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065-350-035
21 ll. . ` Lewis Crawford �) Z� �(Q 58 Glenwood Dr., Magalia (Lot 58, Fir Haven Sub.) r/ice CONTR: W.A. Poirier,Paradis,, r Permit 2676-75B 0505.21 065-350-035 STOLTEY, BOB & MONA r 14864 GLENwOOD DR., MAGA Cont: SIERRA MOBILE IsM/H PERM FND (EX) ` 05'295 065-350-035 DING INC WpTERHOUSE FUN 14864 GLENW OOD DR, MAGALIA Cont: OWNER RE ROOF, 0 0 70s —_ Cfll �! MLLno IT 2005-00599.97 RECORDING REQUESTED BY: Recorded I REC FEE 10.00 Official Records I County of 1 CON ORMO COPY 1.80 But 1 CMCE J. GRUBBS I County Clerk -Recorder AND WHEN RECORDED MAIL TO: I LV 812:8BPM 03 -Qct -M I Page 1 of 2 BUTTE COUNTY BUILDING DIVISION 1N1IN11oilIII 7 COUNTY CENTER DRIVE f, OROVILLE CA 95965 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. MONA & BOB P STOLTEY REAL PROPERTY OWNER/LESSOR 7 COUNTY CENTER DRIVE MODEL NAMEINUMBER A462042/3 P.O. BOX 581 LENGTH XWIDTH OROVILLE BUTTE CA MAILING ADDRESS CITY COUNTY STATE ZIP MAGALIA BUTTE CA" 95954 CITY COUNTY STATE ZIP 14864 GLENWOOD DR. NONE INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954, CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT.DESCRIPTION UNKNOWN 1971 BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MODEL NAMEINUMBER A462042/3 MAILING ADDRESS LENGTH XWIDTH OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2331 530 538-7541 BUIL G PERMIT N TELEPHONE NUMBER NATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN MANUFACTURER'S NAME 839AM DATE OF MANUFACTURE 48 x 24 MODEL NAMEINUMBER A462042/3 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUM Q65�, - ,0=035'h SEE ATTACHED �' _M6 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. n e 7CC SPL 90-2003 Order No. 34827 P15500 All that certain real property situate in the County of. Butte, State of California, described as follows: Lot 74 shown on that certain Map entitled, "SIERRA DEL, ORO ESTATES iNIT NO. 2", which Map was filed in the office of the Recorder of the County of Butte, State of California, on October 19, 1965 in Book 34 of Maps, at pages 27, 28 and 29. EXCEPTING THEREFROM all of the valuable minerals beneath the sur- face of the said lands, with the right to mine and extract said minerals—it being agreed and understood that in all mining opera- tions the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in the deed from Magalia Mining Company, a corporation to E. D. Storts, et ux, recorded September 4, 1947 in Book 423, of Butte County Official Records, at. page 385. . END OF DOCUMENT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052950 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS 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 Issued Date: 10/27/2005 APN: 065-350-035-000 the Business and Professions Code, and my license is in full force and effect License Class : License Number: Site Address: 14864 GLENWOOD DR MAG Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RE -ROOF ON RAMADA (12 SQ) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to. construct, alter, improve, demolish, or repair any structure, prior Owner: WATERHOUSE FUNDING INC to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commehcing with Section 4120 DOUGLAS BLVD #306-209 7000) of Division 3 of the Business and Professions Code) or that he or GRANITE BAY, CA she is exempt therefrom -and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95748 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 680-4749 chrisrockwell@waterhousefunding.com 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: WATERHOUSE FUNDING INC such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 4120 DOUGLAS BLVD #306-209 year of completion, the owner -builder will have the burden of GRANITE BAY, CA proving that he or she did not build or improve for the purpose of sale.). 95748 ❑ I, as owner of the property, am exclusively' contracting with (530) 680-4749 licensed contractors to construct the project (Sec. 7044, Business chrisrockwell@waterhousefunding.com and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Articlefessions Code Date: lltl��_wner: :,3Mthe WORKERS' COMPENSATION DECLARATION I 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 License #: 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 the Labor Code, for the performance of Architect: ' the work for which this permit is issued. My workers' compensation insurance Engineer: carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. C3I 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: 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. l r t Date: c Applicant " WARNING: Failure to secure workers' compensation coverage is ,o— 2_1 -0 unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions o do work indicate above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1n k A Whicyl I O_L'OJ Name: By: ` Date: PERMIT 21- 0 Address: EXPIRES ON: 10— W (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage• handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application,. that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any officio or or docu of utt ty. I hereby authorize representatives of Butte County to enter upo the abovementioned for inspection property purposes. �� Print Name: r1 • l 7✓�i�Cr NJu /� S gn lure: �� �2 7f0 Date: .'Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 RCD BUTTE COUNTY o " o DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION o O AND SUBMITTAL REQUIREMENTS o .r o 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o� '=�'= o OFFICE #: (530) 538-7541 -- .L A FEE WILL BE REQUIRED AT TIME OF APPLICATION 0041 Website: www.buttecounty.net/dds *-PLEASE PRINT CLEARLY" OWNER INFORMATION CONTRACTOR Last Name) W o. (- Name Firs , G . Address ylaO oµ S -t �` d City State Zip 57 PhoneS3 y 6� _q f y Fax Fax E-mailCh / / L % /1 / r) 6 /'o �I 6.., e.,- octS1 V FM APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Uc. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name LV r7 Address City State Zip Phone Fax E-mail For office use only: Zoning Property Address Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: r��rrrs rr%m C,I I f11111TTAI Mor11IIMann CA1TC PERMIT NO. BP , BIN 9 PROJECT LOCATION AP# D65 - 3 S\ O S S c� Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: I�.Sy r4ac��i (� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has -not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: �,V Amount: Receipt #:W3 G 5 �n _O Bldg SRA Sheriff SMIP 0'r-05 Other Date:1(� Total -e.S 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. 1. I personally plan to provide the m ' r labor and material for construction of this proposed property impro ent: YES [ A NO [ ]. 2. I HAVE [ GVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: , NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: �✓� C'� owSC' roc ���'/yNL DATE _- 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. Rev'd 11/4/2004 Butte County .Department of Development Set -vices ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: C> If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 contractor 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confinn that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, i�Y 2 Zvi Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 1 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 3 -Oct -2005 2005-0059997 Has not been compared with original . BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in` accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MONA & BOB P STOLTEY REAL PROPERTY OWNERILF—SSOR P.O. BOX 581 MAILING ADDRESS . MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 14864 GLENWOOD DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also Property owner, write SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2331 530 538-7541 BUI G PERMIT N . TELEPHONE NUMBER 1, NATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1971 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME(NUMBER 839AJB 48 X 24 A462042/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNiAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-350-035 HCD FORM 433(A) REV. 8/91 '7CC BPL 90-20031 Order No. 34827 P15500 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lot 74 .< shown on that certain Map entitled, "SIERRA DEL ORO ESTATES 'NIT NO. 2", which Map was filed in the office of the Recorder of the County of Butte, State o£ California, on October 19,'1965 in Book 34 of Maps, at pages 27, 28 and 29. EXCEPTING THEREFROM all of the valuable minerals beneath the sur- face of the said lands, wit'n the right to mine and extract said minerals, it being agreed and understood that in all mining opera- tions the surface of said -lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in the deed from Magalia Mining Company, a corporation to E. D. Storts, et ux, recorded September 4, 1947 in Book 423, of Butte County Official Records, at page 385. END OF DOCUMENT F'. 90-2267/12113627 EWLANATION AMOUNT SIERRA MOBILE SERVICE .19341 SIERRA FOUNDATION H169 . LIC NO 470386 466 CIRCLE DR 530-534-0599 OROVILLE, CA 95966 PAY,Q�, AMOUNT i l� /D sa�aah Iamama o � wback. OF DATE TO THE ORDER OF GROSS INC. TAX SOC. SEC. ST. TAX "TTIACXARE NUMBER Ay ^-^--�°---- OF 000 64 DESCRIPTION (�J (� t —' W !""lup US BANK • AUTHORIZED*SIGNATURE . II801934L11' i:1211226?D: L5340140392511' F'. v rtl�yr .ca ' +?.: ?Jf�'{^�ri T .+, ;Z Z �, U'�y3'�•`a#D `'z ' f''i f3 �'zFOUNDr 9TION"SYSTEM ��r a ''�"t�' .r1.,P in T"r. w ! x?d f {fie b' a.4 d C i : 7 ., �r"J w �- 1 to �„ i :t`^:✓ Ff ! PN. t � : - �. -ae feF-I —I { rid � •^ i s CERT4IFI ,*,-X-OFi4OCCU�PANC�Y c11, r �j r ~ 'y„ ' e GY >'� ti r?•,� 7h�.s! � a .� ..� 4.4� if BUILDING PERMITS NUMBER: 05-2331 Address or location of unit: 14864 GLENWOOD DR:, MAGALIA 95954 Legal Description of Real Property: 065-350-035 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach ` Has been affixed to the real property above by installation on it foundation system pursuant to Healtli and Safety Code Section•18551. Owner's name: MONA & BOB P STOLTEY Owner's address: P.O. BOX 581 INSIGNIA OR HUD NUMBER: A42042/3 SERIAL NUMBER OR Y.I.N.: 839A/B MANUFACTURER'S NAME: UNKNOWN YEAR:1971- r OFFICIAL APPROVING INSTALLATION: DATE: g c2 9;Q5 PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT )SING -1 Division & Codes and Standards •Q`0 O0O© IIIZ III Uj Title Search Gd�0 Decal #: LAR9108 Manufacturer: Tradename: PARK HM Model: Manufactured Date: 00/00/1971 Registration Exp: First Sold On: 03/30/1971 Date Printed : 08/23/2005 Use Code: SFD Original Price Code: . ACD Rating Year:. Tax Type. LPT Last ELT Amourrt Date ILT Fee Paid: ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 839A A462042 48' 12' 839B A462043 48' 12' Record Conditions: Error Application Pending PPF Exempt Voluntary Conversion to LPT Registered Owner: BOB P STOLTEY MONA STOLTEY (Joint Tenants with Right of Survivorship) 14864 GLENWOOD DR 74 MAGALIA, CA 95954 Last Title Date: 08/28/1990 Last Reg Card: 01/01/1992 Sale/Transfer Info: Price $10,300.00 Transferred on 05/29/1990 . Situs Address: Legal Owner: 14864 GLENWOOD DR 74 MAGALIA, CA 95954 Situs County: BUTTE LOIS GERTRUDE CRAWFORD LEWIS MONROE CRAWFORD (Tenants in Common Or). 105 W HERNDON SP 79 PINEDALE, CA 95650 Lien Perfected On: 06/15/1990 10:08:00 Jr. Lienholder: TRANSAMERICA FINANCIAL SERVICES PO BX 779 CHICO, CA 95927 Reg Card: 01/01/1992 Lien Perfected On: 11/27/1991 10:10:00 Inactive Decal/DMV: . DMV HN4775, DMV HN4776 * * * END OF TITLE SEARCH r 30-20031 1 90-020031 1 Rec Fee 7.00 I DOC RECORDING RFQUtSTF.D RV Recorded Total Butte County Title Co. Official Records 1 MAIL TXX STATEMENT TO fs: Butte ; As shown below Candace J. Grubbs ; WHEN RECORDED MAIL TO Recorder "`" Blob P. Stoltey 5 Mona 8100am 17 -May -90 1 Stoltey� aam 14864 Glenwood Dr. . On this— I I ll\ ar& L!!!galia, CA 95954 cftla ' said County and State, personally appeared I 30-20031 1 90-020031 1 Rec Fee 7.00 I DOC 47-00 Recorded Total 54.30 Official Records 1 k ° S M. GR�AW'FOR�D- County of ; Butte ; LOIS G. CRAWFORD Candace J. Grubbs ; Recorder 8100am 17 -May -90 1 2 ORDER NO. SPACE AROVF RF,CORDF.R'S USE ONLY mitow No. , P1550OMS GRANT DEED (JOINT TENANCY) The undenilined gartmr(s) rierlan(r): Documentary transfer tax is t 4% , 30 (} Computed on full value of pmperty conveyed, or C F� ( ) Computed on full value less value of lien, and eneumlxanees remaining nt time of sale. % /sAf� ( ) Unlrxorponted arta ( ) Cily of h i n Orap A ted area Tax cartel No. _ 065-35-0-033 FOR A VALUABLE CONSIDERATION, receipt of which is herrby acknowledged. LEWIS M. CRAWFOPD AND LOIS G. CRAWFORD, husband and wife hereby GRANTS) to P. -OB P. STOLTEY AND MONA STOLTEY, husband and ':rife ,AS JOINT TENANTS the following described real property in the unincorporated area County of Butte State of California. PER I&A -AL DESCRIPTION ATTACIiED HERETO AS EXHIBIT A AND MADE A PART HEREOF Dated _ April 23, 1990 k ° S M. GR�AW'FOR�D- LOIS G. CRAWFORD STATE OF CALIFORNIA,1 _ k Courcy or T :�-l.l.. — . On this— I I ll\ f�-- It �.• dayuf —_ __ beftrm me, the undersigned. a Notary Public in and for ' said County and State, personally appeared LEWIS M. CRA _IAM LOIS G. CRAWFORD per90na4y4A0w"4 e(or proved tome o.: the basis of salisfactory c ulence) to he the Penn-)-_�.. •"' whose name � i aubeerllted to me wBhin the instrument and acknowledged Uml`EL_ executed the same. WITNESS my hand and official seal. `I (, t %l.Ll.-�l-� 't(•r• �- L t OFFICIAL SEAL 1 Ct AR:CE SORONCKI on.r• NOTARY PUBLIC - CAU."ORNIA Notary Public In and for said County and State. \ , rRLSNO COUNTY 1.:7« ly c a• expires :.P3 9, 1993 �.c�. I (Notary Seal FD•13B(Rev.9/88) MAIL TAXSTATF.MENTASDIRECrim AROVE I• 11 e 7CC SPL 90-2003 Order No. 34827 P15500 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lot 74 shown on that certain Map entitled, "SIERRA DE:, ORO ESTATES iNIT NO. 2", which Map was filed in the office of the Recorder of the County of Butte, State of California, on October 19, 1965 in Book 34 of Maps, at pages 27, 28 and 29. EXCEPTING THEREFROM all of the valuable minerals beneath the sur- face of the said lands, wit'n the right to mine and extract said minerals, it being agreed and understood that in all mining opera- tions the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in the deed from Magalia Mining Company, a corporation to E. D. Storts, et ux, recorded September 4, 1947 in Book 423, of Butte County Official Records, at page 385. END OF DOCUMENT NOTES RESIDENTIAL , i PERMIT NO. r665 -OS -2331-350-035 S1'OL'fEY, BOB & MONA 14864 GLENWOOD DR., MAGALIA Cont: GREENE ROOFING Ci Q Y1 WH PERM FND (EX) 2 -G -75--75B F -i rjct e -j on Graham - 1 I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I=aK = Net OK = Net App5c able = +dt Ready RESIDENTIAL (Singld & Duplex) . ]ate UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd./ P Fig. Depth 3. Ftg., Garage; Sols -Steel -Stec. Gmd. / P Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /' Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Stab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nal Protection 19.: D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, Fust Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit).OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes O No 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rfh: Ties-Purlin-Roll Brac: Truss-Shting -Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrrn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naling-Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date - Card B-1 Date Card B-1..'. Date Card B-1 Date FINAL (Plans) OK except Vs - 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove; Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext. 73. Keit. Fid. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper • 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip: Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Rcimex Protection 80. Insulation -Foam -Looked in Attic 81. Guam Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor • 0 Yes 83. Following LiAd/Drive 0 Yes 0 No/Walks 0 Yes 0 NO/Planters 0 Yes O No 84. Stucco Brown -Finish 85" A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96" Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes.Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rfh: Ties-Purlin-Roll Brac: Truss-Shting -Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrrn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naling-Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date - Card B-1 Date Card B-1..'. Date Card B-1 Date FINAL (Plans) OK except Vs - 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove; Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext. 73. Keit. Fid. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper • 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip: Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Rcimex Protection 80. Insulation -Foam -Looked in Attic 81. Guam Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor • 0 Yes 83. Following LiAd/Drive 0 Yes 0 No/Walks 0 Yes 0 NO/Planters 0 Yes O No 84. Stucco Brown -Finish 85" A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96" Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: d=OK OK o = WNot Appflm . _ Not Ready CIe g� 9-fip p 9tl1®B'LE ES ®M Date MOBILE HOME UTILff1ES (Plans) OK except #§ .Card B-1 Date 1. Zoning Requirements -Setbacks -Easements Date 2. Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -CIO -Concrete 1jaEning Requirements -Setbacks -Easements F ngs; S¢e-Spacing=Marriage Une 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete . 6. Ga's; Locatiort=Test-Wrap;=/ ' ' /' L'fL ` - % . P Nat or / . /". L 'ftl P LPG 4. Gas; MH Test=Demand-Valve 7. Well Clearance & Disconnect 8. Utility Clearance, - - 10. Roof; Shthg-Roofing Date --Card B-1 Date Card B-1 Date Card B-1 'Date,.- Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except is 1.- Zoning Requirements -Setbacks -Easements ' 2. Footings; Size -Spacing -Marriage Une 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakers-aearances 5. Drain; MH Test -Fall -Flet Connector 6. Water, MH Test-Regulator-Ccnnectoe " 7. Water and Sewer Connected -C/O td Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert., 10. Exits; Insp.-Sketch 11. Cert of Occupancy " Date Card B-1 ; Date Card B-1 Date .Card B-1 Date Card B-1 Date PER ENT END SYSTEM (ONLY) 4. Wood Awn.; Posts-Bearns-Rftrs-Connectors Shthg-Frg-Bracing 1jaEning Requirements -Setbacks -Easements F ngs; S¢e-Spacing=Marriage Une 5.° Alum. Awn.; Columns-Connections-Splice-Decal-Enciosunes Blocking . 7. Bectric 4. Gas; MH Test=Demand-Valve 8. Frrng.; Sills-Anchars-Studs-Rftrs-Trusses 5. -Electricity; MH Test _ 10. Roof; Shthg-Roofing 6. Water, MH Test - 11. Ext; Steps -Doors -Land_ ngs •7. Water and SeweFConnected 8. Gas and.Electricity Tagged Cana B-1 : Date Card B-1 Date 9. -,Eft Date POOLS (Plans) OK except f's 'z10. Ucense Decals 1. Setbacks -Easements 11. erify Ws with Office 3. Pool Structure; Steet-Connections-Thickness Dead -Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI DatejrdG Caidfil-1 Date' Card B71 Date Card B-1... Date Card B-1 8. ' Elea.;'Grounding; Equip. w/5' Circulating Equip: Pool Lghtg. Boxes°Enclosures-Panetboards-Ins. to Main Conduit MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except g's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-S¢e-Depth-Spacing-Connectors-Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Bearns-Rftrs-Connectors Shthg-Frg-Bracing 5.° Alum. Awn.; Columns-Connections-Splice-Decal-Enciosunes 6. Carports; Windows -Doors 7. Bectric 8. Frrng.; Sills-Anchars-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Land_ ngs 12. Braced Wag Panels ' Date Cana B-1 : Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except f's 1. Setbacks -Easements 2. Soils; Compaction -Stricture Stability 3. Pool Structure; Steet-Connections-Thickness Dead -Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Ughting;15 Volts-GFl . 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. ' Elea.;'Grounding; Equip. w/5' Circulating Equip: Pool Lghtg. Boxes°Enclosures-Panetboards-Ins. to Main Conduit 9. Health Department Approval 10.- Plumb.; Cir. Test -Water Supply Test ' 11._LightNiche 12. Enclosure; Fencing -Alarms, - Date Card B-1 Date Card B-1 Date Card B 1 Date Card B-1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: '(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052331 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 09/07/2005 APN: 065-350-035-000 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. f' Site Address: 14864 GLENWOOD DR MAG License Cl ss : — 3 License Number: 4 � Map Index: Date: / 7 G Contractor: Description: MH PERM FND, EX SITE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: STOLTEY BOB P & MONA permit to construct, alter, improve, demolish, or repair any structure, prior P O BOX 581 to its issuance, also requires the applicant for. such permit to file a MAGALIA, CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 95954 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: SIERRA MOBILE SERVICE Pp intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an BILL REID owner of property who builds or improves thereon, and who does 466 CIRCLE DRIVE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one 530-534-0599 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed 466 CIRCLE DRIVE pursuant to the Contractors' State License Law.). OROVILLE, CA 95966 ❑ I am Exempt under Article 3 of the Business and Professions Code 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION I 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 Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued. lsf —1have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier number are: 12 �� Total Square Ft: 0 S. F. Carrier: .Policy #:. i Z S-% Valuation: $0.00 Census Code: j ❑ 1 certify that in the performance of the work for which this permit is I issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Section 3700 the Labor Code, I shall wl compensation provisions of of forthwith comply with those provisions. Date: % 7 O 5� Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY able provisions of the Butte County Code and/or This permit is heXby issue rider aAftwhich I hereby affirm that there is a construction lending agency for the Resolutions to o wo indi ated ovfees have been paid.^�� performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: S / ^ G PERMIT EXPIRES ON: Address: Date O; 1 hereby certify that the use of this facility shall comply with Sections 25505; 25533, and 25534 of the California Health and Safety Code; which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby r authorize representatives Butte County to enter upon the above mentioned property for inspection purposes. t� Signature: Print Name: l� Date: 0 Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 535-7636 • CHICO: (530) 591-253.1 OFFICE #: (530) 535-7541 A FEF_ 6Y111. BE REQUIRED AT TIME OF, d..P.PLICt1.TION 9 9v RL **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X e_4%i For office use only: OWNER Last Name Flood Zone Firs Name k Address City Cil. Y/6e �- Stale u State - Zip %S%-5 Phone Fax Fax E-mail Lic. # Y763 Y APPLICANT SIGNATURE X e_4%i For office use only: CONTRACTOR Name Flood Zone Address Address City " ee Stale u Zip Phone Shy Fax E-mail S`3 ,1 oS Lic. # Y763 Y Class 43 APPLICANT SIGNATURE X e_4%i For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address City No Stale Zip 1 Phone Stale d_ Fax -mail S`3 ,1 oS State License Number APPLICANT SIGNATURE X e_4%i For office use only: APPLICANT NAME IJame Flood Zone •� - ., Address e No City Subdivision Name Stale d_ Zip Phoneyj S`3 ,1 oS Dale Approved: Fax rff--;Til APPLICANT SIGNATURE X e_4%i For office use only: Zoning _ Flood Zone Cross Street -� SRA e No Occ. Type Const. Subdivision Name loap Book Page Lot # Planner Dale Approved: uvt:K 1-0K SUBMITTAL REQUIREMENTS PERMIT NO.. . 'Z BP BIN # LOCATION AP# .3-5-0 SSS Property Address / C( -/ (r��ivLtr –r. er! (?2 City i2i 4 - Cross Street -� WORKER'S COMPENSATION Policy Number Y _S7 Carrier If hiring anyone other than license contracto s. a certificate of workers compensation must be shown at the time of oermit issuance. LENDING AGENCY Name Address Description or Scope of Work: rL�rt-c(%�'.�i--- .GG•c•�r .�i � • :�/-Lot �tr�,._c_ Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): E'U RATION OF APPLICATION Applications for which a permit has net born issued will expire one year after the dale of application. In pRic.r to renew action on an application after expiration, a new applic.:atun, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written _ quest by the person who paid the Cee. The request must be made.pi for to the expiration of the permit and no construction work has bee,i done. Filing fees, plan check fees for wort; plan checked and 60a.er department costs are not refundable. Received by: �� Amount: _A f `"t o Bldg Receipt #:' 1 a5 0 1 (Y-- Date: . _. SRA __. Sheriff SMIP q4.11Other `-1" ,, Total 'i ` f� �� : \✓.moi. v/�J 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: ASSESSORPARCEL NUMBER �� Proposed Building Use: 0 -trio --Permit Technician: Date: U 0� Items required in order to apply for a pednit. All boxes MUST be checked OR marked NA in o d, . to apply. 1 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. V 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. 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 be stamped and wet -signed by the engineerand wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ 0 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ -A Erosion Control Plan Required ......................................... , . Fees as shown on the attached Schedule of Fees Due Sheet... .�.....:Q.......... ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form............................................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... �❑ 35. M Legal descriptio 6 M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone �' �9 and hold for pickup. I have been informed of the aboMit'd requirements for obtaining a building permit. Applicant Date: d J, /� S 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required _ C ntractorpsigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by f.. Date: �1� tpntkror, 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, ❑ o ter by Date: Plans reviewed by: Date: Plans approved by: aDate: 4211, liX- Structural reviewed by: Date: Structural approved by' -".'Date: Note transfer by: Date: Yellow: Building Division VectorDiynamics Foundation System INSTALLATIOvV INSTRUCTIONS for the State ed California Version 9/2/2003 INDEX Approval PAGE RELEASE SECTION NUMBER DATE MANUFACTURED HOME/MOBILE ROME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 INTRODUCTION 2 9/2/03 APPROVED GENERAL INSTALLATION 3 9/2/03 SUBJECT TO CORRECTIONS NOTED PARTS LIST 4 & 5 9/2/03 ROVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF LONGITUDINAL DEVICES 6 9/2/03 APPLICABLE STATE LAWS AND REGULATIONS oto of California PIER HEIGHTS 7 9/2/03 H0'dCommumtyDovdopiood 1V6�]2&N!4DESAMSTANDARDS SET-UP INSTRUCTIONS 8 9/2/03 : p 03 E DATE SPA N 0. FOOTER SIZES MsPAnApprovalExpiree WIND ZONE I - SINGLE 9 9/2/03 -`DQUBLE _ - _ 10_ _ 9/2/03 - TRIPLE 11 9/2/03 = HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 SSOV = DOUBLE 14 9/2/03 �oQRo - TRIPLE 15 9/2/03 No.6 245// ;r:10' P. V -DRIVE:& PIER SYSTEMS 16 9/2/03sT�TFOFIVI CAIIF��\P SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 9-:33 COMPONENT PARTS AVAILABLE UPON REQUESTco "= L LQ M 0 TIE DOWN ENGINEERING e I Wheaton DriveLIM N O COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695e'Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE - BUILDING OR PROPERTY ADDRESS - A routine inspection indicates that the following violations of County, Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r d` 0 614 arc,, � < 15; 6e -la lltz-- "I'll / i 75- /.L/,., el- i Inspector' Date v PERMIT NO. 2676-75B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Lewis Crawford r' W.A. Poirier, Paradise CONTR. �; 65-35-35 • �OCATION (A.P. ) t 58 Glenwood Dr., Magalia (Lot 58, Fir Haven k Sub.) �r .i r." i 'F 'A t' i• �l �5 f }� Temp. Power Pole Called PG&E Temp. Elec. Serv. } Called PG&E Temp. Gas Serv. ,t J Called PG&E is ✓/ JOB / FINALED d (Dat (Signatu )' J E COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS BUILDING INSPECTION RECORD' BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms 6 Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIRE ACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final • DATE REMARKS OR CORRECTIONS E COUNTY OF BUTTt — ? DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroyiIle, California 95965 26 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner �- L%/'c�L!/ `„ SQ. FT. OCC. BUILDING VALUATION ,Zd DL7llD . O o Mailing Address Telephone No. Fireplace Contractor 14111, O//^ Total Valuation Mailing Address% G D Permit Fee 3�, 0,0 Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address j 4f-7LdF411,61OO Z21e PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Zv14 5^� Each gas water heater or vent 1.50 f y A. P. No. &/, —3� ' D3g Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe' W.C— Saffk-etmn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Declaration Parcel Ma P 60' R/W Im rovers P Lawn sprinkler system 2.00 ��Plans Bldg.'t��afans Recd Parc pproval Plans oval Permit Fee $ $ NEW ADDITION ❑ UTILITIES F] OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 w/> Water Heater or Space Heater 1.00 Light fixtures b (d2 al 010 Receps„ switches & 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: �/ i /7 f �D /J?�F2 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. 11449/0Classification �Z' � Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. �1 I have placed on file with the County of Butte a certificate of J� 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ �.Z-l�-t authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. e X Date %J Si nature of Permitee/mor Agent 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 OCUBLIC WORKS By Date 6 —/C— 7 .� "ilding permit expires Date 6-15— 7l_ S Fa aS � S90 /,sbSb -A) Qoocvn N -9 h9$ hl yr pN4 A d 999 600--\r 5 l� C►3�3o07 ipo�nl X007 � Q►� dd ON iZl ' (3.3 0Q-). -CA I OD i I • l r i i o,4b al Oi ,SL co „U