HomeMy WebLinkAbout072-420-020s •.
072-420-020 AGI 18
ROBERT WUBBOLDING
84 JIMS BAR RD. OROVILLE CA
072-420-020 N98-1784
A AGRICULTURAL BUILDING
WUBBOLDING, BOB
8f N JIMS BAR RD. OROVILLE
REPLACE W/MH ON PERM FND.
F/�R� !o-t5-98 •
072-420-020 #98-2265
WUBBOLDING, BOB
84 JIMS BAR RD. OROVILLE
OWNER
OPENDECK�j�
�I
RECORDING REQUESTED BY:
WHEN RECORDED MAIL TO:
Butte County Building Division E
7 County Center Drive
Oroville CA 95965
III) I'I III I III' � ii I �IIII I III ('I I�I
2 00-10m32648
Recorded
I REC FEE.00
Official Records
I CONFORM .00
CoBUTTE yyf
I
CANDACE J. GRUBBS
i
Recorder
I
ROSEMARY'DICKSON
I
Assistant
I Cindy
11:23AM 22 -Aug -2000
I Page I of,3
NOTICE OF MANUFACTURED HOME(MOBILEHOME)
OR COMMERCIAL COACH, INSTALLATION OF A
FOUNDATION SYSTEM
THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT ERROR IN THE
LEGAL DESCRIPTION ON NOTICE OF MANUFACTURED HOME (MOBILEHOME)
OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM,
RECORDED ON OCTOBER 16, 1998, UNDER SERIAL NUMBER 1998-0045051.
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING
INFORMATION. ,
/
s 1,-+
RECORDING REQUESTED BY:
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.
ROBERT T. WUBBOLDING
REAL PROPERTY OWNER/LESSOR
80 JIMS BAR ROAD
MAILING ADDRESS
OROVILLE, BUTTE, CA 95966
CITY COUNTY STATE ZIP
84 JIMS BAR ROAD
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE, BUTTE, CA 95966
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
MAILING ADDRESS
crrY courm• 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
198-1784(-5.30)538-7541
BUILD IN ERMIT TELEPHONE NUMBER
10/15/98
SIGNATURE OF LOCAL AGENCY OFFICI DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE')
DEALER LICENSE NO.
FLEETWOOD 1998 VOGUE MANSION 5604B
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAIVIEMMBER
CAFLWI7A/B21517SC13 60'X 26' RAD1096137/8
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 072-420-020
SEE ATTACHED
f
i
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
LEGAL DESCRIPTION
A.P. #072-420-020
All that certain real property situate in the County of Butte, State of California, described as follows:
PARCEL I:
Parcel 3, as shown on that certain Parcel Map, recorded in the Office of the Recorder of the
County of Butte, State of California, on July 25, 1983, in Book 93 of Maps, at Page(s) 29.
PARCEL II:
An easement for road and public utilities as shown on that certain Parcel Map, recorded in the.
Office of the Recorder of the County of Butte, State of California, on July 25, 1983, in Book 93
of Maps, at Page(s) 29.
EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described
herein.
PARCEL III:
Aright of way for road and public utility purposes, as shown on that certain Parcel Map,
recorded, in the Office of the Recorder of the County of Butte, State of California, on January 31,
1972, in Book 40 of Maps, at Page(s) 93, 93A and 93B, and amended Parcel Map Recorded
March 3, 1975, in Book 55 of Maps, at Page(s) 66, 67 and 68.
K BUILDING DIVISION
W COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PER N
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. !7,2_
�JOZ
.
ZONING
j
OWNER /�
b�/
/VinPHONE
NO.
�—/
OWNER'S S
A��
LOCATION D
USE OF BUILDING
SIZE OF STRUCTURE
' X
SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME -24�' STEEL
CONCRETE
OTHER (Specify)
TYPE OF SIDING
7-///
ROOF COVERING
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
$ (go 00-*76aTz'
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows: `
FRONT / 441 SIDES ','''~� REAR °2
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date Signature of Owner
Permit Fee - $60.00 The above described AG Building is exempt from a bu' ding per ' .
�jFL PAR L P. R NG ISS
Receipt No. 7N22-7
Manager Building Division
By—
White - DPW, Y Ilow - Assessor, Pink - B. I., Goldenrod - Applicant
Date 1
d Va ey tT��e &epsc ow Company
93-0494901
--=��
Rec Fee 8.00
Order No.
I DOC 41.80
Escrow No. 138781 DS -3
Recorded I Check 49.80
LL��a
Wh�gOkCORDED MAIL TO:
Official Recorde I
County of I
Butte I
ROBERT T. WUBBOLDING
Candace J. Grubbs I
80 JIMS BAR ROAD
Recorder I
OROVILLE, CA 95966
8:00am 8 -Nov -93.1 MVTC VS 2
&-7
SPACE ABOVE THIS LINE FOR RECORDER'S USE
MAIL TAX STATEMENTS TO:
SAME AS ABOVE
DOCUMENTARY TRANSFER TAX $AiM
Computed on the consideration' or value of property conveyed; OR
Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
Signature of Declarant or Agent determining tax - Firm Name
GRANT DEED
072-420-020000
FOR A VALUABLE CONSIDERATION,. receipt of which is hereby acknowledged,
JACK SPURGEON and JEAN SPURGEON, husband and wife
hereby GRANT(S) to ,
ROBERT T(WUBBOLDING a married man, as his sole and separate property
the real property In the Unincorporated Area of the
County of BUTTE
as
` FOR'L'EGAL DESCRIPTION -.SEE ATTACHED
WR ►• -n.- ...
}
STATE OF CALIFORNIA )ss.
COUNTY OF BUTTE }
On NOVEMBER 3, 1993 bete
me, DODIE HUL TZ
personally appeared JACK SPURGEON AND
JEAN SPURGEON
personally 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 behaff of
*which the person(s) acted, executed the instrument.
�ri
%W T.NESS my .hand and official seal.
, State of California, described
-o z-
JACK SPURGEON
JIT SPLfRGFN
• DODIE HULTZ •
NOTARY PUBLIC -CALIFORNIA ■
W
Butte County' ■
My Commission Expires Feb. 3.1995 ■
■
■
4eLL Yt TITLpuest of
9 3- 4 9 4 8 9 -
Order No.
Ekrow No. 138781-3 D S H
8.00
Loan No.
,+ —04948 3 I Rec Fee 8.00
9,3-049489'
I Check
WHEN RECORDED MAIL TO:I
Recorded
Official Records
ROBERT T. WUBBOLDING
County of I
80 JIM'S BAR ROAD
Butte I
OROVILLE, CA. 95966
Candace J. Grubbs I
Recorder I VS 2
8 -Nov -93 I MVTC
8:00am
., ., L _ . .;wvnuteS USE
-MAIL TAX STATEMENTS TO:
DOCUMENTARY TRANSFER TAX $,. .
Computed on the consideration or value of property conveyed; OR
SAME AS THE ABOVEComputed
on the consideration or value less Bens or encumbrances.
remaining at time of sale.
Is exempt from imposition of the Documentary Transfer Tax pursuant to
Revenue and Taxation Code § 11927(a), on transferring community,
quasi -community, or quasi -marital property, assets between spouses,
pursuant to a judgment, an order, or written agreement between spouses
in contemplation of any such judgment or order.
The unriersionPri r2rantnr rip .larec
Signature of Declarant or Agent determining tax - Firm Name
INTERSPOUSAL TRANSFER GRANT DEED
(excluded from reappraisal under California Constitution Article 13 A § 1 et seq.)
This is an Interspousal Transfer and not a change in ownership under § 63 of the Revenue and Taxation Code and Grantor(s) has (have)
checked the applicable exclusion from reappraisal:
_ A transfer to a trustee for the beneficial use of a spouse, or the surviving spouse of a deceased transferor, or by a trustee of such
a trust to the spouse of the trustor.
_ A transfer to a spouse or former spouse in connection with a property settlement agreement or decree of dissolution of a marriage
or legal separation, or
_ A creation, transfer, or termination, solely between spouses, of any co -owner's interest.
_ The distribution of a legal entity's property to a spouse 'or former spouse in exchange for the interest of such spouse in the legal entity
in connection with a property settlement agreement or a decree of dissolution of a marriage or legal separation.
- Check when creating separate property interest in grantee spouse: it is the express intent of the grantor, being the spouse of the
grantee, to convey all right, title and interest of the grantor, community or otherwise, in and to the herein described property to the
grantee as his/her sole and separate property.
Other:
072-420-020
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
USA A. WUBBOLDING, WIFE OF ROBERT T. WUBBOLDING
-hereby GRANT(S) to
ROBERT T. WUBBOLDING, A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY
the real property In the City of UNINCORPROATED
County of BUTTE , State of California, described
as
FOR LEGAL DESCRIPTION SEE ATTACHED
r. -. .. -ie.- ..
}
STATE OF CALIFORNIA. }ss.
COUNTY..OF BUTTE ` }
On .-ADYEMBER 251 1993 bene
me,
personally appeared
personalty known to me (or proved tome on the basis of satisfactory
evidence) to be the person(s) whose names) Ware subscribed to the
within instrument and acknowledged to me that he/she/they executed the
same in his/her/their. authorized capacity(les), 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 seal.
r.
LISA A. WUBBULDInU
DODIE HULTZ ■
■ NOTARY PUBLIC -CALIFORNIA ■
■ Butte County ■
■ My Commission Expires Fob. 3,1995 ■
■ ■
1004 (12/90)
072-420-020 #98-1784 -
P:� rj �. 1 : WUBBOLDING, tBOB
RESIIJENTI'AL 8*JIMS, BAR RD. OROVILLE
• ON PERM FND.
. l
-- -- _ -/
PERMIT NO. — y ""
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
'
OFFICE COPY t
I
Address
1'
s
GAS
Meter By Date
ELECTRIC
Meter By Dat
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
rOFFICE
COPY
..Temp. Powe
�—
Address ec314
Called F
I
t
Temp. Elec.
GAS
Meter By
ELECTRIC
Called P,
Meter By • Date
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
V=OK
0 = Not OK
= Not Applicable
= Not Ready
Date MOB
MOBILt HOMES
Requirements - Setbacks - Easements
pecial MH Support Sketch
Location -Test -Fall -/O -Concrete
c
MISCELLANEOUS
_ Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
_ 1. Zoning Requirements -Setbacks -Easements
_ 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists-Deckino-BracinoStairs-Rails
� ji.,Water, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
. E tricity; Location-Clearances-Gmd-/ /Amp -Concrete Shthg.-Rfg.-Bracing
as; Location -Te 05W, / /'L'ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Nat o it. /LPG 6. Carports; Windows -Doors
. Well Clearance & Disconnect 7. Electric
8. Utility Clearance 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing—Veneer—Stucco-Mesh
10. Roof; Shthg-Roofing
Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -landings
Date Card B-1 Date Card B-1 12. Braced Wall Panels
Date MOB OME INSTALLATION (Plans) OK except #'s 1
. Zo ' g Requirements- Setbacks Easements f Date Card B-1 Date Card B-1
Footi s; Sine -Spacing -Marriage Line Date Card B-1 Date Card B-1
a,da's, Mt:LT nd-VaKeConnector f Date POOLS (Plans) OK except #'s
4,,INectri ' ; MH Test -Crossovers -Breakers -Clearances -Easements Setbacks -Easements
rain; Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability
ter• Test -Regulator -Connector j 3. Pool Structure; Steel -Connections -Thickness
7 ater and Sewer Conn d -C/O to Grade -HD Approval E Dead Men -Lining
8. Gas a 2G�gged j 4. Elec.; Receptacles and Lighting, Distance GFI
ie 0 s -Type -Installation Cert. { S. Elec.; Pool Lighting; 15 Volts-GFI
xi , nsp.Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
t . C f Occupancy j' 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
ermanent Foundatio Only: License Decal ! 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Date Card B-1 i a
Date Card B-1 9.- Health Department Approval
Date Card B-1 Date Card B-1 10. Plumb.; Cir. TesWater Supply Test
11. Light Niche
)
4 Date Card B-1 Date Card B-1
Date Card 0-1 Date Card B-1
1
r�
v��c37 3�
Rah 1 .
C-
��
0 = NotOK RESIDENTIAL (Single,& DjJplex)-
- = Not Applicable
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-Flood-Slope
2. Ftg., Main; Soils-Elec. Gmd -/ p Ftg. Depth
Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng.
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ p Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat clearance
4.
Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop4ns. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
50.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
51.
6a.
Hold Downs and Special Anchors
52.
7.
Slab, Steel -Wrapped
53.
8. Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Shear Walls; Nailing -Bolts
15. Access & Ventilation
60. Brace Interior / Exterior Wall Panels
16. Insulation
61.
Insulation -Walls -Ceilings
Date
Infiltration -Walls -Windows
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
Date
18.
Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
Ext Steps -Door & Sidelight Protection -Landings
20.
Shower Pan; Test, First Floor --Tub Access
Smoke Detector
21.
Test Tub & Shower, Second Floor -Tub Access
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
22. Gas Pipe; Sixe & Anchors
66.
Bedroom Exiting
Date
G.F.I. & Bath Fixtures & Tub Access -Spa
Card B-1 Date Card B-1
Date
Elec. Trim & Subpanel, Breaker Sizes & Labels
Card B-1 Date Card B-1
Date
Stairs & Rails
ELECTRICAL (Permit) OK except #'s
70.
23.
Fixture & Transformer Clearance -Ins. Protection
71.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
72.
25.
Size Bo�es & No. of Conductors Stapled
73. Elec. Outlets & Recepticales at Kit. Counter
26.
Romex I stalled Close to Edge of Studs & C.J.
Garage Fire Door; Swing -Landing -Closure
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
A.C. Duct in Garage -Damper
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
Insulation -Foam -Looked in Attic
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
Guard rails & Deck Construction -Post Caps
33.
Clothes Closet Light -Shower Light -Spa Light
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
34.
Smoke Detector
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
W.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Water Well, Disconnect, Electrical, Plumbing
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Plans) OK except #'s
Card B-1 Date Card B-1
40.
Sits Proper Materials & Anchors
Card B-1 Date Card B-1
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Card B-1 Date Card B-1
42.
Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop4ns. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
W.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY, OF BUTTIE -'DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California .95965 - Telephone (530) 538-7541 � p
(Rev. 12/96) APPLICATION AND PERMIT `
ASSESSOR PARCEL NUMBER 072-420-020
ZONING,
BUILDING PERMIT �
OWNER WUBBOLDING, BOB
.jzSyH0��S1
SO. FT. OCC. BUILDING VALUATrTN
OWNERS MAILING TUESSJIMS BAR RD. OROVILLE
CONTRACTOR'S NAME D & D MOBILE HOMES
TELEPHONE
O"T2P:?41u'ffATtER RIVER BLVD.
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee
$
BUILDING ADDRESS 8� JIMS BAR RD.
Ener Plan Checking Fee
Energy 9
$
OROVILLE
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome §P Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New R Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REPLACE OLD M/H WITH NEW M/H ON
PERM. FOUNDATION
Gas piping system 1 - 5 outlets
15.00 ,
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
V OR LESS
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force a and effect. t
License Class C L Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My worker'Mom sati insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractort
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. 01=141a OCCUP. s0
OR ADONS. ( a ACC. BLDS. 3.5QFT:
NOµp°SID. T. BRANCH MULTI.OUTLET ROUITS @7.50
POWER APPARATUS
a sTLET ounTU
OUTLET OR FIXTURES 20 @ 1.00
ES
Ex. Occup.BAL @ .so
Ex. Occup. O.pEs,D, MEO ALM°E
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee T 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI= $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
E 448 25
A.
D FEES
DF PARC
This permit is hereby is ed under the applicable provisions
of the a County C die and/or Resolutions to do work
indic ed e f r w c fees have been aid.
By Date
!�
PERMIT EXPIRES ON 2 Sg�p
Date
Receipt No.244866/
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION--�V
7 COUNTY CENTER DRIVE - OROVILLE, CAI IFQRNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: Entr Wa6boldf ASSESSOR PARCEL NUMBER: 0-7a -4ab'-0a0
Proposed Bui: ding Use: faLIP ' AA7ftL Building Inspector: 5 14-- Date: 8 -" ((-4q
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted .-------------------------------------------------------------------------------------
vll,_Complete
lot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
plans, 3/4 sets, signed by the preparer, of plans. ------------------------ ------ - ---- - ,N
gineered plans, 3/4 sets, with wet signature on plans. Ali engineering must be shown on plans. -------- (3
5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
116. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $ -------------------------------------------------------------------------------------
pactfeeDep
s :ho
wn on the attached schedule.-----------------------------------------------------------��----
California tment of Fore lan approval/fees. - -- - ---- �- t/off -
13. Flood elevation certificate. ------------------------------------------------------
=---------------------------------
!ILY< Sanitation and plot plan approval OVOUMO-Health Department. -------------------------------------------
I❑ 15. City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------
1118.
-------------------------
❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
111. 9.
----------------------
❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy).----------------------------
1120.
--------------------------=❑20. Pre -inspection for required Request to Building Inspector on (Date)
❑21. Contractor's license information. (Number, Name Style, Classification). -------------------------------------
El 22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
iLetter=rded
of signature authorization. -----------------------------------------------------------------------------
---
copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ----------------------------- ----------------------------------------------
❑ E st g &�aons and/or expired pecmi .------------------------------------------------------------
. D --
Deed, ❑ M.H.
ant Title,�eck to H.C.D $---------------
.y�, .rty;lJ..f......r
❑ 3 0: ;.:Other: -------
When you issue, a t, process as follows ❑ Mail to owner, ❑Mail to co tractor.
L �lephone 5 '2- I �
and hold for pickup at CJ�`�v office.- Deliver with inspector.
-� �-�--
�
- -
I 1 / d
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: By:
1. Index permit appli:;ation for the above items numbered: O
Plan Check List
2. Additional items required:
Contracto , designer, owner, was advised of the above required data by/jphone, ❑ mail, ❑ Building Division counter, by
Date:
�/� ontrac designer, owner, was advised of the above required data byihone, ❑mail, ❑Building Division counter, by
Date: Rg
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Plans reviewed by: Date: Plans approved by:Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division..
E.H. USE ONLY
Plot Plan Attached
Floor Plan Att�acl%ed
Sent to B.D. X / ./ �y
TO: Building Department T
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner , ' Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for ,----dwelling. Other 3 0 IT PY
Hold final for:
Final clearance O.K. for:
NOTE:
6014/ F- /L/-
/
Environmental Health Specialist
8/96
Date
11
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
SCHEDULE OF FEES DUE
OWNER A.P. #
PROPOSED BUILDING USE O V�� ov , 4y� tS /j (ATE
1. BUILDING PERMIT FEES
-- Balance Due ................ $
-- Additional Fees Due ........... $
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $
k2. SCHOOL DISTRICT FEES
(paid at `District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ........ x $360.00 = $
Units
Commercial (sq.ft.)... x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x -= $
#Units Amt.
Commercial (sq.ft.) .. x =$_
Sq.Ft. Amt.
5. RECREATION DISTRICT FEES (paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division)
10. OTHER
RECEIPT # DATE REC
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit.
These fees may be changed during the plan checking process.
APPLICANT DATE
Pursuant to Government Code S�fln66020, 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 approval of 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2197)
OWNER
fir,• �.
y COUNTY OF• -BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
• 7 -COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
(�SCHEDULE OF RECEIPT OF FEES �r� �
A P. # 0 7 � - 4— - CD- o o' ko
PROPOSED BUILDING USE ��'�� m '(7+N '71111q)ATE
1. BUILDING PERMIT FEES
-- Balance Due ........... ' ..... $
-- Additional Fees Due ............
-- Additional Fees Due ...........
��-- Revised Plan Checking Fee .......
1;2. SCHOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ........ x $360.00 = $ 34v- ao
Units
ti I Commercial (sq.ft.)... x $0.03 = $
ttt Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
#Units Amt.
Commercial (sq.ft.) .. X. =$
3q.rt. Amt.
5. RECREATION DISTRICT FEES (paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
'$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division)
f
10. OTHER
—(r`9.e
RECEIPT # DATE REC
J T 37 Y .0
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit.
These fees may be changed during the plan checking process.
APPLICANT DATE J
r
.Pursuant; to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been i posed on your
project. You have 90 days from the date of approval of the project of from the imposition of the above mentioned items during which you may f
protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner / �(Re� ;. 2 9 `)
�"T '.*��" i�•+•M--� r. �o:�; •�t,,:,��'giywr�%�._ ,�, ��.+r s-e1+r►a+rw.r.:...•:r.+.: rry;M,r�.,;rtw.+..�+..r�.-rr->... ,...,.«; \ �(�
° BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
IOne form per Building)
School District - ��.J r,..� Building Department No.
A.P. Number 072 - 4-12,0-0 20 Jurisdiction: City Fp7q County
Property �
Owner �O
o r �" %.� Ci
_tJ bo /CL hG
Property Location/Address
�j L/ �I j 04
S
" Subdivision"
Lot No:
Residential Development
No of Living
Mobile Home
Addition
Units
Installation
ndustrial
Buil
New Addition
moor rians reviewea Dy acnooi uistnct rersonneu
District Identification No. �9�a
F.
School District certifies that
U T { !- fit 472d(Street Address)' r-�
i-
(City)
(State)
Sq. Footage A b/
(Group R)
Sq. Footage
Roofed Areas)
3 9�
Data
(Applicant)
(Phone Number)
(Zip Code)
y has complied with the requirements of Resolution.No. 0%-�g-y by payment of $ �a%/, s
� representing A (p square feel B 2926 $
ULL MITIGATION $
School Dis-rict Representative Date
Paid by Check #
Remarks:
Notice: You may protest:the, imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section -_66&0(a), within 90 days from the date fees are paid, Failure to submit a timely written protest will prohibit
you from challenging theimposition of the fees in any court action.
If, 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 reviewed under the California Environmental Quality Act ICEQAI:
this project maybe subject to additional school fees to fully mitigate its impact on the school district's schools. t•.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/971dmm
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
I County•Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
Sp. FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
C I. ,
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fire lace
Total Valuation b
ARCHITECT OR ENGINEER
LICENSE NO.
Alina Fee
b 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
b orlc77 AS—
Plan Checking Fee
b „1 3 -
BUIL DING ADDRESS
Energy Plan Checking Fee
b
b
PERMIT FEE
$ 2
LOT No.
SUBDNISpNSNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 1
Each gas water heater or vent
15.00^ GQ
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
/
k l 4�/
Gas lin stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
020.00
PERMIT FEE
iLO
ELECTRICAL PERMIT
Filing Fee 20.00
000V OR LESS
Main Service 2o. OR LESS
23.00 g3 �.D
LICENSED CONTRACTOR'S DECLARATION
I hereby Affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
lowith cc ly with those provisions.
y Q�
XDate p 3 `
Sig slurs of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLNG OCCUP. SO
OR ADDNS. a Acc, stns. 3.5QFT;
rN-R.0%.T "LTFOun.ET 07.50
PowFR AF PAMTLIS
8 SINGLE OUTLET CR
Ex. Occup. ounEr OR FIXTURES 20 ® 1.00
SAL •50
Ex. Occup. o=.APP6 ,DE',
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI= $
Mobile Home Installation Fee b
Energy Inspection Fee b
occ
CONST.r'� TOTAL FEES I-) _
HAz
1 D FEB IMP
I FLOOD
I COF
PARCEL
Po
HD
ssUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Te
ReceiptNo.
WHITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
!�A
COUNTY OF'BUTTE : DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75�_„ .P�agly,No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 0 7 D 1
ZONING
BUILDING PERMIT
OWNER
U bbold I n �--
TELEPHONE
s- s 1
SO. FT. OC BUILDING VALUATION
.OWNERS MAILING ADDRESS O �yi rn s
V
CONTRACTOR'S NAME ^
TLEPHONE
CONTRACTORS MAIUNG:ADDRESS s ^
�3L Fego V I V
CONSTRUCTION LENDER 'a
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
(p ,
ARCHITECT OR ENGINEER
LICENSE NO.
Alina Fee $
20.00
Permit Fee Ji 283. $
S(p -0
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 1.—' • /q���(/
Energy Plan Checking Fee $
C!
PERMIT FEE s
i
LOT NO.
SUBDNISIONSNAME
PARCEL 1AAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Tr
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 ( S JD
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑( Utilities ❑ Installation ❑ Otpher❑
Describe Work: ►i�� � Q �(j�1�1 Q, '1 \ �L.
� l� I_� r l � � 1U�e P&a__
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home S G W
(920.00
PERMIT FEE $
or]v�
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ".0' O,' 2 s
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is In full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permh is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed ff the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONs. 6 Ate. S.3.5QFt:
NO"Eraw SID. ' MULTI01 97.50
POWER APPAMTUS
8 SINGLE Dung CI0.
Ex. Occup. ovnFrORFDRSALURES ®100
p .so
Ex. Occup. IJTIETSA I6 D) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEEIS
IMP
I FLOOD
I COF
PARCEL
PD
HD
ISSUE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
re
Receipt No. 1�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
REVIEWED BY
: BUTTE CO. FIRE DEPT.
CALIF. DEPT. of FORESTRY
approved as. subn'iMed
approved with conditions
.,ter attar„�Pd F/l:eet.
Signature
This set of pi
kept on the job
make any clan
'Written permis
Works, County)
ALL STRUCTURES AND EQUIPMENT INCLUDING
OVERHANGS SHALL B9CLEAR OF ALL EASEMENTS.
A SET BACK OF aaZ FROM. THE SIDE AND
D FT. FROM THE REAR PROPERTY LINES AND
_r� FT. FROM THE ROAD CENTERLINE SHALL BE
CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT
FOR A 2 Fr. EAVE OVERHANG.
ate �.._
Location of structures &
equipment shall be as shown
& clear of all easements. ,,A.i •k
tt and . citications MUST be-
st eal tim sr�n.� it 18
>ora
Butte.
unlawful to
`A�s Z ...!�'t-Kh ��7t
J)' NOTE: All Materials & Workmanship Shall. Be In
Accordance with Recognized Good Practices and
of a Quality Prescribed for the Specified use
In the Uniform Building, Plumbing & Meo.banicc-L'
Codes and the National Electrical Cods.
i7iry
1-07-, -ZC7
TRICAL, MECHANICA�'AY%+-0 plBING
3TRUCTiON ( NOT PLAN CHECKED ,
L COMPLY WITH ' CURRENT EDITION
NEC, UMC AND UPC.
IS
f
r
r
The attacvted Fire Safe
requirements must be co*'.dl
as specified and approved n
by C.D.F.
.......... . .......
a moo, W�----
RTM., ENT
COPY
8Y�
CDF FIRE SAFE REQUIREMENTS
7.? -q-z-zo
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[X] 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
V] 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appurteaant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[X] 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
r4 1. No roadway shall have a horizontal inside radius of
// curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
2. 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.
�] 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 o;f 3.-.
Ou
an III ING Drr'Pll
?� QPPRc��4�
7
AP # PERMIT # NAME
[�] 1273.10 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.
[�] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[�] 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 that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[X,] 1. All parcels 1 acre aid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ull property lines and/or the center
of the road. 3
[ ] 2. For parcels less ha n 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including
F� 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 and fuel
modification shall be completed prior to completion of
road construction )r fi:ial inspection of a building
permit.
Page 2 of 3
A
r
AP # PERMIT # NAME
Other Requirements
[/] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 1-0% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
P/I
Other Butte County Fire Department approved materials
Date Signature
d �i k '
Page 3 of 3 j " ! it
Nint. � �Lr�� d . � k �• L r � ,.
P� P kip
A
FLEETWCOQ.
Vogue. Mansion. Series
Model5604B 4 -Bedrooms .2 Baths • 1,539 Square Feet
3;p
�
F -VW
Y,
-
41
MASTER
pggoom
12 12'-6*
.KITCHEN-'
N
OArH
L j
4
DINING
AREA
HK
--PANTRY--
0
7 ----
-------------
3;p
�
F -VW
Y,
-
MASTER
pggoom
12 12'-6*
/17/NOV97
LIVING ROOM
19'-6"X12'-6"
EX.
".
WS0-0
PWC
Cc,
IL
DEN -95DR004+-
15'-O"XI2'-6' ... 1 s' -6•X 1r-6•
BEPROOMr7EDROOlvf
10' -PX 10'-4" 4 10'-3'X W-4"
PROVED
Butte County
Environmenw Hoam
Sknatum
M.H.I.- 2
Mobilehome Manufacturer: �� ��•� '_..,r �..�) Manufacture Year: S.
If other than single wide, furnish Setup Model Number: "-& lU •y/�
Width: a(o (it.) Length: 4 O (tt.) Tagalong or luxpando Size ---(it:) x —(it,)
On all mobilehomes manufactured atter October 7, 1973, furnisli manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[ ] Other:
SUPPORTS: Concrete block[' Other:
Provide Tic Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Linc 1 —Linc 1
Linc 2
• Linc 2
Main Bcams
Lin: 2:............................................................
Linc 1 inc 2
�— Linc 3.
Linc 2
.................................................................................................
Main Dcams
..............................:............ Line 2
Linc 1
sem..................................
4'
Linc I Piers: Line I Openings
Size minimum: '-x [ (�)
1 � ,. Size minimum: x
Spacing maximum:Each side of openings
\
From ends -maximum: � with width over:
Line 2'Piers:
Size minimum: [ ] x ? }�
Spacing maximum:.
From ends-maximum:U "
Line 3 Roof Loads:
Size minimum
Location (from front),
Linc S Roof Loads:
Size minimum:
Location (from front):
Linc 4 Piers:
Size minimum: [ ] x [ ]•
Spacing maximum: I`
From ends -maximum: "
x
3o:�3a
.Z�C30
36x3
fi3d
OVER
A/I.H. L-2
1. Owner's Name: a,�.
2. Assessor's Parcel Number:-
3. Installer's Name: -r -� 4,11
4. Is the site currently under permit? Yes['] No[ ] Permit No.
5. Is the site an existing site? Yes No[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? .160 Amperes.
7. What is the mobilehome site circuit breaker rating?Amperes.
8. What is the electrical rating of the mobilehome site?- 0 O Amperes
9. Is the main service remote from the mobilehome site? Yesf <] No[ ] If it is, what is
the rating? 2c.:�C} Amperes.
10. Is there any other electric load o be served by the mobilehome site electric service
.
(i.e. well, garage etc.)? Yc No[�,] If yes, please identify the load and size:
a) The mobile home si :
Load- Amperes -
b) The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural{ ,] Propane[ None[ ]
12. Size of gas pipe at the mobilehome site from the meter or
tank: Pl- inches.
13. What is the gas pipe length from the meter or tank to the mobilehome?�;O (ft.).
14. What is the mobilehome gas demand? B.T.U.*
*(Thus information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTTIER SIDE OF THIS FORM MUST BT COMPLETED IN ORDER TO
PROCESS TM- S PERMIT APPLICATION
May 1995
8.5
And when recorded mail to:
Building Div`:sion
#7 County Center Drive
Oroville, Ca. 95965
COPY of Document Recorded
25 -Aug -1998 1998-0036341
Has not been compared with
original
Butte COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires 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 generale 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:
C',
A-�I
5
Date: PROPERTY OWNERS:
State of California )
County of
On R 21 -� before me, -KCk-O.IlA (� 1 V�� r I, h l�b—C
personally appeared 1r Vl-I� 1I . L. personally
known to me (or proved to file un the basis of satisf:acUrry evidence) to be the-J11131-son(s) whose namc(s) is/are subscribed to the
within instrument and acknowled-ed to nae that he/she/they executed the same in his/her/their authorized capacity(ics), and
that by hisnacr/their signature(s) un the instrument, the persons) or the entity upon behalf of which the person(s) acted,
executed tite instrument.
WITNESS my hand and official seal. RACHEL COX
�-) �; r
� V�p � ' � Comm tk1143719
1 !"'
/ V NOTARY PUCLIC CALIFORNIA
Signature �iC� ' ' 1D Seal; GUTTE COUNTY
Comm. Exp. Juno 27 2001 -'
A.P.#
bq'muo2 Inc-unoQ 3o "Y<40
t�U?Cu-8E2t VN-VUA-cS
dliv boiaq-oo noed #en cc'l
Icntri,m
. EXHIBIT "A"
,S Parcel At
Parcel 2, as shown on that certain Parcel Map filed in the Office of the
Recorder of the County of Butte. State of California, on July 25, 1983,
in Book.93 of Parcel Maps, at Page 29.
Parcel B
A 60 foot sauement for road and public utilities as shown on that certain
Parcel Map filed in the Office of the Recorder of the County of Butte.
State of California, on July 25, 1983, in Book 93 of Parcel Maps, at Pago
•29, excepting therefrom all that portion lying within Parcel Al shown
herein
Parcel C
A right of way for road and public utility purposes over the 60 foot wide y��•; ��:�'
sled January 31, 1972, in Book 40 at ;Y�Z�,' 1�"T+.„' •'
roads as shown on the Parcel Map f rY ^,�.;tt.
Pa 3 93A, and 98B, and amended Parcel Map filed March 3, 1975, in },
Pages 9 ,
Book 55 at pages 66, 67, and 68.
EXCEPTING THEREFROM all that portion lying within Parcel A, shown herein.
AP No.,072-420-019
f
-
1
RECORDING REQUESTED BY:
WHEN RECORDED MAIL TO:
Butte [County Building Division
T County Center Drive
Oroville, CA 95965
COPY of Document Recorded
22 -Aug -2000 2000-0032648
Has not been compared with .
original
BUTTE COUNTY RECORDER
NOTICE OF MANUFACTURED HOME(MOBILEHOME)
OR COMMERCIAL COACH, INSTALLATION OF A
FOUNDATION SYSTEM
THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT ERROR IN THE
LEGAL'• DESCRIPTION ON NOTICE OF MANUFACTURED HOME (MOBILEHOME)
OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM,
RECORDED ON OCTOBER 16, 1998, UNDER SERIAL NUMBER 1998-0045051.
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING
INFORMATION.
RECORDING REQUESTED BY:
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.
ROBERT T. WUBBOLDING
REAL PROPERTY OWNER/LESSOR
80 JIMS BAR ,'ROAD
MAILING ADDRESS
OROVILLE, BUTTE, CA 95966
CrrYt COUNTY STATE ZIP
84 JIMS BAR ROAD
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE, BUTTE, CA 95966
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write 'SAME')
MAILING ADDRESS
Cm' fCOUNTY STATE IJP
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
98-1784 530)538-7541
BUI DIN PERMrrTELEPHONE NUMBER
y ��J/
10/15/98
SIGNATURE OF LOCAL AGENCY OFFICIAtp DATE
NONE
DEALER NAME (if not a dealer sale, write 'NONE')
DEALER LICENSE NO.
FLEETWOOD 1998 VOGUE MANSION 5604B
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
CAFLWI7A/B21517SC13 60'X 26' RAD1096137/8
SERIAL NUMBER(S) j LENGTH X WIDTH INSIGNIA/LABEL NUNMER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 072-420-020
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
LEGAL DESCRIPTION
A.P. #072-420-020
All that certain real property. situate in the County of Butte, State of California, described as follows:
PARCEL I:
Parcel 3, as shown on that certain Parcel Map, recorded in the Office of the Recorder of the
County of Butte, State of California, on July 25, 1983, in Book 93 of Maps, at Page(s) 29. .
PARCEL II:
An easemenf for road and public utilities as shown on that certain Parcel Map, recorded in the
Office of the Recorder of the County of Butte, State of California, on July 25, 1983, in Book 93
of Maps, at Page(s) 29.
EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described
herein:
PARCEL III:
A right of way for road and public utility purposes, as shown on that certain Parcel Map,
recorded in the Office of the Recorder of the County of Butte, State of California, on January 31,
1972, in Book 40 of Maps, at Page(g) 93, 93A and 93B, and amended Parcel .Map Recorded.
March 3, 1975, in Book 55 of Maps, at Page(s) 66, 67 and 68.
a OHIO` IS I'll 11NOW&I
R�cU el e est of
Mrd Valley M 8 Escrow Company
Order No.
Escrow No. 138781 DS -3
W9NhECOROED MAIL TO:
ROBERT T. WUBBOLDING
80 JIMS BAR ROAD
OROVILLE, CA 95966
93-0494901
1
Recorded I
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder f
8:00am 8 -Nov -93 I
zy3-49a9G
Rec Fee 8.00
DOC 41.80
Check 49.80
MVTC VS 2
SPACE ABOVE THIS LINE FOR RECORDERS USE
MA!L TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $AIM
ii Corrputed on the consideration a value of property conveyed; OR
SAME AS ABOVE _ Conputed an the consideration or value less lens or anoumbrmcee
remaining at time of saw.
Thr:i undarcf8nad rranlnr dwrl-rad
Signature of Decwrant or Agent determining tart'- Finn Name
GRANT DEED
072-420-41:0-000
FOR A VALUABLE CONSIDERATION, receipt of which Is hereby a:knowledged,
JACK SPURG!:JN and JEAN SPURGEON, husband and wife
hereby GRANT(S) to
ROBERT T. WUBBOLDING, a married man, as his sole and separate property
the real property In tho Unincorporated Area of the
County of BUTTE State of Cal'rfomia, described
as
FOR LEGAL DESCRIPTION SEE ATTACHED
Oared Nrvamhnr 9
_ a2W,. 6G c• L
CK 5PIIRGEON
STATE OF CALIFORNIA �u,
t•. /
AUNTY OF
BUTTE
JEAN SPUTiG�ON7
On NOVEMBER J. 1993 - bubo
ma, DODIF HULTZ _
_
polsomily appeared JACK SPURGEON AND
'JEAN SPURGEON
punwrusy known to me (or proved to me an the Gab of satisfactory
Y—
ONdOnaO) 10 be the persons) whoee nar ne(s) bare sUbsdllbod l0 t e
mthinwbumerA and! ackrwwlsegwtofro that helstwthgexecuted the
In h1aR:01/111011
t/■■rrrr■■r■r■■r■■■■■■■■■■/ .
same aMhorbed Gpacity(IM), and that by hIsAwAholr
signature(s) on the dMUurnwd the porson(s) or the entity, upon behalf of
■.
r DODIE HULTZ
which the peraon(s) adted• ad sWed the Instrurntmt.
NOTAny rueuc•CAUForduA ■
V47NESS M hand and Official seal.
Runs Camry •
Comraaswn Erpaes rah ). 1 W •
MY
/■ur■■■ru■uu■■■uu■■■
9ngnatu
,./ • • 1.
, I - .. .. ..i. ..
93-49490
ORDER NO. BU -138781-3
DESCRIPTION
ALL TH.1T CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARC T Z•
PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAPRECORDED IN THE,
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
ON JULY 25, 1983, IN BOOK 93 OF MAPS, AT PACE(S) 29.
.PARCEL ZZ'
AN EASEMENT FOR ROAD AND PUBLIC UTILITIES AS SHOWN ON THAT CERTAIN
PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON JULY 25, 1983,
AT PAGE(S) 29. IN BOOK 93 OF MAPS
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
gARCEL III•
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON
THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF
THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 31, 1972, IN
HOOK 40 OF MAPS, AT PACE(S) 93,.93A AND 93B, AND AMENDED PARCEL MAP
RECORDED MARCH 3, 1975, IN BOOK 55
68. OF MAPS, AT PAGE(S) 66, 67p
END OF DOCUMENT
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
N
BUTTE COUNTY BUILDING DMSION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
16 -Oct -1998 1998-0045051
Has not been compared with
original
Butte COUNTY RECORDER
' SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
- INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon;
upon the real property described with certainty below, as of the date of recording. When recorded, this document shallbe indexed y 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 peiscins
thereafter dealing with the real property,
ROBERT T. WUBBOLDING
REAL PROPERTY OWNER/LESSOR
80 DIMS BAR RD.
MAILING ADDRESS
OROVILLE, BUTTE, CA 95966
CITY COUNTY STATE ZIP
84 JIMS BAR RD.
INSTALLATION MAILING ADDRESS, EF DffFERENT
OROVILLE, BUTTE, CA 95966
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property ownw, w&e -SAME-)
MAILING ADDRESS
em ooaxtr „Aa Z
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
W -nu. v AtJUKEJD
OROVILLE, BUTTE,
--
CA 95965
CITY COUNTY STATE ZIP
98-1784 (530)538-7541
BUI'DIN
TELEPHONE NUMBER
SIGNATURE OF
10/15/98
LOCAL AGEN
NONE
DATE
DEALER NAME (tfnot a deakr sat-, wMe -NONE-)
DEALER LICENSE NO.
FLEETWOOD 1998 VOGUE NASION 5604B
MANUFACTURERS NAME DATE OF.MANUFACTURE MODEL NAME/NUMBER
C.AR 17A/112191 7SCI 3 60'X 26' RAD1096117/8
SERIAL NUMBERS) LENGTH X WIDTH INSIGNWLMEL NUMBER(S)
I
REAL PROPERTY LE •Ar p ESCRIPMN ASSESSOR'S PARCEL NUMBER A -P. #072-420-020
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - APPh=1t GOLDENROD - Building Dept
BUILDING PERMIT NUMBER: 98-1784
Address or location of unit: 84 JIMS BAR RD., OROVII.LE, CA 95966
Legal Description of Real Property: A.P. #072420-020
SEE ATTACHED
's
(z)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: ROBERT T. WUBBOLDING
-
Owner's address: 80 DIMS BAR RD., OROVILLE, CA 95966
4,
INSIGNIA OR HUD NUMBER: RAD1096137/8•
n �
i
SERIAL NUMBER OR V.LN.: CAFLWI7A/B1517SC13
MANUFACTURER'S NAME: FLEETWOOD YEAR: 1998
OFFICIAL APPROVING INSTALLATION:
i•
DATE: ii 10/15/98
F .
PHONE: (530) 538-7541
H.C.D. 513C
,
W r
! 4
I
II L
11 ,
LEGAL DESCRIPTION
A.P. #072420-020
All that certain real property situate in the County of Butte, State of California, described as follows:
PARCEL A:
PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL M&FILED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 25,
1983, IN BOOK 93 OF PARCEL MAPS, AT PAGE 29.
PARCEL B:
A 60 FOOT EASEMENT FOR ROAD AND PUBLIC UTILITIES AS SHOWN ON
THAT,=;
CERTAIN PARCEL MAP FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY K
OF BUTTE, STATE OF CALIFORNIA, ON JULY 25, 1983, IN BOOK 93.OF.PARCELc
MAPS, AT PAGE 29, EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN*``t%
PARCEL A, SHOWN HEREIN.
PARCEL C.
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE 60 FOOT
WIDE ROADS AS SHOWN ON THE PARCEL MAP FILED JANUARY 31, 1972, IN BOOK
40 AT PAGES 93, 93A AND 93B, AND AMENDED PARCEL MAP FILED MARCH 3,-19.%75)-'
IN BOOK 55 AT PAGES 66,67; AND 68.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN PARCEL A, SHOWN
HEREIN.
t
r
;i
i
07/16/98 07:30 BIDWELL TITLE CUSTOMER SERVICE a 916 532 3304
35 • - nECORDINO Rg0Ui11TED 0Y
BIDWM TITIX t ESCAOIa CCM-PANY
Omuta 1-176310 JCC
AHD WNGs RECOMCC MAIL TO
Robert T. WubboldiM
80 Jim Bar Road
Oroville, CA 95966
96-036089'1 Rec Fee
I Chock
Recorded I
Official.Records I
.County of 1
Outte 1
Candace J. Orubbo I
Recorder I
9.00
9.00
I OIOOum 30 -Sep -96 I DWTC 'MD 2
Ace 072-420-019 - Interepausal Transfer Grant Deed
MCLl1D12.0 FROM f W Pa1t MAL UNOCR CALIFORNIA CO IMUT10H IIMMI! t T A I t E1. UO-)
THS EOR4 FURMSHCD 11T 1110NLLL MIS A AWAOW COW A04T
This to en Intenpousel Transfer and not a change in awrtership under 6 63 of dte Revenue and Taxation code and Grantorls)
hes (have) checked the applicablo eacluslon from mapprnlsal:
❑ A lrao►;dr to 0 uu tse for the beneficial urs of a spouse, or the survivlag spouse of a deceased transferor. or by a trusteeof such a trust to the spouse of the Intltor.
❑ A transfer toa spouse tr farsoer spouse to eonneet;en with a property sc111cment egr"ment or decry of diuoludon,or
etnrrlege or legal separation, or .
Vj A cmadon.,tra,ufet, or trrsnlnadon, solely betwma spouses, of soy co-owners interest.
❑ The distribution of a legal enlltyos propeny to ■ spoum or furrlct spouse la eechange for the Intoron of such spouw io the
logo endly in connection with a property selUement agreement of a decree of dissolution of a muriate or legal o fiv da•
❑ Otho:
POs+, A VALUABLE CONSMERAMON, receipt of which h hereby acltnow1cdtrd. RE=Fxs MEMO:LISA WOBB=ING POOR RECORD 1S DUE TO
hereby ORANT(S) to QUAUTY OF ORIGINAL DOCUMENT
RDHERT T. WUBB=ING, a tnwried min as his dole and ceperate property
the following described real property In Ibc County of Butte
Stoic of Culi1'nmla:
SEF. EXHIBIT "A" ATTACHFDD ilE3tL•'IIO AND MADE A PART HERDJF
CRA14TOR F,AS NEVER HELD RECORD TITLE, THIS IS A CLCARIHC DOCUMENT,
a.
SI.I A WU80(7LDING —���J
State urCollfornla l
County of F3lttt4 j SS.
()n Sept. -23, 1996 before tee• the unAenllned, a Notary Public In end for Bald Slue "bully sppcamd
M "x votiocIlUxig
(This f►ea for omclol notarial uoll
Lisa Wubbolding
pawnxllr Ilrgwn at me for proved to me on the Paris of UdifalilT7
evtdmp f k.ltc the person(s) rlwea m"e(r) tt/lav wbutbnd MI Ilse wlthu%
lowmgtenlandsc)nfowl dwdtotut,d%mhOJYvllrryeaaelaahthrwtrN ,,,rrryyy��� Yvonne H. Byram i
hlrAferfilldr alantorirad eap0elty(Imt) a„d out ll IJ.mern)tehr sJt talllre(►) 0 -. � � Calms )Ol It L r to
i : roun••+wlft t.•f••onnw•n
tel the insututrcnt the persairl or the b l l Ireh>!f of Which the tr r+
r.11 1. ern •v. (1
1lrrwtn(r)Y:feA OleeYt4t life lltltrWlYN. � y l:o�t,a Wr•• 1M��
Wf1NPS.S 76TENWMU
tdficW ►cal.
S I�nr101! �%
MAIL TAX TOoTe•DED•or
NO.819 P005
a ••
07/16/98 07:30 BIDWELL TITLE CUSTOMER SERVICE 4 916 532 3304 NO.819 P006
T
EXHIBIT "A"
.
Parcel At
�
I
Parcel 2, as shown on that certain.Parcel Map filed in the Office of the
California; on July 25, 1903,
:
Recorder.of the County of Butte. State of
in Book. 93 'of Parcel Maps, at Page 29.
I
Parcel 138
A 60 foot easement for road and public utilities as shown on that certain
=r
Parcel Map tiled in the Office of the Recorder of the County of Butte,
Parcel Maps, at Page
;;.�:`" -x Ys;`:.'•i,
'
`29,
State of California, on July 25, 1983, in Book. 93 of.
that lying within. Parcel Al ahown
,.,"';= : �`�• 3.rr,;.0
excepting therefrom all portion
herein.
Parcel C,
A right of way for road and public utility purposns'ovor the GO goat wide
9 Y.
the Parcel Map filed January -31, 1972, in Book 40 at
��>l�. j!;;;� ,; ,.: •t
roads as Dhows on
'amended Parcel Map. filed March 3, 1975, in
and 99B
Pages 93 93A, a , and
66, 67, and 68.
„ ,�,• t .s •�,`,,;:-
Book 55 at. pages
gXCEPTINd TH6REFItOM all that portion lying within Parcel A, shown herein.
AP No. 072-420-019
i
STATE OF CALIFORNIA
- BUSINESS, TRANSPORTATION AND .HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES � AND STANDARDS REGISTRATION AND TITLING PROGRAM4050�
STATEMENT OF FACTS
0 Commercial Coach .1 Floating Home 0 Truck Cam pe This unit is a: �Mobt7ehome g p .
Decal (license) No.(s) Trade Name Serial No.(s)
I/We, the undersigned, hereby state:
This is a new'Manufactured Home that has never been lived'in or
titled. It is being placed on a permanent foundation.
J
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
of Cali_ornia,.and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
I/We certify under penalty of perjury that the foregoing is true and correct.
Executed on at
(Date) (City) (State)
ignateir�I (s)
Printed name(s)
(IL
Address o� feu= i�1 9-^�-�✓ci
City°- ,State
HCD 476.6 (REV 9/91)
T F 0 2420-020 �— —._ #98-2265
..
WUBBOLDING, BOB
RESIDENTIAL 84 JIMS BAR RD. OROVILLE '
OWNER
OPEN DECK
APERMIT N0. /i. Y .�, •O'er! - — �„ — -
PERMIT EXPIRES
OWNER
CONTR.
I
ASSESSOR PARCEL
LOCATION
�i
. t
CHECKED
SRA BY
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY ,
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
. Called PG&E
JOB FINALED (Date)
Signature
i
i
V=OK
0 = Not OK
'=Not
t Applicable
NoReadyMOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
8. Utility Clearance
1. Zoning Requirements - Setbacks - Easements
Card B-1 Date Card B-1
2. Soils; Special MH Support Sketch
POOLS (Plans) OK except #'s
3. Sewer, Location-Test-Fall-Ci"oncrete
Cana B-1 Date Card B-1
4. Water, Location -Test -Easement Needed (Sketch)
Card B-1 Date Card B-1
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
MOBILE HOME INSTALLATION (Plans) OK except #'s
6. Gas; Location -Test -Wrap; / /"Utt.
/ /Nat. or/ / L"tL/ /LPG
MISCELLANEOUS
Date KI COVERS, CARPORTS, GARAGES lana OK except #'s
ing Requirements -Setbacks -Easements
s; Soils-Size-Depth,Spacing-Connectors-Steel
--s-becks; Girders and/or Joists-Decking-BracingStairs-Rails
t Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures
6. Carports; Windows -Doors
9. EI
fie'
rmg.; Sils-AnchorsStuds-Rttrs-Trusses
9. Siding; Nailing-VeneerShxx*-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
7. Well Clearance & Disconnect
Date
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
Date
Cana B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
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/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
Date
11. Cert of Occupancy
Date
12. Permanent Foundation Only: License Decal
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date KI COVERS, CARPORTS, GARAGES lana OK except #'s
ing Requirements -Setbacks -Easements
s; Soils-Size-Depth,Spacing-Connectors-Steel
--s-becks; Girders and/or Joists-Decking-BracingStairs-Rails
t Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures
6. Carports; Windows -Doors
9. EI
fie'
rmg.; Sils-AnchorsStuds-Rttrs-Trusses
9. Siding; Nailing-VeneerShxx*-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GA
S. Elec.; Pool Lighting; 15 Volts -GA
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
11. Light Nk he
Date
Card B-1 Date Card B-1
Date
Card B-1 Date . Card B-1
✓ = OK
0= Not OK RESIDENTIAL (Single & Duplex)
- = Not Applicable
* = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
1.
ZoningSetbacks-Easments-FloodSlope
47.
2.
Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth
48.
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
49.
4.
Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth
50. Bdrm. Windows or Exiting Doors -Sill HgL & Dimensions
5. Stemwalls, Main; Steel-Blockouts-Wrapped
51.
6.
Stemwalls, Garage; Steel-Blockouts- Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel -Wrapped
54.
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Siding -Nailing Veneer
11. Water Pipe; Test -Anchors -Regulator -Service Test
57.
12.
Electric Underground
58.
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts -Joists Vents-Crippies
15.
Access & Ventilation
61.
16.
Insulation
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
63.
18.
Water Pipe; Test & Anchor -Nail Protection
64.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
65.
20.
Shower Pan; Test, First Floor -Tub Access
66.
21.
Test Tub & Shower, Second Floor -Tub Access
67.
22.
Gas Pipe; Sixe & Anchors
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
Stairs & Rails
Card B-1 Date Card B-1
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
ELECTRICAL (Permit) OK except #'s
72.
23. Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Bts & No, of Conductors Stapled
26.
Romex I stalled Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
Plb., Elec. & Mech. Equip. Listed for Location
29.
Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / /ga Cu or Al
Elec. Receptacles in Garage (G.FI.)-Romex Protection
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels -Motors -Meth. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
85.
Card B-1 Date Card B-1
Date
86.
Card B-1 Date Card B-1
Date
87.
MECHANICAL (Permit) OK except #s
35.
A.C. Ducts Insulation & Support
89.
36.
Vent Fan, Exhaust above insulation
90. Corrections from Previous Inspections
37.
Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Energy Compliance Certificate -Other Certificates
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Plans) OK except #'s
Card B-1 Date Card B-1
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
i
Date
FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rf r. Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill HgL & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
65.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls: Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.FI.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89.
Glass Protection
90. Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
, . - . t County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
072-420-020
ZONING
14R
BUILDING PERMIT
OWNER
T 'BOB
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
1320
OWNERS MAILING ADDRESS
84 JIMS BAR RD. F
224U.UU
CONTRACTOR'S NAME
MIER
TELEPHONE
589-1951
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
35. ID—
BUILDING ADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE $
109—.10
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE N
SF ❑ Duplex ❑ Mobilehome M Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: OPEN DECK
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ZOOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PO
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lathe following reason:
Vas owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
hof one hundred dollars ($100) or less.)
/ I certity that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X�i Date
Signature of Applicant - w er ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mein Service zooA To ,000A 46:00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( a ACC. BLDS. 3.5¢x,
µp SIDT MULTI.OUTLET
@7.50
ER APPARATUS
a SINGLE OUTLET CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES w,L @ ,50
LNS
Ex. Occu . GFucl AEs oR�
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE 109.10
TOTAL FEE $
HAZ.
-.
D FEES IMP
.. �,
FLOOD
—
CDF
PARCEL
�.
PO
MD SU
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.
ByAAX_��&. Da
PERMIT EXPIRES ON G v 7�7 7 6
Del
ReceiptNo. 250688
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 0.
(Rev. 12/96) APPLICATION AND PERMIT
F
° "" _C�-� mNNie
BUILDING PERMIT
yl y� 0 J't j� � Tam"°"° SO. Fr. OCC. BUILDING VALUATION
OWMM'9 MAILING ADCF=8
'
-
00WRA TONS NAI!
TELEPHONE i
COMf1AC M111 MAILING ADC IFN
CONSTRNCrgN LFlDEA
LENDER'S MAIUNQ AIXIMM
Fireplace
Total Valuation $
ARCHrMCT OR ENGINEER
ucEME No.
Filing Fee
S
ARCMIECT OR ENOMIEERS MAILIM ACC 'PC
Permit Fee
S
'
Plan Checking Fee
S
GULDMADCRI138
Energy Plan Checking Fee
S
S
PERMIT FEE
_
a�o�nNSNAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee
Each Trap7.00
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
SF,,a Duplex 0 Mobilehome4W'Other
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
Gas ploina systern 1 - 5 outlets
15.00
New a Addition a Remodel a LUdm a Inetatlation a
Other a
Building sower
15.00
Describe Work: P"?,V�
Mobile Home I S I G I W
@20.00
PERMIT FEE
:
ELECTRICAL PERMIT
Fpn -Fee
Main Service � Lm
23.00
Main Service MATO Imo►
46.00
NEW CONST. OWELif10 OCCUP.
Sa
ON A00M. i ACC. I=
S-Wr.
NON•RESID. MULTFOIm,ET
Q7.50
APPARATIaO
CIR
(aim
EX. Occup. oun.Er oR FDmIREs
200
eAL 0 I.00 .50
Ex. Occup. omPPLIO OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Wsc. Wiring
23.00
20.00 1
I PERMIT FEE I S f
MECHANICAL PERMIT I Fling Feel 20.001
Hood 6.501 1
Ventilation
PERMIT FEI: t
Mobile Home Installation Fee S
Energy Inspection Fee S
occ CONST. TYPE TOTAL FEE $
HAZ 0. MM IMP I R000 I COF PARCEL I PO 6SUE
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.
By Date _�—
ReceiptNo. PERMIT EXPIRES ON
WHITE-O-D.S.-a.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i ,n. -I
''"""',�, f"R'Ri,�wi"�'+�ih►�Td,'4t'r�`�Fkhse:.`r��.ni1.��i{1�f�i"1�'y+��i�$ �+ofd""j`+tti14'+t�tri'�`"Y�j:l�'�°i'.v�
4.
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
'7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: �t) 0 )3 D L -0 KJ CASSESSOR PARCEL ER:.(Z)? -yC ? rL��� 0 O�-D
Proposed Building Use: Building Inspector: Date: /a - 2- -F P
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted ---------------------------------------------------------------------------------------
02. Plot plans; 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.--------
115.
-------
❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
117.
---------------------------------------------------
❑7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
118.
--------------------------------------------------------
❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
'❑l l3-. Flood elevation certificate. ---------------------------------------------
'''S`anitation and plot plan approval/��Health Department.
`,❑ 15. City of Chico plumbing permit. ---------- -----------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
1117.
--
❑17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
111. 9. Encroachment Permit for driveway (construction approval prior to occupancy). ---
❑20. Pre -inspection for
required. Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). --------------------
022. Workers' Compensation carrier and policy number. --------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ----------------------
024. Letter.of signature authorization. -----------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------------------------------
026. Letter of intent on building use. -------------------------------------------------------------------
❑27. Manufactured Home utility clearance. -----------------------------------------------------------
❑28. Existing violations and/or expired permits. ------------------------------------------------------
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. other:
When you issue the p tprgs �bllows ❑ Mail to owner, ❑Mail to contractor.
e ,phone / and hold for pickup at office. ❑ Deliver with inspector.
Applicant: /
el -517
G' e / Date: l0l1Fe
(Date)
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: l By:
Copy of plans seat ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by b phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by:Date: /6
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division
e0IFY
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Plot Plan Attached
Floor Plan Attached
Sent to B.D. /
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for dwelling. Other
�F x
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan, to provide the m jor labor and materials for construction of the proposed
property impr vement : YES NO 13
2. I HAVE a HAVE NOT 13 signed an application for a building permit for the proposed work.'
3. I have contracted with the following person (firm) to provide the proposed construction:'
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to prgvide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE:
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the.
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
4
OWNER BUILDER INFORMATION -
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property-,
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party ofpcord on such
a permit. Building permits are not required to be signed by property, owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a bush='
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should -x
be aware of the following information for your benefit and protection: `F• ::..::
♦ if you employ or otherwise engage any persons other than your immediate family, and the work incl
„ ( udingaaate�Ials ' • �
and other costs) is $300 or more for the entire project, and such persons are not licensed as contrac9ois or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and• ycu
subject to several obligations including state. and. federal income tax.withholding, federal social secur
workers com nation insurance, disability - Festa rs—
pe ty insurance costs, and unemploj►rrient c9mpensation contrt'budo�aslp.1,•%-
♦ There maybe financial risks for you if you do not carry out these obligations, and *these risks are especially serious
with respect to worker's compensation insurance. .:,--
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service_(and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations iuider
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
- If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limr'Ited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building -'
permits are hot required to be signed by property owners unless they are performing their own work personally.- • ` - -
Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your -
community or at 1020 N Street, Sacramento, CA. 95814._
Please complete the "Owner Builder Verification" bn the reverse side of this form so that we can confirm that.you _
are aware of these matters. The building permit will not be issued until the verification is returned
Irely,
el C.Vi ira, C.B.O.
ger, Building Inspection
NOTE., This Owner-Builder.Injormation is required by Section 19830 of the Calljornia Health and Safety Code
OVER
'this set of Pans and sP Ifloations BMST be.
'ke'Dt on thaJob at all times and it is
make any changes or alterations on
al to
Witten Permission from the same withwA
Worms., C Unty of Butte . DePwA went of 0
tr Signa ' V