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RESIDENTIAL
065-020-022 PERMIT#95-1297
DAVIDSON, George
15728 Coutolenc Rd., Magalia
Cont: Chico Mobile Home
Ex MH on Perm Fnd �7- Z- yt '
C��oe's 73�t�
JOB FINALED (Date) —
Signature
J=OK "
O = Not OK
Not ApplReadyabl, MOBILE HOMES
' =Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easemenq
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBI&E HOME INSTALLATION (Plans) OK except #'s
lelzo_ning Requirements -Setbacks Easements
6. F tings; Size -Spacing -Marriage Line
s`, MH Test -Demand -Valve -Connector
ricity; MH Test-Cross6vers- Brea kers-Clearances
5. Dr iw,,`MH Test -Fall -Flex Connector
10-SaW-;MH Test -Regulator -Connector
of and Sewer Connected -C/O to Grade -HD Approval
48'�nd Electricity Tagged
. Ex''Insp.-Sketch
db -<cert. of Occupancy
Dat 0, Card B -W Date Card B-1
DaCard B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card 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, Distances-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 -Panel boards -Ins. to Main in Conduit
_
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
' =- �
Date UNDERFLOOR (Plans) OK except #t's Date FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth -----------
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders--Sills-Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ft's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
- ----------------------
17. Water Pipe; Test & Anchor -Nail protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
------------------------ ------------------
19. Shower Pan; Test, First Floor -Tub Access
------------------- ----------------------------
20.--Test-Tub & Shower. -- Second Floor -Tub Access
------------------------------ ------------------
21. Gas Pipe: Size & Anchors
----------------------------- ---------- ------- ------------------------
DateCard B_1 -- Date - Card B-1
- - - -
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except j's
22. Fixture & Transfor ;ter Clearance -ins. Protection
----------------------- ------------------------------------•---------
- - 23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
---------------------------------------------------------------
26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
----- - -------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
-------------------------------------------------------
28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size i ! ga.
Cu or AI
29. Range Circ. r r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
- - - ---------------------------------------
-- --- 30. Service -Riser Conductors & Ground -Main Disconnect
-_____ - -------------------------------.............
31. Equip Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light_Shower Light -Spa Light
----- -
33. Smoke Detector
--------------- ------------------------------------------------- ---------------
Date Card B-1 Date Card B-1
----------------- --------------------------------------------------...----------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
34. A.C. Ducts Insulation & Support
-------------- --------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
------------------------------------------------------------
36. Condensate Drain & Overflow: Size & Grade
------------------------------------ ------ .............
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
----------- ----- - ---- ----------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
------------------------------------------------------------------------------------
------------------------- ------------------------------------------------- ---
Date Card B-1 Date Card B-1
------------------------------------------------------------------- --------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. Proper Material & Anchors
------- ------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
-
--------------------------------------------------------------- --
41' Bearing Walls over Girders & Floor Nailing
-------------------------------------------- ------------
42. Draft Stop in Walls (rat proof)
---------------------------------------------------------------
---- ---------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub- ---- --- ------ ---- -- -----------------------------------------
44. Headers & Beam -Size & Bearing
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
--50.-Garage Fire Protection Framing
_ 51. Property Line Firewall & Openings
_ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
----------- --55.-- Siding -Nailing Veneer
--------
----------------
56. -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
---- ---
57. Glazing Area -Glass Protection -Skylights -Plastic
_ -------- _ 58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. 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
61. Ext. Steps -Door & Sidelight Protection -Landings
--- -------------------------
62. Smoke Detector
---------------------------- -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
--------------
.65.--G.-F.1'& Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
----------------------------------
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
-
69. Elec. Outlets at Wood Panel: Int. & Ext.
----------------------------- --- ---
70. Kit Fixt_& Appliance_Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
--------- - - ------
72. Garage Fire Door: Swing -Landing -Closer
---------------------------------
-- ---------------- -
73.-.A.C.-Duct in Garage -Damper
- - -
74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
-------------------------------------------- -
75. Plb.. Elec. & Mech._Equip. Listed for Location
-----------------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
•--------------- ----------------------------
7;. Insulation -Foam -Looked in Attic C1 Yes
------------------------------------------ --
78. Guard Rails & Deck -Const ruct ion- Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor11Yes
.._....--------- - ---------------- -
-
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco: Brown -Finish
82. A.C. Unit: Disconnect. Electrical, Plumbing
- - - -- - -- -------------- ----- ---- ___
-------
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
------------ - -
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
86. Ventilation Throughout House
.. - . . -- --------- ---------------------------
87. Glass Protection
------------------------
-----------------------
88. Corrections from Previous Inspections
- - -------- --------------------------------------------
89. Gas Test -Meters Tagged: Gas -Electric
----------- ---------------------------- --- -------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
-------- --------------------------------------
91. Energy Compliance Certificate -Other Certificates
------•-----------------------
Date Card B-1
-Date- -Card-B-1
--
- ---- -- ---------- Card -6-1--1
Date Card B-1
Comments at Final:
Date Card B-1
Date Card B-1
Date Card B-1
O
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
' APPLICATION ANDPERMIT 95 -
ASSESSOR PARCEL NUMBER
ASSESSOR
065-020-022
ZONING "
TM5• "
I BUILDING PERMIT
OWNER
TELEPHONE
SQ, F7, OCC. BUILDING VALUATION
77,760
N"Mmm; MAGALIA 95954
RD'
CONTRACTOR'S NAME 19728 L
TELEPHONE
895-1774
RACTORS MAILING ADDRESS
1?Q BOX 4191, CHICO 95997
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee 540.50 $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 23.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS 15728 COUTOLENC RD MAGALIA
PERMITFEE $ 313.25
PLUMBINGPERMIT Fling Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ff Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: i
ON
Mobile Home I S I G W 1 @20.00
PERMITFEE $ 35.00
Contractor
PERMIT Filing Fee 20:00
IELECTRICAL
Main Service E00v OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
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. 77
License Class Lic. No. �'}! ��Q J
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
NEW CONST. DWELLING OCCUP.\ SO.
OR ADDNS. ( a ACC. BUDS. ) 3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR F09URES) 20 @ 1.00
BAL so
Ex. OCCup. ( OUTLETS (RESID.) EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 23.00
PERMITFEE $ 43.00
Contractor
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 Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $ ,
Contractor
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
with comply with those pr isions.
X Date b �y '
Sig ature of Applicant - ❑ Owner Contractor ❑ Agent
A OSH permit is required for excavations over 5'0" deep and demolition or construction
stru ures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 391.25
HAZ.
I D. FEES
I IMP I FLOOD
I CDF PARCEL PD I HD
I ISSUE
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.
Date
Byell Z
PERMITEXPIRESON
(Date
Receipt 0.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
si?�.tF'iv7�4�'if/'t'YriY�1�T�""N`ii�'�+��1''1'"_!.��_ -..,, ._. �t,y Rr^i.�a�{"���1��1'�'ii`t3'-;�1'�'�i.�:�.+'Y�r�.�ii�a •�t�'n'Y"!k'"r•f�t"5'Ys2�� �:"1-.��.3•.,4'
COUNTYOF BUTTE - DEPARTMENTOF DEVEL(?ZMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE-,ORgYk ' ' ; CALIFORA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA1SHEET
OWNER G 50 6,6 'P611,0S '-j . b _ !" A. P. No. 6
Proposed Building Use 0t
ngrnspector Date ��—
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1• All items have been submitted . ....................................... .
lot plans, 3/4 sets, signed by preparer of plans. ......................... .
3.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . ......:..... .
5.
Hazardous Material Form. ...... .......
6.
Energy Design Compliance and supporting documentation. .......... c .......
7.
Statement of Intent for Non -Heated and A/C Buildings . ..................... .
8.
Engineered truss details and layout in`duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $.........................................
11.
Impact fees as shown on attached schedule. ..............:...............
12.
California Department of Forestry plan approval/fees. ....................... .
13.
Flood elevation letter (100 year flood) by California Engineer ...................
14.
Sanitation and plot plan approval; Health Department . .............
15.
City of Chico plumbing permit . .........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
18.
Planning approval for (A); Use: . , c ; (B) Parking:
Contact Land Development af5out `(A),ImptovTm�nts (B) Drainage. .......... .
19.,
Driveway permitr(anstructio'n aprovahrequi(ed pfior to occupancy). . .
20.1
Pre -inspection fort C 4 �' t to Building Ins reque sF-
p required. .. co e���d��9 inspector � cDate)
Contractor's license information. (No., Name Style, Classification) . .............. 1
22.
Certificate of Workmans Compensation Insurance . ......................... '
23.
Owner -Builder Verification (Given to owner , Mail to owner ............
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27.
Letter of intent on building use . ........................................ .
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ..................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
PI n pheck list. .... . j�
When you issuedhe permit, proceas follows: Mail to oyvner. Mail to contractor.
�elephone and hold for pickup at G ff� G C9 office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant
Date 6
, Copy of Haz-Mat form sent Health Dept. Fire Dept. —7r -Ai Pollution Date
*".Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Countor by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail ou ter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet 'AP folder
Copy - Department of Public Works
_ ., .
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
NAME BUILDING DIVISION
STREET 7 COUNTY CENTER DRIVE
ADDRESS OROVILLE CA 95965
CITY,
STATE
and ZIP
95-021258 .1 95-021258 195-021258
95-0212581' Rec Fee .00
I Total .00
Recorded I
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder I
9:35am 28 -Jun -95 1 COMS XX 1
- - - ..... , - -
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.
.GEORGE M. AND MILDRED DAVIDSON BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR
15728 COUTOLENC ROAD
MAILING ADDRESS
MAGALIA, BUTTE, CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (If also property owner, write "SAME'l
MAILING ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY . STATE ZIP
95-1297 (916) 538-7541
UIL NO TELEPHONE NUMBER
6/27/95
SIGNAYJRE OF LOCAL AGENCY OFFICIAL DATE
ONE
DEALER NAME (If not a dealer sale, write "NONE'l
DEALER LICENSE NO.
KOFFMAND BROAD 1979 SAHARA
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
SNA/SNB 812435 60'X24' 085731/085732
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #065-02-0-022
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
DESCRIBED AS FOLLOWS: LOT 10 AND A PORTION OF LOT 11 AS SHOWN ON THAT SUBDIVISION
MAP ENTITLED FRIENDLY FOREST SUBDIVISION, RECORDED IN BOOK 35 OF MAPS AT PAGES 11
AND 12.
Q�MENT OF y0G
C��✓Nm nE���O
HCD FORM 433(A) Rev. 8/91
WHITE—County Recorder CANARY—HCO PINK—Applicant GOLOENROO—Building Dept.
BUILDING PERMIT NUMBER: 95-1297
Address or location of unit: 15728 COUTOLENC ROAD, MAGALIA
Legal Description of Real Property: A.P. #065-02-0-022
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 10 AND A PORTION OF LOT 11
AS SHOWN ON THAT SUBDIVISION MAP ENTITLED FRIENDLY FOREST SUBDIVISION,
RECORDED IN BOOK 35 OF MAPS AT PAGES 11 AND 12.
[X]Mobilehome/Manufactured Home
[ ]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: GEORGE M AND MILDRED DAVIDSON
Owner's address: 15728 COUTOLENC ROAD, MAGALIA CA 95954
INSIGNIA OF HUD NUMBER: 085731/085732
SERIAL NUMBER OR V.I.N. SNA/SNB 812435
MANUFACTURER'S NAME: KOFFMAND BROAD YE 1979
OFFICIAL APPROVING INSTALLATION: t
DATE: 6/26/95 PHONE: (916) 538-7541
H.C.D. 513C
JUIV-VJy-lyyb 14. az)
:jib c<<1 4bl( I .ui/ul
STATE OF CALIFORNIA
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
TITLE SEARCH -'REQUESTED ON 06-09-9S AT 13:46 BY CDRED01
DECAL: AAK1729 MANUF:, SAHARA KOFFMAND BROAD TRADENAM: SAHARA
MODEL: SAHARA MANUFACTURED ON:.UNXNOWN FIRST SOLD ON: 04 -OS -79
RATING YR: 79 ORIGINAL PRICE CLASS: AF3 REG EXPIRATION DATE: 04-30-96
ILT EXEMPTION: NONE USE: MH SNGLE FAMILY TAX TYPE: IN LIEU TAX
SERIAL NUMBER(S) LABEL/INSIGNIA NUMBER(S) LENGTH WIDTH
SNA812435 '085731 768 144
SNB812435 085732 768 144
RECORD COND: 46 PPF EXEMPT -MUST REAPPLY FOR STATUS IF R/O CHANGE
REGISTERED OWNER: DAVIDSON GEORGE MERRILL/ LAST REGCARD: 05-05-95
MILDRED MAY TENCOM
15728 COUTOLENE RD
MAGALIA CA 9S954-9794
LOCATION ADDRESS:' 15728 COUTOLENE RD LAST TITLE: 03-12-84
MAGALIA CA 95954-9794
BUTTE COUNTY
LAST ILT FEE PAID: $ 75.00 ON: 03-31-95
***** END OF TITLE SEARCH
TOTAL P.01
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Maga.Ua Calif, 95954 Y REcukr f. k
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