Loading...
HomeMy WebLinkAbout078-270-038m R u5c 036W3-903 PERMIT#98-2895 ROE, Ester 2440 V-6 Rd., Oroville Cont: CAA orim9 L 24- 97 Replace Htr/SF B07-1796 078-270-038 MISCELLANEOUS Re -Roof REROOF24SQ 2440 V-6 RD ROE 1 A & ESTER LEE. 078-�-�o-o3X �38 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.net\dds g�5 PR®JECTINFO k TION •'-`:s; ..a .:+' .. .MN _ ,t .. tr. t `�,..d�.,.T y th�....,. .a,r<., 1 , «..�,y=Saw srt. z.. x� a .a, '� -� •*4'� r.�,F�S,;: � .c:?�a,' ?i ,. ..`��',s , . it Site Address: 2440 V-6 RD - Owner: � � Perm NO: B07-1796 APN: 078-270=038 ROE J A & ESTER' LEE, 2440 V6 RD Perinit type: MISCELLANEOUS Issued Date: 8/22/2007 By MAK SuhtyPe: Re -Roof OROVILLE, CA 95966 Expiration Date: 8/21/2008 J Description: REROOF 24 SQ Occupancy: Zoning: AR 'I Contractor Applicant: Square Footage: �i GEORGE ROOFING GEORGE ROOFING Building Garage : Remdl/Addn 6810 LINCOLN BLVD 6810 LINCOLN BLVD OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 533-6393 (530) 533-6393 r� FEEINFORIVIAT OWN ' ` &.115 ..L. „r.. DBMSC Re -Roofing $144.50 } �I i Total.Charged:. $144.50 Fees Paid: $144.50 �4 Balance Due $0.00 Receipt No.. B4340 --,0NTRACD`ECLARATION�'� r s" g .� ER'°/ BUILDER DECLARATION „<. , ,., ' l Contractor (Name) State Contractors License No. / Class /Expires I HEREBY AFFIRM UNDER PENALTY OF. PERJURY that I am exempt from the Contractor's License i GEORGE ROOFING `452266 / C39 B C43 / 2/28/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that tt- requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, ( I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full r e and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the y f basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 1� ^ 8/22/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; t.07 aj Contractor's Signa re Date Please check one of the following: /1 n I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE r WORKERSC�OMPENS�ATIONDEC�RA�TION� COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR " t OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his ocher own employees, provided that such improvements ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one c` WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or t performance of the work for which this permit is issued. improve for the purpose of sale.). ❑AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, s required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED coon 3700 of the Labor Code, for the performance of the work for which this CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: permit is issued. The Conlractofs'License Law dows not apply town owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: State Fund Policy Number: 272-0000596 Exp. D,10/11/2008(This section need not be completed if the permit is or one hun re ollars ($100) or ass: I AM EXEMPT under Section B. BP.C. for this reason: yt ❑ I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS '[4 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" X 8/22/2007 } compensation provisions of Section 3700 of the Labor Code, i shall forthwith comply with those provisions. Owners Signature Date X t 8/22/2007? tiv t 1*1- e;11 4_11777 7 ...f% ,77777-7777,7337a. ,'77777777az I hereby certify that I have read this application and state that the above information is correct. I agree ' SignatureDate to comply with all City and County ordinances, rules, regulations, and State laws relating to building WARNING: FAILURE TO SE CUR ORKERS' OMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal ,j AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, includingdeath, and property damage caused b arising out of, or in an wa .; HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, I is P Y 9 9 Y Y connected with the issuance of this permit. hereby acknowledge that issuance of this permit does not authorize the t DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEYS FEES County to enter the. above mentioned property for inspection purposes. I hereby certify that I am the CO.INS,TRUCT�ON;LENDIN'GA�7ENC Pro yo erefamthorizedtoact onth propertyownefsbehalL 8/22/2007 V l HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for - NarnLs of Permittee [SV4]-.) P nt Date 6> the performance of the work,for which this permit is issued. (3097 civ, code) , Owner Contractor �A Agent for Owner /14 El OR: 9 Agent for Contractor t:� Lender's Address City State Zip FILE COPY ' l; BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT IGNATURE X For office use only: OWNER Name BARBARA WILSON Address 4507 SAN SEBASTIAN CIRCLE City ORLANDO State FL Zlp 32808 Phone 407-291-2313 Fax E-mail Lic.#Class APPLICANT IGNATURE X For office use only: CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.#Class dan@abcgc.com 452266 C39 APPLICANT IGNATURE X For office use only: ARCHITECT/ENGINEER Name N/A Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT IGNATURE X For office use only: APPLICANT NAME Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip 95966 Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT IGNATURE X For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. NO. f�07q _ BP I-7 BIN # LOCATION AP# Property Address 2440 V6 RD. OROVILLE, CA. 95966 Cross Street WORKER'S COMPENSATION Policy Number 272-596 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work Reroof - House - Com Sq. Footage 24 sq. ❑ Structure Built Without Permits ❑ 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 required. 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 by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total REV: George Roofing vyo U- I lb I ICON AUG, 2 2 2W DEVELOPMWT SERVICES lir . . � � r ':R:l�a.'C.DYTT';C'} � ._.R+ r"T .s(S. � yY`r,T� vtyt;���•{9�.' �Yr�QMJ'-'w��`_�S _ ' M ' N r2'Ja�Q••L /T,:��'%Ye�d�i J!L� ..� {b`�.�1C r�.fi'�=Ai a��-�C�'r rC%T.L�iL 036-073-003 PERMIT#98-2895 14 ROE, Ester 2440 V-6 Rd., Oroville Cont: CAA Replace Htr/SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISdON/• 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541`�; .�r�tnniT No. (Rev. 12/96) APPLICATION AND PERMIT t� `� ASSESSOR PARCEL NUMBER ZONING BUILD( G PERMIT OWNER nor:,, rSTRR TELEPHONE 534-819? SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2440 V_6 F.OAD, nROVTLT,r. CA CONTRACTORS NAMETELEPHONE fT t rm Aran A a OF i' nw. (n ITY 535--755rq CONTRACTORS MAILING ADDM55 TIFL ORO AvrNTT., ORmnu, C10 `'� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. 617201 Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7440 V-6 ROM). 0ROVTLLr Energy Plan Checking Fee $ t PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE � SF ❑I Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FEPT.ACF UVATFR Gas piping syste!2 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 t PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V 0 R LESS Main Service 20 AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu rce and effect. / License Class ll o Lic. No. f, / 2a C) / OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 Main Service z TO 46.00 Eo NEW CONST. DWELLING OCS. SO Or-0000AUP. OR 8 ACC. 3.5¢FT. CNS. OUTLET ,pµRSSID T.MU LTI-OUTLET @7.50 POWELER APUS 8 SINGOUTPARATLET CIS. 20 @ ISo (, CCU ounFroRFaTUREs �OX. Ex. Occu OUMUTLEE0T5 2.16.GERw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 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. I 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 / e. ? Al tr .iso%,fit = MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation 35.00 PERMIT FEE $ Policy Number — ) ..Ys/! (The above sections sed not be complefecrif the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that HJ should become subject to the workers',c tnpensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 6/ -r / % Date' —Z ;ZJ2 _ Signature of Applicant - ❑ Owner ❑ Contractor LtAgent An OSHA permit is required for excavations over 60" deep and demolition or construction . of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 35.00❑ TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Q By Date PERMIT EXPIRES ON Z 1-7 7 Data Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 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 questions pertaining to this matter, or need additional explanation, please contact this ce immediately. �77)zt�',,OPjxi v� 1 6d cCAfSS Sc�� Date Ing REV 10/92 L • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive • Oroville, Gaiiforn4a 95965 • Telephone (530) 538-7541• (Rev. 12/96) APPLICATION AND PERMITOTT ASSESSOR PARCEL NUMBER i_ ZONING BUI G PERMIT OWNERTELEPHONE ROE, ESTER 534--4192 SO. FT. OCC. BUILDING VALUATION T� - OWNER'S MAILING ADDRESS 2440 V--6 ROAD , OROVI.LLR , CA. CONTRACTOR'S NAMEI �' llj-`1 ('IIET:1-'.I AMO\T t^G,.U, T T5= OOT.. TELEPHONE �' 538-7559 CONTRACTORS MAILING ADOR 55 DEL ORO AVEHTTE, OROVILL F, CA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. 617201 Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2440 V--6 ROAD, OROVILLr Ener Plan Checking Fee Energy g $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE WEATER Gas piping syste!n 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VMain Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in yribirce and effect.// > n License Class Lic. No. (l / /� D / 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' om sa 'on i ,Si�ranc Carrie end policy number are: Carrier Policy Number — (The above sections need not be comple a if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' pensation p ions of section 3700 of the Labor Code, I shall forthw' omply NA th rovisions. XDatec/,_)�_ Signa ure Applicant ❑ wner ❑ Contractor XAgent An OSHA permit is required for excavations over 5'0" deep and demolition or construction T of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWEWNG OCCUP. O OR ADDNS. ( 8 ACC. 'Fr. NEW gESID BRANCH CIRCUITS97.50 POWER APPARATUS & SINGLE OUTLET CIR. 20 10 X. CCU TL EOOUTLET OR FDCTURES B @ 0 FU(EPPLNS. OR 5.00 EX. Occup.ovrLErsD ARESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ ' UU Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 :.AnD. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for hich fees have B Y PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Q Date ���!' ?'[ G �-r%7 "7 pgNQ Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF'DE-ELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT momm BUILDING PERMIT SO. FT. I OCC. BUILDING VALUATION oorSTRucran u'oeR — - �y,�� PERMIT FEE _ MECHANICAL PERMIT Fling Fee 1 20.00 Heatina <'O _d2x I I / r 6.50 PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ E CONST' TYPE TOTAL FEES, �1 nA1. D. fEE9 IMP p=0 Cef PMitCEl PO I0 6SUE This permit is hereby Issued under the applicable provisions ' of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date �--- ReceiptNo. PERMIT EXPIRES ON Fireplace Total Valuation S ARe++rtEeTCREHmnEaN ENO�J �/ Filing Fee $ 20.00 ARaffZeT OR ENMOas MALM AO Permit Fee S Plan Checking Fee S OU ADOR85a Energy Plan Checking Fee i oe� 16 PERMIT FEE _ X110 tU°°N°""� PAAcn W° PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SIX Duplex O Mobilehome O Other Water piping 15.00 �esv Each gas water heater or vent 15.00 TYPE OF WORK Gas in 1 -5 outlets 15.00 (/ New a Addition O al a LUdw O O Other I ' Building sewer 15.00 / Mobile Home I S I G I W @20.00 Describe Work: PERMIT FEE S ELECTRICAL PERMIT FIM • Fee 20.00 Main Service ao=ooRR= 23.00 Main Service 2ooA To Noom 46.00 NEW CONST. OWELLM oceuv OR ADONS. t ACC. SDB. 3.SCSo. NONNRESM MWNCI CL 07.50 POWER APPARATUS 9 OUnET GR. i Ex. Occup. oUnbT OR mmam BAL P N.SO Ex. Occu ovraEsm.APPUNQ�Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 1 20.00 Heatina <'O _d2x I I / r 6.50 PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ E CONST' TYPE TOTAL FEES, �1 nA1. D. fEE9 IMP p=0 Cef PMitCEl PO I0 6SUE This permit is hereby Issued under the applicable provisions ' of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date �--- ReceiptNo. PERMIT EXPIRES ON BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!!! DO NOT COPYFOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address Phone Number: The above information is not available to the public!!!!!!! (2) KAFORMS\Complaint Form revl.doc NPL - REVS/94 RECORDING REQUESTED BY AND RETURN TO: PAC/F/CCA5ANDELECTRIC COMPANY LandDeparlinent 450 Rio LindoAvenue Chico, Cal/fomia 95926 Location: City/Uninc Recording Fee Document Transfer Tax $ [X] This is.a conveyance where the consideration and value is less than $100.00 ] Computed on Hill Value of Property Conveyed, or [ ] Computed on `dill Value Less Liens & Encumbrances Remaining at Time of Sale. Signature of declarant or agent determining tax C U P Y of Document Recorded - 02 -Oct -2002 2002-0051647 Has not been compared with original BUTTE COUNTY RECORDER (SPACE ABOVE FOR RECORDER'S USE ONLY) JIM DAVIDSON and GLORIA DAVIDSON, husband and wife, hereinafter called first party, hereby grants to PACIFIC GAS AND ELECTRIC COMPANY, a California corporation, hereinafter called second parry, the right from time to time to construct, reconstruct, install, inspect, maintain, replace, remove, and use facilities of the type hereinafter specified, together with a right of way therefor, within a strip or parcel of land or along a route as hereinafter set forth, and also ingress thereto and egress therefrom, over and across the lands of the first parry, situate in the County of Butte, State of California, described as follows: (APN 036-073-036) The parcel of land described in the deed from Joe T. Yates to Jim Davidson and Gloria Davidson, husband and wife, dated November 10, 1989 and recorded as Recorders Serial Number 89-47528, Butte County Records. Said facilities shall consist of: Such underground conduits, pipes, manholes, service boxes, wires, cables, and electric conductors; aboveground marker posts, risers, and service pedestals; underground and aboveground switches, fuses, terminals, and transformers with associated concrete pads; and fixtures and appurtenances necessary to any and all thereof (underground easement), as second party deems necessary for the distribution of electrical energy and communication purposes; and one or more underground pipes with suitable service pipes and connections, as second party deems necessary for the conveyance of gas (gas easement); located within: P.G. & E. CO COPY Y.1 A strip of land of the uniform width of 5 feet, lying contiguous to and westerly of the easterly boundary line of said Parcel, and extending from the northerly boundary line of said Parcel (also being the southerly boundary line 'of V-6 Road), southerly 60 feet (measured along said easterly boundary line). The location of which is delineated by the heavy dashed lines shown upon second party's map EXHIBIT °A", attached hereto and made a part hereof. Second party shall have the right to trim, cut down, and clear away or otherwise control any trees or brush on said strip of land, as hereinbefore set forth, whenever considered necessary for the complete enjoyment of the rights hereby granted. First party further grants to and confirms in second party all necessary rights for second party's existing poles, wires, and other appurtenances located on said lands. First party shall not erect or construct any building or other structure or drill or operate any well under or within said strip of land. First party acknowledges that they have read the attached Grant of Easement Disclosure Statement (Exhibit `B"), which by this reference is made a part of this Grant 'of Easement Deed. The legal description herein, or the map attached hereto, defining the location of this utility distribution easement, was prepared by Pacific Gas and Electric Company pursuant to Section 8730(c) of the Business and Professions Code. The provisions hereof shall inure to the benefit of and bind the successors and assigns of the respective parties hereto. Dated ' North Valley Division Chico Office PM 30225590 m Davidson .r Plat No. 1909 F-6 Dwg No. A 19-4-21 T19N, R4E, MDB&M SEC. 21:•NE1/4 OF SWI/4 File No. 2002-35-30225590a.ugGE.doc, Gloria Davidson i n 62.4202 Notary (Genera[) Rev.8/91 STATE OF 0A. n � a COUNTY OF �� SS. O Z before me, the undersigned, a Notary Public for said Stare, personally appeared _ J "r.") rfiV d SJn Cn d [ j personally known to me -OR. [ -Proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)Xare subscribed to the within Instrument and acknowledged to me that bdshr/they executed the same In [t VIjP f their authorized capacity(les), and that by bktherttheir signarure(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. SHAWN I. NEISON WITNESS my hand and official seal Comm. 111363163 'A NNOTARY PUBLIC•CAIIFORMA T►J Yuba County I Q n n 9MY Comm. Expires lune 30.2006 "s Signature 62-4202 Notary (Generao Rev.8/91 STATE OF COUNTY OF On appeared T SS. before me, the undersigned, a Notary Public for said State, personally CAPACITY CLAIMED BY SIGNER ndvidual(s) Signing For Onesell/Themselves [) Corporate Officer(s) o(the Above Named Corporation(s) [ j Guardian of the Above Named Individual(s) ( ] Partner(s) of the Above Named Partnership(s) [ j Attomey(s)-in-Fact of the Above Named Principal(s) [ j Trustee(s) of the Above Named Trust(s) ( ]Other CAPACITY CLAEMED BY SIGNER [ j Individuals) Signing For Oneself/Themselves [ ] Corporate Offioer(s) of the Above Named Corporation(s) [ j Guardian of the Above Named Individuals) I ) personally Known to me -OR- [ 1 proved to me on the basis of satisfactory evidence to be the person(s) whose [) Panner(s) of the Above Named Partnership(s) 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 signatures) on the instrument the person(s), I j /utomey(s)-in-Fact of the Above Named Principal(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal Signature ( J Trustee(s) of the Above Named Trust(s) [ ] Other 62-338 Rev. 5/85 Right of Way Map APN 036-073-036 APN 036-073-005 JIM DAVIDSON JIM DAVIDSON and and GLORIA DAVIDSON, � GLORIA DEAN DAVIDSON, husband and wife husband and wife 1989-47528 \ 2530—OR-633 V-6 ROAD 0 APN 036-073-003 APN 036-073-004 LOCATION OF 5 FT. STRIP APN 036-073-035 APN 036-073-024 1909 F-6 SEC. 21: NE1/4 OF SW1/4' EXHIBIT -A.. Cl Y,RANCH0,SU8DIVISI0N,ETC. 0 ROVI LLE EXT. TO: DAVIDSON NdNE108-29-02 SECTION TOWNSHIP I RANGE I MERIDIAN 21 19N 4E MDB&M JVLLJ.J�U IPG &E I N. VALLEY I I A 19-4-21 I„ k REFERENCES _2002-56-30225590,-iinGF rine �KAL�^.l .�R,,�,o�� ,,.,.,...�,. — Pacific Gas and Electric Company EXHIBIT -B GRANT OF EASEMENT DISCLOSURE STATEMENT This Disclosure Statement will assist you in understanding your rights as a property owner when granting an easement to Pacific Gas and Electric Company (PG&E) to accommodate your, or your neighbor's, new utility service extension. Please read this disclosure carefully before signing the Grant of Easement. 0 You are under no obligation or threat of condemnation by PG&E to grant this easement. • The granting of this easement is an accommodation to PG&E's applicant requesting the extension of PG&E utility facilities to the applicant's property or project, pursuant to the Line Extension Rules 15 and 16, as authorized by the California Public Utilities Commission. As this is an accommodation to a single customer or group of customers and not PG&E, the California Public Utilities Commission has not authorized PG&E to purchase such easements. • By granting this easement to PG&E, the facilities installed within the easement across your property may be used to serve additional customers in the area. • Removal and/or pruning of trees or other vegetation on your property may be necessary for the installation of PG&E facilities. You have the option of having PG&E's contractors perform this work on your property, or having the applicant or the applicant's contractor perform this work. Additionally, in order to comply with California fire laws and safety orders, PG&E or its contractors will periodically perform vegetation maintenance activities on your property as provided for in this grant of easement. • The description of the location in which the PG&E utility facilities are to be installed upon, in, on, or across your property must be satisfactory to you. • The California Public Utilities Commission has authorized that the installation of certain utility facilities for utility service may be performed by the applicant. In addition to granting this easement to PG&E, you will need to give your consent to the applicant, or applicant's contractor, working on your property. Upon completion of the applicant's installation, the utility facilities will be inspected by PG&E. When the facility installation is determined to be acceptable the facilities will be conveyed to PG&E. By signing the Grant of Easement, you are acknowledging that you have read this disclosure and understand that you are granting the easement to PG&E of your own free will. Please return the signed and notarized Grant of Easement and this Disclosure Statement to PG&E. The duplicate copy of the Grant of Easement and this Disclosure Statement is for your records.