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HomeMy WebLinkAbout058-310-01158-31-11 GARY A. SEGAL On Hoffman Rd W of Concow Rd inters. i:ert ficate of Compliance/with conAs, 6/30/82 058-310-011 01-0 25 WIGGINS, RONALD • O LE HOFF CONTR-. NA � TEMP ELEC. FOR WELL & LOT DEVELAP T 058=310-011 02-0901 PARADISE, MICHELE- WIGGINS, RONALD S7--HOFFMAN RD., CONCOW� CONT: SKY.CREST ENTERPRISE' NEW MH PERM.FND NEW SITE - 1308-14D 058-310-011 MISCELLANEOUS Demo -Fire DEMO DUE TO CONCOW FIRE 3456 HOFFMAN RD pARADISE, MICHELE W cGCrcncS fps lZCc,rt.C�i��7�'1'?Ce� 7 058-310-011 AG02-048 WIGGINS, RONALD 1!45HOFFMAN & HOGRANCH, ORO AG. BLDG. COUNTY OF BUTTE; DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 17 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754����E,�M�T No. (Rev. 12/96) APPLICATION AND PERMIT �� �� ASSESSOR PARCEL NUMBER 058-310-011 ZONING - BUILDING PERMIT OWNER PAP,��DISE MICHELE & WIGGINS RONALD TELEPHONE SO. Fr, OCC. BUILDING VALUATION 1557 R 84078.00 OWNERS NNO ADDRESS /4.E. 12th ST. PITTSBURG CA 94565 CONE CTOR'S NAME SKYCREST ENTERPRISES TELEPHONE 42-2694 CONTRACTORS MAILING ADDRESS 13468 HWY 99 E. , CHICO, CA q9971 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 84073.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $286, 0 ARCHITECT OR ENGINEERS "LING ADDRESS Plan Checking Fee $ 23.00 olNggpngEss HOFFMAN RD. CONCOW �5,h Energy Plan Checking Fee $ $ PERMIT FEE $329.00AP LOT NO. SUBDIVISIONS NAME PARCEL M PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome q Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 L5.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other J Describe Work: NEW MH ON PEP��I MNEW SITE Gas piping system 1 - 5 outlets 5.001 5_00 Building sewer15.00 15,00 Mobile Home S G W 920.00 PERMIT FEE $65.00 ELECTRICAL PERMIT Fling Feel 20.00 600VOR LESS Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is_In fu1J force and effect. p� License Class ' Lic. No. p2 / �� DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5¢FT. NON-RESID MULTI.OU. TITS 97,50 PLE OWER APPARATus 8 SINOOUTLET CIR. 20 O I' EX. Occup. OUTLET OR FORURE1.00OWNER-BUILDER sAL o .so Ex. Occup..DFlXUT�7S A D� 1 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43. 00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' cymp�tion insyrance carrier and policy number are: Carrier _ T / Pie Ad— Policy Number /s -"-L F3 (The above sections need not be completed -if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compensation p visions of section 3700 of the Labor Code, I shall forthwith comply with tho a provisions. X D AR 61c�k ge Sigur of Applicant - ❑Own ❑Contractor X:.nddemolitionorconstruclion AnWA permit is required for ex Avations over 5'0" de of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOT L FEE $ J A37- 00 HAz. t I DOA 14V 1 VIO VX PP6 1.51r W1 Ssu 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. (,�10Z By Da / Vt TJ PERMIT EXPIRES ON 5 ` 6.3 ate Receipt No. 353227 437.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..... -.-r _ _ - ... — ...`-`i+'rV"�ss�T"'7" ' .....-.,,,Rin. +.--•�,r•---�--�.-•—.r...• +..�--.-..r-• T - s ii 0�4 :..COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, OroviIle, CA 95965 Phone (530)538-7541 Fax (530)538-2140 r(� PERMIT APPLICATION DATA SHEET r OWNER: \ V \ ` `� AS SSORPUMBER erRw Proposed BuildingU�: Couter Technician: Date: v U ) Co G h Items required in order to apply for a permit. All boxes MUST be checked OR ma ed NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details aid layouts in duplicate. No faxes! ❑ 5. Energy compliance desigand supporting documentation in duplicate. 6. Manufactured homes Data sheets and installation instruction IlWarriage line informatio 4l Floor Plan jie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. , (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ig neer. Y Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be) indexed and returned to the plan review line-up when required items are received. > IN Date Received By i A4 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ .1,2. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... J5. Statement of Intent for Non -heated and A/C Buildings .................................. 1 ) f) Q, anitation and plot plan approval from the Environmental Health Department in t 0,1,7. City of Chico Plumbing permit....................................................... . California Department of Forestry plan approval paid. Sent by: � t] P ?r...... ❑ 19. Planning approval for (A) Use: 0 K (B)Parking: (C) Parcel Check: L, _r)—s 2 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ............................................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ...................:. jN2❑ 6. Letter of Signature authorization..................................................................... 7. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance ......................................................" ........ ❑ 9. E i ting violations pd/or expired permits ......................... :V30. rant Deed.H. Title/- t ❑ Letter from Legal Own ereck to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. o I have been inf med of_the above ' e a d re uirements for obtaining a /building permit. Applican � )ate: / II.. Index permit application for the above items numbered: Plan Check Letter Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter,, by Date: ,Contractor, designer, owner, was advised of the above d to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: 5 ! 01-- Plans approved by: Pate: S/1 3 D 7 -- Structural Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Flat ®len AttachOd Raw Flinn A had S®nt to e.D. L TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposa Water Supply: Public Private Wel Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date 1 ` COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 S HEDULE OF FEES DUE A.P. # 65 31& Q I. �i O, U PROPOSED BUILDING USE DATE ` , ' `�%" 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES ov , (paid at District Office)YVA, to 3. SHERIFF FEES (paid at Building ' ision) Residential .................................... x $360.00 = $� Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. c APPLICANT ` DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) OWNEI LOCAT CONTR PRE-INSP] DATE TO PRE -INSPECTION RE BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off_ Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: V ACTION RECOMMENDED: ISSUE—:' 1110 FOR r .� Inspector: —14-3 Date 45&2- i Sketch buildings on reverse and indicate location onro ert . f P P y 1 . Matj 08 02 11:30a - Michele Paradise 925 432-8081 P.2 Michele S. Paradise 474 E. 12�' Street, Pittsburg, CA 94565 May 8, 2002 To Whom It May Concem: This is a statement to say that no one will be li6ng in the camper or trailer located at the property at the corner of Hog Manch and Hoffman Road. Sincerely, Michele Paradise C BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM D— 05 (One form per Building) School District U 1,� . CA a��l Building Department No. A.P. Number G �� �1 �} �? l\ JurisdictioD City County Property Owner Property Location/Address U�/f Subdivision Lot No. ............................................................................................... ................ Residential Development S Footage ' ✓ No of Living Mobile Hoome Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection): .................................................................................................................... r�Commercial/Industrial � �~ Sq. Footage New Addition (Including Exterior J74C• Roofed yeas Building Depariment Representative J - Date Irioor runs reviewed oy scnool uistnct Personnel) District Identification No. 020111 ✓ )''.P—, l�C,l b) -) t'r tG�,,. School District certifies that Ion (Applicantl (Street Address) (Phone Number) On* i I1 -e CA 0- 9N&c (City) (State) (Zip Code) nn , has complied with the requirements of Resolution No. /65 — / 0 by payment of $ 3i i q representing �j� / square feet. School District Representative, AB 2926 $ FULL MITIGATI $ dy- 22-02 Date Paid by Check # Remarks: dlsWt144g,,P)1 tl�lJ _ Zcr+2B3 lUl I d-tQ� Ha -41 111&1 -h -H1_ Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/981d7 W rnij- ❑ APPROVED CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL a2- cq o ( 9-6 PERMIT CLEARANCE Permit #: OAI) M��1� Genera/Info�mab�on 49^� Owners Name: Owners Address: Building Site Addre Dated 3 (J -z� AP#: Parcel Acreage: Propertylnformat/on Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septicell ❑ Other Zone District: FR— t' Date of Zoning Ordinance: General Plan: f;::� Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement Wo ❑ Yes, check use Minimum Acreage: Nitrate Action Plan No ❑ Yes Violation Area JE No ❑ Yes Specific Plan No ❑ Yes ❑ Chico ❑ D2N Enterprise Zone 10 No ❑ Yes, check use Floodplain --W No ❑ Yes Zone: I ❑ Watershed Protection Zone No Yes Proposed Use Complies With: General Plan Zoning Proposed Use Reauires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Cohasset Panel Number: 09" C— ❑ Accessory Building Use Zonin Code Street & Hicihways Prevention Subdivision Map Front Side )S / O �® Side street S� Rear v 7S CD Height 05$- 31 o -oil Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes r Well Permit Review: Designated Well Site ❑ No ❑ Yes Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Parcel Created by: ®Deeds Date of Creation: / 9 v 7 Legal Access Provided: ❑ No Yes Deed Reference: Legal Access Required: ❑ No Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: [:]No a Yes Comments: CVL Lor— C 0 C 213202 SS ❑ Map Date of Recording: Lot: Block: Book: Page: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the z ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. ❑ Other General Comments: AIQ LN 3XIS 40 k1W00 C13AI303H PLANNING DIVISION- BUILDING PLAN APPROVAL Use: p �t Date: S"13 -O2 Parking:---_ Landscaping: Other- ..... — _ T_ :_t..��r P��eo►.� nit I I , ,mm 7 71 I f � T -t--•- i_.L_L_t .:� .� .F- T J., - I -- —` - - - iT. r 71 1.. , _ _. _ -j�` _.'— +_: .irr 1�•-r +--1' _.�. _, III - _ — •� 1I" lt - _ r, i. I T___•- •tom-_- � 1 I �" -1- __ T/' _-1._r _--__ _ 4." T. t Ti : 1 i SCALE 1 60 fl' _• tT�1 i 1 1 I rI y�9, io 140 6- AAHCN Io AND WHEN•RECORDED•;MAIL•TO: BUT S6UNTY BU LDING DMSION 7 COUNTY CENTER DRIVE OROVELLE, CA 95965 COPY of Document Recorded 02 -Apr -2002 2002-0016432 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraymg, priming, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date ��� �—� PROPERTY OWNERS: State of California County of ,Qd On a 0.1-02 before me, personally appeared/7VaA, -�,-/P S - personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and of iic' s Signature A.P. # 0.57- 310 — O// Seal: 101MY RICHARD FEUERSTEIN COMM. #1299529 —' NOTARY PUBUC - CAUFORNIA BUTTE COUNTY Comm. Expires April 13, 2005 Escrsw No. 101623 -SL Title Order No. 00101623 EXHIBIT ONE Being a portion of the Northwest quarter of the Southeast quarter of Section 4, Township 22 North, Range 4 East, M. D. B. & M., and being more particularly described as follows: Commencing at a 6 inch concrete monument tagged L. S. 2843 marking the Southwest corner of the Northwest quarter of the said Southeast quarter of said Section 4; thence leaving said Southwest corner along the South line of said Northwest quarter, South 781 56' 56" East, 418.11 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, continuing South 780 56' 56" East, 482 feet to a point on the centerline of a 60 foot road reservation; thence leaving said point, Northerly along said road reservation center line North 00 12' 12" East 479.10 feet; thence North 790 37' 30" West, 167.17 feet; thence South 571 42' 35" West 139.05 feet; thence North 790 42' 05" West, 185.99 feet; thence North 591 34' 32" West 5.60 feet; thence South 01 45' West, 378.65 feet to the point of beginning. Together with a non exclusive easement to be used in common with others for road purposes and. public utility purposes over a strip of land 60.00 feet in width, lying 30.00 feet on each side of a center line described as follows: Beginning at the Southeast corner of the above described parcel, which corner bears North 789 56' 56" West, 412.00 feet from the Southeast corner of the said Northwest quarter of the said Southeast quarter of said Section 4; thence leaving said Southwest corner along said 60.00 foot road easement centerline, North 00 12` 12" East, 479.10 feet to the end of said easement. j Together with a non exclusive easement to be used in common with others for road 9 purposes and public utility purposes over a strip of land 60.00 feet in width, lying 30.00 feet on each side of a center line described as follows: Commencing at a 3/4 inch iron pipe tagged R. E. 2435, marking the East quarter corner of said Section 4; thence South 0° 09' 09" West along the East line of said Section, 878.62 feet to a point on the centerline of said 60.00 foot strip; said point being the true point of beginning of the easement herein described; thence from said true point of beginning, Westerly along said center line, North 650 36' 11" West, 181.13 feet; thence North 711 36' 36" West, 445.65 feet to the point of intersection with a 60.00 foot road centerline which bears South 030 34' 18" West, said point of intersection called "A"; thence leaving said point "A", continuing North 711 36' 56" West, 62.00 feet; thence South 77° 14' 57" West, 163.25 feet; thence North 800 23' 53" West, 290.35 feet; thence North 79° 39' 48" West, 609.31 feet to the point of intersection with a 60.00 foot road center line which bears North,03° 02' 43" East, said point of intersection called"B"; thence leaving said point "B"; North 791 37' 30" west, 167.17;feet; thence South 571 42' 35" West, 139.05 feet; thence North 790 42' 05" West, 185.99 feet; thence North 591134' 32" West, 239.92 ...feet; thence North 40° 42' 37" West, 313.84 feet to the point of intersection with the North south center line of said Section 4 and the end of said eeasement Also together with a non exclusive easement to be used in common with others for road purposes and public utility purposes over a strip of land 60.00 feet in width lying 30.00 feet on each side of a centerline described as follows: i Beginning at the point of road centerline intersection called "A"; thence Southerly along aforesaid centerline South 039 34' 18" West 333.83 feet, South 011 17' 56" East, 328.04 feet, South 110 30' 49" West, 171.63 feet, South 201 04' 31 " East 79.28 feet; South 01 05' 14"n West, 5651.38 feet, South 01 ° 17' 26" East, 31 F.01 feet; thence South 051 46' 26" East, 104.91 feet to the point of intersection with the South line of said Section 4, and to the end of said easement, said point of intersection bears North 780 35' 51" West 598.64 feet from a concrete monument tagged L. S. 2843 marking the Southeast corner of said Section 4. Also together with a non exclusive easement to be used in ccommonwith others for road purposes and public utility purposes over a strip of land 60.00 feet in width, lying 30.00 feet on each side of a centerline described as follows: Beginning at the point of road centerline intersection called point "B"; thence Northerly along aforesaid centerline North 030 02' 43" East, 618.18 feet; thence North 090 19' 51" East, 213.90 to the point of intersection with the said East-West centerline of said Section 4, and to the end of said easement, said point of intersection on said East-West centerline of Section 4, bears North 790 19' 51" West 1655.06 feet from the aforesaid 3/4 inch iron pipe tagged R. E. 2435 marking the East quarter corner of said Section 4. i Together with a non exclusive easement for road and public utility purposes to be used in common with others over all that real property situate in the County of Butte, State of California, described as follows: I A 60.00 foot strip of land lying 30.00 feet on each side of the following described centerline: Beginning at the South quarter corner of Section 3, Township 22 North, Range 4 East,M. C. B.. & M. and running North along the North and South center line of said Section 3 a distance of 30.0 feet to the Itrue point of beginning for the above mentioned centerline; thence from said point of beginning North 890 54'; West d. distance of 512.0 feet; thence North 761 45' 30" West, a distance of 137.0 feet; thence North 36 31' 30" West a istance of 292.68 feet; thence North 65° 53' 45" West, a distance of 63.25 feet; thence North 89° 44' 45" West alistance of 164.53 feet; thence South 580 53' 15" West a distance of 170.15 feet; thence North 731 24' 30" West atlistance of 107.94 feet to the end of said road center line. Also together with a non exclusive easement for road andublic utility y purposes to be used in common with others over ali-that real property- situate irrthe--County of Butte, State of CalPfomia;`de�drii�eti'as,fotCtsws — — -- - A 60.00 foot strip of land lying 30.00 feet on each side of the following described centerline: Beginning at the end of that certain road center line described in deed from Donald L. Maxon and Elizabeth E. Maxon, his wife, and James W. Fitzgerald and Nellie 0. Fitzgerald, his wife to L. A. Schager and Evelyn C. Schager, his wife, et al, recorded February 19, 1963 in Book 1228 at page 229, Butte County Official Records; thence North 300 00' West 300.00 feet; thence North 200 00" West 300.00 feet; thence North 251 00' West 269.4; feet; thence North 35 ° 00' West 100 feet; thence North 800 00' West 200.00 feet; thence North 55° 00' West 196.0 feet thence South 801 00' West 299.00 feet; thence North 75 ° 00' West a distance of 71.0 feet more of less to the 'East line of said Section 4, Township 22 North, Range 4 East, M. D. B. & M. Also a right of way for road purposes over aortion of the Southeast theast quarter of Section 3, Township 22 North, Range 4 East, M. D. B. & M., being more particularly described as follows: The Southerly 60.00 feet of parcel 1 as parcel one is described in the deed from George E. Hopkins et ux, to L. A. Schager, et us dated July 5, 1955 and recorded July 12, 1955 in Book 781 at page 3331. Butte County Official Records. I i RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 L-LJF it 02 Document Recorded 26 -Jun -2002 2002-0033174 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHONIE) 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. MICHELE S. PARADISE AND RONALD RICHARD WIGGINS REAL PROPERTY OWNER/LESSOR 474 E. 12TH ST. MAILING ADDRESS PITTSBURG CONTRA COSTA CA 94565 CITY COUNTY STATE ZIP 3456 HOFFMAN RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA . 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-0901 (530)538-7541 BUILDING P RM N0. TELEPHONE NUMBER - Al, 6-24-02 IGNATURE OF LOCAL AG OFFICIAL DATE COUSIN GAR DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE 2002 WESTBROOK 4805 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER 8V-70-0568-P-AlB 60/61 X 26 ULI 535024/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 058-310-011 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD. Building Dept. ~ °F®UNDATI®N� SYS~EMfiY OCCUP� tNCY A' 3x CERTIFICATE OF ! . t, , BUILDING PERMIT NUMBER: 02-0901 Address or location of unit: 3456 HOFFMAN RD., OROVILLE, CA. 95966 Legal Description of Real Property: A.P.# 058-310-011 SEE ATTACHED (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: MICHELE S PARADISE AND RONALD R. WIGGINS Owner's address: -474 E 12TH ST., PITTSBURG, CA. 94565 INSIGNIA OR HUD NUMBER: ULI 535024/5 SERIAL NUMBER OR V.I.N.: 8V-70-0568-P-A/B MANUFACTURER'S NAME: SKYLINE YEAR: 2002 OFFICIAL APPROVING INSTALLATIWC—IL DATE: 6-24-02 PHONE: H.C.D. 513C (530) 538-7541 _ Eeuaw No. 101623 -SL Title Order No. 00101623 EXHIBIT ONE Being a portion of the Northwest quarter of the Southeast quarter of Section 4, Township 22 North, Range 4 East, M. D. B. & M., and being more particularly described as follows: Commencing at a 6 inch concrete monument tagged L. S. 2843 marking the Southwest corner of the Northwest quarter of the said Southeast quarter of said Section 4; thence leaving said Southwest corner along the South line of described; thence from said true point of beginning, continuing South 781 56' 56" East, 482 feet to said Northwest quarter, South 780 56' 56" East, 418.11 feet to the true point of beginning for the parcel herein a point on the centerline of a 60 foot road reservation; thence leaving said point, Northerly along said road reservation center line North 011 12' 12" East 479.10 feet; thence North 791 37' 30" West, 167.17 feet; thence South 570 42' 35" West 139.05 feet; thence North 790 42' 05" West, 185.99 feet; thence North 59° 34' 32" West 5.60 feet; thence South 01 45' West, 378.65 feet to the point of beginning. Together with a non exclusive easement to be used in common with others for road ic utility purposes over a strip of land 60.00 feet in width, lying 30.00 feet on each side of a center line described aslfollows: Beginning at the Southeast corner of the above described parcel, which corner bears North 78Q 56' 56" West, 412.00 feet from the Southeast corner of the said Northwest quarter of the said Southeast quarter of said Section 4; thence leaving said Southwest corner along said 60.00 foot road easement centerline, North 00 12` 12" East, 479.10 feet to the end of said easement. Together with a non exclusive easement to be used in common with others for road purposes and public utility purposes over a strip of land 60.00 feet in width, lying 30.00 feet on each side of a center line described as follows: Commencing at a 3/4 inch iron pipe tagged R. E. 2435, marking the East quarter corner of said Section 4; thence South 0° 09' 09" West along the East line of said Section, 878.62 feet to a point on the centerline of said 60.00 foot strip; said point being the true point of beginning of the easement herein described; thence from said true point of beginning, Westerly along said center line, North 65 ° 36' 1 1 " West, 181. 13 feet; thence North 71 ° 36' 36" West, 445.65 feet to the point of intersection with a 60.00 foot road centerline which bears South 03° 34' 18" West, said point of intersection called "A"; thence leaving said point "A", continuing North 711 36' 56" West, 62.00 feet; thence South 771 14' 57" West, 163.25 feet; thence North 80° 23' 53" West, 290.35 feet; thence North 791 39' 48" West, 609.31 feet to the point of intersection with a 60.00 foot road center line which bears North.031 02' 43" East, said point of intersection called"B"; thence leaving said point "B"; North 790 37' 30" west, 167.17ifeet; thence South 570 42' 35" West, 139.05 feet; thence North 790 42' 05" West, 185.99 feet; thence North 590134' 32" West, 239.92 feet; thence North 40° 42' 37" West, 313.84 feet to the point of intersection with the North south center line of said Section 4 and the end of said eeasement Also together with a non exclusive easement to be used in common with others for road purposes and public utility purposes over a strip of land 60.00 feet in width lying 30.00 feet on each side of a centerline described as follows: Beginning at the point of road centerline intersection called "A"; thence Southerly along aforesaid centerline South 030 34' 18" West 333.83 feet, South 01 o 17' 56" East, 328.04 feet, South 11 ° 30' 49" West, 171.63 feet, South 200 04' 31 " East 79.28 feet; South 00 05' 14'n West, 5651.38 feet, South 01 ° 17' 26" East, 31 x.01 feet; thence South 05 ° 46' 26" East, 104.91 feet to the point of intersection with the South line of said Section 4 and to the end of said easement, said point of intersection bears North 78° 35' 51" West 598.64 feet from a concrete monument tagged L. S. 2843 marking the Southeast corner of said Section 4. Also together with a non exclusive easement to be used in ccommonwith others for road purposes and public utility purposes over a strip of land 60.00 feet in width, lying 30.00 feet on each side of a centerline described as follows: Beginning at the point of road centerline intersection called point "B"; thence Northerly along aforesaid centerline North 030 02' 43" East, 618.18 feet; thence North 090 19' 51 " East, 213.90 to the point of intersection with the said East-West centerline of said Section 4, and to the end of said easement, said point of intersection on said East-West centerline of Section 4, bears North 790 19' 51 " West 1655.06 feet from the aforesaid 3/4 inch iron pipe tagged R. E. 2435 marking the East quarter corner of said Section 4. Together with a non exclusive easement for road and public utility purposes to be used in cofnmon with others over all that real property siWatq in the County of Butte, State of California, described as follows: I A 60.00 foot strip of land lying 30.00 feet on each side of the following described centerline: Beginning at the South quarter corner of Section 3, Township 22 North, Range 4 East,M. B. & M. and running North along the North and South center line of said Section 3 a distance of 30.0 feet to theltrue point of beginning for the above mentioned centerline; thence from said point of beginning North 890 54'; Westj distance of 512.0 feet; thence North 760 45' 30" West, a distance of 137.0 feet; thence North 36 31' 30" West a 9istance of 292.68 feet; thence North 650 53' 45" West, a distance of 63.25 feet; thence North 89° 44' 45" West a istance of 164.53 feet; .15 feet; thence North 73° 24' 30" West aiistance of 107.94 feet thence South 580 53' 15" West a distance of 170 to the end of said road center line. i Also together with a non exclusive easement for road and public utility over all -that real property -situate ;rrtfi�ounty of Butte, State of Cali orn aPodLysorIbed�-foto bedfi0Wg moron with others A 60.00 foot strip of land lying 30.00 feet on each side of the following described centerline: Beginning at the end of that certain road center line described in deed from Donald L. Maxon and Elizabeth E. Maxon, his wife, and James W. Fitzgerald and Nellie 0. Fitzgerald, his wife to L. A. Schager and Evelyn C. Schager, his wife, et al, recorded February 19, 1963 in Book 1228 at page 229, Butte County Official Records; thence North 300 00' West 300.00 feet; thence North 200 00" West 300.00 feet; thence North 250 00' West 269.4 feet; thence North 350 00' West 100 feet; thence North 800 00' West 200.00 feet; thence North 551 00' West 196.0 feet thence South 800 00' West 299.00 feet; thence North 751 00' West a distance of 71 .0 feet more of less to the East line of said Section 4, Township 22 North, Range 4 East, M. D. B. & M. Also a right of way for road purposes over a portion of the Southeast quarter of Section 3, Township 22 North, Range 4 East, M. D. B. & M., being more particularly described as follows: The Southerly 60.00 feet of parcel 1 a§ parcel one is described in the deed from George E. Hopkins et ux t Schager, et us dated July 5, 1955 and recorded July 12, 1955 in Book 781 at page 33i Butte County Official Records. RECORDING RECUtSTED BY: Fidelity Nationai ;'i5e of California Escrow No. 101023•SL Titic Order No. 0010162: When Recorded Mail Document and Tax Statement To: Ms. Michele S. Paradise 474 E. 12th Street Pittsburg, CA 94585 -• VV V'J , v -v i $?ACE ABOVE THIS LINE FOR FiECOROEFVS USE GRANT DEED The undersigned grantor(s) deciare(s) Documentary transfer tax is 922.00 ( X 1 computed on full value of property conveyed, or [ I computed on full value less value of liens or encumbrances remaining at time of sale. t I Unincorporated Area City of unincorporated area of the FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ben Culet, A Married PAar; as his Sole and Separate Property hereby GRANT(S) to Michele S. Paradise, An Unmarried Woman and Ronald Richard Wiggins, An Unmarried Men the following described real pro a as JOINT TENANTS p rty 1n the unincorporated area of the County of Butte, State of California: SEE EXHISiT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: July 27, 2000 STATE OF CALIFORNIA COUNTY OF Butte _ ON July before me, Sandra M. Linville, tar)6ersonally appeared 'BEN CULET• 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 t0 ene that he/she/they executed the same in hlsi'herftheir authorized capacitv(ies), and that by his1her/their signature(s) on the instrument the person(s), or -he entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and officlal se . Signal re Bin Culet ` SANDIRA M. UNVlUr: O c.)w.11 ttit7•?27 NaWW PUeUC4AUF0 IA 0 (7 HUTR courm flit wnirn FJcpr03 Mardi 3, toot MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 igsv 7196) 11"ANT DEED Recorded I REC FEE 13.0@ Official Records I TAX 22,00 CaBUTTEf I CANDACE J. GRUBBS 1 Recorder ROSE: GICicSON I RSsistant 1 Maureen 02:29PN 01 -Aug -2000 I Paye I of 3 -• VV V'J , v -v i $?ACE ABOVE THIS LINE FOR FiECOROEFVS USE GRANT DEED The undersigned grantor(s) deciare(s) Documentary transfer tax is 922.00 ( X 1 computed on full value of property conveyed, or [ I computed on full value less value of liens or encumbrances remaining at time of sale. t I Unincorporated Area City of unincorporated area of the FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ben Culet, A Married PAar; as his Sole and Separate Property hereby GRANT(S) to Michele S. Paradise, An Unmarried Woman and Ronald Richard Wiggins, An Unmarried Men the following described real pro a as JOINT TENANTS p rty 1n the unincorporated area of the County of Butte, State of California: SEE EXHISiT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: July 27, 2000 STATE OF CALIFORNIA COUNTY OF Butte _ ON July before me, Sandra M. Linville, tar)6ersonally appeared 'BEN CULET• 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 t0 ene that he/she/they executed the same in hlsi'herftheir authorized capacitv(ies), and that by his1her/their signature(s) on the instrument the person(s), or -he entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and officlal se . Signal re Bin Culet ` SANDIRA M. UNVlUr: O c.)w.11 ttit7•?27 NaWW PUeUC4AUF0 IA 0 (7 HUTR courm flit wnirn FJcpr03 Mardi 3, toot MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 igsv 7196) 11"ANT DEED Escrow No. 101623•SL Title*Order No. 001 01 623 EXHIBIT ONE Being a portion of the Northwest quarter of the Soutt►east quarter of Section 4, Township 22 North, Range 4 East, M. U. B. & M., and being more particularly described as follows: Commencing at a 6 inch roncrete monument tagged L. S. 2843 marking the Southwest corner of the Northwe3t quarter of the said Southeast quarter of sold Section 4; thence leaving said Southwest corner along the South 1�rte of said Northwest quarter. South 780 55' 56" East, 418.11 feet to the true point of beginning for the parcel herein doscrlbed; thence `rom said true point of beginning, continuing South 780 56' 56" East, 482 fast to a point on t!1e centerline of a 60 foot road reservation; thence leaving said point, Northerly a'ong said road reservation center IirQ North 01 12' 12' East 479.10 feet; thence North 730 37' 30" West, 167.17 feet; thence South 57' 42' 35" West 139.05 feet; thence North 790 42' 05" West, 185.99 feet; thence North 590 34' 32" West 5.60 feet: thence South 06 45' West, 378.65 feet to the point of beginning. Together with a non exclusive easement to be used in common with others for toad purposes and public utility purposes over a strip of land 60.00 feet in width, lying 30.00 feet on each side of a center line described as follows: Veginning at the Southeast corner of the above described parcel, which corner bears North 783 56' 56" West, 41 2.00 feet from the. Southeast corner of the said Northwest quarter of the said Southeast quarter of sold Section 4; thence leaving said Southwest corner along said 60,00 foot road easement centerline, North 01 12' 12" East, 479.10 feet to the end of said easement. Together with a nor, exclusive easement to be used in common with others for read purposes and public utility Purposes over a strip of land 60.00 feet in width, lying 30.00 feet on each side of a center line described as follows: Commencing at a 314 inch iron pipe tagged A. E. 2435, marking the East quarter Corner of said Section 4; thence South 00 09' 09" West along the East line of said Section, 678.62 feet to a point on the centerline of said 60.00 root strip; said point being the true point of begmring of the easement herein described; thence from said true point of beginning, Westerly along said center lire. North 650 36' 11" West, 181.13 feet; thence North 719 36' 36" West, 445.65 feet to the point of intersection with a 60.00 foci road centerline which bears South 030 34' 18" West. said point of intersection called "A"; thence leaving said point "A", continuing North 71 0 36' 56" West, 62.00 feet; thence South 770 14' 57" West, 163.25 fess:; thence North 800 23' 53' West, 290.35 feet; thence North 790 39' 48" West, 609.31 feet to the point of intersectior, with a 60.00 fcet road center line which bears North 030 02' 43" East, said point of intersection called"f3"; thence leaving said point "3'; North 790 37' 30" west, 167.17 feet; thence South 57° 42' 35" West, 139.05 feet; thance North 790 42' 05" West, 185.99 feet; thence North 590 34' 32" West, 239.92 feet; thence North 400 42' 37" West, 313.84 feet to the point of irtersectior, with the North south center line rf said Section 4 and the end of said eeasement Also together with a non exclusive easement to be used in common with others for read purposes and public utility Purposes over a strip of land 60.00 feet in width lying 30,00 feet on eacn side of a centerline describeo as folrows: Beginning at the point of road centerline intersection called "A"; ther.ce'Southerly along aforesaid centerline South 03" 34' 18" West 333.83'eel, South 01' 17' 56" East, 328.04 feet, South 110 30' 43' West, 171.63 feet, South 205 04' 31" East 79.28 feet; South 0° 05' 14'n West, 5651.38 feet, South 01 o 17' 26" East, 312.01 feet; thence South 05 0 46' 26" East, 104.91 feet to the point of intersection with the South line of said Section 4 and to the end of said easement, said point of intersection bears North 780 35' 51" West 598.64 feet from a concrete monument tagged L. S. 2843 marking the Southeast corner of said Section 4. Also together with a non exclusive easement to be used in ccommonwith others for road purposes and pudic itility purposes over a strip of !and 60.00 feet in width, lying 30.00 feet on each side of a centerline describoo as follows: Beginning at the point of road centerline intersection called point "8"; thence Northerly along aforesaid centerline North 030 02' 43" East, 613.18 feet; thence North 090 19' S1" East; 213.90 to the point of intersection with the said East-West centerline of said Secticn 4, and to the end of said easement, said point of intersection on said East-West centerline of Section 4, bears North 790 19' 51" Wast 1655.06 feet from the aforesaid 3l4 inch iron ripe tagged A. E. 2435 marking the East quarter corner of said Section 4. Together with a non exclusive easement for road and public utility purposes to be used in common with others over all that real property situate in the County of Surte, State of California, described as follows: A 60.00 foot strip of land lying 30.00 feet on each bide of the following described centerline: Beginning at the South quarter corner of Section 3, Township 22 North, Range 4 East,M. D, B. & M. and running North along the North and South center line of said Section 3 a distance of 30.0 feet to the true point of beginning for the above mentioned centerline; thence from said point of beginning North 890 54'; West a distance of 512.0 feet; thence North 760 45' 30" West, a distance of 137.0 feet; thence North 36 31' 30" West a distance of 292.68 feet; thence North 650 53' 45" West, a distance of 63.25 feet; thence North 890 44' 45" West a distance of 164.53 feet, - thence South 680 63' 15" West a distance of 170,15 feet; thence North 730 24' 30" West a distance of 107,94 feot to the end of said road center line. Also together with a non exclusive easement for road and public utNty purposes to be used in common with others over all that real property situate in the County of Butte, State of Califcrnia, described as follows: A 60.00 foot strip of land lying 30.00 feet on each side of the following described centerline: Beginning at the end of that certain road center line described in deed from Donald L. Maxon and Elizabeth E. Maxon, his wife, and James W_ Fitzgerald and Nellie 0. Fitzgerald, his wife to L. A. Schager and Evelyn C. Schager, his wife, et al, recorded February 19, 1363 in Book 1228 at page 229, Butte County Official Records; thence North 300 OG' West 30C.00 feet; thence North 200 00" West 300.00 feet; thence North 25 0 00' West 269.4 foaythNorth 35 0 00' West 100 feet; thence North 800 00' West 200.00 feet; thence North 55' 00' West 196.0 feet thence South 800 00' West 299.00 feet; thence North 750 OO' `Nest a distance of 71.0 feet more of less to the East line of said Section 4, Township 22 North, Range 4 East, M. D B. & M. Also a right of way for road purposes over a portion of the Southeast quarter of Section 3, Township 22 North, Range 4 East M. D. B. & M., being more particularly described as follows: The Southerly 60,CO feet of parcel 1 as parcel ane is describad in the deed from George E. Hopkins et ux, to L. A: Schager, at us dated July 5, 1955 and recorded July 1?., 1955 in Book 781 at page 333. Butte County Cfficial Records. BUSINESS A DlPAR1M orMANON E�JfFR ��PM6Rr +•` it: A -.- T J]11 [f` Ay4/`� �a[//�yy��0 ��A -_n�1C�11�711:.�....: 1 NIANUFACTUREWCFICATE ❑CHECK A T►YB_ IB D}lPLICA C¢E,QRIQWALMCONO. MANUFACTURED NOME OR M CJ TWNIT UFACTUREO HOUSING NUMBER OF ® SFU (SIN6LE.F,./_WY DWELLING) D, MUMH (MUljl•UNIT MARL AGTULtEl1 �_y�USING _ TRANSPORTABLE SECTIONS 2 COMMERCLALW9C,H' .b_:r_),t.;:':Y:4 OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER UCENBE NUMBER: SKYLINE HOMES INC 90002' MANUFACTURER ADDRESS: SUGGES 0 . 16720 EAST BEAMER STREET WOODLAND CA 67,274.65 Lm (CmS (Salez MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WESTBROOK 4805—CT 4/30/2002.'• NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):' • • "• ALIF, DEALER NUMBER OR DATE OF:TRANSFER: 'I : �• -• SKYCREST' ENTEP.�RI$ES)COUSINS BO)WS­ TRANSFEREE DESIGNATION: - ,k •. , 5/1/200291265 DEALER OR TRANSFEREE ADDRESS: 13468 HWY 99 CHICO CA 95973 sve c sure (zip) INVENTORY CREDITOR NAME: TEXTRON FINANCIAL CORP INVENTORY CREDITOR ADDRESS: �9,4XENIA AVE SOUTH SUITE 300 EN VALLEYS• 5 6 SECTION MANUFACTURER SERVAL NUMBER HCO INSIONIA OR HUD LIBEL NUMBER .IENOTH YNOTN VdEfpIR INCHEB NVCHES POUNOB 1. 60-70-05687?—B ULI 535024 720'' 156 •• 24.154 2 eV-70-0568—P—A ULI 535025 736.." 156 25.686 TRANSPORTER NAME: D R TRAWSPORT TRANSPORTER ADMSS. 7.. P.O. BOR 179 DURHAM CA 95938 sVea C suw DESTINATION FOR tk6 fi lkwiEO ABOve. (MAMCOUSIN GARY'S HOMES 13468 HWY 99 ICO CA ate. .95973 I CW* WOW Pwb 61 P016" W'WW ti IM d b SO* d CaWbnfb to Sraaaofiahff flra►f�.�,QOILeCL,... . • • .... .. :.,,, •. • ..: .... . Ea.oA.aon v ,. ,tea'• j TOLD bI (aim (Ca~ r SIGNAWREOF 0AOEL Nf•• ._ -. ..... .. ... .... - OWOMUL•(Paaf) ••- % .., FORYWMD?O-TWINVE/AGRYCREIWQftlIILE.ii•iIEmamokL TKMFORVAkM-M TNE,PURCMUlt (OEALMMTPANB)cF.REE}. COPv IIMIIhI 011WU1O TO THE OEPARTIAENT AT P.O. OQX jOX BAC/MMENTo. CA SM12.I S2S, VMW94 FNE (6) GAYS OF RELEASE COPY ] (YEUOVA DELIVER TO THE TRANSPORTER TO ACCOIf1YANY.TH£ UNIT TO RS DESTINATION. COPY a (OOLOENROD) 10iBE RETAINED Br TME MANUFACTURER' x. MCD 483.0 - SI17a 1 (TAP) #Vt of DEPARTMENT OF STATE FANDLCOhOMMUNITY DEVELOPMENT DIVISION OF COOES ANO STANOAROS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is'a: Mobilehome 1:1 Commercial Coach Floating Home Truck Camper; Decal (License) No.(s) Trade Name Serial No.(s) �i�sre �G I/We, the undersigned, hereby state that the unit described above: k -c- e -d on a-, p e r man P_v\-+ �o U, r-dwf( ov.. Affiant further agrees to indemnify and save harmless the Director of Housing and CommunitN Development, State o.f.California, and subsequent purchasers of said unit, for any.loss the) may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the. foregoing is true and correct. Executed ony/'. -;4—at G Q ('Date) (City) (State) Signature of each affiant .W Addre City HCO 476.6 (Rev 11/86) Printed name of each affiant 6l.lS`it1 0cw__kl)S 141- me State NOTES RESIDENTIAL 058-1-1 0_0 PERMIT NO PARADISE, MICHELE l �'WIGGINS'RONALD---------- •_.___. 3�-IOFFMAN RD., CONCOW CONT. ENTERPRISE 1 NEW M1-1 PERM FNDNEW SITE 1 i THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS �'- BEEN TURNED IN TO THE BUILDING DIVISION: I (1) LICENSE PLATE(S) OR DECAL (THE y` INSPECTOR MUST RETREIVE). j (2) STATEMENT OF FACTS (ONLY ON NEW , MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. li 1• t I SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date JOB FINALED (Date)�`� Signature CHECKED BY /= OK 8. 0 = Not OK - =Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Ext.; Steps -Doors -Landings 2. Soils; Special MH Support Sketch 12. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. EI icity; Location-Clearances-Grnd-/ /Amp -Concrete Gas; L tion -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG ff-Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s e g Requirements -Setbacks -Easements F ngs; Size -Spacing -Marriage Line Gas; MH Test -Demand -Valve -Connector ctricity; MH Test -Crossovers -Breakers -Clearances ain; MH Test -Fall -Flex Connector 6. er; MH Test -Regulator -Connector . Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. T7pe�lnstallation Cert. fjArL'xits; Insp.-Sketch 11�GeMrol6eeapancy L12 Seftanent Foundation Only; License Decal Date Card B- Date Card B-1 Date ./jZard B-1 Date Card B-1 ,s�3 o16 z.- OC, ,S-- �i�v-�hc,� J1,91oz Jam& � Z_ �, ✓ 70 v MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors. Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- 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 J = OK 0 = Not OK - = Not Applicable Not Ready RESIDENTIAL (: Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Insild./Drive ] Yes ❑ No/Walks ❑ Yes ❑ No/Planters 0 Yes :1 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: j.' --r,v's++a++r�T..a _ .r3+"TiR°'�''°pcY►'n ..�. -� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA * (530) 891-2751 7 -County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE I OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above addres and should be corrected. Please notice this office when correction of work is completed. you have any questions pertaining to this matter, or need additional explanation, please c,p6tpct this office immediately. Date �� Inspector REV 10/92 1 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERM NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWN , P ONE NO. � 6 OWN R' DDRB 1277 LOCATIQIq OF_ BUILDING USE OF BUILDING 3 p�3 SIZE OF STRUC URE TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDI G n F C�O� ER NG y� A+ (/ FLOOR TYP IMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 1 FRONT 5 SIDES ,' REAR ,-0/ /r""""te AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. ' Date �— Signature of Owner Permit"No.4;`�A The above described AG Building is exempt from a building permit. F O PARC P.D ROO G ISS Receip Manager Building Division , BY Date 2Y White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3456 HOFFMAN RD Owner: permit No: B08-1451 APN: 058-310-011 PARADISE, MICHELE Issued Date: 07/28/2008 By KEJ Permit type: MISCELLANEOUS 3456 HOFFMAN RD Subtype: Demo -Fire OROVILLE, CA 95965 Expiration Date: 07/28/2009 Description: DEMO DUE TO CONCOW FIRE (530) 370-3517 Occupancy: Zoning: FR10 Contractor Applicant: Square Footage: OWNER PARADISE, MICHELE Building Garage Remdl/Addn 3456 HOFFMAN RD OROVILLE, CA 95965 Other Porch/Patio Total (530) 370-3517 FEE INFORMATION Total Charged: $0.00 Fees Paid: $0.00 Balance Due: $0.00 Receipt No: LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 07/28/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date mil, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE u COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION - OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred ollars ($100) or less. —/ ❑IAM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 07/2$/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 07/28/2008 I hereby certify that I have read this application and state that the above information is cared. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner r a u rized to ct on he property owners behalf. r 41 Q �5.T►'ocfrse07/28/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame o erml -e[SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR; DAgent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip r Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. n If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal n income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTQ.L THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. Y OR NO) 2. 16H `HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: DEMO DUE TO CONCOW FIRE Reference Number: B08-1451 Applicant Name: PARADISE, MICHELE Owner's Name: PARADISE , MICHELE AP # Signature of Property Owner.. Date: :058-310-011 � 1 -0 zt-& BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. Q)Z%' I BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name Fiq Nae Mailing Address 0r /L— 'J� City 0 rD I le—r� State zip" 0S9(os ► Phone 090_35-1,7 Fax E-mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT NATURE PROJECT LOCATION C AP# t� ' 1 Property Address 6/ _ / City Oro V ! -o WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City No State Zip Phone Fax E-mail State License Number APPLICANT NATURE PROJECT LOCATION C AP# t� ' 1 Property Address 6/ _ / City Oro V ! -o WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Flood Zone Address SRA City No State Zip Phone Fax E-mail APPLICANT NATURE PROJECT LOCATION C AP# t� ' 1 Property Address 6/ _ / City Oro V ! -o WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const: d7 32—r Complaint: BLDG. PLUMB/MECH ELECTRIC M.H.I./M. H. U. RE - Form Rough Rough INPECTIO —H--U—sl Frame/Underfloor Top Out Temp. Service Corrections Stucco Lath Gas Piping/Test Service Final Job Status Stucco Brown Temp. G s Underground Permit Renewal Fireplace Sewer P ping Well Circuit Verily Utilities Bond Beam Insulation Nailing Water iping Showe P n' / - Light Niche j `/ f / OTHE C/ Corrections Corr ctions Corrections L.� �"K. Final Final Final READY FORA.M. � INSPEC.ON t P.M, Date: Time: Note: 0 OWNER: LOCATI( CONTRA PRE-INSPEI DATE TO R-, PRE -INSPECTION REPORT Building Description: Commercial/Usage:_ Residential/# of Units: Currently Occupied_ AbandonedNacant_ Electric: Yes No_ Condition of Electric Gas BUILDING INSPECTOR'S REPORT Electric currently On Off Natural , Propane None Currently On Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: Inspector:&---4�2 HOLD FO 4 ri Off Date i Sketch buildings on reverse and indicate location on property: V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroviller California 95965 a Telephone (530) 538-754 ERMfT No. Uv.121116) APPUCATION AND PERMIT �• ► �++'�' _ 3 gownO e-ia5( BUILDING PERMIT ya5 www ��w - SO. FT. OCC. BUILDING VALUATION oouerwa,oa wags rodeo. o"Ift)c" MuDeek Fireplace uGoon WAaro molds Total Valuation = screw? an Filing Fee = 20.00 Permit Fee A,A eVser OR /AWMI MA"q ADOAe Plan Checking Fee S a"a�1OA00"�e Energy Plan Checking Fee = i PERMIT FEE _ {pTM0. elrlONIDM7rM�! . Yrr PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF (3 Duplex O Mobilehome O Other (1X 1� �_�c_l _� .ter Each Trap 7.00 Solar or heat pump water heater 1 23.00 Water piping 1 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O UtlWlee 0 itnstalotion O Describe Work: Q I / s::30 0,P D -6) Other K _ 11S -PQ Gas piping "tam t - 5 outlets 15.00 Building sewer 15.00 Moble Home I S I G 1Y 020.00 PERMIT FEE _ ELECTRICAL PERMIT FItLng Fee 20.00 Main Service soe ori mss 23.00 ' *PERMIT FEE PAID SRA $ SHERIFF $ OTHER $ AMOUNT RECEIVED *RECEIPT NUMBER * TO BE PVT INTO COMPUTER Main Service sed► To IOWA 46.00 Cofer.NOV owaAJNQ occur. 35'6 00 AooMs. L A=..tD. 3.5c". Non�Oa. YYLT1.01/1LlT 87.50 K7YM01A.IAJMTU. Ex. occu . ounsr oa rimrlr! 00 r Js Ex. Occup. o=A"'.4,44,02, 5.00 Temporary Service 23.00 Moble Home Faclities 20.00 Niisc. Wiring 23.00 3 0 dD PERMIT FEE _ MECHANICAL PERMIT Filing Fie 20.00 Hosting Cooling Hood a.s0 ventilation PERMIT FEIE _ Moble Home Installation Fee s Energy Inspection Fee i a" C014T. rrrt TOTAL FEES I""L 1 o.IEp ". 06nNcn .o w MA This permit Is hereby issued under the applicable Provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON .... � ... ��.. .�..r....� ._��.. }..,_ it . • _ :.fir a- r - . , • � ,, `_ ... r .. _ Y• �! `<� �� mIU` cD n rt w O • •fin Z � � � � � + r 000 mas r a M - z° A d W O m ih �p n 0 t A O W • 3 r o\o £ 7d i ' rt a(),' r• rt CO ' ' 1� ; ` � 4 �S. .. • i T ; • _ � • • 1 ;••moi_, J r `l p �W7 w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroviile. California 95965 • Telephone (530) 538-754 RMT NO. A01211^AT1111t►1 AUn DCDEAIT D��D '• (ReV.1ZNO) f"Sa IV atieVr%e■VIIsnaIsv a » ► ��1°' O�;g _ 3 "a" e_i D a""u oZ5a_ a a a T g I a BUILDING PERMIT SO. Fr. OCC. BUILDING VALUATION UAT ON awarYs14-7 5 Wus tnvMo"t ooreMacraie awws aooatsa oor�na+enorr uooa WTotsI UDOfM awsa Aooaan ation = aacrrr1w ca a=141=1111 MUM! "a Firma Fee $ 20.00 Permit Fee = aaaefcr a -now=s WARM .00acsa Plan Checking Fee i e"t°"°A00a�e Energy Plan Checking FeeI = LP PERMIT FEE _ LOT kA eusonecMwue P fi wv PLUMBING PERMIT Filing Fee 20.00 i USEOFSTRUCTURE SF O Duplex O Mobilehome O Other 1LX ePeefr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Ut 6se 0 Installation O Other Describe Work: r71 /YyrO 0-P a 11 S P Q Gas piping system 1 -5 outlets 15.00 Building sewer 15.00 Mobile Home S I G1 W I Q20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 F Main Service 2oaoonin$ 23.00 *PERMIT FEE PAID � SRA SHERIFF OTHER AMOUNT RECEIVED *RECEIPT NUMBER * TO BE PVT INTO COMPUTER Main Service zeoA TO 1~ 46.00 Oft AD". ' ° a .ice a i 3.5s" MW GUM 1. MO�NIO�O. YULT►OYT1lr 07.50 aPOWOI *"1A 4 crik Ex. Occup. ourAr Gil ronuafs ew a 1.00 Ex. OCCUR. ovun °sAMMnio a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Msc. Wiring-- — — �# ^ 23.00 VA o _13 'D PERMIT EE S MECHANICAL PERMIT Filing F« 20.00 Heating Cooling Hood 6.50 ventilation I .. PERMIT FEIE S Mobile Home Installation Fee S Energy Inspection Fee i occ 001419T. Tref TOTAL FEE _ I MAL 1 G. no YP 1 Puooa I w► This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above fa which fees have been paid. By Date PERMIT EXPIRES ON � ,� _., t . , --.,r, � . .,,;., • ....__. .� .. ,: n,�,.r."G r 4� .. w,. ;y,,�„��• _..:i:rw cr �, •i� .; .L'.•: T-' .,•'�.:.;�.:,:.�wT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ( ASSESSOR PARC ER: --O Proposed Building Use: Building Inspector: Date: At time of permit application, I wJs advised the following data must be submitted prior to permit p cess' g an or issuance: Date Received By ❑ 1. All iiems have been submitted .-------------------------------------------s----------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. 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. -------- R ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.-----------------------------------------=----------------- ❑ 12. California Department of Forestry plan approval/fees. ----------------------------------------===----=.--------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------- =----------------------------- ❑ 14. Sanitation and plot plan approval Health Department. -----; ---------------------==-------------- ❑ 15. City of Chico plumbing permit.-----------------------------------------------------=--------- ------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------- ------------------------- El 17. Planning approval for (A) Use: (B) Parking: ------------------_----- 7 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----- ---------------- ❑ 19 , Encroachment Permit for driveway (cons ction approval prior to occupancy). -------- ------------------ 020.20. Pre -rasp required. Request to Building Inspector on (Date) • Pre -inspection for ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. workers' Compensation carrier and policy number.----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ----------- ❑26. Letter of intent on building use. -------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------- ------ 1128. Existing violations and/or expired permits. -------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Chepk to H.C.D $ 1130. Other: 7 When you issue the permit, process as follows CMail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at ce Deliver with inspector. / Applicant- 405 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ 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 ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information. at your earliest oppoMuity. to avoid unnecessary delay in processing and issuing your building permit. No building permit will... - be issued until this verification is received. 1. I personally -plan to provide the e ma .or lbor and materials for construction. of thes., proposed pro rty improvement &JNsi NO[ an 2. HAVE NOT[ ign - application for a building permit mut for. the s. proper 2 work. 3. 1 have contracted with the following person (firm) to provide 'proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO' 4. 1 plan to provide portions of this work,, but I have 'hired the ' following piitdif to coordinate, supervise, and provide the major W*Oik: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the fbllowmg.�eTsons to. provide the work indicated: NAME ADDRESS PHONE TYPE OY-W6Ak:z`�: SIGNED: PROPERTY OWNER: SOCIAL SECURITY, NUMBER: DATE: N TE: This owner -Builder Verification is required by Section 19831 and TIE 19832 of the California Health a nd Safety Code. This verification must be completed and returned to our officebefore we are permitted to issue the permit. Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of mord on such a permit. Building permits are not required to be signed by property owners unless they are pe6onally 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:. I- 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for*you if you do not carry out these 'obligations,'and.these risks are especially serious with respect to worker's compensation insurance. ` 0 For more specific information about your obligations under Federal Law, contract the Iniernal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific inforn"no about your obligations under State Law, contact the Department of Benefit Payments and the Division 'of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors ; are ;allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure ani"ownerbuildet" building permit, erroneously implying that the property owner is providing his or her own labor and material. personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm. that you are aware of these matters. The building permit will not be issued until the verification is returned C. Vifira, C.H.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 058-310-011 01-0325 WIGGINS, RONALD HOFFMAN RD., OROVLLE CONTR:NA TEMP ELEC. FOR WELL & LOT DEVELOPMENT I COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES .max; BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. A.P. No. (058-310-011 01-0325 Owner WIGGINS, RONALD tt -- HOFFMAMRD. OROVLL•Er'— Contractor r.CONTR:,NA Permit No. TEP ELEC. WL& LOT, DEVELOPMENT _.�_ _M,C. F.__ .EL",t,,,,,, PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE INSPECTOR Conduit Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shower Pan b:Npt Insulation Fireplace Footings Fireplace Throat Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY .::.................. .. _:. Information;:.;..:. 2A Hr insp..:::: Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891.2834 Revised 7/94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL 058-310-011 ZONING FR -.10 BUILDING PERMIT OWNER Ronald Wiggins TELEPHONE 25-432-8091 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 474 E. 12th St. Pittsburg,CA 94565 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAKING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Hoffman RD. Oroville CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ele Ser 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: te[ny ele for well =�Ttd future tjPv_ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G WT-' @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service '*.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License rLaw for the for llowing reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP.3 DWE200ALLING OR ( SQSO. FT. NEW CONST. MLIACC. LET NON-RESID, C 97.50 APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 00 BAL @ I 0 Ex. Occup. OFlxED uT A� ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall °\. not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor omgosation provisions of section 3700 of the Labor Code, I shall wit co h those provisions. / _ Date �y �0/ PSigin—it'�y%of 4pp (cant - ❑ r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. i D. FEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. / S 0 66, 020 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..�.. ,-.,. ,�. �..T ,., .1+'-.�'1w�;r .��,. ,..,.. .: "`t_nt....••.�. �. •.� -r'." 4,� .�.. t.�.. .. .,I►•: ��t�r;:lid .i'...i.«<�r'w« Albr-. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 a Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Dl"a?As- ASSESSOR PARCEL NUMBER 058-310-011 ZONING FR -10 BUILDING PERMIT OWNER Ronald Wiggins f25-432-8091 TELEPHONE SO. FT. OCC. BUILDING VALUATION 474 E. 12th St. Pittsburg,CA 94565 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS NWUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Hoffman RD. Orovville CA ' Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ele ser sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: temp ele for well and f_titttrP dpv_ Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LES Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 WEL200A CCU000A NEW CONST. OWEWNG OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.5¢FT. Np°ID RANC.OUTLET 97,50 APPARATUS & SINGLE OUTLET CI R. Ex. OCCu OUTLET OR FIXTURES 20 Q'.00 BAL @ .50 Ex. Occup. OFuT�rs AESI�°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring �, 23.00 v.•f''i/��� PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating . Cooling Hood 6.50 Ventilation PERMIT FEI: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor efs om �iTsation provisions of section 3700 of the Labor Code, I shall wit cc y h those provisions. /� ` may/ Date (/ na r . of pp cant - ❑ O r ❑ Contractor ❑ Agent OSHA permit is required for excavations over 5'0" deep and demolition or construction PAnstructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCc. CONST. TYPE. TOTAL FEE $ HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutigr'sto=do ,work indicated above for which fees have been paid: By Date PERMIT EXPIRES ON Receipt No. 3 / y (0 q 5 / lol. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -a. us� ASSESSORP.ARCELNUMBER CJtiS-;iz(7-U1 ZON1NO FR -10 BUILDING PERMIT Ow"lZOTm1d Wiggins x)25-432-8091 TELEPHONE SO. FT. OCC. BUILDING VALUATION 04%4 7'-'= St. Pittsburg CA 94565 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAKING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADORESS- �OLDtnBn RD. Oxaville CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Kling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ele ser SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: tew ele for well, and futurp. de -v. Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.a License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law.for the following reason: [ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. OWEWNG OCCUP. OR ADDNS. ( a ACC. BLD. SO NOO.FIESID MULTI.ICH OU CUTITS @7.50 OWELER APPARATUTLETUCIR.S PSINGO Ex. Occup. OUTLET OR FIXTURES BAS @ 1.50 Ex. Occup. GFocuTiE;s PM.) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - ," PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �] I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the woikers compgnsation provisions of section 3700 of the Labor Code, I shall �orthwit comp) swith those provisions. XDate V Signature of Applican ❑t 0d6r_eerr ❑ Contractor___❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "3:iYb�a'`S�":4s''��,r'J'+ie�.5*C:".'hti•G�R, .'.... - i 058-310-011 01-0325 . WIGGINS, RONALD HOFFMAN RD., OROVLLE CONTR: NA TEMP ELEC. FOR WELL & LOT DEVELOPMENT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �"`" ASSESSORPARC0.NUMBER ZONING R-10 BUILDING PERMIT OWNERTELEPHONE xonaid Wi ns 25-432-8091 SO,FT. OCC. BUILDING VALUATION GM L:."iX St. Pittsburg,CA 94555 CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS t.Eajgtt" RD. DY'OVf 1" CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ele ser SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: temp ele for well and future dey. Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0AORLESS 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.P 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: Lj I, as owner of the property, or my employees with wages as their sole compensation, ` t will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR ( ACC.BLDS. ORw 3.5Qso CONST. M NON RESID. C @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES 209 ''00 Bru_ p .so Ex. Occup. OFlxlmtis As of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' ycomp ensation provisions of section 3700 of the Labor Code, I shall ith those provisions. "�� �f:;�Z7F X Qit %/. Date ? C / _ Signature of Applicant - ❑ Oy er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ, D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Coun Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ef® Receipt No. P ! (t I t -t ;, % . ,') WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT mi-� ❑ APPROVED ®CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Permit #: CIL. n11, Genera/Informab%oo GvLCP isgc^/ Owners Name: l wit rNS Owners Address: Building Site Addre: Date: 3 3 U j_� AP#: Parcel Acreage: Pro ver&rnformation Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ell ❑ Other Zone District: FR— — (Q Date of Zoning Ordinance: General Plan—Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement jWNo ❑ Yes, check use Minimum Acreage: Nitrate Action Plan No ❑ Yes Violation Area JM No ❑ Yes Specific Plan S No ❑ Yes ❑ Chico ❑ D2N Enterprise Zone No ❑ Yes, check use Floodplain No ❑ Yes Zone: ❑ Watershed Protection Zone No Yes Proposed Use Complies With: _V General Plan __19 Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit Commercial/Industrial/Multi-Famil Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Cohasset . Panel Number: 09" C_ ❑ Accessory Building Use Zoning Code Street & Highways Fre Prevention Subdivision Ma Front Side l� Side street S Rear /cp v Heiqht Environmental Health Issues: Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes Well Permit Review: Designated Well Site ❑ No ❑ Yes Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Parcel Created by: ® Deeds Date of Creation: / 9,7 Legal Access Provided: ❑ No Yes Deed Reference:. 19c i 4 9 5 2 zo Legal Access Required: ❑ No ® Yes Parcel Frontage on Publicly Maintained Road: ❑ No • ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ayes Comments: Cvvc-c L.dr— COG 2,7320255 ❑ Map Date of Recording: Lot: Block: Book: Page: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel size:required by zone ❑ Meet current EHD requirements. ❑ Other General Comments: SIMS 40 UN665 a3ni333a f COUNTY OF BUTTE h DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, CA 95965 534-4266 June 30, 1982 Gary A. Segal Re: AP �8�-31-11 i seg. 3965 Turnley Ave. Application for Determination' Oakland, CA 946o1 Dear Mr. Segal: Enclosed please find a copy of the Certificate of Compliance issued by the Butte County Dept. of Public Works , which was recorded on June 22, 1982 , in Book 2732 , Page 55 , in the Office of the Butte County Recorder. Should you have "any questions regarding this matter, please contact this office. Very truly yours, Clay Castleberry Director of Public Works J(dhn Mendonsa Assistant Director JM/ns Enc. cc: Planning Dept. Health Dept. �u xding Dept. LD 1330 RETURN TO.: Public Works Land Development Section �— CERTIFICATE OF COMPLIANCE Issued to: Gary A. Segal 3965 Turnley Ave. Oakland, CA 94601 JFFIC:A_ use :t:s,: 11 � ✓ Uv KS J ELEANOR CLERK - RECOrtO�R FEE 82-18811 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: On Hoffman Rd. west of Concow Rd. intersection.. 2. Assessor's Parcel Number: 58-31-11 Description: All that certain property located in the County of -Butte, State of California, more particularly described as follows: Being a portion of the Northwest quarter of the Southeast quarter of Section 4., Township 22 North, Range 4 East, M.D.B.-and M., and being more particularly described as follows: Commencing at a 6" concrete monument tagged L.S. 2843 marking the Southwest corner of the Northwest quarter of the said Southeast quarter of said Section 4; thence leaving said Southwest corner along the.South line of the said Northwest quarter S. 780 56' 56" E: 418.11 feet to the'true point of beginning for the parcel herein described; thence from said true point of beginning continuing S. 780 56' 56" E..482.00 feet to a point on the centerline of'a 60.00 foot roadreservationb thence leaving said point Northerly along said road reservation centerline N. 0 12' 12"'E. 479.10 feet; thence N. 79° 37' 30" W. 167.17 feet; thence S. 57° 42' 35" W. 139.05 feet; thence N. 79° 42' 05" W: 185.99 feet; thence N. 59° 34' 32" W. 5.60 feet; thence S. 0° 45' W. 378.65 feet to the point of beginning and containing 4.61 acres more or less. Together with rights-of-way of record recorded in Book 1465 of Butte County Official Records at Pages 287 and 288. Together with rights-of-way of record recorded in Book 1495 of Butte County Official Records at Pages 220, 221 and 222. Together with rights-of-way of record recorded in Book 1465 of Butte County Official Records -at Pages 281 and 282. Is of this Certificate is conditional. upon the following; conditions which have been imposed pursuant to the Butte County Code Chapter 20-166.and Government Code, Section 66499.35 (b), to protect, the public.health and public safety. None LD 1400 ENO DOCU�,'v' County of Butte Subdivision Violation Conunl: t ;p" C® END 011' TO: 'Building Department FROM: Environm Imal Health SUBJECT: Sanitation Carance lznPl ��k)t(-Glos Owner Plan Approved for: Sewage Dispo Clearance for dwelling. 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