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HomeMy WebLinkAbout078-280-061III D 01.205 A 11=, SAUDA I .. Z`b�PERD ILL �! CONT: ES �J NEW MNEW SITE 079"- 0 - 06l NOTES RESIDENTIAL 036-022-024 01-2053 + AARIF, SAUDA 200 C1 We OROVILLE CONT: D.& -D HOMES NEW MH PERM FND NEW SITE THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE r FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: s (1) :LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE) ,t (2) STATEMENT OF FACTS (ONLY ON ) NEW MH'S.) INSPECTOR TO VERIFY SERIAL & LABEL #'S. II SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY V = OK 0 = Not OK = Not Applicable • = Not Ready MOBILE HOMES 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. / P Nat. or / /"L"tt./ PLPG 7. Well Clearance 8 Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 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 -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beartis-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 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 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (%E Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Sfeel- Blockouts- Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -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 Card B-1 Date Card B-1 Date 63. 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 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B -t Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. 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 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 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 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. 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 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -t Date FRAMING (Permit) OK except #'s Comments at Final: 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 jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-RoH Brac.-Truss-Shting.-Rfng. 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 B-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 -Mach. 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 Q Yes 82. Following Insild./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: Y • ..•.,000NTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 4_1 / - �__ -`_*� As�SESSORPAN�C!0 1BER use-uz�-v:t�+ ZONING _ BUILDING PERMIT OWNERIF, SAUDA AAR TEHONEHONE 534 SO. FT. OCC. BUILDING VALUATION . OWNERS AILING ADDRESS :3U;S.3 GRF,.EMUZ ST. OROVIU E, CA 95966 1492 R 80.586.W CONrRACTOR'S NAME D & D �s TELEPHONE 532-3301 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S AILING ADDRESS Total Valuation $ 80.586.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 5554.00 t 2 $ 27700(: ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.(k BUILDING ADDRESS 2409 V-6 RD OROVIi3..E 95966 Energy Plan Checking Fee $ $ CORNER OF V6 & VC PERMIT FEE $ .320.M LOT NO. _P� LOT No. SUBDIM IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ITi Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK v New O- Addition ❑ Remodel O U61ibes ❑ Installation O Other ❑ Describe Work: NM MH PERM M NEW SITE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo*A OR LESS 23.00 13.00 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 full force and effect. License Class t r r - Lic. No. 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 ,. .: , , Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. iA. r 6 J( X ,.."� .. �.�f ___ _ Date C S griatuee of Applicant' - ❑ Owner O Contractor ❑ Agent' An OSHA permit is required for excavations over 60" deep and demolition or constructions of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWEWNG OCCUP. SO OR ADDNS. (---& ACC. BWS. 3.50FT. CONST' MULTI.OUTLET 97.50 Np POWER APPARATUS a SINGLE ourLE7 aR. .00 EX. Occup. ovn Er OR Form; Es BAL O 1.S0 Ex. Occup..OUTLEDTSR� .O� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 428.00 FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE L/ This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been A i� Date By PERMIT EXPIRES ON 9- -ZOUl provisions to do work paid. L1-�l-2Gt}1 to Receipt No. 331848/428.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ADDRESS CITY &ST DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES t✓ IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE ;ATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner cancelled project, got one refund but need refund for Sherrif fees. (AP # 036-022-024, BP # 01-2053, Receipt # 332109, Dated: 9-6-01, Owner: Aarif, Sauda.) TOTAL AMOUNT PAID 360. 00 TOTAL AMOUNT TO BE RETAINED 0 TOTAL AMOUNT TO BE REFUNDED 360. 0 TOTAL hei undersigned, declare under penalty of perjury that the services or articles claimed havebeen p ormed or deli d, and that this claim is true J correct as stated. Z �. ted this ZZr day of , c� at (5�c5� Calif. i I-- S464ao of Claimant the undersigned, hereby certify that to the best of my knowledge, the services or articl s scified alYove he on rformed or da8vered and it there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for th $a i;ed this 25th day of April")t�02, at OROVIUE , Calif. DepanfIbent Head or Authorized Deputy -pt. Code 1800Exp. Code 1011811 for $360.00 PAYABLE FROM /Sheriff Development Fee FUND ept. Code Exp. Code PAYABLE FROM FUN _pt Code Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE • AUDITOR'S USE ONLY DEPT. & SUB. I PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. FOR BUILDING DIVISION USE.- Receipt SE.Receipt Information:` •'3�1G q ' .Number: 9 -. Date w - O / �. Issued To: �� �liJnnr'l A•�Ail, �°�'��C1 Amount: 3 6�1d • o0 . Fees Retained: • t Processing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: $ Jam` I� Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: , $ Q,v Plan Check Fee: $ Inspection Fee: $ SRA Fee: $ Total Amount Retained $ TOTAL REFUND DUE $ --6AIMANT'S NAME AILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) ,/Bequest a refund of fees REFUND CLAIM APPLICATION I-) �;;�Y In 13 a�d on the above receipt number(s) for the following reasons: G1 r.- -.,A e A � /s -1— e,)-#,%, 0 TZ-� �-K ✓L c ase refund any applicable fees in the following categories: (Check those: categories which you wish to have refunded.) y ( ) Building Permit Fees ( Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees .. ., f \v j�isposition of Plans: f'` ( Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plan DATE Y 22 �' PLEASE DATE AND SIGN THE ATTACHED CO r SITE PLAN REVIEW APPLICATION Date: - 5 ' O ( AP# Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: C +� Owners Name: SO U L__DPr A a 2I e Owners Address: _3233 G2CCI0V 1 L LL_ S—►' , 02D1/1 LL:� CA 1� 501(0 Telephone No.: 53 L) — ) 08 1 Situs Address: P_,0)Z U- % ' �. S -T )S _ 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 ❑ Single Family Remodel ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By Date Page 1 of 5 Al 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 a� a hed) • Flood Zone: • Flood Panel No.: 0,16Sb Index Date: O ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A — R Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side S Side Street so C Rear Height �— Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 i f' Applicable Development Fees: Standard Fees Amount Formula ❑ 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 . a Deeds: Date of Creation: '7 -) 2- 1� S Legal Access Provided: ❑ No Yes Deed of Reference: 00 ZOt 9 9 Legal Access Required ❑ No Yes Parcel Frontage on Publicly Maintained Road: ❑ No IN Yes, Road Name: V4 e Complies with County Standards for Deed Creation: ❑ No A Yes Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road.to: - ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: ❑ 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 other qualified professional and be submitted to and approved by the Department of Public 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. ❑ 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. Page 4 of 5 i Summary of Specific Requirements: ON This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 AND WHEN RECORDED NIAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 iOPY of Document Recorded 06 -Sep -2001- 2001-0040832 Has not been compared evith original. BUTTE 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 The property described herein is adjacent to land or included within an area zoned for cultural permit. ents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,pn luding, but rnot dlimited to herbicides, pesticides, and fertili7rm; and from the pursuit of agricultural operations including, but not limited to culti%anon, Plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Buttc Countyhas established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ' Ditto: y- (" - C) I PROPERTY OWNERS: State of California ) County of t -f 0, ) On before me, 1AV11 NI 51�A L C personally appeared A -m Q,A-personally knoN•n 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(ics), and that by his/her/their signature(:) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS m)0and and okial seal. / _uw. A_A_ Signature ,..r. 3 02�} CYNTHIA A. COSTA COMM. # 1279287 NOTARY PUBLIC -CALIFORNIA COUNTY OF BUTTE Comm. Expires Oct. 30, 2004 ORDER NO.: 00197739-001 - CAC SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTYSITUATE IN THE COUNTY OF OF CALIFORNIA, DESCRIBED ABS FOLLOWS; UTTE, STATE THE SOUTH 60 TWEET, MEASURED FROM THE NORTH LINE OF V-6 . BLOCK 22, AS SHOWN ON THAT CERx'A IN u' ROAD, :OF LOT 8, •BU'T'TE COUNTY, CALION TR,A MAP ENTITLED, MAP OF VILLA VERONA., AY WAS THE RECORDER OF THE COUN OF BUTTE, STATE RECORDED IN Ty --JE OFFICE OF 1889, AS WALL, MAP TZ. - .. IFORNIA.,JANUA.RY 17, AP NO. 036-022-024 COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT:_ FLEETWOOD RETAIL ADDRESS: 2243 FEATER RIVER BLVD. CITY & STATE: OROVILL.E, CA 95965 DATE OF CLAIM: 11-30-01 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICEs IMPORTANT.• SEE INSTRUCTIONS nki onienee t%. DATE - DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) �•• •.�.4-nvc awG AMOUNT OWNER DECIDED NOT TO BUILD: AP# 036-022-024, BP# 01-2053, RECEIPT -#-331843 OWNER: SAUDA AARIF DATED: 8- -01 . RETAIN REFUND PROCESSING FEE: 428. 25. 0 0 AIN BUILDING PERMIT FILING FEE: 20. 0 RETAIN PLUMBING PERMIT FTUNG FFF- 20.00 RETAIN ELECTRICAL PERMIT FILING FEE: 20.00 RETAIN PLAN CHECKING FEE: 23.00 IOTAL AMOUNT TO BE RETAINED:_ 108.00 AL AMOUNT TO BE REFUNDED: TOTAL 320.00. -he undersigned, declare under penalty of perjury that the services or articles claimed have been p ormed or delivered, and that this claim is true d correct as stated. )ted this IQ( day of � � . 4:8_, at ra,5 Calif. ,�qlodwre of Claimant the undersigned, hereby certify that, to the best of my knowledge, the services or antic specified abov a be n performed or deRvsred and at there is a Budget Appropriation ( I or Specific Board Approval ( ) (Check one) for e ited this 30 day of NOV .; 0_1 at OROVILLE Calif. D artment Head or Authorized Deputy ept. Code 440-002 Exp. Code 4210500 PAYABLE F OM BUILDING ept. Code Exp. Code PAYABLE FROM ept Code Exp. Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE • AUDITOR'S USE ONLY PERMT_T FUND FUND RJ DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMS. GROSS AMT. 11 f FOR BUILDING DIVISION USE. Receipt Information: I .Number:' Date: a ° 0. I Issued To: Amount: Fees Retained: /Processin,g Fee: /Bldg Filing Fee: " Plbg'Filing Fee: ✓ Elec Filing Fee: Mech Filing Fee: /Energy P/C Fee: ✓ Plan Check Fee: Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND DUE If I C- -O 3. _ f . O 0 f 1 REFUND CLAIM APPLICATION .CLAIMANT'S NAME -e-4' cs� &a�t f MAILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) Request a refund of fees paid on he above receipt numbers) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) Building Permit Fees ( Sheriff Fees IDisposition SRA Fees (CDF Fire Planning) ( ) Urban Area Fees of Plans: ( ) Plans returned to me at counter \) Please mail plans to me at above address. lease dispose of plans. , SIGNATURE DATE 12— //C> PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovillb, California 95965 • Telephone (530) 538-75 1 R I NO. (Rev. 12/96) APPLICATION AND PERMIT VEt�SOVLL �VL� ZONING BUILDING PERMIT OWNER AARIF, SAUDA TELEPHONE 534-1081 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3033 GREENVILLE ST. OROVILLE CA 95966 1492 R 80 586.00 CONTRACTOR'S NAME D & D HODS TELEPHONE 532-3301 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 80 586.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee 554.00 - 2 $ 277000 MA ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 RUIL.DINGADDRESS 2409 V-6 RD OROVILLE 9 Energy Plan Checking Fee $ $ CORNER OF V6 & VC PERMIT FEE $ -320.00 LOT NO. SU(iDIVISIONS NAME PARCEL MAP PLUMBING PERMIT 20.00 USEOFSTRUCTURE ❑ Duplex ❑ Mobilehome CX Other sPECIFv Each Trap Solar or heat um water heaterSF Water piping 15,00 Each as water heater or ventTYPE OF WORK New CY Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: NEW MH PERM FND NEW SITE Gas i in stem 1 - 5 outlets15.00 Buildin sewer 15,00 Mobile Home S G W PERMIT FEE t 65.0 ELECTRICAL PERMIT Filing Fee 20.00 EOOV LESS Main Service 200AORORLESS 23.00 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 ' fLjkr!7 and effect. License Class Lic. No. 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUP. SO OR ADDNS. ( a ACC. S.3.5¢FT. NONRESIDMULTI.OUTLiT 97,50 aSOINWG�LE oLPITL�ETT IC A. Ex. Occup. oLmET OR FIXTURESMIL(9 1.00 Ex. Occup..0TFIX�°PRES D.D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION I 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 work rs' ompen sation insurance carrier and policy number are: Carrier ca L�`�F�L� Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' com sation laws of California, and agree that if I should become subject to the wor er ' compensation provisions of section 3700 o/the bor Code, I shallfo wit co h those provisions. X Dateb 6 ign re of Applicant - ❑ Owner ❑ Contractor ❑ Age An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 428.00 HAZ, D ES I FLOOo CDF p ELN VW . Zs 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. a ByT4SIVOP.Date 9-672001 PERMIT EXPIRES ON 6-2002 pale Receipt No. 331848/428.00 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 . tRev.12/96) PERMIT N0. APPLICATIONANDPERMIT /��O5 � Aa alSSOR PARCIi NULeeL noNiNo OWNER 'Z-� BUILDING PERMIT --�3ao HaT Ne Sp FT OCC. BUILDING VALUATION OWNp17 Gree CONTRACTOR's TlLEIIgN! 114 I L� _ PS e �cu0ad 3x-3301 CON TRACTOR, WAILING ADORlee CONSTRUCTION LENDER LENDER'S WAR11G ADDRESS ARCHITECT opt ENWim uctme NO. ARCWrECT OR &MWEERS MAUNA ADOM33 t l f�, LOT NO. "ME OF STRUCTURE SF ❑ Duplex O Mobilehome O Other SPIR:LW TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ( O Installation O Other O Describe Work: 1'11°..1 c1�t� *PERMIT FEE- PAID SRA . SHERIFF OTHER AMOUNT RECEIVED $—ad c o *RECEIPT NUMBER I �f,d * TO k PVT INTO COMPUTER 17 �C6 2 /c Total Valuation IS Flin 3 Fee S Permit Fee ®� E Plan Checkin Fee S Energy Plan Checking Fee t t PERMIT FEE t PLUMBING PERMIT Each Tra., Solar or heat Pump water heater Water Diping Each gas water heater or vent Gas piping system 1 - 5 outlets Buildin hewer Mobile Home S G I W PERMIT FEE S AIT - Main Service 0001 DR L' 2'00AoR tE98 Main Service 200A TO 1000A NEW CONS DWELLING OCCUP. OR ADOMS. A AOC. TROs. VIEW C OM T NOKRE9IO. ' MULTI.OUnET POWER APPARATLA a 9 OUTLET COR i Ex. Occup. ovnzr OR WFLOM 1 Ex. Occu fD I AP°uB• OR I . OVRFT9 ESID. EA 1 Temporary Service Mobile Home Facilities Misc. Wirinn 7.00 23.00 1S.00 15.00 1S.00 15.00 (920.00 23.00 49.00 3.50FT. @7.50 23.00 20.00 23.00 20.00 20.00 rc6j 20.00 2 CA" PERMIT FEE S MECHANICAL PERMIT Fling Feel-- ee 20.00 Heating 9.50 Mobile Home Installation Fee Is IJ Energy Inspection Fee S i oro TO AL FEE $Loo Gd MAL 10. E!® 4LROoo I COP °No I -to 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 PERMIT EXPIRES ON sem.— :r�hr _ .�:L_ �-_,. _ e _ �.•"_! - a _ L d._... .if -- ;�r•.�: _ __ _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO'VILLE, CALIFORNIA 95965 -TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: / ASSESSOR PARCEL 3 R:' IQ" ( 22 Proposed Building Use: b► . Building Inspector: Date: T JI At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: -------------------------- Date Received By El1. All items have been submitted.-------------------------------------------------------- '.l. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------------------- =----------------------------- tk ffl. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------- ---------------------------- 114. Engineered plans, 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! ------------------ 0 6. Energy Design Compliance and supporting documentation. ----------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- El 8. Hazardous Material Form. ------------------------------------------------------------------------ �VO. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ------------------------------------------------------------------- 'il Impact fees as shown on the attached schedule. ----------------------------------------------- �Qr 2. California Department of Forestry plan approval/fees. --------------------------------------- ❑ 1 . Flood elevation certificate.-------�Q 4 Sanitation and plot plan approval ❑ 15. City of Chico plumbing permit. ----------------- Department. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: Q jZ (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainageegal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -• ❑ 4. Letter of signature authorization. ------------------------------ 5. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. -------------------------------- 027. Manufactured Home utility clearance. ------------------------- ❑28. Existing vio ations and/or expired permits ---------------------------------------------------------------------- ,,11 .��,��qq GU ❑29. ❑433 A,10Grant Deed—06. 6. Title;�)Check to H.C.D $ - .--------------- 030. -------------- ❑30. Other: ------- o � � (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail'tto contractor. bTelephone S32" -3-36} and hold for pickup at 600 I 1 �� office'`❑ Deliver with inspector. e Ap * nk�--- ) Date: /2 0/ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: ' Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: 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, o er w advised of the above required data by ❑ phone, ❑ mail, ❑ Buildiffiz Build'Division counter, byDate: Contractor, designer, advised of the above r data by ❑ phone, ❑ mail, ❑ Bu ' its" counter, by D te: Plans reviewed by: Date: S Plans approved by: Date: 9 SO Sets of plans on hold in 11Plan Cabinet, ElA. . f lder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USEad 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due .......................... :................. $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 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 A.P. # DATE�� RECEIPT # DATE.REC. 332/0 q 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 th Ian ch ocess. n APPLICAN DATE 20 6� Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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. 6/00) School District A.P. Number Property Owner Property Location/Address Subdivision Residential Development mercial/Industrial Building Department Repre BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM f (One form per Building) v c`/ (i('// / U i Building Department No. �irisdiction: City County; u (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) Dat District Identification No.&064-a EZ22t School District certifies that (Applicant) �ln (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9 by payment of $ representing ` square feet. AB 2926 $ FULL MITIGATION $ C&A-� q School District Representative 0 Date Paid by Check # Remarks: �ljZ.��r -tk 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 66020(a), 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 (CEQA), 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 Lot No. 0 I Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # .................................................................................................................... '(No foundation inspection): u (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) Dat District Identification No.&064-a EZ22t School District certifies that (Applicant) �ln (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9 by payment of $ representing ` square feet. AB 2926 $ FULL MITIGATION $ C&A-� q School District Representative 0 Date Paid by Check # Remarks: �ljZ.��r -tk 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 66020(a), 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 (CEQA), 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 STATE OF CALII'ORNIA 131. .. • :-:;5, TRANSPORTATION AND HOUSING AGENCY a�'���Nra '- :v,tUC1-MENT OF IIOUSING AND-COMMUNrI'Y DEVL-LOPM:ENT _ DMSION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a: �Mobilehome � Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) I/We, the undersigned, hereby state: Trade Name Serial No.(s) THE ABOVE DESCRIBED MOBILE IIOME HAS BEEN INSTALLED ON AN APPROVED PERMANENT•FOUNDATION SYSTEM AND IS PRESENTLY IN ESCROW WHICH WILL CLOSE WITHIN 45 DAYS. 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 penalty of perjury thatrthc foorcgoinp is true and correct. _ Executed on at �tia�JL.2 �(Datc) (City) Ate) 4 Signature( v I'a �Mc FZ Address City I -ICD 476.6 (REV 9191 ) cc Printed namc(s) Statc r ORDER N RECORDING REQUESTED. AND WHEN RECORDED MAIL TO U 1 1 4 j b F Sauda Aarif Name 3033 Greenville St. Street Oroville, CA 95965 Address City & State L88-017275 ; R e c F e e 5.00 - - - --- -- -- --; DOC _ - 2: 75— MAIL TAX STATEMENTS TO Recorded Check 7.75 , Official Records ; Name County Of : Same As - Above Butte Street Candace PAR i `l/ SLg0!gjV Address J. Grubbs ; Recorder Star& 11:52am i -Jun -88 State � � BG 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE APO 034_ 00_ a. ani v. Individual Grant Deed 3 •� Z ;z THIS FORM FURNISHED BY BIDWELL TITLE. & ESCROW COMPANY The undersigned grantor(s) declare(s): Documentary transfer tax is $' 2.75 ( x ) computed full J,q5 on value of property conveyed, or ( pSFPR ) computed on full value less value of liens and encumbrances remaining at time of sale. 'v0 ( X ) Unincorporated area: ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, MATTIE B. MARTIS and ANTHONY J. MARTIS, her husband hereby GRANT(S)to SAUDA AARIF, a single woman, TAMBRA AARIF -COLEMAN, a married woman, as her sole and separate property, and KENYATTA AARIF , a single woman, all as Joint Tenants the following described real property in the unincorporated area Counryof Butte , State of California: The South 60 feet, measured from the North line of V-6 Road, of Lot 8,.Block-22, as shown on that certain map entitled, "Map of Villa Verona, Butte County, California", which map was recorded in the office of the Recorder of the County of Butte, State of California, January 17, 1889, as Wall Map 12. Dared: June 1, 1988 STATE OF CALIFORNIA COUNTY OF Butte }SS. On June 1, 1988 before me, the undersigned, a Notary Public in and for said State, personally appeared Mattie B. Martis and Anthony J. Martis personally known to me or proved tome on the basis of sat- zdAcznry evidence to be --41c x-san _whale same is i3tLAtTtyYQ tv tt@r WA111m t+ssnstrtx+rrn 10#9 i.�:dod�Y�ibL� X11.1 1'I1o' 1111. 41111111-: WITNRSS my hand and official seal. Signature MATTIE B. NARTIS y M ANTHONY J. MARTIS � uo0�9rotaomB p RA MMM' (This area for official notarial seal) FORM #STE•DED46(6/87) MAIL TAX STATEMENTS AS DIRECTED ABOVE