HomeMy WebLinkAbout078-270-0080
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Y �
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JL'N };,�q\ 01-2979
J30 OAK K I. WY Olt`O OILLOLE
CON -1': FLEE-1'WOOD D 1 -TOMES
NEW MH PERN4 PND NL'- W TE
NOTES RESIDENTIAL
036-071-007 01-2979 t
JENKINS '
'Z343 OAK KNOWLL WY OROVILLE
CONT: FLEETWOOD/D & D HOMES'
NEW MH PERM FND NEW SITE,
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE 1~OLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON
NEW MH'S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
SPECIAL CONDITIONS
i CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
p FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
R SUB -STANDARD HOUSING LETTER
LlOFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By Date
i
{
i
lJOB FINALED (D
Signature
r
V= OK
0 = Not OK
= Not Applicable MOBILE HOMES
= Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/
/'Nat. or/ /"L"tt./ PLPG
7. Well Clearance 8 Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE H.OME INS ELATION (Plans) OK except #'s
ings; 'ze-Spacing-Marriage Line
Ci --4!k. Test -Demand -Valve -Connector
lectrici ; MH Test -Crossovers -Breakers -Clearances
5. R Test -Fall -Flex Connector
er; MH Test -Regulator -Connector
ater and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
ie Downs -Type -Installation Cert.
10. its; Insp.-Sketch
/_ 11. Cert.mWccunancv
12!Permanent Foundation Only; License Decal
Date _ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
C P FC,/ 7 l9 z.V _z. -7-7
25 ,Sc d -z.-,
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.-Con nectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
B.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghig.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓=OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date
FRAMING (Permit) OK except #'s
Underfloor (Plans) OK except #'s
Sills Proper Materials & Anchors
1.
Zoning -Setbacks -Easements -Flood -Slope
42.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth
Draft Stop in Walls (rat proof)
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
45.
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
Property Line Firewall & Openings
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
54.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
6a.
Hold Downs and Special Anchors
57.
7.
Slab, Steel -Wrapped
Glazing Area -Glass Protection -Skylights -Plastic
8.
Piers -Fireplace Ftg.-Steel
60.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Insulation -Walls -Ceilings
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
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
Date
79.
Card B-1 Date Card B-1
Date
80.
Card B-1 Date Card B-1
Date
81.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
Date
88.
Card B-1 Date Card B-1
Date
89.
Card B-1 Date Card B-1
Date
90.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Date
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Date
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
Date
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes d No
Comments at Final:
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
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
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rttr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card E-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails -& Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instid./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE`
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
L .� c: c� c . rL ,,OT E /4 7`
A
Date � Inspector
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF OtVELG" PMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT ®� a� 99
ASSESSOR PARCEL NUMBER
036-071-007
ZONING
BUILDING PERMIT
OWNER
JENKINS
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1 92 R 91 368.00
OWNER'S MAILING ADDRESS
272 EAST 7TH ST. OROVILLE .CA 95965
CONTRACTOR'S NAME
FLEE 00D - D & D HOMES
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $91,368.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee 603.50/2
$ 301.75
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
Bu DI
OAK KNOLL WY OROVILLE CA 95966
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 344.75
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
1 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome (X Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15-0015.00
Each gas water heater or vent
15-0015.00
TYPE OF WORK
New IX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW MH PERM M EX SITE
Gas piping system 1 - 5 outlets
15-0019-00
Building sewer
15.00
Mobile Home I S1 GI W1
=@?20.00
--±L
PERMIT FEES
ELECTRICAL PERMIT
Fling Fee 20.00
V OR LES
Main Service 200AORLES:
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license IS I e and effect. % ,
License Class I ' Lic. No. Caj L C 7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers'. compensation insurance carrier and policy number are:
Carrier %U -,-LS -L✓
Policy Number t-`3 Z( 06bg/ &
(The above sections need not be completed if thg permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forth th comply with Beaprovisions.
f
X Date /1 2/ 6 /
Signature of plica - ❑ Owner ❑ Contractor ❑ Agen
An OSHA p required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO tOooA
46.00
NEW CONST. DWELLING UP. SO
OR ADDNS. a ACC. BLD S. 3.5QFT,
NEW
H61D MULTI -OUTLET
@7.50
aPs NG�i.E oPimET c a.
Ex. Occup. OUTLET OR FOCURES g20 @ 1.00
Ex. Occup.DPimETSPA ID.) A
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE t
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
-
D. I
OD
CDF
_
PA�g EL P��
X X
HD
ISS
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By ���/hhhhDDDD
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
ate S o z
Defe
ReceiptNo337147/452 75
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive • Oroville, `California 95965 • Telephone (530) 538-7541
(Rev. 12/96) APPLICATION AND PERMIT ERMIT NO.
Ar,SESSOR PARCEL NUYElA
OWNER A BUILDING PERMIT
TlLONONe
1A ApOglSt
— GO ✓ BUILDING VALUATION
OWNEA9 � SO FT OCC. .
COM A' NAl! � 95JA
TELEPHONE to
w NTRACT7R3 WlJNO ADDRESS
CONSTRUCTON LENDER .
LENDEA'S WIUNO ADORESY ,
ARCHITECT OR ENQNEER
ARCHITECT OR ENONURI MAUNo ADDRESS
LOT NO 1 SUBMISONSNALIE
USEOFSTRUCTURE
SF ❑ Duplex O Mobilehome O Other
Fireplace
Total Valuation S
NO.
Filin Fee $
Permit Fee
Plnn
Checking Fee S
Energy Plan Checking Fee4ft S
b
PERMIT FEE S
WAP PLUMBING PERMIT
TYPE OF WORK
New O Addition O Remodel ❑ Utilities O Ineta0ation O Other O
Oeseribe Work: ���'��� yylfl'1')IVl('�
r
*PERMIT FEE PAID
SRA • -
SHERIFF
OTHER
AJMOVNT RECEZM
Each Trap
Solar or heat pump water heater
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home S I G W
20.001
7-5 I
L
Occu ounET oR rorTUREs
1 Occur). " 1"14. oR
I ovnETs Esso. EA
I orar Service
bile Home Facilities
" TO if! PVT INM CoMpVM
Cool
5.00
23.00
20.00
23.00
PERMIT FEE I $ �b
MECHANICAL PERMIT I Fling Fee 1 20.00
6.50
PERMIT FE15 S
rEnew
Home Installation Fee S
Inspection Fee E
_NST. TYPE T AL FEE i
IJ
S
NAZ D. R R-660 rs sSuE
This permit is hereby Issued under the appfleabie provisions
Of the Butte County Code and/or Resolutkms to do work
Indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
Date
PERMIT FEE
S iOs
w
L PERMIT
Filin Fee
20.00
000V OR LESS700A
OR LESS
23.00ccS30"
OMFEE
TO L000A
46.00
ownINo OCcuv.A ACC. MOS.
3.5Q�.Y.LTF0."
@7.50
L
Occu ounET oR rorTUREs
1 Occur). " 1"14. oR
I ovnETs Esso. EA
I orar Service
bile Home Facilities
" TO if! PVT INM CoMpVM
Cool
5.00
23.00
20.00
23.00
PERMIT FEE I $ �b
MECHANICAL PERMIT I Fling Fee 1 20.00
6.50
PERMIT FE15 S
rEnew
Home Installation Fee S
Inspection Fee E
_NST. TYPE T AL FEE i
IJ
S
NAZ D. R R-660 rs sSuE
This permit is hereby Issued under the appfleabie provisions
Of the Butte County Code and/or Resolutkms to do work
Indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
Date
w „���,'�y��'� ; �!,,\li i&�7�„ ��'P �aa'r��. rF•li�`�'r+RY i11►�'�a��w�� �f+l�Y"�p4r""�.�.„yr�'aSt''''�`]I►.;,,,,�J,,,�^'M.,,�`4,Pa,ifi..l ..
Fs COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
'7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: IP/1l y�� ASSESSOR PARCYL NUMBER: a361.7 -OW -669
Proposed Building Use: Pu) Aq h, fie (Ad Building Inspector: lDate: 2 L
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted.............................................................................................................
❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans............................................................................
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans...................................................................
❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans.
All engineering must be shown on plans.............................................................................................
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ...............
❑ 6. Energy Design Compliance and supporting documentation................................................................
❑ 7. Statement of Intent for Non -Heated and A/C Buildings....................................................................... i
❑ 8. Hazardous Material Form....................................................................................................................
❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. '
❑ 10. Fees of $..........................................................................................................
❑ 11. Impact Fees as shown on the attached schedule..................................................................................
12. California Department of Forestry Plan Approval/Fees......................................................................
. Flood Elevation Certificate.........................................:........................................................................
1 . Sanitation and Plot Plan Approval Environmental Health Department .........
°
15. City of Chico Plumbing Permit.......................................................................................................:....
❑ 16. Plot Plan and Business License Approval from the City of Biggs .......................................................
❑ 17. Planning Approval for (A) Use: O k (B) Parking: ...........
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainagegal Parcel ...........................
❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ............................... °
❑ 20. Pre -Inspection for required. Request to Building Inspector (Date) k
❑ 21. Contractor's License Information (Number, Name Style, Classification) ............................................
22. Workers' Compensation carrier and policy number.............................................................................
23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) .............................................
24. Letter of Signature Authorization........................................................................................................
42 Recorded Copy of Agricultural Acknowled14/ WO
gmentStatement..............................................................
26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................
❑ 27. Manufactured Home Utility Clearance................................................................................................
❑ 28. Existing violations and/or expired permits..........................................................................................
❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ Z�'`.`.....................
❑ 30. Other ....................
When you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail to Contractor.
U -Telephone S 32-330-1 and hold for pickup at (101 k e officf
SA rAh Me rA n n
Applicant:(
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Aii
Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other
1. Index permit Application for the above items numbered:
VN
2. Additional items required:
❑ Deliver with Inspector.
Date: By:
Date: By:
❑ Plan Check List
Contractor, designer, owner, was advised of the above required data by: phone, ❑ mail, ❑ Building Division counter, By: Date:
t r
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: Llphone, Llmail, Ll Building 'Division counter, By: Date:
i
Plans reviewed by: C_Z Date: 12 ,I S1 1 Plans reviewed by: I V Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services - Building Division
E.H. USE ONLY
Flet Flan Attached
Floor Flan Attached
Sento B.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
1'S , k/VJ��
J o, V�„ n
Owner Location AP# .
Plan Approved for: Sewage Disposal---, Water Sup ly: P blic� Private Well
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for: l
NOTE:
r6 -nm -ental Health Specialist
8/96
Date
TO: Building Department
FROM: -Environmental Health
SUBJECT: Sanitation Clearance
Owner
Plan Approved for: Sewage Dispo
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
.�. E.H` SE ONLY
Plot Plan Attached
Floor Plan Attache
Sent to 9.0.2-
(04
.D.
Location AP#
Water Supply:�R,ublic� Private Well
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
SCHEDULE OF FEES DUE
OWNER
PROPOSED BUILDING USE new m�►r'?efm f7m.
A.P. 1i ()9/-0(59
DATE l I " ,?, 1-01
RECEIPT # DATE REC
1. BUILDING PERMIT FEES
-- Balance Due ................ $
-- Additional Fees Due ............ $
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $
2. SCHOOL DISTRICT FEES n(C),JV1 16 (fin 10' tj
� �.rh S'e1��� p►��
(paid at District Office)
3. SHERIFF FEES (paid at Building D'
Residential ........ x $360.00 $
Unit
Commercial (sq.ft.)... x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x : = $
#Units Amt.
Commercial (sq.ft.) .. x =$_
Sq. Ft. Amt.
5. RECREATION DISTRICT FEES (paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 'TRAFFIC FEE $2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit.
These fees may be changed during the plan checking process.
APPLICANT DATE
Pursuant to Government Co Se ' n 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your
project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may
protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97)
C
l
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDINCDIVISION � 2tmt� 1 —0055637
7 COUNTY CENTER DRIVE. 1
OROt7LLE CA 95965 b Recorded I REC FEE 10.00
Official Records I CONFORM .00
Countyy Of I
CANDACEUJ.6RUBBS I
Recorder I
ROSEMARY DICKSON I
Assistant I Kristy
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT v-2001 I Page i of 2
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building
The property described herein is adjacent to land or included within an area zoned for cultural Permit.
this property y � Sty purposes, and residents of
p perry ma be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited
to herbicides, pesticides, and fertili7rrs; 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 ty• has
established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Buttc, State of California, described as follows:
q5OC,� A-7
LE&`IL D C- C2,P77)0AJ
Date: (/ -®( PROPERTY OWNERS:
State of California
County of &LA1—T•F_ ) )
On before me,
personally appeared _�AtLI� J ENt:1AIv S t�N1�) N S
known to me (or proved to me on the basis of satisfactopersonally
n evidence) to be the person(s) whose name(:) Is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ics), and
that by his/her/their signature(:) on the instrument, the person(s) or the entity upon behalf or which the persons) acted,
executed the Instrument.
WITNESS m hand and Rrial sial.
CYNTHIA A. COSTA
COMM. # 1.279287
NOTARY PUBLIC CALIFORNIA
Signature tA
S,ca COUNTY OF Bl1TTE
Comm. Expires Oct. 30, 2004
...r.: O3 d I -0
Z
AND WHEN RECORDED HAIL TO:
BUTTE counY BUILDING DIVISION
7 COtINTY CENTER DRIVE,
OROVILLE CA gsg6s
COPY of Document Recorded
27 -Nov -2001 2001-0055637
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowled
The property described herein is adjacent to land or included within annt tarea zoned o be fordagricultural pur' prior to p sc a building permit.
this property may be subject to inconveniences or discomfort' from the use of agricultural emicals,pincluding,* butnd rnotdlim t d
to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to culti%
Plowing, spraying, pruning, and harvesting which occasional) y has
established agricultural )generate dust, smoke, noise, and odor. Butte County has
8n 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 follo%vs:
Date: PROPERTY OWNERS:
State of California )
County of 6-tA7T—t_- )
On _� - -tom before me,
11
Personally appeared(�q{11� 3ENIGtN S_
known to Inc (or proved to me on the basis of satisfactory ev i nee) to b� be the pc on� who clnamc(s) is/sa us Ilscr personally
within Instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ic) and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person($) acted,
executed the instrument.
WITNESS m and tY'ciat seal
• CYNTHIA A. COSTA
�hand
% COMM. # 1279287
/ J� NOTARY PUBLIC -CALIFORNIA
Signature Sea v �— COUNTY OF BUTTE
Comm. Expires Oet. 30.2004
A.P.0 0 3 (o - d
��� ,.. • u , uRuv t �Lc
SCREDULE C
N0. 177 P06
ORDBRNO.: 00198404001 -CAC
TRE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORMAt DESCRIBED As Fouows:
A PORTION OF LOT 7, OF BLOCK 17, OF VILLA VERONA SUBDIVISION PER THE
OFFICIAL MAP THEREOF, FILED IN THE OFFICE OF TIIE_ COUNTY RECORDER, OF
THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS:
COMMENCING AT THE SOUTHEAST CORNER OF SAID LOT 71 AND RUNNING THENCE
NORTHERLY ALONG THE EASTERLY BOUNDARY THEREOF, TO THE NORTHEAST
CORNER OF SAID LOT; THENCE 'WESTERLY ALONG THE NORTHERLY BOUNDARY
OF SAID LOT, 66 FEET TO A POINT; THENCE SOUTHERLY ON A LINE PARALLEL TO
SAID EASTERLY BOUNDARY, TO THE SOUTHERLY BOUNDARY OF SAID LOT; AND -
THENCE EASTERLY ALONG THE SOUTHERLY BOUNDARY THEREOF, TO THE POINT
OF COMMENCEMENT OF 7M8 OLSCRIPTION,
AP NO, 036-071-007 '
Recorders Office
Couunnty _Of
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
2001-95507
�
REC FEE
10.00
CONFORMED COPY
.00
TOTAL
10.00
CHECK
10.00 -
TOTAL TENDERED
16.00 -
CHANGE
.00
01:06PN 27 -Nov -2001 20011127000224
Kristy
BTTREC15
EX9C`�
Thank You
'
COMP'GZ
Have a Nice Day!
MUM
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
' 1 I (One fo� per Bul dittgj `
School District 1®!f((l Building Department No.
A.P. Number 03(o-0 1- 00'/ Jurisdiction: City ®County
Property Owner
Property Location/Address
Subdivision
ins
Lot No.
N-1- oLYo
...................................................................................................................
Residential Development Sq. Foota9 e 1 (,p ��
No of Living Mobile Home Addition/ 'Supplemental to (Group R)
Units Installation Conversion Permit #
'(No foundation inspection):
...................................................................................................................
Commercial/Industrial
L4V�
Building Department R
New Addition
lrioor rians revieweo oy acnooi uisinci
Sq. Footage
Date
District Identification No.aulll�� EA,-X� �� 3
School District certifies that .
(Applicant)
(Including Exterior
Roofed Areas)
(Street Address) Q (Phone Number)
Cry 9.�9G 6
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
representing 1647.)- square feet.
y` l d -A -g ,( IL -
School District Representative
9g -0Q oS" by payment of $ T l0/J , 6 U
AB 2926 $
FULL MITIGATION $
LItZ
Paid by Check # Remarks:
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEGA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm
r,-
SITE PLAN REVIEW APPLICATION
,. . Date: D % AP#
1111
Permit Number (if applicable)
APPLICANT INFORMATION Parcel Size:
�Lo x
Owners Name:
Owners Address: q 3 /L
Telephone No.:
Situs Address:
Proposed Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition ❑ Single Family Remodel
® Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑
Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
Septic
Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
DO NOT WRITE BELOW THIS LINE
DEVEL OAVENT SERVICES INFORMATION (For Staff Use)
Conditionally Approved ❑ Resolve Problems Prior to Approval
❑ Site Plan Stamped Approved
By Date 1)
Page I of 5
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 attached) `
• Flood Zone:
• Flood Panel No.: CtR 8 5 Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamatios6Board)
❑ 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)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance p Variance
❑
Detached Building Use Form
❑
Encroachment Permit
❑
Agricultural Worker Affidavit
❑
Agricultural Acknowledgement Statement ar_
Zoning: -
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Pa,ze 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
1-�0
Side
Side Street
Rear
v
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Pa,ze 2 of 5
Applicable Development Fees:
Standard Fees Amount Formula
r ❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area - Road
❑ Thermalito Impact
❑ Other
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
• Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
Deeds:
Date of Creation: Legal Access Provided: ❑ No
Yes
Deed of Reference: )08-3-1-) Legal Access Required ❑ NoEl Yes
Parcel Frontage on Publicly Maintained Road: ❑ No R Yes, Road Name: Cs16lc fou.
Complies with County Standards for Deed Creation: ❑ No ❑ Yes W ">01
Comments:
il Parcel Deemed to be legal 6
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ 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
❑ ivleet current Environmental Health Department requirements
Pace 3 of 5
❑ Subdivision Map/Parcel Map:
Map Date of Recording:
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
Book: Page:'
Date of Approval:
❑ Comply with the following Conditions of Approval:
❑ 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 on slopes steeper than
30%. The Erosion Control Plan must be prepared by a registered civil engineer or o
qualified professional and be submitted to and approved by the Department of Publ..
Works.
❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing
on-site mature trees, located in any area proposed for buildings and vehicular access, and
provides for methods to protect the trees identified to be preserved, shall be provided to and
approved by the Planning Division prior to the issuance of building permits and/or prior to
grading or vegetation removal. The removal of mature trees shall be minimized, where
possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in
diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1
ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a
circular zone (minimum 40 -foot radius) identified by an orange fence during construction
activities. No vegetation removal, soil disturbance, or other development activities shall
occur within the fenced area.
❑ Nleasures 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.
Page 4 of 5
S
I •
• r a
a
Summary of Specific Requirements:
'NOS
Y,
This information provided in this summary is based on the application information and on the best available data at the time
of review.
�3
C:VNy Documents\Building Permit Site Plan Reviewl.doc
Page 5 of 5
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COGY of Document Recorded
14 -Kay -2002 2002-0024633
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its
contents to all persons thereafter dealing with the real property.
JACOB F. JENKINS AND
BARBARA J. JENKINS
REAL PROPERTY OWNEWLESSOR
272 E 7TH ST.
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
2343 OAK KNOLL WAY
INSTALLATION MAILING ADDRESS. IF DIFFERENT
OROVILLE BUTTE CA
95966
CITY COUNTY STATE
ZIP
SAME
UNIT OWNER (if also property owner, write'SAME')
MAILING ADDRESS
CITY COUNTY STATE ZIP
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
01-2979 (530)538-7541
BUILDIN P RMIT NO TELEPHONE NUMBER
5-13-02
IGNATURE OF L AL AG OF ICIAL DATE
NONE
DEALER NAME (if not a dealer sale, write -NONE-)
NONE
DEALER LICENSE NO.
UNIT DESCRIPTION
FLEETWOOD 2001 SUNCREST 5604B
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
CAFL117A/B25277-SC12 60 X 26 PFS0738428/9
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 036-071-007
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept.
a - K� Jyf1r�.M' C a'''ia'la�ei py
.t ` w. ^•„1 i 7,t.: �'f r'+1� ?f�.h w«�:i•..-artL i:✓4x,�1 .0 e' it
rf V .��.TeC.i o f �.fir'ui YSv y .s'J,v+^
ti r �� r�t F®UtND TION SYSTE�Mi
U��
.4 �S Lr.. L'• .y,.. x l"dT.r`lit 7 Y . k.u" 1st f'°' n .IT.. A c u �., fi:Y� rfi.f..� t
�r' �' _ kr, .1 'k,��f,.s.^�;.�...ws�•:�Y,..."'�'V�a,.a���i1.'�sty`��'°yt�'7`'^'�`Kx�'��• � ��
� ., 4y C_ERT IF�ICAT�E :®F
1, 0 U=PAN �Y
_ w x:. • ..Yu -- . n s t.." k �y H t+.. it• � '�' ] L : 7 � r'c � f.: i--+ ' 9 6-.. +}� 4 ;-iw Si {-
BUILDING PERMIT NUMBER: 01-2979
Address or location of unit: 2343 OAK KNOLL WAY, OROVILLE, CA. 95966
3
Legal Description of Real Property: A.P.# 036-071-007
SEE ATTACHED
7
(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: JACOB F. AND BARBARA J. JENKINS
Owner's address: 2343 OAK KNOLL WAY, OROVILLE, CA. 95966
INSIGNIA OR HUD NUMBER: PFS0738428/9
SERIAL NUMBER OR V.I.N.: CAFL117A/B25277-SC12
MANUFACTURER'S NAME: FLEETWOOD YEAR: 2001
OFFICIAL APPROVING INSTALLATION: d(t�
DATE: 5-13-02
E PHONE: (530) 538-7541
H.C.D. 513C
i
------ "I"Q UMUV1LLL 4 D*D OROVILLE
SCREDVLE C
NO.177
ORDER NO.: 00198404-001 -CAC
THE LANA REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOW&
A PORTION OF LOT 79 OF BLOCK 17, OF VILLA VERONA SUBDIVISION PER THE
OFFICIAL MAP THEREOF, FILED IN THE OFFICE OF THE COUNTY RECORDER, OF
THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRMED AS FOLLOWS:
COMMENCING AT THE SOUTHEAST CORNER OF SAID LOT 7, AND RUNNING THENCE.
NORTHERLY ALONG THE EASTERLY BOUNDARY THEREOF, TO THE NORTHEAST
CORNER OF SAID LLT; THENCE WESTERLY ALONG THE NORTHERLY BOUNDARY
OF SAID LOT, 66 FEET TO A POINT; MENCE SOUTHERLY ON A LINE PARALLEL TO
SAID EASTERLY BOUNDARY, TO TIM SOUTHERLY BOUNDARY OF SAID LOT; AND
THENCE EASTERLY ALONG THE SOUTHERLY BOUNDARY THEREOF, TO THE POINT
OF COMMENCEMENT OF TINS DESCRIPTION,
AP NO, 036-071-007
rmga Z
COMPG2
0
ann oov ooc ooVN _ U Qa U riUMJr� 10.007/007
STATE OF CALIFORNIA NUMBER:
TOF BUSINESS, TRANSPORTATION AND HOUSING AGENCY ) rs +�
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT S V 8 132
DIVISION OF CODES AND STANDARDS
A MANUFACTURED HOUSING PROGRAM
MANUFACTURER CERTIFICATE OF ORIGIN
CHECK IF THIS IS &DUELLCATE MCO -ENTER ORIGINAL MCO NO.
MANUFA UR D H ME O L 1-U ITANUFAI-NUROF 2
❑ SfD {SINGLE FAMILY DWELLING)MUMH MULTI -UNIT MANUFACTURED HOUSING TRANS ABLE SECTIONS
COMMERCIAL ACH:
OCCUPANCY GROUP
MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER:
FLEETWOOD HOMES OF CALZFom 9534
TU SAVP;. SUGGESTED RETAIL PRICE:
po Sox 1308 wooDLAND CA 95776
56048 2002
12/18/2001
SONCR88T i.
NA q g OEI D TOL _— _ CALIF. DEALER NUMBER OR
IO i80RNIJ� TRANSFEREE DESIGNATION:
DATE O TRANSFER:
I
DBA: DeD ZONES 1061581•
12/18/2001
DEALEFI OR TRANSFEREE AODRESS:
2243 FEATHER RIVER BLVD OROVILLE
CA 95965
is
Ci
(State)zl
Is
S(reel
Rf
INVENTORY CREDITOR NAME:
s
FLRBTDQOOD RETAIL CORP
'its
t 11WQ1tQl$TWtSTVFjET
B
^"
SUITE 300 j HOUST-::"%
TX 77008
Im
(City)
Stele) (Z.
(street)
SECTION MANUFACTURER SERIAL NUMBER
NCD INSIGNIA OR HUD LABEL NUMBER
LENGTH
(INCHES)(INCHES)
WIDTH
WEIGHT
(POUNDS)
18)
1 C.PFL117A25377-131212 r`
PFSO`'384:i
;37
154
22,380
2 12AFL117B25277-SC12 ;;
PPS0738419
7_20
154
23,400
.
M
.
i
I
•
TRANSPORTER NAME: :•,�
'I
D B R TRANSPORT
•�
TRANSPORTER ADDRESS: �:
i
p.o. BOX 179 ) DURK" (State)
CA Z 0j 95938
'
Slrvw
'
DESTINATION 10n, UNIT OESCRIBED ABOVE: -
•
S1rvw1 IC0.y)
Stam (ZIP)
NAME
rM la.a of the Slw Of Ce+rtw+t:llte wo" taw are true and cone.
•
I Candy under Penalty PvT✓Y under
12/18/200]A'OODLAr'' VOLG
'I
121:
• I �
J
Executed an
(Date) ICau q)
(Sletel
.1
•
SIGNATURE OF AUTHORIZED AGENT. -
ORIGINAL (PINK) FORWARD TO 'WORY CREDITOR. UNLESS THERE IS NONE. THEN FORWARD TO THE PURCHASER (OPJLLER OR TRANSFEREE),
P.O. BOX 1628. SACRAMENTO. CA 95012-1828. WITHIN FIVE DAYS OF RELEASE.
-
COPT 2 (ARE) FORWARD TO T AT
(5) - s
VELLOWI DELIVER TO TH4"TER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY 2 (GOLDEN
COPY J (GOLDENROD) TO BE BETAINE WWVCACTVRER,
MCD 483.0 - Slde 1 - (7197)
RECORDING REQUESTED BY
Bidwell Title & Escrow Company
AND WHEN RECORDED MAIL TO
Name Jacob F. Jenkins
steed Barbara J. Jenkins
Addmn
272 L 7th Ave:
cw.sur• Chico, CA 95926
ZIP
OrdsrNa, 00197900-001
Illi IIl 111 l Iilf ! II I! INII II I IIIIlI
`10C&5047 1
Recorded
Official Records
CoWTy_ Of
CANDACE J. 6RUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:00AM 31—Qct-2091
SPACE ABOVE THIS
Parcel No. 036-071-007
GRANT DEED
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
I REC' FEE 13.0
f TAX 16.
l
I
1
1 Vickie
IPage Iof3
The Undersigned Grantors) Deelarc(s) Doetunentary Transfer Taxis $16.50
❑ CCity/Town
ro/ o Unincorporated
at H computed on full value of interest or property conveyed, or
Q Unincorporated Area O full value less value of Gens or encumbrances remaining at
the time of sale
i . ❑ Monument Fee of $10.00
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
George H. Jones Trustee and Jessie M. Jones TrusteeGeorge H. Jones and Jessie M:
Jones, Trustors and Trustees of the -Jones Family Trust Dated July 11, 1996
hereby GRANT(s) to
Jacob F. Jenkins and Barbara J. Jenkins, husband and wife as Joint Tenants
the following real property in the ❑ City of Bl Unincorporated Area
County of BUTTE, State of California:
SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF
Dated: October 9 2001
Georg, H. Jones Trust George H. Jone Trustor and Trustee
Z es Truste�Jssi, �JoeT rand Trustee
3
STATE OF CALIFORNIA
COUNTY OF SS:
On 112 14 before me, the undersigned,
for said County and State, personally appeared
a Notary Public in and
y
.1 C�r.,o,�. Wines .4 mss r�
(or proved to me on the basis
of satisfactory evidence) to be the person(s) whose
name(s) ,ie/are subscribed to the within instrument and
acknowledged to me that b j6om/they executed the same
1Akj 6ftheir authorized capaeity(ies), and that by
hkvj4 r/their signature(s) on the instrument the
person(s), or the entity upon behalf of .which the
person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
As" TA V PTAT,!••r hsIT TIS .
RICHARD 8. DENT
CommisWa t t 1322808
Nttory Public - Cailfomia
Humboldt County
1@MyCWMl1*M5V29,2W51
4
STATE OF CALIFORNIA
BT SSS, TRANSPORTATION AND HOUSING AGENCY
: LPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ~
DMSION OF CODES AND STANDARDS r
REGISTRATION AND TITLING PROGRAM«rro�.nr
STATEr!fEW OF FACTS
This unit is a: E Mobilehome 0 Commercial Coach Floating Home0 Truck Camper
Decal (License) No.(s) Trade Name Serial No.(s)
y /
I/We, the undersigned, hereby state:
THE ABOVE DESCRIBED MOBILE HOME HAS BEEN INSTALLED ON
AN APPROVED PERMANENT•FOUNDATION SYSTEM AND IS PRESENTLY
IN ESCROW WHICH WILL CLOSE WITHIN 45 DAYS.
1
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
I/We certify under p nasty of perju that the fore oing is true and correct.
Executed on 1 i 7 �at /L
(D te) (City) St te)
Signature CC Printed name(s)
cL Ao
r`
I' A
Address_ OLS
City CvLoI LC. t State_ (�,4 (--I
�-
HCD 476.6 (REV 9/91)
4
M
Mobilehome Manufacturer:
If other than single wide; furnish Setup Model Number: Manufacture Year:
Width:—(ft,
Length:
�(ft.) Tagalong or Expando Slzc
On all mobilehomes manufactured after October 7. 1973, furnis nufacturer's
installation manual and structural setup sheets.EQQMUQL
Wood pressure treated or foundation grade[ *Other:
Concrete block[ LrOther:
Provide Tie Down Specifications for all Mobl.lehomes:
MCLL WMEl
Pier•Footiags Sizes and Locsttion
Lta. t
Line 2 MULTI'WtDL
.........................................:............................ 1
Im.2
UAO ........................ tam Bcaav . • .
Line 1 ....................................................
•2
Line 3
•...........•...................... Mun Se+m�........................................ Line 2
............................... line 2
- _ Linc 1
................................
•...• Tas er Tn Ie
.p ..........
L
Line 1 •Piers:
Size minimum:
Spacing maximum: e
From ends -maximum
Line 2 Piers:
Size minimum:
Spacing maximum: b X o�
From ends -maximum z • •
Line 3 Roof Loads:
Size minimum
Location (from front): a o
Line 5'Roof Loads:
Size minimum:
Location (from front):
Zo'd
X
S �l s Z lZ1 l;
4
LAu#L�(•e- +0 1 oe «.f.e
pre t...-�•i
u�,,. �- ,� 'f SPP''' �,gQ p /a.�•s � f. I e
Line 1 Openings
size y
e minimum: [ A -,I • ] x
Each side of openings
with width over:
Line 4 Piers:
Size minimum:
Spacing maximum: x
From ends -maximum • ,
x3A 36$430 x30 x30 .Z
�� xS%•-350,, �,
o" 6
OVER
��j i 5ej tt130jP•Z
A0�
BUILDING DEPART�IEN�
APPROEU.
I.— owner's Name: ;1�.v.... G_ .
2. Assessor's Parcel Number: --2,
3. Installer's Name• j
4. Is the site currently under permit? yes( ] No( ]Permit No.
S. Is the site an existing site? Yes, ] No[ ] (Ifyes, furnish two plot plans).
6. What is the electrical rating of the mobUthoine? '•Ya 6 . Amperes.
7. What is the mobilehome site circuit breaker rating? /0 o Ainpeces:
S. What is the electrical rating of the mobilehome site? / e7 a
Amperes, f
9. Is the main service remote from the mobilehome site? Yes
the rating? � —C o Amperes. [ ] N0[ ] If'it is, what is
10. Is,there any other electric load to be served by the mobilehome site .electrics ,
(i.e. well, garage etc.)? Yes ervice
] ] No, ] if yes, please identify the load and size:
a) The mobile home site:
Load -
Amperes -
b) The main service:
Load- '
Amperes -
11. Type of gas service at mobilehome site: Natural r
( ] Propanel� Nnn'r 1
12. Sizeof as pipe at the mobilehome site fro
t6ok,:.�inches. m the meter or
13. What is the gas pipe length from the meter or tank to the mobilehome? '.o g,
14.
What is the mobilehome gas demand?
'(This information is not required if the pipe lengths� less than 6 feet on natural
less than 50 feet on propane), gas or
May 1995
tO•d
i
PROCESS THIS PER11Q']' AppLICATinx
8.S
H/ T'
1
7&l
APPROVED
Butte County
Mn ental Health
Z S;dZ
/ )A _
APPROVED
Butte County
cnvironmentai Health
Q Date
Signature
BUILDING DEPARTMENT
--
43/10dddV
ni
o -v
4(o'
13
l
I
100 � F
H O
A FA I...
M E Si
7
Fol
A.
1 ol1-d-
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I _� 15�5' 10APPROVED
r
PFS Corporation
•
cl :S. Madison - 4
C41 (9 T >11i21101
3HUD-Manufactured
(D
CAD 4 w 11 n 0 Home
KlrLWEW
I . - -d
BOW 1 1.9-J.1 *.Q. 1� hod &
i Ii fity Standard
oa. 12 aoct
"c
120- MAX.
LOADS WZI
in
3700 32
WALL 3
A I
4k, P7100 2 7
a
7WO 3.41
4A c
a
6100 A
Its 7
3.5' 6
Orr
crrLi- A
7200 5 013 6
BE.0 x0orl UVILIC7 $ZOOM 32
—2-
7 it •
P064 1 4" :MAX
Ica13 vl LOADS cl me Pon WZ1
A 32
2o'-Os IG-:tea37W a —
2A Z_r
7100
• 70M 3
A
all" 4 Crr
q rro floor PLIM MV be ha In an cx= 16�r
L+ nW S A tr4r
Io mks
A
WN
4SCO a a r4r 32
TA4 - I-'
WjNQOWj0OOR SCHEDULE
LEGEND: 0012 MAN DOT"Mil" 8---& WOO
and sm =30—TX* GLAZ "R., .0. 0 SU aAcr CIA Sftc.& Surfty Am GauMG FL SHT 1
qq� OF 1
toy"
AM J&P-L' RE�V
4c"
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(ID n4gMAOSTAT PROLMSTWIP
5z SHCAP.ALL S&C45 I-
ev".'ST L CM t.,
smcgs wp-alvy -c%T _ _
Wc. = —SAF-Z-rT
11130l uz- FADING DEPARTINMEW
2�w APPROVED-.,.