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HomeMy WebLinkAbout062-730-018 B COUNTY DEVELOPMENT *VICES Complainant: Address: Phone Number: Other Comments: I�ME IK •i Inspector must draw a plot plan with all building locations: Additional Comments from Inspector: 2 �4 ol 062-730-0, -- 113-2296 I 8., SABIN,RALPH ERMARIE LN, BERRY CREEK RE -TAG ELECTRIC FOR WELL Y03 OFFICE COPY Address z11P Mr ByV� ELECTRIC Meter By —Date ��9 COUNTY Off` BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 � � �rjM�� (Rev. 12/96) - APPLICATION AND PERMIT li ASS SSORP�jRCELNUMBER �,o%-- /�U-01L ZONING BUILDING PERMIT OWNER SA -"I'.. .!ALFA 752-8112 TELEPHONE SO. F1. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS FC Z -UN 214 i7 3L!U1Y CIt�_ -EC C!1 95S::5 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS r_, , Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBONISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublifies ❑ Installation ❑ Other ❑ i�C _'''°,=IIC FC -1 !- LT &,D Lr� Describe Work: is Z CwV Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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. DWELLWG OCCUP. OR ADDNS. ( & ACC. BLDS. s0 3.5QFT; NEW COp NST' MULTI -OUTLET 97.50 POWER APPARATUS a sINGLE oLmt� CIR. EX. Occup. OUTLET OR FIXTURES) BAL @ 1.50 Ex. Occup. pUT1EETS Ao .) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 .'_IXSP=CN .3 CO PERMIT FEE S is�.LC 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 S 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall 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 , For Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE CO TOTAL FEE $ GO'.not NA2 p FEES IMP FLOOD CDF PARCEL Po HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have - I By �t / ,' •. • r1 PERMIT EXPIRES ON r' the applicable provisions Resolutions to do work been paid. Date F I 1 ate Receipt No. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �4- ��+et%iC�'ire`�1n.i�-�y+:•ty�r'ity�4'�"a^.�a+.��r-4.�+t.::-�-.ts- �.w-^L--' 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 OWNER PERMIT NO. A routine insrection indicates that the following violations of butte county Ordinances exist at the above addrees and should be corrected. Please notice this office when correction of work is completed. I you have any questions pertaining to this matter, or need additional explanation, p�leasecornt-this office immediately. Date %D/i��7 Inspector-�` REV 10/92 COUNTY OP BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7; County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 � �/�'I (Rev. 12/96) < ®� APPLICATION AND PERMIT /!�& ASSESSOR PARCEL NUMBER 062-730-018 ZONING BUILDING PERMIT OWNER SABIN RALPH 752-8112 TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS PO BOX 214 'BERRY CREEK CA 95916 CONTRACTOR'S NAME OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAULING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS EMMIF TANE BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE TAG ELECTRIC FOR WELL AND LOT DEV Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 800VOR LF: Main Service 2o.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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.FOWER License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P l ry P Law for the following reason: SIS 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. OW pyING OCCUP. SO OR ADONS. ( 8 ACC. S.3.5QFT. NOµpeSID, MULTI -OUTLET @7,50 APPARATUS 8 SINGLE OUTLET CAR. Ex. Occup. OUTLET OR FIXTURES B20 @ I. 0 Ex. Occup. FlXEDAPPLNs. OR OMED RESID. en 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE—INSPECTION 23.00 PERMIT FEE s 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ¢� I certify that in the performance of the work for which this permit is issued, I shall / not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo w'th omply ith ose provisions. X Date ✓/ 6� Sig ature of Appl an - ❑Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D. FEES I IMP I FLOOD COF PARCEL PD HO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been y Date EXPIRES ON provisions to do work paid. MCI Receipt No. SW sPERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Lite) 70717: \ • ,r ` .��'j/S }:I ♦. ♦ .. ..h.� \ Y rhe. n - Y+.� Y. , Z 77, 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: - ' / ASSESSOR PARCEL NU R oe / -0 Y l Proposed Building Us Counter Technician: 0a Date: / -3 - Items required in order to apply for a pefrinit. All boxes MUST be checked OR marked NA i order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or.fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations 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 be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... O 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... O 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) . ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 17. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 18. Sanitation and site plan approval from the Environmental Health Department in ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Feoctrimon ..........6�18m, .............................................................. tPorDept................. .....�24. Encroachment Prequired................25. Pre-Insp ❑ 26.,Xontractor's license information. (N tuber, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ Via. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... - ❑ 3"0. Recorded copy of Agricultural Acknowledgment Statement .................................... J ❑ 31. Manufactured home utility clearance............................................................... 0'32. Existing viola tie s and/or expired permits ................... :...................... *........ ❑ ,3j. L7'FTgnt DeedC ] M.H�'tle taterrAnt4 FactX4 tLARq�rAm/Legat Qker„heck to H.C.D. $ one for pickup. I have been informed of theabove i ems and requirements for obtaining a building permit Applicant: / �Z�/ \ Date: Z� / 1. Index permit application Tor the above item 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 above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 'R A OWNER: LOCATION: CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOF DATE:_ -7rlrJJ A.P� BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units: Cun-ently Occupied AbandonedNacant Electric: Gas: Yes No Electric currently OA Off Condition of Electric ' Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water' Obvious SewageProbleiris ACTION RECOMMENDED: ISSUE: Inspector. S� /, MOLD FORAw�� � ! L Date /f Sketch buildings on reverse and indicate location on property. E - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION County Center Drive • Oroville, California 95965 • Telephone (530) 536-7541 PERMIT NC (/' :ev., APPLICATIONAND PERMIT 1LSSESSORPAACCi KJYBaA ' ZON1N° BUILDINGPERMIT SR. FT. OCC. BUILDING VALUATION s LONrRA TELEPHONE COMAACTORS MAL/NO ADDRESS CONSTRUCTION LENDER Fireplace LENDEitS wuUNc AaDREtS Total valuation S aRCHITE= OR EHMMM LICENSE N0. Firing Fes S 2D.00 Permit Fee S ARamECT'DR ENOPIEERL OM6JNG ADDRESS Plan Chocking Fee 5 suL zmr ADDREss Energy Plan Checking Fee 5 S PERMIT FEE t LOT NO. SULIrnv6IONs NAP PLUMBING PERMIT Fang Fee 20.00 Each Trap USEOFSTRUCTUid SF ❑ Duplex ❑ Nfob0ohorne ❑- Other 6' Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.D0 TYPE OF WORK New ❑ AddTTion ❑ Re d ❑ ❑ ln.Unatian ❑ Aor _ Descri a Work: . ^ / tK26 Slk > Smy.e -PP O 4,hc,w- ftvw4 A� �� at�� V�l t4tk ' h Gas piping syttom, 1 - 5 outlets 15.00 Bulfing sewer 15.0D Mobile Home I S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT IRlingFee 20.00 Main Service on oR L 23.OD / Main Servioe toot so M"46.00 NEW CONST: OWELLING1 DCCL/P, 3.5cm. OR ADM= L ACL. 8=. weaRsmu' NULrwLmET @7.5D POWER AP'PAR0.71JS i l;Mt7IF O fOR 20 oMET OR Fwnmm 1.00Ex. Oceu aa_ °R Ex. Occup. E& s.00 � Temporary Service 23.00 Moble Home FsAlities 20.00 ftring23.00 ' PER IT FEE t MECHANICAL PERMIT Ing ee 20.00 Heating Cooling Hood 6.50 Ventila5on PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee S. . �" CO'�� TOTAL FEE S NA -Z- D. FEES LMP FLOOD COF CEL FD 6suE This permitis hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fans have been paid. By Date PERMIT EXPIRES ON r ,..r.-.�a-`-.:r0'.v.w"ye>f4.i�r"''tiiAni4�+-r.L..?"f.-1Y}!"i++R7R�?"""`�y-•-'•r"�."1Y1e�-x•r+riS9+'YJAtr.A'!v`-'^Ar;,..(�y�''1-.�'�'i`1^+ '�.�*"f'ry COUN1Y OF BUTTE BUILDrNG DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive- Oroville, CA - (530) 538-7541 I r! CORRECTION NOTICE t OWNER PERMIT NO. A routine inspection indicates that the folowing violations of butte county Ordinances exist at the above address and should be correcte.. Please notice this office when correction of work is completed. If you have any questions (pertaining to this matter, or need additional explanation, please contact this office immediately. 4 Imo,► -t ;ter -'S J y M.. . •Faf w1 I ti .li f f �Y .N ,. Dat � Inspector REV 10/92 O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. GI personally plan to provide the ajor labor and materials for construction of the proposed ('�property im rovement : YES NO ❑ I HAVE HAVE NOT ❑ signed an application for a building �/ PP g permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: DRESS: CITY: HONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: AD SS: CITY: PHO CONTRACTOR'S LICENSE NO. 5. I '11 provide some of the work but I have contracted (hired) the following persons to provide th work indicated: N ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER- ,XX (e - DATE: �` ` d NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER .. O.B.- I I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of 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 $300 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 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 with respect to worker's compensation insurance. ♦ For more specific 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 State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. qrely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 0 ' r RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: HENRY T. RUNGE, JR., TRUSTEE P.O. BOX 2042 OROVILLE, CA 95965 ORO -C 9-A 11. 2002---GD0E,0263 Recorded Official Records CoBUT -Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 08 -Nov -2002 I. REC FEE 7.00 I TAX 15.40 I 1 I Shauna I Page 1 of 1 Above This Line for Recorder's Use Only A.P.N.: 062-730-018 Order No.: 202347A AM Escrow No. : 202347MAM GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $15.40 X ] computed on full value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, BEVERLY A. CAMPBELL, a Widow hereby GRANT(S) to HENRY T. RUNGE, JR., TRUSTEE OF THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST the following described property in the Unincorporated Area of the, County of Butte State of California; PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL:MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF.. CALIFORNIA, ON DECEMBER 31, 1980, IN BOOK,., l( OF , AT PAGE(S) 25. .s BEVERLY A. MKMPBELL Document Date: October 8. 2002 STATE OF CALIFORN}j�(1� /I )SS COUNTY OF e;t M m On '011 1002-- before me y�,(,( i. • �, a '{_/r Q�t�-(�.� personally app_ —_ _ _ _ 74 IA A. personally known to me (or proved to ine on the basis Rsatisfactory evidenc&) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in histber/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted. executed the instrument. WITNESS my hand and official seal. . 2I KAY L. WHITE It i COMM. 1113053.43 cc NOTARY PUBUC-CALIFORNIA eco CONTRA COSTA COUNTY r My Comm. Exp. May 21,2005 This are f o KAY L WHITE W C0..i'e,.:#f305343 NOTARY aUBLIC•CAUFORMA ,w CONTR:a COSTA COUNTY r R -v Comm. Up. May 21.2005 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below -