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HomeMy WebLinkAbout022-350-027. j - - P -M, -35- o jESE & DEANNA RAMIRE 2883 3rd St, lot 17, ...ity of Biggs Hrmit#574-89B,P,E,M(We—w��si�g ej�-a—mily) I 'PERMIT NO. 574-89B,P,E,m PERMIT EXPIRES 1-11119 OWNER CHIP (J Ramirez) CONTR. owner ASSESSOR PARCEL 22-35-27 LOCATION 2883 3rd St, of 17, ity of BIggs �I .i ! OFFICE COPY Address Temp. Power P(' GAS �e�/ Meter By Called PG&j ELECTRIC Meter By Date Temp. Elec. Service" — ---- - -- ---- — -- Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) 1 Signature 0 1 alausini8 --- ioe ki4awrED (G3fc-) CaIIr-R beff - iRwb• eve P_rwmcs Collc,q bt,,S E — ir.wb' Eizc• 2sanics Celi6a bryWC----- iowb• bamoL 9soif _ OMME-----_-- — - -- _�,_ __ bluca 6EUWII EX mCHwii Vo* ------ — . ECEIVEU I)EC 151999 ENERGY INSTALLATION CERTIFICATE Building Owner CHIPS Building Permit # Building Location Lot #17 Bigcrs ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Thickness(inches) 3.5" CEILING DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value) Brand Name OCF Thermal Resistance(R Value) R-11 Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R.Value) Loose Fill Type Cellulose Brand Name cordex Minimum Thickness(Inches) 8.3" Number of Bags 31 Wt. per bag . 28 lb. Area co•vered(ft.2) `1080 Thermal Resistance(R Value) R-30 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) I•herebyacertify that the ab is coo siistentt wtith_ap%oved ormf" s with r/eauirement�of C SIGNATURE OF INSTALL -AT Brand Name Thermal Resistance(R Value) r . Brand Name Thermal.Resistance(R-Value) Brand Name Thermal Resistance(R.Value)_ e in§ulation was installed in the above building, ilding department plans and attachments and con- pter 2-53 of State of.California Energy Requiremen 335171 STATE CONTRACTOR'S LICENSE NO. ICATOR 12/14/89 DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the.appli- ance standards and Chapter 2-53 of the State of California -Energy requirements. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER T HVAC FIRM NAME/ NER (Please Print) _?9 - STATE CONTRACTOR'S LICENSE NO.. .�2 5-- DATE STATE CONTRACTOR'S LICENSE -NO. Z/2 14P49 SIGNATURE OF HV C 0 AC OR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. 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Hangers -Post Caps -Anchors -Connectors 2. F ., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 6. Ong. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth -4.7..-F4►epface-Ties-or-T-ype A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . 5. Stemwalls, Main; Steel-Blockouts-Wrapped 1.4"drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. $temwalls, Garage; Steel- Bloc kouts-Wrapped (,50 -Garage Fire Protection Framing -/ Slab; Steel -Wrapped 54-12roperty-6ne-F-irawa" Openings 8. rs-Fireplace Ftg.-Steel "rExt. Doors -One 3' -Check Garage -3rd story, 2 exits D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test m -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors LZ4: Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test L,55"$iding-Nailing Veneer 12. Electric; Underground reed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. V57. Glazing Area -Glass Protection -Skylights -Plastic 14, Girders -Sills -Anchor Bolts -Joists -Vents -Cripples rails; Naili -Bolts 15. Insulation 59.lnsulation-W s-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -131 Date Date MUMBING Permit OK -except #'s MiS',Water Ht. VezWAccess-Combustion Air -Baffle ✓17. Water Pipe; Test & Anchors -Nail Protection 08. D.W.V.; Test-Fttngs & Anchors -Nail Protectioi n; est, First Floor -Tub Access 29.,:Fest Tub nd Floor -Tub Access f21. Gas Pipe: Size & Anchors Card -B1 Date /./ and -B1 Date I Card -B1 k I Date J Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22�,Flxture & Transformer Clearance -Ina. Protection V23. Elec. Receptacles Spacing -Lights & Switches at Doors t -2t Size Boxes & No. of Conductors -Stapled v . Romex Installed Close to Edge of Studs & C.J. 6. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water . 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 29. Range Circ. / / ga. Cu or(AI- ven Circ. / / ga. Cu or AI. jnaulated Neutral Yes QD 00. S ice -Riser Conductors & Ground -Main Disconnect LZI-Equip. Clearances Panels-Motors-Mech. Equip. -82-Outhert'loset-6ight-Shower Light -Spa Light "33. Smoke Detector Card -Bt Date/1- Yj aard-131 Date Card -B1 Date Card -B1 Date Date MECHANICAL Permit OK except #'s W. A.C. Ducts Insulation & Support j35 -Vent Fan; Exhaust above insulation 36:Gondensate-Drain & Overflow; Size & Grade -,)k37-Furnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38 -Attic -Access -B -,Platform if Furnace in Attic Card -81 Date /% .a and -B1 Date Card -81 U Date Card -B1 Date Date FRAMING Plans OK except #'s Is, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 9,•-piaring Walls over Girders & Floor Nailing raft Stop In Walls (rat proof) Ire Stops; Furred Ceilings -Stairs -Chases -Tub f • Header & Beam -Size & Bearing Card -81 Date// -1and-131 Date Card -81 Date o.»,k57Card-B1 Date Date FINAL (Plans) OK except #'s 1. Ext. Steps -Door & Sidelight Protection -Landings 2. moke Detector 63. Furnace; Vents -Clearance -Comb. Air-Connector- loor-Ducts-Mach. Protection Q -Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa VO'Elec. Trim & Subpenel -Breaker Sizes -La ai s 68.Stove,nces-Hearth 61k, - e s ood Panel; Int. & Ext. 11TO. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 1. Elec. Outlets & Receptacles at Kit. Counter r; Swing -Landing -Closer 7 . Damper 4. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- �-hy8arage,Abo a Floor -Mach. Protection L15 --W. Elec. & Mech. Equip. Listed for Location 179. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic 0 Yes nstruction-Post Caps n. ens Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive es 0 No; Walks es 0 No; Plenfam n vee L N_o 8. :C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Electrical, Plumbing erior Elec. Trim; G.F.I. Receptacle -Underground ,86'y,entilation throughout House ss Protection 8. ections from Previous Inpections Test -Meters Tagged; Gas -Electric _gasWater & Sewer Connected -C/O to Grade -HD Approval . Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Dat - Card -81 Date Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.,�In 7 County Center Drive - Oroville, CAlifornia.95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUM BE Z Z 9IN4N BUILDING PERMIT Ow R T EP ONE t�cah�f S0. FT. OCC. BUILDING VALUATION n 11�o e a / OWNER'S MAILING ADDRASS 6 Lim CON ACTOR'5 NAM TELEPHONE /50 W he 1, t` CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 9 73 LENDER'S MAILING ADDRESS Filing Fee $ 10,00 011, t, C`Ile Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ 3r �J :5), Permit fee $ 1611, G`y17 PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 `CLdo d �� Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SFS Duplex❑ Mobilehome❑ Other Building sewer 5.00 2Z 02 SPECIFY Mobile Home S I G I W 0.00 ea TYPE OF WORK New Addition Re del Utilities ❑ Installation Other Other ❑ Penult Fee $ Describe work: ;QrSIL''I('cS��O�- 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 NEW CONST. DWELLING OCCUP.51) y2¢sgft I declare under penalty of perjury (check one): OR ADDNS. ACC, BLDGS. NEW CONSTR.MULTI-OUTLET 2,50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NO N.RESID BRANCH CIRCUITS)— / POWER APPARATUS e and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. Classification E%1. Occup( OUTLETS OR FIXTURESE z0050c SAL@30 1 , 1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLTS (RESID.) EA.) 2.00 —16. sation, will do the work,and the structure is not intended or offered Temporary service 0-0 for sale. (Sec. 7044) Mobile Home Facilities 0 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling 19 1 shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement -should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of , Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PE MIT FEE $ I also agree to save, indemnify and keep harmless the County of Butte against Cu P. CONST.T PE �OD PAall liabilities, judgments, costs, and expenses which may in any way accrue J,5C7 against said ounty in consequence of the granting of this permit. X / This permit is hereby issued under the applicable provi- Date o� sions of the Butte County Code and/or resolutions to do Signatur of Applicant — Ow er❑ Contractor ❑ Agentwork indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and d 011 ion or construct- DIRECTO OF PUBLIC WORKS ion of structures over 3 s ories in height. By Date�d'l Receipt No. WHITE-O.P.W.. TELLOW-ASSEDSOR, PINK -INSPECTOR, GOLDENROD-APPLICANT T PE EXPIRES Date 4f—/0— 90 COUNTY OF BUTTE - DEPARTMENT; OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Permit No. A. P. No. _ Building 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 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8..Mobilehome installation data including manufacturer's installation instructions AV9. Fees of .......................... 10. Chico Urban Area fees paid ........................................ .11 Park fees aid .....:............................. School District fees paid ................. E13. Sanitation ap r val from Health Department ... 14. City of Chico plumbing permit ........................ ............. J Plot plan and business license approval from City of l� L (see City for other. requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -inspection for re uired . , , , Pre-Inspen request to p q •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ ��,,23Recorded copy of Agricultural Acknowledgment Statement ............ . Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant ��!���� ,5 ��T_ Date '" Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to per it 'ssua ce: C' cle 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---mail —counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by O� Date J_ 7—P? Sets of plans on hold in File cabinet AP folder Copy—DPW COUNT' OF BUTTE - Department of Public Works 7 County Center Drive,• Orovi.11e, CA 95965 Phone Attention Property Owner: oWNEr,-Bull.Drx v1,1z1Fr.cA•rloN RECEIVE® D E C 13 1988 916-538-7541 An "owner -builder" building permit has been applied for in your name and bearin your signature. g; Please complete and return this information at'your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. N/A 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) YES 2 3 4. 5. Buttaca ilc%ell Ent. Coleman Conc: Cwrberland P: Foothill Ef( Fox CO., 39! Trojan Tru I (have !have not) i for the proposed work. . , signed an application for a building perr,it I plan to provide portions of this•r•.ork but I have contracted with the following agF'*ncV to 1)rovide construction technical assistance to coordin��tc arra Name �u�eJvise �}lrop©ae.d-. the major t%ork. Address 2r 7Y1T11 4211 Normal ave. one 891 P6,931 City Chico, CT. - Contractors License No. 390764 I plan to provide portions to coordinate, supervise, of this work, o k, but I have hired the followinP, and provide the major work: Name person Address Phone City Contractors Licensc No. I will provide some of the persons to provide the work work but I have contracted (hired) indicated: the following Name I Address li Industr. lol5 Yuba Str. Yuba City Phone C11 741-2619 Insulation Type of Work p.0< Box 787. C;ririlo„ rA 9 �' �-'- • , 7 L LA JI IC A T IInbincr, 40 0akvale ct , :tric, 5887 Orrin Ia- e _Olive Head. , Oroville, s Co. , P.O. Box 85 Siened- Aam,'leZ- Property Owner Social Security Date re Fd . ►rovi1le Paradis CA, 8 846-4142 Cab.Lnets b Coun ej Oroville, CA 534-3303 CA 877- 5 hlecrxicai Orland, CA, 95963, 865 - Lrusses NOTE: This Owner -Builder Verification is sent to you as required by Section 19832 of the California health and Safety Code. s 19831 and This verification must be completed and ret111-lled to ollr office before we aJ1i, per- mitted to issue the permit. When recorded mail to: Chico Housing Improvement 429 Normal Ch i' .. L • : . ICU: 89-005546 Recorded Official Records County of Butte Candace J. Grubbs Recorder 8:00am 22 -Feb -89 ATTuniml-IN-r-AUT AGREEMENT vo-UJ140 Rec Fee .00 Total .00 ;BIDWELL TITLE CO.' I/We hereby appoint the Community Housing Improvement Program and/or any of its authorized agents as my/our attorney-in-fact for the purpose of executing any notices of completion, waivers of liens and/or stop notices and/or release of liens and/or stop notices and building permits relating to that certain real property described as follows: All that certain land situate, lying and being in the County of Butte State of California, described as follows: ' Lot 17 of Pichotta Subdivision as for record in the office of the county Recorder sofwthenCCounty thatcofta Butte filed State of California, on be 15 1988 and Surveys, at page S9 , in Book 108 of Maps 2/6/89 Date Zbw ��_ Jose Ramirez . 2/6/89 Date 17-1 Owner Deanna K. Ramirez.. STATE OF CALIFORNIA On this 6th da of Febris County of Butte Y' in the year 89 , before me T.i nr3a F Wi l enn , a Notary Public, State of California, duly commissioned and sworn, personally appeared Jose Ramirez and Deanna K. Ramirez pet°eer�a}�}�-}�neaan-tom or proved to me--o—n--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 (s)he executed the same. IN WITNESS'WHEREOF I have hereunto set my hand and affixed my official seal in the County of Butte on the date set forth above in this certificate. • otary Public tate of Ca ifornia OFFICIAL SEAL MY commission expires 2/15/1992 LINDA F. VV'ILSON NOTARY PUBLIC - C;ALIFORNIA .mm My Costs' 4xpires Feb. 15, 1992 END OF DOCUMENT V t MS sef a Plains c.id f.,,,,,�ider,• A/U NOTE.—Al! Mateii-ols 8 Wna!mvinchip Shr.il Bo in �C@F!t On i�s> },1 nA /1II " I<inS f'.1 �� ijC �'' l�ti SPG WI:.I r, ..'. T 2L� i . ^ S i .'r' i'CQi and rN:'" n Vn�/ C�lr^, r.. n, rr. y it is vnl'1 . _uq8 ..�, . �� �:. .. _ ' . , i.i he •• ` y Wit`;.'i3 '.1; i:>�ul Uniforf;i Uui,c inn, l'iui: '... w tv►c�w�tii�i�Gl LiiGi08 71fl WI' fkn Pcrmission ,a n -.!Ie D.�. yy i►, ;;;�} r1,` , Itr WATEF `.�u)A SIL tho National kleatrica! COde6 H1 L Lo'UD . Pa�� A setback of 5 t. rom T id I Il property lines and a setback - �rr FIDE of 50ft. from the road P�o�osEo 3 �PRa'1 SETBACK- tF`(0?A4T centerline shall be clear of I'/Z eA 'r 14 'LES itb' HCZ structures or equipment except 1 o e,o SF fo r E ft . eave overhang_ t�' T E Le,4T- F- I CA- L Go t -I ++tl�"T 10 t4 i OF— To oc - LJ FA Hoc '(/ A L -L U T 1 L iT 1 E s Lo -r See Klasi:er Plan on - 1e ?or 6u9c�'irrr I H P Pt v� F 1-�.JTS (_q J s7 L,oM P L-( Plans. � � T'�S J/WITH sJ�� o11s1o►4 oocue�e TS. j�A P0 LP t-iA--(F1eLP 61 r 'r'7 E t4 o l+4 E 6r-- SITE PLAN PLAN NO* �zis LOCATION: 1.e;63 3 p -p -SrF-EET P 1 cA+� S ,J e6 o I J i S I o t-4 �>I aGS/ CA" AP No. NOTES: jr•yr s7��9hs COMMUNITY,;;, HOOSING.... -IMPROVEMENT PROGRAM 429 NORMAL AVE. CHICO I ..LOT NO- 11 L7OWNER : PAM I I=EZ DATE : I I Se PTeM &Gr— 14M SCALE: I"= , a WAT6� '�u)ALI�- 120, oo H eT15 Pf-opo5E0 I '�Z LA T H RES i►, % r }c c 1060 5F Pa b t lo' - PJ E� o SETP�AGK- r�`(O�Ar�T' �oTEss � E L F.C.1' � I �.�- L Go r-) ++FST I o ►-� . FEES. � rPr�O�Ep% I O(L To oc c. U PA r -e -'-( ALL- IJT1L 171 E5 �. Lo -r I H P Fo Y rz J S?- C O M P UJ 1714 SLI e-,4& *�A O l,0 t -i 16l P G f 'r 7 E t4 0 1 *4 E E r -- SITE PLAN PLAN NO- LOCATION - 2.41 -8 16 °• LOCATION:2.41-83 31=-0 -"XTJZe ET �>I aGS/ GAl AP NO - NOTES: COMMUNITY.,: HOUSING.. IMPROVEMENT PROGRAM _ 429 NORMAL AVE. CHICO LOT NO - OWNER :Iia ri i g- e Z DATE : 19 S e PTEM 66-1'- iq B SCALE: l i � o. I lo' - PJ E� o SETP�AGK- r�`(O�Ar�T' �oTEss � E L F.C.1' � I �.�- L Go r-) ++FST I o ►-� . FEES. � rPr�O�Ep% I O(L To oc c. U PA r -e -'-( ALL- IJT1L 171 E5 �. Lo -r I H P Fo Y rz J S?- C O M P UJ 1714 SLI e-,4& *�A O l,0 t -i 16l P G f 'r 7 E t4 0 1 *4 E E r -- SITE PLAN PLAN NO- LOCATION - 2.41 -8 16 °• LOCATION:2.41-83 31=-0 -"XTJZe ET �>I aGS/ GAl AP NO - NOTES: COMMUNITY.,: HOUSING.. IMPROVEMENT PROGRAM _ 429 NORMAL AVE. CHICO LOT NO - OWNER :Iia ri i g- e Z DATE : 19 S e PTEM 66-1'- iq B SCALE: »''..;n.I.*,...�..,,.�«r�%::i.:jr'�+�;�iy-�'.s'�'}�� , i1+wi,�'4Ne+�7ii'�'S�w't�t,�hrd�,:�•i�.y`i'ryviC`"•`�ii''i.M)`v47*#� �►�Mf �"�'�+rw.., lT��`':,�'q" +" ,v,.,: .�•:'a BUTTE COUNTY SCHOOLS DEVELOPMENT•FEE°CERTIFICATION FORM (One Form per. Building):/'� A.P. Number 17- 3S'- 2 Building Department No. .School District i City ®County Q Jurisdiction n k/n n Property Owner Project Location/Address 8� rte( .� �j��. �i ciG S Subdivision /Cho 4 Lot Number % T Residential Development: Sq. Footage Q # of Living. MHI Addition (Group R) Units U, ! Commercia�lF/Indus.trial :n< r�. �; r. ,. a +"?;S'q (Footage New Additidn'%'(Including Exterior Roofed Areas) Building Department Representative Date District Id No. A 'R t School District certifies that 7 I /Z e Z- (Applicant Name (street (City) .has"complTed• :with Md � ess iit�4�•z�;i (State-) " r,1 ' "' ('Zip. -Code )' the'requirements-of°Resolntio"n by the payment of $ /4a0,QO representing ` el Q square feet. ,4 School District Res1V, bate PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88)