Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
073-340-040
73-34-40 �{ 40;6190B, P, E,-M;1 ti 1 • - SCOTT,Barry/JOHNSON, a54 Walden`Pond Ln; Fo w ►!� CONTR: Barry Scott J f� (new sf) ) ,l 01373--4-'040— 92-2866 BPEM DELEGE, Larry073-3 — 54 Walden Pond Ln, Forbestow SUMMARY SHEET FOR LAND DIVISSIONS40-0• ; * contr: Willie Maryfiugh e JB. K. Herndon, et al. new sf Walden Pond Lane, Forbestown1 7/ng BOUNDARY LINE MODIFICATION 073-34-0-040 93-2222 t�7�j-r DELEGE, LARRYjA )fpz �©� ����1 !- I -aneCONTR: MARYHLIE/54 WALDEN PON,cl FOREST0 NEW SF C_ )("V i �0'JJ4-U=U4U9:3=:i:349-BFR_-_ r� DELEGE, LARRY & DAYNA 54 WALDEN POND LN, FORBESTOWN CONTR MH CENTER �- MOBILE HOME ON PERMANENT FOUNDATION 07.5 r rn Ii �turn' to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section,�.6r8 1. ofthe Butte County. Code ` regeiies this acknowledgement be recorded ,prior to issuance of a building permit. QP��O X10 The property described herein is adjacent IG \, q OCT 7 ossa ��x0 to.land or included within an area zoned _ for agricultural purposes, and residents of this property may be subject to incon- ---- ir -- veniences or discomfort arising from the 46 92-0047 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 agricul- tural zones which have as a priority use for productive 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: FOR LEGLI DESCRIPTION SEE ATTADO Date: 10-7-92 State of CALIFUMA) County of BUTTE ) PROPERTY OWNERS: On this the 7TH day of OMBOR , 1992 , before me, the SS. undersigned Notary Public, personally appeared s M DODIE NULTZ © Personally known to me.4�7_1 Proved to me on the basis T'PWUCftftFpgwq Vof satisfactory evidence. y,pv,,,,, E t . •o be the person(s ) whose name(s ) 1S N���•�q*wFDosa...:' subscribed to the within instrument and acknowledged that � lixecuted the same for the 'purposes therein contained. IN WITNESS WHEREOF, I hereunto set my >E:, and official seal. Present A.P. No. o%_3- 3`I- yy Notary r DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS POLL40WS: PAML LOT 21, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WALDEN POND ESTATES PHASE 20, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1990, IN BOOR 116 OF MAPS, AT PAGE(S) 97, 98 AND 99. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION LYING WITHIN WALDEN POND LAN", AS SHOWN ON SAID MAP. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED FEBRUARY 28, 1990, UNDER BUTTE COUNTY RECORDERtS SERIAL NO. 90- 6077. PARCEL Zit. A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER WALDEN POND LANE AND BIG FIR ROAD, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WALDEN POND ESTATES PHASE 2", WHICH MAP•WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1990, IN BOOK 116 OF MAPS, AT PAGE(S) 97, 98 AND 99. i' COUNTY OF BUTTE - DEPARTME' LT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. 93-2222 ASSESSOR PARCEL NUMBER 073-340-040 ZONING U BUILDING PERMIT OWNER LARRY DELEGE TELEPHONE 675-2099 SQ. FT. OCC.. BUILDING VALUATION 1458 R 7$,732.00 OWNER'S MAILING ADDRESS P.O. BOX 184, FORBESTOWN, CA 95941 576 M 10,368.00 CONTRACTOR'S NAME WILLIE MARYHUGH LIC # 405189 TELEPHONE 675-2174 558 C 7,254.00 89 0 623.00 CONTRACTOR'S MAILING ADDRESS P.O. BOX 144, BROWNSVILLE, CA 95919 Fireplace "All 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation Is 98,477.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 593.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 296.50 Energy Plan Checking Fee $ 20.00 ARCHI 5„CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 54 WALDEN POND LANE Permit fee $ 924.50 PLUMBING PERMIT Filing Fee 15.00 594 FORBESTOWN CA 9594Z' Each Trap 1 5.00 55.00 Solar or heat pump water heater 1 20.00 LOT NO. 21 SUBDIVISION NAM WALDEN P ND 2 PA EL MYIP 16-9 Water piping, 11 7.00 7.00 Each qas ter heater vent 7.00 14.00 SE OF STRUCTURE SF ® Duplex❑ Mobil omen Other SPECIFY Gas pipi g system 1 5 outlets 4 5.00 Build/9 4wer 15.00 Mo le H me S W1 @ 15.00 TYPE OF WORK New Addition" Rem Utilities Installation❑ Other ❑ Describe work: Permit fee $ Contra for E T CAL PERMI ilingFee 15.00 Main s rvice OOAORLESS 18.5 Main service 20 S1000 A) X37. 0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCU 3,6 sq.. OR ACDNS. (ACC. BLDGS. ft NEW CONSTR ULTI-OUTLET NON•RESID BRANCH CIRCUITS) 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES AO 751 FIXED APPLNS.17I, Ex. DCCUp. OUTLETS (RESID )REA I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00t- Misc. Wiring � '15.00 Permit Fee $ 104. WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. n I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating F.A.U. 1 9.001 9.00 Cooling g Hood 6.50 Ventilation Permit Fee $ 24.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i consequ ce of the granting of this permit. X' Date Signature A lico owner g pp ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ iC T 3 Cog16TrTYPE V1� 1 219.19 TOTAL FEE $ , HAZ DFEES I/yV FLOft Illi OF PgpCEL 1 I� PD FES I� ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date ERMI XPIAES Date Receipt No. 1 416f1R - $376,9 5 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE 126115 OFF 1I 1- RECEIPT II OFF(E O DEPARTMENT ISSUING RECEIPT 10 19a ' Received from AYNA _e( (e 'rhe S mnof ON6 v u AJD (.t.)O pp ,v �cd �i f� �iv� 25N For PA' ! OF - es- T6 t� 9Z' 2�6- ttND 3(oc�� Skrc�i s Received: 13 ?✓Y�' �� Received By. CASH • ❑ // Tine CHECK B ., y LE3 FORMS AND MORE (816) 743$523 ' COUNTY OF BUTTE 12 6116 OFFICI RECEIPT •-OFF E OR EPARTMENT ISSUING RECEIPT `� '� �. - OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Larry Delege ADDRESS: P.O. Box 184 CITY & STATE: Forbestown, CA 95941 IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: November 5, 1992 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING G006S OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE. FULLY TO AVOID DELAY) AMOUNT CLAIM NO. Owner has decided not to do work. Permit #92-2866B,P,E,M AP#073-340-040, Receipt #122475, dated 8/13/92 & #126115, dated 10/6Y92. INV. DATE ENCUMB. GROSS AMT. Total Permit Fees Paid ----------------------------------- $1288.75 Retain Plan Checking Fee -------------------- Retain Energy Plan Checking Fee------------- 20.00 Retain Building Permit Filing Fee----------- 15.00 .Retain Plumbing Permit Filing Fee----------- 15.00 Retain Electrical Permit Filing Fee--------- 15.00 i Retain Mechanical Permit Filing Fee--------- 15.00 Total Permit Fees Retained ------=------------------------ 399.75 TOTAL REFUND DUE-----------------------------------------$ 889.00 i I I I t I TOTAL $889! _ 00 I. the undersigned, declare under penalty of perjury that the services or articles claimed have been•performe or delivered, and thf t this claim is true and c(orrrrect,as stated. 7 (/ Dated this / da of Y t%i'� 19 `L, et O"l /r Calif. Y Signature of Claimanr'' 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Aporopriation ❑ or Specific Board Appro•,al ❑ (Checkone) foCr\yhesDated this •-,,,,....5th day of November 19 9� at Orovllle Calif, ...... .....p...................................... .. ................. /� nn//�� Department Head or Authorized D eputy Dept. Exp. Code ....44}.1-VV.G................... Code ..... 42.1.0500 ....................... PAYABLE FROM ......... Cionst.....PeZmlt,S........................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. �I oi„n�fim� �m�.mo 9�-�kG6� a?'Fm3-asv-army Fes/ COUNTY OF BUTTE - DEPARTME'NT-OF"PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 92-2866 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-340-040 �7 ZONING U BUILDING PERMIT OWNER LARRY DELEGE TELEPHONE 675-2099 SQ. FT. OCC. BUILDING VALUATION 80 97 254 OWNER'S MAILING ADDRESS P.O. BOX 184 FORBESTOWN 95941 3 .,8:334 , CONTRACTOR'S NAME WILLIE MARYHUGH LIC # 405189 TELEPHONE 675-2174 233 C 3 029 " CONTRACTOR'S MAILING ADDRESS P.O. BOX 144 BROWNSVILLE 95919 165 1 01,155 Fireplace I"All 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 111 272.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 639.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ . 319.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDINGADDRESS 54 WALDEN POND LANE FORBESTOWN Permit fee $ 994.25 PLUMBING PERMIT FilingFee 15.00 Each Trap 9 5.00 45.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ARCEL MAP �116-98 Water piping 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK Newt' Addition❑ Remodel❑ Utilities❑ Installation❑ Other E] Describe work: SF 3 BDRM Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200AORLESS SS 18.50 18.50 Main service 200A TO IOOOA1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed Under p provisions of Cha t. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _37.50 OCCUPM 3.6asq.ft. NEW CONST. DWELLING OR ADDNS. ACG. BLOGS. I/ 7R sn NEW CON5TR ULT' -OUTLET NO N.R ESID BRANCH CIRC ITS 5.00 POWER APPARATUS tr OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS P(RESID,)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 Permit Fee $ 112.00 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT' FilingFee 15.00 Heating 9 Cooling .00 Hood 6.50 1 6.50 Ventilation .00 permit Fee $ 48.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to sa ndemnify and keep harmless the County of Butte against all liabil' es, j dgm nts, cos and expenses which may in any way accrue agains s id C my 'n onse nce of the granting of this permi . Date tore F Applicant - 0 er,� Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" Sep and m or construct- ion of structures over 3 stories in height. �' Mobile Home Installation Fee S Energy Inspection Fee $ 40-00 occ CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD - - CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do ave for which fees have been paid. TO F P BLIC WORKS worMEAPIFtE5r BY Date A2, -"Z PEDate �(,� -� Receipt No. 122475 394.50 PC FEES IZ6115 - WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOL HROD-APPLICANT dee�a lxlel,4 AQP 0 N �«P �. �, � � haw ��k � ailPO, P/C- COUNTY OF BUTTE - DEPAgTMENT OF PUBLIC WORKS PERMIT NO. 7 Countynt Ceder Drive - Oroville, California 95965 - Telephone: 916/538-7541 wyr-qt) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 73-34-40 ZONING U BUILDING PERMIT OWNERTELEPHONE �i. r SO. FT. OCC. BUILDING VALUATION 1608 R 64320 DBARRYMSCOTT/DAVE ADDRSJOHNSON SAME 484 M 6776 CONTRACTOR'S NAME BARRY SCOTT TELEPHONE 692-1405 384 COv 3840 CONTRACTOR'S MAILING ADDRESS P.O. BOX 118 OREGON HOUSE 95962 Fireplace A 1000 CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is 75936 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3p61.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 180.50 Ener Plan Checking Fee Energy g $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS flY WALDEN POND LANE Permit fee $ 566.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 8 2.00 16.00 /� f h� �j S f O Solar or heat pump water heater 20.00 LOT NO. 21 SUBDIVISION NAME Gt! q -G0 C i✓ .0,1 PARCEL MAP ^� /16 - ? d Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SFEM Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5,00 Mobile Home S I G I W 10.00e TYPE OF WORK New 'n Addition ❑ Remodel ❑ Utilities[:] InInstallation[]Other ❑ BR Describe work: _ Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 OR LE 1000 AMP ORSLESS 10.00 10,00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ frJ and Professions C and my my license Is In full force and effect. 6-V �/ License No. Classification Fl I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCcuP-92 OR ACDNS. l ACC, BLDGS. 9 2yz¢sgft 52.30 NEW CONSTRESID, BRANCH NON -R ESID BRANCH CIRCUITS 2,50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES aAL SOS eALeso Ex. Occup. OUTLETS ED PR RESID 1EA.1 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 84,80 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �j 1 shall not employ any person in any manner so as to become subject w� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6.00 GAS PAK Cooling g 6.00 Hood 3.00 3.00 Ventilation6.00 Permit Fee $ 31.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, osts, and expenses which may in any way accrue e agains aid County in c snce of the granting of this pe rt . t �� �'p %� Date Sig oture of Apcant - Owner ❑ Contractor Agent ❑ An OSHA perm is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 C I CONSTTYPE V__� TOTAL FEE $ 75 .'30 HAZ CUA PARK scHL FL�PA D XISSUE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 84530 235 snII WHITE-O.P.W., YEL 5 . PINK -INSPECTOR. GOLDENROD -APPLICANT RESIDENTIAL 073z:34:-z0z040'- -93-3349 'BPE------- DELEGE, LARRY & DAYNA 54 WALDEN POND LN, FORBESTOWN CONTR: MH CENTER ► MOBILE HOME ON PERMANENT FOUNDATION r IJOB,FINALE sionsturq OFFICE COPY Address GAS e MeterBy 4 E CT ECTRIC Meter Da B By y V= OK O = Not OK ` NotReeeadyetile MOBILE HOMES #_a CKZgning Requirements -Setbacks -Easements WSoils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete es; Locatiopoj;est- p / P'L"ft. 'Nat. or/hsP'L"ft U" LPG 7. Well Clearance & Disconnect '& "Utility Clearance .r f _I, -Zoning Requirements -Setbacks Easements Lx Footings; Size -Spacing -Marriage Line `S b as; MH Test-Demand-Valve—Con 4. Electricity; MH Test-Crossov s -Breaks learances ('LS—BraIf);,MH Test -Fall -Flex Connector . titer and Sewer Connected -C/O to Grade -HD Approval Its; Insp.-Sketch 10.- Cert. of Occupancy liw MISCELLANEOUS ; Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Truases 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. 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 -Pane lboards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O ='Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. 7 -ani no -Setbacks -Easements -FI ood-Slone Ftg., Main; Soils-Elec. Grnd 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 4. M, Porches & Decks; Soils -Steel-/ /Ftg. Depth Stemwails, Mein; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas.Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17.` Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing N Single & Duplex) .q: Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Lending -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 1 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. Address or location of mobilehome� Owner's name 1,AeA4—V �29 4-2 z ` Owner's address r Insignia or hud number Manufacturer's name -0.-7 —71r. 7 iii i n -s .�. Serial number of I.N..I.N. � — "�ar of manufacture (Offi ' I Approving In to aji' ( 'ate) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION; ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. I 5138 White -Owner, Yellow -Installer, Pink -D.P.W. � ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,'California 95965 - Telephone (916) 538-7541 RMIT NO. APPLICATION AND PERMIT q9 ASSESSOR PARCEL NUMBER 073-340-040 ZONING • - U BUILDING PERMIT OWNER , Larry Delege TELEPHONE 675-2099 A ISQ. FT. OCC. BUILDING VALUON OWNER'S MAILING ADDRESS P.0 BN 184, Forbestown 95941 Z0 1982 D>3D CONTRACTOR'S NAME dJ TELEPHONE Q ^-J a bT CONTRACTOR'S MAILING ADOR Marysville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ X80 Filing Fee Am2s.% $ 20.00 Permit Fee S�1 Plan Checking Fee $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 54 Walden Pond Lane Forbestown PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 1 15,00 15.00 LOT NO. SUB M 'a Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 5 outlets 1 15.00 15.00 Building sewer 1 15.00 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition C)Remodel O Utilities O Installation O Other EXContractor Describe Work: Mobile Home on Perm. Foundation PERMIT FEE $65.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 111101 LESS ) 23.00 200A OR LESS 23,00 Main Service ( 200A TO 1000A ) 46.00 `� /�•�/ NEW CONST. DWELLING OCCUP. SO, - OR ADDNS. ( a ACC. BLDS. ) 3.5G FT. _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) C3I am a licensed under provisions of Chapter 9, Division 3 of the Business and Code and my license is in full force and effect. License No. Classificationp: I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 1x7.50 POWER APPARATUS t ( & SINGLE OUTLET CIR. 20.00) Ex. Occup, ( OUTLET OR FIXTURES )TBAL @150Professions Ex. Occu FIXEDAPPLNS.OR (OUTLETS IRESID.1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 - WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. - 4;•1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all ` liabilities, judgments, costs, and expenses which may in any way accrue agq#pst said 1 County in consequence of the g anting of this permit. //V60 X�111Date "lVr Wg—nature bf Applic t Owner Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. hIC1G- Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 'y '2i HAZ• D. FEES IMP FLOOD coF PARCEL PD D u his permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY ,lig D to %1 % ,3 PERMIT EXPIRES ON �� l (Det 1 Receipt No. 153126' WHITE-D.D.S.-B.D. CANARY-ASSESSCR PINK -INS R 0LDENROO-APPLICANT • nvl.,•�,wry.tidy.�r"`.�.�,rv.._v.Mo'�'a'bK`a.wv'M/� �'i',�n+�,,��y� I��,.-..•�, �i' y .Vv?ti. ..-.e r r 11 .. C�.. � � ^. COUNTYQF BUTTE - DEPARTMENTOkp-DVELOPMENT SERVICES - BUILDING DIVISION V 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNI 9965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER l r A. P. No. D73.3 Sid ,6�0 Proposed Building Use Building Inspector 1�% Date iDL,?/9--S At time of permit application, I was advised the following data must be submitted prior to permit processing and issuance: DATE RECEIVED BY 1. All items have been submitted. . . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... .t 3_ Complete plans,*3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ..... t ............ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... . 8.' Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome dat and manufacturer's Inst Ilation i tr ctions, 2 sets. . 10. Fees of kV 6Eo .. ........................ 11. Impact fees -as on attached schedule. n .....pN .. '12. California Department of Forestry plan approval/fees. . ..... _ ...... S; 13. Flood elevation letter (100 year flood) by California Engineer.. ................. K 14. Sanitation and plot plan approval° o, // a- Health Department. 15. City of Chico plumbing permit.............................��.C/f,., , 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... C) 19. Driveway permit (construction approval required prior to occupancy). .. .e420. 20. Pre -inspection for required. .. *-4 9 .ma c; - (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner )............ ,F 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................ ............. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list....':J--* . . ,/�, 33. - 3l A i + �� JI)o eeD � "Li f ror+ (. AlXP tL 14113 34. F l Z� -m o e a When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone _ and hold for pickup at COQ�J(,- office. Deliver with inspector. Other Parcel Creation �pp,�,``�� - Acreage Applicant r�� "" P`�- Date d g F�� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri rto ermit is ance:( le new " e not 1. Index permiffor above items No. 2. Additional items required: Contractor, designer, o er, was advised of above required data by phone _ mail Counter Datg/fj-/ Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by�Date Jn,i y -q _ Sets of plans comhM in cabinet Copy - Department of Public Works CO8l o1 �FpEP E TO: Building Dupartnjont i g 1093 FROM: Environmental Health ®cl SUBJECT: Sanitation Clearance —h,11 . u N It tx Hill Him Auuched Aloof 19:ut Aluiel+ed Sent l0 11:17, . `)/,Lr/,6Lr 73 -3 �Ld�.,It}R.% ASAc)py�),e,/.cy �,. / wner Location / t Plan Approved for: Sewa e Dismosaly atcr Supply: I ublic Clearance for C11 bedroom mobile Other Final clearance O.K. for: Environmental Health Speciali 8/92 5' AN Private Well OG�� 1;.1111. USE ONLY Ilan Plan Atlached Z� Plnur I'lin Awn u•J� Scut w IS.I). / TO: Building Department -iFROM: Environmcn+,ai Hcalth SUBJECT: Sanitation Clearance eA,, v- 5 klbllolQrf�, 4 V11- Owne Location AP# Plan Approved for Clearance forIj Sewawe Disposal t--"" Water Supply:Public. Private Well bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 Date } elk COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE 'CA 95965 - TELEPHONE (916) 538-7541 OWNER9 A. P. #_ 673 3° C) - 0`Y0PROPOSED ��' / BUILDING USE //yl A���� Ae-rj /"O DATE J�j �3 REC. # DATE REC X46-OyAe- 1. SCHOOL DISTRICT FEES (paid at District Office)....... ................ 2. SHERIFF FEES / 0/7/9Z— /7 j9Z(paid (paidat Building Department);,;: Residential..... x =$ unit amt. Commercial_- �sq.ft. amt. v 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.'ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District :Office)........... ........... 5. DRAINAGE DISTRICT FEES EES (Contact Land -Development Division) .............. ^� 6. SRA FIRE INSPECTION; AND PLAN_ CHECK = $89.00 ...... l -3/2 6 (paid at Building:Department) w c 7. ` ice— C; OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE �xi'"i+'ici+a3�'Y"C�"'�i�,-.�.or�,�(� 3`�,+i}•'�' t,�;;�''°'rt � i�.s.�-':�'w�,;M,:�-.p.r„r�r+-t";x:�..-.. .r<s 1 Marysville Joint Uhified'School District w CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES j To be completed by applicant and taken to: Marysville Joint Unified School- District 1919 B Street, Marysville Emu; ' j Property Owner's Name: lP �'4f VIC Owner's Address: U./ �OrE'G uJ ti { / Project Address: �P �l 'A j10N Parcel No: 6,71 — 05,V -t etJ Lot No: City or County: k�:;)u AJ Building Dept: t 1:�, � 1'_ Permit No: a , TYPE OF CONSTRUCTION: v Residential Construction Residential Reconstruction Commercial Construction Commercial Reconstruction Single Family Dwelling Multiple Family Dwelling No. of Units Mobile Home Total Number'of Habitable Square Feet: .r THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDI- TIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERTIFICATION OF COMPLIANCE. FALSIFICATION OF SQUARE FOOTAGE AND/OR TYPE OF CON- STRUCTION IS CAUSE FOR REVOCATION OF CERTIFICATION OF COMPLIANCE -Applicant's Name: . fN c r"� v. .a z Date: 10 f 2.- G "Y Applicant's Signature: t Part II TO BE COMPLETED BY BUILDING DEPARTMENT � O ! b U � Total Number of Habitable Square Feet 4.' City of Marysville County of Yuba Signature Irl) 0- e, Uz 0,� C.L (, 1 I f rt irk t k County of Butte Part III TO BE COMPLETED BY SCHOOL DISTRICT Certification of Compliance No. (Receipt No.): Fees Collected: No. of Square Feet r. l x's $.27 for Commercial = $ No. of Square Feet-' x's $1.65 for Residential = $ Exempt from Fees: Reason: AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL. I HEREBY CERTIFY THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65996 HAVE BEEN COMPILED WITH BY THE ABOVE SIGNED APPLICANT. Signature Sandra Davini, Director of Business Services Date White: - School District Yellow: - Applicant Pink - Building Dept SD:co 7/92 ..f'ti' ...r any'�l/ +5•'YL^"-'�1rr�' T,-'%.''i•.'.,{s.'?aR•�,.'. .i '•far' n-+.��1,�L�.' -4-4••.."•t - i .+'`rf'� • r��r. .y T� '..,w ... f: i..l..r,.r..`;,......_".1f�.'.l.`�''.. nll � r� Marysville Joint Unified School District CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES To be completed by applicant and taken tin Marysville Joint Unified School District 1 1 1919 B Street, Marysville Part I Property Owner's Name: t -lin t- i- 7 L.)r L- [-- 1551 17:e Owner's Address: E0 •6 6� to Project Address: WA, e-.% Parcel No:"�` Lot No: City or County: 8071 Building Dept: SURF e-Fif-/A/T,/ Permit No: " TYPE OF CONSTRUCTION: Y Residential Construction i Single Family Dwelling Residential Reconstruction Multiple Family Dwelling �- Commercial Construction No. of Units Commercial Reconstruction Mobile Home Total Number of Habitable Square Feet: ��64 <3q3> THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDI- TIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERTIFICATION OF COMPLIANCE. FALSIFICATION OF SQUARE FOOTAGE AND/OR TYPE OF CON- STRUCTION IS CAUSE FOR REVOCATION OF CERTIFICATION OF COMPLIANCE Applicant's Name: Applicant's Signature: \�� Part II Total Number of Signature Part III r Certificafion of Fees Collected: TO BE COMPLETED BY/BUILDING-DEPARTMENT quare Feet / City of Marysville County of Yuba County of Butte Exempt from Fees: Date: 7i`:� 1�1 TO,BE-166 M-PLETED BY SCHOOL DISTRICT No. (Receipt No.) : No. of Square Feet x's $.27 for Commercial = $ No. of Square Feet x's $1.65 for Residential = $ Reason: AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL, I HEREBY CERTIFY THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65996 HAVE BEEN COMPLIED WITH BY TIS ABOVE SIGNED APPLICANT. Signature . ��/! 1 ael�l'g4'e Sandra Davini, Director of Business Services Date `7 White:• School District Yellow: • Applicant SD:co Pink - Building Dept 7/92 J 0 __tETT Access iY. . STATE. ind zr AM W ETI RECORDED MAIL TO: BUILDING DIVISION 7 COUNTY CENTER DR OROVILLE CA 95965 94-002057 I94-002057 '94-00205711 Total I Recorded I Official Records 1 County of I Butte I Candace J. Grubbs Recorder 11:29am 12 -Jan -94 Fr 94-002057 .00 FRMS XX 2 I NOTICE OF MANUFACTURED HOME, (MOB ILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the 4quesr of The locoi agency indicated is in accordance with California Heap' and Safety" Code Section 18551, This document is evidence that such local agency has issued o 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 ail per- sons thereafter dealing with the real property. LARRY DELEGE REAL PROPERTY OWNER/LESSOR P 0 BOX 184 MA;UNG ACCAES S FORBESTOWN, BUTTE, CA 95941 CITY COUNTY STATE ZIP 54 WALDEN POND LANE INSTALLATION MAILING ADDRESS. IF DIFFERENT FORBESTOWN, BUTTE, CA 95941 CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE iwAILd4G ADDRESS OROVILLE, BUTTE, CA 95965 Cm COUNTY STATE ZIP 93-3349 (916) 538-7541 BUILDI G PERM N � /�/— TELEPHONE NUMBER /ZaQ _ 1/6/94 S(GNATURE OF LOCAL AGE FICIAL DATE MOBILEHOME CENTER DEAL=R NAME (If noc a dealer sale, write ":TONE") 91235 DEALZR LICZ_NSE NO. GOLDEN WEST 11/93 BRADBURY #605S2 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CA-BD10362A 26X60 RAD 731672/731673 SERIAL NUMBER(S) LENGTH X WIDTH REAL PROPERTY LEGAL OESCRIPTIO14 ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. INSIGNIA/LABEL NUMBERS) A.P. #073-340-040 vLNt Or i HCD FORM 433 (A) A/86 �3 I. o I1i11 lift ���` L�'JMI�7 0E• 7 ���h� Two +) :a�� jplrey. Title &wow Company Est:fow No. 131154DS-3 W9M1ECOR O: LARRY AND DAYNA de LEGE P. 0. BOX 184 FORBESTOWN, CA 95941 0 93.-0.5:54•. :: 3 9 3-005543 1 Rec Fee 8.00 I DOC 31.35 Recorded I Check 39.35 Official Records I County of I Butte I Candace J. Grubbs I Recorder I 8u00am 9 -Feb -93 I MV.TC JJ 2 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $3.L35 ii I Cmp outed an ww e corwideratlon or us a co property nveyed: oR SAME AS ABOVE _ i Computed an the consideration or value baa lens or anaxrkbmoes I remaining at time of sale. na unclayg)gnn rrantnr elarlprac Signature of Decfamt or Agent delownNhg tax - Firm Mame GRANT DEED 073-940-040-000 FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, DAVID M. JOHNSON and KATHRYN JOHNSON, husband and wife hereby GRANT(S) to LARRY D deLEGE AND DAYNA J deLEGE, husband and wife, as Joint Tenants the real property In the Unincorporated Area of the County of BUTTE as FOR LEGAL DESCRIPTION SEE ATTACHED Dated-_FAhn,aly 3 tla91 } STATE OF CALIF RLI }ss. COUNTY OF } On FEBRUARY 3, 1993 babe MD. DI HULTZ pwsorially appeared DAVID M. JOHNSON AND KATHRYN JOHNSON personally known to me (or proved to me on the basis of satisfactory evidence) to be the penton(s) whose name(s) islare subscribed to the within Instrument and acknowledged to me that helshelthey executed the same in hisRrerAheir authorized capacty(ies), and that by hbMedtheir 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-Mcial seal . State of California, described � �■aaa■Maa�aaa■■■■■■■a■■� DODIE HULTZ i NOTAftr�u ■ WC "misNOndesr+b.atges ■ ■asaa■■,esasa■a■aas�■a■aaj 9:3-05543 ��.�.. ORDER NO. BU -131154-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF .CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: 'PARCEL I. LOT 21, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WALDEN POND ESTATES PHASE 2111 WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1990, IN BOOK 116 OF MAPS, AT PAGE(S) 97, 98 AND 99. PARCEL ,II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER WALDEN POND LANE AND BIG FIR ROAD, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WALDEN POND ESTATES PHASE 211, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1990, IN BOOK 116 OF MAPS, AT PAGE(S) 97, 98 AND 99. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF ` PARCEL I, DESCRIBED HEREIN. r, 11 PAGE 5 END OF DOCUMENT Address or location of _ _ v Legal Description of A.P. #073-340-040 Red Property SEE ATTA ED LEGAL DESCRIPTION. N0.93-3349 A E7;Mobilehome/Manufactured Home CQ Commercial Coach has been affixed to the real property described above by installation on a foundation system pursuant to Health and Safety Code Section 18551. LARRY DELEGE. Owner's none: P 0 BOX 184, FORBESTOWN CA 95941 Owners address: RAD 731672/731673 CA-BD10362A INSIGNIA OR HUD NUMBER: SERIAL NUMBER OR V.I.N. GOLDEN WEST MANUr-eCTURER'S NAME - -.�� YEAR OF MANUFACTURE 11/93 1/6/94 (ani 4w. --V ►eca a 1 x r7ie01 pA0w-4>wftw. 6.�y—�rwM,«. 3k. -4W. is.. (916) 538-7541 (ft--)