HomeMy WebLinkAbout072-610-01611�4�-Icwoop
Department
C o u n t y
J. Michael Crump, Director
Warner C. Phillips, Assistant Director
February 18, 2004
Worden Family Trust
P.O. Box 5673
Oroville, CA 95966
Re: Certificate of Merger
AP 072-610-016 & 018
Dear Mr. & Mrs. Worden:
f Public
0 f B U t
Works
LAND DEVELOPMENT DIVISION
7 County Center Drive
Oroville, CA 95965
(530) 538-7266
(FAX) 538-7171
BUTTE -
COUNTY
FEB 18 2004
DEVELOPMENT
SERVICjS
Enclosed please find the Certificate of Merger that was issued by the Butte County
Department of Public Works and recorded on December 17, 2003, under Serial Number
2003-0087311, in the office of the Butte County Recorder.
If you have any questions concerning this matter, please contact this office at (530)
538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m.
Sincerely,
9-k Stuart Edell
0 Manager, Land Development Division
SE/kp
Enclosure
cc: /Building Division
Environmental Health Dept.
Reily Smith
Michael Evans
RECORDING REQUESTED BY and
AFTER RECORDING RETURN TO:
Butte County Public Works
LAND DEVELOPMENT DIVISION
7 County Center Drive
Oroville, CA 95965
LANDS BEING MERGED:
Iffl III IIS I ILII I II I[I II I IIII IIII If
2P10(2) __3-C6108_/__3JL3-
Recorded I REC FEE 28.00
Official Records I
County Of I
BUTTE I.
CANDACE J. GRUBBS I
Recorder I
ROSEMARY DICKSON I
Assistant I Barbara
03:43PM 17 -Dec -21003 I Page 1 of 8
CERTIFICATE OF MERGER
AP NUMBERS 072-610-016 & 0720610-018
NUMBER OF EXISTING PARCELS: T80_j2)
EXISTING PARCELS CREATED BY: PARCEL MAP
RECORDING DATA: YEAR 1978
BOOK / PAGE OR SERIAL NUMBER: 67 M 11
SUBDIVISION / PARCEL MAP: PARCELS 1 & 3
As of the date of recordation, those lands noted above are merged to create two 2 arcels of land as
described in Exhibit(s) A, B attached hereto.
� DECEMBER 16, 2003
MIKE CRUMP DATE
Director of Public Works
OWNERS' CONSENT TO MERGER
THE UNDERSIGNED, as owners of all that real property to be merged, do hereby consent and agree to the
merger of such lands into that / those parcel(s) as described inExhibit(s) A,. B attached hereto.
OWNERS SIGNA TURES MUST BE NOTARIZED - Print name and title (if applicable) below signature line
paj
Paul E. Worden, Trustee of The Worden Family Trust, Date
U.D.T. ("Under Declaration of Trust'), Dated March 13, 1991
Vomelda C. Worden, Trustee of The Worden Family Trust, Date
U.D.T. ("Under Declaration of Trust'), Dated March 13, 1991
Bank of America NT , a National Banking Association
BY: -
neficiaryjj o .
Butte Federal Credit Union
BY:
Be ficiary ��,,,,� �.Y• P
/%%vue�h-�,� alv,aoo3
Date
122 2 3
Date
9,�
Dated
}
STATE OF e j%+ `�� }SS.
COUNTY OF 2_at�,Gy }
On 41,> (%t,'( be r .-2 4',,,90J 3 before me,
4Z -12 t LQ (', J M s A1, �j
personally appeared J /t 2 y2Zi4 /ASO/( z
,
pers ally lrnown to me or proved tome 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 signa-
tures) on the instrument the person(s) or the entity upon behalf of which
WAYVE C. ES
the person(s) acted, executed the instrument. NOTARY PUBLIC
Commonwealth of Virginia
WITNESS my hand d official se NIX Commission Expires Oct. 31, 2006
Signature (This area for official notarial seal)
Dated .2, AC .0 . [G.(.( f)
}
STATE OF CALIFORNIA )SS.
COUNTY OF
personally known to me (o ry
o*Weflee) to be the person(?) whose name(g) Ware. subscribed to the within
instrument and acknowledged to me that he/she#hcy executed the same
in his/herftit0ir authorized capacity(ies), and that by his/he»4heir signa- USA E. L. SECRIST
Commkok)n # 1444691 Ii
IitureS,s�J on the instrument the person(?') or the entity upon behalf of which Nary i wft - CGROm10
BUBOcourdy
the personv) acted, executed the instrument.
?L1;0;Z
Eywes Nov 6, 2007
pwqpww
WITNESS my h nd and official seal.
Signature (This area for official notarial seal)
Dated
STATE OF CALIFORNIA
COUNTY OF Butte
)SS.
}
On December 5, 2003 before me,
Michelle 9A. Miller, Notary
personally appeared Paul E . ' Worden and
Romelda C. Worden
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 signa-
ture(s) on the instrument the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS and offic' l eal.
Signature Lam`'
Dated
STATE OF CALIFORNIA
COUNTY OF
before me,
personally appeared
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 signa-
tures) 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.
Signature
MICHELLE A. MILLER
Commission #1351456 0
Notary Ptotic -California M
800 County
My Comm. Exp. APA. 15, 2006
9002 `Sf 'ddy 'dx3 'wwoo Ayy
/llunoo aun8 A
CL 91tupplE:. oil4nd AWN 'o
U ggytgCL uOISSIWW03 0
win In V 3l13H01VV
(This area for official notarial seal)
(This area for official notarial seal)
The following legal description was written to describe the new "merged" parcel I for
Worden, APN 072-610-016 & 018:
EXHIBIT "A"
All that certain real property situated in the unincorporated area of Butte County,
California, being a portion of Parcels 1 and 3, as shown on that certain Parcel map,
recorded in the Office of the Recorder of the County of Butte, State of California, on May
24, 1978, in Book 67 of Maps, at Page 11 and being more particularly described as
follows:
Commencing at a'/2" rebar set for the Center IA Corner of Section 24, Township 19
North, Range 5 East, Mount Diablo Meridian per said Parcel Map; thence, South 89
degrees 19 minutes 21 seconds West, a distance of 1314.59 feet; thence, South 00
degrees 27 minutes 33 seconds East, a distance of 247.20 feet; thence North 89 degrees
32 minutes 27 seconds East, a distance of 380.00 feet to the POINT OF BEGINNING;
thence along the following numbered courses:
1) continuing North 89 degrees 32 minutes 27 seconds East along said line, a
distance of 194.56 feet;
2) thence, South 07 degrees 57 minutes 14 seconds East, a distance of 1174.58 feet;
3) thence, South 00 degrees 00 minutes 00 seconds East, a distance of 350.00 feet;
4) thence, North 90 degrees 00 minutes 00 seconds West, a distance of 150.00 feet;
5) thence, North 56 degrees 15 minutes 47 seconds West, a distance of 242.25 feet;
6) thence, North 44 degrees 00 minutes 00 seconds West, a distance of 150.00 feet;
7) thence, North 46 degrees 00 minutes 00 seconds East, a distance of 150.00 feet;
8) thence, North 00 degrees 27 minutes 33 seconds West, a distance of 1165.12 feet
to the POINT OF BEGINNING.
TOGETHER WITH AND RESERVING THEREFROM: a right-of-way for road and
public utility purposes as shown on said Parcel Map, recorded in Book 67 of Maps, at
page 11.
ALSO RESERVING THEREFROM: an easement for well and water pipeline
facilities on, over and under a strip of land 15.00 feet in width lying 7.50 feet on each
side of the existing well and water pipeline as located on said Parcel 3; thence,
southeasterly along said water pipeline to the South line of the above described parcel for
the benefit of the land described in Exhibit `B" attached.
END OF DESCRIPTION
Containing 10.000 acres, more or less.
The Basis of Bearings for this description is the same as shown on said Parcel Map
recorded in Book 67 of Maps, at page 11.
Page 1 of 2
All new structures must meet the Fire Safe Regulations of Butte County and Public
Resources Code 4290.
fi xPI ag!5
N�9q (SO 0 `�Q
�F�F GAIIE���
Prepared: Dec. 1, 2003
Page 2 of 2
The following legal description was written to describe the new "merged" parcel 3 for Worden,
APN 072-610-016 & 018:
EX MIT "B"
All that certain real property situated in the unincorporated area of Butte County, California,
being a portion of Parcels 1 and 3, as shown on that certain Parcel map, recorded in the Office of
the Recorder of the County of Butte, State of California, on May 24, 1978, in Book 67 of Maps,
at Page 11 and being more particularly described as follows:
Beginning at a'/2" rebar set for the Center'/4 Corner of Section 24, Township 19 North, Range 5
East, Mount Diablo Meridian per said Parcel Map; thence, along the following numbered
courses:
1) South 00 degrees 28 minutes 12 seconds East, a distance of 2170.67 feet, to the point of a
non -tangent curve, concave to the North, having a radius of 170.00 feet and a central
angle of 11 degrees 33 minutes 54 seconds (record of 11 degrees 33 minutes 24 seconds)
and a chord of 34.26 feet bearing North 82 degrees 48 minutes 30 seconds West;
2) thence, West along said curve, a distance of 34.31 feet (record of 34.29 feet);
3) thence, North 77 degrees 02 minutes 42 seconds West, a distance of 219.40 feet;
4) thence, North 77 degrees 06 minutes 34 seconds West, a distance of 321.87 feet to the
point of curvature of a tangent curve, concave to the South, having a radius of 230.00 feet
and a central angle of 07 degrees 40 minutes 31 seconds (record of 07 degrees 40 minutes
35 seconds);
5) thence, West along said curve, a distance of 30.81 feet;
6) thence, North 84 degrees 46 minutes 53 seconds West, a distance of 43.81 feet to the
point of curvature of a tangent curve, concave to the South, having a radius of 180.00 feet
and a central angle of 36 degrees 48 minutes 45 seconds (record of 36 degrees 48 minutes
43 seconds);
7) thence, West along said curve, a distance of 115.65 feet;
8) thence, South 58 degrees 24 minutes 24 seconds West, a distance of 88.53 feet to the
point of curvature of a tangent curve, concave to the North, having a radius of 95.00 feet
and a central angle of 18 degrees 29 minutes 51 seconds (record of 18 degrees 30 minutes
00 seconds);
9) thence, West along said curve, a distance of 30.67 feet;
10) thence, South 76 degrees 54 minutes 24 seconds West, a distance of 22.12 feet to the
point of curvature of a tangent curve, concave to the Northeast, having a radius of 45.00
feet and a central angle of 95 degrees 35 minutes 41 seconds (record of 95 degrees 35
minutes 45 seconds);
11) thence, Northwest along said curve, a distance of 75.08 feet;
12) thence, North 07 degrees 29 minutes 51 seconds West, a distance of 98.20 feet to the
point of curvature of a tangent curve, concave to the Southwest, having a radius of 270.00
feet and a central angle of 30 degrees 42 minutes 53 seconds (record of 30 degrees 42
minutes 55 seconds);
13) thence, Northwest along said curve, a distance of 144.74 feet;
Page 1 of 3
14) thence, North 38 degrees 12 minutes 46 seconds West, a distance of 175.40 feet to the
point of curvature of a tangent curve, concave to the Southwest, having a radius of 205.00
feet and a central angle of 33 degrees 53 minutes 38 seconds (record of 33 degrees 53
minutes 40 seconds);
15) thence, Northwest along said curve, a distance of 121.27 feet;
16) thence, North 72 degrees 06 minutes 27 seconds West, a distance of 124.29 feet;
17) thence, North 00 degrees 27 minutes 33 seconds West, a distance of 90.05 feet;
18) thence, North 89 degrees 32 minutes 27 seconds East, a distance of 30.00 feet to the point
of curvature of a non -tangent curve, concave to the Southeast, having a radius of 125.00
feet, a
central angle of 85 degrees 37 minutes 28 seconds (record of 85 degrees 37 minutes 23
seconds), and a chord of 169.90 feet bearing North 42 degrees 21 minutes 06 seconds
East;
19) thence, Northeast along said curve, a distance of 186.80 feet;
20) thence, North 85 degrees 09 minutes 50 seconds East, a distance of 95.00 feet to the point
of curvature of a tangent curve, concave to the South, having a radius of 225.00 feet and a
central angle of 37 degrees 24 minutes 28 seconds;
21) thence East along said curve, a distance of 146.90 feet;
22) thence, South 46 degrees 00 minutes 00 seconds West, a distance of 150.00 feet;
23) thence, South 44 degrees 00 minutes 00 seconds East, a distance of 150.00 feet;
24) thence, South 56 degrees 15 minutes 47 seconds East, a distance of 242.25 feet;
25) thence North 90 degrees 00 minutes 00 seconds East, a distance of 150.00 feet;
26) thence, North 00 degrees 00 minutes 00 seconds East, a distance of 350.00 feet;
27) thence, North 07 degrees 57 minutes 14 seconds West, a distance of 1174.58 feet;
28) thence South 89 degrees 32 minutes 27 seconds West, a distance of 194.56 feet;
29) thence, continuing South 89 degrees 32 minutes 27 seconds west, a distance of 380.00
feet;
30) thence North 00 degrees 27 minutes 33 seconds West, a distance of 247.20 feet;
31) thence, North 89 degrees 19 minutes 21 seconds East, a distance of 1314.59 feet to the
POINT OF BEGINNING.
TOGETHER WITH AND RESERVING THEREFROM: a right-of-way for road and public
utility purposes as shown on said Parcel Map, recorded in Book 67 of Maps, at page 11.
ALSO TOGETHER WITH: an easement for well and water pipeline facilities on, over and
under a strip of land 15.00 feet in width lying 7.50 feet on each side of the existing well and
water pipeline as located on said Parcel 3; thence, southeasterly along said water pipeline to the
South line of the Parcel of the land described in Exhibit `B" attached.
END OF DESCRIPTION
Containing 39.741 acres, more or less.
Page 2 of 3
The Basis of Bearings for this description is the same as shown on said Parcel Map recorded in
Book 67 of Maps, at page 11.
All new structures must meet the Fire Safe Regulations of Butte County and Public Resources
Code 4290.
Prepared: Dec 1, 2003
Page 3 of 3
END OF DOCUMENT
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPlY of Document Recorded
03 -Mar -2004 2004-0011942
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
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.
SCOTT WORDEN
7 COUNTY CENTER DRIVE
REAL PROPERTY OWNERILESSOR
OROVILLE BUTTE CA'
P.O. BOX 5673
CITY COUNTY STATE
ZIP -
MAaJNG ADDRESS
538-7541
BUILDINERMIT NO. TELEPHONE NUMBER
OROVILLE BUTTE
CA
95965
CITY COUNTY
STATE
ZIP
331 BLACK BART RD
91265
INSTALLATION MAILING ADDRESS, IF DIFFERENT
DEALER LICENSE NO.
OROVILLE BUTTE
CA
95966
CITY COUNTY
STATE
ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
"
MAILING ADDRESS
SAME
CITY COUNTY
STATE
ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA'
95965
CITY COUNTY STATE
ZIP -
04 -0018 530
538-7541
BUILDINERMIT NO. TELEPHONE NUMBER
SI OF LOCAL GENCY OFFICIAL
DATE
SKYCREST ENTERPRISES
DEALER NAME (if not a dealer sale, write "NONE")
91265
DEALER LICENSE NO.
SKYLINE HOMES INC. 2004 WESTBROOK 4820 CT
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMF/NUMBER
8V-70-0437-S-A/B/C 473"X39' TTT T CC )AA A le I/
REAL PROPERTY LEGAL Dp CILLMON ASSESSORS PARCEL NUMBER AP # 072-610-016
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
;DEC -18-2003 14:19 FROM:STAPLES 0816 5305331399 T0:3439496 P.3/4
EXHIBIT "A" BIFORNIA,
D TO HEREIN IS SITUATED IN THE STATE OF CAL
THE LAND BUTTE
AND IS DESCRIBED AS FOLLOWS:
COUNTY OF BUTTE,
oEA
nRCE_ I:
PROPERTY SITUATED IN THE UNINCORPORATED3�AS
ATL THAT CERTAIN CREAL ALIFORNIA, BEING A PORTION OF PARCELS 1 AND
OF BUTTE COUNTY, CAL RECORDED IN THE OFFICE OF THE
SHOWN ON THAT CERTAIN PARCEL 'STATE OF CALIFORNIA' ON MAY 24,
ORE
RECORDER OF THE COUNTY OF BUTTE' PAGES) 11, AND
19781 IN BOOK 67 OF MAPS,
PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT A 1/2" REBAR SET FOR THE CENTER QUARTER CORNER OF
SECTION 24, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., PER SAID
PARCEL MAP; THENCE SOUTH 890 19' 2111 WEST, A DISTANCE OF 1314.59
FEET; THENCE SOUTH 000 27' 3311 EAST, A DISTANCE OF 247.20 FEET;
THENCE NORTH 890 32' 2711 EAST, A DISTANCE OF 380.00 FEET TO THE
POINT OF BEGINNING; THENCE ALONG THE FOLLOWING NUMBERED COURSES:
1)
CONTINUING NORTH
890
32'
OF 194.56
FEET;
2)
THENCE
SOUTH
070
57'
1411
3)
THENCE
SOUTH
00'
00'
0011
4}
THENCE
NORTH
900
00'
0011
5)
THENCE
NORTH
560
15'
47"
6)
THENCE
NORTH
440
00'
00"
7)
THENCE
NORTH
460
00'
0011
8)
THENCE
NORTH
000
27'
33"
THE POINT OF
BEGINNING.
27" EAST ALONG SAID LINE, A DISTANCE
EAST, A DISTANCE OF 1174.58 FEET;
EAST, A DISTANCE OF 350.00 FEET;
WEST, A DISTANCE OF 150.00 FEET;
WEST, A DISTANCE OF 242.25 FEET;
WEST, A DISTANCE OF 150.00 FEET;
EAST, A DISTANCE OF 150.00 FEET;
WEST, A DISTANCE OF 1165.12 FEET TO
RESERVING THEREFROM A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY
PURPOSES AS SHOWN ON SAID PARCEL MAP, RECORDED IN BOOK 67 OF MAPS,
AT PAGE(S) 11.
ALSO RESERVING THEREFROM AN EASEMENT FOR WELL AND WATER PIPELINE
FACILITIES ON, OVER AND UNDER A STRIP OF LAND 15.00 FEET IN WIDTH
LYING 7.50 FEET ON EACH SIDE OF THE EXISTING WELL AND WATER
PIPELINE AS LOCATED ON SAID PARCEL 3; THENCE SOUTHEASTERLY ALONG
SAID WATER PIPELINE TO THE SOUTH LINE OF THE ABOVE DESCRIBED PARCEL
FOR THE BENEFIT OF THE LAND DESCRIBED IN EXHIBIT "B" ATTACHED, ON
THAT CERTAIN CERTIFICATE OF MERGER RECORDEDDts. CJD
01
UNDER BUTTE COUNTY RECORDER'S SERIAL NO. .7311 '
.
PARCEL HEREIN IS PURSUANT TO A LOT LINE ADJUSTMENT-APPROVEDBY THE
REC �DOFQ BUTTE,14, a S OWWN AS PARCEL A, IN CERTIFICATE OF MERGER
NO. _ dlO 7�JJ , UNDER BUTTE COUNTY RECORDae, 71 00
ER'S SERIAL
PORTION OF APNS 072-610-016-000 AND 072-610-018-000
CONTINUED.
11
,DEC -1B-2003 14:20 FROM:STAPLES 0816
EXHIBIT "A" - CONTIMMD
PARCEL II:
e
5305331399
T0:343B496 -t
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 MAY 24, 1978, IN BOOK
67 OF MAPS, AT PAGE(S) 11.
191719.DES
P. 4/4
'�i X
e e `'� d t 11` * y: 3..
aRlffi%kul,l
ca
BUILDING, PERMIT NUMBER: 04-0018
Address or location of unit: 331 BLACK BART RD., OROVILLE CA 95966
Legal Description of Real Property: AP # 072-610.-016 _
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O •Commercial Coach
Has been affixed to the real property above by installation_ on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: SCOTT.WORDEN `
Owner's address: P.O. BOX 5673, OROVILLE CA95965
INSIGNIA OR HUD NUMBER: ULI 553944/5/6
SERIAL NUMBER OR V.I.N.: '8V-70=0437-S-A/B/C
MANUFACTURER'S NAME: SKYLINE HOMES INC. YEAR:)8n4
OFFICIAL APPROVING INSTALLATION:
DATE: P . `7 -
PHONE: (530) 538-7541
H.C.D. 513C
BUSINESS,TRANSPORTATION,f}I(�Q1�O1��$�NGAGENCY <t• t
.DEPARTMENT OF HOU 1NO.AND.'�QMAIRAIJ�IMY. DEVECOPMENT .. ;:....'..;....Q, .. . r
DIV19fON O BODE ANtf'�YANtlAlib6 �/ � %o 3
MANUFACTUREOH0118.IN(j'PROG.RA1A.:
lR9lANUFACTURER`CtRTi. KATE ®F ORIGIN
J1419U N: 'ORIGINAL (PINK) ' FORWARO TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE).
COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828. SACRAMENTO, CA 95612-1828, wTHiN FIVE (5) DAYS UP RELEABE.
COPY 2 (YELLOAJ DELIVER TO THE TRANSPORTER TO ACCOMPANY TME UNIT TO ITS DESTINATION.
COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER.
urn aa -%.,A - rile , .,7f!47,
'CHECK 1F TH19 FS,A DUPLICATE MCO -ENTER ORIGINAL MCO'NO.
MAN 1FACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING
® SFO (SINGLE FAMILY DWELLING) ® MUMH (MULTI -UNIT MANUFACTURED HOUSING
NUMBER OF 3
TRANSPORTABLE SECTIONS
COMMERCAAL COACH:
OCCUPANCY GROUP
MANUFACTURER NAME:
MANUFACTURER LICENSE NUMBER:
SKY'L1N•E HOMES INNS
90002
MANUFACTURER ADDRESS:
SUGGESTED RETAIL PRICE:
EAST NEAMEI: STREET WOODLAND CA 95776r
$ 98,285.50
$11E7'20
State
MANUFACTURER TRADE NAME:
-MODEL NAME AND/OR NUMBER:
'GATE OF'MANUFACTURE:
WESTBWOK
4820—CT
2/6/2004
NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):
CALIF. DEAL R NUMBER OR
DATE OF TRANSFER:
TRANSFEREE DESIGNATION:
-SKYCREST ENTERPRIStS/'COUSIN G�;RY' S. HOMES
2/1-2/2004
1 265
DEALER OR TRANSFEREE ADDRESS:
3 68 HW:' 99 1, C 0 CA
5� Stale)
(zip)
INVENTORY CREDITOR NAME:
TEXTRON FINANCIAL CORP
INVENTORY CREDITOR ADDRESS:
P.O. BOX 16520 ST -••LOUIS MO
63105
street Ci) (S ate)
z
SECTION
MANUFACTURER SERIAL NUMBER NCD INSIGNIA OR MUD LABEL NUMBER
LENGTH WIDTH
WEIGHT
1 70 'INCHES
INCHES
(POUNDS
1.
8V -7.0 -0437—S -C ULI 553944
57'6 156
19,974
2
8V -70-0437-9—B ULI 553945 '576
156
19,724
SV-70-0437—S—A ULI 553946
576 156
20,754
TRANSPORTER NAME:
'
BE"ETT TRUCK TRANSPORT
TRANSPORTER ADDRESS:
P.O. BOX 179 U'CTRHAri CA
95938
street IGh l6teto171.1
DESTINATION FOR UNIT DESCRIBED ABOVE'
NAME COUSIN GARY Is HOMF.S street 13468 HW'Y 99 E (CQJRICO CA Slmte
9597.3
1 mrtAy uneet Pehany d perjury unCBt lho lows of the State o1 Call(Om16 that the nave IeCte are uue end Imnecl.
E.mmaoon, 2/1'2. 2004 at -WOODLAND YOLO
CA
(Data) - (Chy) (Covnty)(tmle)
_77
SIGNATURE OF AUTHORIZED AGENT: r-,
—
J1419U N: 'ORIGINAL (PINK) ' FORWARO TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE).
COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828. SACRAMENTO, CA 95612-1828, wTHiN FIVE (5) DAYS UP RELEABE.
COPY 2 (YELLOAJ DELIVER TO THE TRANSPORTER TO ACCOMPANY TME UNIT TO ITS DESTINATION.
COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER.
urn aa -%.,A - rile , .,7f!47,
;tv-�STATE OF CALIFORNIA
s DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS •
REGISTRATION AND TITLING'SECTION
STATEMENT OF FACTS
;s unit is a: aj Mobilehome 0 Commercial Coach Floating Home True: r.�•.co
_al (License) No.(s) Trade Name ISerial No.(s) _
���'��b�vo A -
Sl'eaia er
,'?, ;,he undersigned, hereby state that the unit described above:
-Y
P16z-c- e_J Of—) 0— a4) '01
r0 a r"Y;L��(0v�
=fiant further agrees to indemnify and save harmless the Director of Housing and Communit:
•;elopment, State of California, and subsequent purchasers of said unit, for any loss the.
�x suffer resulting from registration of the above-described unit in California, or f,orr
:;-fiance of a California certificate of title covering. the same,
'de certify under penalty of perjury that the foregoing is true and correct.
ecuted on at
(Date) (City) (State)
:y.nature of each affi nt
rl,' ,
i'y
-;"D 476.6 (Rev 11/86)
Printed name of each affiant
140
State
DEC -18-2003 14:19 FROM:STAPLES 0B16 5305331399
RECORDING REQUESTED BY
Order No.
Escrow No.
WHEN RECORDED 1%4AIL TO:
SCOTT WORDEN
P.O. BOX 5673
OROVILLE, CA. 95965
TO:3438496 P.2/4
COPY of Document Recorded
18 -Dec -2003 2003-0087557
Has not been compared with
original
BUTTE COUNTY RECORDER
DOCUMENTARY TRANSFER TAX $....0».»...
Computed on the consideration or value of property conveyed; OR D �. T 1 E
Computed on the consideration or value less liens or encumbrances ;ignature o f Declarant or Agent determining tax - f rtn Name 11911
remaining at time of sale.
GIFT' DIED R & T 11911
GRANT DEED
APN: 072-610-016&018
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged.
PAUL E. WORDEN AND ROMELDA C. "UNDER DECLARATION N OF TRUTRUSTEES OF ST ") ,
WORDEN FAMILY TRUST, U.D.T.
. DATED MARCH 13,1991
hereby Grants) to
SCOTT WORDEN, A MARRIED MAN AS SIS SOLE
AND SEPARATE PROPERTY
the real property in the City of - UNINCORPORATED AREA State of California, described as
County of Butte
SEE ATTACHED EXHIBIT "A"
Dated December 18, 2003
STATE OFC Buff@ )SS.
COUNTY OF a
On December 18, 2003 before me,
Michelle A. Miller NOtbr
personally appeared Paul E. Norden and
Romelda C. Worden
personally known to file (or proved to the 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 hia/her/their authorized capacity(ies), and that by his/her/their signa-
tures) on the instrument the persons) or the entity upon behalf of which
The person(s) acted, executed the instrument.
W11 NESS my hand and official seal a I
signature �A
WORDEN FAMMY TRUST, U.D.T.
PAUL E. WORDEN TRUSTEE
Q--6M-EMA C. WORiDEN TRUSTEE
AAICHELLE A. MlLLeR
Commission #1351468
PublicC-- Ca lb t&
My Comm. Exp. AP Fi 15, 2008
(This arca for official notarial seal)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
DEC -18-2003 14:19 FROM:STRPLES 0816 5305331399 TO:3438496 ;. P.3/4
EXHIBIT "A" IFORNIA,
D TO HEREIN IS SITUATED IN THE STATE OF CAL
E Lp�ND REFERRE AND IS DESCRIBED AS FOLLOWS
COUNTY OF BUTTE,
vs+RCEL _I AS
AREA
ION OF PARCELS 1 AND 3'THE
EAI, PROPERTY SITLIAT oRTN TKE UNINCORPORATED
ALL THAT CERTAIN REAL IA, BEING A P IN THE OFFICE
OF BUTTE COUNTY, CEL MAP, RECORDED CALIFORNIA' ON MAY 24,
SHOWN ON THAT CERTAIN PAR STATE OF CAL AND BEING MORE
RECORDER OF THE COUNTY OF BUTTE, AT PAGES) 11,
19781 IN BOOK 67 OF MAPS,
PARTICULARLY DESCRIBED AS FOLLOWS:
ER R OF
COMMENCING AT A 1/2" REBAR SFT FOR THE CENTM D4B & uARTM. CPE�R PER SECTION 24, TOWNSHIP 19 NORTH, RANGE 5 ,
SAID
PARCEL MAP; THENCE SOUTH 89' 19' 21" WEST, A DISTANCE OF 1314.59
FEET; THENCE SOUTH 00° 27' 33++ EAST, A DISTANCE OF 247.20 FEET;
THENCTANCE OF
POINTEOFORTH 890 BEGINNING; THENCE ALONG THE FOLLOWING 38
FOLLOWINGNUMBERED COURSES'
1)
CONTINUING NORTH
890
32'
DISTANCE
OF 194.56 FEET;
WEST,
A DISTANCE
2)
THENCE
SOUTH
070
57'
14"
3)
THENCE
SOUTH
000
00'
00"
4)
THENCE
NORTH
900
00'
00"
5)
THENCE
NORTH
560
15'
47"
6)
THENCE
NORTH
440
00'
00++
7)
THENCE
NORTH
460
00'
001+
8)
THENCE
NORTH
000
27'
33"
THE POINT OF
BEGINNING.
27" EAST ALONG SAID LINE, A DISTANCE
EAST,
A DISTANCE
OF
EAST,.A
DISTANCE
OF
WEST,
A DISTANCE
OF
WEST,
A DISTANCE
OF
WEST,
A DISTANCE
OF
EAST,
A DISTANCE
OF
WEST,
A DISTANCE
OF
1174.58 FEET;
350.00 FEET;
150.00 FEET;
242.25 FEET;
150.00 FEET;
150.00 FEET;
1165.12 FEET TO
RESERVING THEREFROM A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY
PURPOSES AS SHOWN ON SAID PARCEL MAP, RECORDED IN BOOK 67 OF MAPS,
AT PAGE(S) 11.
ALSO RESERVING THEREFROM AN EASEMENT FOR WELL AND WATER PIPELINE
FACILITIES ON, OVER AND UNDER A STRIP OF LAND 15.00 FEET IN WIDTH
LYING 7.50 FEET ON EACH SIDE OF THE EXISTING WELL AND WATER
PIPELINE AS LOCATED ON SAID PARCEL 3; THENCE SOUTHEASTERLY ALONG
SAID WATER PIPELINE TO THE SOUTH LINE OF THE ABOVE DESCRIBED PARCEL
FOR THE BENEFIT OF THE LAND DESCRIBED IN EXHIBIT "B" ATTACHED, ON
THAT CERTAIN CERTIFICATE OF MERGER RECORDED Do -C, ) 4. a0D3 ,
UNDER BUTTE COUNTY RECORDER'S SERIAL NO. A063-573/1
PARCEL HEREIN IS PURSUANT TO A LOT LINE ADJUSTMENT APPROVED BY THE
COUNTY OF BUTTE, SHOWN AS PARCEL A, IN CERTIFICATE OF MERGER
RECORD D O o 003 , UNDER BUTTE COUNTY RECORDER'S SERIAL
NO. d + t . - ill
PORTION OF APNS 072-610-016--000 AND 072-610-018-000
CONTINUED
DEC -18-2003 14:20 FROM:STRPLES 0816 5305331399 • TO:3438496 P.4/4
EXHIBIT "A" - CONTIMMD
PARCEL II:
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 MAY 24, 1978, IN BOOK
67 OF MAPS, AT PAGE(S) 11.
191719. DES
• fi�
OFFICE COPY
Address
} ELECTRIC
Meter By Dat
e%
rLJOB FINALED (Da 7-U
Signature
NOTES
RESIDENTIAL,
I
SPECIAL CONDITIONS
072-610-016 04-0018
3
PERMIT NO. �, WORDEN PAUL
'4
(' BLACK BART RD, OROVILLE
.33
Cont: SKYCREST ENTERPRISES
CHECKED
MH PERM FND NEW SITE
{
,
a
mt
a!�
THE HCD FORM 433A FOR THIS MH CANNOT BE
F
RECORDED UNTIL ONE OF THE FOLLOWING HAS
- '
BEEN TURNED IN TO THE BUILDING DIVISION:
i
(1) LICENSE PLATE(S) OR DECAL (THE '
`
INSPECTORMUST RETREIVE).
.
" (2) STATEMENT OF FACTS (ONLY ON NEW
"YMH'S):.
- INSPECTOR TO VERIFY'SERIAL & LABEL #'S:
'
• fi�
OFFICE COPY
Address
} ELECTRIC
Meter By Dat
e%
rLJOB FINALED (Da 7-U
Signature
c
I
SPECIAL CONDITIONS
CHECKED
{
• fi�
OFFICE COPY
Address
} ELECTRIC
Meter By Dat
e%
rLJOB FINALED (Da 7-U
Signature
SPECIAL CONDITIONS
CHECKED
BY
,
a
SRA
a!�
FLOOD CERTIFICATE REQ.
..r
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
'
VERIFY`w
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
• fi�
OFFICE COPY
Address
} ELECTRIC
Meter By Dat
e%
rLJOB FINALED (Da 7-U
Signature
J=OK
0 = Not OK
. = NotReadyable
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s I
Card B-1 Date
1. Zoning Requirements -Setbacks -Easements j
Date
2. Soils; Special MH Support Sketch
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
3. Sewer; Location -Test -Fall -C/O -Concrete
Q10-1zoning Requirements -Setbacks -Easements
4. Water; Location -Test -Easement Needed (Sketch)
Carports; Windows -Doors
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete t
Electric
s
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /" L "ft./ • P LPG
ocking
7. Well Clearance & Disconnect
10.
8. Utility Clearance
11.
Ext.; Steps -Doors -Landings
Electricity; MH Test
Braced Wall Panels
Date
Card 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
zits
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
Verify #'s with Office
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8.. Gas and Electricity Tagged
A_ Card B-1 Date
9. Tie Downs -Type -Installation Cert.
Date
10. Exits; Insp.-Sketch
Card B-1
11. Cert. of Occupancy
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
PER ENT END SYSTEM (ONLY)
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Q10-1zoning Requirements -Setbacks -Easements
6.
Carports; Windows -Doors
Footings; Size -Spacing -Marriage Line
Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
ocking
Siding; Nailing -Veneer -Stucco -Mesh
10.
alve
11.
Ext.; Steps -Doors -Landings
Electricity; MH Test
Braced Wall Panels
mater; MH Test
Water and Sewer Conne ed
8. Gas_an agged
zits
Li nse Decals
Verify #'s with Office
Date
A_ Card B-1 Date
Card B-1
Date
Card B-1 ' Date
Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -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-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1. Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5. Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing -RC Channel
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a. Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7. Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8. Piers -Fireplace Ftg.-Steel
57.
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
58.
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
59. Glazing Area -Glass Protection -Skylights -Plastic
11. Water Pipe; Test -Anchors -Regulator -Service Test
Shear Walls; Nailing -Bolts
12. Electric Underground
Brace Interior/Exterior Wall Panels
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
_
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
Date
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Date
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
Date
32. Service -Riser Conductors & Ground Main Disconnect
Comments at Final:
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
�'+'C'v„"'r.-^r'„�:.^r--.A r.:.... ,•, T�,...{,,.,, :3..,. t. :...j.� :`.`,r�^J�.+*-....*ti �Aisl,;,, "'u'.'?-�'�«F! �**:,::... r!.�.
COUNTY OF BUTTE r'
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751 —4
7 County Center Drive • Oroville, CA • (530) 538-7541 °-
CORRECTION NOTICE
OWNER
PERMIT NO. r<
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
/- ems. h U i /X.f _ i2v c oy Cx // QS _-S S:d-r
%s
'A
Date Inspector
REV t /92
r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev. 12/96) APPLICATION AND PERMIT ��yU
ASSESSOR PARCEL NUMBER
072-610-016
ZONING
BUILDING PERMIT
OWNER
WORDEN PAUL
TELEPHONE
-
Sp, FT, OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS
PO BOX 5673
1832 R 98 928.00
40 C 520.00
CONTRACTOR'S NAME
SKYCREST ENTERPRISES
TELEPHONE
1342-2694
CONTRACTORS MAILING ADDRESS
13468 HW 99 CHICO
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $99 44,9_00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $319.75
Plan Checking Fee $
BUILDING ADDRES B
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee
20.00
USEOFSTRUCTURE
39.35AC
SF ❑ Duplex ❑ MobilehomeA Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ,M Other ❑
Describe Work: i'hV MH PERM FM NEW SITF
Gas piping system 1 - 5 outlets 15.00
15.00
Building sewer 15.00
15.0
Mobile Home IS I GI W @20.00
PERMIT FEE $ 69-00
SNOW LOAD: 1500-2000ft. FLOOD:X 1050C SE
ELECTRICAL PERMIT Fling Fee
20.00
°
Main Service A OR 1 23.001
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 1 in it rce and effect. �i.
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
reason4-3.00
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'
ompensation, as provided for by section 3700 of the Labor Code, for the
performanceof the work for which this permit is issued.
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' s n insurape carrnd policy number are:
Carrier ier
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'D
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 se provisions.
X �X� Date —
ure of Applicant - ❑ 0 er ❑ Contractor ❑ Agent
OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service TO 46.00so
CCU000A
NEW CONST. DWEWNG OCCUP. SO
DWE200ALLING
OR ADDNS. ( 8 ACC. BUDS. 3.5QFr.
�NioN-RES'.. MULTI.OUT 97.50
vOWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES BAL@';50
FlXED APPLNS. OR
Ex. Occup. ourLErs RESID. EA 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 FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TO L F& $/470._ 75
IM
FL D
P
H ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do
indicated above for which fees have been paid.
By D to
PERMIT EXPIRES ON
D e
work
Receipt No. //
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR/ GOLDENROD -APPLICANT
V,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541afteno V1 -I P M
2/96),
APPLICATION AND PERMIT
SESSORPAACEL NUM , - - - ZONG .� BUILDING PERMIT
R ?�^ ✓ TELEPHONE SQ. FT. OCC. BUILDING VALUATION
-
OWNERS MAILING ADORES CI y 2,3
p/�
CONTRACTOR'S NAME n Aj _ /_ �% -� _ _ e _ T°r'9NE, o� V I
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGWEERS MAILING ADDRESS
BUILDING ADDRESS
LOT NO. SUB NIS IONS NAME Co
v (UUSEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
New ❑ Addition
N
NO.
3x1.3 5 A
Total Valuation is
Filing Fee $
Permit Fee�-- $
Plan Checking Fee $
Energy Plan Checking Fee $
$
PERMIT FEE $
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home I S G I W
/Xa IV �� ) - V PERMIT FEE S
SdV
�o�.� -T-e>2utic- ELECTRICAL PERMIT ow LdD 15 Vv OOOV OR LESS
Main Service 20oA OR LESS
- L-05-6:> x- ) 8513 e, s P. 1Zj Main Service 200A TO IOWA
NEW CONST. DWELLING pCCLIP•
OR ADONS. ( d ACC. BIDS.
NEW CONST. MULTI -OUTLET
NOWRESID.
PERMIT FEE PAID $ cxPOWEERPPPARA S v.
SRA $
SHERIFF $ 10 '
OTHER $
$
i
I
i $
I
AMOUNT RECEIVED $
DATE RECEIVED
RECEIPT # 400l
11
20.00
1 �—
iling Fee 20.00
7.00
23.00
15.00 f
15.00
15.00
15.00
(9?20.00
Tg Fee 20.00
23.00
46.00
So
3.50Fr.
@7.50
URES
B4L o.FOXED
APPLNS. OR
OUTLETS ESID. EA
5.00
VEX.00CUp.OUTLETORFW
Service
23.00
me Facilities
20.00
Misc. Wirinq
23.00
I PERMIT FEE $ Si'S —1
I MECHANICAL PERMIT Fling Fee 1 20.00 1
I Hood . 1 1 6.50 1 1
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC CONST. TMPKE TO L FEE $
HAZ D, f1.000
CDFrV6EL W1 HD SSUE � \
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
PERMIT EXPIRES ON
Date
COUNTY OF BUTTE -DEPARTMENT OF DEVd IIYIEPAERVICEKUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: o ASSE SOR PARCEL NUMBER D�
ropo ed Building Use: Counter Technician: Date:
It ! required in order to apply for a permit. All boxes MUST be checked OR marked NA in prder to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance d sign and supporting documentation in duplicate.
7. Statement of Intent for n sated and A/C for Non -Reside ti Buildings.
Ir>Gt1N 8. Manufactured hom , ata sheets and installation in arriage line inf Floor Plan ie down or fnd plans, in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
D 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chic r 0 fl'Ville, as applicable.
❑ 16. Other
Remai ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
17. Fire Sprinklers............................................................................................ ,
18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by t�
0 19. Soils Report and/or Engineered Foundation required ...........................................
❑/ 20. Erosion Control Plan Required........................................................................
ESI 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ A2. City of Chico Plumbing permit ....................... ....s............ .....
........................... `
(23. California Department of Forestry plan approval �] paid. Sent by: ....... x-0
`24. Planning approval (A) User 1_ (B)Parking: (C) Parcel Check:
-"25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ................................ ....
...-
El 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization....................................................... .. . %
33. Recorded copy of Agricultural Acknowledgment Statement ...........................�/
34. Manufactured home utility clearance...............................................................
❑ 34Exis�violatio andlor expired permits......................................................3estriction........................................3t Deed, M.H. it of F Letter from Legal Owner, ecc to H.C.D. $
38. Other:
❑ 39. Other:
and hold for pickup.
When issued Telephone °
I have been informed of the above 'ems and requirements for obtaining a building permit.
Applicant. Date:` -
1. Index perfY it application for the above its s numbered: Plan Check Letter
2. Additional items required }�
Con I resigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: s ' 0
ontractor, designer, own r was advised of the a ove to by, ❑ phone, ❑ mail, ❑ counter, b Date: 41
Plans reviewed by: Date: ( • 0 Plans approved by: YYUDate : '
Structural reviewed by: Date: Structural approvedby Date:
Note transfer by: Date:
Yellow: Building Division
r
s E.H. USE ONLY
` • 'Fiat Ran Attechad
r Finaa Ran Att�sit,
Sam to G.D. 1-6-0 /
1
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
�ev ter- 7-0 AJ
AA
c• .�-�" .��L. �7'a - 0 o i(o
Owner Location AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well ✓
Clearance for ✓ dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
vironmental He
8/96
cialist
Date
OWNER
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 '
SCHEDULE OF RECEIPT OF FEES v /
A.P. #hEff
�/ o✓�1 �� 1
3D BUILDING USE DATE 7
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $ l f
--- Additional Fees Due........... $
--- Revised Plan Checking Fee....
2. S OL DISTRICTEt
(pa o 1 FEES (pt (fo
3. S FF aid at Buil
Residential........... .
Units
Commercial (sq. ftg.).....
Sq.Ftg.
4. URBAN AREA FEES
bl fter - r!. ��
v
Division)
X $360.00 =$
X $0.03 = $
(paid at Building Division)
Residential (per unit)..... X = $
# Units _ Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
(� $510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Fig. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be change during the plan the ng process.
APPLICANT DATE
Pursuant to Gove ent Code Section 66020, -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 the date of approval of the projector from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District Building Department No. oo
A.P. Number Jurisdiction: city County
0
Property Ownerf —le
Property Location/Address
Subdivision Lot No.
Residential Development
No of Living Mobilef Home
Units Installation
Commercial/Industrial
New Addition
Building
........................................................................
Sq. Footage
Addition/ *Supplemental to
(Group R)
Conversion Permit #
*(No foundation Inspection)
............................................................................................... . ....
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(Including Exterior
Roofed Areas)
Date
District Identification No.
School District certifies that
(Applicant)
(Street'Address) (Phone Number)
'41 A
'A /7 /'P A
(city)
(State)
(Zip Code)
has complied with the requirements of Resolution No.
0
by payment of $
J'9,;20, �19-
representing square feet.
2926
FULL MMGATION
School District Representative
Date
Paid by Check # Remarks:
-C-o r
1-71
-a
Nota: You may protest Irm Imposition 'of the fen Identified above by submitting a written protest tothe DistriMincompliance with
Govaninent Code Section 66020(a), wffldn 90ays from the date fees are paid. Failure to submit a timely written protest vAll'pfohU*
you from challeonging; the Imposition of the lass In any court action.
N, subsequent to the School District Representativ* signing this Butte County Schools Impact Fee Certification Form, the Seimool Dli I triet In
rmslMNd by the applicable Local Planning Agency that t1ft project Isbeing *viewwd under the Calftrida Environments[ Quality Act (CEQA)
this me rimay be subject to additional school al fen to fully ~*.Ib Impact on it* school distfkft schools.
White (applicant), Yellow (building department), Pink (school district) feefofm.xis (10/03)dmm
ARID WHESIRECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
03 -Feb -2004 2004-0006172
Has not been compared with
original
BUTTE COUNTY RECORDER
i
i
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 generate dust, smoke, noise, and odor. Butte County has
established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
SEE ATTACHED 'LEGAL DESCRIPTION
Date �c7 6^' i' PROPERTY O NERS:
X }{
colt Worden
State of Califorr iia
County of Butte
On - 451% before m
personally appeared ,zz�� 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 behalf of which the
person(s) acted, executed the instrument.
WITNESS y hand and official seal
Signatur
TERRI.A. RUSTIN
APN: 072-610-016 & 018 a Commission X1442021
Notary Public -California rn
v Butte County
My Comm. Exp. OCT. 24, 2007
DEC-la-EO03Qi4:19 FROM:STPPLES 0816
5305331399 1u:_a38196
EXHIBIT "An OF CALIFORNIA,
IS SITUATED IN THE STATE
REFERRED TO HEREIN FOLLOWS
COUNT �F BDTTE' AND IS DESCRIBED AS
E UNINCORPORATED AREA
pnR Z' 3, AS
EAL PROPERTY SITUATED OF PARCELS 1 AND
ALL THAT CERTAIN CAFORNIA, BEING ;A IN THE OFFICE OF THE
OF BUTTE COUNTY, RECORDED KAY 24,
PARCEL OF CALIFORNIA, ON
SHOWN ON THAT CERTAIN 11 AND BEING MORE
67 OF MAPS, AT PAGE(S)
RECORDERNOFBOOK CONY OF BUTT
1978
PARTICULAR LY DESCRIBED AS FOLLOWS:
COMMENCING AT A 1/2" REBAR SET -FORGE 5HEAST�TMRD�B& M. C PER
SAID oID
SECTION 24, TOWNSHIP 19 NORTH, RAN
89° 19' !21" WEST,
A DISTANCE OF 1314.59
PARCEL MAP; THENCE SOUTH
FEET; THENCE SOUTH 00° 27' 33" EAST, A DISTANCE OF 247.20 FEET;
THE
NORTH
INNING?,THENCE�ALONGAET TO THE
TDISTANCE 3
HEFOLLOW NG NUMBERED 80.00 ECOURSES:
1) CONTINUING NORTH 890 32' 27";EAST ALONG SAID LINE, A DISTANCE
RESERVING THEREFROM.A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY
PURPOSES AS SHOWN ON SAID PARCEL (AP, RECORDED IN BOOK 67 OF MAPS,
AT PAGE(S) 11.
ALSO RESERVING THEREFROM AN EASEMENT FOR WELL AND WATER PIPELINE
FACILITIES ON, OVER AND UNDER A STRIP OF LAND 15.00 FEET IN WIDTH
LYING 7.50 FEET ON EACH SIDE OF THE EXISTING WELL AND WATER
PIPELINE AS LOCATED ON SAID PARCEL 3; THENCE SOUTHEASTERLY ALONG
SAID WATER PIPELINE TO' THE SOUTH LINE OF THE ABOVE DESCRIBED PARCEL
FOR THE BENEFIT OF THE LAND DESCRIBED IN EXHIBIT "B" ATTACHED, ON
THAT CERTAIN CERTIFICATE OF MERGER RECORDED Qy_C. at a003
UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 01003-9-73/)
PARCEL HEREIN IS PURSUANT TO A LOT LINE ADJUSTMENT APPROVED BY THE
COUNTY
�{OF BUTTE, SHOWN AS PARCEL A, IN CERTIFICATE OF MERGER
RECORD d U 7 �� SER BUTTE COUNTY RECORDER'S SERIAL
PORTION OF APNS 072-610-016-000 AND 072-610-018-000
CONTINUED
OF 194.56 FEET;
2)
THENCE
SOUTH
070
57'
14"
EAST,
A
DISTANCE
OF
1174.58
FEET;
3)
THENCE
SOUTH
000
00'
00"
EAST,
A
DISTANCE
OF
350.00
FEET;
4)
THENCE
NORTH
900
00'
00"
WEST,
A
DISTANCE
OF
150.00
FEET;
S)
THENCE
NORTH
560
15'
47"
WEST,
A
DISTANCE
OF
242.25
FEET;
6)
THENCE
NORTH
440
00'
00"
WEST,
A
DISTANCE
OF
150.00
FEET;
7)
THENCE
NORTH
460
00'
00"
EAST,
A
DISTANCE
OF
150.00
FEET;
8)
THENCE
NORTH
000
27'
33"
WEST,
A
DISTANCE
OF
1165.12
FEET TO
THE POINT OF
BEGINNING.
RESERVING THEREFROM.A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY
PURPOSES AS SHOWN ON SAID PARCEL (AP, RECORDED IN BOOK 67 OF MAPS,
AT PAGE(S) 11.
ALSO RESERVING THEREFROM AN EASEMENT FOR WELL AND WATER PIPELINE
FACILITIES ON, OVER AND UNDER A STRIP OF LAND 15.00 FEET IN WIDTH
LYING 7.50 FEET ON EACH SIDE OF THE EXISTING WELL AND WATER
PIPELINE AS LOCATED ON SAID PARCEL 3; THENCE SOUTHEASTERLY ALONG
SAID WATER PIPELINE TO' THE SOUTH LINE OF THE ABOVE DESCRIBED PARCEL
FOR THE BENEFIT OF THE LAND DESCRIBED IN EXHIBIT "B" ATTACHED, ON
THAT CERTAIN CERTIFICATE OF MERGER RECORDED Qy_C. at a003
UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 01003-9-73/)
PARCEL HEREIN IS PURSUANT TO A LOT LINE ADJUSTMENT APPROVED BY THE
COUNTY
�{OF BUTTE, SHOWN AS PARCEL A, IN CERTIFICATE OF MERGER
RECORD d U 7 �� SER BUTTE COUNTY RECORDER'S SERIAL
PORTION OF APNS 072-610-016-000 AND 072-610-018-000
CONTINUED
Dk,.-le-20lQ3 14:20 FROM:STAPLES 0816 5305331399 70:3438496
EXHIBIT "A" - CONTINUED
PARCEL II:
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 MAY 24, 1978, IN.BOOK
67 OF MAPS, AT PAGE(S) 11.
191719.DES
SITE PLAN REVIEW APPLICATION
Date: AN
Permit Number (if applicable) (njt'l. N�Ci44-i 9
•
APPLICANTINFORMATION Parcel Size: 4 A �.
Owners Name: c-,6 A
Owners Address: ,V o . zoX 6-6
Telephone No.: 1-9 9-0 60
Situs Address: C-,*— �-
Propose_d Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition ❑ Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
•
Non-residential
❑ New Commercial
❑ Commercial Addition ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
Septic ❑ Well
❑ Agricultural Exempt Building ❑ Agricultural Buffer Form
❑ Other: NIX
Brief Explanation (if necessary): 3 U 1 DW�-
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Sta Use)
❑ Approved IM Conditionally Approved
❑ Resolve Problems Prior to Approval
• [ Site Plan Stamped Approved
By Date - y._
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In: (� ; •
M Snow Load Area: JS vz>• -7"Cc)
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone:
• Flood Panel No.: ) O S' p C_ Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: A —
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Dorso 7 of G
•
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
�- G
Side
�-
3 p
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Dorso 7 of G
•
Applicable Development Fees:
Standard Fees Amount Formula
• ❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87 a
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
------------------------ ------------------------------------------------------------------------------------------------
Subdivision Map Special Fees
❑ Water Tender
❑ Road Improvement
❑ North Oroville Area
❑ Other (per map)
* Check with school district to verify actual fee if pre -application review. A final derenn;nation will be made at the time of
the building permit.
• Parcel Created By
El Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
0
❑ Parcel Deemed to .be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
•------------------------------------------------------------------------------------
Page 3 of 5
104
Subdivision Map/Parcel Map:
Map Date of Recording: -G— `LH — 7 8
Lot: -13
❑ Use Permit/Minor Use Permit
Permit Number:
Book: C21 Page: •
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval• N d JJ C
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Pla•
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
Page 4 of 5
National -Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI
Project Title:
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or
more of land. I am aware that submitting false and/or, inaccurate information may result in
revocation of grading and/or other permjts or other sanctions provided by law.
Signed:
Title:
Date:
re
Department
County
Warner C. Phillips, Assistant Director
December 10, 2003
of Public Works
o f B u t t e
Worden Family Trust
P.O. Box 5673 .
Oroville, CA 95966
Re: Application for Certificate of Merger
AP 072-610-016 & 018
V
Dear Mr. & Mrs. Worden:
7 County Center Drive
Oroville, CA 95965
(530) 538-7266
(FAX) 538-7171
On December 10, 2003, the Department of Public Works made the finding that the
Certificate of Merger on the above referenced property is exempt from environmental
review, and approved the project subject to the following note(s) to be added, by the
engineer, to the Certificate of Merger: -
1. Add the following note to the proposed 39.74 acre parcel: "Well easement for
rigrits.of access and maintenance shall.be reserved for the benefit of this parcel."
2. All new structures must meet the Fire Safe Regulations of Butte County and
Public Resource Code 4290.
The Certificate of Merger cannot be recorded until these notes have been added and
the original Certificate of Merger has been submitted to this office. After the recording
and processing of your Certificate of Merger by the Butte County Recorder's office; we
will return your certificate to you.
If the notes have not been added to the certificate within one (1) year from the date of
approval by the Department of Public Works, the approval will be considered null and
void.
This action will be final if an appeal is not filed with the Clerk of the Board of
Supervisors within ten (10) days of the date of this letter.. You or any interested person
must do so in writing, with the appeal fee of $50.00, to the Clerk of the Board of
Supervisors, 25 County Center Drive, Oroville, California .95965, prior to 4:00 p.m.,
December 22, 2003. .
c
Worden Family Trust, Merger
AP 072-610-016 & 018
December 10, 2003
If there are no appeals, we will submit the Certificate of Merger to the Butte County
Recorder's office, for recording.
If you have any questions concerning this matter, please contact this office at (530)
53877266, Monday through Friday, 8:00 a.m. to 4:00 p.m.
Sincerely,
S uart Edell
Manager, Land Development Division
SE/kp
cc: Environmental Health Department
,/Building Division
Reily Smith
Michael Evans
OPT P(RCH
ENVIRONMENTAL HEALTH
JAN p52
11Z' AI UNTYCENTER
RIVE
APPROM
T x-
VED
/0f'l • APPR V
"'Utto Couniv
LEn !ro mental ea',lh
ignature
DIVISIONS ■
I c IRu w am LAY sZ r7Dc vAi ssa or k Rp un m w D I
53e `4.}`�-� I-f439-3FlK-ZB-WtRt
D]IITX BY: 11 I TDM Zoxm 1$1.
VATZ0117Dr8@ ]root SONV SlIX
SMT 1 OF
DWgFG NUMBER
4820-Ct