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HomeMy WebLinkAbout042-600-030� . �.� ' ^ / | . � ) ' DONALSON, Craig. 2486 Str'eamside-Ct,lot 2A, W Manor Chico, 13 .(new single"familyj 1 e2' N zq� -- lm�lm A NTIAL 0j. 42-60-30 _ 506-91B, P, E, III DONALSON, Craig .- 2486 Streamside Ct, lot 2h, Walnut Manor, Chico (new single family) ji G • �. Cis S�'../��Y, . v 7 k' 1,' , k IsOck a1Le6&vp)04, 4 ` f OFFICE COPY Addressdylg/. /'ea�r'15ia��p V,), GAS � Meter BY-4/2-1Dat 6" ' ELECTRIC —� Meter By Date `? OFFICE COPY. Address STeIILAMsl�( t' GAS Meter By Date s� ELECTRIC —7 F. II Meter ByA� Date r' • JOB FINALED (Date) — (; Signature y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. a Inspector—_9 — 6� -;l!- ` 9 Date R&C •- "-`�. --. +irri.-_�'�.'-sly..: �' •pis :� '. f-_ .s ";'r'.;;� _ a � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 1; 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE t o A,5s t S o 1n -9 '- 9l 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. C on S"2 e,, G �� �J�G��ot h S4e[eTAaor — W. a C4 t-- K �IA a,c.cy �s s Date �� 11 [ Inspector��.--�— { _ COUNTY OF BUTTE c DEPARTMENT OF PUBLIC WORKS -� 196 Memorial Way, Chico — Phone: 891•-2751 7 County Center Drive, Oroville — Phone: 538-7541 ti 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE y4 OWNER I PERMIT NO. A routine ins ection indicates that the following violations of County Ordinance exist at th above address and should be corrected. Please notify this office when cor ction of work is completed. If you have any question pertaining to this matter or need additional explanation, please contact this office immediately. V 1 Inif Al H �i �- - ..., f n (/n /e WO Date Inspector AAW COUNTY 0F! 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 %. ri t)(. s 0,4 A- t (2 Q 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, pr need additional explanation, please contact this office immediately. ��Y'I'fLoJl�� cf F)2 fi.r'rr-2rc/�c A r iz w A L Fal- i o 2 7-o Date 5- 2-n- 0I 1 Inspector /J UAoa-„6 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 DonlAk-sod DoT z -G ,ISI& A18 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 need additional explanation, please contact this office immediately. MA Date (D - (8 -SI . Inspector A'10� COUNTY OF BUTTE 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 (dso)" OWNER _;�' .S Z A 6 a 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. h �. -r e _ t a t CA e r 1. cc,. P-er.S i z II S i f/ 12 rc �., :-� s �.a1,1�, o a j. r►. aCJ 1 % iug - r_^ D+'�tC.Pi FQG�4ardiha.\� t Ci s' IO ^ S Stile 12 e6,,- iH s nr,o,r 4o k -ex- ks,D 6 1 r . 6A/S 0 lk— rsO•' J Date 2 — / ^�� Inspector 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 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. To O C -e L i e r I •P '� M IQ q'! A 'S N�0 u 1 d �D e r 5 S 7'7"a W a ¢ -e r' ` L1 e o` Les S Aa S -{r.✓ '-O t w U �f eL M i N! /7 ✓1 Pi1�J �QJ� S �1 Pro o', a 4.f e!5,5 v� Gya `�cr- heoVrr s J I ,O!// VO�Pti l d / J-," -" l /-5, -e 11 a // a2 DCy u i �y P lY Gy i 1n �e// Kv.).;r t/o,,.t ,,,) jtiP�--/oma 49' c o,v •v �c� %�,r/ , t I)oV 29 i _ � u ti �. ; o �v o 1 cl �J Date — [ Inspector K%j r Ownec., e&- ENERGY ('1'R'1'l 1:1('AI'1 ONI, 2, ��alek �°�sT P�Q,U�' ].(KATION A'. P. No. DESCRIPTION OF 1 NSULAT7 ON ROOF M A TEI RI'AL THICKNESS EXTERIOR WALL MATERIAL FI ERGLASS THICKNESS 2-% BRAND NAME THERMAL RES. BRAND NAME i:R'1';,] INT F1'1) 111F.RMAL RES. I - t CEILING [. BATT OR BLANKET TYPE' 4-fS BRAND NAME AERTAINTEED THICKNESS Ip" THERMAL .RES. - 30 LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED THICKNESS 12" THEMAL RES. o . FLOOR,ELEVATED MATERIAL FIBERGLASS THICKNESS BRAND NAME CERTAINTEED THERMAL RES. FLOOR, SLAB MATERIAL BRAND KAPjE ' THICKNESS) THERMAL ftS. WIIDfDTH WALL A]ATERIL BRAND NAME THICKNESS THERMAL RES. -( I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF.. ENERGY REQUIREMENTS. SHASTA INSULATION INC. #530235 FIRM NA 1E SER STATE CONTR. LICENSE NO.-� e•- t o ...- 9 1 I hereby certify the above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices an.d materials are of the quality prescribed or are specifically approved by the State of Calif. -------------------------------- ------------------------------- F1 RM NAM}:/ OWNER ( PLEASf VRI N'r) STATE CONTI,'A(:'1OVS VO. SICNAT11RF O .(;1-'N I' R A L TONT RA(:'fOR/(1L:�1:R UATI . This certificate must he (in file .with the lill]LD]NG.hl'1'AR'I'"11:N'I' Iii .i��r to' final inspo'ction approval and.a copy shall be posted within the building;. JANUARI' 1984 O = Not OK -=Not Applicable ' = Not Ready 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / PV'ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date. Card B-1 Date MOBILE HOME 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 L , PC MISCELLANEOUS Data DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except#'s 1. Zoning Requirements -Setbacks -Easements N '1: 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs -Coonectors Shthg.-Rfg.-Bracing `V 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements }\ t . 2. Soils; Compaction -Structure Stability ' 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining "I, 1 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-PaneIboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test IDate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1' v t OK , ft O = Not OK = Not Applicable Not Ready RESIDENTIAL- (Single ' = Date UN RFLOOR (Plans) OK except #'s Xning-Setbacks-Easements-Flood-Slope g., Main; Soils-Elec. Grnd.-/AV" Ftg. Depth Fqf, Garage; Soils-Steel-Elec. Grnd.-//BP' Ftg. Depth g., Porches & Decks; Soils-Steel-MAYFtg. Depth te $Wmwalls, Main; Steel -Bloc kouts-Wrapped e' Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. H Dow s and Special Anchors Slab; el -Wrapped 8. s -Fireplace Ftg.-Steel V D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date _,4_'Card B-1Date Card B-1 Date t Card Date Card B-1 Date LUM G (Permit)XK except #'s ater Htr.; Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection 1 9hvW9rPW-7est, First Floor -Tub Access _ ./Fest Tub & Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Date Card B71 S Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except #'s fixture & Transformer Clearance -Ins. Protection . Elec. Receptacles Spacing -Lights &Switches at Doors ze Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs C.J. JK/fkfuip. Ground made up w/Meth. Fastners-Bond Gas & Water VF/2 Appliance Circuts in Kitchen & Conductor Size/GFI Sabfm-§=97;FF73ize / / ga. Cu or AI-A.C. Wire Size //Qr ga. © or At 06. Range Circ. /0/ ga. Cu or Oven Circ. / / ga. Cu or Al. /Insulated Neutral Yes 113 No S7,6- 3,d/Service-Riser Conductors & Ground -Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. 511 Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 S R Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 9./A.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation a&. -ea a e rain & Overflow; Size & Grade - , ccess-Comb. Air -Return Air Vent -115 outlet Platform if Furnance in Attic Date Card B-1 5A Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 9 Sils, Proper Material rAnc Walls Studs -Nailing. Spacing & Bracing -Plates -Sound . Bear' q Walls over Girders & Floor Nailing Z tP!aft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stair -Tub Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) Han s -Post Caps -Anchors -Connectors In oist-Rftr. ties-Purlin—r of Brac -Shthng.-Ring. fireplace Ties or Fireplace Throat clearance t ttic Access; Si£e--CRomew-Pm--%ction-Dra*sti p Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions bearage Fire Protection Framing wf,property Line Firewall & Openings Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 59. j3teirsl Width oom-Rise-Run-Landing-Fire Protection . plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer Wcco Mesh -Drip Screed -Fd. Vents-Underflr. Access t COn — Glazing Area -Glass Protection -Skylights -Plastic Nailing -Bolts � s/@! n-wdn1 ?Cemn s Infil ation- IIs- dows cc kNwAI,(_ AIA10, 6 IKsrde u�yl��—Fr,2et�nil cc Date1511-5/9 / Card B-1 S,e Date S.�,G� Card B-1 (,rg Date, J J L91 Card B-1 /1.1-0 Date Card B-1 Date FINA dans OK except #'s Ste p<oor & Sidelight Protection -Landings e Detector urn ; Vents -Clearance -Comb. Air- Connector—Ip—,Garage; Above Floor -Ducts -Meth. Protection Be Loom Exiting F . & Bath Fixtures & Tub Access -Spa 6 lec. T 'm & Subpanel; Breaker Sizes & Labels Fireplac r Stove; Clearances -Hearth is at Wood Panel; Int. & Ext. I ixt. &Appliance; Grnd.-Air Gap -Cooking Clearance 7 Elec. Qutlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer 79_A Q Gct'Ri•i,'arage-Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb._,,,Elec. & Mech. Equip. Listed for Location leg, Receptacles in Garage; (G.F.I.)-Romex P tection 7 n tion -Foam -Looked in Attic es 7 . G d Rails & Deck Construction -Post Caps 7 . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Cl,eagrance Looked under Flqarf 0 Yes Following instld.; Drive Yes D No; Walks 9Yes 0 No; P ters 0 Yes LT No 8 . St rown-Finish A. it; Disconnect, Elec al, Plumbing 8 . ents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ✓--; C84"VG2ie_r"OOt?11; Disconnect, Electrical, Plumbing \� 8A,E-ktqr'w Elec. Trim; G.F.I. Receptacle -Underground 86. ent' ation Throughout House lass Protection t7991jarrectiop6rom Previous Inspe ns y- YJ Pp 89. t -Meters Tagged; W -Electric -) - 9 / _01 JV later &Sewer Connected C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date -)-q- 9 j Card B-1 Q 6 Date Card B-1 Date -y1 Card B-1 Date Card B-1 Date _& r Card B-1 .% Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Lalifornh 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER'ZONING S BUILDING PERMIT OWNER Craig Donalson TELEPHONE 342-8463 S0. FT. OCC.1 BUILDING VA TION 1,300 R 52,000.00 OWNER' M (LING ADDRESS p'S 420 5,880.00 CONTRACTORNAME Ownpr TELEPHONE nnM 153 0- 1,530.00 CONTRACTOR'S MAILING ADDRESS Fireplace 1 A 11000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation s 60,410.Ou Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 24 Streamside Ct Chico Permit fee $ 35 .00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ' Solar or heat pump water heater 20.00 LOT NO. 2A SUBDIVISION NAME Walnut Manor PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF �X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 1 ' 88 Building sewer 5.00 ' 08 Mobile Home S G W O.00ea ' TYPE OF WORK New [a Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 3 bdrm Master #60-88 5,Q Permit Fee $ ' Contractor r ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare nder penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' C I aryd my license is in ft.force and effect. S 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 (Sete owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d) 43.00 OR ADDNS. ACC. SLOGS. /2OSgft NEW CONSTMUL. NON.RESID BRANCH CIRCUITS2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20a50t eAL930 FIXED \\ Ex. OCCUp. OUTLETS PRESID 1REJ 2.00 Temporary service 10.00 1 119, Q Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ e permit is for $100.00 (valuation) or less. 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 1 10.00 Heating 1 0C 6.00 Cooling 1 6.00 .0 g Hood 1 3. Ventilation t12-3. 0 Permit Fee $ ' 00 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 Butte to enter upon the above-mentioned property for inspection purposes. to building construction, and hereby authorize representatives of the Countyotn_�L'a I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any wa accrue against id Couaty i onsequencc of the granting of this per it. %� ✓� j-�'���Jto Signa a of Appl'c r - Owner ❑ Contractor Agent An OSHA permit Is required for excavation o and demolition struct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 CO STrvq> y�,,, �V ��((// TOTAL FEE $ 4-A& E cuA ARIc SCHL FL AR PD J HD• SUE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIR. 'TOA F PUBLIC WORKS Ar r B Y � 7 Date�J�_ PERMIT EXPIRES Date ^ `-R / 1 A UGd 17 `'�� Receipt No. i � j WHITE-O.P.W., YELLOW -ASS [S aO R, PINK -INSPECTOR. GOLDENROD -APPLICANT ® c1f�l/j/�j//�/j}y(�.r/ '%%/yV'{�� •r'�+_��a'1-�y�, .['��rK-rJ+'l��M�"'4(�"ny�'r �.-`,..,•y�'�'.'J' lr 1 S '.-�v � r COUNTY OF BUTTE DEPARTMEfgT OF%PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 AD PERMIT AO ICATION DATA SHEET L Permit No. OWNER t, R'A It Co Z)OxIA / � A. P. No. lo�'t�—� Proposed Building Use,?` Building Inspector Date �J 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. 2. 3. 4. 5. 6. 7. 8. 9. /4/)( 17. 18. 20. 21. 22. 23. /�f x --i. 25. 26. 27. All items have been submitted . .................................... Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer. of plans . . Complete engineered plans and calcs, with wet signature on plans . . Hazardous Material Form ......................................... . Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions ... .......... At Fees of $.. ....... Chico Urban Area fees paid ... �/.� b/.41�. ....... Park fees paid ./ ...... .�. ......... . District ees pato. /'��.5..� Sanitation approval from Health epar rmr n City of Chico plumbing permit ..................................... Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) Recorded copy of Agricultural Acknowledgment StatementQ'l -S Letter of signature authorization ................................... When y�ousue the ermit, process as follows: Mail to owner. Mail to contractor. vfeOle phone and hold for pickup at 42 1 office. Deliver w/inspector. Other Appli :Date Copy of Haz-Mat form sent Health Dept. Fire Dept/ L_ Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior p rmi i uan : ( it Im n the 1. Index permit for above items No. 1)6 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail_counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File ca%_PloPer Date * C;zad ,�ctfiae�s Fwd A�czr� nco wish t) �vke1 ate, la iii 13, Piwiji" Gift. on *4 job at 11011ie slid 06 Iii -or tion eay ci�)3�es or nit ticart �rtttRa� p$rAti'tssOrl loinD.PWOMW � CAM* of See M*ster Plan on file for bWWhq pions. 6D -k9' C,f 4W, t, tq APIA, la i., R