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Home My WebLink About066-230-002x.66-23-02, 1101'-90B;P;E,M: Vi• '' s, CAMPBELL, Steve �r• s'a�' L Andover. Dr ,, Magai'l ".(new.single 'family) 4 1 i '1 _ 1 1 1 ^ r � • S r t . i n .1 I a ❑l k t ji.,RESIDEN'TIAL" 66 -23 -0211Q1 -90—B P> E M f: T > 'AMPBELLA Steve 5lo ndover Dr, Magalia ! (new single family) OFFICE COPY Address 1 GAS Meter By Dat9 y eter y OFFICE COPY s Address 1-73 109'600r/tAn , �. GAS Meter By Date I ELEC RIC Meter B Date JOB FINALED (Date) Signature J=OK O=Not OK Not = Not Readyatile MOBILE N®!VIES 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: / /" U ft. / /"Nat. or/ /"L"ft./ /"LPG 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- Bea ms-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 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 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 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- Bea ms-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 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 V OK O=Not OK -=NotApplReady Not Ready RESIDENTIAL (; ' = Date UNDE OOR Plans OK except #'s oning-Setbacks-Easements- od-Slope t , Main; Soils-Elec.d.- /" Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.- ,,CFtg. Depth 4. Ftg,., Porches & Decks; Soils -Steel-/ /Ftg. Depth t mwalls, Main; Steel -Blockouts-Wrapped 6-1§temwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pi ireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors ater Pipe; Test -Anchor -Regulator -Service Test 12. EI ric; Underground Pie ums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date&4 Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date PL GING Per K except #'s . Water Htr.; Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor- it W. T-Fiffngs & Anchor -chop Shower Pan; Test, First Floor -Tub Access 2 t Tub & Shower, Second Floor -Tub Access QW Gas Pipe; Size & Anchors Date 74, Card 8-1 Cd Date Card B-1 Date Card B-1 Date Card B-1 Date ELE RICAL Permit OK except #'s Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 2 Romex Installed Close to Edge of Studs & C. ht Equip. Ground made up w/Mech. Fastners Gam& Water 2VAppliance Circuts in Kitchen & Conductor Size/GFI H. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. 4- / ga. or AI-99ven Circ. / / ga. Cu or Al. Insulated Neutral Q/Ves 0 No Service -Riser Conductors & Ground -Main Disconnect 3A. Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light WW,tmoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 GS Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s #., Sils, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 441 Headers & Beam -Size I Bearing jingle & Duplex) S Date FRAMING (Continued) 45 angers -Post Caps -Anchors -Connectors 4 Ing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Ring. 4f/fireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 5t4property Line Firewall & Openings 5gAxt. Doors -One T -Check Garage -3rd Story, 2 Exits 3 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10"plywood on Roof Overhang -Attic Vents -Rafter Outriggers ` , Siding -Nailing Veneer SG -.Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access %V Glazing Area -Glass Protection -Skylights -Plastic W�Piear Walls; Nailing -Bolts Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Ja Card B-1 fiS-J Date Card B-1 Date Card B-1 Date Card B-1 Date FI Plans O exce t #'s 1. Pxt. Steps -Door & Sidelight Protection -Landings oke Detector Furnace; Vents -Clearance -Comb. Air -Connector - Garage; Above Floor-Ducts-Mech. Protection room Exiting I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels Stairs & Rails Fireplace or Stove; Clearances -Hearth 69.'Elec. Outlets at Wood Panel; Int. & Ext. 7 Ki :Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7 . Elec. Outlets & Receptacles at Kit. Counter 7 Garage Fire Door; Swing -Landing -Closer 73r.-A.C. Duct in Garage -Damper 7A Ottr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7 Ib., Elec. & Mech. Equip. Listed for Location 7 . Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7.z -'i nsulation- Foam- Looked in Attic 0 Yes 7 ward Rails & Deck Construction -Post Caps 79-,F-dh Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive 4)LYes ❑ No; Walks Yes ❑ No; Planters 0 Yes 0 No -at-Stucco; Brown -Finish Unit; Disconnect, Electrical, Plumbing .a. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ater Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground a . Ventilation Throuahout House 87!Gla s Protection Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 90�Waler & Sewer Connected -C/O to Grade -HD Approval 41!Energy Compliance Certificate -Other Certificates Date � Card B- X Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) F -H ERGY CERTIFI'(:ATION S63 4,n W%.vrav---a I LOCATION A. P. NO. ROOF Material Brand Name_ Thickness _ _ Thermal Resistance (R Value) EXTERIOR WALL Material FIBERGLASS _ Thickness (Inches)_ Brand Name CERTAINTEED Thermal _____ Resistance (R Value)f CEILING Batt or Blanket Type FIBERGLASS _ Thickness (Inches)_ in Brand Name CERTAINTEED _ _ - Loose Fill Type FIBERGLASS Thermal Resistance (R Value) Brand Name_ Minimum Thickness Inches__)_L _o _.- -Aroma _ CERTAINTEED Cove- u ( r Sq. Ft. )_M� ___ Thermal Resis_tance (R Value)a_.5 FLOOR,ELEVATED Material.._y_FIBERGLASS Thickness Inches) ` Brand Name_ _CERTAINTEED FLOOR, SLAB Thermal Resistance (R Valu-e)lg_ Material _ __ Brand Name Thickness (Inches)_ _ _ Thermal Resi stance (R Value)_ ` FOUNDATION WALL Material _ Brand Name Thickness (Inches)__ Thermal Resistance (R Value)_____ I HEREBY CERTIFY THAT THE ABOVE ABOVE BUII.,DING INSULATION WAS INSTALLF.1) IN THE IN CONFORMANCE WITH REQUIREMENTS. THE STATE: OF CALIFORNIA ENERGY Firm flame/Owner State Contractor's License No. Signature _.._��______�.�--._.:.-------- Date I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACtiMFNTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. Ci91� Firm Nd- SignatAure wner _ en. Contractor/Owner Date COUNTY OF BUTTE' �5` 1 DEPARTMENT OF PUBLIC WORKS t ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �M �) I/0/ - �p 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, or need additional explanation, please contact this office immediately. � 5r44,L, J?n otic .(%fie t-0 A, A94 C"/`,45 S Date Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. O -Z/ ASSESSOR PARCEL NUMBER _ _ ZONING RT BUILDING PERMI OWNER Steve TELEPHONE 873-0570 SQ. FT. OCC. BUILDING VALUATION 1312 R 52,480 OWNER'S MAIL NG ADDRESS 13370 Adri Magalia 95954 P 400 M 5,600 CONTRACTOR'SNAME TELEPHONE 376 en 1,800 CONTRACTOR- S MAILING ADDRESS Fireplace I"All 1 000 CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 60.960 Filing Fee $ 10.00 LENDER'Se3AZ31199bS ADDRESS Permit Fee $ 316.00 ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - ,: � !! Permit fee $ 356.00 PLUMBING PERMIT FilingFee 10.00 Each Trap 8 2.00 16.00 magalin Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 152 NAME iPP CC Est 4 PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S G W 10.00e TYPE OF WORK New( Addition❑ Remodel❑ Utilities[_ Installation❑ Other Describe work: 3 bdrm master # % fgj - 6 1?L2 _ Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100 AMP ORV OR LESS10.00 10.00 Main service EA, ADD'L 100 AMP 2.50 2,50 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio o and my license is in fu force and effect. License No. Z 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 NEW CONST. DWELLING OCCUP.& 2.80 OR ADDNS. ( ACC. BLOGS. 2/20sgft NEW CONST Ft.MULTI-OUTLET 2.50 ea NON -R ESID BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20050C BAL®30 Ex. Occup. OUTLETS P(RESID IRE A.) 1 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ 75.30 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 FilingFee 10.00 Heating 70,000 6.00 heat pump Cooling g 2T 6.00 Hood 3.00 Ventilation Permit Fee $ 28.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 againstLsid County i consequence f the granting of this p it. �ate Signature of Applicant - wner❑ Contractor Agent An OSHA permit is required for excavations over 5'Q ' deep and demolition or construct- ion of structures v r 3 st ies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 c e'; ST TYPE AN TOTAL FEE $ 535.30 HAZ ` CUA _._ PARK scJ FLD/ v PAR PD ISSUE This permit is nereby issued under the applicable sions of the Butte County Code and/or resolutions work indicated above for which fees have DAI 0 0 UBLIC WORKS By D to PE IT EXPIRE Date �' provi- to do been paid. Z% 90 77/V Gl�yy Receipt No. 70.00 - h40�5 // �� 9�7 '�ps� i WHITE-D.P.W.. YELLOW- ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT % COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. AOR P C NUM E' ZONI G BUILDING PERMIT 0 ¢R ^ fi V'A '`J( t TEL P _ONS SO. FT. OCC. BUILDING VALUATION ONER'�? MAILING RESS �3 CTRACTOR'S NAME a k1K Ci TELEPHONE O / Ct/ CONTRACTOR'S MAILING ADDRESS Fireplace joUU CO RU TION L OER u IF UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3 ,r ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �S✓ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ -/" PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 / a a Solar or heat pump water heater 20.00 LOT= O. SUBDIVaSI NAME ^ N RCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 -- USE OF STRUCTURE SF,X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New % Addition ❑ Remodel iii ' s ❑ Installation El Oth r ❑ Describe work: �ifilA57z- AL Permit Fee $ 46 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 ZVI- CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business.and Professions Code for this reason NEW CONST. DWELLING OCCUP.✓! OR AODNS. ( ACG. BLDGS. l7 h2sgft .[ NEW CO D R NSTBRANCH O CIRCTITS 2.50 ea, (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCup\( OUTLETS OR FIXTURES 200306 °ALoao FIXED APP LNS. OR Ex. Occup. OUTLETS IRESIO.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ S 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 must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 000 6 Cooling Hood 3.00 3" -- Ventilation 3 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 El Contractor ❑ Agent ❑ ions over.5'0" deep and demolition or construct- An OSHA l ion of structures t over 39storaesor excavations Mobile Home Installation Fee $ Energy Inspection Fee $-� occ CONST TYPE ALL TOTAL FEE $ HAz CUA PARK FLD PAR Po Ho 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 Receipt No. -� WNITC-D.P. W:. TCLLOW-ASSC3R. PINK -INSPECTOR. GOLDENROD-APP0 CANT -f SC" '►yr;.{_i��+"r�'tt „ !T�•�r. hTt`. yw7i'`+��*iP 1i�a HYt "ryv`�iS ►s?t�l'r ��. i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNERS C- ✓ cow 10 A. P..No. -v Proposed Building Use LX) Building Inspector Date 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED - 1 . PPROVED• 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) 9. Mobilehome installation data including manufacturer's installation —�1 �Jinstructions.. 112 ......................................... . Fees of $ 11. Chico Urban Area fees paid ....................................... Park ees paid .. .............. -99Z /�� School District fees paid .............. 6 L7 d Sanitation approval from G02D Health Department 2- 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: ...... 1& Improvements may be required. Contact Land Development Section DPW QK q0. Driveway permit (construction approval required prior to occupancy) 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 .................. 2 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... j zw C9 Letter of signature authorization ................................... 7. When you issue the permit, process as follows: Mail_to owner. Mail to contractor. Telephone 8%3-��S�C� and hold for pickup at�_office. _Deliver w/inspector. Other 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. i' The following data must be submitted prior top t iss nce I new i em cked above). 1. Index permit for above items No. 2. Additional items required: Contractor, esigner, owner, was advised of above required data by_phone__rnaiI—counter by .. ate Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by]�> C, 'p-� Date !:�S�� — 9� 2- Sets of plans on hold in File cabinet 'IAP folder Copy—DPW TO FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance h ,3 Omer Location AP# Plan Approved for: Sewage Disposal Hold final for: Final clearance O.E. for: Clearance Eor ,-9 bedroom mot:� home. Other NOTE Water Supply Water Supply Water Supply Date ariadn- TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owndr location ��-2 3-b Z_ AP �� M\ , -....� .. _=.r.t j...v�ar... �._--....--...r-:.I---ti.--.•.-.....w.......a.,„.,w...:.a-..r-......,.,.1•.:1�'i4.,.�•-"'--s.-.—,r.w.y,;•r.wW+'.rn--.:.r,..:'Rr•....+«.r-=---"-�'- -..... »_.. . BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ` (One Form per -Building) A.P. Number fp '” - C�_ Building Department No,. School District (�(rGt , (� . City County Jurisdiction Property Owner �t(' V i s jo k 0 / Project Location/Address Subdivision Lot Number Residential Development:. Sq. Footage !... ,# of Living MHI - Additions (Group R) Units yy Commercial/Industrial: a Sq'. Footage New. Addition (Including Exterior Roofed Areas) f mI'til Building b6raktment Representative 0ISatd (Floor Plans reviewed'by School District Personnel) District Id No.' Flo (&ALA-11'a4l(,:: School District certifies that (Applic/ant Name) (Phone Number) n IA (Street A dress) (CityG) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment lof . $ �(J`7'(D / representing square feet. ,7 bo School District Representative /Dade PAID BY CHECK NO.7REMARKS: BANK -,N& PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 0 - 19038 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County, Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 90-019038 ; Rec Fee 5.00 to land or included within an area zoned Check 5.00 for agricultural purposes, and residents i Recorded ; of this property may be subject to incon- Official Records ; veniences or discomfort arising from the County of ; use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder ' of agricultural operations including, 10:58am 10 -May -90 ; CD 1 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: LCA- 2- as cam, 4jJ- eex=�d(n Map - e4-v4(cc � i� �a gad; Se. ne-5 Lkn i+ No. 1 SW�IIC� : ma f Lx0aS 'r2Ccr�ed K) -ale. �ep oar 4 -he. <'ecc�dcr o� 4� 1c� ,'coa �y cs; �-e �--e 4- J►Win;c� onte!y 1ST 1 71 i� �k �g or maps OA-papeS. . q z) A4 3) 44 Date: �'e PROPERTY OWNERS: State of ) On this the /0 day of 19 %%, before me, SS. the undersigned Notclry Public, personaiV appeared County of DAVID NALKOLA Wersonally known to me. ® Proved to me on the basis NOTARYPUBLIC-CALIFORNIA / of satisfactory evidence. Butte County �- My Commission Expires to be the person(s) whose name(s) March 22,1991 subscribed to the within instrument and acknowledged that executed the same for the purposes therein conta ed. IN WITNESS WHEREOF, I hereunto set my hand /6 d ficial s� Present A.P. 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