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HomeMy WebLinkAbout063-050-004\ " TED HIXSON - - --- -- ` 300' NE side of Tippi Toe Lane on curve, p. 750' E/of•Hwy 32, � Forest R ch Permit #203 76P,;(util.,MH) 4 ELEC .3 2 li n l t �GAS CUPPOR '4POR ,'R OMPACTION TEST REQ. 0' 63- 9. 5,--,4 - contr: S.O.S--Mob l- omeServ., Paradise ° Permit #1823-76 / Issued =� �Q— ;(6 63-05-4 CONTR: Nathstate-^Aliulginum, C " Permit #2070-76B(new awning/ 0 0 0 PERMIT NO. 2070-76B PERMIT EXPIRES OWNER Ted Himpn 'CONTR. _ Northstate Aluminum, ChCo LOCATION (A.P. 63-05-4 ) 300' NE/8 of Tippi Toe Ln.,on curve,app.,750' E. of Hwy 32, Fordst Ranch Y 1 9 'C Temp. Power Pole Called P E Temp. EI . Serv. Cal d PG&E Tem Gas Serv. Called PG&E OB. FINALED (Date (Signature) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS I " BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Flrewall r2nd in Forms Parapets 1st r Main Bldg. Restroom Finish loor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents- Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping Test Temp. Ga Slab Final Sanitat n Rolle- d! FIREPLACE Fina Footings ---7 Footing , EL Masonry Wal Throat Rou Relnf. Steel Final FIY f11.fIR stucco Final Su Mesh MECHANICAL Gr Scratch Heatlni Se Brown Cooling Finish Ducts Interior Lath.4 Ventilation Door Close Final fl DATE i REMARK CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE—..L)EP6\v`IOF PUBLIC WORKS 7 County Center Drive — Oroviii�, California 95965 Telephone: 534-4541 � / APPLICATION AND PERMIT authorze repreSeIIIatives UI the uuuniy of Butte to enter upon the above-mentioned property for inspection purposes. Date Sigrl of Permitee or % Agent y] Receipt N / / �i ? 2, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR OF U LIC WORKS �^ BY Date. Building permit expires Date S' BUILDING ' i Owner SQ. FT. OCC. BUJ,�.DINGAJALUATION Mailing Address 3`J�� �. Telephone No. Fireplace Contractor � Total Valuation Mailing Address`G ©7 Permit Fee Plan Checking Fee &/or Penalty I • T le hon e No. _1Q f/ Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.5 Repair drainage or vent piping 1.50 Water piping 1.50 hG° �i,4rva Each gas water heate vent 1.50 A. P. NO. Zoning &Planning Gas piping Sys 1 - 5 outlets 1.50 Eac ddi naI outlet .30 Fes W.0 S�jri t' FireDept. FireZone Use Permit ' B g sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improv prove ents Lawn sprinkler system 2.00 Bldg. P ans Recd rParcel Approval Plans Approval Permit Fee $ NEW'R ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00' a .� Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (moret n 12) Range, Cook -top or Ove 1.00 Water Heater or Sp Heater 1.00 Light fixtures p25 al dio Receps., sw• ches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of ��� Hood, E . Fan or F.A. Furn. Motor 1.00 Eva p cooler,gar. disp. orD.W. 1.00 4Lor heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License Nosn.1'Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ _,-FEEPERMIT FILING FEE Heating Cooling Ventilation Hood 2.00 Perm' Fee $ $• I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE / I $ 71 ! 11 authorze repreSeIIIatives UI the uuuniy of Butte to enter upon the above-mentioned property for inspection purposes. Date Sigrl of Permitee or % Agent y] Receipt N / / �i ? 2, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR OF U LIC WORKS �^ BY Date. Building permit expires Date S' AWN wF shall from the , Setback mead 50 f . from ,de roperty line ermitting �0 s� P the road, P c cent umnof of 2 f�, eave overhar a r�aaxlm .1 . „1-6 %r i G: ! c f 1 4rs-r :d ry This set of plans aadrN "WM611s MUST be C°Ar kept on the job at aA times and it is unlawful to make any chnnges or alterations on some without written permission from the Department of Public Wbrks, County of Butte. 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L; ) 0 q i : O y d O P �P s� a F 9 � {fir � � t � i�., �.r• � p f •, � j r,� � G P 9 A � 1➢ 7 IY,n P 1 �,r 3 %� •1 P p O S jC _'9 S i m i n o j, P P 0^ u' d r w i t 1 P n 0 P r E. °iy LQrP➢ P�� o Q. + •✓ q,n� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5 under permit numbers/E2 3-71 on for the following locati_fin rs _._ Tn :Ji C Z41 o A/ C'ulzOF- �nf� 7 Se) o F rc+ Owner lxs, ,Owner's Address �Mobilehome Mfg. �%f/� �=,/� Model Year 7-0- Insignia No. 3 k Z 9�/ X39 Serial No.31E; U It is hereby certified for occupancy at the above described location and may be occupied. 1 Director of Public Works Date F Z '_ B THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED u PERMIT-9 203-76P,E 0243 P E M iu1H UTIL. PERMIT NO. t PERMIT.EXPIRES OWNER Ted Hixson CONTR. owner OCATION (A.P. 63-05-4 300' NE side of Tippi Toe Lane, on curve, app. 750' E. of Hwy XW 32, Forest Ranch Temp. Power Pole Called PG&E Tem/Elec.CTemC OB FINALED • (Date) - (Signature) 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD bond Beam FIRE SPRINKLERS Motors Framing BUILDING BUILDING (Cont'd) Stucco PLUMBING Setback Firewall Soil Piping Grd. Fault Prot.�� Forms Parapetg. 1st Floor Brown Main Idg. Restroon"nRish 2nd Floor Ducts Foot gs Windows 3rd Floor Permanent StemwII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physica handicapped Heaters Appliances Carport Footings Conformanc of ex. structure / Gas Piping & Test Temp. Gas — Slab v Final o SCO — Sanitation Patio A FIREPLACE Final -- Z-0 — Footings Footing ELE TRICA Masonry Walls Throat Roucih "— Reinf. Steel Final_ Fixtures -- bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. *--•—�=— Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot.�� Scratch Heating Service 5, Brown Cooling Temp. Pole Finish Ducts Under round — Interior La(h Ventilation ¢ Permanent Door Closer Final Final Q— Zse% --% DATE REMARKS OR CORRECTIONS zo 1 TO Building -Department Fi - Environmenttz-1 :Heal uia RE:,'Sewage ana/or :'rater Clearance 11CP1 !I _ .Has been approved fcT SE:` GE. DISFOScr1L — 1,71. TER SUPri.Y i44 Sanitarian Da i MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. f Is the mobilehome located wit equired. separation from lot lines and buildings and generally conform to.plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ --No 3. Are footings and supports 'properly sized, spaced, and braced as per a roved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesC-Pdo_ 4. Is the mobilehome level? (Sec. 5088) Yes [moo 5. I.f more n a single unit, are crossover connections properlyllinstalled? (Sec. 5088) Yes o 6. Water A. Is fle e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes N C. BackfWes - I oach is not State of California approved, does station have backflow device and p -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesL— No B. Does it have minimum 4" per foot slope and is it properly supported? Yes No C. Are any leaks.detected in drainage.system after running 3 -gal s of water through each fixture including washing machine standpipe? Yes No D. If coach s tate of California approved, does station have required trap and vent? Yes 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an 'approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line 'inlet without reductions other.than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ o 1. Open all appliance connector valves. 2. Shut off a lance burner and pilot valves. 3. est with manometer to 10"-14" water column, or test'with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. &e �hects meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes4l No' 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal ratin& of mobilehome with.a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes Lo "� �.-� �����'�� itVO wig / �. �f B.* Is there proper clearances around panels? Yes c No ,4., C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity t st satisfactory as per the following procedure? Yes_�No 1. De-energi electrical wiring system of the mobilehome at the pedestal. i 2, e sure th 'the power supply cord or feeder assembly conductors, including neutral conducto , have been disconnected, + .i 3. S ch all reakers and switches in the mobilehome to the "on" position. 4. on ct one lead of a test.instrument to the mobilehome grounding conductor and ,d ply the other lead to each ra.obilehome supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? ti 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or NamestyleZwx/C,C Length ® Width Vehicle Serial No. % �' V �. ( 7 State Identification No. " 93 ee—b q y 5 !___ Additional.Informati.on or Comments: COUNTY OF BUTTE - PEPARTMENT OF PUBLIC WORKS` 7 County Center DriVe — UroviIle, California 95965 D Telephone: 534-4541 APPLICATION AND PERMIT author ze rep esehues tavof the County of Butte to enter upon the xabove-mentioned property for inspection purposes. Date Signature of Per ee o Ag nt Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS BY Date 76 ilding permit expires Date /-7-/- ?7 BUILDING Owner O 41 SQ. FT. OCC. BUILDING VALUATION Mailing Address Q �S Telephone No. Fireplace Contractor �� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address S' /� �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q f /r CJ elle�, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ®otJ Each gas water heater or vent 1.50 S �y A. P. No. — CJ l� i ping Gas piping system 1 - 5 outlets 1.50 Qty Each additional outlet .30 Fees W. S n Fire Dept.Fire Zone Use Permit Building sewer 5.00 e (� EQA Park ng Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 g. Plans Recd Parcel proval p PlanTApproval Permit Fee .©V $ NEW ❑ ADDITION ❑ UTILITIES 2< OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Ind Main service 10001 OR LE 0 AMP ORLESS5.00 Main service .Gdti ADD'L 100 AMP 2.50 Q Single Family Du lex Mobil Home Others 9 Y ❑ Duplex.[:] � ❑ Main service OVER 600V 25.00 10o AMP OR Main service EA. ADD'L 100 AMP 1.00 0 AM NEW OCCUP, &\ 22Sgft OR ADDNST ( DWEACCLBLDGS. / NEW CONSTR MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR (POW NON -RESER APPARATUS & ID, SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@L�.' BAL@1 Ex. Occu FIXED APPLNS. OR P•(DUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 SGL ! o o I am exempt from the Contractors License Laws of the State of California. Permit Fee t'S WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner S6,as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE G author ze rep esehues tavof the County of Butte to enter upon the xabove-mentioned property for inspection purposes. Date Signature of Per ee o Ag nt Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS BY Date 76 ilding permit expires Date /-7-/- ?7 COUNTY OF BUTTE — DEE-PAR"TIVIENT OF PUBLIC WORKS 7 County Center Drive — Orovj Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .+ I.+r I�.a vn auu vco VI 111. VVU11 ly VI oullc N UMV1 UPUll 1110 above-mentioned property for inspection purposes. Xk Date Signature of/Permitee or Agent ` Receipt No. + 741 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS BY Date "� 7 uilding permit expires Date ?^'' 7 % BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address, Telephone No -73 Fireplace Contractor 5 ,p 5EQQ ` Total Valuation Mailing 6 ♦� � Permit Fee Plan Checking Fee&/or Penalty nnAddress CC C to q 11- o.—� J Permit Fee is Building Address "?�00�&I IF—FPLUMBING No. @ FEE PERMIT FILING FEE $3.00 F P 1 7b E L -N r: Each Trap 1.50 S"OI er) W Repair drainage or vent piping 1.50 Water piping 1.50 ,^ 1 IZA AJC %'1 Each gas water heater or vent 1.50 A. P. 04 Zoning $ Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es C. SaAi4a4ier Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. ans Recd Parcel Ajal Plans royal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [a ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C .L- Q I- * -%k, Main service incl. 1 meter Additional meters, each 1.00 - Single Family ❑ Duplex ❑ Mobil Home ®. Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures Receps., switches & fix outlets20 P 25 Em CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: / v Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. �®� b �'J' Classification G° — Misc. wiring J❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �1 certify that in the performance of the work for which this ermit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby OLd�.� TOTAL PERMIT FEE $ sola .+ I.+r I�.a vn auu vco VI 111. VVU11 ly VI oullc N UMV1 UPUll 1110 above-mentioned property for inspection purposes. Xk Date Signature of/Permitee or Agent ` Receipt No. + 741 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS BY Date "� 7 uilding permit expires Date ?^'' 7 % MOBILEHOME SUPPORT DATA Mobilehome Mfr. �. }} [/1 c e4 Setup Model No. Year I Width �" (ft.) Length .'k1,7 (ft.)Expando Size ft.x ft. (Draw support details below) . On all mobilehome_s manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets :(if. not .on file with the County of Butte) . Single —ts Footings--(check.one; 1. Wood:either pressure treated or Center Center Support fdn.'-grade.:: Support Footing Sizes Locations (in.) .:Concrete pad. x / / S.--Other,---specify in. in. in Supports (check one; .. I in.)(in.) 1. Concrete block 2. Concrete piers 3. Steel piers Other, specify 0n) Typical SupportFooting Size .. ... .. ... ._.. ..... . (in.) (i.n.) •� ft:(in.)� _. 4-. L *If center piers are other than drawn above, draw in locations, spacing, and 'dimensions. 4.1 Max. Pier Spacing an. � •� y -- — � � Max. 4�Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARnIMNT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name::S• • /�//O bi/11 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number 3 ) OR Is the site an existing site? Yes / / No T (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5t. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) 5. What is the mobilehome electrical rating? ------------------------ 49(�7-> Amps 6. What is the mobilehome site service rating? --------------------- ._ Amps 7. What is the mobilehome site circuit breaker. rating? -------------- Amps 8. Is there any other electric load o be served by the mobil.ebome siteservice?--------------------•---------------------//---------- Yes % No (If yes, identify the load and size: / f.�(d) (Amps) 9. What is the mobilehome site gas pipe size? --------- ---__- (in;)� 10. What is the type of gas service? ------------------------------- Natura LPG 11. What is the gas pipe length from re=:er or tank to the mob-ilehome. _ ?� (ft.) I12. :What is the mobilehome gas demand.? ------------------------._--__ _ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on 'LPG.) Ml UTILo CSD m-- DIF, SUPPORT 1 Ct AC�gON STR1.0 o I TEST FiEQ o � NO. A o P e NO. . � ELEC. OAS YES 9 N0 1 IVES No '1 S A n' t , w Mid Valley Title & Escrow Company _E 4. 77, P.O. Box 3039 P.O. Box 983 P.O. Box 1088. 183 E. Sixth Street 6139 Center Street 1751 Oro Dam Blvd. -Chico, California 95926 Paradise, California 95959 Oroville, California 95965 r� Phone 342-8323 Phone 877-4471 Phone 533-6680 JACK D. BROWN Vice -President and Office Manager All policies of title insurance issued by WARREN BUTTON First American Title Insurance Company Paradise Branch Manager DON A. DRANELINDA Supervising Escrow Officer FORREST B. YOUNG LaVOYE Oroville Branch Manager President and County Manager PRELIMINARY REPORT ORDER NO. BU 35721 LP Shelton Realty 2344 Esplanade Chico, Ca (2) cc: Chalet Realty, Paradise, Ca (2) Calif Land Title Assn Standard Coverage Policy Form Form of Policy Coverage Requested: In response to the above referenced application for a policy of title insurance, this Company hereby reports that it is prepared to issue, or •cause to be issued, .as of the date hereof, a Policy of Title Insurance in the form specified above, describing the land and the estate or -interest hereinafter set forth, insuring against loss which may be sustained by reason of any defect, lien or encumbrance not shown or referred to as an Exception below or not excluded from coverage pursuant to.the printed .Schedules, Conditions and Stipulations of said policy form. This report (and. any supplements or :amendments thereto). is issued. solely for the. purpose of facilitating the issuance of a policy of title insurance -and no liability is -assumed .hereby. If it is desired that liability be assumed prior to the issuance of a policy of title insurance, a Binder or Commitment should be requested. Subject to a cancellation charge as required by Section 12404 of the Insurance Code and Rule 2, of Department of Insurance Bulletin No. NS -35E. Dated as o>flecember 30, 1975at 7:30 am By ---- --`jam -Title Officer Title of said estate or interest -at the date hereof is vested ' iii: DAVID ALLEN PEIRSON and ELISE ANNIE PEIRSON, husband and wife, as community property The estate or interest in the land hereinafter described or referred to covered by this Report is: A gee and easement At the date hereof exceptions to -coverage in addition to the panted exceptions and exclusions ,contained LR said policy form would be as follows: 1. General and Special Butte County taxes for the fiscal year 1975= 1976, lst installment -$43.94 delinquent. plus penalty; 2nd installment $43.94 delinauent April 10, 1976. Assessed separately. Assmt #55196. AP#063-0570-004-0. Code Area 062-21. 1, (continued) 2. Certificate of Sale No. 8501 to the State of California for delin- quent Butte County taxes for the fiscal year 73-74. Amount necessary to redeem, including penalties, interest & costs $60.60 if paid on or before February 29, 1976, according to the estimate of Butte County Treasurer -Tax Collector's Office. 3. Easement and set back lines as shown on that certain Parcel Map referred to herein. 4. Anon -exclusive easement for road and public utility purposes as reserved,in the Deed to Don N. Choate, et---ux, recorded November 14, 1973, in Book 1874, of Official Records, at page 356.. PURCHASER:Ted L. Hixsm and Majel..Hixson VD:DJM DESCRIPTION: All that certain real property.situate in the County of .Butte, State ,of California, described as .follows: Lot 4, as shown, on that certain Parcel Map of a portion of the .South ..west quarter.. of.Section 5, Township:23 North, Range 3 East,M.D.B. & -M. ,. which Parcel Map was filed in the . office of the Recorder of the -County of Butte; State of California, January 31, 1972, in Book 40 of ..Parcel Maps,' at -page 97. -TOGETHER WITH a non -exclusive -easement for road and public utility pur- poses over a 50.O foot radius cul-de-sac and a 60.0 foot strip of land, said 60.0 foot strip.of land.lying 30.0 feet on each side of the North- westerly boundary of Lot 3, as shown on said Parcel Map, and the North- erly corner of said.Lot 3 also being the center point of said 50.0 foot .radius cul-de-sac. ALSO TOGETHER WITH an easement for .road and public utility purposes over that certain 60.0 foot road,.as shown on said Parcel Map. Co, N, The. Setback shall be 5 ft. from the side property -line and 50 ft. from the centerline of the road, permitti;ir... a maximum of az ft. eave overhdn7 ;! ,..e , ' _ permit will be cequireii fog; I�ie '' ilskalicifion of, the rnobilehorneo l e F j � r X3,0 �G Sept7c sYste due M and location G, - Z �`'• 8=1.5 9virementa my Health pP as ,Pt. Per IN .4 1 ' All t•I• W 'ty connections located within 4 ft, shoe third. se; do , outside the V.~�e on the left (road tre mobile hom`� home• side of the mobile 0t 0 BUTTE COUNTY BUILDING DEPARTMENT CoA0 APPROVED 0 too,;. To NOTE:—All Mrteriols & Workmanship Shall B, Accorde mce witli RP.^n anizerl Good practices of a qur$tw rre,c-;1,n-i, for sloe S?)ecif;ed use in Uniform Builslinn,1„n & Machhh ral Codes the National Electrical Code. 1 . This set of plans ..�"mans LIST `be kept on the iob at all f1mes and it is ur�tpwful to make any c% rimes or alterryfi,�%ns on samet "out written permission from the Department d Public Works, County of Butte. - lydRrk \