HomeMy WebLinkAbout022-350-040� ~ �
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. 'CONRRADE & JULIA iBARRA' ^
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2867 2nd St, lot
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575-89B,P,E,m
PERMIT NO.
PERMIT EXPIRES AD
CHIP ( C. Ibarra)
OWNER
owner
CONTR.
27-35-40
ASSESSOR PARCEL
2867 2nd St, lot 30, City of Biggs
LOCATION `
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Temp. Power Pole
Called PG&E
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Temp. Elec. Service
Called PG&E
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Temp. Gas Service —2b CEJ
Called PG&E
JOB FINALED (Date)
Signature -
RECEIVE F c g 02190 ENERGY INSTALLATION CERTIFICATE .
Building Owner 6714, / Building Permit .#
Building Location &_g a/,L 3C�
r
DESCRIPTION OF INSULATION,
ROOF
Material Brand Name
-Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material
Thickness(inches) 3.s-0
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness (Inches)
Area covered(ft.2) /oXn
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Brand Name /) C
Thermal Resistance(R Value) ,Q-1/
Brand Name
Thermal Resistance(R.Value)
Brand Name _�cQ-e
Number of Bags 3 t Wt. - per bag_lb.
Thermal Resistance(R Value) D -fin
Brand Name
Thermal-Resistance(R Value)
Brand Name
Thermal,Resistance(R Value)
Material Brand Name
Thickness(inches) Thermal.Resistance(R.Value)�_
I-herebyecertify that the above insulation was installed in the above building,.
is consistent with approved building department plans and attachments.and con -
f ms with requiremen.t,s of Chapter 2-53 of State of.California Energy Requirement
�c_�
3351-7/
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE N0.
SIGNATURE OF.INSTALLATION PLICATOR DATE
I hereby certify the required features, devices, and equipment; as.shown on the approved
Building Department plans and attachments have been installed and conform to the..appli-
ance standards and Chapter 2-53 of ti.e Gtate. of Califor:.ia' Ererg ..�e,uirec�ents:
1C
BUILDING CONTRACTOR/OWNER (Please Print)
(FIRM NAME)
SIGN RE OF BUILDING CONTRACTOR/OWNER
HVAC FIRM NAME/OWNER (Please Print)
.ate
STATE CONTRACTOR'S LICENSE NO....'
DATE
STATE CONTRACTOR'S LICENSE N0.
-
SIGNATURE OF H A CTOR/OWNER DATE T—
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER.1.9-88
.�. _.. �:=r[. ,>.{ f,r.+s'Y'.c+rsts'.:.•�4 `y'ssl"r.'.-vt.�rn^�.f"+ . 1w'�F't.'W'r. t'R'P �•,.•-..r.—sr.�.r. rv..
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS =i
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE'
MA
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
r.:
mrLD
atter,- or need additional explanation, please contact this office immed
ia ely.
L '
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1t /\/ t .1 •��tn.
•.it
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yy
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a• Y
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Inspector. Date
= OK
0 = Not OK
= Not Readyable 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: / P11t.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -B1 Date Card -B1 Date
Card -B1 Date Card -131 Date
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
Date MOBILEHOME INSTALLATION (Plans) OK except # s J
1. Zoning Requirements -Setbacks -Easements
Card -61
Date Card -81 Date
2. Footings; Size-Spacing=Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability -
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
8. Gas and Electricity Tagged
Dead Men -Lining
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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.
Card -B1 Date Card -B1 Date
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -B1 Date
Card -131
Date Card -B1 Date
= VK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =
Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
.0 ning-Setback s;- Easements- Flood -Slope
u 2. F!g, Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
. Ft , Garage; Soils -Steel-/ /" Ftg. Depth
, Porches & Decks; Soils -Steel-/ /"Ftg. Depth
Sjemwalls, Main; Steel-Blockouts-Wrapped
B�Spmwalls, Garage; Steel-Blockouts-Wrapped
t�lab; Steel -Wrapped
?�S
8. Biers -Fireplace Fto.-Steel
-3. D.W.V.; Fall -Fittings -Test -2
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -I
C/O -Sewer Test
ulator-Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance- Material -Sup prt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -B1 43vn DatCard-B1 Date
Card -81 LWb Data rd -B1 Date
Date PL GING (Permit) OK except #'s
.,Water Ht. Vent -Access -Combustion Air -Baffle
..Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
t Floor -Tub Access
20. 'Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
Card -61 Date?_/ and -B1 Date
Card -131 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. F ture & Transformer Clearance -Ins. Protection
lec. Receptacles Spacing -Lights &. es at Doors
e Boxes & No. of Conductors t e
,Romex Installed Close to Edge of Studs & C.J.
6. quip. Ground made up w/Mech. Fasteners -Bond Gas -& Water
417. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28 ire ize / 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
Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
3 Light -Shower Light -Spa Light
iii' 3. Smoke Detector
Card -81 Date and -61 Date
Card -B Dat Card -131 Date
Date ME ANICAL Permit OK except #'s
�7. .C. DuctCInsgt2!!oA 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 -61 Date - rd -B1 Date
Card -131 Date and -131 Date
Date MING (Plans) OK except #'s
9. Sills, Proper Material & Anchors
Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
earing Walls over Girders & Floor Nailing
42.,Draft Stop in Walls (rat proof)
tv/±ire Stops; Furred Ceilings -Stairs -Chases -Tub
4• Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
�d7 F�rep�ara Tic rt. T,� Flue -Fireplace Throat Clearance
8. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
150-- arage Fire Protection Framing
roperty Line Firewall & Openings
L -51 -Ext. Doors -One T -Check Garage -3rd story, 2 exits
-Rise-Run-Landing-Fire Protection
54. P wood on Roof Overhang -Attic Vents -Rafter Outriggers
LK Siding -Nailing Veneer
5 - creed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
s; ai g -Bolts
Insulation- -fg-
60. Infiltration-Walls-Wndws
Card -131 Dat ' - and -131 Date
Card -131 Date and -B1 Date
Date AL (Plans) OK except #'s
JrExt. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
MT 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
i8CEIec. Trim & SebVmmt:zBreaker Sizes -Labels
68. learan ces-Hearth
od Panel; Int. & Ext.
0. ' . Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
Alti. Elec. Outlets & Receptacles at Kit. Counter
*72. Gaiage Fire Door; Swing -Landing -Closer
ge-Damper
4. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
,Ao-Gefage, Above or-Mech. Protection
5. Pb;, Elec. & Mech. Equip. Listed for Location
Cn-Elec. Receptacles in Garage; (G.F.I.)-Rom x Protec.
. Insulation -Foam -Looked in Attic '❑`Yes
struction-Post Caps
Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive es ❑ No; Walks s ❑ No;
Planters ❑ Yes o
81 .:,9tatco;- Brown--Mish
X82 A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84_Watef Well, nect, Electrical, Plumbing
kterior Elec. Trim; G.F.I. Receptacle -Underground
6 entilation throughout House
Glass Protect'on
88. Correctiprrsfrom Previou npe ,t6ns
89. Gad st-Meters Tag. d; -Electric
9"ater & Sewer Connected -C/O to Grade -HD Approval
1. Enerov ComDliance Certificate -Other Certificates
92. Roofing Certificate
Card -131 Date,'D.-JCard-131 Date
Card -131 Date Card -131 Date
Card -B1 Date Card -131 Date
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS(9�7/ . ,. l
.. 7 County Center Drive = Oroville, California 95965 -Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
A it
BUILDING PERMIT
OWNER
T 8 O`a lel- f cc t CI
TELEPHO
SQ. FT. 0 C. BUILDING VALUATION
OWNER'S MAILING ADORe 55 �` � `C
I 2 /v- c [/!4
1162
CONTRACTOR'S NAME ff
w h e� b c� �v
TELEPHONE
CONTRACTOR'S MAI NG ADDRESS
Fireplace
CONSTRUCTION LENDER FitUNKNOWN
Total Valuation $
Filin g Fee
10,00
LENDER'S MAILING ADDRESS
001110Pc-lle
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ /
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ^ /^r
4/ 1.Lf//C\/T
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
r` C
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. ' SUBDIVISION NAME /
iG/LO
PARCEL MAP
O
Water piping
5.00 5
Each qas water heater or vent
5.00
USE OF STRUCTURE
,,Q
Q
SF,J�J Duplex❑ Mobilehome❑ Other
v \ SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home is G W
O.00ea
TYPE OF WORK j
New Addition❑ R *del UtiIitjQs Ins ll tion❑ Other El;
Describe work:Fy #-
D IP�e kew oec cy� c`vy
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
39 1.5
Main service 1OOV 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 (check one):
p y p i y \ )
❑ 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
1, 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)
❑ 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.NI/z¢sgft
OR ADDNS. ACC, BLDGS.
NEW CONSTR. TI -OUTLET 2.50 ea
NON.RESID BRANCH CIRCUITS)
POWER APPARATUS O
(SINGLE OUTLET CIR. I
2o_030
Ex. Occup OUTLETS OR FIXTURES 20@030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.? 2.00
Temporary service 1 .00
Mobile Home Facilities 15.00
. MiscWiring 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.
❑ 1 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 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.
MECHANICAL PERMIT
Filing 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 Countyof
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 unty in consequence of the granting of this permit.
X Date Z /
Signatur of Applicant — wner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and de olition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PE MIT FEE $
CCUP.
CONST.T P11
V
FLOOD
PAReCL
e�
o . ND ISsU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By %' v `
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date f &/C'1P,i
Receipt No -
WHITE-D.P.W., YELLOW-A32CSSOR, PINK-INSPEC TOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER ( -y / A. P. No.
Proposed Building Use - / Building Inspector /�iG( 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
A-1-9. Fees of ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees aid
12. School District fees paid .................
13. Sanitation ap ttoval from Health Department ...
14. City of Chico plumbing permit ........................ .............
K15. Plot plan and business license approval from City of OrAgg—
(see City for other. requirements) G
16. Planning approval for (A) Use: (B) Parking: .........
17. _Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Ins ection for re uired . , , , Pre-Insperequest 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 ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
�4. 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
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required:
it issuance: (C�jrcWnew item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_mall—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date Plans approved by &2-? Date 3"
Sets of plans on hold in r File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE -'Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
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.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) YES
2. I (have/have not) _t.1Avr signed an application for a building permit
for the proposed work.
3. I plan to provide portions of this work but
of ency
I have contracted with the.following to provide e#e-eee�1
construction technical assistance to coordinate and suoe�ise the major work.
Name Comm linity F10usinctTML (,yPrrx�nf n -�Z
Address 429 NO= Ave- City Chico, Cly.
Phone 891-6931 Contractors License No. 390764
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
N/A Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone
Type of Work
v
Buttacali Industr. lo15 Yuba Str. Yuba City CA 741-2619 Insulation
Caldwell Ent., P.O. Box 787, Gridley, CA, 95998 84G-9192 mets & Coun er oc
Coleman Concrete Constr., 91 Lone Tree lei. Oroville, CA 534-3303
Cumberland Plumibinq,40 Oakvalc Ct. , Oroville 534-0589 Piurming
Foothill Electric, 5887 Orrin Lane Paradise, CA 877-1357 E ec ice
Fox CO., 3995 Olive Hvai., Oroville, CA, 533-2/30 Heacincj
Trojan Truss Co. P.O. Box 85, Orland, CA, 95963, 865-232 0o russes
III
Signed: CD�h J t o ctrrct
Property Owner
Social Security Numftr
Date
NOTE: This Owner -Builder Verification is sent to you as required by Section, 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and rer.urned to our office before we are per-
mitted to issue the permit.
11
Ua; UJJJZ
When recorded mail to: 89-005552 Rec Fee .00
Chico Housing Improvement Total .00
429 Normal AvenuA I Recorded
rt., _
Official Records ;
County of ; BIDWELL TITLE CO.
Butte ;
Candace J. Grubbs
Recorder
8:00
am 22 -Feb -89
.. � � 1
` ATTORNEY-IN-PACT-AGRE'EMEMT
_,"e nereby 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 30 of Pichotta Subdivision as
for record in the office of the county Recorder
State of California, on January 15
and Surveys, 'at page 59 '
2/6/89
Date
x/6/89
Date _
STATE OF CALIFORNIA
County of Butte
shown on that certain map filed
of the County of Butte
198_ 8 , in Book 108 of Maps
'zZ7f(,
Owner Conrrado Ibarra
Je:r�u.Lia � _o l- -
On this 6th day of February in the year
1989 , before me
Linda ' F. Wilson , a Notary
Public, State of California; duly commissioned
and sworn, personally appeared
Conrrado Ibarra & Julia V. Ibarra
per-6eg7a!4Y-W-te-kae or proved to me on tie
basis of satisfactory evidence) to be the
person(s) whose name(s) is/are subscribed to
the within instrument, and acknowledged to me
that Whe 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.
Notary Public tate of California
2/15/1992
My commission expires .
OrFiC1AL SEAL
UNDA F. WILSON
NOTARY PUBLIC -CALIFORNIA
BUTTE COLIN TY
° • My Comm. Expires Feb. 1 5, %1992
END OF DOCUMENT
�Y'�''�nLr�r'Ri",WY":Sio�'?'�'�4;Ge� ti'M"K`'z'�,;y�r.f�su:.�i�i�.ip�"na�f`�ti#��ti%rri`�ue.✓iv.=3s+ti `-.^
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
j 1 (One Form per Building)
A.P. Number `� - �j� �� Building Department No.
School District- City Fi' County Q Jurisdiction
Property Owner
Project Location/Address 2 8
Subdivision,' /�Z Lot Number 30
Residential Development:
Sq. Footage l 8 6
# of Living MHI Addition (Group R)
Units
Commercial/IAndustrial rSq Footagte_�r
.-i,.--�xw ��+m.xv.-+rt..+w.+m..,..+r.s.. e.,�°'ie•,��r�F7'.- �e-+� ...cw.. ,.-.�,....f »"""v?a,.°:k.. c 3 ( 7 .r
New ' Add'ition Eric u . ing `Exterior
Roofed Areas)
Building Department Representative Date
District Id No.
462 , b /� L /'�/ Sch"ool..District certifies that
(Applicant Name) (Phone Number)
y
(Street Address)
A
(City) (State) (Zip Code)
Chas complied ;with: the'`.requ_irements,.of .Renolutio:n,No:.„
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by the• payment of $/�,pp re resentin s
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Representative f5ate
7"c-hool"District
PAID BY CHECK NO. REMARKS:'
BANK NO
PAID BY CASH "
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
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SITE PLAN PLAN N°'3ZIs
LOCATION: NOTES: _ COMMUNITY .. HOUSING
2 &(0-1 2.+ o Sj F -E aT 1NL n� lU�1! -IMPROVEMENT PROGRAM
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OWNER: l bA R-Fz_,4 .
ATE : Is Safi- "468
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SITE PLAN PLAN
LOCATION: NOTES: COMMUNITY HOUSING
t&401 2,40 Re e r IMPROVEMENT PROGRAM
PI C4+011•A 5-060 %10 488 NORMAL AVE. CHICO
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LOT NO• 3 0
AP NO- OWNER:
ATE: Is SEPI 1988
SCALE:
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