HomeMy WebLinkAbout056-140-0780 140--78 #98-1688
' 78
GRE -EE, ED
9
462 ASSET RD. CHICO
OWNER
MHU
ELEC
13AS
056-140-078 ' 498-2332
WIUTE, ROBIN F,,��
9462 COHASSET RD. co
PICKENS CONST.
MH PERM FND
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COr—"y Of Docuir�ert Recorded
20-jan-2005 2005-0003813
Has riot been compared with
origine!
BUTTE COUNTY MMDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBIELEHOME) 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.
ROBIN A. WHITE
BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNERILESSOR
AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY -
9,45 SWAIN DR.
CENTER DRIVE
MAIIJNG ADDR.ESS
TDD�ts
REDBLUFF TEHAMA CA
_ir0k0VILLE--BUTTE CA '4`-_'_.95965 -
CITY COUNTY STATE
ZIP CITY COUNTY STATE ZIP
94:62 COHASSET RD.
._7 08-2332 (530) 538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CHICO BUTTE CA
JBMPERMIT NO. TELEPHONEJUMBEI
95973- -�z �- -.:� . I" J* I W.
CITY COUNTY STATE
SIMTOREOFLOCAEAGEN COFFICIAL -1 OATE
ZIP T
SAME
---�z-NONE
UNIT OWNER (if also property owrtcr, write "SAME")
DEAT ER NAME (ifnot adealersale, write 'NONE")
SAME
NONE
MAILING ADDRESS
DEALER LICENSE NO.
SAME
CM COUNTY STATE ZIP
UNIT DESCRIPTION
FLEETWOOD 1993 8260-2B
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEVUMBER
CAFLP17A15324VvTF 60'X 13'4" RAD705504
SERIAL NUM BER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S)
SEE ATTACHED
ASSESSOR'S PARCEL NUT,(BER 056-140-078
HCD FORM 433(A) REV. 8/91
WHITE- County Recorder CANARY-HCD PrNK-Applicant GOLDENROD. Building Dept.
01/10/2005 16:21 FAA 531) 888 8531 FIDELITY NATIONAL TITLE
10004/009
LEGAL DESCRIPTZOM
"On"
ALL THAT CERTAIN RZAL PROPERTY S-11.,UATP IN TH8 UNINCORPORATE0 AREA
-
OF TRE COUNTY OF BUTTE, ST -ATE OF C.&LIFORNIA, BEING MOR�v
PARTICULARLY DESCRIBED AS FOLLOWS:
ZMCZL A i
PARCEL 31 AS SHOW -V ON THAT CERTAIN r-XRCEL nA? ENTITLED, 4A PORTION
OF 7nHE INORTIMMT QUARTER OF SECTION 27, T24M., R2E., M.B.S. a m. it,
FILED IN THME OFrFICE OF THE RECop.DER oF Tl-.rE COUNTy Op ]@UTTE, STATE
OF CALIFOMIA, 011 DECE24ngR 9, 1963, 7.1 BOOK .93 OF Va-�_DS, AT pzLrE(S)
.97 AND 98.
AP #056-140-078
PARC3L B:
All EASEMMTT FOR ROAD AND PUBLIC UTILITI'ES PURPOSES OvEIZ THE
FOLrJOWING DESCRISED PARCEL. OF LANrd:
AP. M. -MOST, 3OQTF'4EST CORN.EIZ OF PARCEL 2, AS SHOWN ON
TH;�T 0MTAXj; p,?�RCEL KAR,_FlTjPD I�T Ty2.OpVjCE �OZ.Ty ECORDER OF T_
'COUNTY
Op7b----
UTTE;:�STAVLE OF' CALIFORNIA, ON D8CEMBER 9, 1983, IN BOOK
--
53 07-MARST- '"'T'
;AT. - PAGE;(S)_ 9 5 0 " EAST -
X=STANCE 0 38.87 FS PIT
T. -.,Sou-TF.
r.rz. 15F -Tilt �SotAtO`16F LAND SHOWN As' THE"ACCESS ROAD FOR
SAID 7ARCM �Z; TFMCR SOM�85* 47' 40" WEST AWNG THE SOUTH LINE
OF SAID -ACCESS '_STRIP -_OF LAM A FEST TO A PolluL
-L
OAD 'THEM�: -NORTH
EAST, A. "D I ST&CR'OF `6 4,-. 73 'FEET TO A -'PO INT; %IRMItE NORTH a 5 a 471
EAST' ALON6-THE�VOPLTX 14INE -09 SA -.D ACCESS STRIP OV LAND A. DISTANcE
7�
OF 311-69 T
F
_m__ � M CONTINUING NORTH 850 47r 40" EAST, A
DI STANCS-OF- 6 0 -FEET;- TEENCE SOUTH- 1? 0 5 0 " 5 0' WEST' ' A DISTANCE OF
1031-60 FEET TO A iMINT ON THZ SOU71i LINE OF SAID PA-RCZ.L 2; THEMICZE
S07ril 850 471 40n WEST, A DrSTANCS 'OF 60 ?EET TO TRE POIJqT OF
BEG ZNN.Tlqc-
SAID BASEMNT IS FOR Th -E BtMF:1T OF AND APPURTLVANT TO PARCEL 3, AS
SFOWN ON "?HAT CERTAIN PARML MAP, FILED IN THE OFFICE OF Tag
RECORDER 0? THE COUIM OF BUTTE, STATE OF CALIFORNIA, I -IN BOOK 93 OF
KkPS, XT PAIMB(S) 97 AND 98.
CONTINCED
Z�O-V="Pt;'on" -qL'_ta,Ca D0==nt-ys2r-l)VolD 2004-5124 Pagt. 3 df 4
Ord8r: wanda7 I C=222nt!
01/10/2005 16:21 FAX 530 696 3531 FIDELITY NATIONAL TITLE
i
LEGA& D_E2MR=PTjOX - CONTXrj
E�S_SMENT FOR PUBLIC OTILITIBS PURPOSES OVER A' STRIP OF LAND 20
FEET IN KIDTIN LYING BASTnLY OF AND SOTJTHZRLY* OF Tjqm, FOLLOWING
DESCRIBED LINE:
BEGINNING AT THE MOST SOVIVEMSTERLY CORNER OF PARCEL 2, AS SHON19 Ojq
MT CERTAIN PARC?,L MAP, PILED IN THE OFFICE OF THE RECORDER OF n. E
COVNTY OF BUTTE, STATE OF CALIrOR.NjA' ON DECZMBER 9, im, IN BOOK
93 OP MAPS, AT PAGEW 97 AM 98. THENCE NORTH 170 50' 50" EAST, A
DISTANCE OF 215.07 FEET TO A POINT AT THE MOST NORTHEASTERLY CORNER
OF SAID PARCEL 2.
SAID EASEMENT IS APPURTENANT TO XM FOR TFE 2910PI T OF PARCERL 3, AS
SNOWNT 09 THAT CERTAIN FARCEL - W, FILED IN THS OFFICE -OF -THE
RECORDER OF THE COVNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 93..OF
MAPS, AT PAGE(S) 97 AND 98
END OF LEGAL
D0cwWnt-Year,DocZD 200d.5124 RaV. d vi 4
0=dox: =n&y 1 c=nent!
BUILDING PERMIT NUMBER: 98-2332
Address or location of unit: 9462 COHASSET RD., CHICO, CA 95973
Legal Description of Real Property: AP#: 056-140-078
SEEATTACHED
(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: ROBIN A. WHITE
Owner's address: 945 SWAIN DR., RED BLUFF, CA 96080
INSIGNIA OR HUD NUMBER: RAD705504
SERIAL NUMBER OR V.I.N.: CAFLP17AI5324WF
001
MANUFACTURER'S NAME: FLEETWOOD YEAR: 1 93
OFFICIAL APPR VING INSTALLATION: ;�Wk/v//
DATE:
PHONE: (530) 538-7541
H.C.D. 513C
01/10/2005 16:22 FAX 530 B83 8531 FIDELITY NATIONAL TITLE (m 006/008
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Ovocriptlon: Hutte,CA D0CUMQnt-r0&r.DcmZD 1098.26769 Pay*: 1
ardor. Monday 1 Ccmment: . .....
01/10/2065 16:22 FAX 530 099 9531
FIDELITY NATIONAL TITLE
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099crilut-icm: Buttc,CA D0cLM@Rt-YGar,D0a.TD 1.9-98.36709 Page! 2 of 4
Ordart wndV I C=mmnt,
9007/009
0111012005 16:20 FAX 530 889.8531 FIDELITY NATIONAL TITLE
ORDBR 80. 2-69547JLV
d
h jbmn= GO=%
AM TmT caRTAim nuL PROPW= 51--UhT8 IN THE =NMRP0mTsD AM
OF Tm Comm OF Wmmf =T11 OF Culpol esIpla MORE
PAWICULULY 1186MIND AS FOUL90i
AS GWM ON TMT CSTAW rmczL jqAp Wrr.TL3D, ek pO%TIMr
Of Tu VOATH&wT O;wm OF Swim 27, T24N, , MS., ". D.E. a ". 9 1
77UD = US OPPIM OF TM WCORM 0? T= COtWff OF 131pTTIg, WA78
OF ChUPOWSA, 09 DKOWIL 9, 1953, IN DOOR 93 OF NAM, AT PRO (SI
97 AND 99,
0056-140-070
PAML 2
MSW=r MR P&W AND PUBLIC UTIZMIBS PURMS101 C%FMR TIM
FOLLOW110 OWMISED PARCEL OF J.AN
920"WXNG AT TO Mn SOLrnOMST COMM OF PARCEL Z. AS 9MM ON
TW CUTAZA PAR= KWj FILM IV SM oppleg OF TEE RSCORM 01p TM
C'XWff OF HEMS, STAn OF CUIFOPJU, M lDgCnmgR 9, Igg3, IN BOOK
93 OF Ms. AT PAGN18) 97 AM is. THE= MOM 17a So, SO,, LUT
AIM I= WHOTERV LINZ OF SAID PARCEL 2, A DXSTAN= or 38.87 P=
TO TUN SO= L= OF TU STRIP Of Lan &)I= Aa TU A=5S MW FOR
"ID PAR= 21 THUM SOUTH 856 47' 40" NEW ALOW 7n SOUTH Lm
OF aAlD ACCE" WRIP OF LPM A DIDTA&M OF 311.69 FECT TO A POIW
ON TH2 USTBRU LINS OP OOW=3T ROM, TIMCE NORIM :LIA, 5o, son
RAST, A DISTAICS OF 64.73 FEET To A pQZyT; TZg= MORN S59 671 401,
RM AWN THC ROM LIN OF SAID ACCM STRIP OF LAND A DISTANCZ
OF 311-69 FEET"i THS"ME CONTUMISO NO= 85- 471 404 2MIr, A
WSTANCE 07 wg FWTi WIM SO= L70 301 SON WBST, A VISTANCZ OF
X03-60 FEBT TO A MINT Olf TRZ ROM DINO OF SAID IPARCSL 2j TJIENC9
SO= 05" 47' 4011 WWRT, A DISWCO 07 60 PEST TO THB VOINT QV
SA11) ZMEMENT IS FOR TRZ BEW9VIT OF AND APPURTEM" TO PARCEL 3, AS
GROW ON THAT CERTUN FARCLL Hhp, FILM IN TIM OMTCO op -Me
r%BCORDER OF TKE COUNTY OF auTl STA7-- OV CALIFORNIA, IN BOOK 93 OF
WS. AT PAGE(g) 97 AND 91.
CON7rNupl)
D*cumVAt-,yQ&r.D*cZD 1999-36769' FAgm.- 3 of 4
Ocdorr manday I Cammume:
0008/009
01/10/2005 1&:23 FAX 530 B99 9531
FIDELITY NATIONAL TITLE
OR= NO.-I-6594mcw
" RhBBUW FOR POLIC UrILITIMS MPOSEN OVER A STRIP Or LA%qv 2c
YOT 0 N=x LTIM RAernLy of Am swimmy or THe owwwwo
MCRIM WIM:
Ownenn AT TUB MOM SOUTNW99TMY MUR Of PARCEL 2. AS SHM ON
COMIN PARCEL NU, FXUM 19 7K2 OPP3CZ OF THE RECORMM DIP TO
CMWM Op a , WMTR OF CALIMMIA, On mcamm 0, lass, IN Scom
93 OP IMS, AT PA=19) 97 AMC 98, THOM= NM7% 170 501 $011 RAft, A
DISTANCR OF 215. 07 MT M A POENT AT TM WgT J0OR7W%ffMLy CORM
OF RAZO PARCM 3.
SUB RRUMT 18 APPOTMUT 20 AM MR W 31SWIT M PARM 3, AN
BMW ON TFAT CM%IN PARCEL NkPI pum IN THE OIFFICS 01p TIM
VJUXMM OF TO C07M OF WMV - 9TAT8 OF ChLIPOkSIA; IV DWI 93'OV
MRPSP AT PAMM 97 AND 98
El
M OF LEGAL
Deecr'Ptlan" auttOICA DOCUMAt-year-MaID 1998-36769 PAga: 4 of 4
Ordar: monday 1 commant, ......
01/10;iOQ6 16:20 FAX 530 B88 8531
RECORDTNG REQUESTED BY:
Norman J. Ryker
Attorney at Law
1074 East Avenue, Suite C
Chico, CA "926
WHEN RECORDED RETURN TO:
Norman 1. Ryker
Attorney at Law
1074 Bag Avenue, Suite C
Chico, California 95926
FIOELITY NATIONAL TITLE
Z002/008
Reco,-ded I RM FEE
OfficiaL Rerorde
Countv Of
WTTE
CRNDAr, J. ORLBBE
Recardor
ROSENARY DICKSM
3214iltant I Amdrpw
11; 9 -Jan -U04 I Page i of 4
MAIL TAX STATEMENTS TO:
Robin A. White
829 Oak Street
Red Bluff� CA 96080
A -P -N. 056-140-078
QUITCLArM DEED
This is a Quit Claim Deed and not a thange in ownership under Section 63 of the Revenue and
Taxation oode based upon the following exclusion:
A transfer to a 3pouse or former spouse in connection with a property settlement
agreement or decree of &&solution of marriage or legal separation.
FOR VALUABLE CONSIDERATION, reccipt of which is hereby acknowledged, SHANE L.
WALTER does hereby RELEASE AND FOREVER QUITCLAIM to ROBINA. WHrM, formerly
ROBIN A. WALTER, a her sole and separate property, any and all right, title $Ad interest in and
to the foIlowing described real property in the, County of Tehan)o, State of California-.
See Exbibit one, which is attached and iccorporated herein,
Dated., o3 - o :s
--fior, E WRWR
Page 1 of 2
D080riPtl0n: Buttd,CA DVCU�t-y6&—Z)0C1D 2004,5124 Page. I of 4
Order: mondmy 1 cozmnt:
01/10/2005 16:20 FAX 500 888 8531 FIOELITY NATIONAL TITLE (MO03/009
AMOWLEDGMENT
Stale Of Californin
County of Bune
On 12-3 -03 Wbre me. personally, appeared
Y%IA%L �' W�A±Cjz') , pemonally known to me (or proved tolmeon bmisl of satisfhaory evidence) to
be the PeTsOn(s) whOft nafne(s) i& subscribed to the WiNn instrument and wJmowledged to me tha he
executed the same in bis authorized capadtyCtes), and that by his aignature(s) on the instrument thz
person(&), or the entitXieg) upon behalf of which the person(s) mcted, executed the instrument.
WITNESS my hand and official seal.
Ntotary P Ub!1l
GHR19ff L. HMKLE
loom rMus M M=Ab
Page 2 of 2
DesarlPticn: BUM6,CA DO =MMt- Year. D1061D 2004.9124 Page, 2 of 4
Order., wnday 1 conmait
-Z
- #98-2'-3-32—'----',
WfHT,E-'R0B1N
RESIDENTI, —9462-c6H�:s SET RD. CMCO
APICKENS CONST.
NM PERM FND
PERMIT NO.
.PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
Al
),art^- (06.
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By Date
CHECKED
SRA BY
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole
Called PG&E—
Temp. Elec. Service
Called PG&E
Temp. Gas Servici
Called PG&E
JOB FINALED (Date)
Signature
V = OK
0 = Not OK
- = Not Applicable
* = Not Ready
Date UNDERFLOOR (Plans) OK except #a
1 . Zoning-Setbacks-Easments-Flood-Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /"Ftg. Depth
4. Ftg. Porches & Decks; Soils -Steel-/ /' Ftg. Depth
5. Sternwalls, Main;,Steel-BlockoutsAA(rapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, SteelAAfrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V; Fall-Fitfing-Test-2 Way C/0 -Sewer Test
10. UF Gas Pipe; Size Anchors - Yard 6as Piping; Size Test'
11. Water Pipe; Test-Anchors-Regulator-SeMce Test
12. Electric Underground
13. Pienums & 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 ft
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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #s
23. Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & Switches at Doors
25. Size B2res & No. of Conductors Stapled
26. Romex kstalled Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size ga. Cu or AJ-A.C. Wire Size ga Cu or A
30. Range Circ. ga Cu or AJ -Oven Circ. / /ga Cu or A
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels-Motors-Mech. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
34. Smoke Detecto
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #Is
35. A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft
�40. Sits Proper Materials & Anchors
41. Valls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat prooQ
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
RESIDENTIAL (Single & Duplex)
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V
In Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82. Following InstId./Drive-0 Yes 0 NoAlValks 0 Yes 0 No/Planters 0 Yes 0 No
83. Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng.
48.
Fireplace Ties or 1�pe A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
64.
Stairs; Width-Headroom-Rise-Run4-aTding-Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. 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-WallsAffindows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Tim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V
In Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82. Following InstId./Drive-0 Yes 0 NoAlValks 0 Yes 0 No/Planters 0 Yes 0 No
83. Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
135.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.Fl. Receptacle -Underground
158. Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance CeOcate-Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
V OK
0 Not OK
NotApplicable
Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer; Locabon-Test-Fall-Ci"oncrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /'12ft.
/ /Nat. or/ /Ltt./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOMFAff§TALLATION (Plans) OK except #'s
1 equirements- Setbacks Ea !!2!!nts
(211lootings; Sim -Spacing -Marriage UnL,��O,&�)
3. Gas; MLLTest-Demand-Valve-Copnector f
Connector
7_,Wa-ter and Sewer Connected -CTO to Grade -HD Approval
4*8. Gas angFAectricity Tagged
9LJI&O-owns-Type-Installation Cert.
10. !� �,nsp. ketrh
%-1<C!,rLof Occupancy
lZeflermanen! Foundation Only: License Decal
Date 11-3 -9,9 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
I , e
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1 . Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depdi-Spacing-Connectors-SteeI
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.: Columns-Connecbons-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rttrs-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
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel-Connections-Thk;kness
Dead Men-Uning
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/F 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
I
COUNTY OF BUTTE - DEPARTMENT, OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Ciroville, CalftorniS 95965 * Telephone (530) 538-7541 C, 5ER1
I -
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
0
ZONING
BUILDINGPERMIT
OWNER �'Kobl C)
I
so. Fr. occ. BUILDING VALUATION
1141,q 45,
JUJ
OWNER4�MS�Q JD1)!b5!�Af,-RJ.
CONTRArd
,MeAo,\ Cnabtraulion
T H NE
41(12)
_
CONTRAC��
1�7 NEM 'Red
bi A
_
CONSTRU.MDA
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
.A51TECT OR E ER
,16) 11 -7
NO
k /,
iling Fee
$ 20.00
___Fee
$ 194.25
*WTTECT 0 MtMTAA4PESJ DC
Y_ 6 r�D
Plan Checking Fee
$ 126.25
,q4ioa czw5acf-� Rd
Energy Plan Checking Fee
$
b�- +
PERMIT FEE
$ wd) 1:4)
LOT NO. rYmION`SNA1AE
PARCEL MAP
PLUMBING PERMIT
Filing'Fee 20.00
Each Trap
1 7.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome X Other SPECIFY
Solar or heat pump water heater
23.00
Water piping
4-- 15.00 i=5.00
gas water heater or vent
15.00
TYPE OF WORK
New X Addition 0 Remodel 11 Ulilifies; 0 InstallationKOtharX R)Ank fi()A
I
Describe Work: hD Me- -+- �;D K n& -hon ?,q5-teM
an
-Each
Gas piping system I - 5 outlets
15.00 15.%
Building sewer
15.00
Mobile Home ISI GI W1
@D20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee V-�!V'60
600V OR LES:
Main Service .. OR LES
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 a�d Professions Code,
and my license is in ful effect.
.!O�e and i__ i0a
License Class Lic. N �D
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
IJ I am exempt under Sec. Businpss and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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
U4-erformance of the work for which this permit is issued.
1have 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' co3pensa Insurance carriqr an policy numb#r are:
Carrier 5 Onaaa-h P&
Policy Number 4:0",4%
_ U-n-yAbeco pleted if the permit is for work of a valuation
(Ihe abov, m
of one hundred dollars ($100) or less.)
0 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 H I should become subject to the
w s compensation provisions of section 3700 of the Labor Code, I shall
f h th Comply Wi th se provisions.
4 (7t?
X ate X-ir-
Sigeat -of Appkanf - 0 Owner A Contracto 0 Agent
An OXA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING P. SO.
OR ADDNS. & ACC. effsu 3.50FT.
NEW CONST. OUTLET
NON-RESID. =.LT.I- CIRCUITS C@7.50
F.'Or AP=US
I
20 @ 1.00
Ex. OCCUp. OUTLET OR ForrURES BAL @ .50
Ex. Occup. . (RES,6.) E 5.001
OMD APPLN8 Mj
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE 43.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE 448.50
TOT�L FEE $ -
HAZ.
D. FEW FLOOD
*/ —
t�f
71
:�ISSIJE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
C r
By Pr
PERMIT EXWRE'S ON Cy
I
-
the applicable provisions
Resolutions to do work
been paid.
'? OD
Date tv
to. v- 11
(Date) I
ReceiptNo. 245M
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
DEPARTMENPOPF� A �!,OPMENT SERVICES - B UHDVVG DIVISION
COUNTYOFBU,TTE_
.7 COUNTY CENTER DRIVE - OROVILLE, qALWQBMA,95965 - TELEPHONE (916) 538-7541
ePE"ITAPPLICATIONDATA SHEET
I. I
OWNER: ASSESSOR,PARCELNUN-MER:-0'5(o-1(40--4P
Oroposed Building Use: BuildingIn's'
, pecion IL&A" Qate: Io -e -5R
At time of permit application, I was advised the foflowingAata must be's ubmitted prior- to permit processing and/or issuance:
Date Received By
El 1. All items have been submitted --------------------------- /- - ---------- : ---------------------
112. Plot plans, 3/4 sets, signed by the preparer of platis,r ---------- 7 ------ ----- ------ -------------
0 3. Complete plans, 3/4 sets, signed by the preparer of plans. 4 ------ -----------------
'�o�n on plans - --------
04. Engineered plans, 3/4 sets, with wet signature on plans. AD engine'erifig must be s
El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
0 6. Energy Design Compliance and supporting documentation.
0 7. Statement of Intent. for Non -Heated and A/C Buildings. ----
0 8. Hazardous Material Form - -------------------------------------
0 9. Manufactured Home data and installation iristructions including Tie Down Specifficatio 7 ------
1110. Fees of $ ------------------------------------ --------------------- - -----------
h - --- -- - - --------------------
pactfe—�s as shho--w-n on the attached schedule. 45-
affornia Department of Forestry plan approv - ------- A is:y ----- Z ----------
C
0 11 I�Fnaood elevation certificate - -------------------------------- ----------------------------- -------------
Rae."
4. Sanitation and plot plan approval C hA�,Q Health Department. 11111� --------------
0 15. City of Chico plumbing permit - ---------------------------------------------------- ------------------------------
0 16. Plot plan and business license approval from the City of Biggs.
0 17. Planning approval for (A) Use: (B) Parking:
El 18. Contact Land Development about 0 Improvements, 11 Drainage, 0 Legal Parcel - -----------------------
311957Encroachment Permit for driveway (construction approval prior to occupancy). -------
020. Pre -inspection for require& Request to Building Inspector on (Date)
112 1. Contractor's license information. (Number, Name Style, Classification) - ---------------------- -------------
El 22. workers' Compensation carrier and policy number - -----------------------------------------------------------
1123. Owner -Builder Verification (Given to owner 0, Mailed to owner 0) - --------------------------------------
C�1244.,Letter of signature authorization - --------------------------------------------------------------------------------
Recorded copy of Agri
, �ultural Acknowledgment Statement - -------------------------------
El 26. u6r,of dteiit�ofibtfi`lding use - ------------------------------------------------------------------------------------
El 27. Manufactured Home utility clearance - --------------------------------------------------------------------- ------
028. E i I i ns and/or expired permits. --------------- -----------------------------
.�V.- io atio - ---------------
4,m 43 Grant Deed, 0 M.H. Title, 3 Check to H.C.D - ---------------
0. Other: 11 . '. -1 -------
When you issue the permit, process as follows 0 Mail to owner, IMMail to contractor. , - I
E]Telephone and hold for pickup at ce. e iv th.
_____z6-fji 11 D Ii wi inspector.
nv
*Applicant: ���_Date:
Copy of Haz-Mat form sent 13 Health Department, 13 Fire Department, 11 Air Pollution Date: By:
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: By:
1. Index permit application for the above items numbered: Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by El phone, E3 mail, 0 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 13 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date:
Plans reviewed by: 10 - I ,;- -!!�a_ Date: 0- . Plans approved by Date: 1 4) 1 , a
Sets of plans on hold in 0 Plan CabinetXAP.--folder. Note transfer by: Date: t U
Yellow Copy - Department of Development Services, Building Division.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NC
(Rev 12/96) APPLIcAfloh AND PERMIT
ASSESSORPARCV.
—I q Q - _—) 8
ZONING
=M—?_
BUILDING PERMIT
rp=,
so. Fr. occ. BUILDING VALUATION
O�NUiVMAIUNUMOMW
CONTRAT'S E
(7 .0—W C
TELDIHONI
CONTRACTORS MAILING ADDRES8
CONSTRUCTION LENDER
Fireplace
LENDER*S MAIUNO ADORM
Total Valuation
ARCHITECT OR ENONEM
UCADNE NO.
Filing Fee
20.00
PermitFee ICIL4.zs–
ARCWTECT OR DKIIINIMAS MAJUNG ADDRIMS
Plan Checking Fee
z (in, z
SULDINGADORESS qq (0-21
Energy Plan Checking Fee
PERMIT FEE
LOT NO.
SUBI)WICINS MUM
1 .
FIAWEL bW
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehorne Pf Other
epwry
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
1S.00 IS.00
Each gas water heater or vent
1S.00 -
TYPE OF WORK
New 0 Addition 13 Remodel 13 Utilities 13 Installation 0 Other C3
Describe Work: AA I I zow
L(
Gas piping system I - 5 outlets is. 00 vs,.C)
Building sower Is -00
_LSoo
Mobile Home I S I G I W Q20.00
PERMIT FEE 0
ELECTRICAL PERMIT
Filing Fee 20-00
SOW OR LIMS
Main Service 20" OR LM
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:
[3 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
0 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.
0 1 have ind 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 low.)
0 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 [i
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 50* deep and demolition or construction
of structures over 3 stories In height.
Receipt No. IZ41,50`2119
WHITE-O.O.S .8.0 CANAAY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
Main Service 20" TO WN 46. 0
NEW CONST.
OR AWNS. 3.50-FTO'
NO"ESID. MULTI-OUTLEr C@7.50
( .7=AFU= W
0 CIFL
EX. OCCUp. ( OUTLU OR FIXTURS 2* * 1'00
S&L a .50
Ex. Occup. 5-00�
Temporary Service 23.00
Mobile Home Facilities 20.00
Wiring 23.00
—Misc.
PERMIT FEE S L13,6 o I
MECHANICAL PERMIT Filing Fee 20.00.
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE S
Mobile Home Installation Fee
Energy Inspection Fee
I
occ
NST. TVPE
TOTAL FEE $ L4
.5-0
-;;;z
0. FE13 IMP
1
I FLOOD
I COF
PARCEL
Po I mo I ISSUE
--
—1
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Res6lutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
(DA's) I
(-4s
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ablik
Plot Plan Attached
Floor Plan Attacheq
S a n t to B. D/0::/-�/
C/
Owner 056-VIO-07R
Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental
8/96
Specialist
AEA5
Date
-i
too
m
goo
1§0 Ch r"al
MILUOPIB0,00,40
8661 z I ljo
NNIAN3
I
.1 N
es
m
70
rf
r-�
"mL
ZS*90 QG/ZT/OT
ETS9968029 Nan3 a GHW88 22:OT 86/ET/OT
too IE
T C-16
Les 'ON
I
.1 N
es
m
70
rf
r-�
"mL
ZS*90 QG/ZT/OT
ETS9968029 Nan3 a GHW88 22:OT 86/ET/OT
le/og/gs 13:17 RBMHB R FURN -1, 5382140
BUTTE COUNTY SCO40OLS IMPACT -FEE CERTIFICATION Ftw(M
lone form per Bulkling)
'" , 4. tek
School DistriCt I - Building Department No.
A.P. Number On�- 1140 Jurisdiction: 1:3 City County
PropertV Owner
Property LocationlAddress
NO.586 IP02
Subdivision Lot No. OLA=:�
Residential Development MON E:3 Sq. Footage bu
No of Living b 0 Home Addition larcup R)
Units installation
Cornmercial/Indu3trial
e
C74-93��
EDSq. Footage
Now Addition lIncluding Exterior
Roofed Areas)
Building Department Representative
[Floor plans reviewed by School District
District Identification No. 49t 2
School District certifies that
( --oy kit
(C;ty)
has rornplied with the requirements of Resolution NO.
representing ISM square test.
School District
Paid by Check #
7, `2-j6
-7-36--�ho
Onto
gcb,n N�,( 1p---)
jApplicant)
4
lPhone Number)
(State) (Zip Code) 60
by payment of 3 14q
#AB 29U
J�ULL MITIGATION
Date n , AL
Notice: ;OU may proo"tast the imposition of the fees :ntified above by submAvin; a written protest to the Disvioct. in compliance with
Government Code Section 66020161, wkhin 90 days from the date fees we paid. Failure to Submit a timely written protest wW prohibit
you from challenging the imposition of the tees in Sny court action.
rm. the School District Is
It. subesquent to the School District Represeintative signing this Burte, County Schools impact Fee Catificatio� F;
n"flad by the applicable Local planning Agency that this project 10 being reviewed under the California Environmental QuaRIV Act ICE").
,his project may be subject to addldon@l school fe" to fully mitigate its impact on the school district's schools.
White japplicant). Yellow Ibuilding department). Pink (school district) leeform.xle (21971
WA 447 7 F'
"ell i f; i
4 —..—
A
A L -:i AL
MODEL -26020
2 BEDROOMS, 2 BATHS
APPROX SW SO. FT. BYFLEErACODe
vjF-i7AX-Ca9
AN b WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRrVE
ORbVILLE CA 95965
10 10 --3 --3 15,4 c3
Recorded I REC FEE 16.00
Official Records J COPIES 2.50
Count I
BuNe'f I
CANDACE J. GRUBBS I
Recorder
I Myles
12:35PM 06 -Aug -1998 I Page 1 of 4
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 Calif6mia, described as. follows:
SEE EXHIBIT "ONE" ATTACHEDHERETO AND MADE A PARTHEREOF
FOR LEGAL DESCRIPTION -
PPIT 0564.140-078
Date: August 3, 1998 PROPERTY OWNERS:
� g- &J .4
- - 442���� ) S64
,M. BetAncourt Gloria Bettdnc5urt
FAiward '�gVenlee,"--i��s-�ee %deline Day Grq4efilee, Trustee
State of California
County of Butte
On—August 3, 199%eforeme, J. Whitsett, Notary Public
personally appeared Josobh Edward Greenlee personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/shelthey 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 m and and official seal.
J. v%1H.1TS.ET1-
COMM #1069222
NOTARY PUBLIC -CALIFORNIA
Signature Seal: COUN-Y OF BUTTE W
,,.# .r)c - lqQ - C>--;� (S
STATE OF CALIFORNIA
County of
Butte
Title or type of Docurpent A9 Statement
Number of Pakes Z Date of Document b/3/9b
Signer(s) Other than named below
Joseph Edward Greenlee
On August 6, 1998 - before me J. Whitsett, Notary Public personally appeared
William M. Bettencourt and Gloria Bettencourt and Madeline Day Greenlee
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by this/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNES y nd\,and ffi I seal.
SignatilL AI IJ (Seal)
Notary Pub c and or said County and State
73��
UD01 (Rev. 4/94)
J�.W H I T �S�E Ta�Tj��.
M COmM.# 1069222 W
(A
Cr NOTARY PUBLIC-CALIFORNLA V)
If 1UTTE W
A,
COUNTY OF E
�01,Ay Comm. Expires Aug. 20,1999 1
2,;
ORDER NO. 2-66547JCW
LEGAL DESCRIPTION
EXHIBIT "ONE"
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
PARCEL A:
PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "A PORTION
OF THE NORTHEAST QUARTER OF SECTION 27, T24N., R2E., M.D.B. & M.",
FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, ON DECEMBER 9, 1983, IN BOOK 93 OF MAPS, AT PAGE(S)
97 AND 98.
AP #056-140-078
PARCEL B:
AN EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER THE
FOLLOWING DESCRIBED PARCEL OF LAND:
BEGINNING AT THE MOST SOUTHWEST CORNER OF PARCEL 2, AS SHOWN ON
THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE
COUNTY -OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 9, 1983, IN BOOK
93 OF MAPS, AT PAGE(S) 97 AND 98. THENCE NORTH 170 50' 50" EAST
ALONG THE WESTERLY LINE OF SAID PARCEL 2, A DISTANCE OF 38.87 FEET
TO THE SOUTH LINE OF THE STRIP OF LAND SHOWN AS THE ACCESS ROAD FOR
SAID PARCEL 2; THENCE SOUTH 850 47' 40" WEST ALONG THE SOUTH LINE
OF SAID ACCESS STRIP OF LAND A DISTANCE OF 311.69 FEET TO A POINT
ON THE EASTERLY LINE OF COHASSET ROAD; THENCE NORTH 170 50' 50"
EAST, A DISTANCE OF 64.73 FEET TO A POINT; THENCE NORTH 850 47' 4011
EAST ALONG THE NORTH LINE OF SAID ACCESS STRIP OF LAND A DISTANCE
OF 311.69 FEET; THENCE CONTINUING NORTH 850 47' 40" EAST, A
DISTANCE OF 60 FEET; THENCE SOUTH 170 501 5011 WEST, A DISTANCE OF
103.60 FEET TO A POINT ON THE SOUTH LINE OF SAID PARCEL 2; THENCE
SOUTH 850 47' 40" WEST, A DISTANCE OF 60 FEET TO THE POINT OF
BEGINNING.
SAID EASEMENT IS FOR THE BENEFIT OF AND APPURTENANT TO PARCEL 3, AS
SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF.CALIFORNIA, IN BOOK 93 OF
MAPS, AT PAGE(S) 97 AND 98.
CONTINUED
Page 7
Jr I t
-66547JCW
ORDER NO. 2
LEGAL DESCRIPTION - CONTINUED
PARCEL C:
AN EASEMENT FOR PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 20
FEET IN WIDTH LYING EASTERLY OF AND SOUTHERLY OF THE FOLLOWING
DESCRIBED LINE:
BEGINNING AT THE MOST SOUTHWESTERLY CORNER OF PARCEL 2, AS SHOWN ON
THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 9. 1983, IN BOOK
93 OF MAPS,' AT PAGE(S) 97 AND 98. THENCE NORTH 170 50' 50" EAST, A
DISTANCE OF 215.07 FEET TO A POINT AT THE MOST NORTHEASTERLY CORNER
OF SAID PARCEL 2.
SAID EASEMENT IS APPURTENANT TO AND FOR THE BENEFIT OF PARCEL 3, AS
SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 93 OF
MAPS, AT PAGE(S) 97 AND 98
END OF LEGAL
Page, 8
Mobilehome, Manufacturer: rl-,Cef24)&t_______�Manufacture Year: M3
If other than single wide, furnish Setup Model Number:
Width: ft.) Length:__60 (ft.) Tagalong or Expando Size_A?
On all mobilehomes manufactured after October 7, 1973, furnish manuficturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation gradeN Other: Q"x nO' ej-gWl �4,-e �4435-
SUPPORTS: Concrete blockN Other:
S-P� 30 -
Provide Tie Down Specifications for all Mobilehomes: CENTIU C �� f -g --s FbL4,� fia
Pier Footings Sizes and Location
SEqGLEWME MMTI-WME
Line I - P el.
Line 2--� Line 2
Main Beaffis
................................................................................................
Line 2 e 2
Line I Line 3
U
U Line 2
................................................................................................
Main Beanis
Li -ne 2
rLine I
............................................. 5
Tag or Triple Ule 4
..............................................
e
Line I Piers:
Size minimum: r i x r i.
Spacing maximum:
From ends-maximuml
Line 2 Piers:
Size minimum: 12- 1 x [30 1
Spacing maximum:
From ends-maximum:l 1 .0
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
May 1995
Line I Openings
Size minimum: x [Aq
Each side of openings
with width over: I , E71
Line 4 Piers:
Size minimum: x
Spacing maximum:
From ends-maximum:l
n ru E 1101%,hT
0''i MIX
8.4
H.L-2
146W
11 1. Owner's Name:
2. Assessor's Parcel Number: 19 91
3. Installer's Name: CC>Y12fL�C+byl
4. Is the site c . urrently under permit? Yes[ ] No[-J'PermitNo.
5. Is the site an existing site? ' Yes[ --*r Nof (If yes, furnish two plot plans).
6. What is the elect rical rating of the mobilehome? 1W Amperes.
7. What is the mobilehome site circuit breaker rating? Amperes.
8. What is the electrical rating of the mobflehome site? Amperes.
9.. Is the main service remote from the ffiobilehome site? Yes[XI No[ I If it is, what is
the rating? �ZtrQ _Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ 4 No[ I If yes, please identify the load and size:
a) The mobile home site:
Load- L,� e-1 I Amperes- 5
b) The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural[ I Propane[tlo"�None[ I
12. Size of ps pipe at the mobilehome . site from the meter or
tank: inches.
13. What is the gas pipe length frorn the meter or tank to the mobilehome? q0 (ft.). or less
14. What is the mobilehome gas demand? B.T.U.
*(This information is not required if the pipe length is *gss —than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SEDE OF THIS FORM NWST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
M
May 1995 8.5
CDF FIRE SAFE REQUIREMENTS
--t q--7 9 - - V- /6 Xf P \1 4&gw
AP# PERMIT # NAME 1
Under Authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and ate made.a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these..
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance-;.'..
must be provide'for by the'land own*er.'
p iveway standards
1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other apj:--_,rte:-Lant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional d ' rive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
2. The length of vertical -curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than.100
feet.
1273.05 Turnarounds. ' If required, will have a minimum turning
radius of 40 feet from the center of the road.
127'3.05 Turnouts. Shall be a minimum of 1 0 feet wide and 30
feet long with a minimum 25 foot taper on each end.
1270.10 Width. All driveways shall provide a minimum 10 foot
traf f ic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of - 3--,
A tl -
6 Oe 66AJI
,0
AP # PERMIT # NAME
1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within So feet of the building.
1273.11 Gates
1. Gate entrances shall be at least two feet wider than-)
the roadway it.serves.
2. The gates must bei'lo'dated at -least 30 --f e . 4'C'� from h''d:'
roadway and shall open* to allow a vehicle". t6,'st'op`
without obstructing traffic on that roadway.
3. Where a one-way road with a single traffic 1 ane
provides entrance, a 50 foot turning radius shall.be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
1. All paruels 1 acre arid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings f rom ull property lines and/or the center
of the road.
2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
6 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the lo ' cal jurisdiction, of.flammable
vegetation and fuels caused by site development :and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction )r f.---ial inspection of a building
permit.
Page 2 of 3 .... .
-ld- 7f)
AP #
PERMIT # NAME
Other Reguirements
if Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed.eaves
If Building Setback is ---Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with, insuf f i-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
Glass area not to exceed ; 0%- of wall area' toward property
line with insufficient setback
Siding from the following list: -
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials -
Date Signature
TEPage 3 of 3.
-5,
APrRV
December 28, 1998
Robin White
9462 Cohasset Rd.
Cohasset, CA 95973
Dear Robin White:
BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE * OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
RE: Request for HCD 433A*
(A.P. #056-140-078)
Your request for a 433A was received by our office on 11/09/98. The 433A cannot be recorded
until you provide our office with a grant deed for the property and the license decals for the
mobile.
Until this is received we cannot send the information to HCD for processing and you will continue
to receive a bill from HCD for regristration fees.
Should you have any questions concerning this matter, please contact Alice Mefford of this office
at (530)538-7541.
Yours very truly,
C. Vleira, C.B.O.
. Buidling Inspection
MCV:aam
MENT
W) I Allf R
M� L FACTU�E NAME/ID
- FLE ETWOOD HM INC/09534
TRADE NAME
14ESTFIELD
MODEL
26028
Dom
07/20/93
DOT
07/20/93
OFS
107/30/93
spC
EXPIRATION
U SERIAL NUMBER
I CAFLP17A15324SH
LABELMNSIGNIA NUMBER
RAD705504
WEIGHT
022400
LENGTH
000720
WIDTH
000163
ISSUED
08/20/93
CC
IS52
EXEMPT
SE
SFD'
FTYPE
Lp
2
TOTAL
3
4
FEES
5
PAID:
$54.00
A 'WHITE . ROBIN A
o 129 MOBILE DR
D CORNING CA 96021
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IMPORTANT 03-229-01577
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0301139
10/08/98 08:45 FAX
Recording requested by Fidelity Title
When recorded mafl to:
Ed Greenlee
1073 Via Verona Drive
Chico, CA 959
AP 056-140-078
Escrow No. 2-66547-JCW
SHORTAORM DEED OF TRUST AND ASSIGNMENT OF RENTS
THIS DEED OF TRUST, made August 27, 7998, between
10001
ROBIN A. WHITE, an unmarried woman, whose address is 129 Mobile Drive, Corning, CA 9602 1,
herein called TRUSTOR,
FIC�ELITY NATIONAL TITLE INSURANCE COMPANY, a corporation, herein cafled TRUSTEE, and
WILLIAM M. BETTENCOURT and GLORIA BE7-TENCOURT, husband and wife as Joint Tenants as to
an undivided 112 interest andiOSEPHEDWARD GREENLEE andMADELINEDA Y GREENLEE, Trustees
of the GREENLEE FAMILY TRUST established May 12, 1988, as to an undivided 712 interest, herein
called BENEFICIARY,
WITNESSETH. That Trustor IRREVOCABLY GRANTS, TRANSFERS AND ASSIGNS to TRUSTEE IN
TRUST, WITH POWER OF SALE, that property in Butte County, California, described as.,
SEE EXHIBIT "ONE"A TrACHED HERETO AND MADE A PART HEREOF FOR LEGAL DESCRIPTION..'
TOGETHER WITH the rents, issues and profits thereof, SUBJECT, HOWEVER, to the right, power and
authority given to and conferred upon Beneficiary by perograph (10) of the provisions incorporated
herein by reference 'to collect and apply such rents, issues and profits.
For the Purpose of Securing. 1. Performance of each agreement of trustor incorporated by reference
or contained herein. 2. Payment of the indebtedness evidenced by one promissory note of even date
herewith, and any extension or renewal thereof, in the principal sum of $ 42,000-00 executed by
Trustor in favor of Beneficiary or order. 3. Payment of such further sums as the then record owner
of said property hereafter may borrow from Beneficiary, when evidenced by another note (or notes)
reciting it is so secured.
10/08/98 08:45 FAX
9002
ORDER NO. 2-66547JCW
LEGAL DESCRXPTION
EXHIBIT "ONEn
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA
OF THE COUNTY OF BUTTEt STATE OF CALIFORNIA, BEING MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
PARCEL A:
PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "A PORTION
OF THE NORTHEAST QUARTER OF SECTION 27, T24N., R2E., M.D.B. & M."'
FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, ON DECEMBER 9, 1983, IN BOOK 93 OF MAPS, AT PAGE(S)
97 AND 98.
AP #056-140-078
PARCEL B:
AN EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER THE
FOLLOWING DESCRIBED PARCEL OF LAND:
13EGINNING AT THE MOST SOUTHWEST CORNER OF PARCEL 2, AS SHOWN ON
THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 9, 1983, IN BOOK
93 OF MAPS, AT PAGE(S) 97 AND 98. THENCE NORTH 17- 50' 5011 EAST
ALONG THE WESTERLY LINE OF SAID PARCEL 2, A DISTANCE OF 38.87 FEET
TO THE SOUTH LINE OF THE STRIP OF LAND SHOWN AS THE ACCESS ROAD FOR
SAID PARCEL 2; THENCE SOUTH' 85'0 47' 40" WEST ALONG THE SOUTH LINE
OF SAID ACCESS STRIP OF LAND A DISTANCE OF 313..-69 FEET TO A POINT
ON THE EASTERLY LINE OF COHASSET ROAD; THENCE NORTH 170 50' 50"
EAST, A DISTANCE OF 64.73 FEET TO A POINT; THENCE NORTH 850 47' 4011
EAST ALONG THE NORTH LINE OF SAID ACCESS STRIP OF LAND A DISTANCE
OF 311.69 FEET; T14ENCE CONTINUING NORTH 850 47.' 40" EAST, A
DISTANCE OF 60 FEET; THENCE SOUTH 170 50' 5011 WEST, A DISTANCE OF
103.60 FEET TO A POINT ON THE SOUTH LINE OF SAID PARCEL 2; THENCE
SOUTH 850 471 40" WEST, A DISTANCE OF 60 FEET -TO THE POINT OF
BEGINNING.
SAID EASEMENT IS FOR THE BENEFIT OF AND APPURTENANT TO PARCEL 3, AS
SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF.CALIFORNiA, IN BOOK 93 OF
MAPS,'AT PAGE(S) 97 AND 98.
CONTINUED
10/08/98 08:45 FAX 0003
ORDER NO. 2-66547JCW
LEGAL DESCRTPT16m coNTINUED
RARCEL C.o
AN EASEMENT FOR PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 20
FEET IN WIDTH LYING EASTERLY OF AND SOUTHERLY OF THE FOLLOWING
DESCRIBED LINE;
BEGINNING AT THE MOST SOUTHWESTERLY CORNER OF PARCEL 2, AS SHOWN ON
THAT CERTAIN ' PARCEL MAP, FILED 19 THE OFFICE OF �HE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 9, 1983, IN BOOK
93 OF MAPS, AT PAGE(S) 97,AND 98. THENCE NORTH 17- 501 50" EAST, A
DISTANCE OF 215.07 FEET TO A POINT AT THE MOST NORTHEASTERLY CORNER
OF SAID'PARCEL 2.
SAID EASEMENT IS APPURTENANT TO AND FOR THE BENEFIT OF PARCEL 3, AS
SHOWN ON THAT CERTAIN PARCEL MAP, F14LED IN THE OFFICE OF -THE,
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 93 --OF
MAPS, AT PAGE(S) 97 AND .98
END OF LEGAL
Page 8
FIECORDING REQUESTED BY:
Butte County Building Department
7 County Center Drive
Oroville, Ca. 95965
AND WHEN RE -CORDED MAIL TO:
Butte County Building Department
NAME
STREET 7 County Center Drive
ADDRESS
CITY.
STATE Oroville, Ca. 95965
and ZIP
SPACE ABOVE THIS UNE FOR RE -CORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for Installation of the unit
described hereon, upon the real property described with certainty below. as of )he 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.
Robin A White
REAL PROPERTY OW1"6ER/tfSSOQ
129 Mobile Dr
Butte County Building Department
LOCAL AGENCY SSUiNG PERiAIT and CERTIFICATE OF OCCUPANO
7 County Center Dr
*.AiUNG AOOREU
MAILING A00RESS
Corning, Tehama CA
96021
Oroville, Butte Ca 96080
CFTY COUNTY STATE
ZIP
crrr COUNTY STA IT lip
9462 Cohassett Rd
(916)538-7541
LINSTALLAT110" 1AAMING A00RESS. IF 0IFFIERIENT
BUILOING PERMLIT NO. rELEP"CINE Nume"
Cohassett Butte Ca
95973
CITY COUNTY STATE
zip
SiG"ArURIE OF LOCAL AGINC1 OFFICIAL DATE
Same
None
.UNIT OWNER (if *I** pro"M w�. /�ft -SAPACI
OFALEVNAME lit nV1 a deol- -9-. —ig* .-NONE-1
Samp
MAILIJNG A00*ESS
OEALER LINCENSIE NO.
2amp
CITY COUNTY STATE
UNIT DESCRIPTION
Fleetwood
93
Westfiel - d 2602B
MANuFACTURIN'S HAA%t
OATE OF MANUFACTURE MODEL NA.ME/NUMSER
CAFLP17A15324SH
60 x 14
RAD705504
SERIAL NUAAGER(SI
LENGTH A WWII
.114SIGNIA/LAIIIEL Mk^MV4S1
056-140-078
REAL pRorERTY LEGAL Of.SCRWTION ASSESSOWS PARCEL NUM6FX
Parcel A: Parcel 3. as shown on that certain parcel map entitles, "A portion of the north-
east quarter of section 27, T24N,.R2E, M.D.B. & M." filed in the office of the recorder of
the county of Butte, State of CA on December 9, 1983 in book 93 of maps at pages 97 & 98.
Parcel B: an easement for road and public utilities purposes over the following described
parcel of land: Beginning at the most southwest corner of parcel 2, as shown on that
certain parcel map, filed in the office of the recorder of the county of Butte, State of
OF
."r Me
0. A on December 9, 1983 in book 93 of maps at pages 97 & 98. Parcel C: an easeme 0
N
HCO FORM 433W 2-88
0
NOTIC EJO ASSESSOR
-KC.P 433(B) 4/86
THIS FORM MUST BE COMPLETED BY THE OWNER OF A MANUFACTURED HOME
MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY
ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A F-OUNDA-
TION SYSTEM PURSUANT TO SECTION 18551 HEALTH AND SAFETY CODE.
ORIGINAL PURCHASE PRICE FOR:
I . The Basic unit
Typo of Exterior Wall Covering:
(Metal. Wood, etc.)
2. Optional Eqkipd mom & Upgrade% $
Type of Root Covering
3. Subtotal S
(Moral. Wood. Composition. etc.)
A. Accessories & Accessary Strucnaw S
Typen 0 Forced Air 0 Floor or Wag
5. 00— (Specify)
Air Conditioning- 0 YES 0 P40 Tons—,
& Insto"hon
Evo;— Cooler- 0 YES 0 P40
Built-in cooidop: C1 YES C-1 NO
7. TOTAL SALES PRICE
Built-in Oven: C1 YES C1 P40
DOES THE BASIC PRICF INCLUDE:
41 5-h
Built-;- Oirslv-,cruh-or: 0 YES (] NO
Built-in Wet Bor: 0 YES C3 NO
The Towborfs) 0 YES 0140
Refrigeratcw: 0 YES Cl No
Tires & Whosh 0 YES 0 140
Roof Cvwfiang (Eav�n); C3 YES C3 NO —;nch
Wh.*K.bs & Amin 0 YES 0 F40
Furrinure Included: 0 YES 0 NO Volue S
(LE?4GTH
x V -
LIST NUMBER OF ROOMS:
Cc Poe 0 YES 0 NO —
X -
A-ning: 0 YES 0 P40 —
x -
Bedrooms 06wn "am
Porch: C1 YES C] NO —
x -
Garage: 0 YES 0 No —
x
Scr*is Family Room
Storage Sliecl: 0 YES 0 No —
-
x -
9chon L41rdy Room
Skiawbq: 0 YES 0 No
L
Living Room Orhow Room$
FO it. nko-f)-o A
Is
The sales price as shown does not include any amount for any in-place location.
The Assessor's Parcel Number of the installation site is- cJ-1 to 4 6
r
17 (Signaturel
9400A G)hos-,5e±t)4--
Address
C4 h(L5eA+
-) , I, q 02��
ROPOSAL SUBMITTED TO:
4AME
kDDRESS #129 Palms Mobile Village
,ITY, STATE�
CoLnja&,_qA
�iHONE. NO. 824-7758 wk
rIL;IILZLN b WIN b,i,nu L; 1 lurii
MOBILE HOME DIVISION
550 A ANTELOPE BLVD.
RED BLUFF, CA 96080
(530)528-1193
.License #562798
824-4623 hm
PROPOSAL
'PROPOSAL NO.
2202
SHEET NO.
1 of I
DATE 10/l/98
WORK TO BE PERFORMED AT:
'_A6D_RESS
9462 Cohas tt Road
-Z'Ty"TATEohassett, CA
Lender
,Attn:
ompletion of
We hereby propose to furnish the materials and perform the labor necessary for the G
Tear down 14'x 60' mobile home insignia #RAD 705504.
Tire and axle rentals included in the-pric.e.
ransport mobile from ' �ams�-0=1 11 la'ge to above re er-nce Acir address.
Any additional
Set u) mobile at work address, with existing set up material.
set up material needed will e c arge as an extra at cost + 10%-
-Special equipment (Translift) is needed for moving the mobile and is included.
Existing skirting to be removed and transported and reinstalled. Any additional
d as an extra at cost + 10%.
materials for skirting needed will be charge oler unit is not guaranteed.
Cooler to be removed, transported and reinstalled. Co
C t Plan review ee included-. difications are owner's responsibility
Road Encroachment permit included any mo
operty not located
ool fees are !�`
or extra. No sch included. i1ce Eased on pr
in flood zone.
connecLion of utilities
Foundation System provided and le nc u
and Butte County Building Permit. Two sets of steps, to code, provided
as required t o pass inspection.
to be as specified, and the abOwe work to be perforined in accoiozincu with the drawings
All milu—i is gua(31"ved completed in a su0staniial wofkinwillkit: 111alincir lot the SUM Of
and spv,.iications submitted lot auowe work and * * * * * * * * * * 0 4 4799.25*
*Four Thousand Seven Hundri;!d Ninety Nine and 25/00*
"o 4 ' J'
with paymunta to be inAdu ow follows -2L down payment prior to job st r 159 66 f set up,balance of
$239.97 upon final inspection
r
winer
"..no O.Va Casio Respectfully submitted Richard Pickle
*W& I;ftalws
Ali 1,11—nWnts COntwil -OW Pickens Constru t.ion.
!_L�.
na PVr - This proposal may be withdrawr
Note
within 7 days
ACCEPTANCE OF FIRC)PUZiAL d. You are authorized to dO the work as specified.
WW r
The abOvv P(IG05, r3P0rl11r,&1ions lignaltlong are satisfactory and are hereby aCCePtO
payments will be Ma" as O"'nod &bovis-
Signature
I U, ;'!
e
CLAIMAN'
ADDRESS
CITY & S1
DATE OF I
COUNTY OF BUTTE
Oroville, California
GENERAL CLAIM
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
IMPORTANT:
SEE INSTRUCTIONS
ON REVERSE SIDE
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
OVF.RPATD FTRF PTAN: C.HFl77TNC, F�F. CA P 405L`160-028 B2492-223�
RECEIPT #245099, OWNER- ROBIN WHITE.)--
TOTALAMOUNT PAID ...................................... $897.50
TOTAL AMOUNT TO BE RETAINED ........ $854.50.,
REFUND FIRE PROTECTION PLAN CHECKING FEE .............. $ 43.00
TOTALI
$43.,
00-1
1, the undersigned, declare under penalty of perjury that the services -or articles claimed have been performed or delivered, and that this claim is true
and correct as stated.
Dated this - OVA) day of zqi�, 19A, at Calif. 'A744L1C-e---
Signature of Claimant
1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles irp�ified above have beer9performed or delivered and
that there is a Budget Appropriation [ I or Specific,Board Approval I I (Check one) for the an
Dated this 9RT14 day of QCIT 19 , Calif.
_qa, at OROVILLE :�M
DeparfTient Head or Authorized Deputy
0100 Exp. Cod, 4617240 PAYABLE FROIJ FIRE PROTECTION FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO.
INV. NO. INV.DATE ENCUMB. GROSS AMT.
CLAIMANT'S NAME
MAILING ADDRESS
"nly'1111UL-1
REFUND CLAIM APPLICATION
vic�Km,
ASSESSOR PARCEL #: 510 - 1� Q -
RECEIPT NUMBER(S) LrJ'Dq9
Request a refund of fees paid on the above r6ceipt number(s) for the following reasons
/7 A A 2 -4
Please refund any applicable fees in the following categoiries: (Check those categories
which you wish to have refunded.)
Building Permit Fees
-,Y-'SRA Fees (CDF Fire Planning)
Disposition of Plans:
( ) Plans returned to me at counter
Sheriff Fees
( ) Urban Area Fees
( ) Please mail plans to me at above address.
( ) Please dispose of plans.
SIGNATURE 400����Z
DATE
PLEASEDATEAND SIGN THEATTACHED COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.
FOR BUILDING DIVISION USE:
Receipt Information:
Number: P4 5092
Date:
Issued To:
Amount:
Fees Retained:,%
Processing Fee:
Bldg Filing Fee:
Plbg Filing Fee:
Elec Filing Fee: $
Mech Filing Fee: $
Energy P/C Fee:
Plan Check Fee: -
Inspection Fee: $
SRA Fee: $
(Or Total Amount Retained
TOTAL REFUND DUE
AY�
C_
;4 0
CLAIMANT:
COUNTY OF BUTTE
Oroville, California
GENERAL CLAIM
JOSEPH ED GREENLEE
ADDRESS: 1073 VIA VERONA DR.
CITY & STATE: CHICO, CA 95973
DATE OF CLAIM . 10/22/98
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
IMPORTANT.
SEE INSTRUCTIONS
ON REVERSE SIDE
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) __T_AMOUNT
OWNER SOLD PROPERTY. (A.P. 0056-140-078, BP#98-1688 & #98-1689,
RECEIPT #244516 & 244515, DATED 7/30/98, OWNER: ED GREENLEE.)
TOTAL AMOUNT PAID. $758.00
RFTATN REFUND �t 25.00
RETAIN BUILDING PERMIT FILING .......................... 20.00
PRT T N PT TIMRTmr PFPMTT FTT TmrZ PFF $ ?n nn
RETAIN ELECTRICAL PERMIT FILING FEE ................... $ 20.00
_D EX A I W PLAN IWER ---------- $ 2200
RETAIN SRA PLAN CHECKING FEE .......................... $ 43.00
TOTAL AMOUNT TO BE RETAINED ............................. $151.00
TOTAL AMOUNT TO BE REFUNDED ............................. $607.00
TOTAL
$607.
FOO
1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true
and correct as stal*&�' 7
A�i day of —od-1 9L.LL, at t,ali
Dated this 9 k
Vignature of Cla:mant
i, the undersigned, hereby certify that, to the best of my knowledge, the services or arti erformed or delivered and
that there is a Budget Appropriation I I or Specific Board Approval ( I (Check onel for
r
Dated this - 22ND day of OCT. , 1998, at OROVILLE _, Ca if. MZ=
:3 Depaftment Head or Authorized Deputy
Dept. Code 440-002 _ E,p. Code 4210500 FOR $272.00 PAYABLE FR6m CONSTRUCTION PERMITS FUN[
Dept. Code 280-1800 Exp. Code 1011811 � FOR $335. Ob PAYABLE FROM SHERIFF DEVELOPMENT FU,'
Dept Code Exp. Code -PAYABLE FROM FU:
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. I PRO.I. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT.
6
CLAIMANT' -S NAME
MAILING ADDRESS
REFUND CLAIM � APPLICATION
f
ASSESSOR PARCEL
RECEIPT NUMBER(S).'.
Request �a refund of fees paid on the above receipt number(s) for the following reasons:
Please refund any applicable fees in the following categories: (Check thosecategories
which youlwish to have refunded.)
<Bild . ing Permit Fees 14HV L.�Sheriff Fees
SRA Fees (CDF Fire Planning)
Disposition of Plans:
L�rban Area Fees
1.
Plans returned to me at counter
OZ.'Pleas�'hiail Olans to me at above address.
Please dis' pp`sd. of plans.
SIGW rURE
V,
DATE
PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.
a
I
FOR BUILDING DIVISION USE:
Receipt Information
Number:
Date:
Issued To:
Amount:
W k�tL-
Mwr
m4
Fees Retained:
V/
Processing Fee"
/Bldg Filing Fee:
/PIbg Filing Fee:
,/Elec Filing Fee:
Mech Filing Fee:
Energy P/C Fee:
L,/Plan Check Fee:
Inspection Fee:
,//SRA Fee: 14016 --
Total Amount Retained
TOTAL REFUND DUE
S�j .4 - 35s -do
-6-at - ;I -t-1 3,CD
- 611�1
$
do. 6D
$
oQ0. 6D
$
$
$
$
C5 1 6D-
$
S�j .4 - 35s -do
-6-at - ;I -t-1 3,CD
-COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, E;aliforrfi a 95965 * Telephone (530) 538-7541 PERMILT NO.
(Rev. 12/96) APPLICATION -AND PERMIT
ASSESSOR PARCEL NUMBER
056-140-078
ZONIN
714 -1 --
BUILDINGPERMIT
OWNER
GREENLEE, JOSEPH (ED)
TEL&Jn *
—8173
SO. FT. OCC. BUILDING VALUATION
OWNER'S MA'u"TETIA VERONA DR. CHICO 95973
___]_TE1LEPHONE
CONTRACTORI)MR
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Fee
$
ARCHITECT OR ENGINEERS MAJUNG ADDRESS
—Permit
Plan Checkin;-Fee
$ 23. 00
BUILDING ADDRESS 9462 COHASSET RD.
Energy Plan Checking Fee
$
PERMIT FEE
23.00
LOTNOJ
SUBDIVISIONS NAME
PAR
,T,5 P
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome W Other WJ
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: MHU
Gas piping system I - 5 outlets
—
15.00
Building sewer
15.00
Mobile Home
@20-00 60.00
PERMIT FEE
Rn -no
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service , 0o R' ..s
23.00 9,1 nn
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 Profess ions 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:
El 1,4 owner of the property, or my employees with wages as their sole compensation,
Fl�v
do the work, and the structure is not intended or offered for sale.
Gy , as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
0 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.
0 1 have and will maintain workers' compensation insurance, as required bySection
3700of the Labor Code, for the performance of work for which this permitisissued.
My workers' compensation insurance carrier and policy number are:
Carrier
P lic Num bor
0"c
'o
(71: above sections need not be completed if the permit is for work of a valuation
Zonee hundred dollars ($100) or less.)
M/11 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
forth4thgly W�rovisions.
-7 10L
Date IZ-V
Si�naNire W)f Applicant - Ceowner-0 Contractor 0 Agent
An OS44% permit is required 1�;Ixcavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO iOOOA
46.00
NEW CONST. DW
."NG .0CCUP_ so.
OR ADDNS. ACC S. 3.50 FT.
NEW CONST T'OU
NON-RESID =H CIRT.
(—W7.50
OWELR AP= U
PSING E . CS1 R.
20 @ 1.00
OCCUp. OUTLET OR FIXTURES BAL @ .50
..MED APP -OR
Ex. Occup. (RM.) EA�
5.00
Temporary Service 23.001
Mobile Home Facilities 20.00 20.0(
Misc. Wiring 23.00
PERMIT FEE A q r)
MECHANICAL PERMIT Filing Fee 20,00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOT�L FEF/$ 1,66.00
AISSU
_HAZ
D _UP ;71
FLV
I J�,f PAR
H
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.
BY2�4� L&g!�X�`ate,
7- - Ir— /I — I , /
PERMIT EXPIRES ON
ReceiptNo. 244515
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
Ty OF BUTTE - DEPARTMENT OFDE, OPMENT SERVICES - BULLDhVG DIVISION
7 COUNTY CENTER DRIVE - OROVIL11f- IFO 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICA TION DA TA SHEET
OWNER: ASSESSOR PARCEL NUMBER: (4
Proposed Buildiiig Use: Building Inspector: Date: -7 - S 6
At time of permit application, I was advised the following data must be submitted prior to permit prAcssing and/or issuance:
�-F Date Received By
0 1. All items have been submitted -------------------------------
111 Plot plans, 3/4 sets, signed by the preparer of plans - ------
113. Complete plans, 3/4 sets, signed by the preparer of plans - -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - --------
0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
116. Energy Design Compliance and supportiiig documentation - ----------------------------------------------------
0 7. Statement of Intent ' for Non -Heated and A/C Buildings - ---------------------------------------------------------
0 8. Hazardous Material Form - ------------------------------------------------------------------------------------------
09. Manufactured Home data and installation instrtictions including Tie Down Specifications.-_.:� ---------------
0 10. Fees of $ ----- 7 -------------------------------------------------------------------------------
Oki /6pact fees as shown on the attached schedule - ------------------- -------- 4 -----------------------
------- ------ i�
California Department of Forestry plan approvaVf—,-l- ---- ------------- // ----------------------
El 3 lood elevation certificate - --------- 7 ------------------------------------------------------------------------------
W4. Sanitation and plot plan approval Health Department - -------------------------------------------
0 15. Citj of Chico plumbing permit - -------------------------------------------------------------
13 16. Plot plan and business license approval from the City of Biggs - -------------------------------------------
0 17. Planning approval for (A) Use: - 03) Parking: --------------------- - ----
0 18. Contact Land Development about El Improvements, 0 Drainage, 0 Legal Parcel - ---------------------
§?�-`Encroachment Permit for driveway (construction approval prior to occupancy) - ----------------------------
1120. Pre -inspection for required. Request to Building Inspector on (Date)
0 2 1. Contractor's license information. (Number, Name Style, Classification) - ---------------------- -------------
0 22. Workers' Compensation carrier and policy number - -----------------------------------------------------------
66--owner-Builder Verification (Given to owner 0, Mailed to owner 0) - --------------------------------------
1124 tter of signature authorization - --------------------------------------------------------------------------------
------------
rLj;�'V3-� �5Recorded copy of Agricultural Acknowledgment Statement - -------------------------------------- -
026. Letter of intent on budding use - -----------------------------------------------------------------------------------
027. Manufactured Home utility clearance - ----------------------------------------------------------------------------
028. Existing violations and/or expired permits - ----------------------------------------------------------------------
0 29. 0 43 3 A, 0 Grant Deed, 0 M.H. Title, 0,. Check to H. C.D $ - ---------------
1130. Other: -------
4--When you issue the permit, process as follows ffMail to owner, OMail to cdntractor.
OTelephone and hold for pickup at office. Deliver with inspector.
�Vphcant:
Copy of Haz-Mat form sent 11 Health Department, 0 Fire Department, 0 Air Pollution b-
y:
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: By:
1. Index permit application for the above items numbered: 13 Plan Checl� List'
2. Additional item required:
Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 11 Btfilding Division counter, by Date:
Contractor, designer, owner, wasadvised of the above required data by 0 phone, 0 mail, o Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note trander by: Date:
Yellow Copy - Department of Development Services, Building Division.
L It
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USEANLY
— (;7
Plot Plan Attached
Floor Plan Att h di L,-,
Sent to B.D.E a
C
Owner Location AP#
Plan Approved for: Sewage Disposal 1, Water Supply: Public Private Well
Clearance for 'relling. Other
D *1 -
Hold final for:
Final clearance O.K. for:
NOTE: j
Ey(vironmental
8/96
Ith Specialist
10
Date
AND WHEN RECORDEWMAIL TCh Recorded I REC FEE 16.00
tIfficial Records COPIE6 2.50
cogntleof
BUTTE COUNTY BUILDING DMSION Ut
7 COUNTY CZ?rMR DTdVZ CMACE J. BRLMBS
oftOVILLE CA 96965 Recorder
of 4
12-.35PN 06 -Aug -1998 I paq
AGRICUILTUUL STATEMENT OF ACKNOWLEDGMENT
FOR RZgXDRNTL#.L DZVXL01Pb1ZNr
Swdon 26-S of the Butte County Code requires this to be recorded prior to Issuance of 'a building pernut.
The FupcFty described hcrcin is adjuvat to land " included within an sma momDd for agricultural purposes, VW residents of
this property may be subject to bmwerdences or disemfort fi= the we of agricuibirul chmnicW% lnctu&n& but not Bruited
to herbicides, pcsticidcs, and fiatilizcrs; and fiom the purma of apicaltuml opcmtions Inaludin& but not limited to cultivation,
plowing. spraying, pnmin& and harmtIng which occasionally ganwato duat xneke, noise, and odor. Butte County has
established agricultural purposes and residents within said zom and on Wjao=t property should be prepared to accept mwh
inoonvenience or discomfort from normal, nocessanr form operations.
All that real property situate in the County of Butte, S tate ot Cafif&rnia. described as follows:
sEE EairFIT "ONE" ATTAcHED MRM AM MADE A PART. HMEOF
FOR IMAL DESCRTPTION
PPN 056f;140-078
Date: AuguoL 3, 1998 PROPERTY OWNERS:
.-Thotee
state or CAMIM11
County of But te
on. Jaugust 31 1994mforeme, J. Whitsett, Notary Public
Gloria Bettenc6urt
- .-e A d/ I
Trustee' , -
penwaffy appeared iosp�h Edward Gre*nlee per3on&Uy
known to me (or proved to me on the bob ofeathfactory evidence) to be the person(s) vvhme name(s) Islare Subscribed to the
within hwhument and acknowkfted to na that helshelthey executed am same In bb/berhhdr authorized capacity(les), and
that by his/herftbeir sipaturc(s) an the Instrument, the person(s) or the entity j1pon behalf of which the penon(s) acted,.
executed the Instrument.
Wrrrms VA&nd and oWeJ stal. J. WHITSE-IT
COMMI 1069222-
C NOTARY PUBLIC -CALIFORNIA
SCIII.
SiLmaturt COUN,7Y OF BUTTE W
A.P.9- ��- I - cl,-7 6
Told Z199GSBORG 013,143-4041vaH nua TV:8 imA es-vT-Dnv
Z
Title or type of Docurpenj Ag Statement
STATE OF CALIFORNIA Nuniber or Pages 4 Da of Document —0rj19F—
Signer(j) DLhq thao namcd below
County of Butte Joeoph Wwax'd gaenTe-e
On Augupt 6, 1998 , before me J. Whitsett, Notggy Public personally appeared
William M. Bettencourt and Gloria Bettencourt and Ma&line Day Greenlee
personally 11mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose narne(s) Is/are
subscribed to the within instrument and acimowledled to me that hetshe/they executed the same in his/hcr/their authorized
capacity(ics), and tbat by thialher/their sigmture(s) oft the instrument the person(s), or the entity upon behalf of which
the person(s) acted. executed the instrument.
W1TNESS,nW1wxKand,offic131 seal. ,
f A
(Seal) H I �TS E
j ' W .01()e T�IT��
4 92
Notary PU c and for said County and State J, WHITS
COMM.1p 1069222
Ry puj3j�� W
Fo-qa ' r"'r
0 Mag-ITARY PUGuccALwaRNIA
UD01 (Rovt) COUNTY OF BUTTE
1,
my coym F
20. 1 Be
. % .
'A �!Fj'
4, 'j-.
BOXG 1 4
-7 'T.-. I
MH AUA;' *Ti':8
t Li;j
J$ I.- .. :*.%
Z.
_4
. % .
'A �!Fj'
4, 'j-.
BOXG 1 4
-7 'T.-. I
MH AUA;' *Ti':8
t Li;j
J$ I.- .. :*.%
ORDER NO. 2-66547JCW
LEGAL D19SCRIPTION
ItXHIBIT PONXd
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA
OF THE COUNTY OF BUTTEi STATE OF CALIFORNIA, BEING MORE
PARTICULARLY DESCRIBED AS FOLLOWZi
PARCLOto A t
PARCEL 3l AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "A PORTION
OF THE NORTHEAST QUARTER OF SECTION 27, T24N., R29., M.D.B. & M.",
pILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTEO STATE
OF CALIFORNIA, ON DECEMBER 9, 19831 IN BOOK 93 OF MAPS, AT PAGE(S)
97 AND 98.
AP #056-140-078
PARCIM al
AN EASEMENT -FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER THE
FOLLOWING DESCRIBED PARCEL OF LAND;
BEGINNING AT THE MOST SOUTHWEST CORNER OF PARCEL 2, AS SHOWN ON
THAT CERTAIN PARCEL MAPj FILED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 9, 1983, IN BOOK
93 OF MAPS., AT PAGE(S) 97 AND 98. THENCE NORTH 176 50' 5011 EAST
ALONG THE WESTIERLY LINE OF SAID PARCEL 2, A DISTANCE OF 18.87 FEET
TO THE SOUTH LINE OF THE STRIP OF LAND SHOWN AS THE ACCESS ROAD FOR
SAID PARCEL 2i THENCE SOUTH $50 471 40N WEST ALONG THE SOUTH LINE
OF SAID ACCESS STRIP OF LAND A DISTANCE OF 311.69 PEET TO A POINT
ON THE EASTERLY LINE OF CORASSET ROADI THENCE: NORTH 170 501 5011
EAST, A DISTANCE OF 64.73 FEET TO A POINTj THENCE NORTH 851 471 4010
EAST.ALONG THE NORTH LINE OF SAID ACCESS STRIP OF LAM A DISTANCE
OP 311.69 FEETj THENCE CONTINUING NORTH 850 471 40" EAST, A
DISTANCE OF 60 FSETI THENCE SOUTH 170 501 SO" WEST, A DISTANCE OF
103. 60 FEET TO A POINT ON THE SOUTH LIKE OF SAID PARCEL 21 THENCE
SOUTH 850 471 4011 WEST, A DISTANCE OF 60 FEET TO THE POINT OF
BEGINNING.
SAID EASEMENT IS FOR THE BENEFIT OF AND APPURTENANT TO PARCEL 3, AS
SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTS, STATE OF CALIFORNIA, IN BOOK 93 OF
MAPS, AT PAGE(S) 97 AND 98.
CONTINUED
Page 7
;Q-.
rmo*.d ZT99Q68829 013143-4%imaN AU3 Z*,:8 xmA es-vi-Dnw
ORDER NO.' 2-66547JCW
LEGAL DESCRIRZXO-N - CoNTZMjEp
PARCRY, Cs
AN EASEMENT FOR PUBLIC'UTILITIES PURPOSES OVER A STRIP OF LAND 20
FEET IN WIDTH LYING EASTERLY OF AND SOUTHERLY OF THE FOLLOWING
DESCRIBED LINEs
BEGINNING AT TUB MOST SOUTHWESTERLY CORNER OF PARCEL 2, AS SHOWN ON'
THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE
COLTZ= 00 BUTTE, STATE OF CALIFORNIA, ON DECEMBER 91 1981, IN BOOK
93 OF MAPS,. AT PAGE(S) 97 AND .98. THENCE NORTH 170 501 50`1 EAST, A
DISTANCE OF 215.07 FEET TO A POINT AT THE MOST NORTHEASTERLY CORNER
OF SAID PARCEL 2.
SAID EASEMENT IS APPURTENANT To AND FOR THE ]BENEFIT OF PARCEL 3, Aa
SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF TmE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFOR241A, IN BOOK 93 OF
MAPS, AT PAGE (S) .9 7 AND 9 8
it mi
BUD OF LECAL
Page 8 1
0')l 1 443-94'41 WOH ^U3 rL*,: 8 imzj e6-vi-!)-nv
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner-buddee' building permit has been applied for in your name and bearing your signabar
Please complete and return. this information at your earliest opportunity to avoid unnecessary de*
in processing and issuing your -building permit. No building permit will be issued until this -
verification is received.
1. 1 personally plan t rovide la r and materials for construction of the proposed
�Ip or 0
property imp��ent : YES "NO
2. 1 HAVE M' HAVE NOT 13 si d an application for a building permit for the proposed
3. 1 have contracted with the following person (firm) to provide the proposed construction:-,,.,,�-,V�l
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person' to coord��
supervise, and provide the major work:
NAMIE:
ADDRESS: CITY:
PHONE:
CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the following persons to pr9vide
the w.ork indicated:
NAMM ADDRESS PHONE TYPE OF WORK
SIGN
� )ED:
X\ PROPERTYOWNER:
SOCIAL SECURITY
DATE:
-NOTE.- -This Owner -Builder Verification is required by Section 19831 and 19832 ofdW
California Health and Safety Code. This verification must he -completed and
returned to our office before we are permitted to issue the permit.
OVER
I OWNER BUILDER INFOR.MATION I
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-buildee, you are the responsible party of record on such
a permit. Building permits are not required to be signed by properry owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your inimediate fhmily, and the work (including materials
and other costs) is S300 or more for the entire project, and such persons are not licensed as contrac�rs or
subcontiac ors. then you may be an employer.
If you are an employer, you must register with the State and Federal Govenunents as an employer ., and yo� are
subject to several obligations including.state and federal income tax withholding, federal social security taxes,
workers compeinsation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially se;ious
with respect to worker's compensation insurance.
+ For more specific information about your obligations wider 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 tale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under'limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are hot required to be signed by property owners unless they are performing their own work personally.
Information about licensed contrac!prs 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.
I rely,
4MiceIrC 4Viiira, C.B 0.
C. - -
M M P Build�ing Inspection
_e . s
ger, Zuii[M In n�
NOTE. This Owner-Builder.Informadon is required by Section 19830 of the Calyornia Health and Safety Code.
OVER
rl_�
9
__X
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, California 95965 * Telephone (530) 538-7541 NO.
APPLICATION AND PERMIT
(Rev. 12/96)
ASSESSOR PARCEL NUMBER 056-140-078
ZONIN TM -2
BUILDINGPERMIT
OWNER GREENLEE-, ED
Tln!l 17 3
SO. Fr. OCC. BUILDING VALUATION
800
OWNERS "U"TESS VIA VERONA, CHICO 95926
CONTRACTORS NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITEC T OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS COHASSET RD.
Energy Plan Checking Fee
$
.
CHICO
PERMIT FEE
$ 43-00
LOT NO.
SUBDIVISIONSNAME
I PTE��n
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 11 Duplex 13 Mobilehome ki Other SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 In Ila 0 Other 0
Describe Work: MHI
—Each
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service -.Ov, 'ORR
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:
0 1, asowner 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.
[D/I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCC P.
OR ADONS. & ACC. BLDSU
so.
3.50FT.
CONS .0
R ES 2! ,�ULT,' �,TT,
@7.50
POWE.RAP= US
0 CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL @ .50
FIXED AP - 0"
Ex. Occup. OUTLETS tP.MJ 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:
0 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performanceof work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(T.wlabove sections need not be completed if the permit is for work of a valuation
,gf 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
fort�with corn ith those provisions.
_7
X A10 11& 1 Date NiZL/
_W)r_F ner
S re pp ica - w 0 Contractor 0 Agent
An S permit is reqou �if tcavations over 60" deep and demolition or construction
of �r. ri, I
of stru res over 3 storie height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $ 1 on C)C)
Energy Inspection Fee $
OCC
CONST. TYPE
OTALFEE$ I A I r)()
HAZ.
1 11- FEES 71MP
FLOOD
Ft�AL
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
P RMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
& I A � p �` ., .� Y
C6VNTY-OFBUT1E'- DEPARTMENT OF DEVELOPMENT SERVICES - BUHDING DIVISION
7 COUNTY CENTER DRIVE - OROVILI TE
,E--,,CAiLlF-8RNIA 95965 - LEPHONE (916) 538-7541
PEAMIT APPLA TI6NDA TA SHEET
OWNER:
Ed ASSESSOR PARCEL, NUMBER: ( 6 - C) 7d
Proposed Bijdinose: � A71A -1: Building Inspector: tj /
�,p_OPju,, Date: -7- 3 6 Yjg
At time o�fpFrrnit application, I was advised the foHowing data must be submitted prior to permit processing and/or issuance:
Date Received By
C1 1, All items have been submitted --------------------------------------------------------------------------------------
02. �lot plans, 3/4 sets, signed by the preparer of plans. --- aV_2ft_ftV_0EV_ZrJ Q-1
4010b:!.*03. Complete plans, 3/4 sets, signed by the preparer of plans - ------ ----------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - --------
El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
El 6. Energy Design Fornpliance and supporting documentation - ----------------------------------------------------
El 7. Statement of Intent. for Non -Heated and A/C Buildings - ---------------------------------------------------------
El 8. Hazardous Material Form - ------------------------------------------------------------------ : ------------------------
4.01IM-anufactured Home data and installation instructions including Tie Down Specifications --------------------
10. Fees of $ C2;ej --------------------------------------------------------- -----------
1?ff.'Impact fees 'as shown on the attached schedule. !P/.(Z -- ------------
Ej 12. California Department of Forestry plan approval/fees. - -------------
1113. Flood elevation certificate - ----------------------------------------------------------------
C3 14. Sanitation and plot plan approval '�) cN-t- Health Department - -------------------
El 15. City of Chico plumbing permit - -----------------------------------------------------------
0 16. Plot plan and business license approval from the City of Biggs - ----------------------
0 17. Planning approval for (A) Use: (B) Parking:
El 18. Contact Land Development about 13 Improvements, 11 Drainage, 0 Legal Parcel.
111.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---.
E120. Pre -inspection for
required. Request to Building InspectorPon
El 2 1. Contractor's license information. (Number, Name Style, Classification).
0 22. Workers' Compensation carrier and policy number - -----------------------
023. Owner -Builder Verification (Given to owner 0, Mailed to owner EI).
024. Letter of signature authorization - --------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement - -------------
1126. Letter of intent on building use - ------------
. Manufactured Home utility clearance - -----
'028. Existing violations and/or expired permits.
1129. E1433 A, DGrant Deed, El M.H. Title, El Check to H.C.D $
030. Other:
When you issue the permit, process as follows "ail to owner, DMail to contractor.
(Date)
OTelephone and hold for pickup at Office. Deliver with inspector.
_i"plic to A -1 )
PrA Date: _3A
Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, Allution By:
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other:k \P*e: Bv:
1. Index permit application for the above items niimber6d: 7 11 Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, o Building Division counter, by — Date:
Contractor, designer, owner, was advised of the above required data by o phone, 13 mail, o Building Division counter, by _ Date:
Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by — Date:
Contractor, designer, owner, was advised of the above required data by o phone, c3 mail, o Building Division counter, by — Date:
Plans reviewed by: Date: � - Plans approved by: Date:
Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
V
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5 j:P71C
c, —r. 75,41 -�-
goTr, - All UaWials & WOTI=a""'P fthu te -in
Accordancewith pecognized Good Practid8s axd
of a.WalitY Prescribed for the 13pecified u.11e
.Bujldin,", pjumbMg & Meehan"
in t-aeUniforni Metriml Code,
Codes aud thO Nstional
IV
f. -
REVORED BY
BUTTE CO. RPIE DEPT.
CALIF. DF -?T. of FORESTRY
approved as c-Carnitted
appvoved viith conditions
Pei a-ft'achh d �,Cst.
SignaWre DO)
Envilonmental Heatth
J.0t 2 9 1998
Chico I CafifbMia
ALL STRUCTURES AND EQUIPMENT INCLUDING (0^
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
A SET BACK OF _30_ FT. -FR0t1j1, THE SiDE AND
3o FT. FROM THE REAR ?PLOPERTY LINES AND
FT. FROM THE ROAD CENITERLME SHALL BE The attached Fire Safe
EXCEPT requirements must be compli
CLEAR OF STRUCTURES AND EQUIPMENT
specified and approved
FOR A 2 FT. EAVE OVERHAIA3. as
bY C.D.F.
....................
60
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This set of plans and apeciftoations M= be
kept on thajob at an times and it is unlawful to
MaX6 any changes or alterations on same without
written permission from the Departanent of PublM
Works. County of Butte.
e V3, z(.0,
n)
9 8 -2,33 2 0.
FILE COPY
ENT
E D,
P. RO"
-v ore;. /7
....................
60
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S e!5 ".,V'7� - ';Ib " J,-/
This set of plans and apeciftoations M= be
kept on thajob at an times and it is unlawful to
MaX6 any changes or alterations on same without
written permission from the Departanent of PublM
Works. County of Butte.
e V3, z(.0,
n)
9 8 -2,33 2 0.
FILE COPY
ENT
E D,
P. RO"
M
Set of Plans and speata
kept On thGJob at 06uona hfu?3T be
aalntl A .
tt .6 end " 13 'w-JawtLjj t
OP '0-.aL'0; �:, .
W1 i Lo%y. 0'
'pt;I WILLOLLL
'I'.
;CS. court r,),n Q16 r)
-T of Butt-.. -L'3p&rT-ae-qL Of. Pubb;i
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00,
LOU
IjOTIM: All Xatwlals 6? Wooanans=P ffhb,11 t6' 1"
with jLe.,.cgLjzcd GOOLI Pmctict's wrld
AccordarIce
Of a qt121ity pr6rbcrftui;d for the, !3Pt)vIf"'j
,1.1; he rj,-O'6jjjjd-'jjZ'': '�
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Codex W the 14"imol H1604I'S0�1 Coda.
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APPROVED
MAN
Environmental Hb&"h
OCT a B 1998
Chico, CA
EN
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