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Home My WebLink About041-520-034041-520-034 PERMIT#95-1943 BRAY, Donald 2421 Oregon Gulch Rd., Oroville Mobilehome on Perm F. �•�i/! � 0 I RESIDENTIAL y + r 041-520-034 PERMIT#95-1943 BRAY, Donald 2421 Oregon Gulch Rd., Oroville Mobilehome on Perm Fnd ( r i j n �� i OFFICE COPY Address'5�6� ' GAS Meter By i ELL er T Oa %yC Meter B Date JOB FINALED (Date) _ 1 Signature i J=OK O= Not OK , = Not Applicable MOBILE HOMES ' =NNRead Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch { 3. Sewe Location -Test -Fall -C/O Concrete ater; Location -Test -Easement Needed (Sketch) 5. Elect ' ' y; Location-Clearences-Grnd-/ /Amp -Concrete as; Location -Test -Wrap: / /"L"ft. i / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect •18. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MO H ME INSTALLATION (Plans) OK except #'s j mg Requirements -Setbacks Easements Ae'F kings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances n; MH Test -Fall -Flex Connector Wat H Test -Regulator -Connector ater nd Sewer Connected -C/O to Grade -HD Approval s and Electricity Tagged Exits; Insp.-Sketch 10. Cert. of Occupancy - I Date G l Card B-1 Date Card B-1 i Date /Card B-1 Date Card B-1 0 q/W e,� -D, q(�c 7.7,&2 �� MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK =Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. - Water Htr.: Vent -Access -Combustion Air -Baffle ------------------ ----------------------------- 17. Water Pipe; Test & Anchor -Nail Protection -------- ------- --------- ----------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------- -------- ------- ------------------ 19. Shower Pan; Test. First Floor -Tub Access 20.---Test-Tub & Shower. --- Second Floor -Tub Access ---------------------------- ------------------- - -- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ----------------------- -------------------------------------------------- Date Card B-1 Date --card-B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled - ------------ --------------------------------------------------------------- 25 Romex Installed Close to Edge of Studs & C.J. ----------------- --------------- 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water ----- - ---------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------------------------------------------- 28. Subfeed Wire Size r i ga. Cu or AI-A.C. Wire Size ! / ga. ______ __ Cu or -Al ----------------------------------------------------- 29. Range Circ / r ga. Cu or AI -Oven Circ. / 1 ga. Cu or Al. Insulated Neutral ❑Yes ❑ No ------------------------------ ----------- - - -- - -- - 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------- - 31. Equip Clearances Panels-Motors-Mech. Equip. ---------- -------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------- 33. ------------33. Smoke Detector --------------------------------------------------------------------------------- --------------------------------- - -- ----------------------------------- Date Card B-1 Date Card -B-1 ------- - - ----- - --- - -- -- ---------- ------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------------------------------------------------ ----------------------- --- 35. Vent Fan; Exhaust above insulation ---------------------------------------- ---------------------------------- ------------ 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------------------------------------- --------------------------------------------- I ------ 38. ----------- ----------------------------------------------------------------- 38. Attic Access & Platform if Furnance in -All - ic --------------------------------------------------------------------------------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ---------------- --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing -- -- - ---------------------------------- --------------------- --------------- 42. Draft Stop in Walls (rat proof) ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- -- - - --- -------------------------------------------------------- 44. Headers & Beam -Size & Bearing "ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ------------- ----- _ _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ----------- --------------------- _ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection -------------- 54.- plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----- ------------------ 55.- Siding -Nailing Veneer ------ -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings --------- 60. Infiltration -Walls -Windows ----------------- Date Card Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. - Ext. Steps -Door & Sidelight Protection -Landings ---------------------- -- 62. Smoke Detector ----------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------- ---------------- 64. Bedroom Exiting --------------------------- -- ________ _ 65._ G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------------------------- 67. Stairs & Rails ----------- ------ --- ------------- - 68. Fireplace or Stove: Clearances -Hearth -------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ------------------------- 70. -------- -----------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ---------------------------------- 72. -----72. Garage Fire Door: Swing -Landing -Closer --------------------------------------- - 73. A.C. Duct in -Garage- Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ----------------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location --------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- - --- ----------------- - 78. Guard Rails & Deck Construction -Post Caps -------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes 0 No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - ---------------------------------------- --- 83. Vents Above Roof; Plb9 - APP fiance -Fire p lace. -Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------ 85. Exterior Elec. Trim: G.F.I.Receptacle-Underground 86. Ventilation Throughout House ---------------------- 87. --------------------87. Glass Protection -------- 88. -----88. Corrections from Previous Inspections ------•----- --------- ----------------------------- ---------- 89. Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates - ---------------------------------------- DCard B-1 Date Card B-1 --- ate----------------------------------------- ----- Date Card B-1 Date Card B-1 ----------------------------- Date ---------------------------Date Card B-1 Date Card B-1 Comments at Final: 09 T COUNTY OF BUTTE- DEPARTMENT QF tPELWMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMITJqq_:3 ASSESSOR PARCEL NUMBER 041-520-034 ZONING BUILD PERMIT OWNER DONALD BRAY T LEPHO 13 SO. FT. OCC. BUILDING VALUA OWNERS MAILING ADDRESS ' 733 DAMROW LN PARADISE, 95969 1 65,124.0U CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNXNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 23.25 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2421 OREGON GULCH RD PERMITFEE $ 286.25 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK X New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑' Describe Work: PERM FOUNDATION' 2 BEDROOM Mobile Home I S I GI W @20.00 PERMITFEE $ 65.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 000VA 00A OR LESS OR LESS ) 2 23.00 23.00 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.EX. 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 OCCURS OR ADONS. ( 8 ACC. BLDS. ) 0. 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL Q .e0 FIXED APPLNS. OR Ex. Occup. p• ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith com ly with those provisions. _/--J Date �1� X jj,� — Signature of Appli ant - In Owne Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei h . Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 394.25 HAZ. D. FEES IMP F OD `, CDF C PD HD SU This permit is hereby issued under the in the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date 2 (Date Receipt No. 185210 oC WHITE-D.D.S.-B.D. CANARY A SESSOR PINK -INSPECTOR GOLDENROC AP LICANTf COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPME-N,T�S`ERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (91 6) 872-6307 CORRECTION NOTICE '232nL \1 OWNER PERMIT NO. A routine inspection indicates that the following viol9tions of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. . k C'0' —. /'- �- C '<�(D - f Date < inspector REV 10191 COUNTY OF. BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA"- (916) 891-2751 7 County Center Drive, Oroville, CA - (916) �38-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE . f OWNER f PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordin�nces exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date C7 Inspector AL 4= REV 10/9 . . . . - . . � !� -71-7 ; - ii, -�-j-. 1. '.. 1. � , : , - - , , , , , dbiuhTY OF B'UTTE �BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (91.6)'5.38-7541 . A 747 Elliott Road, Paradise, CA - (916) 872-6307. CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above id1ress and should be corrected. Please notify this office.when correctio' n of work is corhpleted. If you have any questions Pertaining to this matter, or need additional explanation'. please contact this office immediately. 1-d Z /Z L. -f A:P A AL P or OWNER PEkMlY NO1.' A routine inspection indicates that the following violations of Butte County Ordinances exist a L the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4 0, Date Inspector REV 10/9� COUNTY OF BUTTE BUILDING DIVISIOI DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA >4916) 891-2751 7 County Center Drive, Croville,,CA - (916) 538-7541 1� 747 Elliott Road, Paradise,,C A - (916) 872-6307 CORRECTION NOTICE zz" OWNER PEkMlY NO1.' A routine inspection indicates that the following violations of Butte County Ordinances exist a L the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4 0, Date Inspector REV 10/9� IT- tCf -COUNTYOF BUTTE -DEPARTMENT OF DEY/ LQP,MENTSERVICES -BUILDING DIVISION v-4- y, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916)$-7541 �./ PERMIT APPLICATION DATA SHEET OWNER 00 h a r Of Sd A. P. No. Proposed Building Use lAe r P" Building Inspector r 1�,�� Date g At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items hbeen submitted. . 2. Plot plans sets, signed by preparer of plans . ..................... . 3. Complete plans, 3/4 sets, signed by preparer of plans. .......... 4. Engineered plans and a . � ./.-. /4WS - e!� 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data annufacturer's installation instructions, 2 sets. ........... 10. Fees of $ �1 Q l% . s ........................................ . 11. Impact fees as shown on attached schedule. . 1 California Department of Forestry plan approva fee Vw .......... �- 3. Flood elevation letter (100 year flood by Cal rrna ngineer. .. ...........:: p ... 14. Sanitation and plot plan approval rovi PQ.Fiealth Department. .... 15. City of Chico pl rmbing permit . ......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development, about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). P,4nspedion reque 20. Pre -inspection for required. . to Building lnspedor (Date) 21. Contractor's license information. (No., Name Style, Classification). ................. 22. Certificate of Workmans Compensation Insurance . ..... :..................... Owner -Builder Verification (Given to owner Mail to owner �............ A -A24. Recorded copy�<If Agricultural Acknowledgement Statement . .................. V 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome.utility clearance . ......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50%subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permi s . .............. ......... ....... . 32. Pla c eck list. ......... -- 34. c, c When issue the permit, process as follows:X Mail to owner. Mail to contractor. Telephone - and hold for pickup at office. Deliver with inspector. Other 42 Parcel Creation Ob 1O � �� Acreage Applicant �o Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent . Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor;'designer; owner, was advised of above required data t- phone _ mail Counter by _ Date Contractor, designer, owner, wa's advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by C t 6 8 onL7 Date Ci Sets of plans on hold in File cabinet_ AP folder CODV - Department of Public Works TO: Building Department FROM: Environmental Health, SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Anachad Floor Plim Aftcheid Sad to B.D. P — I I J, C(h M / C// a ,- A Or z ez d-�,- 61--14,4 Owner Location Plan Approved for: Sewage Disposal I'Z Water Supply: Public Clearance for - .2—bedroom mobile home. Other �/ - 'r�� - '� AP# Private Well Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date Q /01) t _ COUNTY OF WME — DEPArD90T OF DEVEIDPlD8C SERVICES — BUMnW DIVISION _ =-7 COUNTY CENTER -DRIVE, OROVILL-E CA 95965 - TILEPHONE.=(916}-538-7541." -- . ...PROPOSED BUILDING USE ?^ _ '" PT DATE L-__-91-/9 19 REC. DATE REC SCHOOL DISTRICT FEES Y► (paid at District Office) ......................... 2. SHERIFF FEES / . (paid at Building "Department) Residential.. unit amt. Commercial (sqft) x =$ sq. ft amt. 3. URBAN AREA FEES (paid at Building Department) ' Residential (per unit) x =$ 7i —units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division)....... X. 6. SRA FIRE INSPECTION- AND PLAN = $89.00. (paid at Building Department) 7. O'T'HER 8. O'T'HER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE. " O.B.-1 iiii::i::::jiY.... ii ::.::: ,:x::.;y::..�x;: {;.:: •!i;,j..'.'?:..: ;�::::. �..4.•'::: x::.?:::::.: ::.... :.:::' ..,;iii.:: �.' . .. :.}•:::.:.Y.. ::•..:: x:.v..xv::>vn ;:{.."i:.;...:r:.. �:::.;.:::.':�"•.. 'i. `::. riii} ti•: :i i'i' '::�: .; '{ `{; :v `'" iii'i :::: i i ::i:�: .. 'iivi. •:::i: •. ?"i . 'ii i:: ?i; • �::Y:jtii' :::: :::: ::. }:;i •:. }i:•}:•:S:i 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[ .`(G']. NO[ ]. 2. I HAVE[{ ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: C, ADDRESS: �' Y3 2 ,�� ;� m ; �� /��. CITY: - rr� PHONE: %' y7o / CONTRACTOR'S LICENSE NO._ 632SS' 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide *the work 'indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: oo —/U _ NOTE: _ This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This'ver- iication must be completed and returned to our office before we are -permitted to issue the permit. OVER Dear Property Owner. — An application_ for a building permit has been submitted in your name listing yourself as the builder -of property improvements specified - For your protection, you should be aware that as "owner -builder" you are the responsible party of record - - . on such a permit. Building permits are not required to be signed, by property owners unless they. are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 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 "ownerbuilder" 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. S� c�rel ; ` I Michail C. Viei , C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is.required by Section 19830-6f the California Health and Safety Code. OVER ��-• ."'�i:F.n.f',r.f}+M:�.i ��+, . r a � r 'j r'-+xi"MF'YY+F��i'i^7+lidµ`'��!�`��t�1M�O:�ir�A1:%^ti�k'4'"q"r {'��""N�,' BUTTE COUNTY SCHOOL'S IMPACT`izEE CERTIFICATION FORM (One Form Per Building) ,�r' ' School District Oro Uh ; p n h( S. Building Department No. r� A.P. Number OW -S c -M Jurisdiction: City ] County Property Owner lkjomrt 10 / o /toProperty Location/Address I'Y' O rc V, Subdivison Lot No. Residential Development 0 0 Sq. Footage I O& No. of Living MHI Addition (Group R) ' Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Departmen Representati a 'Date (Floor Plans reviewed by School District Personnel) trict Identification No. 960021 PD V A1400l District certifies that (Street Ar) ( (Phone Nu'mGer) V,h YIL6 (City) (State) } (Zip Code) �J has complie with the requirern`entt Resolution No.�, �� by"payment of $ r1presenting Q sqa feet. ns 2926JI ` $ FULL MITIGATION 4i Sc of District Repre i e n _ , ,. - 4 , , Date Paid by Check # °" t" 'Remarks: "Bank Number ��.,,• Paid by Cash- Q Q If, subsequent to the School District Representative signing this Butte Courfty 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 fullyumitigate its6rhdkct on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmki (11194)dmm LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. 9 cJ — / g y OWNERS A.P. NAME:NUMBER:_&Z� PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: 2 S FLOOD ZONE: X FLOOD MAP: 3� APPROVED: CONDITIONALLY APPROVED: X RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: 61,90 il-L' MAP INFORMATION: �j om '�-cioN GvLCy DATE OF RECORDING 8 /A6 LOT `T BOOK 45 3 PAGE 7_ -3 - COMPLIANCE 3COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. CI)V k5l" — 2. Maintain a ft.building setback from right-of-way/centerline of — 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. — 7. Connect to a public water supply. — 8. Connect to a public sewer system. 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ ZOO LIFFrr jkW 7E , 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone,,number: below) 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game,at 916-355-7010. — 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. — 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. - 20. 21. 22. 23. 24. 25. 'Alla 1N3104dOl3A30 aw 3.111718 16 Jl1NO 5661 5 ` 9nd ®3n1303a LO 8/95 - C:\WP51\FORMS.K\BLDGPERM.CLR And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 95-2704 _ V `6 95-0270411 1 1 Recorded 1 Official Records I County of I Butte 1 Candace J. Grubbs I Recorder 1 2:22pm 10—Aug-95 1 Rec Fee 6.00 COP 1.00 Cash 7.00 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 land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: A portion of Section 9, Township North, Range 4 East,.M.D.B.& M., more particularly described as follows: Parcel 4, as shown on that certain Parcel Map recorded in the Office of the Recorder of the County of Butte, State of California, on August 11, 1981 in Book 83 of Maps, at page 73. Date: �� IO'C} S PROPERTY OWNERS: _&� State of Ca iforma ) County ofjt�� ) On 9-16— 96 before me, -7'A&A _J7 (S(.i.QCE0/ V personally appeared _]DON A L -D i��, 8R A ]' AND L. M,4 r {�eFsennH� .{ no t-�or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s).Ware subscribed to the within instrument and acknowledged to me that a/they executed the same in hi&4hcw/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature TARA J. GUDGEON Cwaftsion 41050724 Mtr CPS1 Notary Pubk Butt County, Caldomla My Co nnft n Exp'. MAR. S. 1999 END OF DOCUMENT NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A.1 Instructions for recording Agricultural Statement of Acknowledgement: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - Ist. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). REW- RDING REQUESTED BY: AND WHEN RECORDED MAIL TO: NAME BUILDING DIVISION STREET 7 COUNTY CENTER DRIVE ADOPEES OROVILLE CA -95965 _ CITY. STATE and ZIP 95-034226 1 95-034226 95- 95-0342261 . oo I Rec Fee I- Total .00 • Recorded I \� , Official Records I County of ! Butte I - Candace J. Grubbs I Recorder I 2:47pm 5 -Oct -95 I COMS XX 1 MACE ABOVE THIS LINE FOR RE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DONALD E BRAY REAL PROPERTY OWNER/LESSOR 733 DAMROW LANE MAILING ADDRESS PARADISE, BUTTE, CA 95969 CITY COUNTY STATE ZIP 2421 OREGON GULCH ROAD INSTALLATION MAILING ADDRESS. IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME'l 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 43 (916) 538-7541 IUILD1 ERM IT' NO. / TELEPHONE NUMBER 10/5/95 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (If not a dealer sale, write "NONE'l MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD. 1995 3522L MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 17916A&B 52'X24' RAD 847922/847923 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #041-52-0-034 THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: A PORTION OF SECTION 9, TOWNSHIP NORTH, RANGE 4 EAST, M.D.B.&M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL 4, AS SHOWN ON.THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 11, 1981 IN BOOK 83 OF MAPS, AT PAGE 73. HCD FORM 433(A) Rev. 8/91 WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept. BUILDING PERMIT NUMBER: 95-1943 Address or location of unit: 2421 OREGON GULCH ROAD, OROVILLE Legal Description of Real Property: A.P. #041-52-0-034 THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROEPRTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: A PORTION OF SECTION 9, TOWNSHIP NORTH, RANGE 4 EAST, M.D.B.&M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 11, 1981 IN BOOK 83 OF MAPS, AT PAGE 73. [X]Mobilehome/Manufactured Home ]Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DONALD E BRAY Owner's address: 733 DAMROW LANE, PARADISE CA 95969 INSIGNIA OF HUD NUMBER: RAD 847922/847923 SERIAL NUMBER OR V.I.N. 17916A&B MANUFACTURER'S NAME: FLEETWOOD YEAR 1995 OFFICIAL APPROVING INSTALLATION: ✓��—� DATE: 10/5/95 PHONE: (916) 538-7541 H.C.D. 513C DEPARTMENT OF HOUSINGFANDLCOMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS � REGISTRATION AND TITLING SECTION ; STATEMENT OF FACTS This unit is. a: ® Mob ilehortie*' Commercia] CoachD Flo Truck :Camper Decal (License)`No..(s) ." Trade Name. woo� Serial No.(s) - 57�� -- I/We, the undersigned, hereby state that the unit described above: All Mils Alt -Li -e't c e`J 2 7-1 lJ� COUMTY of BUTTE BI)!I nw.-. nfo( ®C ii U L& A 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 O - '�/ — at W r Date (City) (State) Signa ure of each affiant Printed name of each affiant Address ;Z� �/3 �•a�� 2 �,y�2 /� City State NCD 476.6 (Rev 11/86) ' AUG 3 '95 7:14 /�,A16tt� VO: RanY.�. FROM ALLIED SAV I•NGS • -1=>T- F• PAGE . 001 .� —?FI Or 'T ,Ftjt- .Dl N (I r BORROWERS: LOAN NO. _ LOAN AMOUNT: INTEREST RATE: PROGRAM: �-' d COMMITMENT EXPIRES: YOUR LOAN IS: [ l APPROVED [ I SUSPENDED PENDING RECEIPT OF THE FOLLOWING: a� PTA Prior to Ap roval PTD = Prior to Do s, = Prior to Funding PMI Approval -- r-1��''� Investor Approval/Second Signatu e PTF Retype 1003/1008 as attached [ l If Rate & Term changes forward to Title • PTD Broker Demand/Drawing Request to match Rate Lock • PTD Confirm if Borrowers want impounds for Taxes / Insurance / Both Provide signed Good Faith Estimate prepared within 3 days of Scratch App. Termite Report [ I Roof Report [ I Termite Clearance [ I Roof Clearance [ ) Septic Cert. [ l Well Report [ ) Correct: Updated Prelim Lj Address Su p. [ ] CCRjs ( ] Plat Map ( ) Copy of final permits for: GI Appraiser to Provide: FIRREA Ad ndum [ ) Legal Desc. [ ] 216 [ ) 1007 [ ) Appraiser to Provide: 442 with 2 sets of photos [ �•"•�Addendum to Form 70 [ ) Ap raiser to Provide: State License Certification 533 -Ilea5 HOA Docs: HOA Cert [ l Current Budget [ I Bylaws [ ) Articles [ ) Fidelity Bond ( I HOA. Master Insurance Policy - 100% Replacement Cost and $1,000,000 Liability Project Warranty by Allied Bank U.W. upon receipt and acceptability of above Current P ystubs - within 30 days and 30 days consecutive s Acceptable 1 a 19 1040s [ ] 1120s ( j 1065s [ ) K -1s ( I Satisfactory YTD P&L/Balance Sheet to support income Credit Supplement Satisfactory Credit Explanation Letter signed by Borrowers 'y Satisfactory Letter re: Recent inquiries Satisfactory Handwritten Purpose Letter - Cash -out - signed by Borrowers Seller(s) to pay no more than % non-recurring closing costs or $ Borrowers to sign, date and initial Final 1003 Borrowers to sign and date all Financials Allied Bank AKA Letter signed in Escrow Copy of Second"Note and Deed of Trust Signed Subordination Agreement - Second Deed of Trust Desk/Field Review and any conditions thereof - to support value Desk/Field Review to be paid by Borrowers $ MCC Certificate and all final do umentation Credit Documents expire Appraisal expires [X) Verbal Employment Audit [X] Upfront Disclosures [XI Flood Ce[X] In -House Credit [ l Occupancy Cert. (4%1 (] Form 4506 [ ] Form 10 RIDERS: Condo/PUD / Balloon ! 1-4 Family / 2nd Home / Trust ENDORSEMENTS: 100, 116, 110.8, 103:1 (# of Pre), 100.12, 111.5/111.8 Adj., 111.9 (Balloon), 111.2 SUBORDINATION 115.2 (PUD), 115 & 116.2 (Condo), 103.4 Private Road and ALL CONDITIONS ARE SUBJECT, TO REVIEW, A OVAL Y CONDITIONS THER OF If applicable, please send all PTA ri acid PTD conditions at one time. - O 3 ** TOTAL PAGE.001 ** n*�i 6� ��_�.-�,;q .T7,. 1.10 r; in. 574175 880 Onsfott Road 26 Sca:.., Lane 2243 Feather River Blvd. Yuba City, CA 95991 R d Bluff, CA 96080 Oroville, CA 95965 NOTICE:THIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT, PURCHASER: DATE: ADDRESS:HONE: ,Z,Z�f -7_ CITY: n 41 4STATE: /-A ZIP: SALESPERSON: Subject to the terms and conditions stated on both sides of this agreement Seller agrees to sell and Purchaser agrees to purchase the following MFD./MBL. Homes MAKE MODEL B. ROOMS APPIR (NOT INCL. LTOW BAR/WVES.) NEW srrus 2 �w / ' C_O �.tov�1�� G/�I.9s9Gf USED SERIAL NUMBER �. APPROX. DEL. DATE HUD OR HCD NO. DT. OF MFG. v -r -i THE COST THE MFD./MBL. HOME EXCLUDES THE LISTED PRICE OR THESE MEMS. SQ. FT. LIVING AREA TOW BAR, "HEELS, WHEEL HUBS, r TIRES, l O MFD. HOME PRICE $ L DATE MFD. ORD. ESCROW OPEN STK#/OTHER USED HOME SALES TAX, IF ANY, 1ST SOLD PRIOR TO 7 1 /80 $ ' ITEMIZED ACCESSORIES AND THEIR COSTS: (SEE ADDENDUMS)Areemanf eF:(�ires: Contin enton- _ _ _ Price of home Adjusted to_recy Iq tireSr VIl7G'Q{s, {iubs &_dxi ^,_� _ D&D.Management-approval:. Addendum(s)k'', become tport of this agreement.. • • TOTAL ACCESSORIES (OUTSIDE HOME) $ MAKE MODEL BEDROOMS TOTAL MFG. HOME & ACCESSORIES $ Q �- TITLE NO. SERIAL NO. COLOR SALES TAX (ITEMS NOT INTEGRAL TO HOME) ..., • • $ t 4 FOUNDATION SYSTEM /TIE DOWN'S S �'t CB+ . -►�' AMOUNT OWING T NO. DELIVERY �, ✓7✓K�/� U� PkCf,?h t 1F:ti; �,+: ai$s art � ��, - TO WHO SETUP /) .1 ; s , 4 ) • ..a$ t HCD FEES $ ter. A SS/PHONE INSURANCE PREMIUM (ONLY IF SOLD BY DEALER) $ VENTILATION IMPROVEMENT -NEW ONLY ESCROW FEES t: ' .. •. tt :-" :,_� .: $ ., , $ 5 O 1 HAVE RECEIVED VENTILATION IMPROVEMENT INFORMATION FOR SCHOOL FEES 3 THIS MFD./MBL. HOME.D 0 e 4, 0 7 4/, M OTHER /PRE PAI w 3 0a $ 2 BUYER'S SIGNATURE (N CDF. DOC. FEE (NOT A GOVERNMENTAL C GE) . $ 20,' THE MANUFACTURER STATES THAT INSULATION HAS BEEN 1. TOTAL CASH PRICE r $ _ 2 y INSTALLED IN THIS HOME ASFOLLOWS: (NEW ONLY) ,ALLOWANCE ON TRADE-IN $ TY THICKNESS 'R' FACTOR = r AA LESS BAC. DUE ABOVE ` $ ROOF 67 j "L ' ; o NET ALLOWANCE $• ,. 4- f EXTERIOR WALLS i PAID HEREWITH $ , 0 FLOOR / >a Z CASH BEFORE DEL. $ WARNING—Unless a arge is included in this Agreement for Public DESIGNATED DEPOSIT - ' $ Y 3 rrG, Liability or Property Damage Insurance, Payment for such Coverage (INC. IN DN. PMT) is not provided by this agreement. , i 2. LESS BUYERS DOWN PAYMENT $ L/ 3g b — " If the dealer is also licensed as a real estate broker, the 3. UNPAID BAL. ON CASH SALES PRICE $- 4. FINANCE CHARGE $ �. sale of a manufactured home or mobilehome being installed on a foundation system pursuant to Section 18551 may be S. ANNUAL PERCENT GE RATE included in the purchase document for the underlying real 6. TOTAL PAYMENT property, provided that the requirements of HSC SEC. 7. UNPAID$AL-AN DUE PRIOR TO DEL. $ 8. T L DEFERRED PAYMENT PRICE (2+6) $ 18035.3 are met" p ABLE AS FOL L WS11., Il— \r THE DEALER CERTIFIES THAT THE � 1 $ ' . , in escrow prior to or :-i i;crn f, dory. INSTALLATION CONTRACTOR IS: NAME g,yr e LIC. # C_ e - y / in escrow 7 days prior to BUSINESS ADDRESSPi — In the event the manufactured home cannot be delivered -and/or- inspec ' completed within the agreed delivery time due to nonperformance by the buyer, uyer agrees to _ one of the following at the option of seller, either (1) to pay $ 2- L CITY CA ZIP A Contractor is required by law to be licensed and regulated by the charges per day until a manufactured home installation acceptance or certificate of occupancy is obtained in addition to all other consideration owing or (2) pay the sum Contractors State License Board, P.O. Box 26000 Sacramento, CA 95827. of $ in lieu of total consideration. ' (A) DO NOT SIGN THE PURCHASE AGREEMENT BEFORE YOU READ IT OR IF IT CONTAINS ANY BLANK SPACES TO BE FILLED IN. (B) YOU ARE ENTITLED TO A COMPLETELY FILLED-IN COPY OF THAT AGREEMENT AND, IF PURCHASING A MANUFACTURED/MOBILE HOME COVERED BY A WARRANTY, A COPY OF THE WARRANTY. Complaints concerning the purchase of a manufactured/ mobile home shall be referred to the dealer. If it is not resolved, the complaint may be referred to the Department of Housing and Community Development, Division of Codes and Standards, Occupational Licensing, (the current address and phone number must be given to the buyer). A failure to disclose pursuant to this section shall not be the basis for recission of a conditional sale contract. The Manufactured Home that I am purchasing will be used as a residence. I further certify that I understand that if subject Manufactured y purpose oche than a residence, I may be liable, to the State Board of Equalization, for the tax measured by the amount Home is used foT10 excluded pursua this cert ifi , / /In 'lll��/ �?lGC� PURCHASER W& t DATE �— RECEIPT OF A FILLED-IN COPY46F THIS AGREEMENT IS HEREBY AtKNOWLEDGED BY PURCHASER The Purchase Order is subject to credit approval and is not binding unless signed by an authorized representative of seller. Purchaser certifies that he is of legal age, and agrees to sign a Security Agreement according to the terms herein. In the event payoff figures on a trade-in toward the purchase of a Manufactured or Mobile Home are more than quoted by the Purchaser, the Purchaser hereby agrees to pay this excess on demand. ALL T MS A D CONDITI NS SET FORTH ON THE REVERSE OF THIS AGREEMEN RE INCORP TED HEREIN AND ARE FULLY ' ' APP CABLE 5 TSE SET ORTH ON THE FRONT SIDE OF THIS AGREEMENT. SELLER: PURCHASER: SELLER: PURCHASER: DATE: 7 h 4 19� AUTHORIZED REPRESENTATIVE OF DEALER, Published by Barry D. Whittlesey Publications 4935 Heatherdale Ln. • Carmichael, CA 95608 • (916) 488-1764 SIXTL-FN17-IRFPRINT 4/1/95