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071-390-008
Y,. # j ', 'i + = y 3 .S. .i .� � .� � �;r i r � .i€�` ,! i, � f ft, / �� `�' �. .�� 1 1• 1 � - rl - tj .. - ':f 1, +�' 1RECCtL'it"+TG REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0010118 7 COUNTY CENTER DRIVE Recorded I REC FEE 10.00 Official Records I OROVILLE BUTTE CA County of I COPIES 2,00 Butte I CONFORMED COPY 1.00 CANDACE J. BRUBBS 1 538-7541 County Clerk-Recorderl I CW 1 LV SIGINIAX11RE OF LOCAL AG N Y OFFICIAL 012:31PN 28 -Feb -200b I Page 1 of 2 IIII III Ili I IIII I II IIII I ILII I III III SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM o2� Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. KENNETH AND DARLENE BROWN REAL PROPERTY OWNERILESSOR 790 BERTSCH AVENUE MAILING ADDRESS , CRESCENT CITY DEL NORTE CA 95531 CITY COUNTY STATE ZIP 236 GRAYSTONE LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2955 (530) 538-7541 BUILDING PERMIT N0� TELEPHONE NUMBER CW 2-2-1-nrA SIGINIAX11RE OF LOCAL AG N Y OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CMH MANUFACTURING 2006 401F MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB0302460RA/B 44 X 28 ORE481701/02 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 071-390-008 HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. 01./24/2005 16:03 FAX 530 899(.Q-531 DBSCRIPTiON it THE. LAND REFERRED CALIFORNIA, COUNTY FIDELITY NATIONAL TITLE 10 VUG/ UVo ORDER NO. BU -1.72133-3 To ED O )UTTHI �O, ANDPISTDESCRIBED AS FOLLOWS ; IS TIN THE STATS OF LOT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BERRY CREEK RANCH WAS RECORDED IN THE OFFICE OF THETATgRECORDERON ESTATES", WHICH MAP THE COUNOF BUTTE PAGE (S)049 THRU 54IA, ON JANUARY 9. BOOK 80 OF MAPS, RESERVING THEREFROM AT PORTION ON SAID MAP. LYING WITHIN THE BOUNDS OF GRAYSTONE DRIVE, AS SH EXCEPTING THEREFROM THAT PORTION OF SAID PROPERTY LYING BELOW A DEPTH OF 500 .0 FEET, MEASURED VERTICALLY FROM THE IDCONTOUR RANTOR, ITS SURFACE OF SAID PROPERTY, PROVIDED HOWEVER, ALL SUCCESSORS AND ASSIGNS, Z SHALL NOT TF�iROUG THE SURFACE OF THAT HT FOR ANY PORTION PURPOSES TO ENTER VERTICALLY FROM OF SAID PROPERTY LYING ABOVE 500.0 FEET MEASUREDTHE CONTOUR OF THE SURFACE$ RIGHT , THAT TO DRILLPAND TO APPROPRI TE WERTY, PROVIDED IATER FOR GRANTEE SHALL HAVE BENEFICIAL USE FROM SAID PORTION OF SAID PROPERTY LYING BELOW A DgpTH OF 500.0 AEE 111, OFFICZALIRECORDSIN DEED RECORDBD OCTOBER 4, 1973, IN BOOK 1867, PA$C$L IIs AN BASEMENT FOR ROADS, PUBLIC UTILITY FACILITIES AND DRA�NA5, 6 R 16 , 21ONH DRIVE, LYING WITHIN THE SHOWN ON THABOUNDS RTAIN�MAP TS lENTITLED, "BERRY 16, 21, 22 AND 36' . OF THE CREEK RANCH ESTATS3" r WHICH MAP WAS RECORDED FCALIFORNIA, ONEJANUARY RECORMR OF THE COUNTY OF BU'!"rE, 29, 1981, IN BOOK 80 OF MAPS, AT PAGE(S) 49 THRU 54. FA_g ZL I I T_L AND DRAINAGE+, OVER AN EASEMENT FOR ROADS, PUBLIC UTILITY FACILITIES COYOTE ROAD, LYING WITHIN THE BOUNDS OF LOTS 15 AND 16, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BERRY CREEK RANCH ESTATES"' WHICH MAP WAS RECORDED IN A OFF CN JANUARY a RECORDER OF. . THE COUNTY OF BUTTE, STATE OF MAPS, AT PAGE (S) 49 THRU 54. COPY of Document Recorded 28 -Feb -2006 2006-0010118 RECORDING REQUESTED BY: Has not been compared with original BUTTE COUNTY COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with, certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. KENNETH AND DARLENE BROWN REAL PROPERTY OWNERILESSOR 790 BERTSCH AVENUE MAILING ADDRESS CRESCENT CITY DEL NORTE CA 95531 CITY COUNTY STATE ZIP 236 GRAYSTONE LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP ' UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2955 (530) 538-7541 BUILDING PERMIT NO: TELEPHONE NUMBER SIG A URE OF LOCAL. AGN Y OFFICIAL' DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO CMH MANUFACTURING 2006 401F MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB0302460RA/B 44 X 28 ORE481701/02 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 071-390-008 QRF A TT A rT4'F ) T{iE LAND REFERRED TO HEREIN BELOW IS SITUA110 IN THE UNINORKRAIP ARBA e•^ y' CALIFORNIA, AND Is GESCRIBECD A5 FOLLOWS: Parcel A: Lat 6, as shown on that certain Map entitled, "Berry Omsk Ranch Estates", whiff Map was recorded in the Office of the County Recorder of the County of Butte, State of C&Iramtt, an January 29, 1991, in Book e0.of Maps, at•page(0 49 thru 54. �((3:.P'i1lNG THEREFROM that portion of said Property lying below a depth of 500.0' feet► meas6red•ve> elft Eram tete , p.lpt hate the • • conwiff Of the surface bf sold properly► provided homer, !halt sold grantor, its sueoemr and �: abon�e 500.0 right for any and 60 purposes to enter upon, into or through the aurfbGo•oit that portion of sold P'VPMY' A W roeasurad vetticalty from the contour of the surface of said pcnpatty, provided turthee•, bow adepth of �D0.0et ' W drill and ba t'`ppmpriate water for beneficial use from sold portion of sold prop rW to9 -excepted 1n Dead recorded October 4,1973, In Book 1867, page 111, qff tial Reaar+ds. Par5: .—An'eaaement for reads, public utility facilities and drainage, aftr all privetto: roads as shown on that certain Map entitled, •eirry Creek Ranch Estates", whk9t Map was recorded in the Orrice of the County RecOrdCr of t}ie GountY'ofi8utte► Stria of Getlfornfa, an ]anciery 29, 1981, in Book SO of Maps, at prige(s) 49 thry 54. Parcel Q A non�aCitisive tight of way for road and public utility purposez.e ver a ship of land 6o feet in width, the caNwilnii:a whfdt _Is de aft! as fellows: j of a Qomrtlengttg at the Northwest corner of pane{ 3, as shown on that certain Paroei Map of a Boundary t,WeMcdi�Catlan pon of the Southeast quarter of Section 34, Township 21 North, Range 5 Fast, M.D•8-&M., Which Paraet•IMeP was rtio recorded In the office Of the County Recorder of tete County cit Qutte, a^late of Californla, 7uae: 21,1979, in Sobk 67 of Maps, at page 30; thence North 73 deg. 31150 East along the Northerly line of Bald Parcel 3,.g distanoe of 33.4' feet to the trot point of b@9%n tg for the falloawing descrlbed centerline; thence from 5e1d true polnt of b wnnind Solidi 08 do0, ' 51' 26" West, 360.69 f04 there= North 79 deg. 00' or East, 440.16 tt!tj thence east 115.64 fes; *ei=Soda+ QD d4Q• 54' 17' West, a dtstanee of 362,77 feet; t4ienae continuing South 00 deg. 50' 17' West,' 604:02 ftiffo4,S!� d��, or 23" West; 88.05 feet; tttenee South 69 deg. 08' S7"West, 15S.52 feott; thence South 11'deg. 55 d8� Yifeld;' ill. dwice South 07 deg. 33'54" East; 331.18 feetbo a pobtton the North line of the Northeast quartierbf Seo 3rYawn P Ratrge 5 East; from which point the North quarter comer of said $ecdon 3 bears South 69 deg- 03.55 We' 20 Notal, - distance of 3136.89 feet and the end of Bald centerline. , EXCt: nNG THEREFROM all that portion lyk>9 within the bounds of Pai al 31 as shown on that CcM'n parcel Maip•of a BourdatV line ModMcatlon entitled, "A portion of the S. E. 1/4 of Section 334, T. 21 N•, R. 5 E., M.p.M.', said Parcel Map was repo %W Ire the 0Mm of the County Recorder of the County of Butte, State of gllfornia, on 3upe 21;1978 in book 67 of Mq.*, at A*) 30, D: ' A 60 fwt right of way ilor road and public utilities over tha foilowing deSci t ted p8rost of land; Beginning at the Southeast corner of Parcel 3, as shown on that aN "In ParW Map recorded in Book 67 of Maps, 6009e , 30, Owl Records, Butte County Recorder's Orrice, said point also, being on the West line of the NordeeastquaA�r aft:he Southeast quarter of Section 34, Township 21 North, Range 5 East, M•D.t3.i?iM. thence North 00 deg• 54' 17" t� a�9 said West itne, 819.44 feet to a point in the centerline of Bald Reck Road; thence South: 83 deg, 33' S9" West along'said cantedine,-60.48 feet; themoe losaving Bald centerline, South 00 dealt. 54' 17" West, 812.66 feet to a paint:on the South line •_ of said Parcel 3; thence due East, 60.00 feet to the point of beginning and the and of this desctioon. FOUNDATION SYSTEM. CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 05-2955 Address or location of unit: 236 GRAYSTONE LANE, BERRY CREEK Legal Description of Real Property: 071-390-008 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: KENNETH AND DARLENE BROWN Owner's address: 790 BERTSCH AVENUE, CRESCENT CITY INSIGNIA OR HUD NUMBER: ALB0302460RA/B SERIAL NUMBER OR V.I.N.: ORE481701/02 MANUFACTURER'S NAME: CMH MANUFACTURING YEAR: 2006 OFFICIAL APPROVING INSTALLATION: DATE: 2-21-06 PHONE: (530) 538-7541 H.C.D. 513C Dec 22 03 12:26p AND WHEN RECORDED MAIL TO' BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 23 -Nov -2005 2005-0071692 Has not been compared with original BUTTE COUNTY RECORDER P. a AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building _permit.. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: . a - A4ac,"o( e-,)zL,6J "P0 Date State of CaYGV�— PROPERTY County of On before me, �' [)N5SAv4-, personally appeared ,�K �i1OLt>4 yersonally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official mal. Signature A. OASILVA Signature t Seal: COMM, 01532452 No-rM f ►UNC • CAUFOOM SUITE COUNTY A.P. a � CL to in 71 Or. me go W ra CD 'o'��-�� cln $ o.o' �W C oa,� �oi'��t�� aciE �0 �gzm�•� ja Q 32 V 0,0 to wq i N Name • rp .a m to ois oC Jr Vig= 31 CL en Oubu 0 CL ca x 8 it ZRIM9 JIM a �p a� � 1mp$p C� p � MIS Syi� a E a W �BuuQ� G �vvv � se c �41Cp w �Y00 Y fRdN� MIND �c• `- •� � 10 Ls 1%.-W$ a a .fl �a E c ani. o CL crh 136 aa a Co— ����ft psi io m 0 •8! qb- SIN" cn, FL in 8 LO 10 ilILIEnit. N.— All C�,6us�io t 02/232006 16:18 GOLDEN (JEST HOMES 4 5382140 NO.199 D02 BIW STATE OF CALIFORNIA NUMBER;BUSINESS, TRANSPORTATION AND SOUSING AGENCY DEPARTMENT OF, MOUSINO•ANO COMMUNITY OEWLOPMENT . • �J Q DM91ON Df CODES AND STANDARDS J v '• MANUCACTUREO MOUSING PROGgAM )MANUFACTURER CERTIFICA TE OF ORIGIN 111 CHECK IF THIS IS A DUPLICATE MCO•ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI- MANUFACTI)pF0 HOUSING NUMBER OF SFO (SINGLE FAMILY DWELLING! ❑ MUMH (MULTI -UNIT MANUFACTUREO HOUSING TRANSPORTABLE SECTIONS COMMERCIAL COACH: OCCUPANCY GROUP U MU;Z-TURIlai gm., INC. I "F1(-'_02 FGCi=ICnob . sm. fi s;tf! l�t1G YQ 't C' 3 .'t1,IMQl:67n� c rl'!!G ,�1 �1 i11�. >ME Of DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TQ): CALIF. DEALER NUMBER OR DATE OF TRANSf TRANSFEREE DESIGNATION: :ALER OR TRAWEREE ADDRESS: . A ,, , - DlIL'!,, U.- AM! t G TRAMMRTER NAME: TRANSPORTER AOORE33: DESTINATION FOR UNIT DESCRIBED A80VE: 00) I ovta �1dr panllry d vw)Iolr wooer av uw of ve Slew of i:tlaaP11s ale ou aeon LAW am MA eb wnea . FJIaWIoOan e n w , r, ID71e). , . t ow>tr) tsua $10"TURE OF AUTHORRED gOENT: OaSTRIBUt10N & nfl- CRIGIN4 (PINK) . FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IB NONE, THEN FORWARD TO TME PURCHASER (OMER OR TRANSFEREE). COPY3 ( OLDEN) TO BE gpTA THE TO THE TRANSPORTER C URER.ACCOA TWE IhA AT P.O. (101 le2s. SACRAMEWro. CA ON $I DAYS OF RELEA4E_ _.._ .._.__. COPY 3 (GOLDENROD). -To BE RETAINED BY.TME MANUFACTURER. t V r MCO 483.0 . tilpB 1 • P� ... , . ` • ,: N _ .. s. e m,! '.fi£t[ 5!!Z, PA). EN 94M, P .. R. > IN94-4V, •ITIP;£, ► staoa z. SECTION 1� MANUFACTURER SERIAL NUMBER HCO INSIGNIA OR 14UD LABEL NUMBER LEN(Till WIDTH VVEIt",MT INCHES (INCHES) POUNDS 16B : 4v) ArC.MO'I G TRAMMRTER NAME: TRANSPORTER AOORE33: DESTINATION FOR UNIT DESCRIBED A80VE: 00) I ovta �1dr panllry d vw)Iolr wooer av uw of ve Slew of i:tlaaP11s ale ou aeon LAW am MA eb wnea . FJIaWIoOan e n w , r, ID71e). , . t ow>tr) tsua $10"TURE OF AUTHORRED gOENT: OaSTRIBUt10N & nfl- CRIGIN4 (PINK) . FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IB NONE, THEN FORWARD TO TME PURCHASER (OMER OR TRANSFEREE). COPY3 ( OLDEN) TO BE gpTA THE TO THE TRANSPORTER C URER.ACCOA TWE IhA AT P.O. (101 le2s. SACRAMEWro. CA ON $I DAYS OF RELEA4E_ _.._ .._.__. COPY 3 (GOLDENROD). -To BE RETAINED BY.TME MANUFACTURER. t V r MCO 483.0 . tilpB 1 • P� ... , . ` • ,: N _ .. s. e 02/23/2006 16:18 GOLDEN WEST HOMES 4 5382140 Redline Installations, Inc. 13407 Garner Ln. Chico, CA 95973 (530) 891-6719 Fax # (530) 891-6720 Date: lJ� Attn: Fax #: slh- Z140 From: Re: '1pyx M M Number of Pages (including cow sheet): Comments: NO. 199 901 NOTES Srl'/S�l r i =r7d, nit - W91 61 -&W P -T go I ' Butte County Department of Developm;snt Services. tte,o�T�t, nREn 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 v ww.bucounty neydjs scOowty• RESIDENTIAL APN: Permit No. Owner: 071-390-008 05-2955 n—BROWN, KEN Site Addga- 9 -GRAY STONE, BERRY CREEK - - Cont: REDLINE INSTALLATION 1 Contractor. —, M7H'PERMTFND'(NEW�.-- - --- � 1 J Type of Permit: OFFICE COPY Addres GAS Date Meter By ELECTRIC �' Dated Meter By r CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE 0" LL9 140 1 `fC) � DATE JOB FINALED: O` ^V(/ SIGNATURE: U—kn� 61"� = OK 0 = Not OK \ MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET DATE ID E C K S -C O V E R S`C A R P O R T S GARAGES 1 ning-Setbacks-Easements 1 Zoning -Setbacks -Easements ✓L Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-Dpth-Spacing-Cnnctrs-Steel 3 Sewer* Loctn-Test• Fall/C/O-Concrete 4V;,'Koon-T WasmentNeeded-Regulator 5 Ee O rz�qA,,/ Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q or LPQ 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Be ams-Rftrs-C nn ctrs-S hthg Frmg-Brcng Inch Sz Ft Lngth J 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors N ti 0 -in -S 8 Gas; MH Test- and-Valve-Cn tr 9 Elec MHC Test -Gros rs-Breakers-Clrncs 10 Drain; MVest-ftiWlex Cnnctrr 11 Wtr & Sewer Con ne d't!(Y% Grade 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing 12 Gas and Electricity Tagged t- 13 Ti s Foundation �j^ 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls zits e ccupancy LUDLabel/Insignia Numbers Serial Numbers DATE POOLS 1 Setbacks -Easements 2 Soils; Co mpactionStructure Stability 3 Pool Structure; Steel -Cnnctns-Th ickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI °9 �\C ! 5 Elec Pool Lting; 15 volts-GFI .. 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr I 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche I 12 Encisr, Fencing -Alarms 13 Bonding, Diving board or Slide r • - Pool Drawing I .r CCZLQF = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning-Setbacks-Easements-FloodSlope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test C 10 UF, Gas Pipe; Sz Anchrs-Sz Test Q� Q7 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 GirdersSills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn _ 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic o,• d.� o,• 0: c c` DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frpic Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sit Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv flr 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Frtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps . 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge.Planters E] Yes ONO 87 Stucco Brown -Finish o'`• o`s o'• m'S 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ CU or ❑AL 99 Fire Sprinkler 48 Range Circ ga OCU or DAL Oven Circ sa D CU or D AL Insulated Neutral D Yes ONO 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector oma• m Qom. BUTTE COUNTY DEPARTMENT_ OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52955 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/14/2005 APN: 071-390-008-000 the Business and Professions Code, and my license is in full force and effect. License Class: (2, - qLicense Number: Site Address: 236 GRAYSTONE LN BCK Date: 12-- Contractor,,_ Map Index: Description: NEW MH NEW SITE PERM FNDN (1232) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BROWN, KENNETH & DARLENE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 790 BERTSCH AVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CRESCENT CITY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95531 violation of Section 7031.5 by any applicant for a permit subjects the 707-464-4266 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner'of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: RED LINE INSTALLATIONS INC owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 13407 GARNER LANE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA 95973 proving that he or she did not build or improve for the purpose of (530) 895-5543 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: RED LINE INSTALLATIONS INC pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 13407 GARNER LANE CHICO, CA 95973 Date: owner: (530) 895-5543 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 848025 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:=1.P F,.1 c� (�c� Total Square Ft: 1232 S.F. Policy#:_h— Valuation: $80,080.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' -t compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 1-2 Applicant:= f CA CL-, 12- 1 I WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY_._ _ _ This permit is hereby issued under the applicable -provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti ns o do work indicated ab a for fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1hich I �Z_ Name: By: Dater PERMIT EXPIRES ON: l/2 I H • l J { /1 Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. _ ! c Print Name :�1 _� �� Q� Signature\,,)�J_C CA Q_p / Date: 1Z - I, `-t - ❑ Owner ❑ Contractor ❑ Agent for Owner CIMAgent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT'CLEARLY** APPLICANT SIGNATURE X OWNER Last Nam ` � irst Name Address O k City State CR Stat Zip k Phone qzw Fax E-mail Lic. # g ZS APPLICANT SIGNATURE X CONTRACTOR Name ` � Address SRA City State CR Zip Phone _ Page Fax 1 _ CO -7 2 0 E-mail 65l QLA) i rn , co 101 Lic. # g ZS Class IC - ,-l_ APPLICANT SIGNATURE X ARCHITECT/ENGINEER Name ` � Address SRA City State Zip Phone Page Fax E-mail 65l QLA) i rn , co 101 State License Number APPLICANT SIGNATURE X APPLICANT NAME Name NI ` � Address t SRA City State I zio `tel `'lam Phone t— Page Fax _ C di Zv E-mail 65l QLA) i rn , co 101 APPLICANT SIGNATURE X OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMI�Ty. BIN # LOCATION AP# 07 l - O- Property Address LL�Y Flood Zone Cross S eet SRA s No rSubdivision Type Const. e Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMI�Ty. BIN # LOCATION AP# 07 l - O- Property Address LL�Y City r Cross S eet WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description 6r` Scope of Work: Sq.'Footage , j ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b ,: Amount: J 1 q' ` `�' Bldg W T� SRA Receipt #: Sheriff SMTP Other Date:65 ' Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT. REQUIREMENTS I ` The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in du licate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ .2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS113IdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 «""�'�i-�f�.Ykr"`��.�'r'",�'r"��•.F'i.�Jry7'",°"?QTl``�ji"x.�*li.:�-,1F��R "`�C`S iirly�V^^jC:,'j'W'f..'ri✓�,i/�.t.•N�..:+vti�<rr.,+.y.. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: U Y ~ ASSESSOR PARCEL NUMBER �• V� Proposed Building Use: Kof\4 6AQ Permit Technician: Date: �" �� • 05 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orderCapply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑` 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. g7 8. Manufactured homes Installation manual, including marriage line info -I-% Floor Plan,�Tie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. [/ 2lS/6.17 ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. I2 -Iter') ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Repiainjng items needed to issue the permit. (May require additional plan review upon receipt of the following items.) e:114 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable El15. Fire Sprinklers............................................................................................ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .. 17. Soils Report and/or Engineered Foundation required ........................................... �t ❑ 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet.. ............................ 20. City of Chico Plumbing permit........................................................................ ❑ , 21. Site plan and business license approval from the C•ty of Biggs.... 22. California Department of Forestr an approval paid. Sent by: -)4 f 23. Planning approval for (A) Use: B) Parking: (C) Parcel Check ............. r 61 ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ 0 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: ,,,, When issued Telephone %% ` P I and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: a / Date: C 1. Index permi applic fion foi ththe above items nu tiered: Plan Check Letter 2. Additional items QuiCe. ra o , esigner, owner, was advised of the above data by phone�Omail, ❑ counter, by Date: designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: -� Structural reviewed by: Date: Structural approved by Date: 2 Note transfer by:Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER �— PROPROSED BUILDING USE QJ�/ 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES 1 (paid at School District O ice ) (form vatlable a e Plan Check) v o� 3. HERIFF FEES (paid uilding Divtston) C ercial (sq. ftg.)..... 4. RECREATION DISTRICT FEESSC^�` (paid at Recreation District Mee) form avaylabblle afterPlau &c ) i—t,-*5.RESIDENTIAL DEVELOPMENT IMPACTTT FEES C COUNTY WIDE (per dwelling) $11''1 CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) A.P. # Qn 1 . '-2-\A-1G -A 61� DATE i 6L�'71 O5 RECEIPT # DATE REC. q 4316Q 12-1q-6 a-253=5 7P\ 9131CoA_ IQ--- I,q-2S 7. WATER TENDER FEES BATTALION # $200.00 ( aid at/Buuilding Division) 8. SMIP 9. DRAINAGE FEE 10. OTHER 11. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE p Q S Pursuant to Government Code Se ton 6020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approv-aTof the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) Butte County Department of -Development Services °�uTrF0 7 County Center Drive ° - ° ° -�° Oroville, CA 95965 0 ° (530) 538-7601 Telephone ° '° (530) 538-7785 Facsimile cOUIN BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building pen -nit, all other required permits and clearances from other entities `must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other- required permits/clearances .include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: I 12P� CIO APN: 0_I I - 3`'l 0 - 00':�O'/ Building site address: Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: Q -7 D S T SIGNA18E OF APPLICAMY DATE Copy to Applicant/EFURe K:Fonns/BidgPennitwithoutClearances 020705 � QpFt��lT 0 �VTr� 0 O 0 0 _ C Ac0UN�yy .Department C o u n t Michael Crump, Director of Public o f B u t )Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (5.30) 538.7266 (FAX) 538-7171 National Pollutant. Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Wafer Pollution Prevention Play (S PPP) �e n,oMedgement ALES THAN 1 AgRE Project Description: Project Location 2nd/or Parcel Number: 0`11- 39n — 00F - By signing below, 1, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: I L Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Stprm Water Management Program BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM tV FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) d� �' 0<a Building Pen -nit Number&5 " 0-),`7 51E; Property Owner (s) fz5-,1 y` --- Project Location /Address Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: aiw JT# (7�� Y -Y\ Y1, Building Depart) ep a Representative Date FFMD 0 CARD 0 PRPD 0 DRPD certifies that: Applicant Name Phone Number [F)0051 ice, CC 01591 Mailing Address G City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. 'by Payment of: Dwelling Units @ $ per unit for a total of ou Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: Paid by Cash: Receipt No: Recreation and Park District Representative Vate v dT.nn\IM"T TIT T1T.I!'_ D/1DV, I01_..J. ___ ...__.4 ._.7 F...... —, 1 linr. t � i t BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 05 • �S (One form per Building)'TA School District �.J` d r ` V� • �1 Building Department No. A.P. Number V I 0. •G �� Jurisdiction: City lCounty Property Owner �v�-�--- Property Location/Address C) Subdivision Lot No. A ...................................................................Residential DevelopmentSq. Footage No of Living Mome Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # '(No foundationinspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Sq. Footage New Addition (including Exterior A �+ Roofed Areas) Building Department Represen lti �j _ Date Districtldentification No. 1 IJI.I I lb-yal-itschool District certifies that (Applicant) (Str t Address) (Phone Number) /' 939/ (o (City) (State) (Zip Code) el has complied with the requirements of Resolution No. o.s.o by payment of $ represen ing —square feet. B-29-26 E QULL MITIGATION $ 1 School District Representative Date Paid by Check # Remarks: Notice: You may protest the Imposition of the fees Identified above by submitting a «Witten protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the tees In any court action. lf, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being rovlewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant). teefom,.xls (3M5)dMm BUTTE COUNTY r'NCV,02 2005 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X. . ( ) 2 For office us OWNER Last Nam, , Flood Zone irs Name Address City City cc C,14 Stat Zip i Phone Fax F—C? _ 'L Fax E-mail tis APPLICANT SIGNATURE X. . ( ) 2 For office us CONTRACTOR Name Flood Zone Address � acmqAn- jsAnState City C,14 Zip Phone i Book Fax F—C? _ 'L E-mailLic. l t`O tis Class APPLICANT SIGNATURE X. . ( ) 2 For office us ARCHITECT/ENGINEER Name Flood Zone Address SRA City State Zip Phone Book Fax E-mail l t`O State License Number APPLICANT SIGNATURE X. . ( ) 2 For office us APPLICANT NAME Name Flood Zone Address SRA City State' Zips Phone t—Coal Book Fax E-mail � l t`O APPLICANT SIGNATURE X. . ( ) 2 For office us Zoning Property Address Lair Flood Zone Cross Set SRA s No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMIT I AL. KtWU1lKt11vltr4 10 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMITTr BIN # LOCATION AP# 07 1— —Property Property Address Lair City Cross Set WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name. Address Description or Scope of Work: _ Sq. Footage J ,4't2A Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the 1 permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b Amount: Bldg SRA Receipt #: Sheriff u, 63�_) SMIP Date: fG/ a 1(d5 72� Other ' Total Page 1 of 2 REV 2-24-05 Golgen - West GE401F I Due to continuing improvements, specifications and designs are subject to change without prior notice or obligation. Square footage is approximate and does not include covered porch areas. 11/04 DP 77686-1 2735/K .: &,.A I//" A'.4 ;W 11'.H %w 1'-9 1— L' -d IA• 1'.i 1/d• i' -Du STANDARD CARPET LIVWG ROOM BEDROOM 2 s 3 MASTER BEDROOM HALL TOTAL 54'-0' UY GLAMOUR BATH TOTAL OPTIONAL CARPET KITCHEN 12'-0' UTILITY - 6'-6" GUEST BATH 5'-6' MASTER BATH 1'-0' BUTTE COUNTY BUILDING DIVISION APPROVED iL I ___------- J ® /I LINO o O------- LINO 13- • 14-0 LINO O. LINO (20# & 30# ONLY) 30 PSF 020 F'SF O2 20 PSF OI 20 P5F OI 20 PSF ________ ________ 030O 2 OS 30 PSF O30 PSF I 13.6 40.0 LINO ll STANDARD CARPET LIVWG ROOM BEDROOM 2 s 3 MASTER BEDROOM HALL TOTAL 54'-0' UY GLAMOUR BATH TOTAL OPTIONAL CARPET KITCHEN 12'-0' UTILITY - 6'-6" GUEST BATH 5'-6' MASTER BATH 1'-0' BUTTE COUNTY BUILDING DIVISION APPROVED ® (30# ONLY) 0 (20# & 30# ONLY) 13'-6" CARPET LAYOUT PIER PIER FOOTING SIZE REQUIRED (SOACITY -. IN.) O(LBS. PIER PIER CATY FOOTING SIZE REQUIRED (SO. IN.) PIER PIER FOOLING SIZE REQUIRED (SO. IN.) piER PIER FOOTING SIZE REQUIRED (SO. IN.) NO. 1000 PSF 1500 PSF 2000 PSF NO. (LBSI) 1000 PSF 1500 PSF 2000 PSF NO' G(LBSI) 1000 PSF 1500 PSF 2000 PSF NO. O(LBSJ 1000 PSF 1500 PSF 2000 PSF �- 1 --'2000 288 x__192 _ 144 3 4000 576 384 288 5 6000 1 864 576 432 7 10000 1440 960 720 ('".Q `• 2500 360 ( 240: 180 ® 5000 720 480 360 © 8000 1 1152 768 576 0 12000 1728 1152 864 GOLDEN (NEST HOMES DRAWING TITLE CARPET &PIER PRO DUCT MODEL NO. ivm ALBANY DIVISION 2445 S.W. PACIFIC BLVD. SUPPORT L 0 CA TIONS GOLDEN ESTATE GE401F-04 so. Fr. 1080 DATE 12-17-03 ALBANY, OR 97321 (541 926-8631 Phone DRAWING FILE INFORMATION DRAWN BY SHEET REVISED (8003 858-3552 Fax ALBANY DIVISION (6" WALLS) J HENRY -1 / —f1 ,1 - op > CIO co 17 710 ,.Jf11 Ui6j 09./16/2005 09:07 916-374-0150 WESTLAND PAGE 01 STpTF ^F ^A. ��Ce.ue�el �G�fyFS . ibEPAiPTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �o�s1Nc Ada DIVISION OF CODES AND STANDARDS t�• • t NORTHERN AREA OFFICE O Q © "' i 8911 Folsom Blvd. SACRAMENTO, CA 95826 �4 (916)255-2501 FAX (916) 255.2535 4��>Y DS��� From TOD Phones: 1-800-735-2929 From Volce Phones: 1-800.735-2922 September 16, 2005 Tiedwon Engineering 5901 Wheaton Drive Atlanta, GA 30336 RE: Foundation Standard Plan Approval (SPA) SPA 99-1F Dear Sir's: The purpose of this notification is to issue you an expiration extension for the above noted foundation SPA. Effective immediately for SPA 99-1F the expiration date has been extended: Applicant: Design Engineer: SPA Number: New Expiration Date: Tiedown Engineering 5901 Wheaton Drive Atlanta, GA 30336 Ray Tucker 3220 E. 59" Street Long Beach, CA 90805 SPA 99-1F November 1, 2005 If you have any questions regarding this notification you may contact me at (916) 255-2501. Sine- Dan indDan Fitzgerald Northern California Field Operations Administrator 11 CC: File SPA 99-1 F BUTTE COUNTY BUILDING DIVISION APPROVED 1/ector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 91212003 INDEX, Approval PAGE RELEASE UAMPACf MROMFlMOMEROMS SECTION NUMBER DATE JOUNMALTHAMSAFEW� � sEcrON18 ss APPROVED INTRODUCTION - 2 9/2/03 SUDWI ,roCORRWnON3 GENERAL INSTALLATION 3 9/2/03 APPROVAL D08S NOT A17TRORIZB M A4PRON8 A2 PARTS LIST 4 & 5 9/2/03 � R ORDEVIAMON FROM RE EMMM APPLICABLE STAU LAWS AND RMUTAiIM4 LONGITUDINAL DEVICES 6 9/2/03�0°f Caufi mh _ =4 C pr p4aw 'd PIER HEIGHTS 7 9/2/03 CODESAND>nANaA>ro SET-UP INSTRUCTIONS 8 9/2/03 J)Appmral Exgiree plm FOOTER SIZES q F4465 -7077--s-L,L, WIND ZONE I = SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE 11 - SINGLE 13 9/2/03 oYROFEss�ON M. y,�o - DOUBLE 14 9/2/03. ��, - TRIPLE 15 9/2/03 No. 6 245 a V -DRIVE & PIER SYSTEMS 16 9/2/03 gTFOF AL,EOE�,`P SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST 03 r - co I co 0 N O Q7 0 SITE PLAN REVIEW APPLICATION Date: �` /5 D S AP# Permit Number (if applicable) Bin Number 0 71-3�o-6oP APPLICANT INFORMATION Parcel Size: Owners Name: /;AW/�/ /� Owners Address Telephone No.: Site Address: Proposed Use: QCT d�RTSCJ kUE_ CA-E,sCt,.rr Ccr'£ CA - J°_1 4� 4 - 4 Le k G EP- A`( S'ro ►J LS 17(L-t�(L , LOT- 9 Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief xplanation/Issue: r- F�t+, tm kuL /+ Q ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DE VEL OPMENT SERVICES INFORMATION (For Staff Use) Lo Approved ❑ Conditionally Approved Zone: 7t* -3 GP: Af— ❑ Resolve Problems Prior to Approval ❑ Resolved Date ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: Applicable Building Setbacks: General Plan: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 4 t. 1 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front att Side 3 �' Side Street Rear Height Waterway N/A N/A N/A Tb L.F. Y. A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 4 t. 1 t Parcel Created By: ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ -Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel Man: 6jb?p-/e__I1 C, f—AA6_,# T71 Tgf Map Date of Recording: Lot: 8 Book: 80 Pager 7 3 CDF FIRE SAFE REQUIREMENTS AP#071_3gp _ OOff PERMIT# o5 --Z q,s"S' NAME: -&2 D W aV Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. Pq Grade. Not to exceed 16 percent unless paved or concreted. Grade will not exceed 20 percent. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. Pq Tumarounds. Required if driveway is over 300 feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. Pq Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. (X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1. Gate entrances shall be at least two feet wider on each end than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. . 3. Where a one-way road with a single traffic lane provides access to a gate entrance, a 40 -foot turning radius shall be used. C ED F IN E Q U I R E M E N T S Addressing [X] All buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted. [X] Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch letter height, 3/8 inch stroke, reflectorized, and contrast with the background color of the sign. [X] Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. ] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Fully enclosed eaves [ ] If Building Setback is Less Than 15 Feet: ✓ Class A roof with fully enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal [] Date Signature C ED F Is E I R E M E N T S Floor Flaw Anachad Sant to G.D. / p T& Building Department FROM: Environmental Health tDT SUBJECT: Sanitation Clearance 74) En N -::�.fj Q, Owner Location AP# Plan Approved for: Sewage Disposal'---, Water Supply:,, Publ�)T Private Well Clearance. for dwelling. Other �� V -) h-414 /Vn )I>- � � , j,� � V.1 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 6/96 5 Date 1G.o''Iden H GE401F�. llllllllllllll, YDue to continuing improvements, specifications and designs are subject to change without prior notice or. obligation. Square footage is approximate and does not include covered porch areas. - r...: . 11!04 DP 77686-1 2735!K 10/20/2005 09:44 FAX 530 899 9531 FIDELITY NATIONAL TITLE lgj vv�/uv4 RECORDING REQUESTED INY: Fidelity National Title Company of California 0Gats--1M.GD, 1 0058 Esaow No.: 05 -107097 -OC Recorded , . ;.: 1 Rt,C FEE 13. �0 Locate Noa CAFN709W0958-0001-0000107097 Official Records:: ! REC 95:70 Title No.: 05 -107097 -BD Lounty ar• •• ! . J When Recorded Mali Document' BUE ; I LANAAL'k GRlSAB3 : i and Tex Statement To: • Recorder I Mr. and Mrs. Kenneth Louis Brown riikl�7tAAY DiGcstkV I •: 790 Bertsch Ave: assistant 18asbei�a';of.=... Crescent City, CA 95531 d9:d1Dl 23-deb-�05 , I Page i '3 APN: 071-390-006 SPACE ABOVE THIS LINE FOR RECORDERS USE GRANT DEED :. The undersigned grantor(s) s dledare(s) Documentary transfer rax Is $95.70 [ ] computed on full value of property conveyed, or : [ X J computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area Berry Creek, FOR A VALUABLE CONSIDIERATION, receipt of which is hereby acknowledged, CHARLES' E. BALDY AND BARBARA J. BALDY, husband and wife as joint tenants hereby GRANT(S) to Kenneth Louis Brown and Darlene Grace Brown, husband and wife, ' asJoint. Tenant$• the 161111ov4nq described real property In the Berry Cheek, County of butte, State of Cailfotrila SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: February 11, 2005 STATE OF C COUNTY OF ON - before me, personally appeared provedlo me on the basis of satisfactory evidence) to be the person(s) whose name(s) -19/are subscribed to the within Instrument and acknowledged to me that roe/they executed the same In his/her/their authorized capacity(ies), and that by hWher/their signature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. Witness my handlL and official seal, Signature HOLLY KLABZUBA ;•Z COMM:*1421767 Z NOTAAY'Pu9UC-M:roRN1A' -n' ALA�lEDA.000fM tih Comm E�Irgs JUNE, 2ooy-'' MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) _ GRANT DEED Description: Butte,CA Document-Year-poc2'D 2005.10050 Page: 2 of 3 Order: wood Comment: ExiiisirW E LAND REFERRED TO HEREIN BELOW IS STTUAi ED IN THEUNINGOi2P0i�A'iED ARES► , •t�OtJ, +' CALIFORNIA, AND IS DESCRIBED A5 FOLLOWS: Parcel A: , Map was '. I ce of ' corded Lot 8, as shown on t>� certain Map entitled, "Berry Creek Ranch Estates", Whi n B� 80 -Of Maps, at Pa9in the �) `� mN County Recorder of the County of Butte, State of UVOMia, on January . 54. of SOQA feet, measured'vg tkzlly from the E3CCEP'TiNG •R{� ROM that portion of howeveroperty r,that said grantor, its successors and agslgn�.• 1i• not have the ' contour of the surface of said property, p h the surface'of that portion of said P,roPertY right for any and all purposes to enter upon, into or thrvug ded further; that gra ilial have the right'-... ' W measured vertically from the contour of the surface of said property, p e nfl belowa depth of �•0 iect; to dr111 and to appropriate water for beneficial use from said portion iil, Offid�al opRecords• excepted in Dead recorded October 4, 1973, in Book 1867, page • Parcel B: ' easement for roads, public utility facilities and drainage, aver all prNft roads as shown on that oertaof i ice, entitled, "B n� which Map was recorded in the office of the County Recorder of the Cow?tf!' . ~Berry Creek Ra Estates", .' ' . • • • Gstifornla, an ]anuary 29, J961, in Book 80 of Maps, at page(s) 49 thrtt 54. '. Parcel C; of land 60 feet in wldtfti,'the '�ritea•iine.ol'whfc�i , • . . A non-txduslve right of way for road and public utility purposes over a strip is described as foliows: Line Mad:RcatJon Of of a Boundary Commencing at the Northwest comer of Parcel 3, as shown on that certain a 5E.astp M.D.B.&M., which Parcel - Map was portion of the Southeast quarter of Section 34, Township Zi North, Rang recorded in the Office of the County Recorder of the County of Butte, Staff � California, 7urie 21, 197t3, to33V feit 60 Book 67 of a at page 30; thence North 7Z deg. 31' S i" East along the Northerly line sad true �n sof dbeginni SOuth 08 deg, Maps, Pa the true point of beginning for the following described centerline, thence f thence East 113.64 feet;.thdrtae:South Oo deg. . 51' 26" West, 380.69 feet; thence North 79 deg. 00 00" East, t440.15 0 0 feet, uth,66' deg:: •.:'':: ' 54' 17" West, a di:ttance of 362.7 feet; thence continuing South 00 deg. 5�+' 17" West,'604.02 fee th :5 i4 f 01' 23"West, 88.05 feet hence South 69 deg. 08'57" West,155.52 feet; thence South 11' k. 5b 'A8 therkoe south 07 deg. 33'W East, 331.18 feet bo a potntanchaeome 'said Sectio lneof the Northeast South 89 deg.'03' 55" West, a•". 20 North, Par 5 East; from which point the North quarte distance of 386.89 Peet and the end of said centerline. In Parcel Ma ofa EXCEPTING THEREFROM all that portion IYIr>Ig within the bounds of Parcel 3, as 1 N., P_own o5 that M� ld Parcel Map Boundary Line Modiflcatlon entitled, "A portion of the S. E. 119 bion 3A, T. 21 N'' was recorded In the Office of the County Recorder of the County of Butte, State of California, on June 21; '1978 In book 67 of Maps, at page(s) 30. parcel D: described par+cet of laud: � . ..' � • . . .. ' .. • . A 60 foot right of way for road and public adlitles over the fvilowing Map recorded in Book 67 of Ma Beginning at the Southeast corner of Parcel 3, as shown on that certain parte ps, ot:page also- being on the West Ilne of the Northeast -quarter of the 30, official Records, Butte County Regiorder•s Office, said point 5 East, M.0.6.6�M. thence North Oo deg 54' 17" Fit along Southeast quarter of section 34, Township 21 North, Rens said West line, 819.44 feet to a point in the centetiine of Bald Rock 54' 1Road7 thence 81Z 66 feet to a. point on he South fie - eenberiine, 60.88 feet; thence leaving said centerline, South 00 deg ; of said Parcel 3; thence due East, 60.00 feet t o the point of beginning and the end this description. J Dec 22 03 12:26p bF. AND WHEN RECMDED MAIL TO, J BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0071692 Recorded I Official Records I County of I Butte I CMNDACE J. 6RUBBS I County Clerk-Recorderl I I 011:01AN 23 -Nov -2085 I REC FEE 10.88 DD Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date 1 -Db 4 State Calif ni� County of , PROPERTY OWNERS: ..,. Cs • 1& c h On AB -c3` before me, personally appeared � Aa,49personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official $-eal. i dW, DASIL) Signature Seal: CpAinul. •153215 NOTARYRUUUG • CALIFORMA BUTTE COUNTY Comm. Exp. DEC. 6,aoos A.P. # a71 •- 3 % - pDk rI 3) A 0 A VJ "PATC-.4 EXHIBIT"Aff ;; • THE LAND REARED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA ,•CoI TIN QOM CALIFORNIi�'AND� S DESCRIBEd A5 FOLLOWS: _ Y ; Parcel A: Lot 8, as shown on that certain Map entitled, "Berry Creek Ranch Estates", which Map was recorded in the Office of the County Recorder of the County of Butte, State of California, on January 29, 1981, In Book 80. of Maps, at.page(s) 49 thru 54. EXCEPTING THEREFROM that portion of said property lying below a depth of 500.0 feet, measured-veitically from the contour of the surface of said property, provtded however, that said grantor, its successors and assighs, ill. not have the right for any and all purposes to enter upon, intro or through the surface'of that portion of said property. lyirig:abave feet measured verticallyfrom the conbour*of the surface of said property, provided further,that grantee shall havethe right to drill and to appropriate water for beneficial use from said portion of said property lying below -a depth of 500.0 >''eet; as - •excepted In Deed recorded October 4, 1973, in Book 1867, page 111, Official Records. ; Parcel B: An easement for roads, public utility facilities and drainage, mer all private roads as shown or that certain Map entitled, : "Berry Creek Ranch Estates", which Map was recorded In the Office of the County RecordBr of the county.'of Butte, State of California, an January 29, 1981, In Book 80 of Maps, at page(s) 49 thru 54, Parcel Q A non-occlusive right of way for road and public utJlity purposes over a strip of land 60 feet in width, the oenterline ofwhl.i, Is described as follows: Commencing at the Northwest comer of Parcel 3, as shown on that certain Pan;PJ Map of a Boundary Line Modification of a' portion of the Southeast quarter of Seetlon 34, Township 21 North, Range 5 Fast, M.D.B.&M., which Parcel -Map'was marded In the Office of the County Recorder of the County of Butte, State of California, June 21, 1978, in 666k '67 of Maps, at page 30; thence North 72 deg. 31' 51" East along the Northerly fine of said Parcel 3,.a distance of 33.0 feet to the true point of beginning for the following described centerline; thence from said true polnt of beginning 566th 08 deg, 51' 26" West, 380.69 feet; thence North 79 deg. 00' 00" East, 440.16 feet; thence East 118.64 Net ;,t l0hw:South 00 deg. 54' 17" West, a distance of 362.77 fee; thence continuing South 00 deg. 54' 17" West; 604:02 feed th�ce Sriuth.66'deg:: ; 01' 23" West, 88.05 feet; thence South 69 deg. 08'57" West, 155.52 feet; thence South iTdeg. 56''A8" 4Yet,'S22 i4Beet;', thence South 07 deg. 33'54" East, 33 IAS feet boa point on the North line of the Northeast; quarter bP Section 3; Township: 20 North, Range 5 East; from which point the North quarter comer of said Section 3 bears South 89 dqg: 03'. 55" West; a`_ distance of 386.89 feet and the end of said centerline. - E(CEPTING THEREFROM all that portion lying within the bounds of Parcel 3, as shown on that certain Parcel Map. of a Boundary Line Modification entitled, "A portion of the S. E. 1/4 of Section 34, T. 21 N., R. 5 E., M.D.M.", said Parcel Map was recorded In the Office of the County Recorder of the County of Butte, State of California, on June 21;'i978 In book 67 of Maps, at page(s) 30. Parcel D: A 60 foot right of way for road and public utfiftles over the following described parcel of land: Beginning at the Southeast comer of ParoW 3, as shown on that eertaln Parcel Map recorded In Book 67 of Maps, at: page 30, Officlal Records, Butte County Reoordees Office, said point also- being on the West line of the Northeast quarter of -the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B.&M. thence North 00 deg. 54' 17" East along said West line, 819.44 feet to a point in the centerline of Bald Rock Road; thence South 83 deg, 33' 59" West along -said - centerline, 60.48 feet; thence leaving said centerllne, South 00 deg. 54'_17"_West, 812.66 feet to a. point on -the South line of said Parcel 3; thence due East, 60.00 feet to the point of beginning and the end of this description. 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