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OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Mobile Home Center
ADDRESS: 1740 Feather River Blvd.
CITY & STATE: Oroville, CA 95965 IMPORTANT:
April 27, 1992 SEE INSTRUCTIONS
DATE OF CLAIM: p ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT
Owner has decided not to do work. Permit #92-137MHU & #92-138MHI,
AP#58-44-16, Receipt #103779, dated 1/16/92.
I
Total Permit Fees Paid for BP#92-137---------------------- $128,50
Retain Plan Checking Fee------------------------- $20.00
Retain Plumbing Permit Filing Fee---------------- 15.00
Retain Electrical Permit Filing Fee-------------- 15.00
ota ermit Fees Retained-------------------------------- 50.00
TOTAL REFUND DUE ------------------------------------------- $ 78.50
Totai PermitFees Paid for -138 ---------------------- $105.00
Retain Building Permit Filing Fee ---------------- $15.00
Total ermi ees a acne ------------------------------- 15.00
-
TOTAL REFUND DUE ------------------------------------------ $ 90.00
i
l'otal Sheriftees Paid -----------------------------------$360.00
Total Fees Retained--------------------------------------- 0.00
CpAcp i I:
I
REFUND DUE ------------------------------------------
TOTAL
$528"50
I, the undersigned, ]eclare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated. a
Dated this .�........................ day of ..�Qi2 � � 19 .Qt' ? U6riL L.... Calif. ..... .......... (/
�............... ...................... ..............
.n.,.;,,
Signe..tu re o[ Clalm aztt
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation7
j or Specific Hoard Approval (Check one) for the m
27th day or Aril 92 Oroville
Dated this ................. P.................... 19....... at .............................. CaUf. ....................................................
Department Head or Authorized Deputy
Dept. — Exp. Con . Permits
Code ...... ..... ................... Code ................ PAYABLE FROM ....... .. FUND
...............
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ.
SUB. OBJ.
CLAIM NO. INV. NO.
INV. DATE
ENCUMB. GROSS AMT.
eount*,of-Adte
OROVILLE, CALIFORNIA
/ GENERAL CLAIM
CLAIMANT:
ADDRESS: Eve P- v
CITY & STATE: l JWUlri11zf / 1_-a � IMPORTANT:
DATE OF CLAIM: I f0� / SEE INSTRUCTIONS
�-�—�-� ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
( DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT.
i
-
e0s
a ih
O c
e
I
�G G
I
TOTAL
I,the undersigned, ]eclare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Datedthis ................................. day of ............................. 19....... at................................. Calif............................................................................:........
Signature of Claimant
I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been ,performed or de-
livered and that there is a Budget Appropriation 0 or Specific Board Approval I (Check one) for the same.
Datedthis .................................... day of ............................. 19....... at .............................. . Calif. ......................en....................0th.......ed..........ty........
Department Head or Authorized Deputy
Dept. Exp.
CodeCode .................. ..........:.
PAYABLE FROM............................................................................................ FUND
DO NOT WRITE BELOW
THIS LINE _ AUDITOR'S USE ONLY
DEPT. & SUB. PROJ.
SUB. OBJ. CLAIM NO.
INV. NO.
INV. DATE
ENCUMB.
GROSS AMT.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovIIIa,, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT0.
SZ_-
_ ) --3:z
ASSESSOR PARCEL NUMBER
58-44-16
ZONING
FR 10
BUILDING PERMIT
OWNER KYLE & PEGGY ESTERMAN 1916
T621PHON4283
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
4421 LUNEMAN ROAD PLACERVILLE 95667
CONTRACTOR'S NAME
MOBILE HOME CENTER
TELEPHONE
533-4403
CONTRACTOR'S MAILING ADDRESS
1740 FEATHER RIVER BLVD OROVILLE
Fireplace
CONSTRUCTION LENDER
N A
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
N A
Filing Fee
$e
Permit Fee
$
ARCHITECT ON A R ENGINEER
LICENSE NO.
Plan Checking Fee
$ U C*
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
N A
Penalty
$
BUILDING ADDR 55
Y CONCOW ROAD OROVILLE
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome[ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home
@ 15.00 45.00
TYPE OF WORK
New❑ Addition Remodel❑ Utilities® Installation❑ Other
Describe work: MH 11
Permit Fee
$ .00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
j$,50
18.90
Main service 200ATO1000AI
37.50
CONTRACTORS LICENSE LAW
I declare under enalt of :
P Y P er lur y(check one )
[�/�am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio er ode andlicense is in full force and effect.
License No. -22e Classification Cf :7
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCC.UP.&)
OR ADDNS. l ACC. BLDGS. I
3.6Q sq.ft.
NEW CON5TR ULTI.OUTLET
NON-RESID BRANCH CIRCUITS
@ 5•00
POWER APPARATUS &
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
A20 76
FIXED APLNS.❑
EX. OCCUp. OUTLETS PIRESID IREA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00 1 00
Misc. Wiring
g
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
penult Fee
$
L2 ontractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
)( -: /`X/1 2--
Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 1 8.5
HA2
I DFEES 1.
ISM'
FLOOD
CDF PARC
PD
HD
ISSUE I
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
_.
Receipt No. 193779
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
__
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE- OROVJLE,•C�LJ�ORNIA 95965 - TELEPHONE: 916/538-7541
1L5`r
PERMIT APPLICATION DATA SHEET
//1� Permit No. 5n
"OWNERPUL-- /V,�,/',/ A. P. No. J�
~Proposed Building Use t r'� y Building Inspector c Date I ! 1 f�
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
K
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13• School District fees paid ..............
X14. Sanitation approval from 0xoiAllz Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:-,.
18. Improvements may be required. Contact Land Development Section DPW r
19. Driveway permit (construction approval required prior to occupancy) 4� : Z7 t"!I 2 4'
20. Pre -Inspection for required ... Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ... .
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0).'.. I
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
_,e Telephone �i!!:qq6_hand hold for pickup at QP3 office. Deliver w/inspector.
Other
Applicant ZA .Date Z -
Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Dat
Copy of plans sent Health Dept. Fire Dept. Other Date
The following data must be submitted prior top mit
1. Index permit for above items No.
2. Additional items required:
uance: (Circle,,
By
ked above).
Contractor, designer, owner, was advised of above required data by—phone ---mail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date Plans approved by Date 1r�`>
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO: Building Department
FROM: Encroachmt4t Term � Section
RE: Driveway Clearance
/ !�'37'Z-X1"A-- C c A~
owner location
Driveway permity-
si ature
AP #
has been issued for the above property.
le(q
�/6
date
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS
County Center Drive - Oroville, Cellfornla 95985 - Telephone: 916/538.7541
APPLICATION AND PERMIT
JEAMIT N0.
—ASSESSOR R NUMBER
58-44-16
Y N D
FR 10
BUILDING PERMIT
OWNER
KYLE & PEGGY ESTERMAN (916)
TELEPHONE
621-4283
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
4421 LUNEMAN ROAD PLACERVILLE 95667
CONTRACTOR'S NAME
MOBILE HOME CENTER
TELEPHONE
533-4403
CONTRACTOR'S MAILING ADDRESS
1740 FEATHER RIVER BLVD OROVILLE
Fireplace
CONSTRUCTION LENDER
N A
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
N A
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
N A
LICENSE NO.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
N A
Penalty
$
BUILDING A D SS
�/� CONCOW ROAD OROVILLE
Permit fee
$ 35.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome® Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW 1
15.00
TYPE OF WORK
New❑ Add ition❑ Remodel Utilities a Installation5�3 Other❑
Describe work: MH
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200ATO1000A)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
® 'iam Licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Cod and my license is in full force and effect.
r^— `
License No. w / �l Classification _ C'— Li D
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
OCCUPM
NEW CONST. / DWELLING OR ADDNS. ACC. BLDGS. //
\
3.6asq.ft.
NEW CO NSTFL MULTI-OUTLLT
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET cIR.
Ex. Occup(O FIXTURES
20 76d
FIXED A POR
EX. Occup. OUTLETS (RESID,)REA.1
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
wave placed on file with the County of Butte Building Department
llaa a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyor
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against d County in consequenc of the granting of this/permit.
v Date 1
sign tore of Applicant — Owner
ElContractors Agent F]An OSHA permit is required for excavations over 5 0" deep and demolition or construct-
ion of structures over 3 stories in height.
Receipt No. 103779
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Mobile Home Installation Fee S 70.00
Energy Inspection Fee $
Occ CONST TYPE TOTAL FEE $
HAz DFEES IMP FLOOD CDF PARC L D ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name:
2. Installer's Name: C� L fi C�.✓i/L `��/ C
3. Is the site currently under permit? Yes F-1 No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes No
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septi ;tank and leach
fields and clear of all setbacks and easements? Yes No F.
(If no, clarify
5. What is the mobilehome electrical rating? --------------- ��y Amps
6. What is the mobilehome site service rating?-------------� Amps
V
7. What is the mobilehome site circuit breaker rating? ----- O v Amps
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes No 17
(If yes, identify the load and size: w Z- 4 (Load) `-t (Amps)
9. What is the mobilehome site gas pipe size? -------------- _ (in.)
10. What is the type of gas service? ------------------- Natural LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?---------------------------------------------�
* 12. What is the mobilehome gas demand? ---------------------- U)
*(This information not required if pipe length less than 6 ft: on
natural gas or less than 50 ft. on LPG.)
MOBILEROME SUPPORT DATA
If other than single wide,, /
Mobilehome Mfr. • C) d c!� �Aj c- Si furnish Setup Model No. 70 Year �� Z
v `
Width (ft.) Box Length r�IL(r(ft.) Tagalong or Expando Size N/�ft. x ft.
On all mobilehomes manuf tured after October 7, 1973, furnish manufacturer's installation
manual and structural s up sheets (if not on file with the County of Butte).
FOOTINGS (check one) 1 Wood -pressure treated or foundation grade.
1:12. Other (specify)
SUPPORTS (check one) 1. Concrete block. 1:1
2. Other (specify)
Pier Footing Sizes and Locations
Main Beams
Line 2 -� _ _ � _ _ _ � _ _ --,,",
— — _ — — Main Beams � — _ — �• .
Tag or Triple
Line 1 Piers: Line 1 Openings:
I.
Size -Min. ------------ „ Size -Min. ---------- -�------x
I.
Spacing -Max. --------- , „ Each Side of Openings
From Ends -Max. ------- '_ " With Width Over------ -
1 1 . .
-1.
Size -Min:------------
Spacing -Max ----------
From
------ --From Ends -Max. -------
Line 3 Roof Loads:
Size -Min.------------
Location (From Front)
Size -Min.------------
Spacing-Max.------im/--
From Ends -Max----
Size -Min.------------
Location (From Front)
Line 3 Piers: (Under'Bearing Wall Only)
Size -Min -------------------
Spacing-Max -
------------------Spacing-Max. ---------------
From Ends -Max -------------
11 X
------------
11X .,x „x "A ,Ix „x ,Ix
Line 5 Piers: (Under Bearing Walls Only
k
Size -Min --------------------
..
Spacing -Max .--------------- 1_
._ From Ends -Max .-------- ---
x Ix ..x X ,k „ „x
I
FOR
9 2 0 2 17 5
RESIDENTIAL
,Set ti'o'n' 2a-8.1 of the Butte County Code
DEVELOPMENT
requires this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein '"is adjacent
1
Lu land or included within an area Zoned
92-002175
1 Rec Fee 11.00
for agricultural purposes, and residents
I Check 11.00
of Lhi.s property may be subject to incon-
Recorded
veniences or discomfort arLsing from the
Official Records
I
use of agricultural chemicals., including,
County of
I
but not limited to herbicides, pesticides,
Butte
I
and fertilizers;. and from the. pursuit
Candace J. Grubbs
I
of agricultural operations incluplowingding,
Recorder
I
but not li-mited to culti.vaLion ,
8:22am 17 -Jan -92
I PUBL XX 3
,Spraying, pruning, and hnrvcsting which
i
occasionally generate dust, smoke, noise, and odor. Butte County has establi_slic�d agr•ic•ul-•
-Lural
zones. -Which have as a .priority use for
within said zones and on adjacent
_productive agricultural
purposes, and ro.4ideitl s
property should be prepared to accept such •Llicallvoll i rn(�V
or.disconform from normal, necessary farm operations.`
All. that roal property situate in the County of Butte, Stale of Californ.i,a, ' dosc•ribed
(ollows:
PLEASE SEE ATTACHED FOR -LEGAL DESCRIPTION; A Gift Deed, Parcel #58� 44-14, dated
June 18, 1991.
Date:
-Y OWNERS:
State of 25L) On this the 15 day of 19 01,. before mv.
) SS.- the undersigned Notary Publi persona ly appeared
County of a.��' ae) - 1
Present A.P. Nu,
Personally known to me. Proved to me on the basis
�of satisf:actory evi�lenc�.
to be the person(s) whose names)
subscribed to the within instrument and acknowledged-Cl�rrt-
executed the some for- the purposes therein contaLned. IN WI'I'N -»ti,.N
WHERiF, err hand and official seal.
°,y OFFIC17:
AmpariAM PUNIAl 00Rmy Comm.1199b
tary Public
No
_
P
-Y OWNERS:
State of 25L) On this the 15 day of 19 01,. before mv.
) SS.- the undersigned Notary Publi persona ly appeared
County of a.��' ae) - 1
Present A.P. Nu,
Personally known to me. Proved to me on the basis
�of satisf:actory evi�lenc�.
to be the person(s) whose names)
subscribed to the within instrument and acknowledged-Cl�rrt-
executed the some for- the purposes therein contaLned. IN WI'I'N -»ti,.N
WHERiF, err hand and official seal.
°,y OFFIC17:
AmpariAM PUNIAl 00Rmy Comm.1199b
tary Public
No
n
ORDER R
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO
F 7
Name
Peggy & Kyle Esterman
4421 Luneman Rd.
Street
Address
Placerville, CA 95667
tat 8
State
S
I__.
MAIL TAX STATEMENTS TO
F
Name
same as above
Street
Address
City 8 L
Siete
AP A 58-44-14
92-02175 =
1
91-084341 1 Rec Fee 7.00
1 Check 7.00
Recorded 1
Official Records I
County of 1
Butte I
Candace J. Grubbs I
Recorder I
9a49am 18 -Jun -91 I XX 2
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Gift Deed
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
Documentary transfer tax is No /V E
( ) computed on full value of property conveyed, or
( ) computed in full value less value of liens and encumbrances remaining at time of sale.
(XX ) Unincorporated area: ( ) City of , and
IN CONSIDERATION of the love and affection which the grantor(s) bear(s) to the grantee(s),
RAYMOND A. GAITHER, Trustee of the Raymond A. Gaither and
Margaret M. Gaither Trust, dated 11/18/83 and recorded 11/29/83,
do (does) hereby give, grant and convey to
PEGGY ESTERMAN and KYLE :ESTERMAN, husband and wife as
Joint Tenants
all that real property in the City of
County of Butte
Please see attached for legal description
, State of California, described as
Dated May 15, 1991
STATE OF CALIFORNIA ss. RAYM D A. GAITHER, T,r�ustee
COUNTY OF Butte
On May 15,-1991
before me, the undersigned, a Notary Public in and for said
State, personally appeared Raymond A. Gaither.,
Trustee
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.
WITNESS my hgAd and official seal.
Signature
OFFICIAL SEAL
PATSY L CARTER r
ice NfI-,APY a'IOLIC - CALICOgNIA l(
G'ITTr COUNTY
II�ry Comm. t�xplreti Ab4Y fa, 1lQ1'
IMII� 1111111116% a% KM
(This area for official notarial seal)
FVFiM Nti It-UtU-utl twtw) We Iii\ v Ima nr1. 1 � .+v .ru.w v — r+vv r
Gift
Deed
Formerly Oroville Title Co.
Serving the north state since 1929
Gift
Deed
Bidwell
'Title &
Escrow
Formerly Oroville Title Co.
Serving the north state since 1929
11 �ej C ue
mpany
Chico OrovWe Paradise Gridley
181 E. Fifth St. 1835 Robinson St. 6440 Skyway 650 Kentucky St.
P.O. Box 3037 P.O. Box 811 P.O. Box 490 P.O. Box 949
Chico, CA 95927 Oroville, CA 95965 Paradise, CA 95967 Gridley, CA 95948
(916) 894.2612 (916) 533-2414 (916) 877-6262 (916) 846-4005
BidweUTUIe&
EscrowCompanyChico
Orovine Paradise
Gridley
181 E. Fifth St.
1835 Robinson St. 6440 Skyway
650 Kentucky St.
P.O. Box 3037
P.O. Box 811 P.O. Box 490
P.O. Box 949
Chico, CA 95927 Oroville, CA 95965 Paradise, CA 95967 Gridley, CA 95948
(916)894-2612
(916)533-2414 (916)877.6262
(916)846.4005
Gift
Deed
Formerly Oroville Title Co.
Serving the north state since 1929
Gift
Deed
Bidwell
'Title &
Escrow
Formerly Oroville Title Co.
Serving the north state since 1929
11 �ej C ue
mpany
Chico OrovWe Paradise Gridley
181 E. Fifth St. 1835 Robinson St. 6440 Skyway 650 Kentucky St.
P.O. Box 3037 P.O. Box 811 P.O. Box 490 P.O. Box 949
Chico, CA 95927 Oroville, CA 95965 Paradise, CA 95967 Gridley, CA 95948
(916) 894.2612 (916) 533-2414 (916) 877-6262 (916) 846-4005
c ILIPPINCOTT
SURVEYING
91--7450 1 9? -021 l5 "� 3
GARY T. LIPPINCOTT
L.S. 3634
1007 BILLE ROAD - P.O. BOX 671 • PARADISE, CA 95967 • (916) 877-4300
April 16, 1991
GAITHER -- GIFT DEED DESCRIPTION FOR PARCEL "B"
Being a portion of the L. Ferro Tract as shown on that certain Record of Survey Map of
Section 21, Township 22 North, Range 4 East, M.D.M., which map was recorded on May 14,
1968 in Map Book 33 of the Official Records of Butte County, California at page 37, and
being more particularly described as follows:
BEGINNING at the Fast one-quarter corner of said Section 21, said point being also the
Southeasterly corner of said Ferro Tract; thence following along the Easterly boundary
line of said Section 21 and of said Ferro Tract, North 00 50' 00" East for 595.92 feet
to the true point of beginning for the parcel herein described; thence from said true
point of beginning, continuing North 00 50' 00" East along said Easterly boundary line,
for 235.67 feet; thence leaving said line, North 791 11' 37" West for 919.60 feet to a
point located in the centerline of the 0roville-Concow Road as it existed May 1, 1968;
thence following along said road centerline, Southerly, along the arc of a non -tangent
238.96 foot radius curve concave to the West, the radial line at said point bears South
880 18' 20" West, through a central angle of 120 29' 36" for an arc distance of 52.71
feet to the end of said curve; thence South 170 11' 16" West for 10.84 feet to the
beginning of a 348.77 foot radius curve to the left; thence following along the arc of
said curve through a central angle of 160 19" 00" for an arc distance of 99.32 feet to
the end of said curve; thence South 00 52' 16" West for 65.39 feet to the beginning of.
a 240.00 foot radius curve to the left; thence following along the arc of said curve,
through a central angle of 10 27' 16" for an arc distance of 6.09 feet to a point that
bears North 790 11' 37" West from said true point of beginning; thence South 790 11'
37" East for 946.27 feet to said true point of beginning.
SLB= TO an non-exclusive easement for road and public utility purposes over the
Westerly 30.00 feet, lying within the Oroville-Concow Road.
TOGMEER WITH a non-exclusive easement for roadway and public utility purposes over a
strip of land 60.00 feet in width, lying 30.00 feet on each side of the following
described line:
BEGINNING at the Northeasterly corner of the above described parcel, and thence
following along the Northerly boundary of said parcel, North 790 11' 37" West for
724.83 feet to the true point of beginning for the centerline herein.descr.ibed; thence
from said true point of beginning, North 60 48' 31" West"for- 84.96 feet; thence North
100 16' 29" West for 156.68 feet to a point on a line located 30.00 feet Southerly of
and parallel with the Northerly boundary of said L. Ferro Tract; thence North 790 20'
58" West, along said parallel line, for 292.47 feet to a point located in the center-
line of the Oroville-Concow Road and the end of said described line. The side lines of
said easement are to be lengthened or shortened to intersect the Northerly boundary
line of the above described property.
END OF DOCUMENT
F27-GAI-DE2.WRK
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1 BUTTE COUNTY SCHOOLS.DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number -.t!�y� Building Department No.
,.
School District 0(2u- (110 K City = County " Jurisdiction
t
Property Owner
Project Location/Address o0coc') RJ> oab 95g6G �
Subdivision Lot Number
1Development: / y-
®UILDING DEPT / Sq. Footage
# of Living MHI Addition .(Group R)
JAN`S 7 19 IM, Units
F
Commercial/Industrial:
a
New
171 Sq. Footage
Addition (Including Exterior
Roofed Areas)
l
17— q-7—
Date
(Floor Plans reviewed by School District Personnel)
District Id No. 9 2 0 3 9 2
OMA) A11671y School District certifies that
gy' Le. C-45TP_R.i'n)QAJ r
(Applicant Name) (Phone Number)
6". N7v 2a
(Street Address)
-o ro v fie. ,
(City) (State) (Zip Code)
s
has complied with the requirements of Resolution No.
b the ��/ymen',pf $ �/ �2O' repr senting i 'sq r_41 feet J
School Distri t Representative Date
PAID BY CHECK NO.
BANK NO
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink-sc
SCHOOL.FEE (8/88)
1 district
Zids M of pla= and spaaifications MMbe
kept OA the j ob at all tiM8s and ii, id unlawful to
I'll
ajua MY oranges or aiter.,tions cn some without
•°Mtten pe--miscion ftrom the Department of PubIW
ea'Orks, CQUaty of Biltte.
Man. All 3i> &Wis s' Workmanship M1l Be m
AoaorUnce with Reco gnized Good Practices ana
ref a. quality Prescribed for tb_a Specified Use
in the Uniform Building, Pl'..' lbirl� pec n
Codes an th_O bTj5tAQUfi1 B1aOtr '0. 00"
tot S
Location of structures & . "N
equipment shall be as shown
& clear of all easements.
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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: 12196 CONCOW RD
APN: 058-440-019
Owner:
KEESLING, FAMILY TRUST
Permit NO: B08-1478
Issued Date: 07/30/2008 By KEJ
Expiration Date: 07/30/2009
Occupancy: Zoning:
Permit type: MISCELLANEOUS
Subtype: Demo -Fire
Description: DEMO PERMIT DUE TO CONCO%
6186 KILGORD CT
MAGALIA, CA 95954
(530) 873-4631
owner
KEESLING, FAMILY TRUST Building
6186 KILGORD CT
MAGALIA, CA 95954 Other
(530)873-4631
FEE INFORMATION
0CENSED,CONTRACT,OR'3iDE_11ZLARATIO_N .
Contractor (Name) f State Contractors License No. / Class / Expires
owner
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 07/30/2008
Contractor's Signature
Date
WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I 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 WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this peril is issued.
My Workers' Compensation insurance carrier and policy number are;
X
Cartier: Policy Number: Exp. Date:
(This section need not be completed if the permit is or one hundred dollars ($100) or ess.
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'
corn ns lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
07/30/2008
blgnatu - Date
WARM G: F ILURE TO SEC E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
ANDS AL SUBJECT AN E LOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUND D HOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMA AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
care Footage:
Garage Remdl/Addn
Porch/Patio Total
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a peril to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such peril to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
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
the applicant to a civil penalty of not more than five hundred dollars ($500];
Please check one of the following:
IxI, 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 (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are notintended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
I AM EXEMPT under Section B. & P.C. for this
IX -F^�:. 07/30/2008
Ov7neds Signature , Date
1 hke)6y certify that I have read this application and state that the above information is correct. I agree
to amply with all City and County ordinances, rules, regulations, and State laws relating to building
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
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. 1 hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County lo� enter the abovemen lion ny for ins r urposes. I heleby certify that I am the
weer or am uthorized t act on t props o Br's behalf.
c' / 07/30/2008
Owner Contractor(: []Agent for Owner �ggent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION*
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.
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
Firs Name
Mailing Address
Address
city '
State t?A
Zip 9S s V
Phone C73 - (41,
Fax
E-mail
iLee
N - ea
PROJECT LOCATION
Pr perty Add ess
City
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
DU ES' IC, RMI PT10N OR SCOPEF WORK:
CV `r\f d
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use onl :
CONTRACTOR
Name
Flood Zone
Address
SRA
City
State
Zip
Phone
Fax
E-mail
State License Number
Lic. #
Fax
Class
PROJECT LOCATION
Pr perty Add ess
City
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
DU ES' IC, RMI PT10N OR SCOPEF WORK:
CV `r\f d
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use onl :
ARCHITECT/ENGINEER
Name
Flood Zone
Address
SRA
City
to
Zip
Phone
Fax
E-mail
State License Number
PROJECT LOCATION
Pr perty Add ess
City
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
DU ES' IC, RMI PT10N OR SCOPEF WORK:
CV `r\f d
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use onl :
APPLICANT INFORMATION
Name
Flood Zone
SRA
Address
No
City
AA
State
`7
Phone
8?� 3t
Fax
E-mail
PROJECT LOCATION
Pr perty Add ess
City
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
DU ES' IC, RMI PT10N OR SCOPEF WORK:
CV `r\f d
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use onl :
Zoning
Flood Zone
SRA
Yes
No
Occ.
Type Const.
13utte 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.
° 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
° 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 UNTILL 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 PLn, (0 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. 'E� t�R NO)
2. IHAQ V)kAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
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:
NAME
ADDRESS
PHONE CONTRACTORS LICENSE
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 PERMIT DUE TO CONCOW FIRE
Reference Number: B08-1478
Applicant Name: KEESLING, FAMILY TRUST
Owner's Name: KEESLING, FAMILY TRUST AP # : 058-440-019
Signature of Property Owner. , 1i v a G-C—-IME
1 � E