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 -