The URL can be used to link to this page

Home My WebLink About064-150-011N _ 64-15-11_ DICK MI8ER - 14428 Colter Way, lot 15, PP#13, Magali, Permit#3988-83B,P,E,M(new single amily nal y l 17 /$y 0.64'.-15-0-011 JEFF KNOX )93, 14428 Colter ,Way, .Magalia_ Permit#92-2898 BEM(conv-garage'to liv/SF ContrL-Carey Const 064-150-011 03-3565 KNOX, WILLIAM 14428 COLTER WY, MAGALIA �o Cont: OWNER �, RE ROOF �� 1 FcjDi T�F-,r7:",� + I n -..... »}c-��m�-. r-. � . ..�.y�....�a.+ ..rug. _a��.��.'.�°i!"Y'a4 :: i�h.•.-•�,:�:y r.v: i':^�" 7'f�'aaa,��:`Y'7's.,�,:.wf54!.3N[s;.' � _.��'ls�i�,? _7--•. ..,�r�-®v.awo..-:; r'*`.,..+.-.^-� � y ti064-150-003-3565. �• 11 ti KNOX, WILLIAM ,} 14428 COLTER WY, MAGALIA Cont: OWNER RE ROOF , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 1"' ZONING BUILDING PERMIT OWNER �'�t I/7�1I��► t 1T T A ►n /r * TELEPHONE SO, FT. OCC. BUILDING VALUATION UY"�"1 . OWNER'�tMA'IUNG ADL)fiE S y Y � 1, 7 T ►.T � f.L n ITA A � CONTRACTOfi'S NAME `— ` " ' r ' - 1`'-r J`� J�"t TELEPHONE rVIKTt: D 1 A �,n on 1 n1Qn CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ t om ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 27.0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Twv r Energy Plan Checking Fee $ 14428 'vas GO ax tt 1 L' t [- 1.P ii 1 $ PERMIT FEE $ LOT NO. SUBDN510N5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PV_DrV*%r T.T/i+n*.m Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service E00V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0#01, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a AOC. BUDS. 3.5¢FT: NON-ReSID. MULTI -OUTLET BRANCH CIRCUITS 97,50 POWER APPARATUS S SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDCTUREs aAL @':005050 FIXI Ex. Occup. oi,TELr°rsA REslo.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 9111, 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ,-forthwith comply,with thole provisions. X Date I / / .� Signature of Applicant f" 11 'Owner O Cohtractor ❑ Agent C: An OSHA perkc mit is required for eavatio s over 60" deep and demolition or construction of structures over 3 stories in he'gbt. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 47.00 HAZ. p, FEE IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte anty Code nd/or Resolutions to do work indicated abov f ich f shave been paid. By oI Date / PERMIT EXPIRES ON DefB f Receipt No. ,b r I I WHITE-D.D.S.-ErDD. CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12% 6) APPLICATION AND PERMIT — ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER T STEPHANIE cwrRACTOR's NAME 9GA nTJNTM TELEPHONE 873-3877 TELEPHONE SO. FT. OCC. BUILDING VALUATION n 0$60 00 1020 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ lnqn ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 27-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ A7 00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: rlo rntvtp Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 00OR LE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION.50 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ACDNS. ( 8 ACC. BLDS. SG 3.5QFT; N WRESID. MULTI.OLmFT @ 7.50 POWER APPARATUS I SINGLE OURET CIR. EX. Occu ourLEr OR FIXTURES SAL p 1.00 Ex. Occup. OFlxLITrED s R D OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall i comp) ith those pr is ?Irp. l Date o [_ l ature pplicant - ❑ w er . ontractor ❑ Agent An OSHA p rmit is required for excava ' s over 5'0" deep and demolition or construction of structures over 3 stories in h t. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDP PARCEL I PO HD ISSUE This p it is he by issued under the of the B tte u ty Code nd/or indicat d ov f is f es have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. �' Q ate U (.I D- Receipt No. WHITE•D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • O.B.-1 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 theemajor labor and materials for construction of the proposed property im vement : YES�I NO 112. I HAVEHAVE NOT ❑ signed an application for a building permit for thero osed work - -3. P 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: CONTRACTOR'S 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: IN SOCIAL SECURITY DATE: , NOTE: This Owner -Builder Verification is required by ,lection 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.-1. l An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and materialpersonally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +rely,Vi ira, C.B.O. ,uilding Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER V63-3565 aox Nov 19 03 08:20a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT 20MN] BUILDING PERMIT ASSESSORPARCEL NUMBER CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: nr T2MTi` iT/!`nrnm - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Oommencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation �one hundred dollars (sloo) or less.) ertify that In the performance of the work for which this permit is issued, I shell not employ any person In any manner so as to become subject to workers' compensation laws of Califomia, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall IZOSHA tempi ith those pr lsio . _ Date / licant - ❑ er ontractor ❑ Agent PP Is required for excava ns over 50' deep and demolition or construction of structures over 3 stories In h�bt� 4 :-7 _, ReceiptNo. WHITE-D.D.: INSPECTOR GOLOENROO-AP p.l SO, FT. OCC. I BUILDING VALUATION Fireplace MULTIAUTLET @7.550 Total Valuation $ POINGIEWER APPARATUS 8 SOUTLET p0. Filing Fee $ 20.00 Permit Fee $ Plan Checking Fee $ Home FacilitiesMisc. Energy Plan Checking Fee $ .. :::::, PERMIT FEE t , PLUMBING PERMIT Him- g- Feel 20.00 Each Trap 7.00 Solar or heat umwater #heater23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 -5 outlets 15.00 Building sewer 15.00 Mobile Homo Is I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 eoov oR LEss 23.00 Main Service 2o0A OR LESS Main Service 200A TO 1000A ) 46.00 flewCONST. NON-RESID. MULTIAUTLET @7.550 POINGIEWER APPARATUS 8 SOUTLET p0. Ex. Occup. OUTLET ORna Ex. OCCU FU(Eo OUTLETS Tem orar ServiceMobile Home FacilitiesMisc. Wiring .. :::::, PERMIT FEE MECHANICAL PERMIT I Filing Fee 20.00 6.50 Mobile Home Installation Fee $ Energy Inspection Fee) ee $ OCC co NST. TYPE TOTAL FEE a A7 00 HAZ. I D. FEES I IMP I FLOOD I CDF PARC0. I PO I NO I ISSUE This p it is he by issued under the applicable provisions of the 3 tte u ty Code and/or Resolutions to do work indicat d ov f I f as have been paid. �I gBy ate PERMIT EXPIRES ON �) A tj I.RESIDENTIAL 064-15-0 110110 92-2898B,E,M KNOX'Jeff 14428 Colter Way, Magalia contr: Carey Const e conv garage to living/sf f t t f i i I.RESIDENTIAL 064-15-0 110110 92-2898B,E,M KNOX'Jeff 14428 Colter Way, Magalia contr: Carey Const e conv garage to living/sf f t t f i J'It OK C3 = Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except k's j 1. Zoning -Setbacks -Easements -Flood -Slope I 2. Ftg., Main; Soils-Elec. Grnd.-f /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 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. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 ' Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except k's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection ----------------- ------------------------------- _ 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access _ 20 Test Tub & Shower, Second Floor -Tub Access - --------------------------- ------------------ 21. Gas Pipe: Size & Anchors Date -- - -Card B_1 - ---- Date - Card B-1 ---------------------------- Date Card B-1 Date Card B-1 Date ELEC AL (Permit) OK except p's ------ --_ Ftore &Transformer Clearance -Ins. Protection _-- -c. Receptacles Spacing -Lights & Switches at Doors -- --- - ---- -lade -------------------------- ------- - ---- _ Si Boxes & No. of Conductors -Stapled ---------- Romex_ Installed Close to Edge of Studs & C.J. -- ----------------------------------- ---------------- uip Ground made up w!Mech. Fastners-Bond Gas & Water ---------------------------------------- ---- ---------------------------- ppliance Circuts in Kitchen & Conductor Size!GFI ------------------------ ----------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Sizer 1 ga. - - -or-AI ----------- Cu ------------------------- -------------------- nge Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -- ---- -- er ice -Riser Conductors & Ground -Main Disconnect ----------------- quip Clearances Panels-Motors-Mech. Equip -------------------- - - - --- -- - - --- lothes Closet Light -Shower Light -Spa Light 33 moke Detector --------------------------------------------------------------------------- Date Card B-1 Date Card B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's A.C. Ducts Insulation & Support ------------- --- ---- ---- ------ -------------------------------------------- 35. Vent Fan; Exhaust above insulation ------------------------------ 36. --------36. Condensate Drain & Overflow: Size & Grade --- - ---- ---------- ------------ ------------------------------- --- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------- -------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM NG (Plans) OK except R's S�ils,Proper Material & Anchors -- - -- 4(YWalls-Studs-Nailing Spacing & Bracing- Plates- Sound - - - ------------------------ -- 4 e ' g Walls over Girders & Floor Nailing - - -- - --- 4 r 6t'StoWalls (rat proof)---•------- ------------- ------ ;; ---------------- ire tops: Furred Ceilings -Stairs -Chases -Tub ------------ ----- ---------------------------------------------- 41y eaders & Beam -Size & Bearing & Duplex) Date RAMING (Continued) __ _ gers Post Caps -Anchors -Connectors - -Joist-Rftr. tie§-Purlin-roof Brac-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat clearance -- - 4- tae Access; Size & Romex Protection -Draft Stop -Ins. Baffles ----"Bdrrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ---- --�5�. Garsage Fire Protection Framing perty Line Firewall & Openings �Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ---- _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer eco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights- Plastic ------ - ear Walls; Nailing -Bolts -- 9. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows DatDate _ Card B-1 Date Card 8-1 Date Card B-1 Date"/'FINAL (Plans) a ept St's 't't-E•x4. Steps -Door & Sidelight Protection -Landings moke Detector ------------------------- -- 15T76rnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection --------- ------------------ 6'4-Te-droom Exiting ------------- 63-- ---------- ---- ^-&.f.l. & Bath Fixtures & Tub Access -Spa ------------------------------ tY+3 tlec. Trim & Subpanel; Breaker Sizes & Labels ----------------- ----------------- 6P-Stairs & Rails --------------------- 63'- rLplace or Stove: Clearances -Hearth - ------- -------------------------- 69-Etec. Outlets at Wood Panel: Int. & Ext. - -- - 70"Kr'Fixt & Appliance: Grnd Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ------ 72 -gage Fire Door_Swing-Landing-Closer ------- ------T6--A.C. Duct in -Garage-Damper ---------------------- --- Wtr. Htr.: Vents -Clearance -Comb. Air -C Hector-P.R.V. . In Garage: Above Floor -Meth ro ion i5 Plb.. Elec. & Mech. Equip. Listed for Location ------ ------------------- --------- -- 7'&'-Elec. Receptacles -in Garage: (G_F.I.) -Romex Protection ------------- 71" Insulation -Foam -Looked in Attic ❑ Yes 78` -Guard Rails & Deck Construction -Post Caps 79-'Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 89 -Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes C Planters ❑ Yes _❑ No _ 8a--Siucco Brown -Finish 82C. Unit Disconnect. Electrical, Plumbing - ---- ------ -------------------------------- --- 83./ents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84r -Water Well; Disconnect, Electrical, Plumbing - -------------a -------------------------- --- -- S -Exterior Elec. Trim; G.F.I. Receptacle -Underground dol ventilation Throughout House . - -------------------------------------- 8 .Glass Protection 8a"'Corrections from Previous Inspections - --------------------------------- d9. GasTest_Meters Tagged; Gas -Electric - -- -- 96�Water & Sewer Connected -C/O to Grade -HD Approval - -------------- nergy Compliance Certificate -Other Certificates -- ----- -------------------------------------- DateJ� Card B_1� Date___ __Card B-1 _Date Card -B-1 G G___ -Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ----------------------------------------- No; J=OK O = 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Req uire ments-Setbackg- Ease ments 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 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 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'r...-. _ ,fi..< :%:.rr...t;•--,.s-.� t,.�r..YYh,,.,y-:.;.....d+.-..�`.�'' r 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 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. - �.tl�s2r �► t vMP� Date �= �n- Q) Inspector 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 OWNER 616�-- �z 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. Date Inspector T3 M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive - Orovllle, California 06665 - Telephone: 010,1$38.7041 _ MQR APPLICATION A -No `PERMIT , _A99t9S3ON PAP - - - 064-15-0-011 ZONING RT -1 BUILDING PERMIT OWNER JEFF KNOX TELEPHONE. 873-3877 SO. FT. OCC. BUILDING VALUATION g CO12,540 OWNER'S MAILING ADDRESS 144F228 Way,Manalia / fCdolter CO•t,1T_Rey T�Onsf'�ructi0n AME lvr��I TELEPHONE 873-3513 , CONTRACTOR'S MAILING ADDRESS 1479 Jones Lane Paradise Fireplace CONSTRUCTION LENDER NA UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 120.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 60.00 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14428 colter Way,Magalia Permit fee $ 215.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 09LOTSolar or heat pump water heater 20.,06- LOTql@. 1.J SUBDIVISION NAME Paradise Oines Unit 13 PARCEL MAP Water piping .00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EIX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlet 5.00 Building sewer 15.00 Mobile Home 5W. I W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation❑ Other ❑ Describe work: garage conversion _ Permit Fee $ Contract ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): r� I 7Li I am licensed under provisions of Chapt. 9, Div. 3 of the Business L and Professions cc•'��Code � and my license is in full force and effect. License No. S7y�/ •q7 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 Main service 200ATO1000A) 37.50 NEW CONST. / DWELLING OCCUP.81 3.6psq.ft. 15.00 OR ADDNS. 1 ACC. BLDGS. / NEW CONSTULTI.OUTLET NON•RESI BRANCH CFC" TS @ 5.00 (POWER APPARATUS h) \SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 76d Ex. OCCup. OUTLETS FIXED PIRESID ILNS REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 _F Permit Fee $ — 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilationtend ducts X 4.50 4._50 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 Countyot 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, judgmentA, c and expenses which may in any way accrue again said County in eq nce oft e'granting of this permit. XDate g--(7-1 Signature of plicant — Owner Contractor '� Agent ❑ An OSHA permit is required for excavations over Yd0 ' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 304.50 rAz OFEES IMP FLooO -- cDF PARCEL PD �W .i 1 uE I fi This permit is hereby iss d under the applicable provi- � ciof the B to C Code and/or resolutions to do wonsork indic a for which fees have been aid. p I 'PUBLIC WORKS By Date 9/1/92 PE EXPIRES Date ) Receipt No. /I7 yt WHITE-D.P.W., YELLOW-ASSCSSOR. PINK -INSPECTOR, 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 OWNER Je Fk Av O )(-- A. P. No Cyj(_-l! Proposed Building Use 15/9/(• C*4 Building Inspector �✓�"� Date it6i,; 7 r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by,preparerof plans . ......................... . 3. Complete plans, 3/4 sets, signed by prepares"of plans . ...................... 4. Engineered plans and cal6s,:13/4 sets, with wet signature on plans . ............. Hazardous Material Form. . 66j. Energy Design Compliance and supporting documentation . .................. �- 7. Statement of Intent for Non -Heated and A/C Buildings . . g .................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of$ ................................. 11 Impact fees as shown on attached schedule . ..............................� California Department of Forestry plan approval/fees. ........................ 3. Flood elevation letter (100 year flood) by California Engineer. ................... Sanitation and plot plan approval Health Department. .... �'. City of Chico plumbing permit. ........ ...................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... req.... 20. Pre -inspection for Pre -Inspection reques — required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner ,Mail to owner ). . 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27; Letter of intent on building use. 28:. Mobilehome utility clearance. .29. Documentation of legal access . ........................................ °'30, "Documentation of 50% subdivision developed or (A) Road improvements completed ' and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ...................................... 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail 0 r. ail to contractor., Telephone 4---P6=1and hold for pickup at'S.4— office. Deliver with inspector. Other Parcel Creation 8-1 -7 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 6r t Iii ' s ance: (Circle new item not checked above). 1. Index permit for above items No. �y 2. Additional items required:97 .w,t Contracto ,designer, owner, was advised of above required data by jjtlphone _ mail Counter by _ Date Con ractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by %j Date Plans approved by 1 Date K1 Iqq Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COIINTy OF Blf['1'E - DEPAR'ITIENT OF I'UIIL, C V RRS - BUl 1,I)MG DIVISION 7 COUN'T'Y CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - 'I'ELE['IIUNE (916)538754t OWNER PROPOSED B ILDING USE '-i'' A.P. NU. DATE REC. N DA'Z'E REC G I. School District Fees --2 '-7Z i t Office) .......•.•.•••• DATE�1%-G1 Z— APPLICANT (paid aL Di.str c .......... 2. Sheriff Fees (paid -at Building Department) Residential .......... X----- $—� ' un` amt. Conunercial(per sq • f t •) —___--$---- s amt., 3. Urban Area Fees (paid at Building Department Residential (per unit)____X -$-- units amt. Commerical (per sq . f t .)X------= $---- sq,ft, amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact land Development) ......................... 6. Other 7. Other I advised the above fees are required to be paid prior At time o f ermi.t application, was P to issuance of the permit. DATE�1%-G1 Z— APPLICANT Owner W� Y4,0 "00acy _ Permit No. O . ENERGY CERTIFICATION 0 E S C R CPTE03 U; 13SULAT10N R'.' 0 c MATERIAL .THICKNESS EXTERIOR WALL MATERIAL 7IBERGLASS THICKNESS -2 �6 ./ BRAVO NAME THERMAL RES. BRAND NAME CERTAINTEED THERMAL RES. // !; CEILING BATT OR BLANKET TYPE-FiberglasBRAND NAME CERTAINTEED THICKNESS %Q 44/THERMAL RES. J3 0 LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED - THICKNESS THERMAL RES. _ .�LOOR, ELEVATED --_,-v.-."-_....._ :....... :_.-. = --- MATERIAL FIBERGLASS ._ BRAND NAME CERTAINTEED"---_' - ,._ :_.- THERMAL RES. 'i -EE -MOOR - LAB...._-- ?fATERIkL - -. BRAND NAME • ""'" - - THERMAL RES - FOUNDATION WALL - MATERIAL 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. ---HAWKINS INDUSTRIES IN.C. - - # 622184 - ST TE CONTR LICENSE NO - . FIY OW I her y cert y e above insulati n 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 Req-kirements. All equipment; -devices and materials are of the quality prescribed or are specifical y approved by the State of Calif. ---------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE �� _ _- SICH�ATURE OF GENERALONTRACTOR/OWNER /DATE ---- ---pi� ertlficate�oast be on file with the BQILDING DBPwY N � gspec , ggw Ppro4 and a copy �ihall�e posted-` I TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 4/�Zs�� Location Omer AP# %f� Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final clear nce O.R. for: -g Water Supply 1 Other Clearance f bed oo w MOTS PERMIT NO. l 3988-83B9P11B3'M PERMIT EXPIRES 4 OWNER DICK MISER CONTR. owner ASSESSOR PARCEL 64-15-11 LOCATION 14428 Colter Way,lot 15, PP#13, Mag. 1 .t F _ OFFICE COPY ; Address i Date= j -1 4 GAS t Meter BY ik ELECTRIC Date ) . Meter BY -!" COPY Address GAS. f1 By e I ELECTRIC Temp. Power Pc--',_Meter_B_v Datel'i—/ L ;_ I i' Called PG8 OFFICE COPY ) .K , s , Address Temp. Elec. Sen _ 6z Called PG8 GAS Meter4 e 1 ELECTRI Temp. Gas Servi Meter By ate -- Cal led PG&, y� }` JOB FINALED 17 _ Signature —4 —Ve'. 1= V = OK 0 = Nc/OK - = Not Applicable *t- tNot Ready - RESIDENTIAL (Single and Duplex) Date UNDERFL OR Plans OK except #'s Date FRAMIW(Continued) 1. n requirements -Setbacks -Ea ents 48.E ty Line Firewall & Openings ext. g. 2. , Main; Soils-Steel-Elec rnd.- / ' Ftg. Depth 49 Doors -One 3' -Check Garage -3rd story, 2 exits 3. Garage; Soils- el- / %l^ Ftg. Depthi th-Headroom-Rise-Run-Landing-Fire Protection 4. Ft Porches & Decks; Soils -Steel- / /" Ftg. Depth 51.JyvGood on Roof Overhang -Attic Vents -Wafter Outriggers ails, Main; Steel-Blockouts-Wrapped-Slab 5 Siding -Nailing -Veneer fi6'_St ails, Garage; Steel-Blockouts-Wrapped-Slab53. _ _ t Fireplace Ftg.-Steel 54.• 55. St 0 Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts ^� 8 V.: Fall -Fittings -Test -2 w -Sew Gas Pipe; Size -Anchors 1 . Water Pipe; Test -Anchors Regutor-Servic est i r b 11. electric; Underground l-1 12�Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents ri Card -BI A r Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date - Q+ Card -BI Date Date FIN (PI s) OK except k's Card -BI Date - + Card -BI Date Date P U ING (Permit) OK except q's 5Steps-Door & Sidelight Protection -Landings 5 Sm Detector er ; Vent -Access -Combustion Air 58. urnace; Vents -Clearance -Comb. Air -Connector - UP -15a -rage; Above Floor-Ducts-Mech. Protection 15. W r Pipe; Test & Anchors -Nail Protection - 16:�D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. B om Exiting Pan; Test, First Floor -Tub Access 60 . Bath Fixtures & Tub Access _ 1S/3� st Tub &Shower, 2nd Floor -Tub Access 61. Trim & Subpanel; Breaker Sizes -Labels _� SJ Gas Pipe; Size & Anchors S& Rails replace or Stove; Clearances -Hearth rtf EI utlets at Wood Panel; Int. & Ext. Card -BI Date ?j113 Card -BI Date 65. Kit t. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 I utlets & Receptacles at Kit. Counter T Date ELECT CAL Permit OK except N's 67. arage Fire Door; Swing -Landing -Closer . Duct in Garage -Damper 20. ilytUre & Transformer Clearance -Ins. Protection ' 69. -In Slj;-H'fr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- G age; Above Floor-Mech. Protection 21c frac. Receptacles Spacing -Lights &Switches at Doors 22. e Boxes & No. of Conductors -Stapled 7 Ib., c. & Mech. Equip. Listed for Location 23. BpKex Installed Close to Edge of Studs & C.J. 71• ec. Receptacles in Garage; (G.F.I.)-Ro x Protec. 24:'_E . Ground made up w/Mech. Fasteners -Bond Gas & Water -- 2 Appliance Circuits in Kitchen & Conductor Size - - 72• In in Attic Yes 7 Guard Rails & Deck Construction -Post Caps _ 26. S_ubfeed Wire Size /L a. Cu A.C. Wire Size / / ga. Cu or'AI 74. Fdn. Vents & Crawl Hole -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. //�/ ga. or AI -Oven Circ. / / ga. Cu or At, '(r � - Ins ed Neu ral (J(es El No 75. Following in lye Drive Yes ❑ No; Walks ' Yes ❑ No; Planters ❑Yes o 28Le' e -Riser Conductors & Ground -Main Disconnect 76 rown-Finish 29 quipquip. Clearances; Panels-Motors-Mech. Equip. -_ - _- othes Closet Light -Shower Light 77, -A 78, ({ nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ -' -- g Z, Card B -I Date !/ �//Card-BI Date -_ _ 1_._ -- 78 [Er' e9'l; Disconnect, Electrical, Plumbing 80. erior Elec. Trim; G.F.I. Receptacle -Underground gijVent'lation 82 83. throughout House las Protection orr ctions from Previous Inspections Card B -I Date Card -BI Date Date M C NICAL (Permit) OK except q's 84./-T Test -Meters Tagged; Gas -Electric 3_ . Ducts; Insulation & Support -Exhaust & Wat Sewer Connected -C/O to Grade -HD Approval _ --T _ Vent Fan_ above Insulation 86--o5nergy Compliance Certificate -Other Certificates 33. Condensate Drain _& Overilow; Size & Grade - -- 34. Furnace-Vent_Access-Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic '/Z ---- - - _-�._- Card -BI Date Card-BDate I Card -BI Date Card -BI Date Card -BI Card- Date and -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING fans) OK except N's Comments at Final: 36. ss'Proper Material& Anchors _ Z��I Stu_ds-Nailing, Spacing & Bracing -Plates -Sound 38. Be ',-g Walls over Girders & Floor Nailing___ - 39_^ r top in Walls (rat proof) ---- --- _-40. Fir ops; Fumrred Ceilings -Stairs -Chases -Tub 41. % eader & Bea -Size & Bearing 42 - ost Caps -Anchors -Connectors _ 43. n�s�Rftr. Ties -P,urli�T Roof Brac.-Truss-Shthng.-Rfnq. --- 44. Fireplace Ties or Type A�Flue-Fireplace Throat 45.cc ss_; Size & ROmex Protection -Draft Stop -Ins. Baffles _ - 46.tl43 r ndows or_Exiti_ng Doors -Sill Hgt. &Dimensions 47. arage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) OKd = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements _ 2, Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) _ 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports: Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date _ POOLS (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.: Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date RESIDENTIAL ti ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 14428 Colter Way (location) j BUILDING PERMIT NO. f �7�� A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge n/ a Single Glazed n/ a Fdn. Walls n a Special (Insulated) n Floors R-19 CERT. & LABELED WDS. Walls R-19 & SLIDING DRS. n/ Ceiling/Roof R-30 WEATHERSTRIPPED DRS. a Ducts n/ a - /BACK DAMPERED FANS n/ a Circulating Pipes P INTERMITTENT IGNITION DEVICES n/ APPROVED HEATER_n/ ? RT. APPPLIANCES n/ a APPROVED WATER HEATER n I DECLARE THAT ALL REQUIRED _ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS•CERTIFICATE AS SUBMITTED. Insulation Applicator Name NICHOLSON INSULATION, INC. (please print) Signature of Insulation Applicator State Contractors License No. 398551 General Contractor/(caner Name .lot* f, -a /) 1/lil Ijgg (please print) Signature of General Contractor/cane' _�6l�dEgL'!�/7te CoDate Stantractors License No. -_-;F THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND,SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. a COUNTY OF BUTTE , J . DEPARTMENT OF PUBLIC WORKS, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 �a. Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 �. CORRECTION NOTICE OWNER___,,PIE RMI T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify thin 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. Inspector-- . Date / . _ RESIDENTIAL ENERGY PLAN-CHECK/INSPECTION SUMMARY � 0� Owner elSrClimate Zone // Permit No. _ 3 Floor Area 11,717 Compliance path: Package ❑ A ❑ B .❑ C P' Point System ❑ Budget 0 Other MIN R -VALUE DESCRIPTION REQ rD INSTALLED ITEMS (1) INSULATION: Roof/CeilingD [v)' Wall — _ ❑ Slab Floor Perimeter _ Raised Floor (2) INFILTRATION• —_ ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. _ (B) All manufactured windows and sliding glass doors shall meet the Type 1972 ANSI Air Infiltration Standards and shall be certified and Ft.2 HC= labeled. [ (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: __ ❑ (D) Continuous infiltration barrier _ ❑ (E) Electrical outlet plate gasket __ ❑ (F) Air-to-air heat exchanger (3) GLAZh;G- (A) Location . Type Area Glazing %Floor Area Single Double Triple . Ft. HC= Total Bldg_ _ C� — — MC= — _�- North East -- — South - ��t.— — -— f❑ - Area ---- West _ _ C R= Skylights MC= (B) Shading Shading Cts Type (befficient Description East — --Ft. South ❑ West - _ --- Skylights /�3,a_�-- [}t (C) South Overhang Type _ Length of projection _ l ft. Description Ft. (D) Moveable insulation: Area ` ft2 Description (E) Thermal mass _ ❑ Type - Area Ft.2 HC= _ R= ` MC= Location — _ ❑ Type - Area. Ft.Z HC= R= MC= _ Location Type - Area Ft. HC= R= MC= Location `— _ Type - Area Ft. T HC = R= MC= Location _ __ ❑ Type - Area --Ft. HC= R= MC= Location --- Type _ - Area Ft. HC= R= MC= Location -7/33 FORM b ❑ (4) 10SONRY AND FACTORY-BUIIT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue clamper with a readily accessible.control. *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) Heat Pump i� (brand and model number) x'30 6 Btu/hr (heating capacity at -47°F) -_ _—^ ❑ Active Solar type (liquid or air) model number solar fraction Y�tJ�tx,� orientation collector tilt � rated slope _-- — ❑ Other ,�1 (B) Cooling [] Electric Air Conditioner ACOP Collector brand and ft2 collector area collector rated y -intercept (describe) (brand and model number) Btu/hr ,- (cooling capacity at 95°F) Electric heat Pump — p-ra Btu/hr (cooling capacity at 95°F) Other (seasonal EER) —X.5— -�� EER (describe) (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on . . its second stage, shall. be required foy heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the -UMC, 1976 Edition. 2 (6) DOMESTIC WATER SYSTEM Er (A) Gas Only (brand and"model number) [] Heat Pump w/ElectricBackup Gallons 2 (tank size) [] %� Active Solar Gallons. (tank size) (brand and model number) (collector brand and model number) C, (rated y -intercept) (rat.ed slope) (solar fraction) 2 .��. _ ft Pmn, t_ N �,y (backup heater type, brand and model number) (co.11ector area)11 _(collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped .with R-12 insulation or greater. _ _ [ (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a.. minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation. return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20-1408 (d) . (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the navy appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting .in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). %l Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following; Heating:. Winter design temperature elevation p?o B �', heating load SZ,3 BTU elevation factory d x heating load = maximum outlet capacity gas furnace —BTU Cooling: Summer design temperature- °, cooling load TU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. L [:1 DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of. the California Administration Code.' 7/83 Sib_:R TUBE OF BbILDING DESIGNER OR APPLICANT 3. c ra COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 </�� APPUCATIQN ANDARMIT ► ASSESSOR PATOMB�� ZONING - BUILDING PERMIT OWNER 6 `' TELEPHO E S0. FT. OCC. BUILDING VALUATIO OWNER' M I I G A DR SS O�� S _9 lP3 "•% CONTRACTOR'S NAME - w TELEPHONE / ® Ri /�� ft M� V , CONTRACTOR'S MAILING ADDRESS Fireplace dap � CONSTRUCTION LENDER UNKNOWN Total Valuation $ Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Av ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ pSf/ •� Penalty P $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee JF$ BUILDING ADDRE ' y / PLUMBING PERMIT' Filing Fee 10.00 04�" Each Trap 2.00 A — Solar Water Heater 20.00 Water piping 5.00 LOTC�, �7 SUBDIVISION AME PARCEL MAP Each qas water heater or vent 5.00 g Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF XDuplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 1 5.00 Mobile Home ISI G W 10.00 e if TYPE OF WORK New Addition❑ Remodel[]Utilities❑ Installation❑ Other El Describe work: — Permit Fee $ o� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP % 2.50NEW CONST. DW ELING OR ADDNS. ACCLBLDGS.0tf 21h0Sq ft yZ� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): T IKa-1'Ir' 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. 3 License No.� 'a 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CO ID R BRANCH CIRCTITS 2.50 ea NEW CONSTR.POWER APPARATUS • NON-RESID. ( B SINGLE OUTLET CIR.. Ex. Occu zD®aoe P�o OR FIXTURES BAL®30 A FIXED APP LNS, OR FIXED EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 r a¢Pw Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 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 m must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating C_ - Cooling 0-4 Hood 3.00 Ventilation j Permit Fee Pit F $ -� 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstOCCU all liabilities, judgments, costs, and expenses which may in any way accrue against Co my in c sequence of the granting of this permit. X Date1/�- - Signature of Applicant — OwnerA Contractor.0 Agent ❑ 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 $ p TOTAL RMIT FEE $ r . GROUP TYPE OF CONST. 9N 01� PARC PD 1[, ND 99U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat {e7 --/1--'R / Z Flo Receipt No. /'1'i41 _3, WNITE-D.P.W., YELLOW-ASSeSSO R, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATR%NT OF ACKNOWLEDGEMENT FOR RESIDENTJIAL-DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgementiIJ1r be recorded prior to issuance of a building permit. ELrfiN+�;7;i.Cri;p;ER CLERK = TiECt,RGEid The property described herein is adjacent to land or included FEE within an area zoned for agricultural purposes, and residents of 63-38470 this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise; and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: - DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lot t5, as- shown on that certain map entitled, "PARADISE PINES UNIT 1311, which - map was filed in the office of the Recorder of the County of Butte, State of California, May 13, 1971 in Book 38 of Maps, at pages 28, 29, 30, 31 and 32. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with :provision that any and all mining operations shall be done from orifices outside the surface area of the land herein described, and that no damages shall be done to the surface of said land. Date: 11-28-83 - "� L PROPERTY 0 RS: State of CALIE'ORNIA ) On this the 28th day of November , 1983 , SS. before me, the undersigned Notary Public, personally County of BUTTE ) appeared GLENN MAXWELL, IDA G. MAXWELL, RICHARD D. MISER and JOANNE MISER, personally known to me to be the person(s) whose name(s) are JULIPa9lNE PETERS subscribed to the within instrument and acknowledged NOTARYPUBLIC-CALIFORNIA that they executed the same for the purposes Butte County therein contained. a� My Commission Expires July 5, 1985 RIFIN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. NO. 4(-:9 Notary Public END OF DOCUMENT 0 x �� t� ti CP OWNER RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit # A. P. # & Cf " A. GENERAL oning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. fb4 Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. •,,2i Required windows for light and ventilation (Sec. 1405). a� Required windows for second exit (Sec. 1404). 4' Allowable glazing for energy requirements (20% max. per State law). _5.r Human impact glass (Sec. 5406). phi! Required room sizes, ceiling heights (Sec. 1407). �! G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). .�8: Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. --9: Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). r1 -l'-'1 - 3'0" exterior exit door (Sec. 3303d). ,r1-2'."'_Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS undation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. 4• Roof construction details complete enough to construct building. F'r-eplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. � �S "irway details (Sec. 3305). G drail details (Sec. 1716). Brick or stone veneer (Chapter 30). �r Exterior plaster - weep screeds (Sec. 4706 & 4708). roper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. 8 age door or porch header sizes. Adequate bracing. 'L� Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner 0jox Climate Zone Permit # 42 - 28cj8 Floor Area If I 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 APPLIES TO NEW AREA CEILING__ R-30 WALL •'" _ _ R_ ft FLOOR R-11 SLAB R-7 GLAZING V _ _ ` f U'-.'6'5 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 R-38 R-19 R-19 R-7 U-.65 (Dual) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) 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 12/85 *1 HEATING VENTILATING AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model 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 E3 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 ❑ (6) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 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(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = 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 requirements of Title 24, Part 2, Chapter 2 -53 -of the California Admini��ion Code. '1'iL;.,±.Ti7"+'Yf:IG'�'itlir"R Spy"'ft.`I�Ijfjy*�{!VWR.7�dti�M''".Tryr,- `I''�F'4"J��°��iM7"�d��""T.'QTfpvi.." f° BUTTE`COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) .1.1School District Building Department No. e" V G A.P. Number L �� % Jurisdiction (_J City County Property Owner. Property Location/Address Subdivison _ Lot No. Residential Development 11;�Sq. Footage No. of Living MHI Addition (Group R) Units .F Commercial/Industrial nt Representative District I ntificatinon No. h A A 0 Sq. Footage New Addition ------------- -- Date (Floor Plans reviewed by School hool District certifies that Personnel) (Including Exterior Roofed Areas) Y / ' (Applicant)U (Street ddress) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing 7 — _ square feet. School District Representative Paid by Check Number Bank Number Paid by Cash by payment of /C- - - � Date Remarks: �( If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. ' White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) .. � •. nicaao�tivo `�stabaed Z661 [ l sne " O • ; , �y °� �"�;'�, `, +� ° � a ,� v � � �_i �� 1d3H lblN3�WNOSilAN3 �� ! Cy Cy Ni Wo co J r W � ♦ � V ' + --_lam �� I• � + •��+ ,:.•'�'�;_�- �' - � - '4- i' ;�. ; . of 1 .•. Vii`. ,,•. r �ri I • ` ••. r\ , CD .,.,� �� ; , ,� ` `� - .gyp -{ �S• •fir. � .r ♦ ♦~Y YE +r ,� s 1 , � iii; ' + `rte' •'+• r � � i'+ - ,' ' _ 1 t` 7 r . i 1' ; W t x