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HomeMy WebLinkAbout078-080-001i:4 T '117 RECORDING R�QUFSTED BY: Mi Y AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded 1 Official Records I County of 1 Butte I CRNDAM J. SRUBBS I County Clerk-Recorderl I 01:51PN 29 -Aug -2095 1 REC FEE 10,00 CONFORMED COPY I. a KL Page 1 of 2 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. DOROTHY RENWICK REAL PROPERTY OWNER/LESSOR 2770 FAY WAY MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP 6131 UPPER PALERMO RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT 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 05-1496 530 538-7541 BUIL G RMIT NO. TELEPFJONE NU ER SIGN11TUREA LOCAL AGENCY OFFICIAL DATE COUSN GARYS DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES INC. 2005 P249 -CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 17 -70 -0147 -U -AM 66'X 26' PFS912420/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 036-280-050 ��p �" ('(� I HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. MII1dIT "A" LEGAL DESCRIPTION PARCEL ONE. That portion of Lot 1, Block 114, and all that portion of Lot 1, Block 115, and a portion of Citrus Avenue (abandoned), all as shown on Map of Addition to Subdivision No. 1, Palermo Citrus Tract, according to the offici al Map thereof, recorded in the Office of the Recorder of the County of Butte, State of California, July 23, 1883, as Wall Map No. 14, lying Northwesterly of the Northwesterly line of tripper Palermo Road and Southerly of the following described liner COMMENCING at the Northwest corner of said Lot 1, Block 115, and running South 0° 50' East along the Westerly line of said Lot 1, a distance of 405,65 feet to the true point of beginning of said Lot; Thence North 89° 10' East a distance of 889.38 feet to a point on the Northwesterly boundary line of the Upper Palermo Road and the end of said line. W: An easement for water pipe line over a strip of land 5 feet in width lying Northwesterly of and adjacent to the Northwesterly boundary live of Upper Palermo Road extending from the most Easterly comer of the herein described property to the Southerly.line of Wheeler Avenue. Description: Butte,CA Docunzont-Year.DoaZD 2005.1133 Page.- 2 of 2 Ordar: Holly Comment: RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 29 -Aug -2005 2005-0051408 Has not been compared vith original BUTTE COUNTY 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. DOROTHY RENWICK REAL PROPERTY OWNER/LESSOR 2770 FAY WAY MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY , STATE ZIP 6131 UPPER PALERMO RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT 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 05-1496 530 538-7541 BUI1DJNGPtRM1T NO. ER �O! Q SIGN TURF LOCAL AGENCY OFFICIAL #DATE COUSW GARYS DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES INC. 2005 1 P249 -CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMLWUMBER 17=70-0147-U-A/B 66'X 26' PFS912420/1 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) MAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR•SPARCEL NUMBER 036-280-050 HCD FORM 433(A) REV. 8/91 t%J J/'LVvJ r it I fi it F$IBIT "A" LEGAL L, DESCRIPT ION PtCMONE: That portion of Lot 1, Block 114, and X11 that portion of Lot 1, Block 115, and a portion of Citrus Avenue (abandoned), all as shown on Map of Addition to Subdivision No. 1, Palermo Citrus 'tract, according to the official Map thereof, recorded in the Office of the Recorder of the County of Butte, State of California, July 23, 1883, as Well Map No. 14, lying Northwesterly of the Northwesterly line of Yapper Palermo Road and Southerly of the following described line: COMMENCING at the Northwest corner of said Lot 1, Block 115, and running South 0° 50' East along the Westerly line of said Lot 1, a distance of 405.65 feet to the true point of . beginning of said Lot; Thence North 89° 1 V East a distance of 889.38 feet to a point on the Northwesterly boundary line of the Upper Palermo Road and the end of said line. PMCEL W: An easement for water pipe Bine over a strip of land 5 feet in width lying Northwesterly of and adjacent to the Northwesterly boundary line of Upper Palermo Road extendinug'from the most Easterly comer of the herein described property to the Southerly line of VJheelcr Avenue. Dascription: Butte, CA Uacum=t-r"r.DtDaID 2005.1139 Page: 2 of 2 Order: V1011y.Con=Mt: BUILDING PERMITS NUMBER: 05-1496 Address or location of unit: 6131 UPPER PALERMO RD., OROVILLE CA 95966 Legal Description of Real Property: 036-280-050 SEE ATTACHED (x) Mobilehome/Manufactured Home () 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: DOROTHY RENWICK Owner's address: 2770 FAY WAY, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: PFS912420/1 SERIAL NUMBER OR V.I.N.: 17-70-0147-U-A/B MANUFACTURER'S NAME: SKYLINE HOMES INC. YEAR: 2005 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C UJ/L::/41;v" V i c nn JJV OOO JJ.) 1 Recording requested by and ' when recorded mail to: Ronald Ogletree 935 Vintage Avenue St. Helena, California 94574 —11 tat bilis t0 current assaesee GRANT DEED lII�!lHIHHIIHIAliHBIlNH �IfbQ>f5—Q10� � 1 33 Recorded I F&C FEE 1� Official Records 1 MWORM 1.8® CouAnty WEllf MWM J. WAS 1 MARecorder 1 Y* DICKMN I Assistant I Kathy 1243F1 *—Jan -OW I Page 1 of 2 RONALD OGLETREE, as Trustee of the OGLETREE FAMELY LIVING TRUST U/A Dated -September l2, 1990, hereby grants to DOROTHY LAVERNE OGLETREE �RENWTCK? all of the interest held by the OGLETREE FAMILY LIVING TRUST U/A Dated September 12, I990, in and to that certain real property located in the County of Butte, State of California and more particularly described as, APN: 036-280-050 Documen" Transfer Tai Sd• ¢ 930' Computed on fWl value oiprepmty conveyed, or •• Computed at fttll value leaa liens &.0carrAtrKes remaining thereon et rl lbW-34 c. iVW0jn1 of deelannt or awns detatninln6 nr< EXHIBIT "A" STATE OF CALIFORNIA ) COUNTY OF NAPA ) On2 — l o � before ttte, ftfink G. Toller, a Notary Public in and ibr the State of Calif ia,, personally appeared, RONALD OOLETREE, known to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the sante in his authorized capacity, and that by his signature on the Inst ument the parson, or the entity upon behalf of which the person acted, executed the itmttlunt:rtt. WITNESS my hand and official seal.— lFrank G. Toller SER COMM. at6t�ete agtraatttrrrtae �gllteliplMah NWACOUWV a gasp. W7, to, 2M Dmaeriotion: Butt®,CA IIooument- rear. DOCID 2005.1133 Page: 1 of 2 Order: Holly Commant: 1 7/26/2005 0.7:42 C . . 5303429174 CHICO BLDG SYSTEMS 8T1�kM OF CALIFORNIA BUSINESS. TRANSPORTATION AND HOUSING AGENCY DEPAATWNT OF HOUSING ANO COMMUNITY DEVELOPMENT OPASION OP COOE8 AND, STANDARDS MANUFACTURED HOUSINO.PROW A PAGE 02 NUMBER: 8734398 MANUFACTURER CERTIFICATE OF ORIGIN �� ❑ CHECX IF THIS 18 A DUPLICATE WCO-ENTER ORIGINAL MCO 140. MANUFACT1 gEQ HojdF OR MITI TI_UMT MANUFACTUREQHOUSING NUMBER OF 2 �( FAMILY DWELLING) 0 MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS IJ SFD (SINGLE COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: SKYLINE HOMES INC 90002 MANUFAMRER ADDRESS: BUG ESTEO RETAIL PRI @: 1720 EAST BEAMER STREET WOODLAND CA 95576 $ 97.347.75 g C SIM . 2. MANUFACTURER TRADE E: MOD L NAME ANDIOR NUMBER: DATE OF MANUFACTURE: WOODFIELD P249—CT 7/8/2005 NAME Of DEALER QR TRANSFEREE (01ARtERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR 6117E OF TRANSFER: SKYCRRST ENTERPRISES/COUSIN GARY'S HOMES TRANSFER1265£SIGNATION: 91265 7/20/2005 DEALER O FEREE ADDRESS: 13468 HW 99 E CHICO CA 95973 c' s(Ba, zl INVENTORY CREDITOR NAME: GE GDF (NVENT RY CREDITOR AO RETS: P.O. BOX 94900 PALATINE IL 60094 S C, sateGloll SECTION MANUFACTURER VENIAL NUMBER NCO INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT INCNEB INCHES POUNDS I 1 17^70 -0147 -U -B PFS 912420 792 156 27.247 2 17 -70 -0147 -U -A PPS 912421 792, 156 Y8,527 TRANSPORTER NAME: BENNETT TRUCK TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 179 DURHAM CA 95938 8 C Buhe 9TINATION FOR UNIT DESCRIBED ABOVE: COUSIN GARY'S HOMES 13468 BW 99 E CHICO CA 95973 NbAE 84!91 C' ft Z I -nov -wr PQM d polwy w wr OM t9r7 d w sNY ate~ tlr N00.i (9Et9 aq 4UY iR0 Dorno!. 7/20/2005 WOODLAND YOLO CA EnaftdVal an M BIONATUREOFF AUTUORIZEDAGENT: j ! ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE I$ NONE, THEN FORWARD TO THE PURCNABER (DEALER OR TRANSFEREE). COPY t (WHITE) FORWARD TO THE DEPARTMENT AT P.O. COIL IWO, SACRAMENTO, CA 990t7-1878. WITHIN FIVE IS) OAVB , RELEASE COPY 3 (YELLOW) OEUVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO R8 DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED 8Y THE MANUFACTURER urn eon A. CA. 4 . rrmT% TM maps in Wb boa define the design laeda.for each geegraphk:al area. TMs manutscolred two has been designed tar the roof and rind load zones: [] North 40 PSF ❑ South 20 PSF ® Middle 30 PSF ❑ Other PSF p This home[] requires © does not requite perimeteROOF LOAD NOME C4M6jF =MI) FOR ® Zone I ❑ Zone 11 ❑ Zone III The thorhw has rW bwn deslgnhd to iia higher wmf Pie eM andhwina poo"aw Mqu'"d fa moasutwRl heeds ®d should nit be IMMIed w" 15W m the oaa Mme In vwhd lanes II and K ,iae&e the home and i z=zand fh>t-10- eyetue haw bean designed sor fM inae®ed reWd-INspedAW hs EVowre D In This home boa ❑ hw' no ® bean opy�p�o�d with rmhrrn ethhdhhta or OIhBf p04b4w ergs fo wbdwes and wdoio dwe opwwaL For hams Aom9 *d� mime lowsed F VNed aahhs II and A vd*M have not been piov wa s hrtmtrs o eqwwukvn ready tD be o0.ippsd wIS tlrae dart n in eooardmce hnth ft irms mew0wK ed in owse cbeahe prm insbuoaors. H 1%` BEND & PEEL EQUIPMEKT SERIAL NUMBER 1 WOE5W9425 :2 :3 QWZ7039P 4 FH90219911 5 S HH413905 7 R}iNGDOSS01082 a 9 10 FG7356863 11 FH301739S•9 12 93 14 ,XBEND 8 PEEL f N m r N CSD M Ln DEALER COPY: Manufacturer's Name and Address HUD No. SKYLINE HOMI?S, INC. 17201~ BEAPAR ST. PFS 912420 P.O. BOX 1870 PFS 9]2421 Plant No. Model Designation - Serial No. Dame of W9. DFIEI.D P249 -CT 1770-0147-UBA 07/08/2005 This mllnudechred home is designed to comply with the Fsdmal Mamilachised home Col ion and 33" Stn idwd Im force at de lime of manffa we. Design Appronf PFS Corp. Fat:tory li -stalled EgWpment lndudes' MODEL RATINGS OF FACTORY INSTALLED CIRCUIT EQUWMENT MANUFACTURER DESIGNATION (APPLIANCE NOT FACTORY INSTALLED) Comfort Heating 1 COLEMAN DOAA0773DTA NA Air Cpn&tjpnjrg 2NA NA 40 AMP NA Coolang Range 34GE _ 4GE 1GBPB5S 1SS JVM 1650SHOI - - NA -- — Microwave NA County -top Coolon8 5 NA NA Refiigeralor 6GE GSS2 MGSASS NA Water Heater 7 RHEEM 211R40T NA Clothes Washer SNA NA 20 AMP Aothes Dryer 9NA NA 30 AMP Disbwatther 10 GE GSD556OG02SS NA Food Waste 11 GE GFC525FOO NA Smoke Detector 12 F1 REX ADC NA Fireplace 13 NA NA NA Fiercer 14.NA NA 15 AMP Insbuctions for all work to be performed in the field -are located in the kitchen drawer. TM maps in Wb boa define the design laeda.for each geegraphk:al area. TMs manutscolred two has been designed tar the roof and rind load zones: [] North 40 PSF ❑ South 20 PSF ® Middle 30 PSF ❑ Other PSF p This home[] requires © does not requite perimeteROOF LOAD NOME C4M6jF =MI) FOR ® Zone I ❑ Zone 11 ❑ Zone III The thorhw has rW bwn deslgnhd to iia higher wmf Pie eM andhwina poo"aw Mqu'"d fa moasutwRl heeds ®d should nit be IMMIed w" 15W m the oaa Mme In vwhd lanes II and K ,iae&e the home and i z=zand fh>t-10- eyetue haw bean designed sor fM inae®ed reWd-INspedAW hs EVowre D In This home boa ❑ hw' no ® bean opy�p�o�d with rmhrrn ethhdhhta or OIhBf p04b4w ergs fo wbdwes and wdoio dwe opwwaL For hams Aom9 *d� mime lowsed F VNed aahhs II and A vd*M have not been piov wa s hrtmtrs o eqwwukvn ready tD be o0.ippsd wIS tlrae dart n in eooardmce hnth ft irms mew0wK ed in owse cbeahe prm insbuoaors. H 1%` BEND & PEEL EQUIPMEKT SERIAL NUMBER 1 WOE5W9425 :2 :3 QWZ7039P 4 FH90219911 5 S HH413905 7 R}iNGDOSS01082 a 9 10 FG7356863 11 FH301739S•9 12 93 14 ,XBEND 8 PEEL f N m r N CSD M Ln ti NOTES i t RESIDENTIAL PERMIT NO. X036-280-050 05-1496 RENWICK, DOROTHY UPPER PALERMO RD, OROVILLE ` Cont: SKYCREST ENTERPRISES// PMH M/f7j/r%7G� SPECIAL CONDITIONS CHECKED II BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS DETACH FOR SERVING UTILITY b Address _ /31 UQQeA. )001MIt GAS Meter By Date / ELECTRIC Meter By Date JOB FINALED (Date) Signature 7= J ='OK 0 =Not OK = Not Applicable . =Not Ready MOBILE HOMES Date MOBWHOME UTILITIES (Plans) OK except is - Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. -�ge_ wer, Location -Test -Fall -C/0 -Concrete ater, Location -Test -Easement Needed (Sketch) lectricity, Location-Clearances-Gmd'/ 4..P -Concrete Gas; Location-Tes -Wrap;-/" /"L' / PNat or/ Wl-L�ftW3j,P 7. Well Clearance & Disconnect 8. Utility Clearance Date ' Card B-1 Date Card B-1. Date Card B- Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator_-Connectoe 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Cana -1 Date Card B-1 Date PER ENT END SYSTEM (ONLY) , oning Requirements -Setbacks -Easements (� ,✓ F ngs; Size -Spacing -Marriage Line V�alocking as; MH Test -Demand -Valve Electricity; MH Test " 6. Water, MH Test 7. Water and Sewer Connected e Chas and Electricity Tagged Exits 10. License Decals 11. Verify tt's with Office DateA. Card B-1 _' Date Card B-1 _ ✓ Date .12Card B-1 Date Card B-1 �u94`rFs 9,12, q Z 0 �- SenaA*ID 0 M -�. f. ilio-�iy7-ur�A 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 I Shthg-Frg-Bracing fi 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures j 6. Carports; Windows -Doors } 7. Electric 9. Siding; Nailing -Veneer -Stucco -Mesh 11. Ext.; Steps -Doors -landings i 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 Vs 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-Usted 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 o = Not OK = Not Appricable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; 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-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins, 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 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.; Vertt-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. Fre Sprinkler, Test Date Card B-1 Date Card B-1 Date Cana 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 GA 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes Q No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. 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. Fumace-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 AFlue-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 -Fre 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.1.)-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 InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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.FI. 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT. NO. BP051496 i LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section7000) of Division 3 of Issued Date: 07/28/2005 APN: 036-280-050-000 the Business and Professions Code, and my license is in full force and effect. �j License Class: zz License N ben Site Add Address: 6131 UPPER PALERMO RD ORO Map Index: Date: Contractor. Description: NEW MH PRM FND(1716 sq.ft.) OWNER43UILDER DECCARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any -city or county which requires a Owner: RENWICK, DOROTHY .....'....,° permit to construct, alter, improve, demolish, or repair any structure, prior: 2770 FAY WAY to its issuande,;aIso requires the applicant for such permit to file a' signed Mefernent-tliat'he or she is licensed;" ulfsuant.to'the.•, foVisibris of the`C'ontractors'S'tate License Law (Chapter 9 comrtiencing'wifh Section . 95966 7000);of'Divisoo 3 of-lle Business and Professions Code) or that tje' or.:... . sod i3"exempt therefro'64nd the basis for the alleged exemption— Any.. violation•_of Section 7031.5 by any applicant for a permit_subiects the. , applicant 6.'a.civil penalty of not more than five hundred dollars ($500).)::: ❑ I, as owrierof the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or, offered„fqr sale,,(S,ec;,7.044,,.,Bysness,and;,Professions; ..;,,,,,,_-.,..,,,:.AppIICa11t:..SKYC.RES.T. ENTERPRISES..,.,, ., Code: The. Contractors`State:Cicense Law:does not apply to an COUSIN GARY'S HOMES owner -;of -property who„builds or; improves thereon„ and.who does 13468 HWY 99 Ssuch work himself or herself or through,his.or. her own employees, ..provided. that such improvements :are,not intended. or offered, for CHICO, CA 95973 sale. If However, the building or improvements are sold within one 530-342-2694 year of completion, the owner -builder will have the burden of proving that -he -or -she did not build or'improve for the purpose of sale.). -owner—of— the -.:propertyr:..am .,exclusively,.. contracting,. with.. licensed contractors to consteuct:thi .projeict'(Sec. 7044, Business and Professions Code,:, The Contractors' State License Law does Contractor: SKYCREST ENTERPRISES not apply to an owner of.property-who:builds or improves. thereon, COUSIN GARY'S HOMES ..and.who:contracts .for:such projects with a contractor(s) licensed pkirsuant-I the Contractors' State License Law:). ., 13468 HWY 99 ... CHICO, CA 95973 ❑ -.• I am Exempt.under Article 3 of the Business and. Professions Code'. 530=342-2694 Date: Owner: License.#: 812930 WqKERS' COMPENSATION DECLARATION.. ;:•. 1 hereby_affiim;uriderpen 1ty'of perjury one of the following declarations: ❑ I have'_and-Will;maintain a certificate of consent to self- insure for workers';_ compensation;..as provided for.by.Section 3700 of the Architect: Labor Code; for the performance of the work for which this permit is issued.. ...., I hav_ ❑ e and will: maintain .workers'„ compensation, insurance, as .. .required,-by-Section.3700 the Labor .Code, for the performance of the.worklor.which this.pernit:ls issued;.. My.workers'compensation insurance:carrier and:picy. number. are: Corner: '`. �� Total Square Ft: 1716 S. F. Policy Valuation: $111,540.00 #:a2-� Census Code. ❑ 1 certify.that in'the::p'erformance' of'th'e'.w6rk,for:Which'this permit is •issuedr :I:. shall:: not. employ any'.person: in .any runner so :as to become subject;:to-the workers`,mmpensation laws .of: California, :and..agree.•.thate:if.-1 should: become: subject :to. the workers' compensation. -provisions of Section3700:of the Labor Code, I shall forthwithcom ly with tho a provisions. . Da Applican W NTNG:, re"to' secure kers' compensation coverage is nlawful,.a hall'subject an eriployer to criminal penalties and one hun ousand dollars ($100;000), in addition 'to the cost of r ” compensation., damzges as provided for iri Section 3706 ot'the Labor code, interest,:and,.attomey's fees..*,. ...::..:.... i.•,.:.... ,.,....::: . CONSTRUCTION: LENDINGAGENCY This permit is hereby i sued under the applicable provisions of the Butte County Coda a rt/or I hereby affirm that there is o construction lending'agency for the Resolutions t indicated above for which fees have been paid. performance of the work for which this permit is` issued (Sec 3097 Civ.) By: ,�0 D Name: te: C U Address: PERMIT EXPIRES ON. (Date) ❑ I hereby certify.that,the:use of. this facility. shall. comply: with.Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and, use of hazardous materials::: ., ❑ N6tification'in'accordanciBwith'S6ction:19827.5 of Californita Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached'.are_copies of the requited E,P.A:-"notification form's. y I hereby certify -that I have read this.application, that the above information is correct, and that I r the duly autho zed agent of the owner. I agree to comply with all county, and state laws relating to.building construction. I acknowledge itis unlawful to alter t e substance of y official to or document of Butte County. I hereby tri authorize repress s of Butte'C my to enter upon the above mentioned property for tion purposes. Print, Name• ` ' Signal Date:, ❑`OwnerContractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT, NO. BP051'496 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/28/2005 APN: 036-280-050-000 the Business and Professions Code, and my license is in full force and effect. $ Site Address: en License Class: Licse N ben 6131 UPPER PALERMO RD ORO Date: Contractor. Map Index: Description: NEW MH PRM F.ND(1716 sq.ft.) OWNER -BUILDER DEC&RATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires. a Owner: RENWICK, DOROTHY - - permit to construct, alter, improve, demolish, or repair any structure, por. _ to its,issuance,� also requires the applicant for such permit to file'a - 2770 FAY WAY signed -statement lhat'he or she is licensed, pursuant to the., provisions of QROVILLE,' CA. the'Contr'ctoYs State"License Law (Chapter 9 commencing with Section , 7000):of Division 3 of<the'Business and Professions Code) or that he or: 95966 she is'exempt therefrom7and the basis for the, alleged. exemption.- Any violation of Sectioq 7031.5 by any applicant for a permit subjects the. applicant,to,`a.civil penalty of not more than five hundred dollars ($500).): ❑ 1. 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„sate•(Sec.,7044, business and,Professio,ns -� ,RPRISES,.:, AppIICaI1t:. SKYCRST.ENTE,, Code: The Contractors' State' License Law.does not apply to an ,• COUSIN GARY'S HOMES _.owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 13468 HWY 99 .,provided that such improvements. are not intended or offered for 'sale. CHICO, CA 959732-2694 If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did -not build or improve for the purpose of sale.). .❑—I, as.owner, <of.the .,property, am exclusively, .contracting.•with.. licensed contractdrs to construct the.project'(Sec. 7044, Business .and Professions Code; The Contractors' State License Law does Contractor: SKYCREST ENTERPRISES not apply to an owner of property who builds or improves thereon, COUSIN GARY'S HOMES -and who, contracts for such projects with a contractor(s) licensed pursuant to,the Contractors' State License Law.). 13468 HWY 99 CHICO, CA 95973 ❑ 1 am Exempt under Article 3 of the Business andProfessions ofessions Code, 530-342-2694 1 • . Date: Owner: License #: 812930 '. - WORKERS' COMPENSATION DECLARATION ;. I hereby affirm under penalty of perjury one of the following declarations: O I have andwill maintain a certificate of consent to self -insure for ,.. workers',. compensation, as provided for by Section 3700 of the Architect: Labor Code; for the performance of the work for which this permit is issued. Engineer: ❑ Thave and will maintain workers'. compensation insurance, as required by;Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance:carrier and p .icy number are: ' camer:,1(j Total Square Ft: 1716 S.F. Valuation: $111,540.00 Policy #: Census Code: ❑- I certify that in fhe performance of the work for -which this permit is issued; I shall• not, employ any' person in any manner so as to become subject -to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith com ly with th a provisions. Da Applican _ W RNING: re to secure kers' compensation coverage is nlawful, 2 hall subject a( employ)to criminal penalties and one hum housand dollars $100,000, in addition to the cost of compensation, damages as provided for in Section 3706'of the Labor code, interest, and attorney's fees., CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby i sued under the applicable provisions of the Butte County Cody a rUc,r Resolutions t indir�ated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �^ p 05 ! Name: BY i Dat lJ PERMIT EXPIRES 0 Address: ON. Da e O I hereby certify that the use of.this facility. shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and.use of hazardous materials. O Notificatiori in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copes of the required E.P.A. notification forms. I hereby certifythat I have read this application, that the above informatior.'is correct, and that I r the duly autho zed agent of the owner. I agree to comply with all county and state laws relating to, building construction. I acknowledge itis unlawful to alter t e substance of y official fo or document of Butte County. I hereby authorize represe s of Butte C my to enter upon the above mentioned property for ins tion purposes. Lam` , Signet Print Name Date: ❑ OwnerContractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY C'$ S 1 9dC/V DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Nard City riTslAame Zip PhoneV _ V Address Lic. hag City Map Book State. Phone ,/ �' Planner Fax E-mail Name 036-280-050 05-1496 CONTRACTOR Name p � Address , / ,. City to Zip PhoneV _ V E-mail Lic. hag '/ 8W7 APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APP CANT SIGNATURE F r office use only: Zoning Prp ytddress; Flood Zone 0 AC -7 SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. /4 BIN # LOCATION AP# #� Prp ytddress; Ciy 0 AC -7 Cross Street 1 t�i� Ili WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name 036-280-050 05-1496 REN WICK, DOROTHY Address UPPER PALERMO RD, OROVILLE Cont: SKYCREST ENTERPRISES Page 1 of 2 PMH Sq. Footage or Scope of Work: O Proposed Change of Occupancy (Note previous use): . EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received rrby- ' l,� Receipt #: 'pj 1 1_7 I Amount: l Bldg SRA Sheriff SMIP >/ Other Date: n0 �� `� I Total REV 2-24-05 - I SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate., ❑ 5. Statement of IntenHor Non heated and A/C -for Non -Residential 'Buil'dings. " ❑ 6. Manufactured homes: (A)1nstallation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in d6plicate. ❑ 7. Metal bidg.s: (A) Metal Bldg. Plans,. (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required)' ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from,the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). 04. i-NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information.. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR ARCEL NUMBER V �� Proposed Building Use: NL-yt/ �� N��� S / �'Permit ician: C_e 7> Date: / Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. /W 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. \ ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. X611 hf . 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. must be stamped and wet -signed by the engineer. ' ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 1 I" 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other *Ir ining items needed to issue the permit. (May require additional plan review upon receipt t�h'e�ollowing items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville as -applicable 16. Fire Sprinklers ............. •..............................................................................`] 71',2 10 ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... O 19. Erosion Control Plan Required........................................................................ \� 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑' 21. City of Chico Plumbing permit..................................................................... 17122. Site plan and business license approval from the City of Biggs ............................. ❑ 23. California Department of Forestr plan approval 0 paid. Sent by: 24. Planning approyal�for (A) Use: (B)Parking: (C) Parcel Check: .p ..... - o) ❑ 25. Contact Land Development abou _ Improvements, _Drainage ........................ 26. NPDES Form............................................................`= .............................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... `O1 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement............................�v.,.w 01 33. Existing violations and/or expired permits..............................:......................... x ❑, 34. Deed Restriction ................... ar_ .......:................. P 35. ❑Legal description, ❑ M. Titl ,title search, registration MCO ........................ ................. 36. Other: T/4l.P- O r m uj. 37. Other: o ►tip. N� L-5 �y7-2G 9 L, / -and ue`d Telephone � and hold for pickup. I have baen informed of the ab 'items and requirements for obtaining a building permit. Appliar4i�` �� Date: 1. Index permit application for the above i� s numbered: 7 Plan Check Letter 2. Addifional items required • ontr�a�ctor�esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: t;on r�actcr, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans renewed by: Date:Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note tran3fer by: Date: Yellow: Building Division NO All of these �'T7A-' 412 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER PROPROSED BUILDING USE N�"� M q I BUILDING PERMIT FEES ---Balance Due ..................... $ --- FEMA Flood elevation review ... $ A.P.# DATE RECEIPT # --- Additional plan checking Fee.... $ _ 2. SCHOOL DISTRICT FEES090/�f2[�'►U �iL� (paid at School District Office) (form availabfe after Plan Check) _ SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. r L(W 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES `I410D � F COUNTY WIDE (per dwelling) $ 7 CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ DATE REC. 1/2�� 77/2/05 K.G. %I2osG NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION 1# $200.00 (paid at Building Division) �8. SMIP 9. OTHER 10. OTHER 11. OTHER At tim: of permit application, I was advi!pd the above fees are required to be paid prior to issuance of the permit. These fees may be cha gel ring the plan checki process. APPLICANT _,�, Vlz:moi DATE Pursua*to G emment Code Section 66020, yod"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 s from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School Cishict %Building Department No. 03162—z90-0 A.P. Number Jurisdiction: I 1= city. 'County— Properly Owner � Property Location/Address Subdivis,on Loll No. ..................... ; .......... . ............................ ................................ . .... - 7/b Residential Development Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection)...................................................... ! ............. . .... L Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notic4 of Limited Use Facility document)) Com mercial/IndustrialT-1 Sq. Footage New Addition (Including Exterior Roofed Areas) 01 Building tative Date District Identification No. 0600 06 1* LKt) 1-0-YI I j� School District certifies that co cic_ (Applicant) -2— , (Street Address) V (Phone Number) V (City) has complied with the requirements of Resolution No. I representing i CP square feet. School District Representative Paid by Check # C. Remarks: Hcke K". N (State) (Zip Code) 3.2 by payment of $ q JAB 2926 $ IFULL 1111111111GATION $ 0-1 b Date Z 1 LO -1 04 ftft -: You may protest the Imposition of the is" M*nU.%d above by e'uWyftrq a written protest to the DIsftK In compliance with Government Code Section 66020(a), within 90 days from the data fen are paid. Failure to su" a timely vnttten protest will prohibit you from challenging the Imposition of the fen In any court action. P N, subsequent to it* School District RepresontatWo signing this Butte County Schools Impact Fee Cortiftation Form, the School DW ' bid Is nHfl by the applicable Local Planning Agency that this p ol Is Ming reviewed under the California Environmental Quality Act (CEQAL this project may be subject to additional school to" to fully mk4We Its Impact on the school districtle schools. White (applicant), Yellow (building department), Pink (school district) feeformods 00/03)drnm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORINT )FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (P.RPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) 7� (� Assessor Parcel Number (s) c? 36 — 2 60 -c>3-c) Building Permit Number Property Owner (s) C �C Project Location /Address CJ ����� ��/Z� b C3;►��� Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached AlteratiQ�ddition(s) Non -Residential to Residential Mobile home Mobile home replacement Demo Permit (date issued } Comments: Building Department Representative ❑ FRRPD ❑ CARD 0 PRPD ❑ DRPD certifies that: Applicant Name Mailing Address Date Phone Number City Single Family -Attached Multi -Family Dwelling verified }Assessor Department verified by Building Department State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. _by Payment of: Dwelling Units @ $ 19&19 per unit for a total of $ � Square Feet @ $ Remarks: per sq foot for a total of $ Paid by Check No: &q r Paid by Cash: 9 Receipt No: Recreation and Park District Representative K:\FORMS\BUILDING FORMS\park-rec standard form rev Ldoc Datd f+:v1a•4�a�aiwmn-=a�.cagvsp-ov�� � 'fir 'iY,•%;� (4 _ '£' T"L+F v-.,.bs 11 .>; Vit} ., ,.,'4 "Y' `u_ _ e:ia.'us� oa�ty i Pion Plan Anschad FZeaa Plan Atattshlead' Sano to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance n w i ti I) )LIM ih F aDrJl c� _a3b s IS t to C�rou i l l e y �t St6, Z-7 -- Z S-0 6 -L4. Owner Location AP# Plan Approved for: Sewage Disposal _�L Water Supply: Public Private Well �C Clearance for X dwelling. Other T,.wr onLo-.--. 3 hPra maorl Ser o u a d tvel I i n S Hold final for: Final clearance O.K. for: NOTE: En ir-onme- ntaV Health pecialist Date 8/96 •:f1�1,PSTMzN7- 0& 6vTTF o /i, o o ��o 1 J C op5 AUC Wo¢� Department _.Cau,nty J. Michael Crump, Director f Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538.7266 (FAX) 538-7171 National Pollutant' Discharge Elimination System (NPDES) Phase If Construction Storm Water Permit and Storm Water Pollution. Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. .Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions DrDmi.de_d by law. i Signed Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program - - Revised 5/24/04 0QopST^ENT Ok 6VTTF \\.4 OLJNI�S luttic/c woR'� Department ..County J. Michael Crump, Director Public f B u t t Works' ' LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 0 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution, Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] Project Description:, P.roject.Location. and/or Parcel Number: By signing below, 1, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. V Signed: Title:, Date: Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storrs Water Management Program Revised 5/24/04 Butte County Department ofDevelopment S'ervlces $vT, 0 1 County Canter Drive o Oroville, CA .95965 m� o -_ o • ' (530) 538-7601 Telephone C' OU' y (530) 538-7785 Facsimile N, BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. - • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for. notifying Development Services, in writing, to stop processing . of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the -parcel was legally created, adherence to. all mitigations. and conditions imposed on the parcel at time of creation, as well as zoning requirements; legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: AGi /Z e5 Building site address: zzwew EZW420V A_Uf Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my su,bmission of the above -referenced building permit application and my signature below: ATURE OF AGPPLICANT DATE ;4 i AND WEEN RECORDED MAIL TO: a BUTTE COUNTY BUILDING' DIVISION 7 COUNTY CENTER DRIVE OROV tE, CA 95965 COPY of Document Recorded 30 -Jun -2005 2005-0037865 Has not been compared aith original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section: 26-8 of the Butte. County Code requires this -acknowledgment to be. recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural. purposes, and residents of this property.may be subject to inconveniences or discomfort. from the use of agricultural:chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and- from the pursuit of agricultural operations including, but not limited to cultivation, Plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor: Butte County has established agricdltural 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 situated in the Coiuity of Butte, State of California, described' as follows; SEE ATTACHED LEGAL DESCRIPTION Date 6- 23 `CEj PROPERTY OWNERS: X X Kenn l < en ck Amber Renwick State of California County of.Butt e before me, A. AA1 personally, appeared SCP Y�t��'W►`n w�- i�a��jf-�rQX1 W:1. C fC J personally known to me .(or proved to me on the -basis of satisfactory evLdeQcgto be the person(s) whose names)is/at.e subscribed to the within instrument and acknowledged to me `that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)-on the instrument; the person(s) or the entity upon behalf of which the. person(s) acted, executed the instrument. WITNESS my hand 4#d official' seal.. n Signature APN: 036-280-050 CHRISTY L. HINKLE COMM. # 1493928 'NOTARY PUBLW CALIFORNIA COUNTY OF BUTTE Comm. Expires June 1, 2008 JJ/LJ/LrvJ PAR= -ONE. That portion of Lot 1, Block 114, and Citrus Avenue (abWoned), all as slu Citrus Tract, according to the official County of Butte, State or -California, the Northwestedy line of Upper Paler "e DESCRIPTION that portion of Lot 1, Block 115, and a portion of on Map ofAddition-to Subdivision No: 1, Palermo p.thereof, recorded to th Office of the Recorder of the 23, 1-893, as Wa11.Map No. 14, lying Northwesterly of Road and Southerly of the following descrr'bed line: COMMENCING at the Northwest cornu of said Lot 1, B1ock.11S, and ru mirig South 0° 50' East along the Westerly line of said Lot 1,.a distanmof 405;65 feet to the true point of beginning of said Lot-, Thence North 89* ID' East a distance of 889.3$ feet to a point on the Northwesterly boundary line of the Upper Pelermo.Road and the end of said line. PARC& TT—WO: An easement for water pipe lire over a strip of land 5 feet in widt#t tying Northwesterly of and adjacent to dwNorthwesterly. boundary line of Upper Palermo Road adendittg from the most Easterly corner of the herein described property to the Southerly Hue of Wheeler Avenue. Ducriytion: Butte,= Vacumant-Year.DeaZD 2005.1133'Fage: Z of 2 order: holly Gw�t: SITE PLAN REVIEW APPLICATION Date: �r, t Ls--()�� AP# 17 Z s n Permit Number (if applicable) �►� Bin Number APPLICANT INFORMATION 0° ! �� Parcel Size: -2J V 1� UA. <7, Owners Name: Owners Address: Telephone No.: rya C) Email: Situs Address:_ l� r eit ' /on h13/1,y,�1 � Proposed Use:, Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑' Multi -family _ Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other 1117Septic . Agricultural Exempt Building ❑ Other: 'Brief 'Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ( Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved . ❑ Conditionally Approv d� esolve Problems Prior to Approval Site Plan Stamped Approved P/ 13 By C�XPit Date ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ 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 attac ed) Flood Zone: Flood Panel No.: 06 00 WO / dex Date: ; ❑ Sacramento River Reclamation District (Approval must be obtained from the Ca ifornia 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) ❑ Oroville Enterprise Zone 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: 1f— 02 l - r�(—LDi Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side D Side Street Rear 0 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ 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) Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Date of Creation: Deed of Reference: UP0 �7-' `fa -`1 Parcel Frontage on Publicly Maintained Road: Complies with Co u ty Standards for Deed Cre Comments: 140 S /i Legal Access Provided: ❑ No Yes Legal Access Required ❑ No Yes ❑ No 0 Yes, Road Name: Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance; Notice 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 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ 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 Plan 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. Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER RIVE " OROVILL'E, CA 95965 2005®0037865 Recorded I REC FEE Official Records I County of I COWORNED COPY 1. N Butte I CAIdDA(,1_ J. GRUBBS I County Clerk-Recorderl I AN 09:43AM 30 -Jun -2N5 I Page 1 of 2 11111 � 11111111 � 1111011111101111111 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 situated in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION ./ Date S- 23• Cc) PROPERTY OWNERS: X X Kennen ck Amber Renwick State of California County of Butte On before me, personally appeared VC . £fin wk ck- .AVW 6cr R_W W i C k--.) 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 my hand "d official'seal. Signature APN: 036-280-050 j •-• CHRISTY L. HINKLE y) COMM. * 1493928 ® NOTARY PUBLIC -CALIFORNIA COUNTY OF BUTTE 4 _ Comm. Expires June 7, 2008 L 5/25/2005 12:02 FAX 530 899 9531 FIDELITY NATIONAL TITLE 4$COUSIN_GARYS IQ / �• i a. EXHIBIT "A" LEGAL DESCRIPTION " PARCEL ONE: That portion of Lot 1, Block 114, and all that portion of Lot 1, Block 115, and a portion of Citrus Avenue (abandoned), all as shown on Map of Addition to Subdivision No. 1, Palermo Citrus Tract, according to the official Map thereof, recorded in the Office of the Recorder of the County of Butte, State of California, July 23, 1893, a8 Wall Map No. 14, lying Northwesterly of the Northwesterly lime of Upper Palermo Road and Southerly of the following desonlW line: COMMENCING at the Northwest corner of said Lot 1, Block 115, and running South 00 50, East along the Westerly he of said Lot 1, a distance of 405,65 feet to the true point of beginning of maid Lot; Thence North 89° 10' East a distance of 889.38 feet to a point on the Northwesterly boundary line of the Upper Palermo Road and the end of said line. PARCIRL TWQ. An easement for water pipe line over a strip of land 5 feet in width lying Northwesterly of and adjacent to the Northwesterly boundary five of Upper Palermo Road extending from the most Easterly corner of the herein deacribed property to the Southerly line of Wheeler Avenue. Description: Butte,= Document-Yaar.DoaZD 2005.1133 Page: 2 of 2 Osdar: trolly Caum mt: • • • % i • • 1 Dual-SidedSnack , • 'nl r NA.;. �l�y�{y N sk� • • • % i • • 1 Dual-SidedSnack , • 'nl r NA.;. �l�y�{y SITE. PLAN r. .. .. .. .. .. ........................................... ........ •- s.. . _. .. _..... .. .. ._ .. .. .. .. .. .......... ._ ..... - s - J.. C I ............................................................ .. .. ... .. ... .. =........................ k. i .....:......:......:.....:.....::......:... x •� •� :.0. 1(� t �: f: f ._ .. . . .. ,d .. _ _...� _ ... ................ c.. ...... ... ........_ ... ........_ ... - - --- .. . . . . . . . . . . . . . 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