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HomeMy WebLinkAbout039-270-136I3�T L 039-270-136 PERMIT#96-2580 MENDO A, Louie IR .� 3970 Or Ferry , Rd.Dayton Cont: Sky c st Bldg Systems y Demo SF Fina` 12�IQ15�o 039-270-136 PERMIT#96-2581. MENDOZA, uie 3970 Or erry Rd., Dayton Cont kvcrest•Bldg Systems MH on Perm Fnd �,. -.. .. .. .vc°.;a::Hp�.:-a1j��7rg�7x_ ., ,...-- a.. .-r ..�!.r^ un• . ,.i r�-e�c5s -f:. �iy..+.i!{: 039-270.-136 1: PERMIT#96=258O!, - MENDOZAIouie'� 3970,:Ord ' Ferry ':Rd . -,, 2-Dayton . `Cont:. Skycrest Bldg Syste`s. `- Demo SF. '7 Lj{ v 1���Ecr COUNTY OF BUTTE- DEPARTMENT OF DEVELOPIMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT �_=02-n ASSESSOR PARCEL NUMBER ZONING BUILD/LKGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME s rcQG TELEPHONE CONTRACTOfi MAIN ADD ess Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3960 ORD RERRY RD., DAYT0.' PERMITFEE $ 35.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 9X Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulililies ❑ Installation ❑ OtherXX Describe Work: DE40 — Mobile Home I S I GI W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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. q License Class ' tLic. No. ! .> 4 I �. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 1, 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 NEW CONST. DWELLING OCCUR SO. OR ( a ACC. ) 3.5Q FT. CNS. NEW CONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 209 I. BAL .e50 0 Ex. Occup. ( OFIXEDAUTLETS(RES ..OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION 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 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 .!,a1-0&rI G A 6 LE /NS !O ( FDL?in/! MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number A/ 1x/ <: (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 notemploy 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. t X r �._ p� �; �, �, w---_ Date/ Gr /� Signal Ye of Applica'"ni - ❑ OwnerContracfor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructio of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE It 35.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the B tte County Code and/or Resolutions to do work indicate above for which fees F�ave been paid. 4f ,1 Date ' r Y 11� PERMITEXPIRESON Py 11 12P07 (Date) 206761 Receipt No. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT'QF DEVELOPMENT SERVICES - BUILDING DIVISI 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER ZONING BUILD G PERMIT OWN9 QZA OWNERS MA NG S CO R'SW FERRY RD., DAYTON QVWIDLI Q! TELEPHONE TELEPHONE SQ. FT. OCC. BUILDING VALUATION COtWAAdTb#*'Wdft Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 3970 ORD FERRY RD. DAYTON PERMITFEE $ 35,00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF OX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )[X Describe Work: DEMO Mobile Home S GF W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a0OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 1J/ / C 7 Lic. No. I `I s-4 I Z 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 NEW CONST. DWELLING OCCUR OR ( a ) SD. 3.5Q FT. CNS. LTI-ACCUTLEBUDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) zo 2 �L FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier e— 0K Eft L-Cco �/ MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number p( W ( 3 -) 5'7 2---,2 (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 provis, S. X Date [ /i /� Signal a of Applic9n'f - ❑ Owner Vont ❑ Agent —7- An OSHA permit is required for excavati6ns over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOOD I CDF I PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions Of the B tte County Code and/or Resolutions to do work indicate Ove forwhich fee been paid. Y Date 11/12/96 PER MITEXPIRESON 11/12/97 (Date) rReceiptNo. 206761 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The.permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable -to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signature of Applicant May 1995 g 27 FROM : LOUIE & MARIA MENDOZA FAX NO. : 530 891 1293 Jul. 13 2010 02:49PM P1 Butte County Department of Development Services 0 TIM SHELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive o ' ' o Oroviiie, CA 95963 , / ' �� �d-^®���'S - (530) 538-7601 Telephone 44n) , tom_ (530) X36-7785 Facsimile www.buttecounty.neUdds (-' e4w, • ` www.buttegenera lan,net iu_ V 6 BUILDING• PLAN NINC•ADMINISTRATION AFFIDAVIT REQUESTING DUPLICATE PLANS (CaWwnla Health and Safo* Cnde.SecYton 95881 m 99853) The official copy of.the building plans may not be -duplicated without written pilrmission from the certified, licensed, or registered professional, if any, who signed the pians and the building Owner: -'I hereby request duplicate copies of the building plans on file with the Butte County Department of Development Services, wilding Division for: 2D 0 Assessor's Parcel Number: 0g!2_,_)70- 13& Permit Number(s): ,/ Loc~ at: 6 (Address) / (City) I arch aware of the following three provisions of the California Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That the drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed or registered professional of record. 3. That subdivision (a) of Section 5538.25 of the Business and Professions Code states that a licensed architect who signs +,.,.ans, specifications. reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of; those plans, specifications, reports, or.documents where the subsequent changes or uses, Including changes or uses made by state or local government agencies, are not authorized or approved in writing by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the written authorization or approval was not unreasonably withheld by the architect. and the architectural service rendered.by the architect.who signed and stamped the plans, specifications, reports, or documents was not also a proximate cause of the damage. Current Building Owner: •Louie- fit'!{ Design Profession of Record Signature of person requesting copies: i Printed name of person requesting copies: Date: � T�)1 Contact Phone Number: 5' �� r3� `� "` 3" Address: 0 [ 9. P Z k 0'' - d Reason for requesting, duplicate set of plans: f f� FOR BUILDING D1111MON USE CWLY 0 Owner Permission- Date Sent: Date Received 0 Professional Permission- Date Sent Date Reoa)ved 12/7/07 J� RESIDENTIAL 039-270-136 PERMIT#96-2581 MENDOZA; .Louie 3970 Ord Ferry Rd., Dayton Cont: Skycrest Bldg Systems MH on Perm Fnd 11140M Ivo ; ,zrtpy THE HCD FORM 433A FOR THIS MH -CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWI HAVE BEEN TURNED IN TO THE BLDG DIV: - (2) STA NT OF FACTS( NEW_ 'S) e�) COPY OFFICE 'I I Address GAS Date Meter By ELECTRIC Date Meter By JOB FINALED (Date) Signature V=OK O = Not OK •=NottRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel ' 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /TfL / /Nat or/ 'L"tL/ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rttm-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test DemandVahre-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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel ' 3. Decks; Girders and/or Joists-Decking-BracingStairs-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-AnchorsStuds-Rttm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Structure; Steel -Connections -Thickness 41' ec.• Receptacles and Lighting, Distance -GR -e E!96.;/Pool Lighting; 15 Volts-GFI Be-flA,Enclosures; Conduit Entries -Terminals -Listed 7,,l$6.; Bonding; Metal w/6 -Circulating Equip. -Heater lec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. ozes-Enclosures-Panelboards-Ins. to Main in Conduit alth Department Approval 1 Plumb.; Cir. Tes ater Supply Test i Date j Card B-1 UV Date Card B-1 Date Card B-1" Date Card B-1 ✓ = OK O = Not OK - = Not Apl * = Not Re, R (Plans) OK except RESIDENTIAL (Single & Duplex) lw4'q., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped FRAMING (Continued) 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Fireplace Ties or Type A Flue -Fireplace Throat clearance 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Attic Access; Size & Romex Protection -Draft Stop4ns. Baffles 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 11. Water Pipe; Test -Anchors -Regulator -Service Test Garage Fire Protection Framing 12. Electric Underground Property Line Firewall & Openings 13. Pienums & Ducts; Clearance -Material -Support -Ins. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 15. Access & Ventilation 16. Insulation no'yS., WA4A . v Date r and B-1 Date Card B �1 �- Date 59. Card B-1 Date Card 9-1 Date 60. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. O.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access Date 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Sixe & Anchors 63. Ext Steps -Door & Sidelight Protection -Landings Date 64. Card B-1 Date Card B-1 Date 65. Card B-1 Date Card B-1 Date 66. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light _ 34. Smoke Detector 79. Insulation -Foam -Looked in Attic Date 80. Card B-1 Date Card B-1 Date 81. Card B-1 Date Card B-1 Date 82. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 88. Ventilation Throught House 89. Glass Protection Date 90. Card B-1 Date Card B-1 Date 91. Card B-1 Date Card B-1 Date 92. FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing Date 43. Draft Stop in Walls (rat proof) Date 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftc Ties-Purlin-roff Brac.-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop4ns. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration-Walls4Nindows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location _ 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ' .t /+ta,d k :A DEPARTMENT OF HOUSING-ANDLCOMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS � REGISTRATION AND TITLING SECTION STATEMENT OF'FACTS This unit 'is. -.a: ® Mobilehome E] Commercial Coach :-0 Floating Home Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) ULr �02l��f VeYLINE19 f1C15105 7C,'7O^07Of5- —N -Al c '7 C - 7 0 0-7) $S - 1-1 -- I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on Nor/ 20 9 at CP co C_A (Date) (City) (State) Signature of each affiant Printed name of each affiant C-nv E i�L�,9vc,Hv9r► " I Address 13 4198, kl w 9 City C14 l c.O State -'A HCD 416.6 (Rev 11/86) COUNTY OF BUTTE- DEPARTMENT OF 131EVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, CAlifornia 95965 - Telephone (916) 538-754 t&_ �,PERrMI APPLICATION AND PERMIT C2� ASSESSOR PARCEL NUMBER 039-26n-116 ZONING SRI BUILDINGPERMIT OWNER MFNDOZA TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1716 R 92664 OWNER'S MAILING ADDRESS 397n nRn FERRY RD DAYTON CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2300 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 3979 ORD FERRY RD., DAYTON PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15-00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome 6X Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others Describe Work: MSI ON PERM FND REPLACES EX SF Mobile Home IS I GI W1 920.00 PERMITFEE J$ 65.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 600v OR LESS 200AORLESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 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 fu force and effect. a License Class C Lic. No. � �� � aZ 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 NEW CONST. DWELLING OCCUR DR ADONS. ( a ) SO. LTI-ACCUTLEBLDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97. 0 @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES ) SAL @ 1.550 Ex. Occup. FIXED OUTLETS S..OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43,00 Contractor WORKERS' COMPENSATION 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 is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy nu;nber are: Carrier 4-a et4!; CC7 /%�(�Ofi/N MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor ' �"y Policy Number :3 7g 2 4 V (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. mate 96 Signature of Applicant - ❑ Owner Contra r ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 455.00 HAZ. D. FEE IMP FLOOD CM PARCEL (/// ISSu This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. / 2© 96 D e / (Date) Receipt No. 206761 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'ItltG'd�:ti�iU#+II�Fn"1R'tw�W.ri�Af`/�'•'�id1 .,. , c���M�J t $`s ti >�rw�.= wna+—.r.+.nv�--.'R+�Fi-a..•ww+��F.arw+.«.wevgc�q,y,p�y�'.y+.Fr+-++-^••.i COUNTY OF BUTTE - DEPARTMENT'OF`D V. PMENT SERVICES - BUILDING DIVISION - 3 7 COUNTY CENTER DRIVE - OROVIL'LE, CALIFORNtA95965 - TELEPHONE (916) 538-7541 RMIT APPLICATION DATA SHEET OWNERftu�71 o. , Dan%�- 3 � Proposed Building Use Building Inspector Date %a y At, time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY t 2. 3. 4. 5. 6. 7. 8. 9. 12. 13. f 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 7W 26. 27. 28. 29. 30. 31 All items have been submitted . ....................................... . 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 floo,�� by C#. ifornia 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 permit (construction approval required prior to occupancy). . . Pre -Inspection 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 ............ f Recorded copy of Agricultural Acknowledgement Statement . ............... t.. 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....................................:r. . vvnen you issue the permit, proc 1,ss as tollows: Mai to owner. Mail to contractor. ✓ Telephone and hold for pickup at office. Deliver -with inspector. Other Parcel Creation Acreage Applicant �`e'' ':2 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 1. Index permit for above items No. 2. Additional items required: ircle new item not checked above). VA 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 GI/36 OW$ _ Date ( � Sets of plans on hold in —)L_ File cabinet . AP folder Copy - Department of Public Works B.H. USE ONLY Plot Plea AU..W • Poor Plan AMwW Seat to B.D. d . TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance I�Vk4w Owner Location AP# Plan Approved for: Sewage Disposal 4---- Water Supply: Public Private Well ' Clearance for _ bedroom mobil ome. Other Hold final for: Final clearance O.K. for: Aj �Vl / Z)- 6 Health Specialist Date 8/92 5, COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER A.P. # '2 7D PROPOSED BUILDING USEDATEI 42a4f 11 I REC. # 1. SCHOOL DISTRICT FEES��' (paid at Distric Office) . "��A�- RIFF ES (paid at Bu ding Divisio Residential...... x =$ unit amt. Commercial (sq.ft.). x =$, 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$_ sq. ft. amt. V)---4. RECREATION DISTRICT FEES— V (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00�(paid at Building Division) 9. OTHER DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE BU OUNTY PARK FACILITY FEE'PAYMENT CERTIFICATION FORM TT -lye DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Nur Property OW'ner (s): Project Location/Address: Subdivison Name: Type of -Residential Development :(check one): Assessable Square Footage: U New Development ❑ Afteration/Addition Urdobile Home (s) I A I Comments: 1:1 Non -Residential to Residential Durham Recreation and Park District (DRPD) certifies that Applicant Name Applicant Phone :Number Street Address city State Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by Payment fore square feet at $ 1.04 per square foot for a total payment Of $ PAID BY CHECK No.: BANK No.: PAID BY CASH: RECEIPT No.: Date Remarks: )e-24 DISTRIBUTION: WHITE - APPLICANT PINK,-.DRPD YELLOW- BUTTE CO. BUILDING DIVISION , �• hgr"wct!�' �..+r'.,y.+^..�iy7+r�+�-��r.�r"*7�-......r„�-- •_ r_,vr•,,�,, :a�-_... BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM t' (One Form Per Building) School DistrictY , (hlr Building Department No. A.P. Number Jurisdiction: City D�County Property Owner (t t M�0—i/LU � C Property Location/Address Subdivison Lot No. Residential Development 0 0 Sq. Footage No. of Living MHI Additio / (Group Units %yLD. Commercial/Industrial VV (Floor Plans reviewed by School District Personnel) Sq. Footage 4. (PO S� (Including Exterio 1 I Roofed Areas) ' i.-` /9 ('0 Date District Identification No. '7/ate �U2i 'rr� Uiv F % School District certifies that Lou i e:n coo l4 (Applicant) 39 70 (Street Addre: ,OR D �ex &C/ (Phone Number) b,4yrV,J c14 00 (City) (State) (Zip Code) 7a has complied with the'requirements of Resolution No. by payment of $ ay E*5'C e0 J representing square feet. AB 2926 $ FULL MITIGATION' $ Paid by Check # Bank Number Paid by Cash Remarks:Aovs //-/V y� Date 141541 Y 1. nY /nsG a�F� LCes 7-n AIL- Pala ,(y E6G20cv C0 . '*/9113 54 If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act•(CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) I feeformmki (11/94)dmm COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER Z L "E SO. FT. OCC. BUILDING VALUATION Ow LINO ORE COM OR'S NAME LTELEPFIONE CONTRACTOR 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 $ ARCHrtECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS�^ L lA r PERMITFEE S /' - PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 U�S�EOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ,I$ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 S TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑ Other Describe Work: Mobile Home S I G W 920.00 PERMITFEE S !, ED Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main ServiceOoov OR LESS ( 200A OR LESS ) ^7 23.00 �J . Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUP. OR ( 8 ACC. ) SO. 3.50T. NEW CCONST. MULTI-OUUTLENS. TLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APPARATOUTLET sUS ) & Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 FiAL a .SO Ex. Occup. FIXED ETsPRES D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ - HAZ I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. aoCO / D 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • 96 —044022 1 Rec Fee- - 6. 00 I COP .1.00 Recorded I Check .7.00 Official Records I And when recorded mail to: County o f I Butte I Building Division Candace . J. Grubbs I #7 County Center Drive. Recorder I Oroville, Ca. 95965 1 :28pm 20 -Nov -96 I PUBL XX 1 AGRICULTURAL STATEMENT -OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, .including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and' harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: the follo%ing dacnbcd real property in the County of Butte , State of California: 1 Lot 35, of the Town of Village of Dayton as the same appears on the official map of maid town on file in the office of the County Recorder of the said County of Butte, State of California. Date: �U� ld� fq PROPERTY OWNERS: v 1 S $, M ESC C) O a'} State of California ) County of 30rtI ) On 11-1$ Cf i0 before me, �. A01060I personally appeared Lu , S 3, A4 ep'id QZC4 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their sibnature(s) on the instrument, the person(s) or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my hand and official seal. ME& 0 OFFICIAI. SEAL NOTARY PI �ORNIA Q Signature - Seal' My Comm Exo re,. J• I ,I-• )' 1998 A.P.# J`l - •'��7%/ ii % Z. 101 p C. AR64 AGON NOTARY PUBUC CAUfo#W" COUNTY OF surra My Comm Expires January 3o, ton BUILDING PERMIT NUMBER: 96-2581 Address or location of unit: 3970 ORD FERRY ROAR, CHICO Legal Description of Real Property: A.P. #039-270-.136 LOT 35, OF THE TOWN OR VILLAGE OF DAYTON AS THF. SANTE APPEARS ON THE OFFICIAL MAP OF SAID TOWN ON FIT .E. IN THE OFFICE. OE TUE RECORDER OF THE COUNTY OF BUTTE STATE OF CAT.TFORNTA [X]Mobilehome/Manufactured Home [ ]Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's address: 3970 ORD FERRY ROAD, (gin, CA 95998 INSIGNIA OF HUD NUMBER: ULI 402154, 402155 SERIAL NUMBER OR V.I.N. 7C-70-0785-HA/7C-70-0785-HB MANUFACTURER'S NAME: SKYLINE HOMES, INC.YEAR : 3/17/95 OFFICIAL APPROVING INSTALLATION: O DATE: 12/19/96 PHONE: (916) 538-7541 H.C.D. 513C S ( 13468 H W Y Yy Gilco, CA ' 95926 �i-- �-�y (916) 343-8494 I4CD # 91265 • Contractor's license 295412 u P L F 5 I� r7 NOTICE l l IIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORDIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT taU.[E rIrIF� r1,'It=it:i3.F:" r•1Et,,l[)o_'.r; DATE: 71.7 PURCHASER: PFIONE: _ ADDRESS: ;`)%C) c;rL) (-r=F<F:�T F<r> fig) --,.?get CITY: C,I II C STATE: ZIP: SALES PERSON:— �eL ��INr I idf this a reement Seller agrees to sell and Purchaser agrees to Purchase file followl4g MFD./MBL. [lame, Subject to the tern s and conditions stated on bot I s es o g B. 11007+15 ❑ `NEW s1Tus MAKE I.10DEI_ lOW i,f> BAR/EAVES.1 W.?F. ❑USED ADDRESSI 39700 ORD FERRY ROOD 1 SKYLIrSER�ALNUM p FRVW5517 MFG. CitYl DAYTON zip 95928 STK ERIC APPRIOX�IEW IIt1DOORIICD NO. DEL. DATE lll.I40?-..L54 DT. OF O3/.1.Q/5!�ounryl BUTTE �j44 7C-20-07851-1 111E COST OF ll IE N / 'D./MBL.1 TOME EXCLUDES 'rl IE LIS7E11 PRICES FOR TI IESE ITEMS. 50 FT. LIVING MEA AP 41 I �O- 0 C. EA LAI IDBS•$ 0 EAHAES•$k 0 •'�XXLEs .T. 6 9 4 MFD. HOME PRICE , $ TOW BAR, WI IEELS•$5 WIIEEI_ ESCROW OPEN STI<I/Ol'I IER t15ED 110ME SALES TAX. IF ANY, • 1ST SOLD Pnl0n 10 7/ 1/80) $� -)ATE MFD. ORD. ITEMIZED ACCESS RIES AND THEIR COSTS: (SEE ADDENDUMS) I N Il TOTAL. ,� cc c a1CCESSO.RI S. 2 237.76 , _. .._ K9. NOW A[)pENDUM ATTACHED HERETO; A 6,.946.00 PRICE SUBJE TO SITE APPROVAL FouNnnTlo�l TOTFiI_ SITE PREP. 6,946.00 MAKE iUD NO. AMOUNT OWING TO WHOM: ADDRESS/PHO I HAVE RECI THIS MFD./ BUYER'S Sit THE MANUFACI INSTALLED IN TI ROOF EXTERIOR WALLS FLOOR WARNING—Ut Liability or Prop is not provided I "If the dea sale of a n on a found included in property, 1 18035.3 1 NAME 51cycre51 BUSINESS ADDR CITY 1�C0 161no MODEL .860APS"6 0 X 0 SIZE SERIAL NO. GQLQa- YLU ACCOUNT NO. ENTILATION IMPROVEMENT -NEW ONLY :D VENTILATION IMPROVEMENT INFORMATION FOR L. HOME. NTURE ER STATES TI IAT INSULATION HAS BEEN HOME AS FOLLOWS: (NEW ONLY) TYPE THICKNESS 'R'FACTOR ess a charge is included in this Agreement for Public rty Damage Insurance, Payment for such Coverage ( this agreement. is also licensed as a real estate broker, the ifactured home or mobilehome being installed i system pursuant to Section 18 5 51 may be s purchase document for the underlying real ided that the requirements of HSC SEC. met." TOTAL ACCESSORIES (OUTSIDE HOME) TOTAL MFG. HOME & ACCESSORIES SALES TAX (ITEMS NOT INTEGRAL T3 HOME) FOUNDATION SYSTEM / TIE DOWNS DELIVERY SET UP HCD FEES INSURANCE PREMIUM (ONLY IF SOLD BY DEALER) ESCROW FEES SCHOOL FEES OTHER / PRE PAID TAXES DOC. FEE (NOT A GOVERNMENTAL CHARGE) 1. TOTAL CASK PRICE ALLOWANCE ON TRADE-IN $ LESS BAL. DUE ABOVE $ NET ALLOWANCE $ 500 PAID HEREWITH $ CASH BEFORE DEL. $ �(j DESIGNATED DEPOSIT $ (INC. IN ON. PMT) 2. LESS BUYERS DOWN PAYMENT 3. UNPAID BAL. ON CASH SALES PRICE 4. FINANCE CHARGE 5. ANNUAL PERCENTAGE RATE 6. TOTAL PAYMENT AMOUNT (3+4) 7. UNPAID BALANCE DUE PRIOR TO DEL. 8. TOTAL DEFERRED PAYMENT PRICE (2A-6) PAYABLE AS FOLLOWS: FI -IE DEALER CERTIFIES THAT THE INSTALLATION CONTRACTOR IS:. Building Systems LIC -T-2954112 's ,1 3468 HWY 99 In the event the rnanulacUlred home cannot be delivered "and/° within the agreed delivery time due to nonperformance by the CA ZIP 95926 one of the following at the option of seller, either (1) to pay $ charges per doy until a manufactured home installation accept+ A Contractor Is�lrequired by law to be licensed and re0ulated by the occupancy is obtained in addition to all Other consideration ow Contractors Stat License Board, P.O. Box 26000 Sacramento, CA 951127. of $ 500.00 in lieu of total M AUM (A) DO NOT SIGN THE PURCHASE AGREEMENT BEFORE YOU READ IT OR I .r., r„ A1.11. 'ibnAr-1=c Tn nP FII I I=n IN. (111 YOU ARE ENTITLED TO A COMPLETELY FILLED-IN- $ $ —7G—.0 L) LJ 97 �7 " inspection completed buyer, ).r 1`yyrr .p.es to . rice or certificate of iU or (2) pay the suns ;;onsideralion. = IT CONTAINS -OPY OF THAT ...1., A ,tico,tas,o etauM er n:DWF]d. T271,F. 6 Qf CWANY onocn • 2-162536 ANO VMEn RICUMED MAX- TO „.. and Mendoza uB. Jr. 3970 Ord Ferry Road Chico, Ca. 95928 1 : - , t L • j 93-041243 Rte ret, I DOC Recorded I Check Official Records! I County of { Butte { Candace J. Grubbe I Recorder I — 9:OOam 24 -Sop -93 I BWTC OWL TAX OTArEM MM TO Mr. and Mrs. Luis B. Mendoza Jr. N 3970 Ord Ferry Road a.M Chico, Ca. 95928 do— S.r 6 I t S.J 6-00 33.00 41. 00 JR 2 SPACE ABOVE THIS LINE FOR RECORUER'S USE •P1 039-270-005 Individual Grant Deed THIS Font FURNIRKM ST emwELL TITLE S ESCROW COMVA.HT The undersigned grantor(s) dcclarc(s): Docurnentary transfer tax is S 33.00 ( x ) computed on full v,I,, property conveyed or ( ) computed on full valae less value of liens and cncumbtances remaining at timc1 a e. ( x ) Unincorporated am.( ) FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ROSALIE G. CCARTWRIGHT,amaarrieedwoman, as her separate property and �.''6jUlo,hrmarrhuaka dvreom> t, as her aepax4te property hereby GRANT(S) to and DONALD H. COMPTON, her husband LUIS B. MENDOZA Jr. and IdARIA M. MENDOZA, husbani and wife as Joint T the followin datxibcd real property in the County of Butte , State of California: Lot 35, of the Town 01 Village of Dayton as the same appears on the official map of said town on file in the office of the County Recorder of the said County of Butte, State of California. Roa e twrlEi �t Clyde Leiday Cnrtwr ' k r t,; NAin H i t vl �o JtnteorCMlfomlo } SS. Countyof On 1'l c� J before me, the undersigned, a Notary Public in orid.for said Stole person,lly appealed i�tYS LiE t., CARTv.+06.H1 fine, Ct-ypF LgP-vi erranall knout �g(ar proved tome on the balls of nllsfactary evil encr to a the Rereon(s) whore njkWW Isl4te subscribed io the le WI1I,Itt Instrument and acknowledged to me that he/she/tUtcltecuted Monys A. Robieheau the same In hls/hcr/I,�outhorlsed E4pgd!X(iGa), and that by hlsfher/ V Costs tt m 77 t(icjr Nllnowre(e) on the Instrument the pgfson(a) or the entity upon^�� G1 behalf of which the Lrson acted executed the Inatrumeni. faa��,,a s wl't NESS my hand and offlcim seal. S HTC -01!"314002J" (This area for W10-1 nomrial Seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: NAME BUILDING DIVISION STREET 7 COUNTY CENTER DRIVE ADDRESS OROVILLE CA 95965 CITY, STATE and ZIP 96-047838 196-047838 96-047838 } 1 Recorded I Official Records I County of I Butte I Candace J. Grubbs 1 Recorder I 10:52am 23 -Dec -96 1 Rec Fee .00 Total .00 COMS XX 1 ABOVE THIS UNE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the dote 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. LUIS B. AND MARIA M. MENDOZA REAL PROPERTY OWNER/LESSOR 3970 ORD FERRY ROAD MAILING ADDRESS CHICO, BUTTE, CA 95928 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (IL also property owner, write "SAME'l MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 96-2581 (916) 538-7541 BUILDING PEERMR N \ / TELEPHONE NUMBER 12/19/96 SIGNATURE OF LOCAL A IAL DATE COUSIN GARY'S FACTORY BUILT HMS DEALER NAME (I/ not a dealer sale, write "NONE'l 91265 DEALER LICENSE NO. SKYLINE HOMES, INC. 3/17/9_5 FAIRVIEW 5517 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 7C-70-0785-HA/7C-70-0785-HB 66'X26' ULI402154, 402155 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #039-270-136 LOT 35, OF THE TOWN OR VILLAGE OF DAYTON AS THE SAME APPEARS ON THE OFFICIAL MAP OF SAID TOWN ON FILE IN THE OFFICE OF THE COUNTY RECORDER OF THE SAID COUNTY OF BUTTE, STATE OF CALIFORNIA. - W OF yo Q Gryc HCD FORM 433(A) Rev. 8/91 WHITE—County Recorder CANARY—MCD PINK—Applicant GOLDENROD—Building Dept. tat 4•` Sk:cl " B110 S�alans 9t Eaahid Hood ImUQ1-, CA 96001 • b — '.. — Std Fouts h. PI- oM D.W. a , }dl � , ; ; ; ; • § odi C=f �• {t t'{a; e a o Y 01 r:3 d 1p ZU, i -{•E�I qs C= {i!# :I Ict a i{ ff X11.4 AUn {� H1 • F9 p '!+,11511 ` PI:d>llO,'i i — �f L �•i � Ig •ly �� s it ia} ; Ll llilil 11 tat 4•` Sk:cl " B110 S�alans 9t Eaahid Hood ImUQ1-, CA 96001 • b — '.. — Std Fouts h. 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