HomeMy WebLinkAbout079-080-027h a7
FRIEDA HART.MARTIN oL
07
.339 Crane -Ave, lot `2'7, LLCopley Acres
Permit#2799=89B;P;,E,M(new'single-family ,
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FRIEDA HART.MARTIN oL
07
.339 Crane -Ave, lot `2'7, LLCopley Acres
Permit#2799=89B;P;,E,M(new'single-family ,
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36-80-27 2799-89B,P,E,M
t. MARTIN, Frieda Hart
t 339 Crane Ae, lot 27, Copley Acres,
Oroville !
(new single family)
OWNER
CONTR.
i ASSESSOR PARCEL'
t LOCATION
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Temp. Power,Pole
I '•
Called PG&E
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Temp. Elec. Service- a ._ 0'-')
Called PG&E
r •
Temp. Gee Service
i' Called PG&E
JOB FINALED (Date)
e Signature 0
rte,
=UK
= Not Applicable
- =No
RESIDENTIAL (Single and Duplex)
Not Ready
Date UND FLOOR (Plans) OK except #'s
o ing-Setbacks;-Easements-Flood-Slope
g., Main; Soils-Steel-Elec. Grnd.-/ " Ftg. De
Garage; Soils -Steel- " Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei
5. Stemwalls, Main; Steel- Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
7. Slab Steel -Wrapped
8. 'ers-Fireplace Ftg.-Steel
. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test-Anchors-Regulator.Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance- Material -Su pprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Date and -B1 Date
Card -B1 Date and -B1 Date
Date PLUMBING (Permit) OK except #'s
er Ht. Vent- ccess- mb ' "n Air -Baffle
er Pipe; st & Anchors -Nail Protection
D.W.V. _ - ttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test ub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
Card -61 660 Date/ and -81 Date
Card -Bl ---Date Card -61 Date
Date ELE CAL (Permit) OK except #'s
22�011_oure & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
2 ize oxes & No. of Conductors -Stapled
?5 -Tom -Installed Close to Edge of Studs & C.J.
2qui round made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
insytated Neutral Yes No
ervi =Riser Conductors & Ground -Main Disconnect
3 quip. Clearances Panels-Motors-Mech. Equip.
32. es Closet Light -Shower Light -Spa Light
Card-Bjr: o7 j Datql/ /�-,o�"'Card-B1 Date
Card -B1 Date Card -B1 Date
Date MEC NICAL (Permit) OK except #'s
34 A.C. Ducts Insulation & Support
Mlyent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -B1 Date Card -B1 Date
Card -B1 Date Card -61 Date
Date FRA G (Plans) OK except #'s
. S' , Proja6r Material & Anchors
4 . s uds-Nailing, Spacing & Bracing—Plates-Sound
• B ng Walls over Girders & Floor Nailing
4 raft Stop in Walls (rat proof)
Fire S s; Furred Ceilings -Stairs -Chases -Tub
4 Bader & Beam -Size & Bearing
Date FRA -"G (Continued
4{f Hart"gars-Post Caps -Anchors -Connectors
4UrCing. Joist-Rftr. Ties -Pu rlin-Roof Brac.-Truss-Shthng.-Rfng.
ice Ties or Type A Flue -Fireplace Throat Clearance
ttic .ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
r -Windows or Exiting Doors -Sill Hgt. & Dimensions
5 arae Fire Protection Framing
ro arty Line Firewall & Openings
5 xt. Doors -One T -Check Garage -3rd story, 2 exits
Width -Headroom -Rise -Run -Landing -Fire Protection
y ood on Roof Overhang -Attic Vents -Rafter Outriggers
55 -Nailing Veneer ±
56. Stucc .Mesh -Drip Screed -Fd. Vents-Underflr. Access
. la ' rea-Glass Protection -Skylights -Plastic
Sh alls; Nailing -Bolts
Ok��.nsulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1 Date �*- and -B1 Date
Card -B1 Date Card -B1 Date
Date FINAL (Plans) OK except #'s '
. Ext. Steps -Door & Sidelight Protection -Landings
,-6?.,,- oke Detector
t`t& Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
B room Exiting
.F.I. & Bath Fixtures & Tub Acces S a
Elec. Trim & Subpanel; Breaker Sizes--Ca-bels
s
ireplace or Stove; Clearances -Hearth
EI . Outlets at_kIL d Panel; Int. & Ext.
it. Fixt. Applianc , Grnd. -Air Gap -Cooking Clearance
1. EI . Out t Receptacles at Kit. Counter
arag Fire o r; Swing -Landing -Closer
A.C. Duct in Garage -Damper
. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
76. Alec. Receptacles in Garage; (G.F.I.)-Romex Protec.
'if I hsulati on- Foam- Looked in Attic ❑ Yes i
78-Guard-Ratts-8 Deck Construction -Post Caps
•1-9-F-dn--Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor/ ❑ Yes A
80. Following instld.; Drivel es ❑ No; Walks ETes Q No;
Planters ❑ es Q1-IQo
�-MAY St cco; wn-Finis (7 '
A C. Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84-Water-WeTr;-Uisconnect, Electrical, Plumbing
a-85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
L8 ,Ventilation throughout House
7. Glass Protection / 12-1
°88. CorrectigCjApdrn Previous Inpections
169. Gas Tesicklelers Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Card -B1 Date �j. Card -B1 Date
Card -B1 Date 6 Card -B1 Date
Card -B1 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit iob site)
= OK
0 = Not OK t •''
= Not Readiy, MOBILE HOMES MISCELLANEOUS '
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / PV ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -81
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -61
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -81
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit
Card -81 Date Card -B1 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -131 Date
Card -B1
Date Card -131 Date
ENERGY INSTALLATION CERTIFICATE
Building Owner a rny�Uilding Permit #
Building Location #:d2'7
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material , Lz"
Thickness(inches)Lo• 5 "
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type��
Minimum Thickness(Inches) "
Area covered(ft.2) _1075
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Brand Name
Thermal Resistance (R Value)
Brand Name UC'�
Thermal Resistance(R Value) k�7-d- 2
Brand Name
Thermal Resistance(R.Value)
Brand Name
Number of Bags_ Wt. per bag 2 lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R.Value).
Brand Name
Thickness(inches) Thermal Resistance(R'.Value)�_ I
I-herebyacertify that the above insulation was installed in the above'building,
is consistent with approved building department plans and attachments and -con-
forms with requirements of Chapter 2-53 of State of.California Energy Requirements.
,(�• �p,��,�_ 33.517/
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO..
SIGNATURE OF.INSTALLATION AP LICATOR DATE
I hereby certify the required features, devices, and equipment, ab 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 Lequirements..:.-,* .
A 6 zo ki dd E 7 Ze
BUILDING CONTR OR/0 R (Please Print)
FIRM NAME)
NATURE OF BUI1,DING CONTRACTOR/QWNFiRr
STATE CONTRACTOR'S LICENSE NO:,
DATE
HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE.NO.
SIGNATURE OF HVAC CONTRACTOR/OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL. INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988
.,1�.,y 'Y, ,ty -,.A"+ti Y„:l `f t�i�' '•,1t.,,1 .1 .. �.. .. ,{ {yJ il. `.st... = r��� v! tr��;�-`fir �,t•,, ^�t7
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'tr.2� RTIFICATE,r'”
a' -ENERGY 1NSTAi; ,ATi 'E'
=. 3"J t$:t.� # a t�?d its °�,�''# r >•;;%4 y't �' ,_.. .O1w'i.F+'"
�i' .# r i :ra`' 'R - v x , * t? ` �`„! - - r t _ ti r, l (r_ ".^ '� �r r'.`t �•i 4 a t A k j',i� i 1k
Building PermitAN
♦��(��qaf� �j` !/ �1 ,,��r` .�/
CYfV+•`!� Y,�t J i Lv76C�. dU///� f
,yT .;t�#� � �•` � `; � 5 1 � ” ♦ . x . � � r Vii;; . � t J :'. ;y
DESCRIPTION OF INSL^..ATION..
S5-' �''.� ` ++ J ,�Q� +• f ' � �t � -c ,� t. ,' t' - •; + ?� . g jet* ,�� , � i••r �F �� i h wi t
f t� !lat.
eitial Brand Name
+ icess(inc°ses) ' ' Thenal Resistaace`;(R Vzlue)
WAIL
Materia. Brand Name # } . + ? ) ` r f1;.#
.'Thickness(inches) Thermal Resistanc$(R Value):'s' L• '
FA
<s
Batt -or Blanket Type' Brand' Narne
t
Thickness(inches)Thermal Resistance(R Value). 4
1;6ose',Fill Type Brand Name'
Mirirntm Thickness (Inches) Nuer of Bags 'Wt. per bag "�lb.
" Area covezed(ft.`) Thermal Resistance(R Value)
' FLOOR,ELL'jFATED
Material' Brand Name-
4.1
�iThickness,(inches) Thermal Res is .ance (R Valua) _,.�_• '
r ' FLOOR, SLAB :'
Material- Brand Name !
Thiclmess(in.ches)w___M__�____ Thermal Res istance'(R+Value) ;
Width (inches)._,
r FOUNDATION WALL.
Material Brand Name' ,
Thickness(inches) Ther -nal 'Res istanc.e(R Value)
I hereby certify that the above insulation was installed, in the above building,
is cor,sisteAL with approved building department plans an:d actachruents. and, con=. ,
`ior+is with requirf-n,+ants of Chapter 2-+553 cif State rr California Energy Requirement;
F 'RM MiEIOWti:R STr'aTE' COi\'IiZkCTOR.'S I.ICENSE•N0;
'es
t
SIGNATURE OF INS" .kLI-ATION 'APPLICATOR�DATE
I' hereby, certify- t:!�e required features; devi-ces, and equipr, ent, ' ab sh-)wn on the,,. approved
._Builiiing Department plans and attachments hale been installed and conform to the, app1i
ante standards and Chapter 2-53 of the St'ar_e. ct California Ener -,y requirements=; ' •, ,
BUILDING CONTRA CTO ('Please Print) STATE CONTRACTOR 'S LIC NSE.NO.
FIRM NA,INfE')' r
YL
SIGNATURE -OF UILD NG CONTRACTOR/%NER DATECo
'yHVAC;FIRM .NAME/Ot�NER (Faease. Pr int ` STATE -CONTRACTOR'S LICENSE ,NO. t '
f'
' ,V `IGNA 0'.+ HVA CONTRACTOR/OGJNER DATE
HIS C IFICAI`E: MUST BE ON -ZLF, WITH THE 'BUfLDINC D,PAR TMENI PRIOR TO FINAL I�1SI'ECT�4N
sl; APPROVAL ANDA COPY. SHALL BE POSTED .WITHIN THE BUILD .:�t�.
1
~ �LPT"?IEFR 1966
'sr
_ COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 -
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872.-6307
CORRECTION NOTICE
VNtzH 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
whencorrection of ork is completed. If you have any question pertaining to this
matter; or nee dditional ex I nation, please contact this office immediately. y
71 1
V 84,W if
IF -
Wiplip
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didIIG':r..74N, .... / ._ _ .� .11FM
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Inspector0--9
Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
-196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately. „
ii X/
/f
Inspector Date
;301-�00
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
v — $v —2
ZONI G
BUILDING PERMIT
OWNER
^
TELEPHONE
��
S0. FT. OCC. BUILDING VALUATION
cZ. , 19151Z00
�0
OWNER'S MAILING ADDRESS
PARSOA) LAI, 680VILLE Cl (9 &
ZZ91 (0
41.4
CONTRACTOR'S NAME
TELEPHONE
1 Nr,�a
d
-S'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
e.
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ L .S-6
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ .0
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDR-FS
C _
Permit fee
$ 7 i-
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 2 44, qp
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
Cew It C l���
PARCEL MAP
—
Water piping
5.00 ,5700
Each qas water heater or vent
5.00 p rip
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 s
Building sewer
5.00 .CJd
Mobile Home Is G W
10.00e
TYPE OF WORK
Newo Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: 1U0_.rEe._e 95 _
Permit Fee
$ �j _ 00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP V OR LESS
10.00 /0,,)b
Main service EA. ADD -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. _311-720
�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..
OR ADDNS. ( ACC. BLDGS. )
, hosgft
NEW CONSTNON.RESID R BRANCH CMULTI-OUTRCTITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup( OUTLETS OR FIXTURES
® 80Q
SAL@30
FIXED
Ex. OCCup. OUT ETS PAPLNS.(RESID IKEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Iyirin 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.
❑ 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 - o O
T e r
Cooling
,� O
Hood
3.00 0 0
Ventilation.
y. p
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, judgments, costs, and expenses which may in any way accrue
against said C un y in consequence of the granting of this permit.
Date
Signature of Applicant — Owner❑ Contractor ❑ Agent [F�,
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
3 stories in height.
ion of structurrl
Mobile Home installation Fee $
Energy Inspection Fee
occ
CONST TYPE
TOTAL F $ 3. S
HAz
_,
cuA
PARK
_
s
P o
PA
PD
)ss
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated a e f• wh' h fees
C OF BLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Dat+ 2f �P
-!eesover
Receipt No. / 7 7 y M
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
L:
! SUµ. •.. • w ..• t .. �.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION �.
i
7 COUNTY CENTER DRIVE - OR,OVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
i.
OWNER1 � _ 0A e a - ► l
Proposed Building Use �/Building Inspector
Permit No.
A. P. No.
Date
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. 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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
I,=
es Raid .....................................................
I r 11:4 — School District fees paid ..................
3. Sanitation approval from Health Department ...
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
(� 17. Im ements may be required.
Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Ins Pre -Inspection for required Pre-Inspec. request to
pl P q • • • • • Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. er-Builder Verification (Given to owner 13, Mail to -owner 13) ... .. .
Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows —Mai l to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
r
,d
Applicant 'Date 9% 3/R5
Copy of plans sent Health Dept., Fire Dept„ Other Date
The following data must be submitted prior to permi i ance: (C' new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Dated
Sets of plans on hold in File cabinet AP folder
Copy—DPW
Telephone
533-2000
4
North Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND 35-88
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance of a building or occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant:
FRIEDA-E. HART MARTIN
Applicant Address:
91 Canyon Drive
Applicant Phone No.:
589-3759
Property Location(s):
339 Crane Avenue
Copley Acres Subd. 2, Unit 3, Phased, Lot 27
A. P. No. (s):
FeesX DUE: $900.00 SC -OR Regional Facility Charge
$250.0 Connection Yee
n
Application for service approved
North Burbank
April 25, 1988 Public Utility District
Inspection(s) made and successful test(s) observed:
Location: Date:
M
North Burbank Public Utility District release to close permit:
Date: By:
i.`'+'hti'i'yjF'ar+.r`'�'"O7'^"Irrf�.'..r..nsgt.y.1..^�.�^'�a�:.-''ic.;:..'�w.,.+...,..,.a�,-Y,ry,�y.,,,...r,f,•, r•,.�.y:�.,+v .�—_� Tt �.: ....�.E.., ,...•.. t-.�•-_: '..
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BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
f (One Form per Building) -
A.P. Number���j- Building Department No.
School District �,,,; /�� City n County `[R� Jurisdiction
Property Owner F 9 j r-04 FI? T" M 4 Q T I N
Project Location/Address � , ��-% 0 A) _r. 4y�
Subdivision �p b �e y C.y e-5 Lot Number Z 7
Y
Residential Development:
Sq. Footage % / 3 S
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New' Addition (Including Exterior
Roofed Areas)
%" -
.Building Department Representative Date i
(Floor Plans reviewed by School District Personnel) ,
District Id No. oCa
School District certifies that
,4A.1j
(Applicant Name)/ (Phone Number)
((S'StreetAddress)
(City) (State) (Zip...Code)
has complied with the requirements.of Resolution No. S E %-/ a-
by the payment of $ Joi o i representing o1/2.!� square -feet.,
/ School DW
Pct. Representative, Date
PAID BY CHECK NO,.
BANK NO
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
,i
NOTE,
Accordc
of a qu!
'Uniform
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