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042-070-196
erg -r• -.:.,...a.,_ - .. r. IrOlr%ENTIAL BUILDING "RIPTION Of f 04a-0.7.0 196 02.0835 B6NNIE ILA'N-jQSEE ES IX,TFPF �7' 2516 NORD AVE.. Hd.CO� G CONT: EXECUTIVE HOMES 4 ? NEW ' ' PERM fND EX SITE \ o 042-070-196 02-0926 ESTATE OF BONNIE JE AL D 2516 NORD, CHICO LIV TO.STORAGE eZ O92- 0 70- 1 ri 14(p RESIDENTIAL BUILDING RECORD PA RG E ia. 4� )e 'OF SHEETS ADDRESS- SHEET 1 7 DESCRIPTION OF 8 7 7- CLASS SNAPir CONS'TRUC VON STRUCTURAL EXTERIOR ROOF LIGHTING AIR CONDITION ROOM AND FINISH DETAIL Light frame Stucco on Fla! 14 Al c h Wiring Healing I jCbolb,ROOMS FLOORS IFLOOR FINISH.TRIM --INTERIOR. FINISH 9 Sub - Stan r 6oblr 4 YJAT. I jCondit Forced I Cleonba 112 Afeteriol 5rode WIR/S coilings AkwarEcrul,w" -7 Standard -SheaMmf #tm;af All I A Siding 14 1 — 'Above -Standard Concre?'vAlbck Shed 4 Fixtures Well UnIt i 1es spe-CA71 a&97, T a _C_ C&/ Up IF.- I iCheap Ent No// USE rYfdl' Brick Shingles Dormers �pt Aq- ediuIn Vloora4it living sin /e _%okej FOUNDATION Xdohe Many I' ISpecol Zone 41n;1 Dining (V Concrete Floor-loisi BBB.E1467 Guliers central" Duplex Reinforced 14 6 rh L_� PLUM41 OING 7— v Bed Dining Aparlmlnl Brick 2": "X Brick Jbi, le o, 6ocd Bed Flat wood Sub Floor Stone Shake 01V Bp,-nef Court Preis WINDOWS rile Ficlures Motel D.H.I Ical Tile Trim 'waterHeate'r - N.-B.T. 41 Insulaleo'Ceilinp Steel Josh composition Automatic Kitchen ✓nits Li h Neov Insuloled Wells )AScreens Compo. Shin le 1Eos I lElect_ bro,n7M A471"il. L fh fJ. Sp/aJ,7: .CONSTRUCTION RECORD EFFEC. APPR. NORMAL% GOOD RATING (EGA,FP) BATH DETAIL :- Permit T YEAR YEAR Age A; Stora pace FINISH FIXTUR --S I _iSHOWER Amount Dole Arch. font. con- Star 5 �e roble Cond. mhjhip Fl. No. r/bors Molls WajLa7&,N rype Grade. Vla M.0 Whw'sh, No. For A ftr. Plan form. CUbT-,/Z—.t LI'd 4X F,; 21, Ajr v Y �2, 1 I cL z 4 41 SPECIAL FEATURES 160() Book eoyes Built - /1 BedskelUtioll 01ind; 1p— BS COMPUTATION Ap�roiser 8 Date CA Unit 'Area n I 'osr cost Unit cost Cost Unit -Gov Cost Unit uosf Cost n I cost ost Unit Cost Costo� yn 1; 1 Cost, g -r.3 6,70 7,16 - 5 7j S ii- `40' -3 2, �-3 II Y -t y -f Z,3 4. /_2 -a, y 6 IA 7,r I f�7 TOTAL NORMAL % GOOD R.C.L.N.D. 2.(.36 AH 530-A 10-147 .4NLJSLF.S.F. '7 f IT I �- --+-r T`-FT T. t. Y r .� -�•+ - -- F ''�'''�';''�''�'[{�' [cam-' � . _.� _ } �� _ �..• - .. _ tT -+��. • -�- � l --- � ,fit- + �_ � � ' ._ i`—,._`;._'_ _ i . �_ � - -__ ._ � ; 'I � VRI _• '+? -1.-+•-- �~ ' T J. -_r � f . T�..+_M-a. 1 ( . 1 _i _ 1. � _ t � � i J )_ .�1_ .L.. _ _{ = _ -... .. .. . � .... .. _ -+ --r � } I � � :--rT . s •-1 �j I i -T- :- i � - I' t' j . Y �.-}-1 -f � . �_ kk v �. e � i M • IIoL Y WI lk - 4 ; ;�.a.,�G^._iy,s,y-r•r;'.c�;:rT:s�f�`�!'c'^f��:���'te�"'��.�F�•'Bi tR:.7'�iTii'i���i�t✓rE:�'•'"�'�n,��`s.. �:94;��'�`r�}E� a .l� 042-070-196 02-0926 ESTATE.OF BONNIE JESSEE 2516 NORD,`CHICO LIV TO STORAGE ©g , V g--;55 .) r (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754169 . APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER ` — / L a ZONING BUILDING PERMIT OWNER TELEPHONE � � y SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHOYNNEI CONTRACTORS MAILING MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 7 - ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS ZSR )a� 1 v Energy Plan Checking Fee $ $ K� PERMIT FEE $ 7/ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 5r,>A 4 C_ -SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: X t7 V 6! N h Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S f, ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.' License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: Eg I, as owner of the property, or my employees with wages as their sole compensation, / will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO IOooA 46.00 VTU200A Nt1N CONST. DWELLING UP. SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT: CONST.1MULTI-OUTLET 97.50 POWEPPARATUS a sINGLF RAounET cIR. .00 EX. Occup. OUTLET OR FIXTURES BAIL@ I. 0 Ex. Occup. OUTLEEDTS RESIo°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. ❑ 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 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' JU044� 4„-, _Datef/ 7 . 02_ Signature of Applicant - ❑ caner ❑Contractor Agen— 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 Heating Cooling Hood 6.50 Ventilation PERMIT FEE .S Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ G,l HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By L-'Ibate7/ PERMIT EXPIRES ON �/% % " Date Receipt No. y WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ; COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION i' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75416,3 . o PCIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERl (2-?- /16 ZONING BUILDINGPERMIT OWNER / / /�L� � w J /d - /a J TELEPHONE , �f2 ✓ �^/ SQ. FT. OCC. BUILDING VALUATION A � � J ADDRESS _3 /�J� .OWI 7L/3 /r+1 •w' -,_1 I CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ zt ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ _ BUILDING ADDRESS i% (� Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 4eLA A:4,C/ SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �j /� (rte (l L 8.1 ` ���� 7 ��J ��~' "7� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W +T�7 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.A License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason 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 Main Service 200A TO IuooA 46.00 NEW CONST. DWELLING OCCUP. SO- OR ADDNS. ( a ACC. BLI)s. 3.5¢FT; NEW NONN•REESID. MULTI.OU.0TLE97.50 R A OWELEPPARATUS PSINGOUnET CIFL EX. OCCU OUTLET OR FIXTURES BAL @ I 0 Ex. Occup. oime�APP .ESSIID °EEn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) / 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 forthwitil comply with those provislo l � .� _tuDate Z Signare 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. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ate 7 PERMIT EXPIRES ON at Receipt No. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _ Y ,_ •,;r,�,.,,vr+�-.• ,,, C'iA:M--!w4;,.C•x,•�(.-Y.Y�i!F;^G ?•ri•-�y^�'•"' . ••-•r'I'• .... .' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BOLDING DIVISION �• ` 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 . PERMIT APPLICATION DATA SHEET 'f .Si r,,}f r .. • 3 .f'r� � X1."1 (A 4 /rµfi tip' ,t. �p , , y.. '4.•Ny,.•',f , S OWNER:+ T`�C'eI�i't_ 1 . Aa f ASSESSOR PARCEL NUMBER f' / Proposed Building Use: l.•" �' .. _ Counter Technician: Y Date:_ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. pts' 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 7` 2. Complete plans, 3 or 4 sets, sig►ed by the preparer of the plans. 3 Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 t4.; Engineered truss details and layouts in duplicate. No faxes! D.•.5.' Energy compliance design and supporting documentation in duplicate. iEl 6 Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in dualicate. 07.: -Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ingt eer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. I t Date Received By ❑ ' 8.,? Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. ! Plot plan and business license approval from the City of Biggs .................................... ❑ i10.�J etter of intent for non-residential buildings......................................................... VL Detached Accessory Building Form filled out by the owner..: ......................... I ........... 21 Hazardous Material Form..................................................................... .......... ❑ ,13. Other i .... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 3 t ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ .15. Statement of Intent for Non -heated and A/C Buildings ............................................ d'16. Sanitation and plot plan approval from the Environmental Health Department in w C, ❑ 17. City of Chico Plumbing permit......................................................................... ❑ I8: California Department of Forestry plan approval ❑ paid. Sent by: r ...................... ❑ 19. Planning approval for (A) Us (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Record' copy of Agricultural Acknowledgment Statement .................................... ❑ 281 Manufactured home utility cLarance..............................................:................ ❑ 29'. Existing, olations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Titl&Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: ' 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by , ❑ , phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: - Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter _Date: Date: Date:_ Date: �� �l� �� �/�,� c h��— 4- ;.EGEND: ■ piol Lua O '------- nnlast LLn a.1•� [.� apt ? IamiDr [.� [•a•1 •� IID TTI[ 6[ 01 CIMM1LD T � 1[ID°CK 0a➢nt .- aITO NII[ mD.n ILLR 0a Im.i (8 V � . SaacamR nD 8 • •----b - moD fCr� AaD ADI U Atm O••,^"•SD ALR ----- M. 102 LLR --•o--a �■—�■ A.aplua •-o--0 ----0 ---. RUD =.M. ,� La. ss nsCaTI=3 ` mLNVr oRr/PARD , '37's;a.?*W r-, mm nam /Da ® ■ piol Lua O �p.1. aT ra:1 CM.CK.D � DA6T■ 01 R77, ,^ -1; LU � •� AID AD Q -�• a:lia2 >LO A A mD.n ILLR 0a Im.i (8 V � . SaacamR nD 8 .Da m � AaD ADI U Atm O••,^"•SD ALR O mpg . C 0 oupau lm l.ua L A.P.#42-07-196 i 50 ric TNft• NLrW I c"m r° L AVFL I�FX. �'W✓ \ i CA r ,.. �..� . 8'V4i.MArlf F (hi00if \ t NFvK 3 BD \ //1 oB. NoMtJ p)� 1 / M '7WI � L 1 p �• 1. - l RFMovE EX. � a I f I AMU. PoACN— I 1 I 3 � i 1 1 2, QST ' 1 2,' aJ 3� \ SQL \\ u d 2516 N TIAL I)E�MOtl G G Som COUNTY BUILDING DEPARTMEIV' �.APPROVEDV. 1- DRAWN CM.CK.D � DA6T■ 01 R77, ,^ -1; LU 1D■ ND. .M..T 1 OF 2 D. .M..1 �.T NOTES RESIDENTIAL 042-070-19602-0835 I BONNIE JEAN JESSEE ESTATE OF I. 12516 NORD AVE., CHICO 1; CONT: EXECUTIVE HOMES i NEW MH PERM FND EX SITE i��v tto2—o9Z�v 4 11THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS --,-BEEN TURNED TURNED I,N>;TOlTHE BUILDING DIVISION: (1) LICENSE-PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON + NEW MH'S). ."' ('INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY i 5 in+ Housa e,�faV fo 54•r4. -5-c (� -F ail USE PERMIT CONDITION SUB -STANDARD HOUSING LETTER JOB FINALED Date d �+ i Signature = OK 0 = Not OK - = Not Applicable • = Not Ready , MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete r Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 v MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 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- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 46. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 3. Ftg., Garage; Soils -Steel -Elea Grnd.-/ f' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 5. Stemwalls, Main; Ste el- 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 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 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. 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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & 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 Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - 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 & Receptacles 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 (F.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 ❑ Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J 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 Throughout 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 94. Address Posted Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: t , ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION T7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT CA 93F,155 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT "'ESTATE OF BONNIE JEAN JESSEE H N�'-'- SO. FT. OCC. BUILDING VALUATION 1314 R 70 956.00 .OWN S I ADDRESS ulberr Street Chico CA 95926 CONfRACTOA-94AAME Executive Homes INc TELEPHONE 891-6992 CONTRACTORS MAILING ADDRESS 3042 Es lanade Chico CA 95973 CONSTRUCTION LENDER , Fireplace LENDER'S MAIUNG ADDRESS Total Valuation 1$70,956.00 ARCHITECT OR ENGINEER LICENSE NO. Fjlln Fee $ 20•00 Permit Fee 509/2 $ 254.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2516 Energy Plan Checking Fee $ PERMIT FEE $ 297,50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15,00 Each gas water heater or vent 15.00 TYPE OF WORK New] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: New MH on Perm End -Ex -site; Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W 920.00 ' PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Fee 20.00 800VOR IF: Main Service p A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. b License Class G —41 Lic. No. os $3 OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 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. 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 number are: Carrier 5-r,01-117415—trS V• RAS L� X.- Policy Number —01 (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 orthwit comply with those provisions. Q X Date _ — \ — D �— Signature of Applicant - ❑Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition construction of structures over 3 stories in height. Main Service zooA To +000A 46.00 NEW CONST. DW EWNG OCCUP. SO OR ADDNS. ( a ACC. stns. 3.5QFT; NO CSIOT' MULTI -OUTLET .. CIRCUITS @7.50 P OWGERLE APPARATUS b SIN OllRET CIR.sop ,.°° Ex. Occup. OUTLET OR FaTUREs BAL @ .50 FIXED AI PRl 5.00 Ex. Occup. Dtrr ESIp.OE Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL F E $ 405.50 HAZ. F ES I FL 'D CDF m P C W"p PD SUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have d By / PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date a� 5/2 - / D .t- Receipt No. WHITE-D.D.S.- .D. CANA -ASSESS PIN -INSPE OR GOL NROD-APPLICANT 4sl!.-.P,r�,.-i�''�,�..,.+...•yW-�.d�,�.' '�'At�"r::;: �,+`r�-ti;�:5- .. � 4 r, .. _. ,; � w. - ,. �-e..,,",�. COUNTY OF BU I TE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET /'� (, (l 1 OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: L?jItems required in order to app y,;for a per 't. All boxes MUST be checked OR marked NA in orde to bliply. I /1. Plot plans, 3 or 4 sets, signed by the preparer of the plans. W2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 03. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. X" 4. Engineered truss details and layouts in duplicate. No faxes! P&-�5. Energy compliance design and supporting documentation in duplicate. La'6. Manufactured homes: (A) Data''sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down o ,1 k foundation plans, all in duplicate. WT. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Flpor plans in triplicate. All of these must be stamped and wet -signed by the engineer. II Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate' wet -stamped and signed, in duplicate ................................ 0/ 9. Plot plan and business license approval from the City of Biggs .................................... O 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building"Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other R 1--smaining items needed to issue th,lIe` Permit. (May require additional plan review upon recei g items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... anitation and lana ro lot Non -heated and A/C Buildings ............................... Statement of Intent for Non -h p p pp 1val from the Environmental Health Department in City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: 8 iC (B)Parking: . (C) Parcel Check: L4 — 2s-0 Q- .0 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ;❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for I required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25.. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 6. Letter of Signature authorization.................................................................... X8 T Recorded copy of Agricultural Acknowledgment Statement .................................... r . Manufactured home utility clearance............................................................... ❑ 29. Ex' mg violatio/� and/or expired permits ........................................... . ❑ 30. rant Deed, LJ'.H. Title/Statement of Facts, C�" ga caner, Check to H.C.D. $ ❑ 31. Other: When issued Telephone a and hold for pickup. I have been informedabove ' ms and requirements for obtaining a bu' ding permit. Applicant: Date: _�, r� a .. 1. Index permit application for the above it beYed n Plan Check Letter 2. Ad ' onal items required If 042 Contrac , designer, owner, was advised oTeato e to y one, ❑ mail, ❑ counter, by Date: s. Z— oz. ntractor, designer, owner, was advised oa y ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: 2i� Date: 5 — 2 — 0'Z Plans approved by: Date: Structural reviewed by: II Date: Structural approved by: Date: Note transfer by: I! Date: ' ;` Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance . E.H. use ONLY Plot Plan Attechod Za Man All�tlt d � Sent it* 8.0 ! zs16, 6-70 Owner Location AP# Plan Approved for: Sewage Disposal X Water Supply: Public Private Well _ Clearance G-ice for dwettirrg. Other 3 dol,- h� cO� v�.�-� e sic4 �o J77oK,; Cor, me fo P.x iS�rt �vP.//p Serf .stir Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 9/96 S— /7—,0 z— Date I COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE — %V (� Pq�ED BUILDING USE `, V UILDING PERMIT FEES Balance Due ........................................................ $ 13 �4" --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) n , Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4.' URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. L S. RECREATION DISTRICT FEES �d ' 6. THERMALITO DRAINAGE DIST ICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # 0 C� 7 Q)?v DATE ( 0� RECCEIPT # DATE REC. "TF - !r7-UZ . I 0, 1 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan egcking process. APPLICANT DATE —Q Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) . . w,. � ..sir• i LT I*."` .++... _ .way r• t • ��".Y'. r.•', - .� . ^ ' wax .,tin BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 4� (One form per Building) ws ^µ:.. •1 r {V �+` School District A:P. Number Property Owner Property Location/Address Subdivision urisdiction Residential Development EZ No of Living Mobile Home M Units Installation Commercial/Industrial New Addition Department City Building Department No. 0 Lot No. .................................................................................................................. . i Sq. Footage 1314 a Addition/ *Supplemental to (Group R) Conversion Permit # i i '(No foundation inspection): ................................................................................................................... Sq. Footage Including Exterior Roofed Areas), Date IrIOOr runs reviewea Dy scnool uistrict Personnel) District Identification No. s' 0— ��School District certifies that C �► (� , (�� (Applicant) (Street Address) (City) has complied with the requirements of Resolution No 2 representing.': 3 1 square feet. strict Representative Paid by Check # /(/ Remarks: j r r (Phone Number) >(State)(Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date 41//s% Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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) feeform1is (10/98)dmm •,y�Av'Vn,��rw ra�4�st•+.,..•rh�vr+�tTrtti.�riq%..+p-�i7Tw.*r...++tar. �.-..,....+-. �.,wr.:�`+,i-�'ri..•�'`.'"'r'.,r1'N'r.+.r�i�'.f•�A� w....-.�.a*cr•c+�...y,. �.� ....., .,; �.j. "�..�•„�, ^i+r..^i� t<'Y ' �.K -•.r � �(^ ".Y.�c_..-.., i a N ''BUTTE COUNTY PARKS DEVELOPMENT FBS CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT.a Assessor Parcel Number(s) Olt& o , Property Owner ���VL( Q.�-�C� �'��d�-t-Q--IL.✓' Project Location/Address aS(�Q C,-��..� , JA_[ Subdivision Residential Development: (check one) Lot Number(s) New Development. Alteration/Addition Total Number of Dwelling Units Comment: /Mobilehome(s) _Non -Residential to Residential ii ding Depart t Representative D to Chico.Area Recreation and Park District(CARD) certifies that • C��� J� � � � i - �q�2 (Applicant Name) (Phone Number)..- . (Street Address) C— I(n (City) (State) (Zip Code) has complied with 6e'requirements of Butte Co. Resolution No. 90 -140” - by payment for dwelling units @ $1,189 for total payment of $ L4 I G-0 Z CARD Representative Date F PAID BY CHECK NO. R MARKSn : e X2 -_M sit S �1"4 e, uo• PIESO(L.l i U BANK NO.— PAID O.PAID BY CASH RECEIPT NO. Distribution: White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. park.fee (form revised 11/90) AND wIIEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 J -COPY of Document Recorded 23 -Apr -2002 2002-0020835 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required 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: APN: 042-070-196 Parcel 1 as shown on that certain Parcel Map, recorded in the office of the Recorder of the County of Butte, State of California, on October 16, 1992, in Book of Maps, at pages 50 and 51. c Date �/P� �� PROPERTY OWNERS: )�55i4 f C C) r T70 "t ;l le e 5 S•e e lui Gyc ee e (GGprect i fa rl ,4 X Mf!0c-51k'4 �-e q- State of California County Of Z—�') 1Lt4<SL On Q L - 18 bef9re me, �. %4 mhrt�>Se_ . olt7 C. ru VWDh e personally appeared ersonally 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 signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my dd',; nd official seal. ' wnw�,��,�,�wwwwwwwwwwww w� SignatureSeal: P�,•,.'; S. AMBROSE z COMM. 11295163 A.P. # 0y;, - 670-/%6 Q; '�:�• �', NOn'ARY PUALIC•CALIFORNIA � COUNTY OF BUTTE W �:'t•=� Canrn. F:rptroa Feb. 24, 2005 „:. 03/26/02 11:19 FAX 530 894 5713 BIDWELL TITLE -TITLE DEPT 0002/002 Legal Description for Assessors Parcel No. 042-070-196 Parcel 1 as shown on that certain parcel Map, recorded in the office of the Recorder of the County of Butte, State of California, on October 16, 1992, in Book 128 of Maps, at pages 50 and 51. A T 1*41CORDING REQUESTED BY: AND 1VHEN RECORDED MAIL TO: BUTTE COUN'T'Y BUILDING DIVISION 7 COUNTY CE"4-fER DRIVE OROVILLE CA 95965 COPY of Document Recorded 29 -May -2002 2002-0027616 Has not been compared with original BUTTE COUNTY RECORDER ' SPACE ABOVE TATS LINE FOR RECORDER IL -SE ON L.1 NOTICE OF MANUFA_CTURED HOME (MOBILEHOME) OR COMMERCIAL. COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording 6f 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 kcal 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 indeNed 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. BONNIE J. JESSEE RCAI. PROPERTY OWNER LESSOR 174 3) `MULBERRY STREET _ \I MUNG ADDRESS C[IICO, BUTTE, CA 95926 CI.'Y COUNTY STATE. ZIP 2516 NORD AVENUE \I I.AT(0\MAIIING ADDRI?SS.IFDIFFERENT 1-1100 BUTTE CA 95973 CI I Y COUNTY — STATE ZIP ES`l-ATE OF BONNIE JEAN JESSEE `:IT O\C\ER (iralso property owner, scrite "SAME') 1743 MULBERRY STREET M•\ILI`:G ADDRESS CHICO, BUTTE, CA 95926 CI I Y COUNTY STATF. ZIT' BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CFRTIFICATE OF OCCL''PANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-0835 (530)538-7541 B L'Il I, PFR\Ill' NO FEI IAMONE VU\19f:R 05, 1.' GNA CRE OF I.00AL :\GE\'C' I •FIC :\L .•� DATI, EXECUTIVE HOMES DEALER.NAME (irnot a dealer sale, write "NONE 92081 DEALER LICENSE NO UNIT DESCRIPTION FLEETWOOD 2002 WOODLAND PARK .MANUFACTURER'S NAME DATE OF MANUFACTURE MUDEL NANIE/NUAIBER C'AFL217AB25597-NNT12 494" X 268" PFS0758501/2 SERIAL NUMBER(S) RVAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED LENGTH X WIDTH ASSESSOR'S PARCEL NUMBER A.P. # 042-070-196 I ICD FORM 433(A j REV. 5/91 \4Ti1TE -County Recorder CANARY - HCD PINY. - Applicant GOLDENROD -Building Dept INSIGNIA -LABEL NUMBERLSI LEGAL DESCRIPTION A.P. # 042-070-196 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 35, ACCORDING TO THAT CERTAIN MAP ENTITLED, "MAP OF THE THIRD SUBDIVISION OF THE JOHN BIDWELL RANCHO, NEAR CHICO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, SEPTMBER 17, 1900.IN BOOK 5 OF MAPS, AT PAGE 8. BUILDING PERMIT NUMBER: 02-0835 Address or location of unit: 2516 NORD AVE., CHICO, CA. 95973 Legal Description of Real Property: A.P.# 042-070-196 SEE ATTACHED (x) Mobilehome/Manufactured Home O 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: ESTATE OF BONNIE JEAN JESSEE Owner's address: 1743 MULBERRY ST., CHICO, CA. 95926 INSIGNIA OR HUD NUMBER: PFS0758501/2 SERIAL NUMBER OR V.I.N.: CAFL217A/B25597-WP12 MANUFACTURER'S NAME: 'FLEETWOOD YEAR: 2002 OFFICIAL APPROVING INSTALLATION: DATE: 05/29/02 PHONE: (530) 538-7541 H.C.D. 513C 3042'" EsplanadeAt " •., Chico, CA 95973 This Purchase Order supersedes all (530) 891-6992 Previously dated Purchase Orders. NOTICE: THIS FORM IS COPYRIGHTED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. "MANUFACTURED HOME PURCHASE ORDER -AND FEDERAL DISCLOSURE STATEMENT PURCHASER: CT�i9 U SSS C' DATE: ADDRESS: - %7`�.� _ %llL �i���/ 57— _ ONE: CITY:—�f%/�O STATE: lf— ZIP:SALESPERSON: Subject to the•ternis and conditions stated on both sides of this agreement Seller agrees to tell and Purchaser agrees to. purchase the following MFD./MBI» Home: MA '' . " - MODELA B. ROOMS PPROX. (NOT INCL. 'T W BA EAV S �� ` (NEW ♦' ❑ USED d o'3i� y, . . SERIAL NUMBER APPROX. HUD OR HCD NO. DA DE TE I7HE.0 DT: OF MFG. -D•�4U/C'¢ T OF THEYGMFD.1MBL. HOME E LUOES THE IS�TEE'"qPRICES FOR THESE ITEMS f�%i9/1!E 'T/.fJ�sc�Ofl� Q. FT. LIVING AREA 1'4.ec t'' MFD. HOME PRICE $ t0;V1 773" - - .TOW BAR, WHEELS, WHEE UBS; _TIRES, AXLES: DATE MFD. ORD.,ESCROW OPENSTKplOTHER - USED HOME SALES TAX, IF ANY, (1ST SOLD PRIOR TO 7/1/80) ITEMIZED ACCESSORIES AND THEIR COSTS (SEE ADDENDUMS) Normal ide`Ilvery &: set-up inclu ed delivery cus Omer, accessable sife and .:set up on: level prepared of . Factory or ers' t ncludel options as 'specified rOn r er confirmation" eta ••� ..��L-� L 5"L.S r• ,.�X_ 4471-0-6 .I" }-7�,�1 i9 LS,�13-5 T TAL ACCESSORIES (OUTSIDE HOME). $ 00 `— �/-f7G�' TOTAL MFG. HOME &ACCESSORIES $ _ SALES ,TAX (ITEMS NOT I EG T HOME) ;, $ " ,q FOUNDATION SYSTEM /� ,V 5,�l�.t7( • • • - • -MODEL DELIVERY $ L . SET UP + - �$ MAKE BED R HCD FEES INSURANCE PREMIUM (ONLY IF SOLD BY DEALER �. TITLE NO. SERIAL NO. COLOR AMOUNT OWING ACCOUNT NO. ESCROW FEES �, SCHOOL FEES /,PRE PAID TAXES �S'rT ,/rj/fs $ O `� . TO WHOMOTHER ADDRESS/ NE DOC: FEE(NOl "A GOVERNMENTAL ARGE) 1. TOTAL, CASH PRICE .1 THE�MFACTURER STATES THAT INSULATION HAS BEEN INSTALLED IN THIS HOME AS FOLLOWS: (NEW ONLY) ALLOWANCE ON TRADE-IN $ TYPE THICKNESS 'R' FACTOR LESS BAL. DUE ABOVE $ NET ALLOWANCE $ + PAID HEREWITH $ CASH BEFORE DEL. $ DESIGNATED DEPOSIT $ 77,\ ROOF11L1llLOSC' oZeZ- EXTERIOR WALLS �,� f/ / FLOOR �e6 --lir/ / WARNING—Unless a charge is jincluded7,in�this Agreement for Public Liability or Property Damage; Insurance, Payment f for such (INC. IN DN: PMT) _ Coverage Is not provided b this a reement' / �% 9 P Y g - t, A �24ESS BUYERS DOWN PAYMENT - $ ."If the dealer is also licensed as', areal estate broker, sale 3. UNPAID BAL. ON CASH SALES PRICE $ 4. FINANCE CHARGE $ .the of a' manufactured home or mobilehome being installed -on a foundation 'system' pursuant to '' Section -'•18551 may be ; 5. ANNUAL PERCENTAGE RATE "included ' in the purchase document 'for`, the; underlying, real 6. TOTAL PAYMENT AMOUNT (3+4) $ property; 'provided that' the requirements of m'HSC SEC. 7• UNPAID BALANCE DUE PRIOR TO DEL. $ 18035.3 are met." 1 I k j ( I� : j, . 1 ". �B. TOTAL DEFERREDiPAYMENT PRICE (2+6) $ 11 , �� " PAYABLE A8 FO WS; V THE DEALER CERTIFIES THAT THE )' ? v i tl a__ I a� t.., s INSTALLATION CONTRACTOR, IS- ` NAME �' EXECUTIVE HOMES LIC._ li" ' . 64058-), BUSINESS ADDRESS. 3042 -Esplanade In the event the manufactured home cannot be delivered "and/or" inspection completed within the agreed delivery time due to nonperformance by the buyer, buyer agrees to one of the following at the option of seller, either (1) to pay $ CITY Chico CA ZIP 95973 • 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 , t-'Ccniractcrs State License Board, P.O.. Box 26000 Sacramento, CA 95827.1 of $ in lieu of total consideration. (A) DO., NOT SIGN THE PURCHASE AGREEMENT BEFORE YOU READ IT•ORAF 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 WAR RANTY.,.Complaints concerning the purchase shall be referred to the dealer and, if the complaint, is not,, resolved,.may:aie` referred to the Department of Housing and Community Development, Division of. Codes and; Standard s,'Occupational; Licensing, Post Office. Boxt31°; Sacramento; California 95812-0031v'(telephone-(800) 952-5275). A;failure to -disclose pursuant'to this section shall ,not•be the basisE "for recissionof a conditional sale contract r.•::r* a - 3; - ', r,f •7` r ` `- < - �'.+ r. TheYManufactured Home" that,,l� am purchasing Ewill`be •used as a residence..) further certify, that I'understand.,that, if 'subject Manufactured,; Home is used for, any: purpose other-than'a'residence, I may be liable, to;.the Board 'of- Equalgation,ifor the taz measu�r'ed bye i +State amount excluded pursuant to'this certificate ' r ,. 1 j' ; R(JR��,.. HASER:: ) DATE " I RECEIPT OF A FILLED-IN COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED 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 it}�. I 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,ofraiF j Manufactured or Mobile Home are more than quoted by the Purchaser, the Purchaser hereby agrees to pay this excess on demand. - Tr' ALL TERMS AND CONDITIONS SET FORTH ON THE REVERSE OF THIS AGREEMENT. ARE INCORPORATED HEREIN AND.ARE,'J 'V i 1 FULLY AP CABL S THO E FORTH ON THE FRONT SIDE OF THIS AGREEMENT. ° t 1• j SELLER: �� o �f_ PURCHASER: "Ikl SELLER: PURCHASER: 0rr • DATE: AUTHORIZED REPRESENTATIVE OF DEALER ("d.No. 199,9-00 Ewrow No. Loan No. WHEN RICOADID MAIL TO: /'f i r3oX 7G.S I N :f ' rioia •►eonviI 4�Ac III OSCU'Ir � OU12f C IUB "COUNtT RECAOP� 84859 MAIL TAR STATEMENTS TO: i000UMINTARY TRAP/PIR TAX I We //�r.•r••N •""r t� 71°s r•rr T E • COWUTID ON PULL VALUE Of PROPERTY CONVIYID / ��C� 7r'�f i.' COMPUTSO ON FULL VALUE LE// LIFNe AND tNCUM/NANCIS REMAINING AT TIMI O/ •AL1 l ... 7,4 . ayn.l/1• N b-.r.wr ., AaMr tl.l-ni�nt,y r.• I i.�NM.. GRANT :DEED ion A VALUABLE CONSIDERATION, rwAlyl ul which It harks saitowl-dyed, BONNIE J. JSSSii, a married woman, who acquired title at BONNIE J. WRIGHT,, hereby ORANTISI iS to Bona J. JSSSif married arried woman, as her separate property i' u» real Property In the City of Chico County of Butte [ State of California, dmrlbed as Lot 35, according to that certain Map entitled, "KAP OF THE THIRD SUBDIVISION OF THS JOHN BIPWZLL RANCHO, AZAR CHICO, BUTTS COVIITY, CALIFORNIA", whioh"Nap waa recorded in the office of the Recorder of the County of Butte, State of California, September 17, 1900 in Book 5 of Napa, at page 8. 3. Dared—January-22".9.70 — STATE OF CALIFORNIA COUNTY OF N On tutor. me. the nditntilhad, a Notary Puwk In rid ler IMd Stn., Prrenally aPearad �DLniaJT.a.Jiaalaa__ Bonnie J. Je s IIRINIItIMtt/NNIININ111NNt1111MN111NN11111 orrlclAL /NAE, eLArtoN eNAMeless '' la uY ,uN1I uuraau "^`^'^�^-^"�•^�7^'^++n^+�-•y-..•.mown to ma to b/ the PMloll — MlrEaa nrR1 4S 1' �uMtl/aL eNl[I q IFI �� r w6.orlbad ro dta wllltln Inatruntanl ad Wknowack d YIw ee1n11Y M lural NF GeYafwal I.Pkw Nor 1. Irr1 {"""'^•^�^•-»�•�-WITNEp /m//Y//a�//�//yy-- 0 li kIM_ SlenHur/ `� — tf Nwna ITYW Of Pr1Rted)ul •'.. OF DOCUM61,11 N «w Fair 0111111111 newly full I MAIL TAx QTVIMINT/ AS DIAICTIO ABOVI �M atoll ----- - - IAP NOo 012-0-0-Oj0-0 eooR�llUV fA6I4�� ®EcEHE M AY 2 8 2002 BUTTE COUNTY PLANNING DIVISION STATEI OF CALIFORNIA BUSINESS,-1.11ANSPORTATION AND HOUSING AGENCY DEPARTMENT OF IIOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a: El"'Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) 1J00dL4--,.d do gY'dp-3J I/We, the undersigned, hereby state: Dealer Report of Sale # The Above Described Unit Has Been Placed On An Approved Foundation System In Accordance With 18551 Of The Health And Safety Code. I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of Califomia, 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 on3 � 6 at=�J (Date (City) ' (State) Signature(s) Address 3D y� S✓�/,oz. City � HCD 476.6 (REV 12/00) -e_ Printed name(s) &,ec-Q t Ue. llokvLe State 0h YS—,C- -73 FILE•No.666 05/28 '02 AM 10:48 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 2 �, f V )' STATE OF CALIFORNIA 'T'• BUSINESS. TRANSPORTATION AND HOUSIN F �1 L.. f� ' DEPARTMEN pp H llgwrlaaln r�..�• ..,, I N J&Ll.ONI._.,T LJ V • 0 OTV1810N OF COUE9 AND 8T'ANDARDS MANUFACTURED HOUSING PROGRAM �''"��` MANUFACTURER CERTIFICATE OF ORIGIN ple IBUTION: ORIGINAL (PINK) FORWARD TO IA. CREDITOR. UNLESS THERE IS NONE. TI1FN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE), COPY I (WHITE) rORWARU'fOT)IB DEPARTMENT AT P.O. BOM 1628• SACRAMENTO. CA 95812.1826, WRIIIN FIVE (6) DAYS OF RELEASE. COPY 2 (YELLOW) DELNER TO THE TRANIIPORTER TO ACCOMPANY TIIE UNIT 'fO ITS DESTINATIDN. COPY 3 (ODLDENROD) TO BE RETAINED BY fNP, MANUFACTURER. HCD 493.0 - S1ae I • (7197) ❑ CHECK IF THIS 1E A DUPLICATE MCO -ENTER ORIOINAL MCO NO. MANUFACTURFL HOM a OR MULTI -UNIT AN IFACTUREO HOUSING 2 NUMBER OF �'-•� ffSFD (SINGLE FAMILY DWELLING) U MUMH (MULTI -UNIT MANUFAC'I'UIi@O HOUSING TRANSPORTABLE SECTIONS COMMERCIAL CQACII: OCCUPANCY GROUP MANUFACTURER NAME: MANUFArTUIfR LICENSE NUMBER: YY 99 JJ FL112ITWOOD HOMES OF CALIFORNIA, INC. Al�UTRE WOODLAND G 93776 SUGGESTED RETAIL PRICE: PO SOX 1308 Slleel CI � 61ete ZF ,I MANUFACTURER TRADE NAME:' " ' MODEL A 2 NDJ NUM R: • r, ti',> til`. . 04/25/2602 WOODLAND PARK 4483) 2002 NAME OF DEALER OR TRAN F (i 1Lppyyyy�NERgy�p RAN FERRED TO): CALIF. DEALER NUMBER OR L ATE OF TRANSFER: 08CURITY M/R an 9v RTH, INC• TRANSFIEffilISIGNATION: 04/25/2002 DBAI EXECUTIVE HOMES DEALER OR TRANSFEREE ADDRESS: G 95973 3CBICo 041 ESPLANADE Str6e1 CI Blois z1 INVENTORY REDITOR NAME: DRVTSCBB FINANCIAL SERVICIS INXWP§ICFftTOR ADDRESS: P O BOX 411997 ST LOUIG mo 63141 gee CI elate ZI SECTION MANUFACTURER SERIAL NUMBER I1CD INBiONIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT INCHES POUNDS 1-0 INCHES 1 CAFL217A25597-WP12 PY007SO501 592 160 20,440 2 CAFL217B25597-WP12 PP80758502 592 160 11,780 TRANSPORTER NAME: D & R TRANSPORT TRANSPORTER ADDRESS: CA DURHAM CA 95938 slO. BOX 179 at cat (81816) DESTINATION FOR UNIT OESCRIRED ABOVE: NAME Strait Cit Slate L I comfy under penalty ofPetiuq under Ilse laws of the stele o1 California that the above reqs aro two mb cwleN. 04/25/2002 WOODLAND YOLo CA Eeewud tm et (Uetel 1 twnly) (tate) 91ONATURE OF AUTHORIZED AGENT: /".-__, t"..- ple IBUTION: ORIGINAL (PINK) FORWARD TO IA. CREDITOR. UNLESS THERE IS NONE. TI1FN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE), COPY I (WHITE) rORWARU'fOT)IB DEPARTMENT AT P.O. BOM 1628• SACRAMENTO. CA 95812.1826, WRIIIN FIVE (6) DAYS OF RELEASE. COPY 2 (YELLOW) DELNER TO THE TRANIIPORTER TO ACCOMPANY TIIE UNIT 'fO ITS DESTINATIDN. COPY 3 (ODLDENROD) TO BE RETAINED BY fNP, MANUFACTURER. HCD 493.0 - S1ae I • (7197)