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035-212-015
,, � � `- it ._ . i ,�y'. � t, ; ,, • ' r SIDING W/0 PERMITS SUBSTANDARD DWELLING 3/28/96 j 03-3406 035-212-015 MEYERS, BARBARA AVE,OROVILLE 4645 VIRGINIA Cont: OWNER MISCELLANEOUS Remodel REMODEL PER CODE ENF LETTER 4645 VIRGINIA AVE BILL PENTICO BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4645 VIRGINIA AVE APN: 035-212-015 Owner: BILL PENTICO Permit No: B07-0465 Issued Date: 03/09/2007 By KEJ Permit type: MISCELLANEOUS 4645 VIRGINIA STREET Subtype: Remodel Description: REMODEL PER CODE ENF LETTE OROVILLE, CA 95965 (530) 518-0978 Expiration Date: 03/08/2008 Occupancy: Zoning: Contractor Applicant: Square Footage: BILL PENTICO Building Garage RemdUAddn 4645 VIRGINIA STREET 926 OROVILLE, CA 95965 Other Porch/Patio Total (530) 518-0978 - 926 FEE INFORMATION DBMSC Remodel -Residential $714.87 Total Charged: $714.87 Fees Paid: $714.87 Balance Due: $0.00 Receipt No: B2115 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: 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. X 03/09/2007 Contractor's Signature Date 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply co an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one I 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 year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section need not a completed if the permit is for on�llars ($100) or less. I AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X 03/09/2007 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Owner's Signature Date XZ2 — 03/09/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enterltiaabove mentioned property for inspection purposes. I hereby certify that I am the or authorized to a the r e efs be If. rt"�°" P t s` ( 3/09/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Name of Fermittee [SIGN] Print Date } Owner ❑ Contractor OR; Agent for Owner ❑Agent for Contractor ``'1 FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nam I, Name Vaal Mailing Address Lf V CityOv,U� , & State, Zipc)s Phones.,, _ fl , C 7 Fax E-mail cti. v►eio r -t C.v (�� �. r` , C cel APPLICANT SIGNATURE X` PROJECT LOCATION AP# 0 2 I2 — Cq Property Address Ll i✓� City PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 2= �.l Sq FT- Living C/-Z6gGarage ? Open Cov El Structure Built without Permits 1 El Proposed Change of Occupancy I , (Note previous use): For office use only: CONTRACTOR Name I Flood Zone Address - City No I State Zip Phone Fax E-mail Lic. # Class APPLICANT SIGNATURE X` PROJECT LOCATION AP# 0 2 I2 — Cq Property Address Ll i✓� City PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 2= �.l Sq FT- Living C/-Z6gGarage ? Open Cov El Structure Built without Permits 1 El Proposed Change of Occupancy I , (Note previous use): For office use only: ARCHITECT/ENGINEER Name I Flood Zone Address - City No I State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X` PROJECT LOCATION AP# 0 2 I2 — Cq Property Address Ll i✓� City PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 2= �.l Sq FT- Living C/-Z6gGarage ? Open Cov El Structure Built without Permits 1 El Proposed Change of Occupancy I , (Note previous use): For office use only: APPLICANT INFORMATION Name I Flood Zone Address SRA City No I State Zip Phone Fax E-mail APPLICANT SIGNATURE X` PROJECT LOCATION AP# 0 2 I2 — Cq Property Address Ll i✓� City PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 2= �.l Sq FT- Living C/-Z6gGarage ? Open Cov El Structure Built without Permits 1 El Proposed Change of Occupancy I , (Note previous use): For office use only: Zoning I Flood Zone SRA ves No I Occ Type Const. „,Butte _ County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds www.buttegeneralplan.net REQUIRED SWIMMING POOL SAFETY UPGRADES -(EFFECTIVE JANUARY 1, 2007) TO: All Single Family Residential Remodel and Modification Permit Applicants FROM: Scott Rutherford Manager, Building Division RE: Correction of Pool & Spa Hazards, Assembly Bill 2977 (Mullin) Chapter 478, Statutes of 2006 California Health and Safety Code Section 115928 DATE: February 28, 2007 To eliminate safety hazards on existing pools and spas, Assembly Bill 2977 (Chapter 478, Statutes of 2006), effective January 1, 2007, requires the installation of pool anti -entrapment covers whenever a building permit is issued for the remodel or modification of a single family home. The permit shall require that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so as to be equipped with an anti -entrapment cover meeting current standards of the American Society for Testing and Materials (ASTM) or the American Society of Mechanical Engineers (ASME), ASME/ANSI Standard A 112.19.8. DECLARATION O /6 / The property located at —1 `[ S ❑ a swimming pool ❑ a spa ❑ a wading /toddler pool (Check all that apply) ,'does not have a swimming pool, spa, or wading/toddler pool If there is an existing swimming pool, spa, or wading/toddler pool, I understand that a pool anti -entrapment device is required at the above address in conjunction with my permit. I also understand that if a pool anti -entrapment device is required, the completed Installation Certification below must be received by the building inspector at final inspection. Please note that permits cannot receive final inspection approval without this certification. I ac owledge at I have read and understa the require is of AB 2977 and that the above is true and correct. Signature Print Name Date � tionship to Project (please check one): Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor Company Name Contractor's State License Number INSTALLATION CERTIFICATION For the property located at I hereby certify that an anti -entrapment cover meeting the current standards of the American Society for Testing and Materials, or the American Society of Mechanical Engineers is installed in the, ❑ swimming pool ❑ spa ❑ wading /toddler pool Signature Print Name Date Relationship to Project (please check one): ❑ Owner. ❑ Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor ❑ Other: If "Licensed Contractor” or "Agent for Licensed Contractor" is checked, please complete the following: Company Name, Contractor's State License Number K:Forms/Building Forms/Swimming Pool Affidavit Anti -Entrapment Updated: 3/9/2007 `Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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 $500 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 government 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 to you if you do not cant' out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL4NN_TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT (YES R NO) 2. CFf�Ew NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO_ 4. I PLAN TO PROVIDE PORTIONS OF THE WORK; BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REMODEL PER CODE ENF LETTER Reference Number: B07-0465 Applicant Name: BILL PENTICO Owner's Name: BILL PEN CO _ AP # : 035-212-015 //,' Signature of Property Owner(/Z!' Date: � ' _ V RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow no.: 07-109302-M Locale No.: cAFKM5e-o958.0001-0000109302 This Na: 07.109302 -BD When Recon %d Man Document and Tex dement Toa Mr. BM 'medico 4645 Virginia gent Omvfte; CA 99965 GRANT DEED Recorded I Official yRecords I �Butteof I sum I County Clerk-Recorderl l o2:oIB11234eb-BW I The undersigned grantors) declare() Documentarytransfer tax is s"�U, rr v [ X ] computed on full value of property conveyed, or [ ]compiumd on fun value less value of Berns or encumbrances remaining at ttme of salt" ( ] Unbcorporated Arm City of Orville, FEC FEE It Be tAX 56. to 11Z Page 1 of 2 FOR A VALUABLE CONSIDERATION, reodpt of whkh In hereby adorowladga % Paul Chale a single man hereby GRANT(S) to Blit faffico, an unmarried man the followh* described real property In the City of Orovithk County of Butte, State of California: SEE ElaiIW W ATTACHED HERETO AND MADE A PART HEREOF DATED: February 21, 2007 STATE OF CAUIFORIGA-- ) COUNTY OF ON ZlzvaS . , �C AA ,�Gc I befog me, (here Insert ame andof the officer), personally appeared a_l dr:r personally known to me (or proved to me on the basis of satisfactory evidence) to be the persoAN whose namef} are subscribed to the Within instrumen and bk0Wledged to me tha$Sshe/d" awarted the sante r /their audwNned capacity( ),• and that by /their slgnature(e�wl the instrument the personj*, or the entity upon behalf of which the person(* acted, executed the instrument Witness my hand and official sea] Signature h ---zrz I PaulWaft C. GRANT DEED MATT J. rAAz7Ccmm1ss[on # 1596014 jaiNotary Public - Callfomla Marin CountyyComrr6apYwAug16,2009 Escrow nye.: 07 -109302 -MN Lioeaft Na: 1-0000109302 7M Mo.: 07.109502 -BD EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND S DESCRIBED AS FOLLOWS: Lot 32 and the South 6 feet of Lot 31, as shown on that aertain Map enticed, "Map of Paten Sub WWW, fated in the OFfioe of the County Recorder of Butte County, Ca6fomia, an AprR 4, 1923, in Book 8, of Maps, at Page(s) 50. t ; Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATIVE PERMIT FOR TEMPORARY TRAVEL TRAILER I Name: l U/ Ir0 Mailing Address: `1 J V1, Assessor's Parcel Number for Site: U3� 2-12 (91 Street Address of Site: `) 6 Q S 4 r * /< 1, Iq 1, C', E-mail Address: Permit Receipt Number: (Show covv of Date Sewage Disposal Permit Issued: (Show coov of si Phone #: %V/ -A G5. A J 96 I certify that the above information is correct and that I have read Butte County Code Section 24-300-C (on the reverse side of this application.) Applicant's Signature: lo _ Date: TO BE FILLED IN BY PLANNING DIVISION Date Application Received: -2 � 2 t� Zoning: Verified by: , Permits Reviewed by � '/ ll�PzMRAI —U -A% % ft 6&6W (Q � \l Awa Associated Building Permit # �(��U4 L� Associated Building Permit # Administrative Permit # 00'l Planning Approval by Date Approved: —7 Date revised: July 19, 2006 K:\Planning\FORMS\APPLICATIONS\ADM—Temp Travel Trailer.doc (over) RECORDING REQUESTED BY: BUTTE COUNTY CODE ENFORCEMENT AND WHEN RECORDED MAIL TO: BUTTE COUNTY CODE ENFORCEMENT 7 County Center Drive Oroville, CA 95965 Butte County Code Enforcement NOTICE OF NONCOMPLIANCE (Butte County Code Section 41-6.1(h) PROPERTY AFFECTED: 2100 2—QJ10329Q9`+ Recorded Official Records CountyBUTTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:21PM 25 -Jun -2002 Assessor's Parcel No: 035-212-015 Street Address or Location: 4645 Virginia Avenue, Oroville, California Legal Description: See Exhibit "A" OWNER(S) OF RECORD as of the date of Noncompliance: Robert Walter Meyers Trustee, 309 Reyman, Oroville, CA 95966-9212 DATE OF NONCOMPLIANCE: April 26, 2002 DESCRIPTION OF NONCOMPLIANCE: REC FEE .00 CONFORM .00 Andrew Page i of 3 Failure to obtain the required permits, inspections and approvals for the construction of an addition to a single family dwelling in violation of Butte County Codes as follows: BCC 19 Occupying a Structure without a Functioning Sewage Disposal System BCC 26.1/UBC 102 Unsafe Buildings or Structures BCC 11-4 ' Junk in Public View ACTION NEEDED TO CORRECT OR ABATE THE NONCOMPLIANCE: The above violation(s) shall be corrected or abated by you by removing all trash, rubbish, garbage, junk and junk vehicles from you property, by submitting plans for the proposed means of sewage systems repair and or disposal to the Environmental Health Officer and obtaining a permit form the Environmental Health Department, bring all buildings to minimum standards by repair, rehabilitation or demolition, and applying a permit for all structures and additions built without permits and approvals by submitting three (3) complete sets of plans, applying for the required permits and paying the appropriate fees, including penalties. Upon all work to correct or abate the noncompliance being completed and approved by the affected department, and payment of a fee $300.00, a Notice of Compliance shall be submitted to the Recorder of Butte County for recordation pursuant to Butte County Code Section 41-6.1(k) and 41-9. DATE OF PERSONAL SERVICE OR MAILING OR WARNING NOTICE OF NONCOMPLIANCE: April 26, 2002 Page 2 Notice of Noncompliance AP#035-212-015 DATE OF ISSUANCE OF APPEALS BOARD DECISION: Appeal was not requested. NOTICE: Pursuant to Butte County Code Section 41-10(a), upon recordation of this Notice of Noncompliance non county permits, licenses or other entitlements shall be issued involving this property, unless necessary to correct or abate the noncompliance, unless a Notice of Compliance is recorded, or unless the provisions of Section 41-10(a) are waived by the Director of the affected County department. Signed by: Date ez • a - Oct, Garyo Buttty Code Enforcement Officer ..................................................................................................................... State of California County of Butte On Thursday the 19;th of June, 2002, before me, Anne Belser , Notary Public, personally appeared Gary Brown, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. ANNE BELSER Commission # 1241742 Z Notary Public - Colifomia Signature Butte County L%IMyComm.E;q*mNavI3,20MF i&COfiDING REQUESTED BY: ROBERT WALTER MEYERS 309 REYMAN ST.. OROVILLE, CA 95966 WHEN RECORDED. MAIL TO: SAME ADDRESS OROVILLE, CA 95966 MAIL TAX STATEMENTS TO: SAME AS ABOVE "- GRANT DEED Ili! IIIlfI IlIIII IIIIIIlII Il I I illll 2CaCa IL —coca 1 64-73 Recorded Official Records Cou�TyE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:32PM 24 -Apr -2001 REC FEE 7.00 I 1 I Cindy I Page 1 of 1 NOTICE: THIS CONVEYANCE IS TO A TRUST NOT PURSUANT TO A SALE AND IS EXEMPT FROM TAX AND THE UNDERSIGNED ARE THE DECLARANTS AND TRUSTEES ON THE EFFECTIVE DATE OF THIS INSTRUMENT. (L4 "r Co ! l ( q so APN: 035-212-015-000 GRANT DEED ROBERT WALTER MEYERS THE UNDERSIGNED GRANTOR, FOR VALUABLE CONSIDERATION, RECEIPT OF WHICH IS HERBY ACKNOWLEDGED, DO HERBY GRANT THE ROBERT WALTER MEYERS SEPARATE PROPERTY TRUST, ROBERT WALTER MEYERS, TRUSTEE, THE TRUST DATED JANUARY 20,1999. THE FOLLOWING DESCRIBED REAL PROPERTY M BUTTE COUNTY, STATE OF CALIFORNIA: LOT 32 AND THE SOUTH 6 FEET OF LOT 31, AS SHOWN ON THAT CERTAIN MAP ENTITLED "MAP OF PAXTON SUBDIVISION IN THE SOUTHWEST QUARTER OF SECTION 20, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS FILLED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, APRIL 4, 1923, IN BOOK 8 OF MAPS, AT PAGE 50. 3 2 0! Dated State of California ) SS. County of BUTTE ) ROBERT WALTER On this ?6 day of 14A&&, 2001, before me, PIkt6LA5lS (05� the undersigned, a Notary Public, personally appeared ROBERT WALTER MEYERS, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name(s) is \ are subscribed to the within instrument and acknowledged to me that he \she \ they executed the same in his \her \their authorized capacity (ies) and that by his \ her \their signature (s) on the instrument the person(s) acted, executed the instrument. WITNESS my hand and official seal. NOTARY PUBLIC, State o California NICHOLAS C. PAISSIOS !!"n' Comm. i 1251116 rrAA Vf NOTARYPU9UC•CAUFOARA VI swarmlo ca" It Comm. Expires FIL 19, 2004 "{ - Butte County Department ofDevelopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile April 3, 2003 Robert Walter Meyers 309 Reyman Oroville, CA 95966-9212 RE: Butte County Code Violation Address 4645 Virginia Avenue, Oroville, CA AP#035-212-015 Dear Robert Walter Meyers: The Butte County Department of Development Services, Code Enforcement section has determined by inspection and research that there are currently code violations present on your property at the above -referenced location. Specifically, the violations include: The keeping of inoperable vehicles in public view. This is an advisory notice that these uses are in violation of the Butte County Code, as follows: Butte County Code, Chapter 24, Section 24-125 - The R -N (Residential -Nonconforming) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the R -N zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. The determination that these violations exist on the property is based on the following definitions in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the violation(s), enforcement may be pursued through the issuance .of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be fined and a Notice of Violation may be recorded which will include a description of the action necessary to abate the violation. L Robert Walter Meyers AP#035-212-015 April 3, 2003 Page 2 In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction action: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2. Remove all inoperable/junk-vehicles from the property. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. I Sincerely, Scot Johnson Code Enforcement Officer RECORDING REQUESTED IBY• 1 ` / 6 uu III all Iloll I a ism ............. ROBERT WALTER MEYERS 309 REYMAN ST.. OROVILLE, CA 95966 WHEN RECORDED, MAIL TO: SAME ADDRESS OROVILLE, CA 95966 MAIL TAX STATEMENTS TO: SAME AS ABOVE GRANT DEED 2(aCd 1 —101ca 166 14 -7 a Recorded Official Records Cou�TyE f CANDACE J. 6RUBBS Recorder ROSEMARY DICKSON Assistant 01:32PM 24 -Apr -2001 REC FEE 7.00 Cindy Page 1 of I NOTICE: THIS CONVEYANCE IS TO A TRUST NOT PURSUANT TO A SALE AND IS EXEMPT FROM TAX AND THE UNDERSIGNED ARE THE DECLARANTS AND TRUSTEES ON THE EFFECTIVE DATE OF THIS INSTRUMENT. (14 T e u p 6! l ( 4 30 APN: 035-212-015-000 GRANT DEED ROBERT WALTER MEYERS THE UNDERSIGNED GRANTOR, FOR VALUABLE CONSIDERATION, RECEIPT OF WHICH IS HERBY ACKNOWLEDGED, DO HERBY GRANT THE ROBERT WALTER MEYERS SEPARATE PROPERTY TRUST, ROBERT WALTER MEYERS, TRUSTEE, THE TRUST DATED JANUARY 20,1999. THE FOLLOWING DESCRIBED REAL PROPERTY IN BUTTE COUNTY, STATE OF CALIFORNIA: LOT 32 AND THE SOUTH 6 FEET OF LOT 31, AS SHOWN ON THAT CERTAIN MAP ENTITLED "MAP OF PAXTON SUBDIVISION IN THE SOUTHWEST QUARTER OF SECTION 20, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS FILLED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, APRIL 4, 1923, IN BOOK 8 OF MAPS, AT PAGE 50. 2 01 Dated State of California ) SS. County of BUTTE ) ROBERT WALTER 41YERS On this 24 day of s 2001, before me,Ado At%to the undersigned, a Notary Public, personally appeared ROBERT WALTER MEYERS, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name(s) is \ are subscribed to the within instrument and acknowledged to me that he \she \ they executed the same in his \ter \their authorized capacity (ies) and that by his \ her \their signature (s) on the instrument the person(s) acted, executed the instrument. WITNESS my hand and official seal.. NOTARY PUBLIC, State o California LONICHOLAS C. ralsslos Comm. 112511 t6 rn NOTARY PUSUC•CAUFORNIA N Seatmeeto CW4 ••� t# Coale. OIS Feb.19, 2004 IL PERMIT NO.: 70-03 Lake Oroville Area Niblic Utility DistricC 1960 Elgin StreOl 'OROVILLE, CALIFORNIA 95966 .533-2000 DISTRICT APPROVAL AND VERIFICATION OHNSPECTION BUILDING SEWERS This verification. form must be submitted to the Butte County Department of Public Works,Building Department prior to issuance of a building or occupancy permit, whichever is applicable... Prior to -final approval by Butte County of a Building or an Occupancy Permit, a.copy of this verification.*" form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: August 20, 2003 Applicant: J:LM Myers (Applicant) Barbara Meyers yman 668 Yuba Street 309 Re Street Applicant Address: ------ . : Oroville, CA.- 95966 .oroville, CA 95966 Applicant -Phone No.: 534-1536 .,.,533-2749 Property Lo'catioris(s): 4645?Vi.Minia A174 - Paxton Sub. a portion of Lo#31 and all Mf Lot #19 y AftL A. P. No. (s) .935-212-015' Fees due: None, Relbair'of house lateral ai Application for service approved: LAYKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made Ad successful test(s) observed: L T q Location.q5 Date: B . y: Lake Oroville Area Public Utility districtraelee to close permit: Date: 10-17-0-3 By: 64);Cs�,� - Complainant: Address: Phone Number: Other Comments: BUTTE COUNTY DEVELOPMENT SERVICES donikin v intkiLmai (4:6 b 461h T. a C. Inspector must draw a plot plan with all building locations: Additional Comments from Inspector. L. e-- v 6 Ca U 10,/-- 4OL6 74 <j Alf-tJ ;!5n txt bf a 7L2 2 i.:. BUTTE COUNTY DEVELOPMENT SERVICES Complainant: �ry� � - .. � •{ . ; _ ..... _ _ _ _ _ .. _... , _ ____ _. Address: Phone Number. Other Comments: p e •a .'11..i `. +..at - - ;.. �` - '-� a .. ,+ _. ? a a.� t � a. � • �v.. r � ` r.... - • .^� 4' .il:. �3=' `tiv - ' the 'e °:a `ve�:u::•rmat�ion�ts�-��t alri5� o •�ul�ic D O IE Q Inspector must draw a plot plan with all building locations:.. ' ` 1 J;: ^.J+:'. �.l``1��:�.��\; "� ;s+w, l �'�yit. ... M" ''r. � :.�« �.• 1 :r{r lin •. I F i [ 1 AdditioCn�all,la Comments from Inspector. A ) �nh itis. a ('nuP./ �OrGli-fir_ f1 ,1 C- 7-e-0- ?� . _. .. «®- • : 2 COUNTY OF BUTTE . . ^. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES . 1489 Humboldt Road, Chico CA- a]$ 8912751 7County Ce%@ Drive, Orville, CA - a]$ 538-7541 747 Elliott Road, Pm$2.CA-a]$ 872-6307 w .� .� CORRECTION NOTICE . ' �oNVP– i\ /;,. laves OWNER PERMIT NO. � As k_. @6e indicates that the following violations of Butte County Ordinances existo } the above address edshould be corrected. Please notify this office when correction of work is completed.H9uhaveagq_wm.@mwm to this matter, or _ed additional explanation, pl _ «mom this office immediately. -71 p|eA§--- nr r/, )0 Date �'�� —7\ Inspector k if e REV 10/92 \ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043046 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/18/2004 APN: 035-212-015-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 4645 VIRGINIA AVE ORO - Date: Contractor. Map Index: Description: REPAIRS PER CODE ENF OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PAUL CHAITROP TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 24 JOSEPH CT signed statement that he or she is licensed pursuant to the provisions of SAN RAFAEL CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 94903 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PAUL CHAITROP TRUST Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor' not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of a Business e P fes ns Code -40 2J4 License #: WORKERS'COMENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 Census Code: ❑�rjtify in the performance of the work for which this permit is,shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 37 0 of the Labor Code, I shall forthwith comply with those provision . Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor , n 6) code, interest, and attorney's fees. /i(j" O"/.' /09 CONSTRUCTION LENDING AGENCY This permit is here},Yissued under the applicable provisions of the Butte County Cody anrVor I hereby affirm that there is a construction lending agency for the Resolutio I, ork in ted above for which fees have been paid. G performance of the work for which this permit is issued (Sec 3097 Civ.) t () - I O /� Name: By: ate: lJ Address: PERMIT EXPIRE,0 Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the ow I agree to comply with all county and state laws relating to building construction. I ack ledge it is unlawful to alter the substance of an ficial form or docum o B e C unty. I hereby authorize representatives of Butte County to e rupon ab a mentioned property for inspection purposes. Print Name: ..Q Signature: Date: 0 Owner ❑ Contractor A ent for Owner ❑ Agent for Contractor �4 7 4 10/04 As owner of the property, I give Thomas. Coleman permission to pull permits on my behalf. Thank You, . Paul Chait " 530-532-8859 `G�q4 JiAS,,��A 5T 1 COUNTY OF BUTTE - DEPARTMENT Oar DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville; COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7542, (O. �J1-2 - • • A . - - - _ _ - - -- BUILDINGPE MIT BUILDING VALUATION / MRYK, MR -VA - r1 CONSTRUCnoN LENDER LENDERS mAIUNG ADDRESS CT OR ENGINEER ARCHIIE$ CONST. TYPE Main Service mm TO IOWA PermitFee NEW CONST. DWELLING OCCUP. OR ADONS, &A=. BLDS. ARCHITECT OR ENGINEER'S WJUNG ADDRESS NEW CONS . NIULTFOUTLEr NDN-R61D. 4 +C CI Plan Checking Fee $ PARCEL Ex. Occup. OUTLET OR RMRES Energy Plan Checking Fee $ w–WING ADDRESS Temporary Service Mobile Home Facilities Wise. Wiring PERMIT FEE $ LOT NO. susonnslDNSNAIAE rARDEL PLUMBING PERMIT ,MECHANICAL PERMIT Heating,. At ( Each Trap Cooling Hood Ventilation USEOFSTRUCTURE Solar or heat pump water heater SF E3 Duplex E3Mobilehome [3 Other SPMFY Water i ing Each gas water heater or vent $ C.. m. Incn—C.— Fcc TYPE OF WORK Gas piping system 1 - 5 outlets Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer New ❑. �1���� eiv�e� nR��.. Mobile Home S G W Describe Work: ���.y P � > r!/lry►�rY�J� �l<[1llGY Mew) M;A&°� PERAII FEE S I^Yl�n i ELECTRICAL PERMIT .PERMIT, FEE PAID SRA SHERIFF OTHER Main Service Wood oa IFSS CONST. TYPE Main Service mm TO IOWA NEW CONST. DWELLING OCCUP. OR ADONS, &A=. BLDS. HAZ D. FEES NEW CONS . NIULTFOUTLEr NDN-R61D. 4 +C CI FLOOD POWFA APPARATUS a SINGLE DLRLEr Ct0. PARCEL Ex. Occup. OUTLET OR RMRES PDLED APPL S. OR Ex. Occup. . OUTLETS RFSID. Ex Temporary Service Mobile Home Facilities Wise. Wiring PERMIT FEE $ ,MECHANICAL PERMIT Heating,. At ( Cooling Hood Ventilation PERMIT FEt S Mobile Home Installation Fee $ C.. m. Incn—C.— Fcc $ 20.00 OA icing Fee 20.00 7.00 23.00 15.00 fig 15.00 15.00 15.00 @20.00 g Fee 20.00 23.00 46.00 20.00 23.00 Fee 20.00 Cee+ 6.50 OCC••' . CONST. TYPE TOTAL FEE $ t U , G o HAZ D. FEES IMP FLOOD COF PARCEL PD ISSUE AMOUNT RECEIVED $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work I �' D�indicated above for which fees have been paid. e%nTG PGrGiv�n ]PERMIT By Date eurrPlnT -d� EXPIRES ON 3 �d compharve(e Fe� •is G� O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed �property improvement :YES C� NO ❑ -IHAVE _HAVE NOT❑ signed an application for a building permit for the proposed work.. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: -- �w��iiu�,%:i—�e. J 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 t O.B.- I 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 ofrecord 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. 0 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. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 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, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER q Mw COUNTY OF BUTTE 18 COUNTY CENTER DRIVE, SUITE B OROVILLE, CALIFORNIA 95965 CERTIFICATE OF DEATH STATEOFCAUFOFMU, 3 20 M0400-1-000 USE BUICK M ONLY I M) VUSURES. WRISOUTS OR ALIERATIONS 82103 This is to certify that the attached is a true and correct copy of the vital record which is on file in this office of which I am legal custodian. MARK A. LUNDBERG, M.D., M.P.H. DATE ISSUED & HEALTH OFFICER This copy is not valid unless prepared on engraved border, display , ing the date, seal and signature of the County Health Officer. 1. NAME OF DECIEDENT — FIRST (Gh" ZMIDD I.E. I I LAST (F. -4y) Robert Walter I Meyers AKA. ALSO KNOWN AS— kxkM kill AKA (RRST, NOME V -ST) -W., &AGEy. I F ONE YEAR IF UMNII2N S. SEX MI_ 01/05/1920 t! I M Mi 2. BIRTH STATET*A8GN COUNTRY ] li)_SOC!AG SECURITY NUMBER - II. EVER INU .3. ARMED FORCES? MA7TAI.STATUS WTiwd D"" 7. DATE OF DEATH wifd�" lz I CA 7201057-57991 _]Y`S El- n_ii F P_ 1838 Widowed 05/28/2003 Fnd S. WAS DECEDENT SPMISK+VSPMICAATWM fif M. w i. bk) 'B'DECEDENT'S RACE— Lip W 3ncr my " MW (W wialwK W bVA college ❑YB, -t I Caucasian G 17: USUAL OCLIIPAnM—TYpdm*brnmdWcDONOT USE RETIRED SSORINDUSTRY(w=7wmyMlOm.g,,,,,,"M -4 9,y EARS IN OCCUPATION Machinist Steel Industry 35 M DECEDENTS RE?IDENCE (Sllilli """"'b" 4. 309 Reymah St.' 21. CITY ,,nNTWP ZIP CODE COUNTRY MSTATMRMN,, Oroville Butte 12&YEAMINOr 9 5966 In I 43 - - C A %+ 26114FOR1ANTSNAME MATIONSHIP, ADDRESS bavid;Meyers, Sorf.,_ 3 Buckskin Ct., 'Oroville,.,CA 959 66_ I. 2& NAME OF SURVIVING SPOUSE FIRST MIDOIE M. LAI PIMI'NII I!", g 0 31 M MIDDLE, w St LA'T STATE STATE William, Elmer Meyers C7 M.NAMEOPMOT1�1ER—RBST t M. MIDDLE W. LAST WWdI,0 Sit I'M STATE Norma. Boehme _ . - •�. WI X DISPOSITION DATE . I4- .- —_ 06/06/2003 RES. David',Meyers, Son, 3 Buckskin Ct.-, Oroville, CA, 9596", LO 4t. TYPE OF III "B's) 'U �SIOHA REOF ER LICENSE NUMBER CR/RES lI. Not embalmed 7 US 29 NAME OF FUMERAIL ESTABUSHMENr S cheer Memorial Chapel UCENSE NUMB 11 FD 9 I '�' 9 75►2, OF REG" a DATE: .11111111,m -:6 z ;�c ft, 0'6/03/2000 0 a: IM.PL-DEOFOEATH Own residence,� IM IF "OSPITAL.SPECIFV ONE -P IM IFITHEII THAN HOSPITAL SPECIFY ONE H...&TC H— :5 IN. COUNTY.. tm !AMrl AMRES? OR LOCATION "ME R. M I. CITY I309 Butte Reyman' it.' Oroville MC,IUA —#,M*-JYWd"*LDONOTr N "wlwoh TWk.WBllII_ - diIlCmkpPTr 47�77"*_`wftw WlWW. DO NOTABSREIAATE. MMI.WoMill IMMEDIATE CAUSE IA). MMATHW%MTO;_X_MO- EIYES NO 4, A (AT) tin 6 _�d io'�he'ad �ZPerfoi�zOiig :d it- hot_,;;rJu' secs _[I 1 D03-0662 Marta ` r IM. SIOPSY PERFORMED? 0- El NO III), AUTOPSY PERFORMED? UNDMVM CAUSE YES Fx1 0- 111. USED INDETERMIRNOCAUSE? [E]YE.. El - 1,d.." LAST JDT) 111 1111 SIGNIFICANT CONDITIONS —NO TO DEATH BUT NOT RESULTING IN THE UNDERLYING CAUSE TVEN IN 10 Atherosclerotic heart disease; Chronic obstructive pulmonary disease; -.,Hypertension % IILWASOPEUTMPEW-OFUMFORAWCOMMMWMWIQIORIIV,011�.19"dop��d�) Qt;.r . IlUFFBU#A1EPFESWff LASTYEAR? NO .1 TD— UNK El -0 lit ICBU"ftTMnEBMOFWDVKE)3EMTM=ffED ATrCHVAOMAMDMAMSTATMFIW.M"I.TAM ,II&SIGNATUFIEARDTnIEOFcEFmF]ER NUMBER 17 DA —IM " it D"W_ AIIII Bk_ D—d;. U.�SiIn AN ;I&LicENsE t kV TIL lcemmTwmy*PJIMMATHOCWFMATMMADAMAWRAMSTATORMT/EC&lO TATO, MAMNEFIOFDEATH NI&Iill "Wnkift P -*V 6. i,ll 1:1 K, 11-11 El- 0W."Mill. Eld.W.*.d 10,11INI11REVATWOR(7 0— D.- FATE 12ZFM03UR a4 HIl—) 1 120d 3 18 8 !S In PLACE OF TUUHY (&g.. ham =nWuWm Wit ,lM MIIS W) residence ti M IU DESCRIBE HOW INJURY OCCURRED (E- j, W#,,,,, Subject shot hiimsielf'in the head -with aL.38 revolver. 309 Reyman St., Oroville, CA 95966 CORONER/DEPUTY 12L 127. DATE W.�y 12L TYPE NAME TIRE OF CORONER/ DEPUTY CORONER ►Ct: 06/03/2003 Lorna Bone Deguty Coroner Ll STATE REGISTIRM I A E, C D . FAX AUTH. # 1487 CENSUS TRACT This is to certify that the attached is a true and correct copy of the vital record which is on file in this office of which I am legal custodian. MARK A. LUNDBERG, M.D., M.P.H. DATE ISSUED & HEALTH OFFICER This copy is not valid unless prepared on engraved border, display , ing the date, seal and signature of the County Health Officer. 19S-15068 r 9 6 .0 1 506 81 Rec Fee 12.00 When recorded, I Check 12-.00 Please mail this instrument to: Recorded I ROBERT W. MEYERS Official Records I 309 RAYMAN County of I OROVILLE, CA 95966 Butte I Candace J. Grubbs I Recorder 10:21am 23 -Apr -96 I. PUBL XX 3 Space above for Recorder's use APN 071-290-033 AFFIDAVIT - DEATH OF JOINT TENANT STATE OF CALIFORNIA COUNTY of Butte ss. ROBERT W. MEYERS ' of legal age, being first duly sworn, deposes and says: That IRENE MEYERS the decedent mentioned in the attached certified copy of Certificate of Death is the same person as . IRENE MEYERS named as one of the parties in that certain JOINT TENANCY GRANT DEED dated executed by FRED WOHLSCHLAGEL and JUDY WOHLSCHLAGEL to ROBERT W. MEYES and IRENE MEYERS, his wife recorded on July 26, 1973 in instrument number 5454, Book 1858, Page 393 of Official Records of Butte County, California, covering the following described property situated in the County of Butte , State of California: DESCRIPTION: "See attached description" Date 22 April 1996 SUBSCRIBED AND SWORN TO before me, the undersigned a Notary Public in and for said State, this 12V 91&V of _Z/ WITNESS my band d official seal. -0/ Robert W. Meyers (Seal) the real property in the County of Butte unincorporated 06-!5068 State of California, described as: C011.ENCING at the Southwest corner of. the Northeast quarter of. the Northeast quarter of Section 36, Township 20 North, Range 5 East, ;'i.D.B. &. Ivf. ; thence North Oc, 55' 30" West along the Westerly boundary line of the Northeast quarter of -Cbe northeast quarter of said Section 3C�, 32��.16 feet; thence Io -r. th 89° lq' 08" -6. .t, 919.96 feet to the true point of beginning for the Parcel of land herein described; thence North 890 14' 08" East, 210.00 feet; thence North 0° 36' 44" West, 521.40 feet to a point on the Souther;.y boundary line of a parcel of land as described in Deed to SqR Gee, et 1#X, recorded August 4, 1960 in Book 1069 of Butte County Official records, At page 466; thence South 89' 14' 26" West along the Southerly boundary line of. said Gee parcel, X10.00 feet to 0 -point that bears north 0° 36' 44" West. from the true point of. 'beginning; thence South 00 36' 44" East, 521.42 feet to the true point of. beginning. TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width, lying V feet on each side of the following described centerline: CON21EvTCIi: 7 at the Southwest corner of the Northeast quarter of the Northeast quarter. of Section 36 Township 20 North, ::anae 5 East, M.D.B. & Ili; thence North 00 55' 30" ;•lest along the i ester.ly boundary line of the Nor. thea st quarter of. the NNorthea. st c;uarter of. Section 36, 329.16 feet; thence N�ortll 890 14' ®II" East, 674.32 feet; thence North 10 10' 00" West, 118.73 feet; thence North 250 SCE' 00" East 231.54 feet to the true point of he` i nning for the centerline herein descriL-ee.; thence from said true point of be,ginnin�, 1'or.th 820 15' 30" East, 93.42; thence South 750 07' 30" East=, 1_94.92 feet; thence North 550 21' 10" East, 99.07 feet and the end of said line. LCEPTII G THI=' Z -'OI.1 ariv portion which lies within the above de-Sc-Yibe-d ?are -et of lj dnci. ALSO T0(1,27M?l; •LITH a right of we y for r.o,--kd purposes over a strip of land 60 feet: in width, the centerline or which is described as follows: BEGINNING at a point in the Southeast qua --ter of said Section 36-, Fotanshi p 2.0 Forth, Rbnr;e 5 Ea,t, M.D.O. & t4., which is mnrked by a 3/4 inch iron pipe, the coordinates of said point bo_inn: North, •684,539.58 and E.ast 2,182,443.06 and running alon" the following, l�cari.nrys and. d.istinces: North 310 6' Past) 351.35 feet; thence North 100 36' gest, 693.00 feet; thence North 3611 2.3' G -Jest 131.43 feat; thence KrOrtli 2° 52" ?'est 128:30 feet; thence Nor! h 210 08' West, 1€32.63 feet; thence North 520 40' T1est 120.27 feet; thence North 6° 2.5' East, 172.46 feet; thence North 400 6' East 265.87 feet; thence North 91 33' West, 241.90 feet; thence North 210 56' West 166;10 feet; thence North 19° 0E' Test, 1?5.00 feet; thence North 60 45' West 191.61 feet; thence North 540 42' West, 340.23 feet; thence North 60 51' West 127.48 feet; thence North 210 52' West 239.2.4 feet; thence North 380 20' East, 277.87 feet; thence North 1° 10' West 144.74 feet: thence North 250 50' East, 231.54 feet and thence North 70 47' West 322.01 feet to a 3/4 inch iron pipe which bears South 59 45' West 694.61 feet from the ?Northeast corner of said Section 36. P C7 F-► 0E' CP CI. rrT Cti C%, t Q- I O"" 0 01101 CERTIFICATE OF DEATH Q 3 .9 5 0 USE BLACK WK ONL87ATe1 OF EAU/ORMA J WHO HRA SURES. WHITEOUTS OR ALTERATIONS STATE FILE NUMBER vs -11 In- 7/93) LOCAL REGISTRATION NUMBER, ' 1. NAME OF DECEDENT -FIRST (GIVEN) 2. MIDDLE 3. LAST (FAMILY) Irene Fannie Meyers 4. DATE OF BIRTH M M / Do/cc" O /CCYY S. AGE YRS. 1 IP UNDER 1 YEAR IF UNDER 24 HOURS B. EEX 7. DATE OP DEATH 7 M M/ D D / C C Y Y S. HOUR 06/21/1923 72 i MONTHS i DAYS HOURS iMINUTES F 06/22/194 8. STATE OF BIRTH 10, 80CIAL SECURITY NO. BER VICE 12 MASSAE STATUS 13. EDUCATION -VENTS C0MPl8'TED DECEDENT [7;�-_.-Any PERSONAL CO 557-22-3585 19 _ TO 19_ R❑ NONE Married 10 DATA 14, RACE 18, HISPAMC-SPECIPY 18. USUAL EMPLOYER Caucasian ❑ X❑ YES NO Pacific Coast Producers 17. OCCUPATION 18. KURD OP BUSINESS 19. YEARS IN OCCUPATION Belt Worker .Food Processing30 2O. RESIDENCE-STREST AND NUMBER OR LOCATION USUAL 309 Re an RESIDENCE 21. CITY 22. COUNTY 29. ZIP CODE 24. YRS W COUNTY STATE OR POIIEION COUNR1y Oroville Butte 95966 60 1.25. California 28, NAME, RELATIONSHIP 27, MAILING AOORE88 ISTREST AND NUMSSR OR RURAL ROUTE NUMBER, CITY OR TOWN, SrA1 ZIP) INFORMANT Robert W. Meyers Husband 309 Re an 0roville Ca. 95966 28. NAME OF SURVIVING SPOUSE -FIRST 29. MIDDLE 30. LAST (MAIDEN NAME) ' Robert SPOUSE Walter Meyer's AND 31. NAME OF FATHER -FIRST 32. MIDDLE 33. LAST 34. BUTT STAT[ PARENT INFORMATION Arthur Hayhurst AR 35. NAME OF MOTHER -FIRST 38. MIODIE 37. LAST WAIDEM 38. BIRTH STAT[ Fannie Ethel Bonham MO 39, DATE M M/ D D/ C C Y Y 40, PLACE OF FINAL DISPOSITION wePoemoNlel 06/30/1995 Memorial Park CemeteryOroville Ca. 41. TYPE OF DISPOSRIONIS) 42 SIGNATURE OF EMBALMER 43. LICENSE NO. FUNERAL DIRECTOR AND CR/BU � Not Embalmed LOCAL "' NAME OF FUNERAL DIRECTOR 43, LICENSE NO, 48. BIGNA OP LOCAL REGIS T R 47. DATE MM/DO/CCYT '06/26/1995 REGISTRAR tcheer Memorial Chapel FD 975 ► y 101. PLACE OF DEATH 102 U HOSPITAL. SPECIFY ONE: THAN HOSPITAL• 100. COUNT' PLACE AE ERRW. ❑ ❑ ❑ ❑ ❑ ❑ OF Residence IP ER/OP DOA NOR, REB. OTHER DEATH 105. STREET ADDRESS -STREET AND NUMBER OR LOCATION 108, CRT 30 Re man 107. DEATH WAS CAUSED BY. (ENTER ONLY ONE CAUSE PER LINE FOR A. 8. C. AND D) TIME INMRVAL 108. DS,k A[PORTEDTO CORONOR BETWEEN ONSET AM DEATH © YES ❑ NO R[PSRRAL HUMOUR CAUSE (A) COPD months C95-192 109. BIOPSY INIAPOKM[O ' DUE To 1E) Breast Cancer months ❑ r[. ® ND 110. AUTOPSY ►HSPORM[D CAUSE OF DUE TO (C) DEATH YO NO 111. USED W D[TUWMIMO CAU[[ DUE TO (D) ❑ YES ND 1 12 OTHER SIGNIFICANT CONDITIONS CONTRIBVTNO TO DEATH BUT NOT RELATED TO CAUSE GIVEN IN 107 G.I. Bleed 113. WAS OPERATION PERFORMED FOR ANY CONDITION IN REM 107 OR 1127 IF YES, LIST TYPE OF OPERATION AND OATS. 1 14. 1 CERTIFY THAT TO THE BEST OF MY KNOWLEOGS 1 / 6. 81GNATWE ANO TITLE OF CERTIFIER 1 18. LICENSE NO. 117. DATE M M / D D / C C V r PHYSI. DEATH OCCURRED AT THE HOUR, GATE AND PLACE STATED FROM THE CAUSES STATED. , CIAN'S DECEDENT ATTENDED SINCE 1 DECEDENT LAST BEEN AUVH CERTIFICA• M M/ O D /CCYY I MM/00 / C C Y Y 1 18. TYPE AITENpNO PHYSICIAN'S NAME. MAW" O ADDRESS ZIP TION ___ _.__..._ 1 CERTIFY THAT W MY OPINION DEATH OCCURRED 120, AT THE HOUR, DATE AND PLACE STATED FROM IN RY AT WORK 121, INJURY DATE M M / D O /CCYY 122. NOW 123. FLACE 01 11LYRr THE CAUSES STATED. 119. MANNER OF DEATH YES NO DESCRIBE HOW IWURY OCCURRED (EVENTS WHICH RESULTED IN WJURY) 124. NATURAL ❑ HUCE)8 ❑ NOWCIDB CORONER'S E ❑ USE ACCIDENT❑ WV 3TIOATION❑ DC fiRM1IN8D ONLY 128, LOCATION (STREET AND NUMBER OR LOCATION AND CRY AND LP CODE) 128.8 URE OP C N8 OR EP CORONG 127. DATE MM/OO/CCYY 128, TYPED NAME. TITLE OF CORONER OR O[PVIY COROHN, 106 23/1995 Robert A. Leask Deputy Coroner STATE A B D E F G H FAX RUTH. A CENSUS TRACT REGISTRAR385 FI�ATI,ON;�S'1',1TF�3CNT. � • I This is to certify that the attachpd,.is ;-Altrue .end• cnr-Y'ect copy of the vital record which is on file in this office and.='of':w�h'ich Aini 1<tig hega2s custodian. Z• �GGISTRAR'OF S.A-TISTICS S1Ci'U me OF 515TING OFFICIAL 0M=1 ''TTl1E Butte County Department of Public Health '06 / 2 6./ 1995 18 D County Center Drive, Oroville, CA 95965 PLACE OF (I3( EIGNMV DM OF CUMCAI'I( I ENDOFDO slLJMEN I COUNTY OF BUTTE h, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 5.38-7541 CORRECTION NOTICE . P OWNER 0egmITA0. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact. this office immediately. / Date REV 10/92 i _ , �As TG a Date REV 10/92 i _ , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION x,. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /'�� "PERMIT NO (Rev. 12/96) ! APPLICATION AND PERMIT [J W00 ASSESSOR PARCEL NUMBER ()`;C,-91 ?—f115 ZONING BUILDING PERMIT OWNER WWRqR i RADA TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNO ADDRESS - ` • _ 109 REYMA -RT 0P__M1TT_T_,E rA_ QSaCI; 1I Iiia CONTRACTOR'S NAME _ TELEPHONE CONTRACTORS MAILING ADDRESS ' CONSTRUCTION LENDER ' LENDER'S MAILING ADDRESS ` Fireplace Total Valuation $11-700 ARCHITECT OR ENGINEER 5CE 'E NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS I Plan Checking Fee $ BUILDING ADDRESS 4645 VIRGINIA AVE.. OROVILLLF, Energy Plan Checking Fee $ $ PERMIT FEE S 59A) LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE i 77 4SF ❑ . Duplex ❑ Mobilehome ❑ Other x.: ;. w•'`ry SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OFtiWORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW ELECTRIC SERVICE. WALL MRNAE C/0 WINDOWS SIDING. MISC. PLUMBING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 t [� Mobile Home S I G W 920.00 y \11 Mfr TA Mips. !� �_�j( 'r 1 `id � w — �myPERMIT FEE �T" lq- .(i � 1'"A ELECTRICAL PERMIT Filing Fee 20.00 I Main Service : Zoon oa LEss 23.00 jF LICENSED CONTRACTOR'S DECLARATION } I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. ' OWNER -BUILDER DECLARATION I 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 workfand 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 o-' ! WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain 'a certificate of consent to self-insurelfor 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 Main Servicer 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. S. SO 3.5¢FT. NEW CONST. MULTI.OUTLET NON•RESID. CU @7.50 OWER APPARATUs a SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BA� Q'; o of E% A= Oar Ex. Occup. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 7� .,� PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating 1aa3l f>E>trn rc� 1 S Cooling Hood 6.50 Ventilation PERMIT FEE $ 'AS M Policy Number, i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑• 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� 17«� X 0 f'/-) Date �/ .� GJ _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavation'. 5'0"dee and demolition or construction of structures_ove�3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 05 HAZ. D. FEES IMP �--^- FLOOD "" '~ COF PARCEL ....—��-...r PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte 6- unty Code and/or Resolutions to do work indioaied BID a for hich ees have been paid. / By Date / PERMIT EXPIRES ON Dete r ReceiptNo. ,.%�� � I/ -C ,% i � � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 03-3406 035-212-015 RB MEYERS, BARBARA 4 V I AVE, OROVILLE 645 VIRGINIA Cont:OWNER rE R. : OWNER' 0 L FREMODEL', 11/��/03 w/r OFFICE COPY ti Addrdss ELECTRIC Meter ByDate #92�1(