HomeMy WebLinkAbout079-290-00213
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IL & ALICE SILVEIRA
395 Mt Rad, ORoVille
ContR: Para -.seModular Concepts
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05-2433
SILVEIF-A, FAMILY TRUST
395 MT IDA, ORO-VILLE
CONT: SIERRA MOBILE SERV
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M/H PERM FND (EX)
Now
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'Utte couni�
LAND OF NATURAL WEALTH AND BEAUTY
PLANNING DEPARTMENT
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7601
November 22, 1988
Wilbert & Alice Silveira
524 Oakvale Avenue
Oroville, CA 95966
Re: Use Permit, AP 36-13-06
-
Dear Mr. and Mrs. Silveira:
Enclosed is your validated Use Permit No. 89-8
to allow a single
family residence on property zoned C -C located
on the north side
of Mt. Ida Road at the intersection with
Oakvale. Avenue,
Oroville.
Should you have. any questions regarding this
matter, please
contact this office between 10:00 a.m. and 3:00
p.m.
Sincerely,
B. A. Kircher
Director of Planning -
—.
William A. Turpin
Associate Planner
WAT:lr
Enc.
cc: Department of Public Works (2) `
Environmental Health
Department of Forestry
w
q.J
USE PERMIT
BUTTE COUNTY PLANNING COMMISSION November 22, 1988
DATE: (Certified Mail Rec.)
89-8
PERMIT NO.
36-13-06
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of
Butte and the special conditions set forth below: Wilbert & Alice
Silveira are hereby granted a Use Permit In accordance with application
filed: 8/30/88 to allowoa single family residence on property zoned C-
C, located on the north side of Mt. Ida Road at the Intersection with
Oakvale Avenue, Orovilie.
1. Failure to comply with the conditions specified herein as the
basis for approval of application and Issuance of Permit,
constitutes cause for the revocation of said permit in
accordance with the procedures set forth in the Butte County
Zoning Enabling Ordinance.
2. Unless otherwise provided for in a condition to a use permit,
all conditions must be completed by the permittee.within 12
months of the delivery of the countersigned permit to the
permittee.
3. If any use for which a use permit has been granted Is not
established within one year of the date of receipt of the
countersigned permit by the permittee, the permit shall be
come null and void and reapplication shall be required to
establish the use.
SPECIAL CONDITIONS:
1. Driveway to mobile home shall meet County requirements.
2. Meet the requirements of the Environmental Health Department. The
application states that he is aware that this property contains an
earthquake fault and that a geologist has advised bracing to
resist lateral forces. \
3. Mobile. home is to be located 135 feet from Oakvale Avenue and at
least 50 feet from the projected trend of the fault located on the
property. (M)
4. All construction for human habitation shall conform to Uniform
Building Code.
* 5. Applicant must also comply with all other applicable State and
local statutes, ordinances, and regulation.
I hereby declare under penalty of perjury that *I have read the
foregoing conditions, that they are in fact the conditions which were
Imposed upon the granting.of this use permit, and that I agree to abide
fully by said conditions.
Dated:
Applicant
NOTE: Issuance of this Use Permit does not waive requirement of
obtaining Building and Health Department permits before starting
construction, nor does It waive any other requirements.
Butte County Planning Commission
Chairman
CC: Department of Public Works (2)
Health Department
Department of Forestry
j \
c �
1Cl-
MAN
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PERMIT NO.
PERMIT EXPIRES
OWNER WTT.RFRT R ALICE RTT•VFTRA
CONTR. Paradise Modular CnnceptG
ASSESSOR PARCEL 36-11-06
LOCATION 395 Mt Ida Rd, nRnvillP
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
n
Signature
3
= OK
0 = Not OK
= Not Rea0yable MOBILE HOMES
Date MOWtHOME UTILITIES (Plans) OK except #'s
i Requirements -Setbacks -Easements
s- pecial MH Support -Sketch
je,ger; Location -Test -Fall -C/O -Concrete
Wat ,Location -Test -Easement Needed (Sketch)
ectricity; Location-Clearances-Grnd.- p -Concrete
- p: / P' ft.
or /"L"ft./ /"LPG
ility Clearance
Card -B1 ► Date Card -81 Date
Card -B1 Date Card -81 Date
Date ',MONLEHOME INSTALLATION (Plans) OK except #'s
K. Zo 'ng Requirements -Setbacks -Easements
. ootings; Size -Spacing -Marriage Line
10. H Test -Demand -Valve -Connector
. le ricity; MH Test -Crossovers -Breakers -Clearances
n;MH Test -Fall -Flex Connector
Wa ; MH Test -Regulator -Connector
,o,ter and Sewer Connected -C/O to Grade -HD Approval
ks; Insp.-SI
rt. of Occu
Card-BJ$5 Dat and -B1 Date
Card- 1 Date Card -B1 Date
CW N.2_3,�/,
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -81 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date POOLS (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, Distances-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- Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1 Date Card -61 Date
Card -B1 Date Card -131 Date
= OK
0 = Not OK
Applicable
- =Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready,
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De
3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del
5. Stemwalls, Main; Steel- Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -B1 Date
Card -131 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -81 Date Card -131 Date
Card -B1 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -81 Date
Card -B1 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Datb FRAMING (Continued) '
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -81 Date Card -B1 Date
Card -81 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit..Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑.Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -61 Date Card -61 Date
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541 _
PERMIT N0.
Address or location of mobilehome '
Owner's name
Owner's address
Insignia or hud number �
Manufacturer's name i
r
Serial number of V.I.N. i Year of manufacture f
(Official Approving Installation) (Dote)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
5138 White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 s
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT N0.
A routine Inspection indicates that the following violations of County Ordinance -
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspectors Date // /q
COUNTY OF BUTTE - DEPARtIGIENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASw OR PA L NUMBE
ZONING
BUILDING PERMI
OW`",N-,�J[ER �
I I 5i I ��)
T LEPHO��N�F�(
'p—�— U�
SQ. FT. OCC. BUILDING VALUATION
W R'S MAI NG DRES
� ole,►► �.
NTRAC OR'S NA
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home agm ii( W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities[ ] Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
_
ELECTRICAL PERMIT
Filing Fee 10.00
'
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (checkone
P Y P er I Y : )
❑NON.RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a
OR ACDNS. ACC. BLDGS. /:¢sgft
NEW CONSTR. 1.OUTLET
.BRA CH CIRC TS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
/
Ex. Occup( OUTLETS OR FIXTURE$ 200005
DAL030
FIXED
EX. OCCUp. OUTLETS P(RESIOI IREJ 2.0()
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you becomesubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. 1 agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in con equence of the granting of this permit.
c p gyp/
X_��� �1� sZ— Date / '� a
Signature of Applicant - Owne-P Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in eight.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
OCcUP.
CONST.TYPE
JSCN00LJF;JPAZ;JPD
9UE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
IRE TO41F PUBLIC
BY
PERMIT EXPIRES D ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Q�
Date �"
Receipt No.
P
WHITE-D.P.W.. YELLOW-ASDLSSOR, INR-INSECTOR, GOLDENROD -APPLICANT
•�P-wr1:'v7 't .a�' fii'.l� .� �"��j,., Tf� t*': l°` _�r ;fit t.'�-}��ti7"� "�;/Yt7..- �ti. �,j ld�."".` r;i_�t�.�i!"� 7 tiy�'^. r �,R�j lig
. L..'Lsi.,�y w =t(1 L -•Q �" (+'�'. "'-Y`�'� �(1.v'•i>L J�'F"ir�-vf y'1 �+.� `tif",}. i+<?'\..�'r4�Yv``�;:+r `'�sJw �..n,,y''4i l'l..i�
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
a
n
� 11 . .
OWN ERS
Proposed Building Use
Permit No. / /
A. No. b 1�`
Building Inspector Date %M/
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . .
9. Letter of signature author' tion.;-\. Lth-Dept.
Sa' tion approval from 4'I
lanning approval for e. (B) Parking:-
12.
arking: 12. Certificate of Workmen' Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
_14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) '
-..._15. Improvements may be required.
16. Mobilehome Installation Data. . . . . . . . . . .
Pre -In:. reque
419.
7. Pre -Inspection for_-_._ _ Required, Buildingelnspectortto(Date)
'8. Recorded copy of,,Agricultural Acknowledgment Statement. �� Driveway Permit.
20. Plot plan approval from city of _
21. - - - -
22.
When you issue the permit, roces as f�howlds;l�-MbOoic`kuo
er Mail to contractor.
Telephone a office, Deliver w/inspector.
Other _
Copy of plans sent
Health Dept
Applicant �.���0-�- � �_spatt'e �'•'�
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required:
Fire Dept„
pe i%T]drt i s s t
Other Date
nce: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by date —
Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by date
Plans checked by , Date Plans approved by k Date 17-
-
-
Sets of plans on hold in File cabinet AP folder ~
Copy -DPW
1XCLU111 1.V -1 MhR1VULIUAML J1h1L1.1LIV1 Vi' hIAIVVWLL'1JbL'1'!L'IV.L
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent
to land or included within an area zoned
for agricultural
g®-026243 ;
Rec Fee 5.00
purposes, and residents
Check 5.00
of this property may be subject to incon-
Recorded ,
veniences or discomfort arising from the
Official Record s;
use of agricultural chemicals, including,
County of '
but not limited to herbicides, pesticides,
Butte
and fertilizers; and from the pursuit
Candace J. Grubbs ;
of agricultural operations including,
Recorder ;
but not limited to cultivation, plowing,
10:50am 10 -Aug -88 ;
RB 1
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has
established agricul-
tural zones which have as a priority use for
productive agricultural purposes, and residents
within said zones and on adjacent property
should be prepared to accept
such' inconvenience
or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows: —
Lot 107, as shown on that certain Map entitled, "OFFICIAL MAP OF
OROVILLE WYANDOTTE .FRUITLANDS UNIT NO. 4", w'hich Map was filed in
the office of the Recorder of the County of Butte, State of Cali-
fornia, December 17, 1927 in Book 11 of Maps, at pages 27, 28, 29,
30 and 31.
' I
Date: _ ) PROPERTY OWNERS:
1
State of) On this the day of I 'd 19,M, before me,
SS. the undersigned Notary Public, o
pe vally appeared
County of )
Personally known to me Proved to me on the basis
O
FFICIAL SEAL oaf•, satisfactory evidence.
EYSHELDON o be the person(s) whose name(s)
UBUC - CALIFORNIAOFFICEIN ubscribed to the within instrument and acknowledged that
COUpt NTY xecuted the same for the ur oses therein contained. IN ESS
:P:NW0TAR1
xC;les Sept. 30, 1988 ,. purposes Ravi
HEREOF, I hereunto set my hand and official seal.
_�
Present A.P. No. 4() `� TO
ary Public
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSE,1V9fR PARCE}.y1,UMBER
S
ZONINGAc
BUILDING PERMIT
OW R
TELE HONE
3Z' v��
SQ. FT. OCC. BUILDING VALUATION
O 7S LI G ADDRES, //
�J Ji �� Ski ry
CONTR TOR'S NAME
100,a 115 e M04-1, eo,&e
TELEPHONE
9771211
CONTRACTOR'S MAI ING ADDRESS a
r /5 ,3
Fireplace
CONSTRUCTION L
UNKNOWN
Total Valuation Is
Filing Fee
$ 10
LENDER'S MAILING A DRESS
Permit Fee
$
ARCHITECT OR ENGI EER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR rGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRE s
Permit fee
$ t�
PLUMBING PERMIT
Filing Fee 10.00
U
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF UCTURE
SF❑ Duplex ❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSFG W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe workk, -
y " J 02 t
'71-)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
.tl
9G
Main service 100 AMP OR LESS 00V OR LESS
1
10.00
Main service EA. ADD'L 100 AMP
2.50
CO TRACTORS LICENSE LAW
I declare under penalty of perjury (check one
P Y P er i Y( k : )
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
icense No. Classification
as the owner, or my employees with wages as their sole compen-
n
satio, will do the work,and the structure is not intended or offered
sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.d
OR ADDNS. ( ACC. SLOGS. /:2sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20050t
eALO 30
FIXED APPLNS. OR
Ex. OCCUP. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
IConsent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
;
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in con quence of the granting of this permit.
- ��_���'
X Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
TOTAL PERMIT FEE $ D
OCCuP.
CONST.TYPC
SCHOOL
NO
PARCEL
I PO
I N s DE
This permit is hereby issued under
sions of the Butte County Code and/or
work I dicateo above for which
I E OR PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. a7 0 �
WHITE-D.P.W.. YELLOW -Ase ESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
. _ ,. y ..-.�,,..�,rm+•,.�F'�':F,f-,Y �f'►r{i G''iaL�'�+V�+.+t+r...-v '�,i,;_i�.+��Sn �. r, ,,� a. Yl�r�r�.7' K*rr � Iti"' !'-r�7 { �,..
' 1 �, ' •cam ��,.
COUNTY OF BUTTE - DEPARTMENT, QF RPBLIC WORKS - BUILDING,DIV[SION
�. !in 7 COUNTY CENTER DRIVE - OROVILLE,CALIF13 NIA 95965 - TELEPHONE: 916/538-7541,- . /
PERMIIT� APPLICATION DATA SHEET
1�✓ I L� Permit No. (-
OWNER A. P. No. — �o
Proposed Building UseBuilding Inspector Date
At time of permit application, I was"advised the following data must be submitted prior to permit processing
and:/Or ISSUanCe: � DATE RECEIVED APPROVED
T 1. All items.have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate,ysigned by preparer of plans. .
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
Ar 6. eN6 School District "Fees Paid" Stamp on Floor Plan. Z ,0
j,
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , , , , , , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from ----- Health Dept. . .
Planning approval for ( )Use' (B)' Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required.
6. Mobilehome Installation Data. •. .
�.
1Pre-Inspec. request to (Date)
'Pre -Inspection nspection for Required. Building Inspector
18: Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of -�
21. Engineered trusses in duplicate (required prior to plan check).
22. `f
When u issue the Dermit, process as follows: Mail owner, - Mail to contractor.
Telephone 3a -X°8� and hold for pickup a ate, -Deliver w/inspector.
Other
7
A p p I i c a n t li =G�c, �,� nate /D - -T ted
Copy of -plans sent Health Dept., Fire Dept„ Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: •'
Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date
A" - le1d..0 w -- -
Plans checked
Sets of/plans on hold in
Copy—DPW
lans approved
File 6abinet AP folder
Date
n..+r`Ywl;i�..x.. �e�rvs. .. .. , i,.. ..... ... _ �, ,,�. x„�,s. „•t'^ n- ,.-� r.,,. y,�.&•" fns.,..; •.,r,w.rRmgr:tri' �d'.'yv`��''hq tr?� , cw"'ft: �:r--rar- �l. �. 'rIM Y'
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE'CERTIFICATION FORM
a (One Form per Building)
.A. -T. 'Number-.:;/!,, -,/j - Building Department No.
School District&q ,xL,w.y,- City Q County [Z Jurisdiction
1 Property Owne:
Project Locat:
Subdivision Lot Number y'
! t
Residential Development:
1z Sq. Footage /J sz
# of Living. MHI Addition (Group R)
Units
Commercial/Industrial:
r Sq Footage
New Addition (Including Exterior
Roofed Areas)
f r
'Building Department Representative Date
District Id No.
��ll School District certifies that
Lai".
(Applicant Name) (Phone Number)
.� 7- Z .
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
0
by the payment of $ 2 O /(o % representing 13�square feet.
School DisttjfAt Representative Date
J
PAID BY CHECK NO. REMARKS
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
I
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I
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°eq i o} I f suol}o .$•
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aiuc� as�y bu;�uanld 'Bu!p�mg uaao}!un C� U
PUS loped to . '� F , JWI'd aad ! ;anb a }o _
/N1 . ay+ ul esn Pali;�ac�s /�} 2. 600a`� .}IM ®auapioaay %
E pua s®9i}aa'd Pooh 2f .� _
/i�ul a8 II1° di y ow x .am 'g, slgi�a}pW Ilv—''310
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oraville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: (%
2. Installer's name:
3. Is the site currently under permit? Yet / / No / ✓/�
t
(If yes, furnish permit number ) OR
•• Is the site an existing site? Yes / / -No /✓�
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leaoh fields and
clear of all setbacks and easements? Yes / 4I✓No '
(If no, clarify )
-------------- Aaapa
5. What is the mobilehome electrical rating? --------- Z
6. What is the mobilehome site service rating? --------------------- Cp L) Amps
7.. What is the mobilehome site circuit breaker rating? ------------- ZQ Amp
8. Is there any other electric load to be'served by the mobilehome
siteservice? ---------------------------------------------------
(If yes, identify the load and size: (Load)
, --
9. What is the mobilehome site gas pipe size? -----------------
10. What is the type of gas service? - ---- --------- -
11. What is the gas pipe length f meter or a to th obilehome?
12. What is the mobilehome gas demand? ---- -- -------------------
Yes " No E
(Amps)
(in.)
1 %% LPG "
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.) S
OV
(ft.)
(BTU)
'If other than singlee,
Mobilehome iifr. L� fur'ni'sh Setup Model No. u Year � ¢r 7 5
_ yJidth _(ft.) Box" -Length _-5 (ft.) Tagalong or Expaado Size ft. z ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturers installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
t'►'� 1 \ f�,Q�
^0401=
/4 Si/gle
Center uppor't ;= =:
-:,.Center
support
-locatons*.
footing sizes
(in.)
(ft. (in.`)
in. (in.)
'
(ft.)
in.)_`'_
�(in.) (in.)
Xaa
n.) (in.) (in.)
t
V 7 _ I ..
(ft.)I (in.) (in.)j (in.)
Footings (check one)
�r1'. Wood either
pressure treated o
foundation grade.
❑ 2•. Other"( epee ify)
Supporta-Icheck one)
6 a, Concrete.block.
[:]-2. Other (specify)
Tagalong or. Hxpando, '
show support -details.
/.�_ x1zj Typical Support
in. (in•) Footing Size
1 s--(, 1 -- Max. Pier Spacing
(ft.)(in.)
—D -- Max. Overhang
(ft -)(in.)
SUM Cow0f
WRDfNG DEPARTk*W
'1/�E� it "
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner, Location AP#
Plan Approved for: Sewage Disposal Water -� Supply
Hold final for:
Final clearance O.K. for':'
Clearance for bedroom pro--bile-)home. Other
NOTE * * *
sanitarian
Water Supply
Water Supply
ate
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
owner location
AP #
Driveway permit 69112- O 7 has been issued for the above property.
si ature, date
OWNERY;J
PERMITS3-3-f 4
NSI UT IL. CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support Compaction
Struc. Test Req.-
e .Size
Service
Size
Other
Load �Type
Pipe
Size
Len th
YES NOI YES NO
NOTES / l RESIDENTIAL
PERMIT NO.
036-130-006 05-2433
SILVEIRA, FAMILY TRUST !
395 MT IDA, OROVILLE
CONT: SIERRA MOBILE SERV
M/H'PERM FND (EX)
j
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
7
VERIFY
USE PERMIT CONDITIONS
i SUB -STANDARD HOUSING LETTER
r
" n 05
JOB FINALED (Date)
Signature `-' ►'`"'�=
J - OK
0 = Not Ott
= Not AppficReady bte ,� . ®BILE HOMES . =Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch.
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
:.5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ ' : P L'fL
/ PNat.or/. /"L"ftJ.; PLPG
7. Well Clearance & Disconnect
8. Utility Clearance .- .
Date Card B-1 Date Cana B-1
Date Card B-1 =Date Card B-1 .
Date MOBILE HOME INSTALLATION (Plans) OK except Vs
I., 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 -Flak Connector
6. Water, MH Test-Regulator-Connectot
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 '
Date Card B-1 . Date Card B-1
Date Card B-1 .:: Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements I
2. Footings; Size -Spacing -Marriage Une j
3..Blockiiig. .4
4."Gas; MH Test=Demand-Valve .
5. •Electricity; MH Test
6. Water, MH Test -
_ 7. Water and Sewer:Conriected
8. Gas and Electricity Tagged'
A. Exits
10.: License Decals _
11. Verify.#'s with Office
Date Card B-1 Date Card 13-1.
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-Beams-Rftrs-Connectors
Shthg-Frg-Bmcing
5. Alum. Awn.; Colum&s-Cohnections-Splice-Decal-Enclosures
6: Carports; Windows -Doors .
7. Electric
8. Frmg.; Sills-AnchorsStuds-Rftrs-Tnisses
4. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof. Shthg-Roofing
11. ExL; Steps -Doors -Landings.
12. Braced Wall Panels `
Date
Card B-1 Date Card B-1
Date
Card B-1 Date -Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness .
Dead Men -Lining
4. Elec.; Receptacles and Lighting. Distance -GA
5. Sec.; Pool UghtinM 15 Volts -GF!
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.. Bee.; Bonding; Metal w/W-Circulating Equip. -Heater
8. Bec. Grounding; Equip. w/5' Cinulating Equip: Pool Lghtg.
Boxes=Enclosures-Panelboards-Ins. to Main Conduit
9: HeaHh Department Approval
10._ Plumb.; Cir. Test -Water Supply Test
11._Ughf Niche -
.12. Enclosure; Fencing -Alarms
Date
Cana B-1 Date Card B-1
Date...._
Cant B-1.: ;-.'::__.•: _ Date ,.. '..::'.:.` Card B-1
- OK
= Not OK
= Not AppHtable
= Not Ready
RESIDENTIAL (Single & Duplex)
late UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main, Sols-Elec. Gmd.-/ . /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Gmd. / /" Ftg. Depth
4. Fig., Porches & Decks; Soils -Steel-/ P Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.M.; 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 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
23. Fine Sprinkler, Test
'Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral 0 Yes O No
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng.
49. Fireplace Tres or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width-Headroom-Rise-Run-Landng-Fre Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Naffing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date : Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight.Protection-landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
67. Bedroom Exiting
68. G.F I. & Bath Fixtures & Tub Access -Spa
69. Bec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int & Ext
73. Kit- Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Duct in Garage -Damper,
77. Wtr. HV.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
78. Plb.; Elec. & Mech. Equip: Listed for Location
79. Elec. Receptacles in Garage (FF.I.)•Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor - 0 Yes
83. Following hst]dJDrive D Yes 0 NQNValks 0 Yes D No/Planters 0 Yes O No
84. Stucco Brown -Finish
85- A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appriance-Fireplace-Clearance to Openings.
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fre Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels -Motors -Meth. Equip.
34. Clothes Closet Ught-Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Alt-Retum Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng.
49. Fireplace Tres or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width-Headroom-Rise-Run-Landng-Fre Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Naffing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date : Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight.Protection-landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
67. Bedroom Exiting
68. G.F I. & Bath Fixtures & Tub Access -Spa
69. Bec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int & Ext
73. Kit- Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Duct in Garage -Damper,
77. Wtr. HV.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
78. Plb.; Elec. & Mech. Equip: Listed for Location
79. Elec. Receptacles in Garage (FF.I.)•Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor - 0 Yes
83. Following hst]dJDrive D Yes 0 NQNValks 0 Yes D No/Planters 0 Yes O No
84. Stucco Brown -Finish
85- A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appriance-Fireplace-Clearance to Openings.
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fre Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR'INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO52433
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
.l 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
Issued Date: 09/16/2005 APN: 036-130-006-000
effect.
?r7-5License
Class : License N be r,
Address: 395 MT IDA RD ORO
qSite
Date: 5'
Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am' exempt from the
Description: EX MH ON PERM FND, EX SITE(1440)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: SILVEIRA LIVING TRUST
to its issuance, also requires the applicant for such permit to rile a
signed statement that he or she is licensed pursuant to the provisions of
SILVEIRA WILBERT & ALICE TRUSTEES
the Contractor's State License Law (Chapter 9 commencing with Section
395 MT IDA RD
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
OROVILLE CA 95966-9525
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: SIERRA MOBILE SERVICE
owner of property who builds or improves thereon, and who does
BILL REID
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
466 CIRCLE DRIVE
sale. If however, the building or improvements are sold within one
OROVILLE, CA 95966
year of completion, the owner -builder will' have the burden of
530-534-0599
proving that he or she did not build or improve for the purpose of
sale.).
O I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
Contractor: SIERRA MOBILE SERVICE
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
BILL REID
466 CIRCLE DRIVE
❑ I am Exempt under Article 3 of the Business and Professions Code
OROVILLE, CA 95966
Date: owner:
530-534-0599
License #: 47O3H6
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.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: �,,a
_
2 S7
Total Square Ft: 0 S. F.
Policy #: /
Valuation: $0.00
O I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall -not employ any person in any manner so as to
.
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
1�
��(1
forthwith comply with Thos pro isions.
1111 a�
rr� JJJJ 111
Date:
Q
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred' thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
• code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do work indic ed above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
(i _ I %„ —05 /1 C
i h nLl�,
Name:
By: Date:2 V 115
Address:
PERMIT EXPIRES ON:
Date
O I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ : Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
-all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
:authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: F (9 Signature:
Date:
❑ Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor
st:...ir�J`t'�.•..'Ft rY'a,'ti'4.++A'-''R+rwh`=t.C.-�,.7:r.:...��.,,1..Nh�nv-�+'r'��`1. N:.�r•....:ti.�i�, star.++rti....i'Svt�rr.,,..r•'"*. •` '�� r
• �p052�33
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION.
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: S L IU -e y 0, ASSESSOR PARCEL NUMBER O `3 CO + I ON)
Proposed Building Use: on eEf2M Wb, b f EX Technician: Date: _1- q- OS
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
'0' rN 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
'[�=N 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down ofnd laps„ II in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent fog non-residential` buildings'
❑ 12. Hazardous Material Form
❑ 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 16. Fire Sprinklers............................................................................................
❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
❑-/-. Erosion Control Plan Required.................................................................
`�' Fees as shown on the attached Schedule of Fees Due Sheet-- ...32_gl 9...�.
❑ 1. City of Chico Plumbing permit........................................:...............................
❑ 22. Site plan and business license approval from the City of Biggs ..............................
❑ '23. California Department of Forestry plan approval ❑ paid. Sent by:
❑ ' 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
l7 25. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 26. NPDES Form.....................................................................:.......................
•❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction.............,......................................:..............................
N 35. l�,.Lieyal description, d�fH. Title, ti e1-searcfi7registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
PP
A licant: Date:
.
1. Index permit application for the above items numbered: Plan Chec It
2. Additional items required
n ra signer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by-jrW Date:
on ractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
,Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ cou er r Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: 64T Date: "
Yellow: Building Division
INSTALLATION INSTRUCTIONS
for the State of California
Version 9/2/2003
FOOTER SIZES
Approval
RELEASE
DATE MANUFACTURED HOME/MOBILE HOMB
FOUNDATIONSYSTEM
HEALTH AND SAFETY CODE, SECTION 18551
9/2/03 APPROVED
9/2/03 EJECT TO CORRECTIONS NOTED
ROVAL DOES NOT AUTHORIZE OR APPROVE ANY
9/2/03 OMISSIONS OR DEVIATION FROM REQUIREMENTS OF
9/2/03 APPLICABLE STATE LAWS AND REGULATIONS
State of California
9/2/03 nt I`90—U.in and Community DevvIoprood
9/2/03 N ODES AND STANDARD
DATB
(signature)
SPA
WIND ZONE I - SINGLE
INDEX
9/2/03
PAGE
SECTION
NUMBER
INTRODUCTION
2
GENERAL INSTALLATION
3
PARTS LIST
4 & 5
LONGITUDINAL DEVICES
6
PIER HEIGHTS
7
SET-UP INSTRUCTIONS
8
FOOTER SIZES
Approval
RELEASE
DATE MANUFACTURED HOME/MOBILE HOMB
FOUNDATIONSYSTEM
HEALTH AND SAFETY CODE, SECTION 18551
9/2/03 APPROVED
9/2/03 EJECT TO CORRECTIONS NOTED
ROVAL DOES NOT AUTHORIZE OR APPROVE ANY
9/2/03 OMISSIONS OR DEVIATION FROM REQUIREMENTS OF
9/2/03 APPLICABLE STATE LAWS AND REGULATIONS
State of California
9/2/03 nt I`90—U.in and Community DevvIoprood
9/2/03 N ODES AND STANDARD
DATB
(signature)
SPA
WIND ZONE I - SINGLE
9
9/2/03
- DOUBLE
10
9/2/03
- TRIPLE
11
9/2/03 .
- HIGH PIER
12
9/2/03
WIND ZONE II - SINGLE
13
9/2/03
- DOUBLE
14
9/2/03
- TRIPLE
15
9/2/03
V -DRIVE & PIER SYSTEMS
16
9/2/03
SOIL CLASSIFICATION
17
9/2/03
CONCRETE INSTALLATION
18 & 19
9/2/03
COMPONENT PARTS AVAILABLE UPON REQUEST
113
Approval
/ `/ ��kl �° -7z'-n? �-
0 S X33
BUTTE COUNTY
BUILDING DIVISION
APPROVED rIn
-
co
IQ
co
0
N
O
Cn
O
RECO.+cDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
2005-0057454
Recorded I REC FEE I& M
Official Records I
County of I COPIES 2,50
Butte I WORMED COPY 1.00
CMCE I GRUBBS I
County Clerk-Recorderl
I.
I LV
011:30Ab1 22 -Sep -2085 I Page i of 2
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 2�
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
WILBERT AND ALICE SIVEIRA TRUSTEES
REAL PROPERTY OWNER/LESSOR
395 MT IDA ROAD
MAILING ADDRESS
OROVILLE BUTTE CA 95966
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
UNKNOWN
MAILING ADDRESS
DATE OF MANUFACTURE
OROVILLE BUTTE - CA
95965
CITY COUNTY STATE
ZIP
05-2433 530
538-7541
BU PERMIT N0. TEL HONE NUMBER
SIGNATU F LOCAL AGENCY OFFICIAL
DATE
NONW
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
SKYLINE
1979
UNKNOWN
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMENUMBER '
04750590A/BM
24 x 60
CAL142301/2
SERIALNUMBER(S)
LENGTH XWIDTH
INSIGNIA/LABELNUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 036-130036-130-006���0�2,,
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept.
BUILDING PERMITS NUMBER: 05-2433
Address or location of unit: 395 MT. IDA ROAD, OROVILLE CA 95966
Legal Description of Real Property: 036-130-006
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: WILBERT AND ALICE SILVEIRA TRUSTEES
Owner's address: 395 MT. IDA ROAD, OROVILLE, CA 95966
INSIGNIA OR HUD NUMBER: CAL142301/2
SERIAL NUMBER OR V.I.N.: 04750590A/BM
MANUFACTURER'S NAME: SKYLINE YEAR: 1979
OFFICIAL APPROVING INSTALLATION:
. -01
DATE: g a'l 6�
PHONE: (530) 538-7541
H.C.D. 513C
STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT o�s�rvc,
Division of Codes and Standards O
r�Z
.y�
1u w
Title Search G��0
Date Printed: 09/06/2005 •� D
Decal #: - LAN6916
Use Code:
SFD
Manufacturer:
Original Price Code:
AFC
Tradename: BUDDY
Rating Year:
Model:
Tax Type:
LPT
Manufactured Date: 00/00/1979 '.
Last ILT Amount:
Registration Exp:
Date ILT Fee Paid:
First Sold On: 03/23/1979
ILT Exemption:
NONE
Serial Number HUD Label / Insignia
Length Width
04750590BM CAL142301
60'
121
04750590AM CAL 142302
60'
12'
Record Conditions: PPF Exempt
Voluntary Conversion to LPT
Registered Owner:
WILBERT J SILVEIRA
ALICE A SILVEIRA (Joint Tenants with Right of Survivorship)
395 MT IDA
OROVILLE, CA 95965
Last Title Date: 09/19/2001
Last Reg Card: 09/19/2001
Sale/Transfer Info: Price $21,000.00 Transferred on 12/22/1988
Situs Address:
395 MT IDA
OROVILLE, CA 95965
Situs County: BUTTE
Legal Owner:
WELLS FARGO HOME MORTGAGE
2865 SUNRISE BLVD #101
RANCHO CORDOVA, CA 95742
Lien Perfected On: 09/11/200112:26:57
Inactive Decal/DMV:
DMV SM9647, DECAL AAB4551
*** END OF TITLE SEARCH ***
hereby GRANT(S) to Sllveira Living Trust, Wilbert Silveira and Alice Silveira, Trustees of Silveira Living Trust
the following described real property In the unincorporated area of the,
County of Butte, State of California:
Lot 107, as shown on that certain Map.entitled, "Official Map of Oroville Wyandotte Fruitlands Unit No. 4", filed
in the Office of the County Recorder of Butte County, California, on December 17, 1927, in Book 11, of Maps, at
Page(s) 27, 28, 29, 30 and 31.
This conveyance transfers the grantor's interest into their revocable living trust. R&T 11930
DATED: September 5, 2001
STATE OF CALIFORNI
COUNTY OF �/S�iTQi
ON before me,
CUU&PA0 onally appeared
*Wilbert Silvei a and Alice ilveira"
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the person(s) whose
names) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the - instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
Ad
Wilbert J. ilveira
Alice A. Silveira
=0=Wnm4% w ww
llleCom672mlaR 9, 2005
MAIL TAX STATEMENTS AS DIRECTED ABOVE
ro-213 (Rev 7/96) GRANT DEED
t:
RECORDING REQUESTED BY:
Fidelity National Title of California
ZQ!)G5 1 — 4 i 399
Escrow No. 102327 -SL
Recorded I REC FEE 7.00
Title order No. 00102327
OfficialRecords I
Recorded Mail Document
Counnttf
T Of
IWhen
and Tax Statement To:
CANDACE 3. GRLIBBS I
Wilbert & Alice Silveira
Recorder I
ROSEMARY DICKSON i
395 Mt. Ida Road
Assistant I Maureen
Oroville, CA 95966
09:00AM 11 -Sep -2001 I Page 1 of 1
APN: 036-130-006 GRANT DEED
SPACE ABOVE THIS LINE FOR RECORDER'S USE
The undersigned grantor(s) declare(s)
Documentary transfer tax Is 9 City Transfer Tax is S
[ I computed on full value of property conveyed, or
( ) computed on full value less value of liens or encumbrances
remaining at time of sale,
[ ) Unincorporated Area City of unincorporated area of the
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Wilbert J. Silveira and Alice A.
Silveira, husband and wife
hereby GRANT(S) to Sllveira Living Trust, Wilbert Silveira and Alice Silveira, Trustees of Silveira Living Trust
the following described real property In the unincorporated area of the,
County of Butte, State of California:
Lot 107, as shown on that certain Map.entitled, "Official Map of Oroville Wyandotte Fruitlands Unit No. 4", filed
in the Office of the County Recorder of Butte County, California, on December 17, 1927, in Book 11, of Maps, at
Page(s) 27, 28, 29, 30 and 31.
This conveyance transfers the grantor's interest into their revocable living trust. R&T 11930
DATED: September 5, 2001
STATE OF CALIFORNI
COUNTY OF �/S�iTQi
ON before me,
CUU&PA0 onally appeared
*Wilbert Silvei a and Alice ilveira"
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the person(s) whose
names) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the - instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
Ad
Wilbert J. ilveira
Alice A. Silveira
=0=Wnm4% w ww
llleCom672mlaR 9, 2005
MAIL TAX STATEMENTS AS DIRECTED ABOVE
ro-213 (Rev 7/96) GRANT DEED
`
S I LV E: tie A
LiQlwc,
3 95 ter
M- 0A
036 13 0 006
-721
ou I I r- kauullm I T
BUILDING DIVISION
APPROVED