACTS^ September 14. 1993 DATE APPLICATION RECEIVED AGENT/SURVEYOR/CIVIL ENGINEER Bachman & Associates (-rico. CA 95926 ADDRESS DATE PLANNING DIRECTOR'S REPORT PREPARED. CATEGORICAL EXEMPTION - DATE FILED_ ENVIRONMENTAL DETERMINATION AND DATE NEGATIVE DECLARATION - DATE ADOPTED MIT .NEG.DECLARATION - DATE ADOPTED - EN. IMPACT ACT REPORT - DATE CERTIFIED_ STATE CLEARINGHOUSE NO. DEVELOPMENT REVIEW COMMITTEE HEARING DATE— A . PPEALED TEAPPEALED APPEAL HEARING DATE BOARD ACTION COMMENTS FOR PLANNING DIRECTOR'S REPORT DISK• AS S I ONE.D. TO RECEIPT NUMBE LD 1005 (11/92)' AP #�- OWNER PERMIT `#2 MH UT IL . CLEARANC DATE INSPECTOR ELECTRIC GAS i Support Compaction Service Other., Pipe Stric. lTest.Req. Size Load Type Size Length YES NO YES - NO , Return to. BW!`'� AGRICULTURAL STATEMENT•DF ACKNOWLEDGEMENT A'u;S,o y FOR RESIDENTIAL DEVELOPMENT Section.26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. I The property described herein is adjacent'93".038;§ 1 9 I Rec Fee 5. 00 to, land or included within • an, Check 5:00.area zoned Recorded for' ' agricultural purposes, and residents Official. ecordls I " of this property may be subject to incon- > County, . of, I veniences or discomfort arising from the Butte But use of agricultural chemicals, including,, Candace t Grubbs but not. limited t.o.herbicides, pesticides, and fertilizers; _ and from the pursuit Recorder 1 of , agricultural operations including, lO: Siam 3 -Sep -93 I PUBL• XX • 1 but not'.limited to cultivation,. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has'.established agricul tural zones which have as a priority use for productive 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: /- - A", Id J 49,0 �� :� !�o/LtJ�.�' J�� QQC�O�.t/J/.cJ6 77j "T%74/�T 60777LFv� 19M,,a oif %7lF217),9Gi%d� CtJfJS 4e'eVieDC41_) IA-), /� E' Vii: eeae e4)ie etr 7NE L OV bbl - Q�Y7-0I1: Date: o PROPPE TY 0 . TO CAT. NO. ' - J TICOR'TITIE INSURANCE TO 2931 (12.9°) • (Witness Acknowledgment) STATE OF CALIFORNIA Lore me, the ,.' COUNTY OF f SS. On - - before me, the undersigned, a Notary Public in and for said State, personally appeared T e --A) .4v 11ge.LOIf/ personally known to me to be the person whose name is subscribed to the within instrument, evad `S -of a cfed as being the subscribing Witness th reto, said subsuibing Witness being '- by me duly sworn, deposes and says: That thi tnes resides in �/c rrF a cc .�T v and that said witness was present. and saw- VQ 49-49 % —"O.e d J,at personally known to said witness to be the same person(s) described IN: WITNESS. in and whose name(s) is/afe-subscribed to the within and annexed instrument as a party thereto, and acknowledged to said affiant that he/sh@4; rey executed the same in h.is/he4444-e+r authorized capacity(ies), and that by his/het4heimr-signature(s) on the instrument OFFICIAL SEAL the person(s), or the entity upon behalf of which the person(s) acted, M. -M. PETERSEN executed the Instrument, and that affiant subscribed W6/her name toNOTARY PUBLIC -CALIFORNIA PRINCIPAL OFFICE IN '�+. the within Instrument as a Witness. HUMBOLDT COUNTY WITNESS my hand and official se My commission expires Jan.,20, 1994 , Signature (This area for official no6rial seal) ' �-oC .RAFTER -RECORDING ----RETURN TO ::.: 93—o449901 R - ec Fac a. QC) / '. ... .. . I County of Butte Check Recorded I 8.00 LAND DEVELOPMENT DIVISION Officilal Recsordg.7 County I Orovi 1 le CCAte95965Butte Ve .� Coyof I CN14' 0� . CandaceI ® NCOeV�� J. Grubbs I �r2 t Reacarder 12:06pm a3 -Oct -93 I PUBL XX 2 CERTIFICATE OF MERGER LANDS BEING MERGED: AP NUMBER (S) 3 / --.Z 3 % SUBDIVISION/PARCEL MAP: b✓�t � MSP .... �_ "6 _ . BOOK PAO" BLOCK Sa _LOT (S) /D As of the. e. day of Dc-loe✓ 19 93 lands noted above are merged to create one single + those g g parcel of land as described o 'Exhibit "A" attached hereto. If IL AM FAR EL DATE it ctor of Development Services OWNERS' CONSENT TO MERGER owners of all that real property agree to the merger of such lands Exhibit "A" attached hereto. to be merged, do hereby consent and into one single parcel as described on lit NNO1501 0 2931 (12.90) Itness Acknowledgment) STATE OF CALIFORNIA --- 'COUNTY OF On �z) personally appeared rZ= J TICOR TITLE INSURANCE the undersiggned, a Notary Public in and for said State, L:v u2L� l�Al i A E personally known to me to be the person whose name is.subscribed to the within instrument,<m--pFevedte-be-wckh-6y'the-oath- •ofs-cGed,ible_witness-w.ho-is,pe6onaUy-kaewta-f er�s being the subscri g Witnessthereto, said subscribing Witness being by me duly sworn, deposes and says:. That this witness esides in rd that said witness. was present and saw _-- ersonally known to said witness to be the same person(s) described — --- I and whose name(s), is/are subscribed to the within and annexed nstrument as a party thereto, and acknowledged to said affiant that hefghetthr executed the same in his/her/their authorized OFFICIAL SEAL capacity(ies), and that by his/heF#beirsignature(s) on the instrumentLQ.0M M. M• PETERSEN the person(s), or the entity upon behalf of which the,pers n s) acted, NOTARY PUBLIC•CALIFORNIA ,executed the Instrument,•and that affiant subscribed name toPRINCIPAL OFFICE IN1{UMB01.0T COUNTY the within Instrument as a Witness. coin mission expires Jan. 20. 1994 WITNESS my hand and official seal j, Signature F (This area for official notarial seal) ��L r 4990 EXECUTIVE HOMES. MERGER Thermalito ALL THAT CERTAIN real property situate in the State of California, County of Butte, described as follows: BEING A PORTION of Lots 10 and 11, which are portions of Block 50 according to that certain Map entitled "Map of Thermalito, Butte County, Cala.", which map was recorded in the Office of the Recorder of the County of Butte, State of California, June 8, 1887 on Wall Map at page 6, more particularly described as follows: COMMENCING at the intersection ' of Yuba Avenue and 8th Street; thence East 40.00 feet; thence South 20.00 feet to the Point of Beginning for the -parcel herein described; thence from said Point of Beginning, continuing South 20.00 feet to the Northwest corner of Lot 11 as described above; thence continuing South along the West line of said Lot 11, 150.00 feet to the Southwest corner of said Lot 11; thence continuing South 7.50 feet; thence East 100.00 feet; thence North 7.50 feet to the Southeast corner of Lot 10 as described above; thence continuing North along. the East line of said Lot 10, 150.00 feet to the Northwest corner of said Lot. 10; thence continuing North 20.00 feet; thence West 100.00 feet to the Point of Beginning and the end of this description. Containing .408 acres, more or less . �O Q �`J r ` •v J., U,��` w XSq�y F� v a �. co 6 30-97 �- ,CZ 1 N.! rri CP �� CML F OF A.L�F9 ENV Of UN T'S E p 1 1993