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058-590-009
058-590-009 02-1365 VAN DE VELDE, HE RIETTI INALED 5696 WENDY WAY, OROVIL _�7_o CONT: PHIL DECANN NEW MH PERM FND EX SITE 058.590-009 02.242INALED VAN DE VELDE, HENRIETTE 27-oy 5696 WENDY WAY, OROVILL OPEN DECK W/RAMPS ON MH 7-1 '5 r y9 FL-EETWOOD QETA1L� CORP- nIVMB5R OF PAGES: MOT InlCLtJDIN.G THIS PAGE A PA)C FC)/1AA- e!7! a > . . . ., - 2ZV3 FEATHEFZ RIVER BLVD. (530) 532-334f PHorJE OROVILLE, GA -959G5 (530) S32_33'0y FAX NOTES i RESIDENTIAL PERMIT NO..,- 058-590-009 - _ _ 02-2424 VAN DE VELDE, HENRIETTE 5696 WENDY WAY, OROVI 'LLE OPEN DECK W/RAMPS ON MH SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=OK 0 = Not OK NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ /" L "ft./ P LPG MISCELLANEOUS Date DEQ 7. Well Clearance & Disconnect g Requirements -Setbacks -Easements 8. Utility Clearance ecks, 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 Date Carports; Windows -Doors Card B-1 Date Card B-1 Date 8. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 10. 1. Zoning Requirements -Setbacks -Easements Ext.; Steps -Doors -Landings 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -==all -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEQ W, COYERS, S, CARPORTS, GARAGES (Plans) OK except #'s g Requirements -Setbacks -Easements 19- F�s; Soils -Size -Depth -Spacing -Connectors -Steel ecks, 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 DateLCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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 Conduit' 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms 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 (Single & Duplex) Date 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/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 17. Water Htr.; Vent -Access -Combustion Air Baffle Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 18. Water Pipe; Test & Anchor -Nail Protection Garage Fire Protection Framing -RC Channel 19. D.W.V.; Test Fittings & Anchor -Nail Protection Property Line Firewall & Openings 20. Shower Pan; Test, First Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 21. Test Tub & Shower, Second Floor -Tub Access Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 22. Gas Pipe; Sixe & Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 23. Fire Sprinkler; Test Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. _ 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 85. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 43. Bearing Walls over Girders & Floor Nailing Comments at Final: 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 NoMalks O Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: r OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �^ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P o (Rev. 12/96) 1 APPLICATION AND PERMIT I ASSESSOR PARCEL NUMBER 058-590-009 ZONING BUILDING PERMIT OWNER VAN DE VELDF, HENRIETTE TELEPHONE -91-4-9413 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 5696 WENDY WAY, oRnyTT.T.F_, r.A 9s965 I- , 0 319 CONTRACTOR'S NAME OWNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $1, C ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ a� BUILDING ADDRESS Energy Plan Checking Fee $ 5696 WENDY WAY OROVILLE PERMIT FEE $122-05 LOT NO. SUBDNISIOWS NOME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK — FRONT OF M WZRAMPS Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service zo..OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: �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. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢T, NEW NON-pESID. MULTI -OUTLET 97,50 PO R APPARATUS a SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES BAS x':50 Ex. Occup. DUTLEDTS RESES p°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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X f�� 'Di/� Date -/ C714 Signa ure of Applicant - ❑Owner ❑Contractor kAgent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ , HA2 P I FLOOD I CDF PARCEL PD HD SU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. qD to L / 6 De�B Receipt No. WHITE-D.D.S.-B. D. ANAR - S R PINK -INSPECTOR GOLDENROD -APPLICANT a,�s..�'+t�,�'+u�dself.,r�'�z�•Jf>iM-%k�A?�t7+1�}'"�''"""T""'"-r.,err+e�r�irw�wty�+�..its.;�rilraif�r7��c�s+e�R;-►CUs►,eq�.x..=:a��v*�:���r,ry�aryr;,�:.. S COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �� Q n ASSESSOR PARCEL NUMBER �� ' ^ 7 Proposed Building Use: 0 n " (�Ann4,0 Counter Technician: - Date: Items required in or er to apply for a permit. All oxes MUST be checked OR marked NA in order to apply. ET—L. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. 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 and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie 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-si ned by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received ❑ 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other _ _ By w4 a Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followin items.) '❑ 1 . Fees a shown on the attached Schedule of Fees Due Sheet ....................................... 5. S ement of Intent for Non -heated and A/C Buildings ............................................. �� Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: ply (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.-.................................................................. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits.......................................................... 0'30. ❑ Grant Deed, M.H. Title/Statement of Facts, O Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the aboves and requirements for obtaining a building permit. it e icant: D e. 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, ownMs advised of the aboe d a by 11 phone, ❑mail, ❑counter, y Date: Plans reviewed by: Date: 6-L_ Plans approved by:_ Date: / 2 Structural reviewed by. Date: Structural approved by: Date:_ Note,fransfer by: Date: �- Yellow: Building- Division , cJ' E: USE ONLY Plot Poen Attach Rear Plan AttacAod Sent to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Dispos Water Supply: Clearance for dwelling. Other j LL " 'SE, Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 kj) (, 9 .-- 4� Date wq" 'Y IJ . . a`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing Your sippome, Please complete and return this information at your earliest opportunity to avoid Adw in processing and issuing your building permit. No building permit will be issued mail 8tis verification is received. 1. personally plan to provide the major labor and materials for construction of the proposed roperty improvement: YES NO C HAVER HAVE NOT 0 signed an application for a building permit for the proposed W=L ;. I have contracted with the following person (firm) to provide the proposed construcdo®: NAME: PHONE: 4. I plan to provide supervise, and provide the NAtifE: `' ADDRESS: PHONE: CONTRACTOR'S LICENSE f this work, but I have hired a following person to coordinate, .a�work: CTOR'S CM: I will provide some of the wore ut I have contracted (hired) the wort indicated: NAME ADDRESS PHONE SIGNED: PROPERTYOWNER: NO. persons to provide OF WORK SOCIAL SECU Z7 NUMBER: r — - DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 198.14VOt California Health and Safety Code. This verification must be coark d Wd returned to our office before we are permitted to issue the permit Y OWNER BUILDER INFORMATION Ce±.- Property G �- 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 cPcot+d on such a permit. Building permits are not required to be signed by property owners unless they are personally perfot "U%t4eir own work. If your work is being performed by someone other than yourself, you may protect yourself from poststble 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 subconuw:; 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 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ I f you are an ernplover, 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. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious w;th resoe%ct to worker's compensation insurance. ♦ For more specit;e information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish• the U.S. Small Business Administration). For more specific information about your obligations under Sate Law, cpc:act rhe Department of Benefit Payments and the Division of Industrial Accidents. If the strucnxt is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally cr through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent pracrice of unlicensed persons professing to be contractors is to secure an "owner builder" building pcmzit, 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 10:0 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confitm that you are aware of these matters. The building permit will not be issued until the verification is returned. IItNtrely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE: Than Owner -Builder Information is required by Section 19810 of the California Health and Safety Cad6 OVER SITE PLAN REVIEW APPLICATION Date: 8 4— Ii 2 AP# o S g_ 59o- o a Permit Number (if applicable) © "L— Z Li Zy APPLICAiVT 11VFORMATION Parcel Size: • 3 S A C Owners Name: VaN !]E 1/E LD Owners Address: G (09 0Q,0V 1 LLG L� Telephone No.: 53 3 —'2,q.1 Situs Address: lS Proposed Use: �. Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DEC1< 6!\)T1 DO NOT WRITE BELOW THIS LINE DEVEL OPVENT SERVICES INFORMATION (For Staff Use) 12Ar)('S . ❑ Approved Z Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Pace 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: PS Snow Load Area: •'dDW •7U 2S"4�T - ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for "standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See atta 4ed) • Flood Zone: • Flood Panel No.: 4 5 ') Index Date: 6 —B �% S ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California ReclamatiOurBoard) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and raqukements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) Use Requires: ❑ Use Permit ❑ Minor Use Permit F-1 Minor Variance ❑Administrative Permit ❑ Variance ----------------------------- ❑ Detached Building Use Form _ ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Pa2t 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front �� L Side Side Street D �► t. Rear � 3 Height Watenvay N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Pa2t 2 of 5 Applicable Development Fees: Standard Fees Amount., Formula ❑ Fire ❑ School' ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) ' Checlewith school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ` ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ 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 Environmental Health Department.requirements ----------------------------------------------------------------------------------------------------------------------------- Page 3 of 5 N Subdivision Map)/Parcel Map): Map Date of Recording: $-2.2- Lot: 3 ❑ Use Permit/Minor Use Permit Permit Number: rim Book: H 16 Page: 8 Date of Approval: ® Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed 'in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect.that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Lleasures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Ensineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 C.C- t✓S S T O PA2 C t U r, I T S op re) -f' H rzz fa ESS ty�• E1J i TO T H (\i a YZT" ->✓ H �An r U t t D . D Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the tire of review. CANly DocumcntsTuilding Permit Site Plan Rcvicwl.doc Pa;e5of5 '4%1 NOTES RESIDENTIAL 1 058-590-009 02-1365 PERMIT NO, VAN DE VELDE, HERIETTI - 5696 WENDY WAY, OROVILLE CONT: PHIL DECANN NEW MH PERM-FND EX SITE THE HCD FORM 433A FOR THIS MIS CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). w INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD -CERTIFICATE REQ._ FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address L GAS . { Meter By Date&/2-�y/�,/,'�. 1 ELE M y *may - ELECTRIC Meter By - Date L� JOB FINALED (Date) Signature ✓ = OK 0'= Not OK = Not Applicable MOBILE HOMES " = Not Rbady Date MOBIL ME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. 4. Water; Location -Test -Easement Needed (Sketch) } 5. Electricity; location-Clearances-Grnd-/ /Amp -Concrete 6 Gas; Location -Test -Wrap; / /" L'ft. A /'Nat. or%'��("L"ft.L��'LPG "!! �o 7. Well Clearance & Disconneh Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Utility Clearance 6. Carports; Windows -Doors 7. Date Card B-1 Date Card B•1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Siding; Nailing -Veneer -Stucco -Mesh Zo ing Requirements -Setbacks -Easements 10. F ings; Size -Spacing -Marriage Line oe"Gas; MH Test -Demand -Valve -Connector Ext.; Steps -Doors -Landings 4. Electricity; MH Test -Crossovers -Breakers -Clearances 12. 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector W and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Card B-1 Date Card B-1 zits; Insp: Sketch 11. Cert. of Occupancy gl2,,!:!:e�rmanenl Foundation Only; License Decal Setbacks -Easements Date Date Card B-1 Date Card B•1 Card B-1 fDate Card -B-1 04 C`VIL 3ayS ,s �L WX �• M l MISCELLANEOUS Date DECKS, COV52nARPORTS GARAGES (Plans) OK except #'s 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 1 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'-Circulat ng Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit V. 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 V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties:Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors t 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 F Date Water Well, Disconnect, Electrical, Plumbing MECHANICAL (Permit) OK except #'s 87. 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 'N 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval i� Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s V 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 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 Ungle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties:Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -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 ❑ Yes 82. Following Instld./Drive ] Yes ] NoM/alks J Yes :1 No/Planters Yes ] 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: f; Y 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 (/ G ✓1 ! /rte ti I''1/li ,- r27 b OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please c act this office immediately. I J s • / �//�1 .ri�/lam N .moi Il d� G ., AX! I / - I ' d 11 1 -I r -(L-1 REV 10/92 r .. COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 3 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed.//It you have any questions pertaining to this matter, or need additional explanation, please cofitact this office immediately. — 14_ 1 _D iY _ __ / 4 4 Alf Date Inspector �_ REV 10 92 L4 , ".1-4 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 14,164 OWNER PERMIT NO. Y� A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleas ntact this office immediately. L \SCrt/ �4 n fel �- - Inspectors REV 10/92 ER COUNTY OF BUTTEf 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 rw PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction -of work is completed. If you have any questions pertaining to this matter, or need additional explanation, h please contact_ this office immediately. -v W2 Date d Inspector_ __ 2_ REV 10).92 -T� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMT N0._ (Rev. 12/ APPLICATI� AND PERMIT �`_ ASSESSOR PARCEL NUMBER 058-590-009 ZONIN BUILDINGPERMIT OWNER WIN DE VELDE HEN:' 'TELEPHONE 9-3-3-241-3 SO. FT. OCC. BUILDING VALUATION R 91,584.00 OWNERS MAILING ADDRESS 5695 WFNDY WAY, OROVILILE,0,9969 CONTRACTOR'S NAMETELEPHONE PHIL DEQ0NT CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $91.584.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 603,5012 $ 301.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 196.15 ���.�prp0 BUI�O`�OD bVL,IJDY WAY, OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ 517.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15. Ofl Each gas water heater or vent 15.00 n TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: N51 PERM FND MH EX SITE Gas piping system 1 - 5 outlets 15.00 19-00 Building sewer 15.00 Mobile Home IS I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.0) 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.PSING License Class LIC. NO. OWNER -BUILDER DECLARATION I ereby affirm under penalty of perjury that I am exempt from the Contractors License w 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. )9L I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 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 workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OOCUP. OR ADONS. ( a Acc. stns. SO 3.5QFT: NEW CO ST. MULTI.OUTLET @7,50 a R A OUTLET CIR. OWELEPPARATUS Ex. Occup. OUTLET OR FIXTURES 0 aA20 9 L @ I Ex. Occup. OP„T,EF°,SAP�R� °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit comply with those provisions. _ gmg, Si lure of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required fdf-e—xcavations 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 $ 625. • �.AZ. D.FEES IMP D COF p d This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By 0 PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date (p /�(� �� pbw ReceiptNo.LX= WHITE-D.D.S.•B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANTIf COUNTY OF BUTTE-DEPARTMEtVT OF DEVELOPMENT SERVICES -BUILDING DIVISION r ville, CA 958 Phone (530)538-7541 Fax (530)538-2140 7 County Center Drife, Oro PERMIT' AP PLIOTION DATA SHEET -AS �..yS g ' :590 oo C7 OWNER: V a� �' `� ��/�--� ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: \a'#— Date: _ Item required in order to apply for a per it. All boxes MUST be checked OR marked NA in order to apply. ,Plot plans, 3 or 4 sets, signed by the preparer of the plans. 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 and layouts in duplicate. No faxes! Q 5.1 Energy compliance des' n and supporting documentation in duplicate. Manufactured homes: MijatLa sheets and installation instructions, �Marriage line information, (ir Plan, (D ie 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 by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will b2 indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ` ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11 It Detached Accessory Building Form filled out by the owner ..................................... .❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ M. Fees as shown ori the, -attached Schedule of Fees Due Sheet....... r.... �.: .,. .:.......... I .;; .♦ . 1 El 115. Statement of Intent for Non -heated and A/C Buildings ................................... c6p 6. Sanitation and plot plan approval from the Environmental Health Department in by ❑ 7. City of Chico Plumbing permit..................................................................... w Ga' 18. California Department of Forestry plan approval ❑ paid. Sent by:�.� ❑ 19. Planning approval for (A) Use: 0 Y, (B)Parking: (C) Parcel ❑ 20. ContacfLand Development about,.D.IImprovements, ❑ Drainage..... .......................... ❑ Encroachment Permit foriveway fro tl e-Tublic Works Dept. (construction approval nor to occupancy). 22>, Pre -Inspection forNl + f -w QuJ .i s required ... SfA,47.: 30 23: Contractors li cense infor ation. (Number, Name Sty. I,J,Claassification)...................... ❑ 24. Worker's Compensation Carrier and Policy Number ............................................. ❑ 25. Owner -Builder Verification (❑ Given to owner, 0 Mailed to owner) ..................... ❑ 26. Letter of Signature authorization .....................................µ.,....' ........................ ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility' clearance............................................................... ng violatd/or expired permits .........: Y4410. ant Deedo. Title/Statement ofFacts....:.................. . . er from Legal Owner,k to-H.C.D. $ 33 o O ❑ 31. Other: When issued Telephone S 3-3 ? 4�:°� and hold for pickup. I have been inform of the above items and requirements for obtaining a building permit. Applicant: ��Z �` �L Date: 0 1. Index permit application for the above items numbered:�Plan Check Letter 2. 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 abov d ta.by ❑ phone, ❑ mail, ❑ count r, by Date: Plans reviewed by: )2,/3, Date: bl� Plans approved by: / Date:_ Structural reviewed by: P Date: Structural approved by: Date:_ p �` Note transfer by: Date: Yellow: Building Division f•: E.M. USE ONLY 'Plat Plan Attachod Floor Plan Attachad San% to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal� Water Sup ly: Public Private Well Clearance for dwelling. Other • . . final. for:: APMKA��r7��GL�ILL�7 O.K.Final clearance Environmental Health Specialist 8/96 16--1 U --6 a - Date PRE -INSPECTION REPORT OWNE&Aa r?e-?fP V6.4 0, Ve�a� LOCATION: 6 F(a e.4. 04 L, cc) CONTRACTOR: 7),P PRE-1NSPETION FOR: N CK% "/1 DATE: 3d D Z_ A.P. ZONING: / ' DATE TO INSPECTOR: .5131 v PERMIT HISTORYXfNONE ( ) AS FOLLOWS: BUQ.DIIYO INSPECTOR'S REPORT BuIlding Description: Electric: Cas: Cornmercial/Usage: ResidentiaU# of Units: Currently Occupied AbandonedNacant Yes No Electric currer!". On Off Condition of Electric Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working _... Well Working ► Potable Water, Obvious SewageProblems ____ ___ _ • _ ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Z � / Date Sketch buildings on reverse and indicate location on p'ropert 1 plo plo a �d plc TA 7c" -j dy l9s U90 �o 36o qq • . . v. Na` �•a.v• n•V.� JCr1Y1liCJ - 7 County Center OUILUIryI,a UIVISION -',j/ .l`i / L, Drive Oroville, California 95965 Telephone (530) 538-7541 U / APPLICATION AND PERMIT PEaS17J ..-•—=Tyt'r:Op •CEL M,MeEn ,G 1ON" C1BUILDINGPERMIT J\ I c`" E rEItT.ONE SO. FT. 1 OCC. j BUILDING V �- ALUATION 0-I. A s NA UNG Ao SS `I to co rql I" EL. ! TEr.•oNe & Lr 0 CO AACTCAS YAIUNO ADOAESS 1 CONSraucTION LENGE, LEI.oEQ ss kWLING ADOREss Fireplace Total Valuation S AAC.•ITECT OR ENGINEER I LICENSE NO Filing Fee AAC.ITECT OA ENGINEERS "''UNG ADOAESS Permit Fee X03.50 :- Plan Checking Fee e� �o�lc Aco I / Ener Plan Checking Fee Lin ► /. % 4^1Ct7. r 1�� I1,n AN 9Y LorNo suaGlvsoNs NAME USEOFSTRUCTURE SF ❑ Duplex O Mobilehome 56 Other SPEC" TYPE OF WORK j -New ❑ IC l�Lr l O Remodel O Utilities O InstafiationOther O "PERAIIZT FEE PA10 S kA SHERIFF OTM AA 0VW°T REC=Vjt> • Num �= C� � TO !VT 2"ro co PERMIT FIE PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G: W j ------------ ------------ j S 23 c: —301S S Fling Fee 20.0 7.00 23.00i -- 15.00. I 15.00'Is' j 15.00!/ ! 1 s.00. j j @20.00' Ex. Occup. 11 OuTUT oR raTwEs) PERMIT FEE I S 2f<- I 5.00! Temporary Service I _ 23.00' Mobile Home Facilities 20.00' ELECTRICAL PERMIT I Fling Fee: 20.01: - •iue l —W oR LESS 20"ORLESS � I j 23.00�p:?, 0V_ Main Service ( 300A To IeooA 1 j 46.00! _ NEW CO#4T. OR ADONS. ( aa�,NG occuv. \ I'F, L ACC OLDS J I 3.5C c.: — NNT.61 MTrT @7,SO' Ex. Occup. 11 OuTUT oR raTwEs) j 20 ' O0' aAL so' Ex. Occup. (o,m�APME oL u) I I 5.00! Temporary Service I _ 23.00' Mobile Home Facilities 20.00' Misc. Wiring ! 23.00 I I I PERMIT FEE S f 3 • d MECHANICAL PERMIT ` Fling Fee 1 20 Cf, HeatingI i Conlin ft _ Hood I 6.50 Ventilation j PERMIT FEE I_S Mobile Home Installation Fee : Energy Inspection Fee Is ac` W/BT. TrvE TOTAL IFEE $ o? S. NAz. 1 0. ren I -P I F= CD/ P I. SS - This permit is hereby issued under the applicable proviscns of the Butte County Code and/or Resolutions to do -.vor. indicated above for which fees have been paid. By ReceLptNo. PERMIT EXPIRES ON WHIT6.0.0.3.-tl.0. CANARY -ASSESSOR PINK•I143PECTOR OOLOENROO-APPLICANT Data -- RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 02 -Dec -2002 2002-0065479 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described . hereon, upon the real property described with certainty below, as of 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. HENRIETTE VAN DE VELDE REAL PROPERTY OWNERILESSOR 5696 WENDY WAY iM ING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE 23P SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY I COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OFOCCUPANCY 7 COUNTY CENTER DRIVE MAMING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STA - E ZIP 02-1365 (530)538-7541 `BUQ DING P NO TELEPHONE NUMBER 11-27-02 1G ATURE OF LOCAL OFFICIAL DATE NONE 0zALJ ac NAM pt not a dealer sale, write "NONE-) NONE DEALER LICENSE NO. SILVERCREST 1985 334 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NU.,MER AB/C2SC1432CA 57/36 X 24/10 304504/5/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL XUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER A.P. # 058-590-009 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY- HCD PINK -Applicant GOLDENROD -Building Dept BUILDING PERMIT NUMBER: 02-1365 Address or location, of unit: 5696 WENDY WAY, OROVILLE, CA. 95955 Legal Description of Real Property: A.P.# 058-590-009 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: HENRIETTE VAN DE VELDE Owner's address: 5695 WENDY WAY, OROVILLE, CA. 95965 INSIGNIA OR HUD NUMBER: 304504/5/6 SERIAL NUMBER OR V.I.N.: A/B/C3 SC 1432CA MANUFACTURER'S NAME: SILVERCREST _ YEAR: 1985 OFFICIAL APPROVING INSTALLATION: DATE: 11-27-02 PHONE: (530) 538-7541 n H.C.D. 513C 94-3111.5 a ORDER NO. BU -141977-2 FA DESCRIPTION ALL'THAT CERTAIN REAL PROPERTY 'SITUATE IN THE STATE OF CHI,IFCRNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 3, AS SHOWN ON THAT OFFICE -OF THE RECORDER OF THE ON AUGUST 22, 1973,.IN BOOK CERTAIN PARCEL MAP, RECORDED IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, 46'OF MAPS, AT PAGE(S) 86. PARCEL II• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP: .OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF A LINE BEGINNING AT THE NORTHEAST CORNER OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF CALIFORNIA, ON AUGUST 22, 1973, IN THE COUNTY OF BUTTE, -STATE OF BOOK 46 OF MAPS, AT PAGE(S) 86; THENCE ALONG THE ARC OF A 20.0 FOOT RADIUS' CURVE TO THE LEFT, WHOSE TANGENT AT THIS POINT BEARS NORTH 86 DEG. 09' 5R" WEST, THROUGH A CENTRAL ANGLE OF 24 DEG. 14' 31" AN ARC DISTANCE OF 84.62 FEET; THENCE NORTH 79 DEG. 19' 09" WEST 1.08.23 FEET TO THE BEGINNING OF A 300.00'FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 9 DEG. 32' 06", AN -ARC DISTANCE OF 49.93 FEET; THENCE NORTH 88 DEC. 51' 15!' WEST, 181.51 FEET TO THE BEGINNING OF A 100..00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH'A' CENTRAL ANGLE OF 47 DEG. 02' 0611, AN ARC DISTANCE OF 82.09 FEET; THENCE NORTH 41 DEG. 49' 09" WEST, 69.94 FEET TO THE BEGINNING OF A 50:00 FOOT RADIUS CURVE TO THE LEFT;'THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 106 DEG. 31' 19" AN ARC DISTANCE OF 92.96 FEET; THENCE SOUTH 31 DEG. 39' 3'2" WEST, 132.05. FEET TO THE CENTERLINE OF A 60.00 FOOT ROAD EASEMENT.. PARC$L III! A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.0. FEET IN WIDTH, LYING 30.0 FEET ON EACH SIDE OF THE.FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE EASTERLY LINE OF THAT CERTAIN MAP ENTITLED, "YANKEE HILL ACRES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 21,.1957, IN BOOK 22 OF MAPS, AT PAGE(S) 33 AND 34, WHICH POINT BEARS SOUTH 35 DEG. 39' 22" WEST, 30.15 FEET FROM THE MOST SOUTHERLY CORNER OF LOT 9 OF SAID YANKEE HILL ACRES SUBDIVISION; THENCE FROM SAID POINT OF BEGINNING, SOUTH 58 DEG. 20' 28" EAST, A DISTANCE OF 358.8 FEET TO THE END OF SAID LINE. CONTINUED 94-3177.5 3 ORDER NO. BU-141977-2 FA PARCEL IV• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER 'A STRIP OF LAND 60.0 FEET IN WIDTH, LYING CONTIGUOUS TO AND SOUTHWESTERLY FROM THE SOUTHWESTERLY LINE .OF IAT 9, AS SHOWN ON TI•tAT CERTAIN MAP ENTITLED, "YANKEE HILL ACRES SUBDIVISION", WHICH' }MAP WAS.RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF { BUTTE, STATE OF CALIFORNIA, ON JUNE 21, 1957, IN BOOK 22 OF MAPS, AT PAGE(S) 33 AND 34. Renord at the. Request_of Mid Valley Title & Escrow Company Escrow No. 141977FA WHEN RECORDED MAIL TO: HENRIETTE VAN DE VELDE 5696 WENDY WAY OROVILLE, CA 95965 94-31115 94-0317751 Rec Fee 12.00 I DOC 72.60 Recorded I Check 64.60 Official Records I County of I Butte I Candace J. Grubbs I Recorder I 8:00am'27-Jul-94 1 MVTC VS 3 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $95!#6 iS computed on the conslderatton or value of property conveyed; OR SAME AS ABOVE _ Computed on the consideretion or velue less Yens or encumbranmes remaining at time of sale. Thp Iinrlpm—gnAd rrantn- doCimmg Signature of Deciarent or Agent determining tax — Finn Nemo GRANT DEED 058-590-009 FOR A VALUABLE CONSIDERATION,: receipt of which Ishereby acknowledged, MIKE BRADFORD AND JOYCE BRADFORD, husband and wife hereby GRANT(S) to HENRIETTE VAN DE VELDE, an unmarried woman Lie real property in the. UNINCORPORATED AREA County of BUTTE ; StatE of California, desmibed as SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF Dated lulyu.*1 19A4 } STATE OF CALIFORNIA }ss. COUNTY OF BUTTE } On JULY 15. 1994 b*m me, VICKI GROSSP. , porsonaly appoarodKM1 E RRADFORD AND JOYCE RFlADFORD porsonaly known to mo (or provod to mo on tho basis of satisfactory ovidonco) to bo, the porson(s) whoso nomo(s) Is/aro subscrlbod to the within instrumonl and acknowledgod to mo that ho/sho/lhoy oxocutod tho somo In his/hor/thoir authdrizod capacily(los), and that by his/hor/lhoir signaturo(s) on tho Inslrumoni tho.porson(o) or tho ontlty upon bohalf of which tho porson(s) actod, exocutod tho Instrumont. WITNESS my hand and official coal. Signature- VICKI. ignature VICKI. GROSS9 �nuuuwiuRRulmRURRllluununnuuuuunnm uuoe or•rIC.IAL :3FAL Irltul I D VICKI OF OSSE NOTARY PUW.1C • CALIFORNIA N COUNfYOF mumu DruumunuRRRmumuuuiwmmuunRnnuuunnMyContmtselonFxpiroo,tunv27, IM? W un,i. 3 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT%MXnuvve; DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM NOTICE OF SALE OR TRANSFER ;ECTION I. DESCRIPTION OF UNIT Decal Num Serial Trade Name LAGS?1.77 A �Ivercres Gdqercf 1ECTION II. SALE OR TRANSFER INFORMATION =or the sum of $1,` the receipt of which is hereby acknowledged, I/we did sell, transfer and deliver to the purchaser/owner named below, on )\AV K21 ���— , my/our Date of Transfer fight title and interest in the unit described above. 3EC.I IOIY Ill NAME OF PURCHASERINEW OWNER: Name: Address: I City: Clan &rber (0 5 + — I State: nA I Zip Code: aJrpo s— � l! U SECTION IV. CERTIFICATION AND RELEASE I/we certify under penalty of perjury under the laws of the State of California that: 1) I/we are the lawful owner(s) of the unit, and -2) I/we have the right to sell it, and 3) I/we guarantee and will defend the title to the unit against the claims and demands of any and all persons arising prior to this date, and 4) the unit is free of all liens and encumbrances, except for the lienholder shown below *, whose lien presently exists and has not been paid. , " Executed On ►�`��`� ��i' ard Al Dae City State �- Signature of Seller: Printed Name: H-AiT *Lienholder: I Address: 4CD 476.8 (7/971 Illi STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT it RFRTCTDATTnu rADn Mnnroeunur MANUFACTURER NAME/ID SILVERCREST IND INC109881 - TRADE NAME SILVERCREST - — MODEL 334 DOM 04/15/85 DOT 04/30/85' ULUAL DFS 05/16/85 IVU. SPC . L Alit' I ! I EXPIRATION i U SERIAL NUMBER I A3SC1432CA LABEL/INSIGNIA NUMBER 304504 WEIGHT 020000 LENGTH 000688 WIDTH 000144 ISSUED 12/17/89 SCC 04 EXEMPT USE TYPE 2 83SC1432CA 304505 015200 000688 000144 SFD ILPT 1 3 C3SC1432CA 304506 010100 000432 000120 TOTAL F j a FEES ' 5 PAID: B $51.00 A FUNK HAROLD A/PAMELA A JTRS D 3922 PENTZ RD 22 D PARADISE CA 95969-6691 R E s s E R E FUNK HAROLD /!/`PAMELA A JM :: � G M I A 3922 PENTZ RD 22 s2 T L E PARADISE 91;l� 95969-6691 R E , D O s 3922 PENTZ RD NT N T t E u PARADISE CA 95969;669-- R e L .HEART FED SAN E I i 3 A PO BX 1396 L VOW, I O AUBURN CA 0514 -1398 a DATE: 05/ 9! 10:46:00 I E R i TRAHSAMERICA FIN SERV u R N I I R PO BX 430 O s R T PARADISE CA 95967 L DATE: 11/16/89 12:46:00 I E N s N E O C L O D N E D R !j :,•._ • t, Til x- : ' � 1 3 Z. Go THE OWNER INFORMATION SHOWR ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE l DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. •1 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300138 MOBILE/MANUFACTURED HOME PURCHASE AGREEMENT AND RECEIPT FOR DEPOSIT Paradise, California,_ April 27, 2002 (� Received from Henr; etke- Van De-Velde 0,416 Cara- &ber herein called buyer, the sum of One Thousand Four hundred Seventy and no/100 Dollars $_ 1,470.00 payable to Harold & Pamela Funk as deposit on account to apply to the purchase price into an account for the purpose of completing this sale. Seller agrees to refund the deposit only if the sale is not closed as a result of an inspection. Buyer forfeits the deposit if any other reason prevents the sale from closing. The PURCHASE PRICE of Fourty Nine Thousand and 00/100 Dollars $49,000, for the purchase of manufactured home situated at 3849 Silvera Court, Paradise, County of Butte, California described as follows: Silvercrest/A3SC1432CA/B3SC1432CA/C3SC1432CA- Starcrest Model #334- Year 1985 Width: 34Ft Length: 56 Ft Type: Triple—Trade Name: Silver crest/Starcrest #334-3 bedroom, 2 bathroom Exterior: 1/2" Hardboard—Roof.- 30# Comp I. Financing: N/A A. DEPOSIT to be delivered to Harold or Pamela Funk in the amount $1,470.00 no later then April 27, 2002. B. TOTAL PURCHASE PRICE $49,000.00 to be paid in cashiers checks V10 Wec+hW MOLY Ib, 2002 / In. ---- 2. Possession: Seller agrees to give up possession of property, no later than May 16th, 2002. In./10 3. Validation: The validity of any additions to this agreement, on this or subsequent page/s, will be accomplished through reference to this page, and contain the date and signatures of all parties to this agreement. Date:— Buyer ate:_Buyer (Print) ill-ftyOF- Signature8ur Buyer (Print)(,I&OL barb - Signature 0 0Wft q1 Address q(y WeyylqU /Clkl%OP 1411t, CA q Sq(p Telephone (5-3(,;) �,�,� __�� 2, Date: ) /-7/ Seller(( Int Waro Funk,/ Signature Seller (Print)-ftmela unk Signature Q ) Telephone 530-872-4454 Revised, 4/9/00 CONDITIONS OF PURCHASE 1. Seller agrees to prepare the Sellers property the manufactured home is located on. in such a way to make the moving of the manufactured home as cost effective as reasonably possible. Including the removal of the existing decking at the entryway of the home. 2. Seller agree to replace all window screens missing from the home. 3. The purchase price includes the couch and loveseat presently in the living room. 4. Seller agree to remove the woodstove from the home in preparation for moving and that the wood - stove meets the HCD Standards. 5. Seller will have the glass in the kitchen cabinets secured prior to the closing of the sell. 6. Seller will provide all paint and wallpaper left over from the decorating of the home. 7. If the stained/etched glass panel in the "sunroom" receives a crack during the actual moving of the home, Seller will repair it. This does not include the removing or re -installation of the panel. s. Seller agrees to pull up the Tarkett flooring located in the dining room, up to where it crosses the marriage lines of the house into the kitchen. However, Seller does not agree to re-lay the flooring after it leaves Sellers property. 9. Seller will allow the manufactured home to reside on Sellers property for no rent for up to 3 months from the date of sell (May 16, 2002). However, if after that three month period the home is still not moved the Buyer will pay the Seller a monthly storage fee of One Hundred Dollars $100.00 -per month. If after the period of six months the home has not been removed from the Sellers prop- erty legal action will be taken to have the home removed. At no time will the Buyer occupy the home as a residence. All water, electrical and gas will be disconnected from the home at the time of final sell. The Buyer will hold. harmless the Seller for any damage inadvertently done while the house lays in wait for moving or bodily injury incurred by Buyer while trespassing on Sellers prop- erty. The Buyer will also provide insurance coverage on the home while it is on the Sellers prop- erty. The Buyer will be given unlimited access to'the home with respect to the Sellers privacy. 10. Seller will make sure that furnace is in working order before closing sell. 11. Seller will strap the water heater. 12. Seller will provide molding for area where the Tarkett flooring is located. 13. Seller will remove mirrored closet door in master bedroom. The above conditions are the only allowances made by the Seller. After these conditions are met, the Seller sells the house, in good faith in "as is" condition. Date: LJ 1 Buyer (Print)Etir/,2/E;7E (i'/�y*x)a L'E�DF Signature;�r4i2c: _ LIZLa -; Jl /A/I i;4j Buyer (Print) ..1' Signature q Address Telephone __/ 3C) 5� Dater Seller (Prin Signature Seller (Prin Signature _ Telephone _ 7 -)� k Cry C/ -5_ J 4 5_ State of California Department of Housing and Community Development Division of Codes arI Standards Registration and Titling Program PO Box 2111 Sacramento CA 95812-2111 1 800 952-8T66 http:/twww.hed.ca.gov/codes/rthtm MULTI-PURPOSE TRANSFER FORM LEASE COMPLETE ONLY THE SECTIONS THAT A UNIT DESCRIPTION p )SING q O B B n� z 3G� �®5 I pad �V Y AND SIGN. BOTTOM OF FORM Decal (License) No.(s): LAL7 q 177 Serial No.(s): SMOKE DETECTOR CERTIFICATION 56NWA,cmat4 The California Health and Safety Code requires that all used manufactured hometused mobilehomes bb equipped with a smoke detector which is in proper working order on the date of sale. "I/we certify that the manufactured home, mobilehome, or multi -unit manufactured housing is equipped with an operable smoke -detector on .the date of transfer." NO PARK PURCHASE FEE EXEMPTION The registered owner of the above-described manufactured home/mobilehome that is located on private property owned by the registered owner is exempt from payment of the $5 Park Purchase Fund (PPF) fee. If you feel you qualify for -the exemption, complete the following questions. • Do you (the registered owner) own your manufactured home/mobilehome? 1! Do you (the registered owner) own the land your manufactured homelmobi rv-" DESIGNATION OF CO-OWNER TERM ❑ YES - ❑ NO some is located on? YES ❑ NO We request the Department of Housing and Community Development to register our ownership interest in the unit described above with the following co-owner term: (READ CAREFULLY AND CHECK ONE BOX.) JTRS (Joint Tenants with Right of Survivorship); Upon the death of a joint tenant, the interest of the deceased party passes to the surviving joint tenant The signature of each joint tenant is required to transfer or encumber the title. ❑ TENCOM AND (Tenants in Common with the names joined by the word AND); Each tenant in common may transfer his or her individual interest without the signature of the other tenant(s) in common. The signature of each tenant in common Is required to transfer full interest in the unit to a new registered owner or to encumber the title. ❑ TENCOM OR (Tenants in Common with the names joined by the word OR); Any one of the tenants in common may transfer full ownership interest in the unit to a new registered owner without the signature of the other tenant(s) in common. The signature of each tenant in common is required. to encumber the title. ❑ COMPRO (Community Property); A unit may be registered as community property in the names of a husband and wife. The signature of each spouse is required to transfer full interest in the unit or encumber the title. Me further agree to indemnify and save harmless the Director of the State of Califomia, Department of Housing and Community Development. and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above described unit in California, or from, issuance of a California certificate of title covering the same. I/We certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on !!5 1 1 (0 ! p 00 a at �t ;P IqA 1 1 TCS I/ o t (J4 - Dace city State Sgnature Sgnanre i PI 1Ef HCD 476.6G (REV 01/01) SIDE 1 59maw e E*1AMADDRESS: ❑ REASON FOR USE TAX AND/OR MOBILEHOME RECOVERY FUND FEE EXEMPTION Check appropriate box(es) ❑ The above-described unit was a gift. All rights and interest of ownership were transferred without exchange or money or other valuable consideration. ❑ The above-described unit has been acquired from: ❑ Iparems, spouse, grandparent(s), grandchild, child, brother(s)', sister(s)'] The name of a (show relationship). is being ❑ ADDED ❑ DELETED to the record. ❑ The above-described unit was received as the result of an inheritance. ❑ Transfer of the above-described unit is being made pursuant to a court order: ❑ The transfer of the unit is being made to a revocable trust which (1) the seller has an unrestricted power to revoke the trust, (2) the . transfer does not result in any change in the beneficial ownership of the property, (3) the trust provides that upon revocation of the trust the property will revert wholly to the seller, and (4) the only consideration for the transfer is the assumption by the trust of an existing loan for which the tangible personal property being transferred is the sole collateral for the assumed loan. *NOTE: A sale between brother(s) or sister(s) is subject to use tax unless both are minors. If minors, check here ❑ SIGNATURE ON FRONT SIDE IS CERTIFICATION FOR THIS SECTION . DESIGNATION OF TRUST I/We, the undersigned trustees) hereby state that the unit described above has been placed into a trust. This Declaration of Trust is dated In compliance with Section 18080.1(b) of the California Health and Safety Code, I/we as trustee(s) hereby request the unit described above be registered as shown below. Uwe acknowledge that the Departments permanent title record and the -titling documents for the unit will reflect the information as shown below. (Print Name of the Trust. This is how the Name of the Trust will appear on title.) 1/we as trustee(s) agree(s) to notify and make application with the Department of Housing and Community Development to appropriately amend the permanent registration and tiding record immediately upon any change to the original trust agreement described herein by submitting this form along with all appropriate documents, fees, or any.other needed items to the Department. I/we as trustee(s) further agree(s) to indemnify and save harmless the Director of the Department of Housing and Community Development, and subsequent purchasers of said unit, for any Ibss they may suffer resulting from registration of the above described unit in California and from issuance of a California Certificate of Title covering the same. .I/We certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on at Date [SIGNATURE OF EACH TRUSTEE] %.uy State Street Address or PO Box City State HCD 476.6G (REV 01!01) SIDE 2 DEPARTMENT USE ONLY STATE OF CALIFORNIA DEPARTMENT USE ONLY BUSINESS, TRANSPORTATION AND HOUSING AGENCY NEW DECAL i DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT i DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STICKER i FOR DUPLICATE CERTIFICATE OF TITLE OLDDECAL8 TRANS CODE slTus cc @��APPLICATION Name of ManufwWrer Model Name or i MFG ID i T Nle 4- Dab of Ma ubctu Callf. Deair Llwnu f Data of Transfer to Dealer from ILT Exemption ' 1— I�'7 Dam FI� d N MFG 1A"0 CJ DECALJUCENS i MANUFACTURER SERIAL NUMBER(S) HUD LABEL OR NCO INSIGNIA LENGTH (Inches) WIDTH WEIGHT (Inches) (pounds) DAYE FIRST SOLD (It different than above) i c; 17 A36-c i+32c'_A- =ssr� 4-3,gXA�aS &s" yam'' 1-AC (l7 0_3569 , 'Zc:A ADD UNITS 13 DEPARTMENT USE ONLY USE CODE EXPIRATION DATE TAX TYPE ORKN COST PRICE CODE YR SALE PRICE PPF ILT EXT LPT PPT RF RECEIPT NUMBER(S) RECEIPT DATE(3) CLERK S INITIALS SALE DATE ILT REGISTERED OWNER(S) [Print True Name(s)] Last First Middle I/ I� '^ U�l'1 lam• f� 1'D �� / ii4lo,1 1. r N ��I r-1'I" r MRF PEN1 2. r t/t-/1 // ` /�A�i w PEN2 MAILING ADDRESS LOCATION ADDRESS OF UNIT Street i' V � ` 1z1 t � � ` Rest City State gp OWC SIV TRF LEGAL OWNER (print true name) �^ Top {.. ,9 / A �(- (Jv DU MAILING ADDRESS Street t ` ' -city Sbb uP / 'Up APPLICATION FOR TRANSFER BY NEW OWNERS Me request that the new Certificate of Title and Registration Card to be Issued as follows: SUaD CONF REGISTERED OWNER(S) [Print true name(-)]14� at Hirst Middle t rt a 'O 2. &116L 6sle'da Y ero. RREG 7. RSF N applicable, check one of the followln : ❑ TENCOM OR TRS ❑ TENCOMI AND ❑ Comm PLT MAILING ADDRESS FUTURE MAILING ADDRESS LOCATION ADDRESS OF UNIT ,t Cty a , � I II I ( �b / l /1 �P W , r'j (�!( SIT street Qa ��, ,. c /� JV�rrte tt.� Q.�Vri aY State �p UTP RT Street 5(�9 • a city an I' county ( �°e p5 ASF LEGAL OWNER (print tnm name) CCP N applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENcOM AND ❑ Comm TOTAL MAILING ADDRESS Street city State, 71p FIRST JUNIOR LIENHOLDER (print true name) H applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO MAILING ADDRESS Street city Sbb Z HCD 480.4 - Side 1 (7/87) .:AI, !LICENSE) NUMBERS) &a/7'7 SERIALNUMBER(S) A.3 TRADE TRADE NAME SECTION 1. I. CERTIFICATION OF MISSING TITLE The original HCD Certificate of Title or DMV Ownership Certificate (pink slip) was: © Lost, ❑ Stoln If the lqwasilost or st n after receilq it from a party other than the Department, enter the party's name here: YLboul ❑ Illegible, ❑ Mutilated. A mutilated or illegible title'ust be surrendered to the Department. ❑ Not Received from the Department. This box can only be checked by the Legal Owner of Record (lienholder), or if none, the Registered Owner of record. I/We certify under penalty of perjury under the laws of the State of California that there are no liens against this unit other than those shown on this application and the statements made on this application are true and correct. I/We agree to indemnify and save harmless the Director of the Department of Housing and Community Development for any loss suffered resulting form the issuance of said duplicate Certificaate/ of Title. Executed on 1 d001:�— at �Paral�S� 64 w l A (Dale) -y (City) (State) Signature I IttilIlXY-,a l ,fitl�'lIe-� Printed Name of Person Completinq Certification SECTION II. RELEASE OF OWNERSHIP AND/OR INTEREST A. RELEASE OF REGISTERED OWNER sec emcLoll:I Liao )?EL-Ense s RELEASE DATE B. RELEASE OF REGISTERED OWNER 0. s uc '6NCc-OSEIJ' ws-7'l RELEASE DATE C. RELEASE OF REGISTERED OWNER RELEASE DATE 0 2 A. RELEASE OF LEGAL OWNER (LIENHOLDER) RELEASE DATE B. RETENTION OF LEGAL OWNER DATE 0 C. ASSIGNMENT OF LEGAL OWNER DATE 0 3 A. NAME OF DEALER DEALER NUMBER 0 B. RELEASE OF DEALER RELEASE DATE 0 4 A. NEW R DOWNER SIGNATURE H this transfer Is the result of a ��� sale, the sale price and sale 0 (/� � date must be entered below. B. NEW REGISTERED OWNER SIGNATURE PURCHASE PRICE 0 l,x int c2 9 C. NEW REGISTERED OWNER SIGNATURE PURCHASE DATE 0 � leo HCD 480.4. Side 2 (7/97) Initials: JT LIEN RELEASE To: Department of Motor Vehicles Re: Account Number 9999 To whom it may concern: U.S. Bank National Association F/K/A HEART FEDERAL SAVINGS & LOAN no longe has a secured interest in the following: Customer Name: FUNK, HAROLD A FUNK, PAMELA A Collateral Description: 1985 SILVERCREST Vehicle Identification Number: LAG9177 Date Interest Released: 5/1/02 Sincerely, U.S. Bank National Association F/K/A HEART FEDERAL SAVINGS & LCAN Authorized Signature - Paid Loan Processing Bank Name ACKNOWLEDGMENT Subscribed and sworn to before me the 1 PT 7', of MAY, 2002. My commission expires f �� KATHLEEN M. Notary Public State of North Dakota Nota Public My Commission Expires SEPT. 18, 2003 Notary PAID LOAN CONFIRMATION Date: 5/1/02 Re: Account Number: FUNK, HAROLD A FUNK, PAMELA A 3849 SILVERA COURT PARADISE, CA 95969 Dear U.S. Bank Customer: Your loan, referenced above, was paid in full and closed . This is our confirmation to you that your loan is fully satisfied. Your loan was secured by the following: 1985 SILVERCREST VIN#LAG9177 Listed below are special instructions which will assist you in releasing our lien on your collateral. Please take the enclosed lien release to your local. Department of Motor Vehicles to have the bank removed as lienholder. If you purchased Credit Life/Disability Insurance at the time you took out your loan and you originated your loan through a business other than the bank (i.e., Dealership), you may be entitled to a partial refund. Please contact your dealership for further information. If you purchased Credit/Life Insurance through the bank, any refund due was included in your loan payoff calculation. Thank you for giving us the opportunity to serve your financial needs. If you have questions on any of the information noted above, please call UBank 24 -Hour Phone Bankingsm at the numbers below. A customer service representative is available seven days a week to assist you. Your business is important to us and we look forward to serving you in the future. Sincerely, JANICE TOLLEFSON Paid Loan Processing A Household International Company LO Beneficial - May 7, 2002 Elmhurst, IL 60126 HAROLD A FUNK PAMELA A FUNK 3922 PENTZ RD 22 PARADISE, CA 95969-6691 RE: NA To Whom It May Concern: 14000ld h--WOO This is to inform you that the lien held against the following vehicle has been satisfied. TRANSAMERICA FINANCIAL SERVICES no longer holds a security interest :n the vehicle. Year: 1985 Make: SILVERCREST Model: 334 Serial/VIN: A3SC1432CA & B3SC1432CA & C3SC1432CA PAT BARTELS (630) 617-7105 Records Administration State of Illinois County of DUPAGE Subscn*bs4 and sworn to before me thW07 of MAY, 2002. Notary Public "OFFICIAL SEAL" BARBARA H. 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