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Home My WebLink About066-490-026James Marx tt nn T7 I 66-49-26 152 Indian Dr., lot 78,-,1. .#4, Magali contr: Tri -V Development, M galia I Permit #3327-79P,E(util MH) GAS SUPPORT STRUCTURE REQ.+�� rTlr�t. - COMPACTION TEST REQ.26 J � i• ;, r.; Paradise C s ' Coritr : 1 r T5 �, e wp Permit #3713-79MHI { �' ` -� t - Issued }- r contr:Paradise�Mo�u-lar Concepts,Para. "° R Permit #3765- 9B(new p *-garage) 66-49-26 contr: Paradise Modular Concepts, Para. _ Permit #4569-79B('iew''covered deck/MH) 2T 66-49-26 contr: Paradise Mocjular._Concepts, Para. ` • Permit #4693-79B(additional footage/ ! C eck) Contr : PMC �IrN) Permit #5341-79E(ele/garage) • 66-49'26 JACK D.,KEEL ? �� l 6710 Indian Dr, Magalia. - Permit#2118-88B(Mobilehome/ dn) • ` it • Y I, 't , 0[m Ft Fit -i'Sunty of Bune Dept of Public Work; 7 County Center Do,_ `?obliieCalifornia AND HIEN RECORDED UK -TO: WK County i5f Butte ions Not of Public Works cm , County Center Dr!v;, STATE, n',(o iile, Caiifornia Mda Q_59155 a f BB -027934 I' 1 Recorded. i Official Records County of Butte Candace J. Grubbs Recorder ( 2:18pm 23 -Aug -88 SPACE ABOVE TNS L9 f Rec Fee' . 00 I Total .00 i PU80C WORKS F BG 2 FOR RECORDER USE 6IE11 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 Safey. 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 per- sons thereafter dealing with the real property. James & Doris Marx REAL PROPERTY OWNER/LESSOR X5673 Bethel Rd Space #25 MAILING ADDRESS a POtt _"Orchard; ^ -=LL's WA_7 98361 _ s Cm COUNTY STATE ZIP 07610' -Indian Drive INSTALLATION MAILING ADDRESS, IF DIFFERENT Magalia, Butte, CA 95954 CITY COUNTY STATE . ZIP same UNIT OWNER (If also property owner,;write "SAME"). MAILING ADDRESS CITY COUNTY STATE ZIP UNIT.DESCRIPTION Butte County Dept. of Public Works -Bldg Dept. LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 County Center Dr. MAILING ADDRESS Oroville, Butte. CA 95965 CITY COUNTY STATE ZIP 2118-88 (916)538-7541 BUIG PE T NO. TELEPHONE NUMBER 7-29-88 7one E OF LOCAL AGENCY OFFICIAL ,s DATE DEALER NAME (If nota dealer sale; write "NONE") DEALER LICENSE NO. Golden West 1980 Kingston MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GWI2CALKG40488A/GW12CALKG40488B 24 x 60 CAL157671/CAL157672 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 66-49-26 "SEE ATTACHED" •, a+`', Q�OIL HT Of HAGS i• ' HCD FORM 433(A) 4/86 30� C' Q ♦� +!� - O,y �O cc llpl A . Order No. 29266/P14068 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lot 78, as shown on that certain Map entitled, "INDIAN MEADOWS SUBDIVISION UNIT NO. 4", which Map was filed in the office of the Recorder of the County of Butte, State of California, August 29, 1974 in Book 43 of Maps, at pages 51, 52 and 53. EXCEPTING THEREFROM'an undivided 33 1/3% interest in all minerals as reserved in Deed recorded in Book 743 of Official Records, at page 68, records of Butte County, California. Said reservation did not include right of entry for mining purposes. ALSO EXCEPTING THEREFROM an undivided 66 2/3% interest in all minerals below a depth of 200 feet, as reserved in the Deed from Butte Investment Company, a limited partnership to George W. Wilfong, et ux, dated September 21, 1977 in Book 2213 of Official Records, at page -550, records of Butte County, California. d_D OE P—QgUi ix 4,, PERMIT NO. i PERMIT EXPII OWNER CONTR. Ralph Johnson ASSESSOR PARCEL 66-49-26 LOCATION 6710 Indian -Dr, Magalia i , j Temp. Power Pole _ i Called PG&E— i Temp. Elec. Service 1 ' Called PGS e Temp. Gas Seri Called PG8 JOB FINALED Signature R = OK 0 = Not OK = Not Readyiable -MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) -OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support-Sketch 3. Sewer; Location-Test-Fall-C/O-Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete 6. Gas; Location-Test-Wrap: / P'U ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card-81 Date Card-131 Date Card-131 Date Card-131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s y.-4Zoning Requirements-Setbacks-Easements Footings; Size-Spacin arri rLine 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer. Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card-131 = Date 70:�-8 Card-61 Date Card-131 ¢_GG Date7. ,e-A Card-131 Date ti 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -131 Date Card -131 Date Card -131 Date 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -61 Date Card -131 Date Card -131 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready ' UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -:Cripples 15. Insulation Card -B1 Date Card -131 Date Card -61 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer 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/Meeh. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / 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 Card -81 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -61 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Datb FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 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-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -81 Date Card -131 Date Card -131 Date 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 -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & 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 -Meeh. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 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-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) ... >, � : �,....,�F. r v`•�„�` t >�"lS��x]!?i' ' 5.•. ,:'";�i�,'�`�v�".1`�� +'Y -+.r5 +i's€`��!�`"` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1 196 Memorial Way, -Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-'1541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE R 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. - (11155 kA G Inspector /_ /..i_ Date.�-2G'�8 / .. Inter -Departmental 'Memorandum �O.UN FROM46- W, Su--�R' SUBJECT: DATE: �� 3.g l LR. aL ov< ��,e�,.�.�,�— a s i� yep. - 1 e dlCs � d.tte 6 re.K as seas;. 8 ;?el�b Vis; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' - 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATIQN ANQ PERMIT PERMI NO� ASSESSOR PARCEL NU BERZONIN BUILDING PERMIT ' OWNER - —1-IC.E L_ EPH45N SQ. FT. OCC. BUILDING VAL ATION OWNER'S MAILINGDDRES X35 CO�yTRAC TO 'S NAME TELEPHONE K.ZL Sb - CONTRACTOR'S MAILING AODRES O l s I L� (o Fireplace CONSTRUCTION LENDER e b lLLS UNKNOWN Total Valuation Is FilingFee 10.00 SND R'S MA ING DDRESS /"t © %3 s Q/ O Q Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .b' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS . I Penalty $ BUILDING ADDRESS Permit fee - $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT N . SU IV PION NAMX PARCEL MAP u Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome Other SPECIFY - Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home. I S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Otheri Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under Snail of perjury (check one penalty P 1 y hk ( )• I am licensed under provisions of Chapt. 9, Div. 3 of the Business T and Professions Code and my license is in full and effect. License No..3�gS-3% Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a� OR AODNS. ACC. SLOGS. , �Z0sgft NEW CONST' U TI -OUTLET NON.RESID .BRA CH CIRCUITS 2.50ea POWER APPARATUS e - (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 200500 DAL030 Ex. Occup. OUT ETS FIXED P(REPID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee s Confractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g + Hood 3.00 Ventilation permit Fee = Contractor .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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save; indemnify and keep harmless the County of Butte against all liabj.lities, judgments costs, and expenses which may in any way accrue again said County in c n e ence of the granting of this permit. ,. Al J,1 XDate1 LS �� Sulu a of li onr - Owner PP ❑ Contractor Agent ❑ An OSHA permit is r uired for excavations over 5''" deep and demolition or construct -1 ion of structures over '3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TTPE ISCHOpOLFT c PD ND 159UE This permit is hereby Issued under sions of the Butte County Code and/or work indicated above • for which EC PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date -' Receipt No. WNITE-O.P.W., YELLOW-ASBC350R. PINE -INSPECTOR. GOLDENROD -APPLICANT .-....�. , rr .'t�-.-.��i�ry•-'" sw. ^"`.. .. �ti'�';f 1•n'ia.:r"'•:;q•'�n%x`y�,`�"f..i_%5�yi"'pA:.wc., • 7.r��rrtty`�1�,,,��fl -v y^K ".r..;�Y"�-{t ••: •r ,_ •''1": COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL5,4L-IQRAIIA 95965 -TELEPHONE: 916/538-7541 —' - PERMIT APPLICATION DATA SHEET / Permit No. J OWNER OJ,-, / � A. P 0r ` Proposed Building Use Ze, 'Building Inspector 1 Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1, All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans, , 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. /9. PI 6s with Energy Design Compliance Statement. �, a>^G /.S�School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , .9. Letter of signature authorization. . . . . . . . . . . ` 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14, Owner -Builder Verification (Given to owner[], Mail to owner❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required, Building Inspector —(Date) 18. Recorded copy of Agricultural Acknowledgment Statement. ;. 19. Driveway Permit. 20. Plot plan approval from city of %1. En 'neer trusses in duplicate (required- or t• pl chec 2. C �,�e�� ©✓� V in ��s �� wee) When you issue the per ItQQ�jjroces as follows: Mail Vtown Mail to contractor. Telephone U�� and hold for pickup at�,A�: fice, Deliver w/inspector. Other d ` ) Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pri r 't i a Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: r Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date p Plans checked by Date Plans approved by Date �a is of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal .0 Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for _ bedroom mobile home. Other NOTE *** 0 tarian i Date BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form -per •Building ) A.P. Number ^ �' Building Department No. School District 6 City Q County n Jurisdiction Property Owner _k Project Location/Address ba Subdivision d'I j (j M/�a(�j��S d Lot. Number Residential Development: Sq. Footage_ # of Living MHI Addition (Group R) Units 0 / 1 Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Bui ing Department Representative District I/d No._� School District certifies that (Applicant Name) (Phone Number) 71 (Street Address) Or ( ty) (State) (Zip Code) has complied with the requirements of Resolution No. by the p.�Lynen,� of Dittrict Representa PAID BY CHECK NO. BANK NO PAID BY CASH representing square feet. �/3 /* ive D to white -applicant, yellow -building department, pink -school district SCHOOL`. FEE (5/88) i ' - - �i- -- -----�---_--------- --~-- � 'i ,1 I f �'. i' t t i• I f ., t t� i ;d� i ,,, �� it •�, i' t 1 i '�?IIIi'li I i 1 ; ii ,ili 'i ,1 I f �'. i' t t i• I f ., t t� i ;d� i ,,, �� it •�, i' 1 '�?IIIi'li i 1 ; ii ,ili {i O ,,i! { ji• i ;;ilk- �il 'i i' t i ! i } {i O !i ! i ,�vv,�Gc s / 3 ' By DATE.. ...__._..__ SUBJECT._ -. _.._._.__.-�..�SHEET NO . _OF..r....... CHKD. BY_ .............. .... DATE _..- ............... DS - JOB NO. ._._._._............ ............. ._............ :..... _.... .............................. .vso ... isF C.g : ----..__._.....__.._.. _ __-_ -- • . Ir. L T ENGINEERING 16790 CLARK RM Z�Fr/15F� 4 i�7a' 114 PARADISE. CA 95969 (916) 872-0254. .4 2 ¢',- Co Lo .��.v�• ; ,�odf - DG = /D Psi - /'/, /ir QROESSM C*I>��OQ�� rn sf CIVI CAl1E�� IlO _ /3.7 ^- Use /l- /YifT�//FGS ; jD,eoOtJGT Srn, 7 ? 2va,o�YS BY ._._.._ DATE....... _........__ < SUBJECT ....:........_ -.-.__.._.._._._....._.__._Y �t�cyc�nv�.s� r� _ �.___ Z 3 _jOOF _..__. SHEET NO. �,_p CHKD. BY..__......_...-_. DATE ,_................. ... _._..... _....... _..._...--•-- J JOB NO, /KiyifG Ys/s �viTy �o�-or rhe' svP�� 15 y. Q/rJ.r ZZ x 60X Z .t , DDti!'x(/Zx 6D t /Ox .;ri' t r /f BY ... _.._ LT ....._. DATE.J60 SUBJECT..47 �, J '_..._`!�, _'. ?� -- -- -- SHEET NO. -. ` --OF CHKD. BY....._•-• ... ........ DATE ..... ............. -_. _.-....--- --._.---......-•..__- _ _-_ �.-_ JOB NO. TO t`� ��i • �/�/��/ o /2 �� /1 `tel-/�G 6-,�O!f.-.�,� /o�Gz)'re�.s x, /6rx � 21, 40 Z rqo)nGt�- = /vn. _ , �� — /Odqr C,zJ lr�c ee-z> ,$y BY-.�.GT_.._ DATE _ ��! _ SUBJE'CT/ _!_.l? CHKD. BY---___..._.. DATE ..... _..... ------OvNi%. SHEET NO. -- -Of 6 /0 0 c, 60 I TQRpEESS >7;? 1 � LLj i 0 c NOY- aa� / o --- - 93 _ — �i eX/STG, COBE CH ro � TYP J RS 4 l2 IL4�s I�OWID. )r-L.4N. 0-0141% Q s -'q43 � . � t _ w- �" Ll o AVO N (l��► `O W� • �v O e Ss J � F L T ENGINEERING . 5790 CLARK RD. . PARADISE. CA 95969 (916) 572-0254 f a MOBILEHOME SUPPORT DATA y, ' d'r than single wide, Mobilehome Mfr. /! z J .'%— furn;&f6�ish Setup Model No. /`�c� d;�- ear Width3;k (ft.) Box Length640 (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte).' All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single W d ith U` (ft.)(in; .i Center support locations* (ft.)(in.) j %07x3 -_ (in.) (in.) Center support footing sizes - (in.) (in.) i (ft.)(in.). ..... (in.) (in.) --. �x3 (.ft.) (in.) (in.) (in.) x.3G (ft.)[ (in.�n �(in _ (in.) G` *If center piers are other than drawn above, :draw in locations, spacing; and dimensions. M � oo a er pressure treated or foundation grade. 2. Other (specify) ` Supports (check one) �1. Concrete block. 2. Other (specify)- 4 ---Tagalong or Expando, show support details. l zx 3 -- Typical Support (in.) (in.) Footing Size .6 -- Max. Pier Spacing (ft.)(in.) — -- Max. Overhang (ft.)(in.) rrE c rvry BUILDIN EPARTMEM AP RO D, M - - .. ..-----------------_ 1 -�� 10 C c 11 p 1 A _- PRELIMINARY REPORT COMPLETE N,4 s TITLE PLANT i Butte County Title Company ESTABLISHED , + AFFILIATED WITH WESTERN TITLE INSURANCE COMPANY 1877 PARADISE OFFICE: OROVILLE OFFICE: CHICO OFFICE: 6402 Skyway, Paradise, Calif. P.O. Boa 851 194 E. 6th Street, Chico, Calif. 877-6268 1909 Bird St.. Oroville, Calif. 343-3716 533-SSII DIRECT' AI,L CORRESI'ONDENCETO: Your No. Our No. - a BENN.ETT REALTY 29266/P14068 MS • Attn: Lois Last insured over 2 years In response to vourr application for a policy of title insurance. BUT' COUNTY TITLE tONWANY herchy r(.,tx)rl.s that it. is preprrcd to issue, or cause to be issued, as of the date hereof, a California Laad 'Title Association Slandard Coverage form I'olicy of Title Insurance describing the Innd ♦ and the estate or interest. therein hereinafter set forth. insuring against loss which may be sustained by + reason of ally defect., lien or encumhraurc•e not shown or referred to as an Exception herein or not excluded From coverage pursuant to the prinLed Schedules, CondiLions and Stipulations of said policy form. I'his report land any supplements or amendments thereto) is issued solely for the purpose of fac•ilitaLing Ilie issuance of a policy of: title insurance aril no liability is assumed hereby. If it is de- sired t.lrnt liahilit.y he assumed prior to the issuance of a policy of title insurance, n Binder or Commitment should be requested. Dated at 8:00 a.tn. on May 11, 1988 Vice President 'fhe estate or interest in the laud described herein and which is covered by this report is: A fee Title to said estate or interest at the date hereof is vested in: JAMES L. MARX AND DORIS L. MARX, husband and wife, as Joint Tenants Al. the date hereof exceptions to coverage in addition to the printed exceptions and ex- clusions cool.ained in said policy form would be as shown on the following pages. �'t�-_� t. �� _�4 �-'T �'� a ��[ �-� � �'� �• 7r-� t--�aaa-----ter---� a r---� a c llpl A Order No. 29266/P14068 SUBJECT TO: 1. County and Special taxes for the fiscal year 1988-89, including possible personal property tax, now a lien, but not yet due or payable. 2. The lien of supplemental taxes, if any, assessed pursuant to the provisions of Chapter 3.5 (commencing with Section 75) of the Revenue and Taxation Code of the State of Cali- fornia. 3. The land herein described lies within the boundaries of the Magalia County Water District and is subject to the taxes, assessments and obligations thereof. There are no assessments, now payable, unpaid. 4. Right of way for a ditch as contained in that certain Deed from John Bader to A.A. Nickerson recorded January 25, 1889 in Book 31 of Deeds, at page 206, records of Butte County, California, exact location is not described. 5. Dedications and reservations for specific purposes as shown on the Map referred to herein. Affects 50 feet for setback line and 3 feet for public utility easement fronting on Indian Drive and the Easterly 3 -feet for public utility easement. 6. Covenants, conditions and restrictions embodied in the declaration executed by Butte Investment Company recorded August 29, 1974 in Book 1934, of Official Records, at page 255, records of Butte County, California. 7. A Deed of Trust to secure payment of $40,729.27 and any other amounts secured thereby dated February 13, 1986 recorded : February 19, 1986 under Recorder's Serial No. 86-05387, records of Butte County, California Trustor : James L. Marx'and Doris L. Marx, husband and wife, as Joint Tenants Trustee : Mid Valley Title & Escrow Co. Beneficiary : Transamerica Financial Services NOTE: County and Special taxes for the fiscal year 1987-88. Assessment No. 70437 First -Installment $108.98, paid Second Installment $108.98, paid Ld 12,178; Imp 13,761; H.Ex. 7,000; Rate 1.146; Ap No. 066-49-0-026-0; Ca 093-018 "'Acc llpl A Order No. 29266/P14068 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lot 78, as shown on that certain Map entitled, "INDIAN MEADOWS SUBDIVISION UNIT NO. 411, which Map was filed in the office of the' Recorder of the County of Butte, State of California, August 29, 1974 in Book 43 of Maps, at pages 51, 52 and 53. EXCEPTING THEREFROM*an undivided 33 1/3% interest in all minerals as reserved in Deed recorded in Book 743 of Official Records, at page 68, records of Butte County, California. Said reservation did not include right of entry for mining purposes. ALSO EXCEPTING THEREFROM an undivided 66 2/3% interest in all minerals below a depth of 200 feet, as reserved in the Deed from Butte Investment Company, a limited partnership to George W. Wilfong, et ux, dated September 21, 1977 in Book 2213 of Official Records, at page'550, records of Butte County, California. DZ Woi o ij h , Z O ca r 'rp rr �♦ /�- � IA � � 6s o•rg •. ti r n) �� J \ " �` ♦ -� �� fid( \ •' •^ t•• .•I.to' \ .` \\ 't �� :r •"t' �\ oat ,00 oto Ln �' �v `°•,° 0' ``� `\\'t� � � ` , °t. 9` 18 \ �� + � -- X96 .1P • f \ 1• �\ �'O � x71•Lt1 .� Cdr _✓�'0 b•' � r �•-0' ----- trr•r `��''�--- -------.ora-----/ r, ry ••�'t .00 o000c.r 3NILO NVIONI oo•o• 88 r1 •t1 0.0o.ol.too 8 8 to •. 8 �g� $ ls.' � . � v � �r —_ —•� �, r;s a -d' ;A L�ne,t w x O, 8 I I •pt ,01 • H � •^L.f i w1� � � 10 81g r �I 8 r I ��e - cr I^ •na B g ,I 9 a$ 8 00• .q.oti /.t-^w'c t— t nt 1 4^ al I > '00.f0, I 1 ♦M j 'T^t,01 O WtV -10-4.g r .00.r,x o0#a 00'1• .00,2111�� i• 0-1 I ,00'ul I w,00.v/.to x I $ Z Z I I Iq' N OD •B� ri I I I � � r.'tn•.o W �jl a fptt°� --` I o�_tn� \ .0000- .o . '0r•a•v ao n • .. "0 8 t woo 7 000c.00e�_ � , l� VNVI 0000t.r ' •7 .Or -� ``•I 8 , `�� a,e — a•.81 - i t OD t / — // rl °t n d♦ 1 0p I I j 7.A0,01,00x ti ' STATE OF CALIFORNIA—STATE AND CONSUMER SERVICES AGENCY GEORGE DEUKMEJIAN, Governor DEPARTMENT OF VETERANS AFFAIRS DIVISION OF FARM & HOME PURCHASES REQUIREMENTS FOR: JACK D. KEEL 1. PLEASE READ, SIGN AND RETURN THE PURCHASE AUTHORIZATION. BE SURE TO RETURN BOTH PAGES OF THE ORIGINAL TO THIS OFFICE. YOU MAY RETAIN THE COPY FOR YOUR RECORDS. 2. WHEN ALL REQUIREMENTS ARE MET AND READY TO BE SUBMITTED TO CAL -VET, COMPLETE AND RETURN THE ENCLOSED APPLICATION FORM FOR HOME PROTECTION PLAN COVERAGE. (I-14) 3. SIGN, DATE AND RETURN THE ENCLOSED CERTIFICATE OF ACCEPTANCE. 4. RETURN THE ENCLOSED FORM RELATIVE TO THE WELL yND/OR SEPTIC TANK IN- STALLATION PROPERLY COMPLETED BY THE COUNTY HEALTH DEPARTMENT: (2218) 5. FURNISH A TERMITE INSPECTION REPORT FROM A LICENSED PEST CONTROL OPERATOR COVERING THE BUILDINGS ON THE PROPERTY SELECTION. IF REPAIRS ARE NECESSARY, A TERMITE CLEARANCE CERTIFICATE MUST BE OBTAINED AND SUBMITTED WITH THE REPORT. 6. YOU MUST PROVIDE A COPY OF YOUR MOBILE HOME INSURANCE POLICY WITH A LOSS PAYABLE ENDORSEMENT NAMING THE DEPARTMENT OF VETERANS AFFAIRS AS LOSS PAYEE, (SEE PARAGRAPH 6 OF YOUR PURCHASE AUTHORIZATION - PAO) OR VERIFICATION FROM YOUR INSURANCE AGENT THAT SUCH WILL BE PROVIDED TO ESCROW WHEN THE LOAN IS FUNDED. THE INSURANCE AMOUNT MUST BE NO LESS THAN THE AMOUNT STATED IN PARAGRAPH 6. AN ACTUAL CASH VALUE (ACV) POLICY WILL NOT BE ACCEPTABLE. 7: IN ORDER TO QUALIFY FOR A CAL -VET LOAN YOUR MOBILE HOME MUST BE INSTALLED ON A FOUNDATION SYSTEM PURSUANT TO SECTION 18551 OF THE HEALTH AND SAFETY CODE. PROVIDE A COPY OF THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT FORM "MOBILEHOME INSTALLATION ON A FOUNDATION SYSTEM - HCD FORM 4331, SHOWING COUNTY RECORDER'S STAMP. ALSO SUBMIT A COPY OF.HCD FORM 513C (CERTIFICATE OF OCCUPANCY) WHICH HAS BEEN COMPLETED BY THE LOCAL AGENCY HAVING JURISDICTION. PLEASE CONTACT'YOUR MOBILE HOME DEALER FOR ASSISTANCE IN COMPLYING WITH THESE REQUIREMENTS. 8. PLEASE PROVIDE COPIES OF: 1. ESCROW INSTRUCTIONS. 2. ALL AMENDMENTS TO NUMBER 1 OR ADVISE IF NONE. 3. ESTIMATED ESCROW CLOSING STATEMENT. HIRE A VETERAN -HIRE EXPERIENCE to U _ - .------; l I 121 Received from herein called Buyer, the sum of d Dollars $ &ee7�- evidenced by ❑ sh, ❑ cashier's check, K personal check or ❑ payable to is e -- 09L " to be held u ashed until acceptance of this offer as deposit on account of purchase price of e/ ollars $ for the pVhase of property, situated in uount o wr r .a, + described as follows: 6 7/ e)I06z � e.l_e '�'`— r— ' �'�l e eacct . 1. FINANCING: The obtaining of Buyer's financing is a conti gency of this agreement. �� ' A. DEPOSIT upon acceptance; to be deposited into - B ,INCREASED DEPOSIT. within days of Seller's acce tancs to,be deposited into ..l. %$ r ,.. ,; ? C. BALANCE OF DOWN PAYMENT to be deposited into on o� before ��J� $ !a D. Buyer to apply, qualify for.and obtain a NEW FIRST LOA in the amount of ............ :.......... ...:: `.'.. $,6� payable monthly at approximately $ To luding interest at origination not to exceed , %,Kfixed rate, ❑ other — all duel years from.date of _ origination. Loan fee not to exceed Seller agrees to pay a max imum of FHA/VA discount points. Addition I gr ❑ to assume, ❑ to tak t"j t to an in favor ofR, at —% ❑ fixed rate,' ❑ r Fees not to exceed iionof;! c Additional Terms R -Buyer, to execute a NOTE SEC R n B f> IN FAVOR OF-SE6LE13payable ' t i ❑second, ® thi�d;C ❑ c.more c„I to balance of $ ncluding interest in the amount of $ % all due years from date `o , nou on sale or transferor a)2 prd A late charge of shhiI� p- ue�o . n �y + mnt not paid within a y daj of the due date. ❑ Deed of trust to contain a relqu s orlI��iro Ick "default or thus t of let if erk will; [1 will not IV execute a requestfor notice of BI,J' 806111 Q-BuyQLQ to assume, ❑ to take title subject to an EXISTING SECOND LOAN with an approximate balance of $ in favor of payable monthly at $ including interest at % ❑ fixed rate, ❑ other s not to exceed- Additional Terms _T"aayer_ a ply, qualify for and obtain a NEW SECOND LOAN in the amount of ........... :..................... ^ payable monthly a tel .$ including. interest at origination not to exceed % ❑•fixed rate,❑ other all due.years from date of origination. Buye not to exceed Additional Terms f I. 4nAhe event Buyer assumes or takes title subject to an existing loan, Seller shall provide Buyer with copies of applZii t�and Deeds of Trust. A loan may contain a number .of features which affect the loan, such... as interest rate changes, mo ment changes, balloon payments, etc. Buyer shall be allowed calendar ; days after receipt of such copies to noti y writing of disapproval. FAILURE TO NOTIFY SELLER SHALL CONCLUSIVELY BE CONSIDERED APPROVAL. Buyers I �shalltbe unreasonably withheld...Difference in existing loan balances shallbe adjusted in ❑ Cash, J. Buyer agrees to, act diligently and in good.faith tybtain all applicable fi i v s-- AJ, K. ADDITIONAL FoINANCI TE 9:/ 5. 12OU "99 L TOTAL UIURCkSE' PRICE. ..................................e�: k $ 2. OCCUPANCY: Buyer does, ❑ does not intend to occupy subject property as Buyer's primary residence:. 3. SUPPLEMENTS: The ATTACHED supplements are incorporated herein: ❑ Interim Occupancy Agreement (CAR FORM IOA-11) ❑ ❑ . Residential Lease Agreement after Sale (CAR FORM RLAS-11) ❑ ❑ VA and FHA Amendments (CAR FORM VA/FHA-11) ❑ Buyer and Seller acknow,le�dg,e% eceiptojc�iy of this page, which constitutes Page 1 of 3~ Pages. U*'s Initials (_t ) (-A �-) Seller's Initials ) ( ) - OFFICE USE ONLY J CopyrightO 1986, 1987, CALIFORNIA ASSOCIATION OFREALTORS® Reviewed by Broker or Designee ?; 525 South Virgil Avenue, Los Angeles, California 90020 Date A WWROM + MB -Jan -88 + Revised 7/87 BROKER'S COPY ject Property Address 19, 00 4. ESCROW: Buyer and Seller shall deliver siA; �sin Instructions to �'� _ calendar gdays from Seller's acceptance which shall pr vide for closing withinthe escrow holder, within Seller's acceptance. Escrow fees to be paid as follows: ' / calendar days from S. TITLE: Title is to be free of liens, encumbrances, easements, restrictions, rights and conditions of record or known to Seller, other* than the following: (a) Current property taxes, (b) covenants, conditions, restrictions, and public utility easements of record if an Provided the same do not adversely affect the continued use of the property for the purposes for which it is presently being used, unless reasonbly di at sapproved by Buyer in writing within .�� calendar days of receipt of a current preliminary report furnished -fib expense, and (c) --- Seller gall furnish B r at expense a standard California Land Title Association policy issued by above. If Seller is unwilling or u ble to eliminate any title matter disapprovedCompany, showing title vested in Buyer subjbect only to the e, Buyer my terminte this areement. If Seller fails to deliver title as above, Buyer may terminate this agreement; in her case, the depositashall be returned to Buyer. 6:=PRORATIONS: Property taxes, payments on bonds and assessments assumed by Buyer, interest, rents, association dues, premiums on insurance acceptable to Buyer, and of the deed; or ❑ shall be paid current and prorated as of: the day of recordation Bonds or assessments now a lien shall -be not yet due to be assumed by Buyer; or� pai in full by Seller, includin Od paid current by Seller, payments County Transfer tax shall be paid by g payments not yet due; or ❑ or transfer fee shall be paid by . The = transfer tax PROPERTY WILL BE REASSESSED UPON CHANGE OF OWNERSHIP. THIS WILL AFFECT THE TAXES TO BE PAID. -A Supplemental tax bill will be issued, which shall be paid as follows: (a) for periods after close of escrow, by Beyer (or by final acquiring party If part of an exchange), and (b) for periods prior to close of escrow, by Seller. TAX BILLS ISSUED AFTER CLOSE OF ESCROW SHALL BE HANDLED DIRECTLY BETWEEN BUYER AND SELLER. 7. POSSESSION: Possession and occupancy shall be delivered to Buyer, on close of escrow, or ❑ not later than days after close of escrow, or ❑ VESTING: Unless otherwise designated In the escrow Instructions of:Burtle�SF�h)f gest a follows: . } - tr- -•-t �. µ (The manner of taking title may haverslgnificant legal an d;taf,c6risequericesTherdfdregive this matter serious consideration.) 9. MULTIPLE LISTING SERVICE: If Brokerls a Participant of`8 Board'multl'12"'i I t;' t k,. r the sale, its price, terms, and financing, for the'publication, dissemination pfiformatonand u6e4of the authorized Board members, MLS LS'), the Broker is authorized to report Participants and Subscribers. �f t{,r'�;s,� re 10. LIQUIDATED DAMAGES: If Buyer fallsA complete sale e a ere provided b Of Buyer, Seller shall be releasedFfrompobhgation to sell they o''ert w t' UV, V and may reason of any default . upon an claim or remedy whichrhe%shemay have in law ore Wty to' vy ' u y y A Jo;, � y proceed against Buyer k;fZials here Buyer: ( /( Seller' q Y, provided, however , that by placing their k,) �%/ • 1�7.) agree that�Selexsha7l retain the deposit as liquidated damages. If the described pi'dpertyls,e" allinfith, no more the,foL��Unitis one to occupy as his/her residence, aid, or an amount Seller;shall retain as liquidated dam_ a§xtherd, I ositne actually of ch the.Buyer intends"'""�° therefrom, not more than 3% of the purchase price•and promptly "return any excess to Buyer agree Buyer and Seller I agree to execute a similar liquidated damages provision, such as California Association ® f for Increased Deposit (RID -11), for any increased deposits. (Funds deposited in trust accounts oR naetsc a Ree not released automatically in the -event of a dispute. Release of funds requires written agreement of the parties oradjudication.)crowre 11. ARBITRATION: If the only controversy or claim between the parties arises out of or relates to the disposition of the Buyer's deposit, such controversy or claim shall at the election of the parties be decided by arbitration. Such arbitration shall be determined in accordance with the Rules of the American Arbitration Association, and judgment upon the award rendered by the Arbitrator(s) may be entered in any court having jurisdiction thereof. The provisions of Code of Civil Procedure Section 1283.05 shall be applicable to such arbitration. 12. ATTORNEY'S FEES: In any action or proceeding arising out of this agreement, the prevailing party shall be entitled to reasonable attorney's fees and costs. 13. KEYS: Seller shall, when possession is available to Buyer, provide keys and/or means to operate all property locks, and alarms, if any. 14. PERSONAL PROPERTY- he following, ff-1ams of personal roperty, free of liens and. without warranty of condition, are included:_ ,+ -- lJ � 0 �T Oi77P �L 15. FIXTURES: All permanently installed fixtures and fittings that are ached to the property or for which special openings have bee made are included in the purchase price, including electrical, light, plumbing and heating fixtures, built-in appliances, screens, awnings, shutters, all window coverings, attached floor coverings, T.V. antennas, air cooler or conditioner, garage door openers and attached fireplace equipment, mailbox, trees and shrubs, and • controls, 16. SMOKE DETECTOR(S): A except Approved smoke detectors) shall be in d as required by law, at the expense of ❑ Buyer, � Seller. 17. TRANSFER DISCLOSURE: Unless exempt, Transferor (Seller), shall comply with Civil Code Sections 1102 et se4•, by providing Transferee (Buyer) with a Real Estate Transfer Disclosure Statement: a)A Buyer has received and read a Real Estate Transfer Disclosure Statement; or b) ❑ Seller shall provide Buyer with a Real Estate Transfer Disclosure Statement within --- calendar days of Seller's acceptance after which Buyer shall have three (3) days after delivery to Buyer, in person, or five (5) days after delivery by deposit in the mail, to terminate this agreement by delivery of a written notice of termination to Seller or Seller's Agent. 18. TAX WITHHOLDING: Under the Foreign Investment in Real Property Tax Act (FIRPTA), IRC 1445, every Buyer of U.S. real property must, unless an exemption applies, deduct and withhold from Seller's proceeds ten percent (10%) of the gross sales price. The primary exemptions are: No withholding is required if (a) Seller provides Buyer with an affidavit under penalty of perjury, that Seller is not a "foreign person," or (b) Seller provides Buyer with a "qualifying statement" issued by the Internal Revenue Service, or (c) if Buyer purchases real property for use as a residence and the purchase price is $300,000.00 or less and if Buyer or a member of Buyer's family has definite plans to reside at the property for at least 50% of the number of days it is in use during each of the first two twelve -months periods after transfer. Seller and Buyer agree to execute and deliver as directed, any instrument, affidavit and statement, or to perform any act reasonably necessary to carry out the provisions of FIRPTA and regulations promulgated thereunder. 9. ENTIRE CONTRACT: Time is of the essence. All prior agreements between the parties are incorporated in this agreement which constitutes the entire contract. Its terms are intended by the parties as a final expression of their agreement with respect to such terms as are included herein and may not be contradicted by evidence of an The parties further intend that this agreement constitutes the complete and exclusive statement of its terms and that no extrinsic evidence whatsoever may be introduced in any judicial or arbitration proceeding, prior any, involving thiseement or ogre went. contemporaneous oral agreement. Buyer and Sell 9 agreement. er acknowledge receipt of op f this page, which consti utes Page 2 of Pages. Initials (�) (_��) Seller's Initials ( g ') 8rry . OFFICE USE ONLY � e Reviewed by Broker or DesignsEUX 1 usm MMM" =A1 GCTATr no om..._ _ _ _ _— BROKER'S COPY Date � '� �- �' y Malan-98 ,� pec i rroperty Haoress 4. ESCRO_ W: Buyer and Seller shall deliver signed instructions to the escrow holder, within calendar days from Seller's acceptance which shall provide for closin within Seller's acceptance. Escrow fees to be paid as follows: 011_ —� g - �ale�dar days from 5. TITLE: Title is to be free of liens, encumbrances, easements, restrictions, rights and conditions of record or known to Seller, other than the following: (a) Current property taxes, (b) covenants, conditions, restrictions, and public utility easements of record; if any, Provided the same do not adversely affect the continued use of the property for the purposes for which it is presently being used, unless reasonably disapproved by Buyer in writing within 3 _calendar days of receipt of a current preliminary report furnished at _ expense, and (c) Seller shall furnish Buyer at _S�_ = — expense a standard California Land Title Association policy issued by above. If Seller is unwilling or un le to eliminate an title matter disapproved showing title vested in Buyer subject only to the Y pproved by Buyer as above, Buyer may terminate this agreement. If Seller fails to deliver title as above, Buyer may terminate this agreement; in either case, the deposit shall be returned to Buyer. 6. PRORATIONS: Property taxes, payments on bonds and assessments assumed by Buyer, interest, rents, association dues, premiums on insurance acceptable to Buyer, and�Bonds shall be paid current and prorated as of: ❑ the day of recordation of the deed; or ❑ sessments now a lien shall be Ja paid current by Seller, payments not yet due to be assumed by Buyer; or rpai In full by Seller including payments not yet due; or ❑ County Transfer tax shall be paid by The or transfer fee shall be paid by transfer tax PROPEROWNERSHIP. THIS WILL AFFECT THE TAXES TO BE PAID. A Supplemental tax Tbil w1 ll be ss ed, which shaEASSESSED ll be paid as follows: (a) for periods after close of escrow, by Buyer (or by final acquiring party if part of an exchange), and (b) for periods prior to close of escrow, by Seller. TAX BILLS ISSUED AFTER CLOSE OF ESCROW SHALL BE HANDLED DIRECTLY BETWEEN BUYER AND SELLER. 7. POSSESSION: Possession and occupancy shall be delivered to Buyer,f on close of escrow, or ❑ not later than days after close of escrow, or ❑ .. :.r'M'=3F m...'i...v.. ... -.. .,..?r/:«�:•��t .a-ntW .. 8. VESTING: Unless otherwise designated iri'the escrow instructions of Buyer;: title shall v C.> .est .`as follows: � (The manner of taking title may have significant legal anal;tta�t..consequences Therefore, give this matter serious consideration.) 9. MULTIPLE LISTING SERVICE: If Broker.ls a l articipant of a Board multipleiisitmg service;•(!NILS"), the Broker is authorized to report the sale, its price, terms, and financing for the publication, dissemination, information; and use, of the Participants and Subscribers. authorized Board members, MLS ` 10. LIQUIDATED DAMAGES: If Buyer fails to. complete said purchase as,herein;provided by reason of any default of Buyer, Seller shall be relea§ed-ifrom obligation to sell the property'to Buyer and may proceed against Buyer upon any claim or remedy which lie%she`may have in law or equity; provided, however, that by placing their initials here Buyer: ( (< p Seller: (� �. �=•�;- ) �( lh'tf,�• ?r1) agree that$eller-shall retain the deposit as liquidated damages. If the described property�is a d tilling .With. no more than four units, one of which the Buyer intends to occupy as his/her residence, Seller shall �etain.as'liquidated damages•the deposit actually paid, or an amount therefrom, not more than 3% of the purchase price and promptly return any excess to Buyer. Buyer and Seller agree to execute a similar liquidated damages provision, such as California Association of Realtors® Receipt for Increased Deposit (RID -11), for any increased deposits. (Funds deposited in trust accounts or in escrow are not released automatically in the event of a dispute. Release of funds requires written agreement of the parties or adjudication.) 11. ARBITRATION: If the only controversy or claim between the parties arises out of or relates to the disposition of the Buyer's deposit, such controversy or claim'shall at the election of the parties be decided by arbitration. Such arbitration shall be determined in accordance with the Rules of the American Arbitration Association, and judgment upon the award rendered by the Arbitrator(s) may be entered in any court having jurisdiction thereof. The provisions of Code of Civil Procedure Section 1283.05 shall be applicable to such arbitration. 12. ATTORNEY'S FEES: In any action or proceeding arising out of this agreement, the prevailing party shall be entitled to reasonable attorney's fees and costs. 13. KEYS: Seller shall, when possession is available to Buyer, provide keys and/or means to operate all property locks, and alarms, if any. 14. PERSONAL PROPERTY: The following items of personal property, free of liens and without warranty of condition, are included: 15. FIXTURES: All permanently installed fixtures and fittings that are attached to the property or for which special openings have been made are included in the purchase price, including electrical, light, plumbing and heating fixtures, built-in appliances, screens, awnings, shutters, all window coverings, attached floor coverings, T.V. antennas, air cooler or conditioner, garage door openers and controls, attached fireplace equipment, mailbox, trees and shrubs, andexcept 16. SMOKE DETECTOR(S): Approved smoke detectors) shall be instalLed as required by law, at the expense of ❑ Buyer, Seller. 17. TRANSFER DISCLOSURE: Unless exempt, Transferor (Seller), shall comply with Civil Code Sections 1102 et seq., by providing Transferee (Buyer) with a Real Estate Transfer Disclosure Statement: a)Buyer has received and read a Real Estate Transfer Disclosure Statement; or b) El Seller shall provide Buyer with a Real Estate Transfer Disclosure Statement within ar days of Seller's acceptance after which Buyer shall have three (3) days after delivery to Buyer, in person, or five (5) days) after delivery by deposit in the mail, to terminate this agreement by delivery of a written notice of termination to Seller or Seller's Agent. 18. TAX WITHHOLDING: Under the Foreign Investment in Real Property Tax Act (FIRPTA), IRC 1445, every Buyer of U.S. real property must, unless an exemption applies, deduct and withhold from Seller's proceeds ten percent (10%) of the gross sales price. The primary exemptions are: No withholding is required if (a) Seller provides Buyer with an affidavit under penalty of perjury, that Seller is not a "foreign person," or (b) Seller provides Buyer with a "qualifying statement" issued by the Internal Revenue Service, or (c) if Buyer purchases real property for use as a residence and the purchase price is $300,000.00 or less and if Buyer or a member of Buyer's family has definite plans to reside at the property for at least 50% of the number of days it is in use during each of the first two twelve -months periods after transfer. Seller and Buyer agree to execute and deliver as directed, any instrument, affidavit and statement, or to perform any act reasonably necessary to carry out the provisions of FIRPTA and regulations promulgated thereunder. 19. ENTIRE CONTRACT: Time is of the essence. All prior agreements between the parties are incorporated in this agreement which constitutes the entire contract. Its terms are intended by the parties as a final expression of their agreement with respect to such terms as are included herein and may not be contradicted by evidence of any prior agreement or contemporaneous oral agreement. The parties further intend that this agreement constitutes the complete and exclusive statement of its terms and that no extrinsic evidence whatsoever may be introduced in any judicial or arbitration proceeding, if any, involving this agreement. Buyer and Seller acknowledge r ceipt qf.-Fo X of this page, which constitutes Page 2 of �— Pages. Buyer's Initials () ( ) Seller's Initials >> OFFICE USE ONLY Reviewed by Broker or Designee �m TUWY BROKIER'S COPY Date MB -Jan -88 REAL ESTATE PURCHASE CONTRACT AND RECEIPT FOR DEPOSIT (DLF-14 PAGE 2 OF 4) REAL ESTATE PURCHASE CONTRACT AND RECEIPT FOR DEPosIT 11111 PAA DAfl-c 11 ^r- 00 Subject Property Address reement are for convenience of reference only and are not intended as part of this agreement. 20. CAPTIONS: The captions in this ag 21. ADDITIONAL TERMS AND CONDITIONS: ONLY THE FOLLOWING PARAGRAPHS A THROUGH J WHEN IN BY BOTH BUYER AND SELLER ARE INCORPORATED IN THIS AGREEMENT. er's Initlals Seller's Initials A. PHYSICAL INSPECTION: Within calendar days after Seller's acceptance Buyer shall have the r t Buyer's expense, to select a licensed contractor(s) or other qualified professional(s), to inspect and investigate the subject property, IflcWdin but not limited to structural, plumbing, heating, electrical, built-in appliances, roof, soils, foundation, mechanical systems, pool, pool he of filter, air conditioner, if any, possible environmental hazards such as asbestos, formaldehyde, radon gas and other substances/ products. �sh�all keep the subject property free and clear of any liens, indemnify sts, and repair all damages to the property arising from and hold Seller harmless from all liability, claims, demands, damages�v the inspections. All claimed defects concerning the condition of the property that a v affect the continued use of the property for the purposes for which it is presently being used shall be in writing, supported by written reports, if any, elivered to Seller within' calendar days after Seller's acceptance. Buyer shall furnish Seller copies, at no cost, of all reports concerning erty obtained by Buyer. When such reports disclose conditions or information unsatisfactory to the Buyer, which the Seller is unwilling or unab a rect, Buyer may cancel this agreement. Seller shall make the premises available for all inspections. BUYER'S FAILURE TO NOTIFY SELLER SMALL CONCLUSIVELY BE CONSIDERED APPROVAL. Buyer,; -s Initlals Seller's Initials /I-.-- -_ B. GEOLOGICAL INSPECTION: Within calendar days after Seller's acceptance, Buyer shall have the right at'Buyer s expense, to select a qualified professional to make tests, surveys, or other studies of the subject property. Buyer shall keep the subject pro erty_free and clear of any liens indemrnfy and hold Seller harmless from all liability, claims, demands; damages or costs, and 'repair alldamages �6pe�tansing'from the tests, surveys, or studies. All claimed defects concerning the condition of the property that adversely affect,thde a of the propertyt for the purposes for which it is calendar daysafter being used shall be in writing, supported by written reports; eports If�any, and `dehve"red to x? ,MlEtin Seller's acceptance. Buyer shall .furnishi.Seiier copies, atrno cost �offall reports,concernir erty obtained by Buyer. When• such reports disclose conditions or Inforhidtlon unsatisfactory= 64WBuyer which�Tthe Belle is unwilling or to correct, Buyer ,a l6b. BUYER'S FAILURE TO NOTI ER may cancel this agreement. Seller,,ihalLmake the premises avallable},�for alllinspectlons. SHALL CONCLUSIVELY BE CONSIDERED APPROVALj, Buyer's Initials Seller's Initials x•� w.� a. iCONDITION OF�PROPERTY: Seller warrants through the date possession is made available l.,-,16 o p O0Buyer-: (1) property and improvementsathereon, Including Landscaping, grounandpso_ol/spa, if any, shall be maintained in the same condition as upon the date of Sellers acc pta`ce�£(2)Ithe,rooflis,free of alliknown leaksand that water, sewer, plumbing, heating, air conditioning, if any, and electrical systems and all built-in appliances are operative, (3)rr Buyer's Initials Seller's Initials ,wl " ``r . ) l; '/",C_I�1 1D. SELLER REPRESENTATION: Seller warrants that Seller has no knowledge of any notice of• olations of City, Cou , State, Federal, Building, Zoning, Fire, Health Codes or ordinances, or other governmental regulation filed or issued against the property. This warranty shall be effective until the date of close of escrow. Buyer's InitialsS le"s in"' Is �o'' PEST CONTROL: Within _-_. calendar days from the date of Seller's acceptance Seller dhallfurnish Buyer, at t �pense. of ❑ Buyer, Seller, a current written report of an inspection by V o - a licensed Structural Pest Control Operator, of the main uilding and all structures on the property, except`- If no infestation or infection by wood destroying pests or organisms is foun ?'the report shall include a written "Certification" as provided in Business and Professions Code 8519(a) that on the date of inspection "no evidence of active infestation or infection was found." All work recommended in said report to repair damage caused by infestation or infection by wood -destroying pests or organisms found, including leaking shower stalls and replacing of tiles removed for repairs, and all work to correct conditions that cause such infestation or infection shall be done at the expense of Seller. Funds for work to be performed shall be held in escrow and disbursed upon receipt of written Certification as provided in Business and Professions Code 8519(b) that the property "is now free of evidence of active infestation or infection." Buyer agrees that any work to correct conditions usually deemed likely to lead to infestation or infection by wood -destroying pests or organisms, but where no evidence of existing infestation or infection is found with respect to such conditions is NOT -the responsibility of Seller, and that such work shall be done only if requested by Buyer and then at the expense of Buyer. If inspection of inaccessible areas is recommended by the report, Buyer has the option of accepting and approving the report or requesting further inspection be made at the Buyer's expense. If further inspection is made and infestation, infection, or damage is found, repair of such damage and all work to correct conditions that caused such infestation or infection and the cost of entry and closing of the inaccessible areas shall be at the expense of Seller. If no infestation, infection, or damage is found, the cost of entry and closing of the inaccessible areas shall be at the expense of Buyer. Other Buy ' ler neral_ Seller's Initials _ F. FLOOD HAZARD AREA DISCLOSURE: Buyer is informed that subject property is situated in a "Special Flood Hazard Area as set fMap" (FIRM) ortFi ons Federal Emergency Management Agency (FEMA) "Flood Insurance Rate M or "Flood Hazard Boundary Map" (FHBM). The law provides'that,-as condition of obtaining financing on most structures located in a "Special Flood Hazard Area," lenders require flood insurance where the p��e�nare security for a loan. The extent of coverage and the cost may vary. For further information coNo representationor recommendation is made by the Seller and the Brokers in this transaction as to,the legaeeconomic conseque the National Flood Insurance Program and related legislation. .� ' Pa es. Buyer and Seller acknowledge receipt of opy, of this page, which con itutes Page 3 of 9 Buyer's Initials ( ) ( ) Seller's Initials_) ( ) ✓� � OFFICE USE ONLY Reviewed by Broker or Designee � ';- R MAL MMOM Date MWTUNnY MB -Jan -88 BROKER'S COPY __ _-- r 1� flAfr AAAI oilzrc10T FnR nEPOSIT (DLF-14 PAGE 3 OF 4) r Subject Property Address%� , ,��G-,, �, vri ✓�, Buyer's InitlBBig Seller's Initials k____ -- G. SPECIAL STUDIES ZONE DISCLOSURE: Buyer is informed that subject property is situated in a Special Studies Zone as designate Sections 2621-2625, inclusive, of the California Public Resources Code; and, as such, the construction or development on this property of any for human occupancy may be subject to the findings of a geologic report prepared by a geologist registered in the State of California, unless suc r iswaived by the City or County under the terms of that act. Buyer is allowed calendar days from the date of Seller's acceptance to r'Ti a they inquiries at appropriate governmental agencies concerning the use of the subject property under the terms of the Special Studies t and local building, zoning, fire, health and safety codes. When such inquiries disclose conditions or information unsatisfactory to the ich the Seller is unwilling or unable to correct, Buyer may cancel this agreement. BUYER'S FAILURE TO NOTIFY SELLER SHALL CONCL BE CONSIDERED APPROVAL. ' _buyer's Initials Seller's Initials I! In/-- ""'--H:-ENERGY CONS_ERV_ATION RETROFIT: If local ordinance requires that the property be brought in compliance with minimum energy Conservation Standards as a conditlomof-seIe-ex-transfe� r ❑ Buyer, ❑ Seller shall comply with and pay for these requirements. Where permitted by law, Seller may, if obligated hereunder, satisfy the obliga Ion w to credit Buyer with sufficient funds to cover the cost of such retrofit. Buyers Initials sellers initials I. HOME PROTECTION PLAN: Buyer and Seller have been informed that Home Protection Plans are available. Such plans may provide additional protection and benefit to a Seller or Buyer. California Association of Realtorse and the Broker(s) in this transaction do not endorse or approve any particular company or program: a) ❑ A Buyer's coverage Home Protection Plan to be issued by Company, at a cost not to exceed $ to be paid by ❑ Seller, ❑ Buyer; or b) ❑. Buyer and Seller elect not to purchase a Home Protection Plan. BOyersLitials sellers Initials J. CONDOMINIUM/P.U.D.: The subject of this transaction is a condominium/planned unit develop- ment (P.U.D.) designated as unit and parking space(s) and. an undivided interest in all community areas, and .-The current monthly assessment charge by the homeowner's association or other governing body(s) is $ As soon as practic er shall provide Buyer with copies of covenants, conditions and restrictions, articles of incorporation, by-laws, current rules and regulation , urrent financial statements, and any other documents as required by law. Seller shall disclose in writing any known pending special assessme s or litigation to Buyer. Buyer shall be allowed calendar days from receipt to review these documents. If such documents disclose con information unsatisfactory to Buyer, Buyer may cancel this agreement. BUYER'S FAILURE -TO NOTIFY SELLER SHALL CONCLUSIV CONSIDERED APPROVAL. 22. OTHER TERMS AND CON ct i(: /.�rL�r►/��I/F2dI�� Js!_-�/I•-"-�C�inL:l�!�/2fllli. a-ice:-i!��il f>��0/L�i��"'�r��} `,a IM 23. AGENCY CONFIRMATION: The followin agency relationship(s) are hereby confirmed for this transaction: LISTING AGENT: /W.�Ivis /i GL is the agent of (check one): ❑ the Seller excluf'vely; or X both the Buyer and Seller SELLING AGENT: /1-7 /`--►I dC. r -'Te `r (If not the same as Listing Agent) is the agent of (check one): ❑ the Buyer exclusively; or ❑ the Seller exclusively; or JO both the Buyer and Seller. 24. AMENDMENTS: This agreement may not be amended, modified, altered or changed in any respect whatsoever except by a further agreement in writing executed by Buyer and Seller. 25. OFFER: This constitutes an offer to purchase th escribed prop% ty. Unless acceptance is signed by Seller and the signed copy delivered in person or by mail to Buyer, or to T F % Xr .zl r+7i-- who is authorized to receive it, in person or by mail at the address below, within calendar days of the date hereof, this offer shall be deemed revoked and the deposit shall be return . Buyer has res and acknowledge eceigt of a copy of this offer. _ REA E BR¢fZ�R '» r7e tBUY '''` B ' (� c/ a )B(jYE ass AddressY a c 5' Telephone 9! - % % '� ��`` Telephone ACCEPTANCE The undersigned Seller accepts and agrees to sell the property on th above terms nd conditions and agrees to the above confirmation of agency relationships. Seller agrees to pay to Broker(s) �`�•��Pt•.��' compensation for services as follows: 045,41!21-- 1L <sf; •. r,, < c g Payable: (a) On recordation of the deed or other evidence of title, or (b) if completion of sale is prevented by default of Seller, upon Seller's default, or (c) if completion of sale is prevented by default of Buyer, only if and when Seller collects damages from Buyer, by suit or otherwise, and then in an amount not less than one-half of the damages recovered, but not to exceed the above fee, after first deducting title and escrow expenses and the expenses of collection, if any. Seller shall execute and deliver an escrow instruction irrevocably assigning the compensation for service in an amount equal to the compensation agreed to above. In any action or proceeding between Broker(s) and Seller arising out of this agreement, the prevailing party shall be entitled to reasonable attorneys fees and costs. The undersigned has read and acknowledges receipt of a copy of this agreement and authorizes Broker(s) to deliver a signed copy to Buyer. Broker, By Date Date This form is available for use by the entire real estate industry. The use of this form Is not Intended to Identity the user as a REALTOR®. OFFICE USE ONLY REALTORO Is a registered collective membership mark which may be Q used only by real estate licensees who are members of the NATIONAL Reviewed by Broker or Designee ASSOCIATION OF REALTORS® and who subscribe to its Code of -� EM44w" Ethics. Page 4 of le Pages. Date S �� OPPORTUNITY MB -Jan -88 BROKER'S COPY REAL ESTATE PURCHASE CONTRACT AND RECEIPT FOR DEPOSIT (DLF-14 PAGE 4 OF 4) . ,� SUPPLEMENT/ADDENDUM TO THE REAL ESTATE PURCHASE CONTRACT AND RECEIPT FOR DEPOSIT The following terms and conditionsare hereby incorporated in and made a part of the REAL ESTATE PURCHASE CONTRACT AND RECEIPT FOR DEPOSIT dated _u67 ^''�u�� is referred to as BUYER and ^�° ^f -- -�-----��-� , _=_"^_+��-_ is referred to as SELLER. . _ --------�- . A *- /��u��_ / The buyer acknowledges that any I��suremenrs or��/quare footage which he may have associated with this property is intended as a guide for. the comparison us by agents and is not warranted by the Seller or the Seller's agents Such . measurements and/or square footage is not to be relied on �y Buyer. Buyer should PERSONALLY MEASURE any important features. - � �Y / ��_�� __~_ to pay sepczc sys�� i/�sp��cLion: ___~��a��_______-__-- pay for any necessarY pumping or repairsx at a cost not to -----ed $ , -��-- /U L' �\This agreement is subject to local �gency verific�W5on t�at the existing or proposed septic system meets minimum requirements for a _ bedroom house. Cost of such verification is to be paid by 4~ ��_/ ��R . This agreement is subject to Buyer's �xpproval of prert� corners as located by Seller or licensed surveyor, to be paid by __________-__,_______. ---- ------� ----' -- � �! i that there is Ownfer's Asso��i��tign j�hat-has--��e-��F��r�� ^' ^� �o`r several �� - --- �l'�, / u�_/��_ Q�eller shall provide a D.O.H. vie, or ��ablish^that the subJect mobile home is not in violation of any D.O.H. r'equirements, within days of acceptance of this offer. ----------------------------------------------------------------- The.undersigned acknowledg�_ss receipt of / copy of this page which constitutes page `��-_. of ~~~��-_ paQes. BU ER DATEBUYER DATE SECURED TAX BILL COUNTY OF NUMBER I TAX RATE AREA I PARCEL NUM ASSESSMENT INFORMATION TAXABLE VALUE LAND TZ, 178 IMPROVEMENTS 13 , 76 1 PERSONAL PROPERTY MISCELLANEOUS EXEMPTION GROSS ASSESSMENT BEFORE HOMEOWNER EXEMPTION 25,939 STATE FINANCED HOMEOWNER EXEMPTION 71000 NET TAXABLE VALUE 1 E , 93 9 PROPERTY LOCATION R FOR THE FISCAL YEAR BEGINNING TTF YOUR CANCELLED CHECK IS YOUR BEST GROSS TAX AMOUNT DICK PUF1ICHFR - TAXl- I FfTrlR 1111 Y t, 1CA7 TAY. BILL NO. I • _ TAXING ENTITY - - TAX RATE GROSS TAXES JCDu ly GENERAL 1.000 259.36 BUTTE MOSQUITO ABT DT 1.00 MAGALIA CO WATER BOND .104 26.96 PARADISE ST SCH BLDG .Oe2- 25 COUNTY CENTER DR GP.OVILLE, CA. 95965 PARADISE LEASE PURCH .035 .50 L'.06 PARADISE UNFD END 1964 .004 i.02 BUTTE CO STATE SCH BLD .0C1 .24 1 ASSESSED OWNER AS OF LIEN DATE M -h R('N 7 t o c MARX JAMES L E DORIS L 6710 INDIAN DR . MAGALIA CA 95954 IF PROPERTY HAS BEEN SOLD PLEASE FORWARD BILL TO NEW OWNER MAKE CHECKS PAYABLE TO: YOUR CANCELLED CHECK IS YOUR BEST GROSS TAX AMOUNT 9A • RECEIPT. HOWEVER, IF YOU REQUIRE AN BUTTE COUNTY ADDITIONAL RECEIPT PLEASE RETURN THIS ENTIRE BILL FOR VALIDATION. LESS STATE FINANCE HOMEOWNER REDUCTION 20.20 - O.2O- TAX TAX CnLLECTOR NET TAX DUE 217.96 DICK P U E L I C H E R SECOND INSTAL2LMENT ADD PENALTY 1 O 4 • ' FIRST INSTALLMENT . 25 COUNTY CENTER DR GP.OVILLE, CA. 95965 AND COST 810.00 AFTERAPR 111 1988 _ , ADD PENALTY 1(!� AFTER DEC 10, 19E7 DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA SELLER'S AFFIDAVIT (Cal -Vet Loan Contract) –As the seller(s) of a home to be financed with a Cal -Vet loan, you must read this Affidavit carefully, including the Instructions printed on the reverse side, fill it in (print in ink or type), and sign it under oath before a Notary Public. By doing so, you promise that all the statements in it are true. State of California ) ss. Y Count of YOU PROMISE THAT: 1. You are the seller(s) of the home located at 6 710 Indian Drive, PU ga l is which is being purchased with Cal -Vet financing. (Address) ` "eel 2. You are selling the home to Jack D. and Veterans Name Porca , n. K.Pel. (Veteran's Spouse) 3. The "acquisition cost" of the home is $ 6o, ono on . (See Instructions.) Signed: ?2P,4,. ve Signed:leio'? Subscribed and sworn to before me this ��day of iC1 (SEA ON otat Public in and for said S toand County 0�J,r� ,) �i J' 3�� ,� PUBLICKa or. VWV AI -3 (10/85) DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA SELLER'S AFFIDAVIT (Cal -Vet Loan Contract) ' —As the seller(s) of a home to be financed with a Cal -Vet loan, you must read this Affidavit carefully, including the Instructions printed on the reverse side, fill it in (print in ink or type), and sign it under oath before a Notary Public. By doing so, you promise that all the statements in it are true. State of California ) Ri i t is ) ss. County of ) YOU PROMISE THAT: 1. You are the seller(s) of the home located at 6710 Indian Drive, PQagalia which is being purchased with Cal -Vet financing. (Address) Tack D. '(*eel .2. You are selling the home to iVand (Veteran's nme Porcas D. Keel (Veteran's Spouse) 3. The "acquisition cost" of the home is $ Fan. ono _ on . (See Instructions.) Signed: Signed: Subscribed and sworn to before me this AW Aay of as / /c- ot ar Public in and for said S fe and County p�,�y `1 ? ) V AP -3 (10/85) R. g &%nN 1P n� PUBLIC , 26.1 ",ofwn��' 1�.Q�7iD R: uUnly of Butte ue t of Public Wor►c; 7..Aunty Center D0-., ?^.;rovliie, California AND MEN RECORDED MAIL- T0: N= i:,ouot`% bf Butte VIM xe fiootiEss Lient c. -,f Public Worcs Imo. :7, Cou;ity Center urfv.; STAN, �r(ovli,e, California a d a �5a 5 88-027934 c 88-027934 ] 4 e c F e e ata] Recorded i OTticiad_Rec�,d� I County o Butte r Candace J. Grubbs 1 r Recorder i 2:18pm 23 -Au¢ -88 ABOVE THIS LK .UU .00 t BG FOR RECORDER ME 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 per- sons thereafter dealing with the real property. James & Doris Marx REAL PROPERTY OWNER/LESSOR 5673 Bethel Rd., Space #25 MAILING ADDRESS Port_ Orchard, WA__ 98366 CITY COUNTY STATE ZIP 7610 Indian Drive INSTALLATION MAILING ADDRESS, IF DIFFERENT Magalia, Butte, CA 95954 CITY COUNTY STATE ZIP same UNIT OWNER (If also property owner, write "SAME"). MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION Butte County Dept. of Public Works -Bldg Dept. LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 County Center Dr, MAILING ADDRESS Orovil_1_e, Butte. CA 9 965 CITY COUNTY STATE ZIP 2118-88 (916)538-7541 bulG PE T NO. TELEPHONE NUMBER a; 7-29-88 SISI TORE OF LOCAL AGENCY OFFICIAL DATE one DEALER NAME (If not a dealer sale, write "NONE") DEALER LICENSE NO. Golden West 1980 Kingston MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GWI2CALKG40488A/GWI2CALKG40488B 24 x 60 CAL157671/CAL157672 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 66-49-26 "SEE ATTACHED" HCD FORM 433(A) 4/86 "til Or ,0& W � o . o I � co oa �4,VIVrTY OE-� cc llpl A Order No. 29266/P14068 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lot 78, as shown on that certain Map entitled, "INDIAN MEADOWS SUBDIVISION UNIT N0. 4", which Map was filed in the office of thLh Recorder of the County of Butte, State of California, August 29, 1974 in Book -43 of Maps, at pages 51, 52 and 53. EXCEPTING THEREFROM,an undivided 33 1/3% interest in all minerals as reserved in Deed recorded in Book 743 of Official Records, at page 68, records of Butte County, California. Said reservation did not include right of entry for mining purposes. ALSO EXCEPTING THEREFROM an undivided 66 2/3% interest in all minerals below a depth of 200 feet, as reserved in the Deed from Butte Investment Company, a limited partnership to George W. Wilfong, et ux, dated September 21, 1977 in Book 2213 of Official Records, at page*550, records of Butte County, California. Cr &TCC)T C 0B 7 0 Indian Dr., Ma alfa Address or location of g , CA 95954 Legal Description of "SEE ATTACHED'' Real Properly NO. 2118-88 A [EMobilehome/Manufactured Home 11 Commercial Coach has been affixed to the real property described.above by installation�on_a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: James & Doris Marg Owner's address: 5673 Bethel Rd.. Sp. #25, Port Orchard, WA 98366 CAL157671 GW12CALKG40488A INSIGNIA OR HUD NUMBER: CAL157672 SERIAL NUMBER OR V.I.N. GW12CALKG40488B MANUFACTURER'S NAME YEAR OF MANUFACTURE: -- "rI 7-29-88 (916)538-7 (OHK IOving kukdWhon) 7 MCD 5130 f7/80) Whim--Ownw, Canary—VsmmNtN, Blue— XFk* Fib. n Cr &TCC)T C 0B 7 0 Indian Dr., Ma alfa Address or location of g , CA 95954 Legal Description of "SEE ATTACHED'' Real Properly NO. 2118-88 A [EMobilehome/Manufactured Home 11 Commercial Coach has been affixed to the real property described.above by installation�on_a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: James & Doris Marg Owner's address: 5673 Bethel Rd.. Sp. #25, Port Orchard, WA 98366 CAL157671 GW12CALKG40488A INSIGNIA OR HUD NUMBER: CAL157672 SERIAL NUMBER OR V.I.N. GW12CALKG40488B MANUFACTURER'S NAME YEAR OF MANUFACTURE: -- "rI 7-29-88 (916)538-7 (OHK IOving kukdWhon) 7 MCD 5130 f7/80) Whim--Ownw, Canary—VsmmNtN, Blue— XFk* Fib. rdANu1AtAUKLR NAMt/IU GOLDEN WEST/ INAUt NAME KINGSTON MUULL UUM 00/00/79 DUI DfS 00/00/79 RY-79 SPC ANF EXPIRATION 07131/88 U SERIAL NUMBER LABEL/INSIGNIA NUMBER GWI2CALKG40488A 'WEIGHT LOGIN WIDIM ISSUED SCC EXEMPT SE • IYP I 000000 000720 000144 08/03/87 04 STS-FT IL' 1 GW12CALKG404888 000000 000720 000144 7 TOTAL 4 FEES 5 PAID: 6 $163.00 A MARX JAMES L/DORIS L JTRS o 6710 INDIAN DR o MAGALIA CA 95954-9744 R E S 1' R MARX JAMES L/DORIS L JTRS s DUPLICATE COPY - E : 0 M TO BE FILED WITH THE MOBILEHOME I A 6710 INDIAN DR S I PARK OPERATOR AS REQUIRED BY LAW T l v E MAGALIA CA 95954-9744 p E 0 rF IMPORTANT 03-210-00896 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT, .i THE CURRENT TITLE STATUS OF THE.UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300509 J e R T R A E R REGISTRATION EXPIRES �. JU►. 37. 80I TYpE LICENSE NUMBF, 4U SS4i�2 C VEH.ID. VALIDATED REGISTRATION CARD QW 20AL.KQ40ae8A/OW12cALKG401488 KN"UST %X F Q YEAR MODEL SHOWN IS BASED BODY 'TYPE MODELCYLS. OCHMP2 I ON MANUFACTURER AND DEALER REPRESENTAT DATE FIRST SOLD LASS *YR. � ,, i 00/00/79 I�HF I 79 I42 ON MP N A ' USE TAX � DAr iI5 UE7 OR PARK BAIL I AXI UNLADEN WC I WEIGHT I TAp, tr§ER (TOTAL Fjy Arid VIN 13 3 E AR -E 0400 4 G QR DOR($ L T 152 INDIAN OR E wF o MAQIA CA '95954 z A�. RF W LF N E PCN 1 R of NAS 4AMEOA°.:F QU : o, E L E w H V S NAS G A L 04 ° ALAMEOA CA '9480�, W O! I D - N ciN RR T ['0T,E READ REVERSE SIDE - IMPORTANT INSTRUCTIONS 1572 835,/ R PERMIT NO. .3327-79P,E c PERMIT EXPIRES v 11JA0 OWNER James Marx CONTR. Tri V Development, Magalia - 'LOCATION (A.P. 66-49-26 ) 152 Indian Dr., lot 78, I.M.#4, Magalia r1 • 1 A 7 Temp. Power Pole Called PG&E . Elec. Serv. Called PG&E ZL3A Temp. Gas Serv. Called PG&E - jos FINALED (Dat ignature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS. BUILDING INSPECTION RECORD R BUILDING BUILDING (Cont'd) PLUMBING Se)ck FI wall Sol spin F or Para is Mai Bldg. Restro Finish Noor Fo ins Windows Stem II Sldin ASewer Slab Roof Sheath Piers Roofing Garage X Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sicall handicapped Conformance of ex. structure V Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio F EP CE Final Footings Footing JLECTRI&L MECHANICAL HeatIrA C04 -q-, nism X Du is i erlor Lath ntilation oor Closer Iffinal MOBILEHOMEU ILI S ------------------ Elec_ Service Water Piping L Sewer r— MOSILELIOME INSTALLATION- --- ---Support —7 Water Piping Drainage '7—/3-7f4 DATE REMARKS OR CORRECTIONS 14,1 L/ 9� F Water Htr Sub an s Grd. F ult Pro ServLle mp. Pole nder round Permanent final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) 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 number �� `' �'�� for the following location: 417 Owner / �! ''i /,✓ Owner's Address��li� Mobilehome Mfg. ' ' �' Model Year Insignia No. ,'�� ',� Serial No: It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By,/ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. i 9. E12ctrical-----'-- A. Is service large enough to provide adequate amperage -to mobile;iome (must equal rating of mobilehome with a minimum of 0 amp) and�other':facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes�o_ f B. Is there proper clearances around panels?. YesL. No_ C. Is power supply cord or feeder assembly properly fused? YesCZ149__ D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to -the mobilehome grounding conductor and apply the other lead to each mobilehome 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? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA ' Manufacturer and/or Namestyle- k�zl�� Length % Width -/ Vehicle Serial No. State Identification No. Additional Information or Comments: -71 t,. 1 -71 MOB13.,EHOME .INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit requred separation from lot lines and buildings and generally conform to plot plan? Yesi 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 proved plans? (Note C possible variation at spring shackles.) (Sec 5082 & 5083) Yes !4o 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes V No .6. Water A. Is fle'le connector of adequate size and properly installed (1/2" ID mi:n.)? (Sec. 5566) Yes v No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yeses No C. Backflow - If coach is nottifornia approved, does station have backflow device and pressure -relief valve?� /"No 7. Wastes and Drains / A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yep/ No B. Does it have minimum 4" per foot slope and is it properly supported? Ye9' No C. Are any leaks detected in drainage system after running 3- cellons of water through each fixture including washing machine standpipe? Yes No L D. If coach isangt/�te of California approved, does station have "required trap and vent? Yes '' No ��/6/ 1 8. Gas Piping and Gas Vents A. ConnectorIs mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome nnector not more than _6.ft. long? Note: All piping is to be at least as large as the bilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per follo 'ng procedure? Yes_ No 1. Open all appliance onnector valves. 2. Shut off appliance burnAK and pilot valves. 3. Air test with manometer to VN" -14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated 'n tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome withc nector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes �To_ '�- COUNTY ORjJ'UTTE - DEPARTMENT OF PUBLIC WORKS : 7 County Center Drive — Otioville, California 95965 Tel,eptlone: 534-4541�%/�y�� APPLICATION AND PERMIT / BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address � � 33 � Fireplace , Total Valuation TeleppEne No. Permit Fee Building Address J ` ��h> Plan Checking Fee Vor Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1,50 Repair drainage or vent piping 1.50 ' A. P. NO. •-f 7 c/� '� Zoning 8 Planning Water piping 1.50 Each gas water -heater or vent 1.50 F ""attvff Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plo eed Parce royal Plans oval Lawn sprinkler system 2.00 NEW ❑ ADDITION'[] UTILITIES ❑ OTHER Permit Fee $ 7� •- ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORSLSSS5.00 Single Family Duplex Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBL GS.CCUP, 20sgft 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: + NEW CONSTR BRANCH CIR T NON.CRESID.ONST � BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 0 NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES) a �� FIXED ALNS. Ex. Occup. ( OUT ETS P(RESID )KEA) 2.00 ry service 10.00 Mobile Home Facilities 15.00 / License No. 2 k8 % 14 Classification ��o Misc. Wiring 6.25 ❑ 1 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. ave 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - X_ Id 2- - Signature of Pe, itee or Agent �jt Receipt No. ��QI,� �J/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant a 3�r�0 TOTAL PERMIT FEE $ ;30 �� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been paid. I - OF PUBLIC WORKS )J Date /' � .�� ,_ ®� Building permit expires Date I _ COUNTY OF BUTTE - ; DEPARTMENT OF PUBLIC WORKS 7 County Center Drivel Oroville, California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT l,1 X ze reyreserliveS�r the Louinty or tsutle to enter upon me ne oned ro er r inspection purposes. tee or Receipt No. White-D.P.W. — Yellow -Assessor — Ink -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 Qf-r'IPUBLIC WORKS By Date B 'ding permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATI N ng Address Telephone No. Contracto Mailin e��" �� 1 Fireplace Total Valuation Telephone No. B Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee - a PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,00 Each Trap 1.50 Repair drainage or vent piping 1.50 /` A. P. No. 4, (/Q 6 Zoning & P ning Water piping 1.50 fid_ d Each gas water heater or vent 1.50 F �s WX, i tion Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Parcel ,plans Declaration Parcel M 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 /, 13Plans Recd Parcel ipproval Pla Approval Lawn sprinkler system 2.00 NEWIRL ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ O27 00 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,0 Main service e00v OR LESS 100 AMP OR LESS 5.00 (7 • O0 Single Family ❑ Duplex ❑ Mobil Home Other.. El Main service EA. ADD•L 100 AMP 2.50 ' ,Sb Main service OVER00o.v 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELINGOR AODNS. ( ACCLBLDGS.CGUP y) 22 sq ft 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�: �E _ '•1 tom-\ -- V NEW CONSTR -OUTLET NON -REBID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS.&J NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 1 BAL� BAL@ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 LicenseNo. Classification Misc. Wiring 6.25 ❑ 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 for 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 so as to become subject to the Workmen's Compensation Laws of Cal ifor ' MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I ertify that I hav read this application and state that the above i formation is cor ct. I a�e—rosComply to all County Ordinances d State La Ulatin to buill'�(lling construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ c3 X ze reyreserliveS�r the Louinty or tsutle to enter upon me ne oned ro er r inspection purposes. tee or Receipt No. White-D.P.W. — Yellow -Assessor — Ink -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 Qf-r'IPUBLIC WORKS By Date B 'ding permit expires Date MOBILEHOME SUPPORT DATA f of er than single wide, �f Mobilehome Mfr. .`i% J �/ €urnish Setup Model No. /'w'r%�/T- Fear 19 7% Widthc;;k (ft.) Box Length O (ft.) Tagalong or Expdnd`o Size it. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes-manufactured after October -7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center.supports measured from front of mobilehome unless otherwise specified. (ft.)(in;) Center support locations* %&- (ft.)(in.) (ft.)(in.) I `� UJ (ft.)(in.) Single A 1C�x3V (in.) (in.) Center support footing sizes (in.) a? x 3 (in.) (in.) (n.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) Wood either pressure treated or foundation grade. El 2. Other (specify) Supports (check one) Concrete block. 2. Other (specify) 4 ---Tagalong or Expando, show support details. lex 3 -- Typical.Support (in.) (in.) Footing Size — -- Max. Pier Spacing — -- Max. Overhang BUTTE COUNTY SUILDING DEPARTMENT APPROVED'\ 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / 1/—� No (If yes, furnish permit number X"y zz4ff, /OR Is the site an existing site? Yes / / No / W (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No T_/ (If no, clarify ) 5. What is the mobilehome electrical- rating? ----------------------- 452 Amp 6. What is the mobilehome site service rating? ------ O c7 Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No / �! (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?------�� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. 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.) (BTU) j PERMIT NO. 3765-79B ( ` — PERMIT EXPIRES4T2 OWNER James Marx CONTR. Pard ise Modular. Concepts, Paradise 66-49-26 -','LOCATION (A.P., ) ?: 152 Indian Dr., `lot 78, I.M.#4, Magalia { �q t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E z JOB FINALED A rill (Date) (Signature) ry COUNTY OF BUTTE — DEPARTMENT,OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings L 7,ri Stemwa 117 Slab /2 70 Slab Patio Footings sorry Walls Reinf. Steel Bond Beam amino BUILDING (Cont'd) I PLUMBIN Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows —/z 3rd Floor Siding .— Zfj To out Roof Sheathing ® Water Piping Roofing 47 op Sewer Fdn. Vents Fixtures Garage Vents Water•Htr. Insulation Heaters Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping & T Temp. Gas Final Sanitation FIREPLACE Final EL Final I Fixtures FIRE SP INKLERS I Motors VWbUV rinai $ubpanels Mesh OCHANICAL 6rd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under ro:n3b Interior Lath Ventilation Urmanent Door Closer Final Final MOBILEHOME UTILITIES =---------------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EMOME INSTALLATION - - - - - - - - - - - - - - Support. Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 3 COUNTY OF BUTTE — DE.PARTMENT OF PUBLIC WORKS 1 7 County Center Drive — Oroville, California 95965 t , ' Telephone: 534-4541 39/ 6 APPLICATION AND PERMIT lU Owner lilAee,5 Mailing Address Telephone No. Contractor �/ Q Mailing Address Te �j'�y o e Building Address{n1l 4,4 A. P. No. '� Zoning & Planning Fees A<. faakita'o Fire Dept. FireZone Use Permit EOA 1. Parking- Parcel parcel Map 60' R/W Improvem Plans Declaration Bldg. ans Ric Parcel Approval I Plans Approval NEW A ITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 6;rQ 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: S f License No. Classification ❑ 1 am exempt from the Contractors License Laws of the State of California. 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 so as to become subject to the Workmen's Compensation Laws of California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent VReceipt No. c - White-D.P.W. — Yellow -Assessor — Pink-lnspector — Goldenrod -Applicant _ BUILDING SQ. FT. I OCC. I BUILDING VALU TION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service e00v OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 100 AMPP O OR LESS Main service EA. ADD'L 100 AMP NEW CONST. I DWELLING OCCUP. 5 OR ADDNS. `ACC. BLDGS. N^W CoOG STR MULTI.OUTL T BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 NON.RESID. \SINGLh.VU11..-, 50. a3¢ EX. OCcup(OUTLETS OR FIXTIIRES BALW. FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 200 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee ;P MECHANICAL No• @ PERMIT FILING FEE $3.00 Heating i I Coo I i FEE FEE Ventilation Hood 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ DQ 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 OA PUBLIC WORKS By Date 6—;�_6r ?If �ildin/g permit expires Date Owl COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orov§Ile, California 95965 ,% Tel ephohe: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. 'Sig�natureof mitteeeor Agent Receipt No.w ` 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. DI CT R OF PUBLIC WORKS By-, Building perit xpires Date �/ BUILDING OwnerP 111A SO. FT. OCC. BUIL NG VALUATION Mailing Address LTelephone No. Contractor Mailing Address I3 1 Fireplace Total Valuation opJ e Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee j P PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. _ " oZ //L�.� 2a"'"v &/Planning Water piping 1.50 Each gas water heater or vent 1.50 F W Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bid ane Recd Parcel AppZ.1 Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ -7 4,6_77 ELECTRICAL No. @qEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobi.1 Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING OC9 OR ADDNS. ACC. BLDGS. 20sgft 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 /� NEW CONSTR 1 H CCIRCUITS/ 12.50ea NON -REBID l BRANCH NEW CONSTR. (POWER APPARATUS B NON-RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES B L0; IXED ALN�. EX. Occup. (OUT ETS PP_ (RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.a Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ?160$ Z- k- MECHANICAL No. @ 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. I have placed on file with the County of Butte a certificate of /yam 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 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 Land Development Fee $ TOTAL PERMIT FEE $ L authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. 'Sig�natureof mitteeeor Agent Receipt No.w ` 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. DI CT R OF PUBLIC WORKS By-, Building perit xpires Date �/ _ 4569-795 ,,.PERMIT NO. PERMIT EXPIRES u OWNER James Marx ';CONTR.'Para.Mod.Conc., Paradise � i OCATION (A.P. 66-49-26 ) s 152 Indian Dr., Magalia t d .w Temp. Power Pole Called PG&E f' Temp. Elec: Serv. Called PG&E Temp. Gas Serv. Called PG&E •; f s y`� J JOB FINALED (Date) tx ', (Signature) r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS zw BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback —/s =7 Firewall Soil Pipin Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing "' Water Piping Piers Roofing Sewer tiara a Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI I Insulation Heaters Slab Prov. for physically Appliances handicapped Carport Conformance of ex. Gas PipingTest Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings FootingELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures ElondBeaml 4 FIRE SPRINKLERS Motors Framin Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole " Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final 'd MOBIL•EHDMEUTILITIES -----•------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping 1 M961LEHOME INSTALLATION Support. Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS « o/dR �oreeg� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS l 7 County Center Drive — Oroville, California 95965 Telephone: 534-4641 +� APPLICATION AND PERMIT autnorize representatives or the t,ounry of butte to enter upon ine above-mentioned property for inspection purposes. r ate r 00,°' Signature of Permitee•or Agent Receipt No. � © Qk 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 OF UBLIC WORKS ByDate 7 -3/-? 9 IdIng permit expires Date 7- 3/- Fd BUILDING JM Owner SQ. FT. OCC. BUILDING A ATI N A Mailing Address 12Lt (o Telephone No. Contractor Mailing Address Fireplace Total Valuation Z� S o o Permit Fee Building AddresPlan Checking Fee &/or Penalty Permit Fee , 00 a PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 u/ f I' Repair drainage or vent piping 1.50 �� , e /p A. P. No. y / zon�ng 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F es I W�cl. SQlQkMn I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQA P ns Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet 30 Building sewer 5.00 Bldg. Plans Recd Parcel A roval Pla proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE Im y `� 8 COV6QL p 04 PERMIT FILING FEE $3.00 Main service 100v DR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home Others 0 Main service EA. ADD'L too AMP 2.50 Main service OVER 100 AMPe00v OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBLDGS.LING CCUP s) 22 sq ft 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: ,;%� �✓ NEW CONSTR BRANCH CIR T NON-RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES B L� Ex. Occup. (FIXED APLNS.OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No ` Classification Misc. Wiring 6.25 ❑ 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. qJI 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. 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 State Laws relating to building construction, and hereby L Is TOTAL PERMIT FEE 1-4,00and autnorize representatives or the t,ounry of butte to enter upon ine above-mentioned property for inspection purposes. r ate r 00,°' Signature of Permitee•or Agent Receipt No. � © Qk 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 OF UBLIC WORKS ByDate 7 -3/-? 9 IdIng permit expires Date 7- 3/- Fd COUNTY OF)BUTTE — DEPA'RTMENT.�OF PUBLIC WORKS — BUILDING DIVISION r 7 County CenteP Drive— 0rov lle, California 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A.P. No. Proposed Building Use kn 14z i Permit fee based upon: Complete Contract Price f %DPW Valuation . X ,y//OYthe ,/�' (explain) V Building Inspector `_-0i / 'A"A/ll 4= Date % ii At time of permit application, I was advised the f l,l'owing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED i 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance ......................... 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land g Development Section of Dept. Public Works (see addressbelow) ................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to f bldg. inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pick-up at office. Deliver w,/inspection. Other Applicant--lJ. ..,_ Date 7 /_ — -7 Copy of plans sent Health Deptl,/ Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to per issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by 0 lans checked by Date lans approved by Date OTHER: Coov/DPW Telephone Mail Other Date Too Building Department From: Environmental Health Subject: Sanitation Clearance Owner f �Cation 0, - Plans approved for: Sewage Disp®sal Hold final for Final Clearance O.K. for: Clearance for a bedroom mobile homed Other A Water Supply Water Supply Water Supply Clearance for addition of o Note* S�nl arlan �? 0 � PERMIT NO. 4693=79B •� •" } .� PERMIT EXPIRES /7/ OWNER James Marx CONTR. Paradise ModUarConcepts, Paradise - 66-49-26 LOCATION (A.P. ) 152 Indian Dr., lot 78; I.M.A , Magalia 1 Y t Temp. Po% Called Temp. Ele Called Temp. Ga; Called JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD PLUMBING Footings structure BUILDING BUILDING (Cont'd) Slab Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Pipin Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for ph slcally handicaped Conformance of ex: Appliances Gas Piping PLUMBING Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls I Throat Rough Relnf. Steel Final Fixtures FI stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating - Service - Brown Cooling Temp. Pole Finish Ducts Underground I Interior Lath Ventilation Permanent Door Closer Final S Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal }, Water Piping Sewer Gas Piping LIO016EMONE INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping I®. ATE REMARKS OR CORRECTIONS y4- (NOTE: An entry must be made on this form each time you visit the job site.) ✓ COUNTY OF BUi4rE - DE.PARTMENT OF PUBLIC WORKS _ 7 County Center drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �1�9,3 �9 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of P itee or Agent PeceiDt No. 29/0-2 1 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,F—,,PUBLIC WORKS BY Date17-75 Bu' 'ding permit expires Date ?- 7—g� BUILDING Owner 7r' *12!9 I J pte* SQ. FT. OCC. BUILDING VAL ATION Mailing Address Telephone No. Contractor Mailing Address S',(la Fireplace Total Valuation ol f ! <A ] le ho Permit Fee Building Address �9 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �M Y11/�1 Repair drainage or vent piping 1.50 r^ A. P. No. W T t " Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees SO <= I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improve rfts Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd royal Plans Approval Lawn sprinkler system 2.00 ___E2LceI_AU NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ Tont S'() oc-ra rog bace ELECTRICAL No. @ FEE Dfj I?/Dq_Wj? l (9 �7 PERMIT FILING FEE $3.00 Main service 800°o AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25,00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGSCCUP. 4) 20Sq ft 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: /CJ NEW CONSTR. [MULTI -OUTLET NON.RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIiRES B L@; FIXED ALNS. Ex. Occup.(OUTLETSP(RESID)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this ❑ piermit 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 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 Land Development Fee $ TOTAL PERMIT FEE $ S ix% authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of P itee or Agent PeceiDt No. 29/0-2 1 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,F—,,PUBLIC WORKS BY Date17-75 Bu' 'ding permit expires Date ?- 7—g�