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HomeMy WebLinkAbout064-350-026I OCr�-1 � 3�>0 a 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. • ASSESSOR PARCEL NUMBER , ZONING BUILDING PERMIT 'Nt.L PHONE MMA &brg ADDRESS 97� 2z37 P.O. Box 3224, Paradise, CA 95967'6;804 SQ. FT. OCC. BUILDING VALUATION 114!1 45 740 CONTRACTOR'S NAMETELEPHONE Mike hale 862,1528 20 GeV 12(4) CONTRACTOR'S MAILING ADDRESS P.O. box 1682, Paradise, Ca 95967 Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ Filing Fee t $ 10.00 L R'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE No. Plan Checking Fee S -$ Energy g Fee Ener Plan Checking $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ' BUILDING ADDRESS 5" Skyway, Ma alfa Permit fee $ 365.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 14.00 Solar or heat pump water heater 20.00 20.00 LOT NO. 950 SUBDIVISION NAME PPITni t #41Y PARCELMAP r— Water piping 5.00 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 Building sewer 5.00 5,00 'Mobi le Home I S I G JW 1 0.00 e TYPE OF WORK New I Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Mactpr 9-88 Permit Fee $ 54.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 10.00 Main service EA. ADO'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I decl re under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi ns Code and my license is in full force and effect. License No. Classification j; 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 NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. SLOGS. / ( 2/20sgft 40.75 NEW CONSTR. MULTI -OUTLET NO N.R ESID BRANCH _,RC" IRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES BAL SOC BALD 30 FIXED APPLNS.❑ EX. QCCUp. OUTLETS IIRESID )REA.) 2.00 Temporary service 10.00 ------- Mobile Home Facilities 15.00 Misc. byirin g 15.00 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. No ce 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 FiIIng Fee 10.00 Heating 6.00 heat pump Cooling 9 6.00 Hood 3,00 Ventilatio Permit Fee $ 2 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. 1 al'o agree to save, indemnify and keep harmless the County of Butte against all 'abilities, judgments, costs, and expenses which may in any way accrue again t said County in cc ue a of the granting of this permit. _ I�n _ Date [ l: Signature of Applicant — Owner n Can actor ❑ Agent OSHA permit is required for excavations ov r S'0" deep anolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30,00 o c r3 co TYPE F,A/ TOTAL FEE $ 537.25 HAZ CUA PARK SCHLFLD PAR PD H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees 2An DI CT OF PUBLIC By I PERMIT EXPIRES OWe the applicable provi- resolutions to do have been paid. WORKS (� D to y Z /moo ,L Receipt No. ((^ `r �2'� (p v WHITE-D.P.W., DENROD-APP ICANT. a v I� RESIDENTIAL . 64-35-26 2957-90B,P,E,M HALEY, Donna 14255 Skyway, Magalia F. f (new single family) Mike Haley ^ (� r � L— 1 i 1 y 41 iv 7 rs } I OFFICE COPY `n f Address !} f I i I f j GAS a IMeter By Date ELECTRIC ' Meter By Dater JOB FINALED (Date) — Signature �� 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. 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 (' � I' MISCELLANEOUS * ' ' Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 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 (/`• t 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. Efec.; 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 V OK O = Not OK , - = Not Ready RESIDENTIAL ' Not Ready Date U fjjVtRFLOOR Plans OK except #'s Q /1 Hing-Setbacks-Easeme is -Flood -Slope . Ft , Main; Soils-Ele r .-// 1G Ftg. Depth a.Atg., Garage; Soils-Steel-Elec. Grnd.-/iV Ftg: Depth 4. 5w., Porches & Decks; Soils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel -Bloc kouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped . Piers -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 WaLy C/ ewer Test 1A4as Pipe; Size -Anchors 10water Pipe; Test-Ancho ato erviceg4t 12. lectric; Underground 1 . Pienums & Ducts; Clearance -Material -Support -Ins. "D -Sills -Anchor Bolts -Joists -Vents pp )( 15. Insulation Date //-5- 5 o Card B-1 e- 3 711 Date Card B-1 Date JA -+ 10 Card B-1 C -' Date Card B-1 Date PLUMBING Permit OK except #'s 16. Water Htr.; Vent -Access -Combustion affle 17. ter Pi est & Anchor -N P KV t -Fittings & Anchor- i P ower Pan; Test, First Floor -Tub Access 20 -'Test Tub & Shower, Second Floor -Tub Access 21, Gas Pipe; Size & Anchors Date/ 4-ACard B-1 C- S /Jj ate Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 2$. Pec. Receptacles Spacing -Lights & Switches at Doors 2 . S1u Boxes & No. of Conductors -Stapled W10 Installed Close to Edge of Studs & C.J. Egyip. Ground made up w/Mech. Fastners-Bo�1, er 2 . 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. SUWed Wire Size / / ga. Cu or AI . Wire Size / / ga. � 'r Al 29. Range Circ. /U ga. Cu or Al-Ov�n Circ. / / ga. Cu or Al. Insulated Neutral 04yes D No 3Q -Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 31.'Smoke Detector Date - 6� • r)+Card B-1 C 4.^ Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 354. 0y.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 3'1.`Turnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date - Card B-1 G Date Card B-1 Date Card B-1 Date Card B-1 + Date FRAMING (Plans) OK except #'s 3 Sils, Proper Material & Anchors 40/Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 4 ring Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) Wire Stops; Furred Ceilings -Stairs -Chases; Headers & Beam -Size & Bearing (NOTE: A y must be m (Single & Duplex) Date FRAMING ontinued) 6. gers- ost Caps -Anchors -Connectors of -Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. LV fireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -In ews Bdrfn'Windows or Exiting Doors -Sill Hgt. & Dimensions /5,Pel6arage Fire Protection Framing 51. PropertLine Firewall & Openings Ext. s -One 3' -Check Garage -3rd Story, 2 Exits 53. lairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers SSISiding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts +A. Insulation -Walls -Ceilings C 60. Infiltration -Walls -Windows Date 1 d? -5r( Card B-1 Gy Date Card B-1 Date 1-//- y�,Card B-1 Date Card B-1 �- Date FINAL Plans OK except #'s 6 Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63 rnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6"edroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 6 . lec. Trim & Subpanel; Breaker Sizes & Labels 6 . rs & Rails Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70,46Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter�r 72age Fire Door; Swing -Landing -Closer A.C. D t in Garage -Damper ftw"mr.; Vents -Clearance -Comb. Air-Connector-P.R.V. 1 In Garage; Above Floor-Mech. Protection 5. Elec. & Mech. Equip. Listed for Location 7_f>!Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7y. Insulation -Foam -Looked in Attic 0 Yes 7B.,"Guard Rails & Deck Construction -Post Caps 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under F or ❑ Yes� 80Ilowing in�sgd.;_Drive 11Yes No; Walks 13 Yes No; Planters L). s 7No 81. Stucco; Brown -Finish 8;i-�. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ae'ventilation Throughout House Bf'.'Gla s Protection 8 orrections from Previous Inspections 414r6ies Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date / f Card B-1 C g Date Card B-1 Date Card B-1 4tZ, Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I ado each time you visit site) Bulding.,Owner Building Location f. � f ENERGY INSTALLATION CERTIFICATE bUll _ Building Permit # 4Z,5 DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches) CEILING , Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft. ) FLOOR, ELEVATED a 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) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) 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, Zs -consistent -with•-a-ppr-owed.--bu- lding -department- plans --and- attachments- and- con- forms with requirements of Chapter 2-53 oC State of'California Energy Requirement 3 19 ? PiU3 A FIRM NAME/O7ER STATE CONTRACTOR'S LICENSE NO. .c -Y, lel'3 /9-f SIGNATURE OF INSTXLLATION AP ICATOR DATE I hereby certify the required features, devices, and equipment, a5 shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRA 0 NER (Please Print) (FIRM NAME /11 A IGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. DATE ` STATE CONTRACTOR'S LICENSE NO. SIGNATUIT VAC CONTRACTOR 0ER DATE THIS CERTIFICATE MUST BE ON FIL WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 ~COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 It 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise- PhoneL-872-6307 CORRECTION NOTICE ' OWNER PERMIT NO. A routine inspection indicates t at the following violations of County Ordinance ! . exist at the above address anZ I ould'lbe corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, o eed additional explanation, please contact this office immediately.; ,��'I) d� rte/ I �� �r� c%�✓ 1,✓er f 6P e- lV9 i Z> or/ oma,�— /7L113C l CFIOM C:s � zi ) "4`5 L" a J Date Inspector .i. . COUNTY OF BUTTE DEPARTMENT O�,PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center. -Drive, Orovi Ile — Phone: 538-7541' 747 ;l'l iott. Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ER 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, -,6i need additional explanation, please contact this office immediately. If" pn-�' V / Ac 2,� �l1�ce C��, ale wa lls fa � P rt � �% ��cy�� •.= T 2 � • s �' 4 j /n'soPcP-Pcp +i' PJsy�f Aee'q Date / / Inspector t 043 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASS7S;9 PAR EL-.tIUMBE zONI T BUILDING PERMIT OWN R h TELEPHON SO. FT. OCC. BUILDING VALUATION O ER'S MAI NG ADORES Pa ( qS G D CONT ATOR'S NA l TELEPHONE [N_E / ✓ /1 cc) d - CON RACTOR' MAILING A r./)r ESS f- S' Fireplace &� C S RUCTION LEADER UNKNOWN C Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ l .tri Energy Plan Checking Fee $ / _ 'l ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SAX ku a V Permit fee $ 365,650 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 f C( Solar or at pum eater 20.00 oio.r� LOT NO. SUBDI PN N{�M� I/�Al/ i t PAR L MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I GJWJ 10.00 e TYPE OF WORK New Addition[]Remodel Utilities[]Installaflo-n I Other ❑ Describe work: G S�C r C� c _ Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORSLESS 10.00 10,0( Main service EA. A00'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8 OR ACDNS. ACC. BLDGS. 2/z¢sgft NEW CONST R. ULTI.OUTLET NON.RESIO BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (POWER OUTLET CIR. ) / Ex. Occup\OUTLETS OR FIXTURES 20050¢ eAL030 FIXED Ex. Occup. OUTLETS P(RESID )LNS REA.) 1 2.00 Temporary service 10.00 �— Mobile Home Facilities 15.00 Misc. 6yirin 9 15.00 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 Filing Fee 10.00 Heating 00 Elc 1M Cooling g iQ r0 Hood 3.00 0 Ventilation permit Fee $ p 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;occ 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 granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structureiL over 3/st'ories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TYPE TOTAL FEE $ AL HAz CUA PARK ELD PAR I PD HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date �q Receipt No. J © o(/ WHITE-D.P.W.. TEL OW &P ORN 1 O GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Proposed At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered'truss details and layout in duplicate (required prior to plan check) P. Mobilehome installation data including manufacturer's installation Kiinstructions ..Fees of $ ........................ . Chico Urban Area fees paid ....................................... 12. Par l ees pal ...................................... 13. a �Q / S6chool�ji%rict fees paid .............. /AG 4. Sanitation approval from A ra C1 ) Se Health Department ' 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW i.19. Driveway permit (construction approval required prior to occupancy)` 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) . . 24. Recorded copy of Agricultural Acknowledgment Statement ......... !E) , Z7— e3xt 25. Lt er of signatu authorizati n l7 26. n +f E n ..... �...u8.�- �EL Whey you issue th exri *t rrr as follows: MaiVto owner: Mail contractor. X T -1-_L--- Il � l N�,1'�� Copy of Haz-Mat Torm 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 pr' to per Prit issua ce Circle new item not checked above). 1. Index permit for above items No. D � / � ���f , 2. Additional items required: Contractor, designer, owner, was advised of above required data by-- phone ---mal counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mail Plans checked by Date Plans approved by� Sets of plans on hold in File cabinet AP folder Copy—DPW i nter by date Date �� U TO: Building Department FROM: Encroachment Permit Section RE: 'Diiveway Clearance owner location AP # Driveway permit /D Sy nLuib sign re has been issued for the above property. e7'-�a date TO Building Department ! FROM: Environmental Health SUBJECT: Sanitation Clearance �(ej,, ' 255 .S Wtaoil., ownerf Location W. AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply T Final clearance O.K. for: Water Supply Clearance for , !)—_ bedroom a home. Other NOTE * * * .--�- P Sani a Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT .0-4 1 5 9 Q ✓�.,� OR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte Wnty "Code., s' • requires this acknowledgement. be recorded prior to issuance of a building permit. The property described herein is adjacent ' 90-041590 ; R e c Fee 5.00Check to land or included within an area zoned Recorded 5.00 for agricultural' purposes, and residents Official Records ; e of this property may be subject to incon- County ; veniences or discomfort arising from the Butte ; use of agricultural chemicals, including,. _ Candace J. Grubbs ; but not limited to herbicides, pesticides, '! Recorder ; and fertilizers; and from the pursuit 9:51am 27 -Sep -90 JJ i of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting. which occasionally 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 disconform from normal, necessary farm operations. All that real property situate in. the County of Butte, State of California, described as _follows: Lot 250, as shown on that certain Map entitled, "PARADISE PINES y UNIT NO. 4", which Map was filed in the office of the Recorder of the County of Butte, State of California, October 1, 1970 in Book 35 of Maps, at pages 97, 98, 99, 100 and 101. 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 described herein, and that no damage shall be done to the surface of said land. Date:9 — State of County of On this the 2/-7wday of %��%l� 19 4, before me, SS. the undersigned Notary Public, personally appeared PJ Q �4 L LM GALLEGOS Personally known to me. Proved to me on the basis NOTARY PUBLr CALIFORNIA `�►' Butte Coun� '.. My Commission xpires Sept. 22,1992 S Present A.P. No. -� -22 Notary Public END ®F DOCUMENT of satisfactory evidence. to be the person(s) whose name(s) t�— subscribed to -the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. T COVE EperoDFE'T OF UbLSIc -re OCT 0 4 1990 to cu +C_3 co i 0 b. BUTTE COUNTY SC'�LS DEVELOPMENT FEE CERTIF *TION FORM (one Form per. Building) • A.P. Number Building. Department No. .School District 0, r, Ct City = County Jurisdiction A � I' Property Owner �C_ V Project Location/Address 4 cyte? /4,1 Subdivision Lot Number 0 Residential Development: w� a Sq. Footage //,/,I a - #.offiving MHI Addition (Group A) Units Commercial/Industrial:. ;p Sq. Footage 'New Addition (Including Exterior -"Roofed Areas) Buil6p5etment' Rep 'f6-s-eii'tativ-e- Date (Floor Pla:hs reviewed by School District Personnel) bist'ri , C-tkld NO. C/o. AiA4,jk",�_ '1JAAJAa School District certifies that (Applicantame)' (Phone Number) 0 (Str et Address) (City) .(State) (Zip Code) has complied with the requirements of Resolution No. °by tNe payment of $ IOU, representing s uarre, feet. _EoOl District Representative Sc D e PAID BY, CHECK NO. 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