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
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ANTHONY J. MARTIS
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(This area for official notarial seal)
FORM #STE•DED46(6/87) MAIL TAX STATEMENTS AS DIRECTED ABOVE