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HomeMy WebLinkAbout022-350-046PPichetta 5y 9D CHIP � I (Carlos Velasquez) 2890 3rd St, lot 26' Sub, City of Biggs Permit#2546-89B,P,E,M(new single family) y x PERMIT NO. 2546-89B,P,E,M 1 PERMIT EXPIRES OWNER CCHI� (C Velasquez) CONTR. owner, ASSESSOR PARCEL 22-35-36 LOCATION 2890 3rd St, lot =2 its of Biggs V 1� 1 OFFICE COPY Address GAS DaZ_(T Meter By -- ELECTRIC Meter By Date = OFFICE COPY Tem Address GAS Tem My Date � ! ELECTRIC Mk Meter By Date 4/ Temp. Gas Service Called PGA JOB FINALED Signature " • . I r I 'y ENERGY INSTALLATION CERTIFICATE N Building Owner 01411�)5. Building Permit # Building Location /e 7� DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R.Value) EXTERIOR WALL Material ifs. Brand Name OG E Thickness(inches) 3, Thermal Resistance(R Value) Q —tl CEILING Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R.Value) Loose Fill Type Brand, Name 4e� Minimum Thickness (Inches) •3 Number of Bags Wt..per bag a1 _lb. Area covered(ft.2) /log_Thermal Resistance(R Value) /Q -� 6 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Brand Name Thermal Resistance(R Value). Brand Name Thermal Resistance(R:Value) Material Brand Name Thickness(inches) Thermal Resistance(R Value)_ I•hereby certify that the above insulation was installed in the above'building, is consistent with approved building department plans and attachments and con- forms with requirement/s� of Chapter 2-53 of State of.California Energy Requirement 33511 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF.INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment,: as shown on the approved Building Department plans and attachments };ave been installed and conform to.the.appli- ance standards and Chapter 2=53 of the State of California'Energy ,.equirements'.. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) 'S_IGNATURKOF BUILDING CONTRAC OR/OWNER HVAC FIRM AME/OWNER (Please Print) 7G� STATE CONTRACTOR'S LICENSE NO. -.'.- 6 -6 -F DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/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. SEPTEMBER 1988 �.i=�'4�i'.6+'f` �+F•��^'f"9� ti"!� .AC���{"'�.. rid=41�'^�,�i�.'Y"" cM._,��-.�� t COUNTY OF BUTTEL' DEPARTMENT OF PUBLIC WORKS M 196 Memorial Way, Chico — Phone: 891-275,1 7 County Center Drive, Orovi Ile — Phone:.538`r'7541 747 Elliott Road, Paradise — Phone: 872-630,7,..-' CORRECTION NOTICE OWNER PERMIT NO. - 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 m ter, or need additional explanation, please contact this office Immediately. t Q OGyti /c5 Inspector Date A. O ' it y Inspector Date A. O ' it = OK .'0 = Not OK Not 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: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy l Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date J W ,� 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 -B1 Date Card -B1 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date - Card -B1 Date = VK 0 =NotOK RESIDENTIAL (Single and Duplex) - = Not Applicable = Not Ready Date C?,•3- UNIXRFLOOR (Plans) OK except #'s 1117 Zoning -Setbacks; -Easements -Flood -Slope Date F MING (Continued) . Hangers -Post Caps -Anchors -Connectors tg., Main; Soils-Steel-Elec.-/ /" Ftg. Depth . Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Garage; Soils -Steel-/ /' Ftg. Depth -477�replace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg—Rerehes & Decks; Soils -Steel-/ /"Ftg. Depth 8, A2c Access; Size & Romex Protection -Draft Stop -Ins. Baffles Main; Steel-Blockouts-Wrapped 4-49­BdrjTr:Windows or Exiting Doors -Sill Hgt. & Dimensions Steel -Bloc kouts-Wrapped . Garage Fire Protection Framing 7-e; _� . Slab; Steel -Wrapped 5-1-2feprerty Line Firewall & Openings - Steel ( xt. Doors -One 3' -Check Garage -3rd story, 2 exits D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test -5B-64eirs,-Width- Head room -Rise -Run -Landing -Fire Protection 1 e -Anchors 5 Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 1 - ors -Regulator -Service Test Siding -Nailing Veneer 12 erground 56_5taeeo-MEsh-Drip Screed -Fd. Vents-Underflr. Access 1 Clearance-Material-Supprt-Ins. 1_57,.-�azing Area -Glass Protection -Skylights -Plastic - i s -Anchor Bolts -Joists -Vents -Cripples ailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card-Bk(o Date9'r� Card -B1 Date Card -B Date9_-Y7,,!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 -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors /_,Z"ize Boxes & No. of Conductors -Stapled 2�omex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size iena. CuC. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or A - ven Circ. / / ga. Cu or Al. Insulated Neutral Ye No CaT-Service-Riser Conductors & Ground -Main Disconnect t�1-Eq>Tlp. Clearances Panels-Motors-Mech. Equip. 1�hes Closet Light -Shower Light -Spa Light Smoke Detector Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34._A.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet darAUic-Access & Platform if Furnace in Attic Card -81 Date Card -B1 Date Card -81 Date Card -B1 Date Date AMING (Plans) OK except #'s Sills, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing—Plates-Sound Searing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) Fe Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s ,.pellfxt. Steps -Door & Sidelight Protection -Landings 6 . m ke Detector 63 rnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting J. & Bath Fixtures & Tub Access -Spa Wfifre`c. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails -r68-Fifep4eee or Stove; Clearances -Hearth .�69r�fi.c. cutlets at Wood Panel; Int. & Ext. i Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance EI c. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Duct in Garage -Damper T4 tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In arage; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location 7 . . Receptacles in Garage; (G.F.I.)-Ro ex Protec. Insulation -Foam -Looked in Attic es --ward Rails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth C earance Looked under Floor ❑ Yes Following instld.; Drive. es ❑ No; Walks tioles ❑ No; PI ters ❑ Yes %R1q_0 Stucco; Brown -Finish Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. _--8*--V Ter Well; Disconnect, Electrical, Plumbing erior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House 7. Glass Protection %D8!Correctio s from Previous Inpections 1 A o 89. Ggs.T06- Meters Tagged; Gas-ElectricCl (N` �W er & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 9 Roofing ert'ficate Card- ate&, p—,Card-B1 Date Card-Bl'v Date7 Card -131 Date Card -81 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) yy1;. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541. APPLICATION AND'PERMIT PERMIT N 0. Filing Fee ASSESSOR PARCEL NUMBER ZZ - 3 Main service eoov OR LESS 100 AMP OR LESS 10.00 ZONING BUILDING PERMIT 2.50 OWNE `r 10 NEW CONST. DWELLING OCC OR ADDNS. ACC. BLDGS. 1/2dsq}t TELEPHONE SQ. FT. OCC. BUILDING VALUATION POWER APPARATUS 6 SINGLE OUTLET CIR. OWNER'S MAILING ADORE S 0 2 3 5 h r.L q L 'v` ©�,� Ex. OCcup(OUTLETS OR FIXTURES 200 0 .-LO3 t CONTRACTOR'S NAME p w n � / U .'. (/L, (_ 2.00 TELEPHONE �j 0.00 -13110 Mobile Home Facilities 15.00 CONTRACTOR'S MAILING ADD SS Fireplace CONSTRUCTION LENDER " $ UNKNOWN Total Valuation 1$Act 1512 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS le Permit Fee ; -� ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Ener Plan CheckingFee g%� -� ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Ventilation BUILDING ADDRESS — Permit fee $ PLUMBING PERMIT Filing Fee 10.00 t� Each Trap 2.00 / r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME i`G PARCEL MAP r'of'-J Water piping 5,00 — Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duple Mobilehome❑ Other sPECI FY Gas piping system 1 - 5 outlets 5.00 S Building sewer 5.00 S Mobi le Home Is 10.00ea TYPE OF WORK Newel Addition[] /Re odel❑,/� UtilitiesUtilities[:]Installation Oth r [:]Perrnit Fee Describe work: (fog 12 P z /V rte,, &I .,, Cmas , ,,,7,rmk Contractor 7� Z _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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) ❑ 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 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 ou become s b'e t T © FC i ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 f Q---- Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCC OR ADDNS. ACC. BLDGS. 1/2dsq}t D �` NEW CONSTR. U TI.OUTLET NON-RESID .BRA C CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 200 0 .-LO3 t FIXED APPLNS. OR \ Ex. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 0.00 -13110 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating &AA I --- Cooling C /0 - -Hood Hood 3.00 :3— Ventilation 3— — y u) c 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 $7Z3�to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL P RMIT FEE I also agree to save, indemnify and keep harmless the County of Butte against kCUP-1 CONST77YP7E ISCI;FLOOD PARC PD ND Issueall liabilities, judgments, costs, and expenses which may in any way accruef against said unty in consequence of th granting of this permit. 1- X C This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Signature 6f Applicant — Owner n Contractor ❑ Agent work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECT OF PUBLIC WORKS ion of structures over/03 stories in height. By Receipt No - ,_Y1-16 Date,?,/ L 4 [_WHITK-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT PE EXPIRES Date if-14—FO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No.. OWNERA. P (.fes,—fII Proposed Building Use `V_ c&55Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Energy Design Compliance and supporting documentation. 6. Statement of Intent for Non -Heated and AC Buildings. 7. Engineered truss details and layout in duplicate (required prior to plan check). A. Mobilehome installation data including manufacturer's installation 9. 4 instruct Fees ofi$ns.P/(,i �72U r RE, ��di �s. T®7, so - S Lvr �LP7 hico Urban Area fees paid. 11. Park fees .paid. 12. School District fees paid. 13. Sanitation approval from Health Department. 14. 15. City of Chico plumbing permit. Plot plan and business license approval from City of 465 (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. Contact Land Development Section of DPW. 18. Driveway permit (construction approval required prior to occupancy). 19. Pre -Inspection for required. 20. Contractor's license information (No., Name Style, Classification). 1. Certificate of Workmans Compensation Insurance. 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑). , 3.Recorded copy of Agricultural Acknowledgment Statement. 24. Letter of signature authorization. 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 Date o �� GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. '196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . 7 County Center Drive Phone: 538-7541 Hours: 8:00 a.m. - 5:00 p.m. Paradise.. 747 Elliott Road Phone: 872-6307 Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 538-7281 Hours: 8:00 a.m. - 10:00 a.m. . Paradise . . . 747 Elliott Road Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original —Applicant COUNTY OF BUTTE - Department of t P 7 County Center.Drive,-.Oroville, CA 95965 Ph:916-538-7 •� ►�by - one541 OWNER -BUILDER VERIFICATION 9 V 1 Attention Property Owner: A U G 1989 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.TA« signed an application for a building permit for the proposed work. 3. I plan to provide portions of this cork but I have.contracted with the following a�encv to provide construction technical assistance to coordinate and supervise the�ework. Name Cominity Address P ram PhoneCity Chico, C1! 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 Phone City Contractors Lice�sc 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 Ttc ButtacavQli Industr. lo15 Yuba Str. Yuba City CA 741-2619 Insulationof Work Caldwell Ent., P.O. Box 787 Gridley CA 95948 846-4142 Ooleman Concrete Constr. 91 Lone Tree R3-. Oroville, mets & CAuti er Cumberland Plumbing,40 Oakvale Ct., Oroville C.� 534-3303r. Foothill Electric, 534 0589 inq 5887 Orrin an. Paradise, CA 877-1,35, Fox CO., 3995 Olive Hw/. Oroville, CA, ec — Trojan Truss Co. P.O. Box 85, Orland, CA, 9596327865- oo ru—ss e. Signed:Z Property Owner Qa as C Social Security Nu 7k as Date 7— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19832 of the California Health and Safety Code. 19831 and This verification must be completed and returned to our re we are per_ mitted to issue the permit. office befo :.,,Where recorded mail to: Chico Housing Improvement 429 Normal Avenue Chico, CA 95928 ATTORNEY-IN-FACT AGREEMENT 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 26 of Pichotta Subdivision , as shown on that certain map filed for record in the office of the county Recorder of the County of Butte State of California, on.January 15 , 1988 , in Book 188 of Maps and Surveys, at page 5 August 1, 1989 �g��IpS jI�j. o5 Date Owog Velasquez August 1, 1989 Date Owner Maria Martinez STATE OF CALIFORNIA On this 1st day of August in the year County of Butte 1989 , before me . Linda F. Wilson , a Notary Public, State of California, duly commissioned and sworn, personally appeared Carlos Velasquez and Maria Martinez OFFICIAL SEAL personal y known to me or proved to me on the basis of satisfactory evidence) to be the LINDA F. WILSON persons ) whose names ) is/are subscribed to g NOTARY PUBLIC• CALIFORNIA BUTTE the within instrument and acknowledged to me COUNTY My Comm. Expires Feb. 15, 1992 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. Notary Public State of California My commission expires 2/15/1992 , BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One -Form per Building) A.P. Number N?- - 6 Building Department No. School District City D"County Jurisdiction Property Owner Project Location/Address i SubdivisionLot Number �b Residential Development: a Sq. Footage 14f,37- # Df,# of Living MHI Addition (Group R) Units Commercial/Industrial: 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. (� School District certifies that (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 7V-1 bite payment of $ Z/ , 5a representing shoo strict Representative PAID BY CHECK N0 . ,- BANK NO 90- � 5-0 PAID BY CASH REMARKS: %% square feet. ate white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) „a-^t"i.+'7hT"*” �w+,..ry .. �_.,. ,..'k• i .�...�,,,�„+.y,+w.„.o��rF`'�i'.k”ry'+'f•^^".._..R..�-r+?.F'r'r.�tl.+.+J.,"`^� .r'�1....w .m-•..-... � -..r1 .. .... -...: .. t -BUTTE COUNTY; SCHOOLS DEVE-I90-FMENT FEE CERTIFICATION FORM � (One Forms per Building) A.P..e umberBuilding Department No. School DistrictAS s City E2 County Jurisdiction Property Owner Project Location/Address Z-. c9 Q0 3,,.L S i Subdivision 8IGhoLot Number Z li!< Residential Development: �� F]Sq. Footage f 0 q I;t # of Living' MHI Addition (Group R) Units }- � ,.w -fir'"... ., it .. ,; .�'. . •�.�, � .�•V?�.. .. .,q, �.y; zx. q. ootag... e :is.,.....,...s :-. y_. .. a.......... �Comme'rcil%Industrial: _SF New Addition (Including Exterior Roofed Areas) 0 Building Department Representative ".� Date (Floor Plans reviewed by School District Personnel) District Id No. n School District certifies that (Applicant Name) (Phone Number) (Street Address) (.C:ity )% f (State) _...(•Zip-- •Code) T7 h•as,complied with the requirements of Resolution No. payment:'.of +$^��% ,� re chool District Representative PAID BY CHECK NO. _`, REMARKS.; BANK NO /©' B45_05� PAID BY CASH senting square feet. ate white -applicant, yellow -building department, pink -school district si SCHOOL.FEE (8/88) q\ w,oTP-1z 10' P, u . E , M r5, st 1416, .T, D, of ft, from the hack � 3erty lines and a setbackQ Oft. from the road :� v rterline shill be clear mint excePlu` ! actures or eq Iv * 9 �on':—A%I Materials & Y, arkmanship $hall C9�iin P� 2 mac., od =r —�--4 Accorcen:e With ;?�c,c� izzi-•v c ,.rC.; c . in the�IB I��s-�• of a guai.: i' i�rc 5c:. ;; .� 1 {: e< Uniform i3ui,aing, Fiurnir,Fi is ivachar:ical Codes sand c; ica}ions MUST be fh@ NgifioW ElectrlC4 Gad Ql off, set & pT-vz15 C71 r, � .,,,5 Cr ,� i.' is unlawful to e tlln i,1^ rt r j r�� wilmout cent fat ,-,4c.cin,v r4 l� i,tc; Jeiy"ttmorf off. ,4rittcn perrmcsion frorn .,0)a, Couoty of or CL�Tr21G G��t�.[ELT IU.I Ff�s . 2 PtztoQ T� o�c.t�aNGY, taw UTtt_ t"ft� L>T I MP�.oV��,.}Y�.IT�i MusT Got✓lt�Y W,M4 SUBoM-s+�1 t�c�UME�tTS APP120VC--p ; 8 /U. Ian on Vile !or bdiCd'►n9 tee Basler N��1� M�YFt O� 7E � G! TY �Nl�if�C-�2 nns. v2� pl SITE PLAN #�s PLAN NO. 10 7 (LOCATION: e790 moi P1444e'TTa SU�vlvlsloN ;�F31 Gam, SAP No. NOTEB:,,,r LD1NC DEPAR�EN'� 1-5 COMMUNITY- . HOUSING.' IMPROVEMENT rROGRAM 428 NORMAL AVE. CHICO I . LOT NO. Z& OWNER : �Z DATE :. .1 QfJ �lNATIM_ III - A��