The URL can be used to link to this page

Home My WebLink About042-350-008rA.P.-42-35-8 AZELL, F. . C 86J, D. WEBB1226Glenwood Ave., ChicoCONTR: Floyd Stober, ChicoPermit 1ej13-73B,E � �(7 3Chico odd Ave, just West of Oak Way s' u;s (carport) i _ 42-35-08 + DOUG-JONES "� Z.PErmit#4141 88B (addition/SF) / } 2 5. -008-• t -PERMIT#94 JONES;`;DAVID,.,, ),1226.4GLENWOOD:CHICOV" CONT:'� FOUR SEASONSROOFING r'• ► j ' 1 t r 1 I 1 1 i • S r 1 1 N M L!'� r;''o--.9'-?` ,;y��.+;�x;i-. 'h"..y-,•. r . r .o-. ✓n.;a. r,a . -rr -w,. . , y... -•.. - ,... ,-. q 4 f r04235-0 008 :PERMIT#94 2717ONES, DAVID 226 GLENWOOD' AVE. , CHICO• + 'CONT:,FOUR SEASONS ROOFING REROOF/SF f • t u jjj� .. ' //.� i J t n , -.. r.1n-+.� .+..i�'•�� +.`rt- v '1^�J �1T�S:T i{f.71'.�'•: �!'�t�T.`." ..i. �YM� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califo nia 95965 - Telephone (916) 53$b41"''� PERMIT NO. APPLICATION AND PERMIT �� - g -7 ASSESSOR PARCEL NUMBER 042— 0 ZONING R BUILDING PERMIT OWNER DAVID TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS1226 n. 5 32 S 1920 CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE 1895 18 CONTRACTOR'S MAILING ADDRESS R '+n Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1226 MENWOOD CHICO PERMIT FEE $ 65.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 3.00 Solar or heat pump water heaterT@@ Water piping 5,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent5.00 USE OF STRUCTURE SF Duplex ClMobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets5.00 Building sewer 5.00 Home Mobile HS G W 0.00 TYPE OF WORK New O Addition ElRemodel 1:1Utilities ❑ Installation ❑ Other ❑ Describe Work: REROO WITH CO" PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 200. OR LESS Main Service , 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. , OR ADDNS. ( a ACC. BLDS. ) 3.50 FTSO. CONTRACTORS LICENSE LAW I dare under penalty of perjury (check one) d, I am a licensed under provisions of Chapter 9, Division 3 of the Business and Profession cense is in full force avid Aft . License No Classification C j ❑ I, as the owner, r my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. / BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. 0 @ 1.50 Ex. Occup. FIXED APPWS. OR p' ( OUTLETS PPLNS..) R ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. I!i have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood EL�6.E5O 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 Butte County Ordinances and California 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 consequence of the gra ting of thi permit. X L' - . Date -( Signature of Applicant - ❑ Owner Conractor ❑ Agent An OSHA permit is required for excava ons over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ f)5 HA?. D. FEES IMP FLOOD CDF PAgCEL PD HO ISSUE 1 This permit is hereby issued under the applicable provisions of the Butte County Code -and/or Resolutions to do work indicated above for whjch ees have been paid. / B' ' 1 Date y PERMIT EXPIRES ON (Date)! Receipt No. 163814 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 - PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER n49-350-008 ZONING R1 BUILDING PERMIT OWNER TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAIUNG'ADDRESS 1226 GIRNIA100D CHICO 95926 32 SQ 1920 _AXE, CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE 899-0418 CONTRACTOR'S MAILING ADDRESS �358 M WAY, CRI -CO CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1226 GLENWOOD CHICO PERMIT FEE $ 65.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF S Duplex ElMobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther ❑ Describework: RER00 FWITH COMP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW I decI a under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions od n cense is in full force and e e License No Classification C ❑ I, as the owner, of my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS 1)@7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .Bo Ex. Occup. FIXED APPLNS. OR p- ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. B -1 -have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Fle0 Heating Cooling Hood 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 Butte County Ordinances and California 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 consequence of the gra ing of this ermit. X Date / nature of Applicant - ❑ Owner Cont actor ❑Agent An OSHA permit is required for excavati ns over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF SUE This permit is hereby issued under the apns of the Butte County Code nd/or Resolurk Indic d abov for whi f have been paid. B Date 28 . 7 PERMIT EXPIRES ON (Datelf Receipt No. 168814 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 t 1913 -73B E PERMIT NUMBER ,— B s P • is P E PERMIT EXPIRES OWNER J D. Webb COkTR: Floyd Stober� Chico LOCATION (A.P 42-35-8 ) 1226 Glenwood Ave., Chico U i COUNTY O,F„ BUTTE Deportmen ' of Public Works BUILDING INSPECTION- RECORD Zoning '3 Setback 2, 72 Forms l7- Foundation Piers & Girders t Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing !a" / ? Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 7 Telephone: 534-4541 APPLICATION AND PERMIT authorize represeniad ves of the county of butte to enter upon the above-mentioned property for inspection purposes. X �Z Date 61117.7 Signature of Permitee or Agen Receipt No. White-D.P.W. — Yellow -Assessor — Pink- nspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS Rv Date Building permif expires Date .Coz4—:;;�; -_ BUILDING Owner Af SQ. FT. OCC. BUILDING VALUATION Mailing Address t Telephone No. Fireplace Contractor Total Valuation Mailing Address "— Permit Fee Plan Checking Fee&/or Penalty Telep o e No. Permit Fee $ <7ti $ p� Building PAd54ss PLUMBING No.1 @ FEE RMIT FILING FEE J$2.00 F Each Trap 1.50 ILI Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. -- 8 Zoning & Planning F es T .0 nit do ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 EQA I Park g Parcel 1 Plans Declaration Parcel a p 60' R/W Improvements provements 4 Lawn sprinkler system 2.00 F::� Bldg. Plans Recd 4�01 Parcel Approval Plans pproval Permit Fee $ $ NEW ❑ ADDITION U (TIES OTHER E]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �L7 t— F Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal_(d10 Re ps., swit1thes&fix gutlets a�ZOo((da2255 t i CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 0?0705'50Misc. Classification wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability 7for W kmen's Compensation. 1 hhave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ L authorize represeniad ves of the county of butte to enter upon the above-mentioned property for inspection purposes. X �Z Date 61117.7 Signature of Permitee or Agen Receipt No. White-D.P.W. — Yellow -Assessor — Pink- nspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS Rv Date Building permif expires Date .Coz4—:;;�; -_ PERMIT NO. -Al 41 --88B E PERMIT EXPIRESCLti1i Z90 OWNER A17R JONES r -on, k 14 K CONTR. /V ASSESSOR PARCEL 4:2- 7LOCATION 1226 Glenwood Dr, Chico,.,, /z 11 lf'P,5" 4 nl Temp. Power Pole Called PG&E—, Temp. Elec. Service Called PG! Temp. Gas Ser, Called PG! JOB FINALED Signature OK 0 = Not OK = Not Readyiable MOBILE HOMES ' MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements_ "" 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel 3. Sewer; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- r Shthg:-Rfg.;Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete 6. Gas; Location-Test-Wrap: / -/"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum.-Awn:; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors- - 7. Utility Clearance 7. Elec. t `, 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-B1 Date Card-131 Date 10. Roof; Shthg-Roofing Card-B1 Date Card-131 'Date 11. Ext.; Steps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-81 Date Card-131 Date v 2. Footings; Size-Spacing-Marriage Line Card-131 Date Card-131 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- Dead Men -Lining 8. Gas and Electricity Tagged 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. Boxes-Enclosures-Panel board s-Ins. to Main in Conduit Card-B1 Date Card-B1 Date Card-B1 Date Card-131 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-131 Date Card-131 Date Card-131 Date Card-131 Date 0 = OK C- Not OK - =Not ApplicAble = Not.leady Date UNDOTLOOR RESIDENTIAL (Single and Duplex) V< OK except #'s s; -Easements -Flood -Slope -• Main; SioifSrSteel-E+�CPFB.-/lL/" Date' FRAMING (Continued) 45. Han -Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. ies or Type A Flue -Fireplace Throat Clearance tti Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions Mtge . We ction Framing 54. ewall & Openings e 3' -Check Garage -3rd story, 2 exits 5 eadroom-Rise-Run-La g -Fire Pro ction 54,'151X>ao*d on Roof OverhangQtti en Rafter triggers 5 iding-Nailing Veneer c -Drip Screed -Fd. Vents-Underflr. Access zing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59.lnsulatio Clg. 60. Infiltration(Walis-Wndyis Card -B1 to. Date4-6-81 Card -B1 Date Card -81 Date and -B1 Date Date FIN tans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furna e; Vents -Clearance -Comb. Air -Connector - In rage; Above Floor-Ducts-Mech. Protection edroo ting ath Fixtures & Tub Access -Spa ec. Trim & Subpanel; Breaker Sizes -Labels 67_St"W_&-RaUa. 68.ces-Hearth 69. ood Panel; Int. & Ext. 70.ce; rnd. -Air Gap -Cooking Clearance 71. Fisc Outlets & R�ias_at Kit. Counter 72 - ding -Closer 73. e- amper 74. r.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I rage; Above oor-Mech. Protection 75. . Equip. Listed for Location 76. e' G.F.I.)-Romex Protec. 77. - oam-Looked in Attic ❑ Yes 78.Guam' ction- Post Caps Ve rawl Hole Door -Drainage & Wood -Earth CI ce Looked under Floor ❑ Yes Followi instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Pla s ❑ Yes ❑ No tucc n -Finish nit; Disconnect, Electrical, Plumbing Vents Apove Roof; Plbg:-Appliance-Firepl.-Clearance to Op gs. onnect, Electrical, Plumbing 8 rior Elec. Trim; G.F.I. Receptacle -Underground 86. out House 187i91ass tection orre ions from Previous Inpections Tagged; Gas -Electric 6 Sewer Connected -C/O to Grade -HD Approval y Compliance Certificate -Other Certificates 49_Aee4Certificate Card -B1 Daten Card -B1 Date Card -81 Date Card -81 Date Card -81 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) 4. t orc s & Decks; Soils -Steel-/ /"F .'Depth ,Sf.. e Is, Main; Steel -Bio is r rage, Gteel,-Blee4�� Piers -Fireplace Ftg.-Steel 2Q.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10 as Pipe; Size -Anchors 114Nater Pipe; Test -Anchors -Regulator -Service Test 12. lectri , nderground 13 ums & Ducts; Clearance-Material-Supprt-Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15.jInsulation Card -61 Dater/ rrCard-B1 4,r 59 Date S-- rCard-B1 Card-B1 �_/3, Dates-44:5,�ard-B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combust Air -Baffle 17. Water Pipe; Test & Anc - ail Protection 18. D.W.V.; Test -F & Anchors -Nail Protection 19. Showe ; Test, First Floor -Tub Access 20. Tub & Shower, 2nd Floor -Tub Access 1. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date ELE IC L (Permit) OK except #'s i e Transformer Clearance -Ins. Protection I . eceptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 2 Romex Installed Close to Edge of Studs & C.J. mound made up w/Mech. Fasteners -Bond Gas &Water 7. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. i 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At a 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-VUIMPT20foset Light -Shower Light -Spa Light 33. 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 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 Card -B1 Date Card -131 Date Card -B1 Date Date_VA (� f, FRAMING (Plans) OK except #'s Sills, Proper Material & Anchors LV (O., Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing . Draft Stop in Walls (rat proof) urred Ceilings -Stairs -Chases -Tub �qHeader & Beam -Size & Bearing Date' FRAMING (Continued) 45. Han -Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. ies or Type A Flue -Fireplace Throat Clearance tti Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions Mtge . We ction Framing 54. ewall & Openings e 3' -Check Garage -3rd story, 2 exits 5 eadroom-Rise-Run-La g -Fire Pro ction 54,'151X>ao*d on Roof OverhangQtti en Rafter triggers 5 iding-Nailing Veneer c -Drip Screed -Fd. Vents-Underflr. Access zing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59.lnsulatio Clg. 60. Infiltration(Walis-Wndyis Card -B1 to. Date4-6-81 Card -B1 Date Card -81 Date and -B1 Date Date FIN tans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furna e; Vents -Clearance -Comb. Air -Connector - In rage; Above Floor-Ducts-Mech. Protection edroo ting ath Fixtures & Tub Access -Spa ec. Trim & Subpanel; Breaker Sizes -Labels 67_St"W_&-RaUa. 68.ces-Hearth 69. ood Panel; Int. & Ext. 70.ce; rnd. -Air Gap -Cooking Clearance 71. Fisc Outlets & R�ias_at Kit. Counter 72 - ding -Closer 73. e- amper 74. r.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I rage; Above oor-Mech. Protection 75. . Equip. Listed for Location 76. e' G.F.I.)-Romex Protec. 77. - oam-Looked in Attic ❑ Yes 78.Guam' ction- Post Caps Ve rawl Hole Door -Drainage & Wood -Earth CI ce Looked under Floor ❑ Yes Followi instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Pla s ❑ Yes ❑ No tucc n -Finish nit; Disconnect, Electrical, Plumbing Vents Apove Roof; Plbg:-Appliance-Firepl.-Clearance to Op gs. onnect, Electrical, Plumbing 8 rior Elec. Trim; G.F.I. Receptacle -Underground 86. out House 187i91ass tection orre ions from Previous Inpections Tagged; Gas -Electric 6 Sewer Connected -C/O to Grade -HD Approval y Compliance Certificate -Other Certificates 49_Aee4Certificate Card -B1 Daten Card -B1 Date Card -81 Date Card -81 Date Card -81 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) ER COUNTY OF BUTTE DEP TMENT OF PUBLIC WORKS 196 Me I Way, Chico = Phone: 891-2751 '+L} 7 County Center Drive'. Oroville — Phone: 538-7541 . 747 Elliott Road, Paradise- Phone: 872-6307 CORRECTION NOTICE ' a PERMIT NO. i ,fq 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 nee�"dditional explanation, please contact this office .immediately. C i —f'..- Inspector. Date q ' si �i Y.•M Y •..I 1 vx .c vl ag r Inspector. Date q COUNTY OF BUTTE ty- DEPARTMENT OF PUBLIC YfORKS _ 196 Memorial Way, Chico — Phone: 891-2751 " 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 00 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 F matter,, need additional explanation, please contact this office immediately. ' ' In /If-,,( "., c 0 U i e - r -�c !i � l � CSG /` u .v �' •.� r14e 117 0 tL--j.4 ro 0 Inspector- pl�4 SSe l J 1J Date 4 �'w' ,_�..ucfp-+� r.+ -tea. v---.• r.-.�»..... _ � � .,reyv• ..� r- _ -a•.... �. -. -.... ... . . .,. -.. .....�-„,-.-• ..� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phpne: 891-2751. . 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 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 matter, or need additional explanation, please contact this office immediately. I VX_ () 1) / /i ll S ” -'L r2 Ke 42 o0/ 6� d e "! 'O 16 "j S t{ Inspector ` Date v Yom.-... �,.. -,..• 2rr... �;c _. �..rs 'v+-'�v:rj..',y-Y"' -:., __' R'.ay9-`��. ti-�. .�.r. r+ ly'+ COUNTY OF BUTTE v. DEPARTMENT OF PUBLIC WORKS 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 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 • 4 matter, or need additional explanation, please contact this office immediately. :tE v i s Inspector. 1`15 S Date �— a — O 7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: *538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE /!/ L T 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 correctio f work is completed. If you have any question pertaining to this matter, or ed additional explanation, please contact this office immediately. / Gr/ 7 > dc /"o ®C /'S /l1 • L D Inspector Date Owner: Y Permit No. Z// of (l�DBIIIfI0K1E NLtY.`)'? ENERGY C E R 'T IF I C .A T ION 1220 Gleenwood Ave. Chico, CA. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Brand Name Thickness(inches) Thermal Resistance(R Value) CEILING Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R Value) Loose Fill Type Fiberglass Brand Name Owens-Corning Minimum Thicknes�(Inches) 14" Number of Bags 4 Wt. per bag 31.5 lb. Area covered(ft. ) 200 Thermal Resistance(R*Value) R30 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of Californ-la Energy Requirements. Loerke Insulation Co. 499150 F RM NAME/OWNER STATE CONTRACTORS LICENSE NO. c June 8, 1989 SIGOATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. r All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO. GNATURE Of QE. 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. January 1984 4 ; COUNTY OF'BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLitn0kAND PERMIT ASSESSOR PARCELNUMBER Z0e% BUILDING PERMIT ' OWNER o e TELEPHONE - 6�1 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Z Z(0 C2 epiw o A ()C-. c� C,0 5� -7 2 00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ^ Fireplace CONSTRU TION LENDER UNI:NOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ LI /'f-� Energy Plan Checking Fee $ QU ARCHITECT tR,,ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ 111S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 L O Solar or heat pump water heater 20.00 LO NO. SUBDIVISION NAME PARCEL MAP 7 3 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF�g Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is I G W O.00ea TYPE OF WORK New F1 Additior)� Remodel❑ uUtilitiesO Installation'❑ Other [:J Describe work: __ _S- X �— �` c�4r� r t,; c� n i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR SLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS 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- sat ion, 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. 1/2 �� O OR ADONS. ACC. BLDGS. 2Sgft NEW.CON5TR. U TI -OUTLET 2.50 ea NON.R ESID .BRA CH CIRC TS POWER APPARATUS 6 (SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES 20950t eALO 309! FIXED APPLNS. OR EX, IJCCUp. OUTLETS (RESID.) EA.J 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ ! q, 50 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 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that 1 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 authori resentatives of the Countyot Balsoutte to enterupon o save,h'iendemnefy and �,harmle s the Countyn. purposes. of Butte against all fifties, judgments, costs, a 4til expense which may in any way accrue a ins said C urftq in o Sequenc of the gr ting of this permit. /7(� �`� - Date ' o ® Signature of Applicant — Owner ontractor ❑ AgentF]' 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 30 a• TOTAL PERMIT FEEL oI� BLOOD PAR$eL _ PD _ E This permit is hereby issued under sions of the Butte County Code and/or.resolutions work indicated above for which DIRECTOR OF PUBLIC BY P IT EXPIRES Date the applicable provi- to do fees have been paid. WORKS Date// r �� C� - Receipt No. A-75 �� WNITE-D.P.W.. TELLOW-Ase EssOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -_ , � :..rYw:�►'..Y�r, i.ap,�S• , =. �(''1�'4+N"('v'h �y♦r.?J,�',�,�.r7��(� 7�' , .. `;l`•'.�: '. . _ COUNTY OF BUTTE - DEPARTMENE OF PUBLIC WORKS - BUILDING DIVISION .:t.:. 7 COUNTY CENTER DRIVE -ORO ��4 1�)FORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET /1 a Permit No. OWNER 1JaUIt- 1�2hf--S _ A. P. No. 2 - Proposed Building Use 5.�.�� 15 A, Building Inspector 91, Date I�"30'�Y At time of permit application, I was advised tiie following"data must be submitted prior to permit processing and:/or issuance: , ;.1 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 C .c—U 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 authorization. . . . 0. Sanitation approval from C1� �- 0 Health Dept. 11. Planning approval for (A) 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. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection 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. CUA FEES RECETPT When you issue the permit, process as follows: Mail two/owner, Mail to contractor. `/ Telephone�s'�Da� and hold for pickup atm-�-'��ffice, —Deliver w/inspector. Other / Applicep,rit Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted rior 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_maiI—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by99�Z2 Date,/ Sets of plans on hold in File cabinet AP folder � Copy—DPW �w TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location. cwt[ APO o Plan Approved for: Sewage Disposal* Water Supply Hold final for*. - Final clearance O.K. for: Clearance for ____ bedroom mobile home. NOTE.*** Santare i Water Supply Water Supply other�i1�1 /� Pg?554�, 11 Date 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 im.rovement (yes or no) --� 2. I have/have not signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 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 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 Signed: Property Owner Social Security Number Date (4&0 / NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and . 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. FORM 7 ADDITIONS tO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Addi tions ) Owner K)CnS Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 -38 WALL R-11 R- 9 FLOOR R-11 R-1 SLAB R-7 R-7 GLAZING U-.65 (Dual) U- 65 al) SHADING SOUTH - OPTIMUM OVERHANG. or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density)- INFILTRATION Density)INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND -HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER BUTTE 00OWY BULMG Ems- ARTMENT P r l '�'J elm e00y *1 HEATING, VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr { ' (heating capacity) ❑ Heat Pump (brand andLmodel number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) C3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following. Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load m maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the require ants of Title 24, Part 2, Chapter 2-53 of the Califor%ia Adm istration Code. OR RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F. , DIJP.LEX.:& MISC. ONLY) (� Bldg. Permit ;� 'V OWNER A.P. # GENERAL�� '\L. Zoning requirements: (sideyards �Q. Valuation. Plans signed by designer. Energy Design and Compliance. Existing violations on property. and number of permitted living units). PLOT PLAN �. Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. �. Other buildings or structures. Grading, fills, drainage. �. Flood hazard. �. Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). �5. Human impact glass (Sec. 5406). \� Required room sizes, ceiling heights (Sec. 1207). �1• G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). �8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 0. Garage firewall, door size, and closer (Sec. 503(d)(3)). --F•1. 1 - 3'0" exterior exit door (Sec. 3304(e)). --LD. Fireplace and wood stove location. 3. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS \14. Foundation plan complete enough:to construct building. �+. Floor construction details complete enough:to construct building. �. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. b ,Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR NY. Exposure I plywood on exposed locations and overhangs. --2-e Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). "3- Guardrail details (Seca 1711 & 3306(j)). —4-. Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) '"&-. Garage door or porch header sizes. ^63- Adequate bracing. --+Q, Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). \j Attic access and ventilation (Sec. 3205). �3. Underfloor access and ventilation (Sec. 2516). Wood stoves, clearances, alcoves & 1 -hour shafts. 4. Combustion air for fuel burning appliances. .6. Noise requirements on duplexes. "T7. Adobe soils - special foundation design. 18. Retaining walls requiring design. Unusual shape, size or split level house requiring lateral design. 7/85 +`rt'`�v,,�,�tK+ir.-..N.� spt'si^++•v:i-;;rt`Y�s��,i fir'"1►��1�r. it lirltit."�a� srr '� iti ,+� s� sc .i � .y ,,;h sp'k�nl't�,n7��'�t'M�^1i... h.e.rr%.Yy;�...,'arr IVA BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form•,per Building) A.P. Number Ya - Building Department No. School District C_.ti " c.C) ' city .= County r;711 Jurisdiction Property Owner ' 01-0e ��pE�Q- S Project Location/Address' .) a4, G (,m Lao ods nom' Subdivision Lot Number Residentia-1 Development: Sq. Footage r (' # of Living MHI Addition (Group R) Units Commercial/Industrial: ing Department Sq. Footage New Addition (Including Exterior I Roofed Areas) Representative Date District Id No. School District certifies that �1 Ute- 7\-oA-a,<:) 3V2 6A (Applicant Name) (Phone Number) A�4( 4/ (Street Address) I (City Woad �� C-4' State) p c:oae has complied with the requirements of Resolution No. 36-� -ff0 by thWpaymen .of $ Plk�eA4,n_ representing square feet. /S hoof/ District. Rep esenV ive to PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88)