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— 4 D P A.P. !-dive -73P, f5(u ROY WILSON, }342Mission Olive Rd, Oroville ContR: Don George Vlo PErmit#519-89B(reroof/SF) 1I p WI3 146 S�Mned 028-- SUMMARY:SHEET FOR LAND DIVISIONS Roy Wilson Mission -Olive -&-Friedman Ct...,_Oro.._: TENTATIVE PARCEL MAP 7/O8'/� 028 -IW -058 94-_26A FAHEY , TE51 111* f 342 & 344 MISSION OLIVE RD., OROVII�L AG EXEMPT PERMIT-TRACTORI& HAY ST'G t 028-41-0-123 AG 00-171 'BROCHHEUSER, KAYE AGRICULTURAL EXEMPT PERMIT j STORAGE OF� TRACTOR &'FEED ' 342 MISSION OLIVE HWY., OROVILLE m - Al . d �. ��: . ,r �r,.�_-�., ��' � !I _;' �J t APPLI SUMMARY SHEET FOR LAND DIVISIONS COUNTY OF ADDRESS 2300 Lincoln Blvd., Oroville. CA 950 -AUG 1 7 i OWNER Roy Wilson IAOT4. 1%�?'q& nE 13---( PROJECT DESCRIPTION TENTATIVE PARCEL MAP LOCATION Creating 4 parcels & remainder on the southwest corner 3 of Mission Olive Road & Friedman Court. Mission Olive area. ASSESSOR'S PARCEL NUMBER(S) 28-19-03, 58 & 102 ZONING ARMS -5 GENERAL PLAN -Re si. PROJECT CONSISTENT? YES GENERAL PLAN CONFORMANCE REPORT June 15, 1993 E LAND CONSERVATION ACT CONTRACTS? NO DATE APPLICATION RECEIVED July 8. 1993 AGENT/SURVEYOR/CIVIL ENGINEER Ron Graves & Associates ADDRESS P.O. Box 986, Oroville, CA 95965 DATE PLANNING DIRECTOR'S REPORT PREPARED ENVIRONMENTAL CATEGORICAL E.MMPTION - DATE FILED DETERMINATION AND DATE NEGATIVE DECLARATION - DATE ADOPTED MIT.NEG.DECLARATION - DATE ADOPTED EW.IMPACT REPORT - DATE CERTIFIED STATE CLEARINGHOUSE NO. DEVELOPMENT REVIEW -COMMITTEE HEARING DAT ,APPEALED BOARD ACTION APPEAL HEARING DATE COMMENTS FOR PLANNING DIRECTOR'S REPORT ASSIGNED TO RECEIPT NUMBE LD 1005 (11/92) DISK ;COUNTY OF BUTTE - DEPARTMENT OF PUBLICIWORKS •-' PERMIT NO. .7 County ,Center Drive - Oroville. California 95965 Telephone: 916/53B-7541 APPLICATION AND -PERMIT/ ASSESSORPARC�•LL NUMBER ZOh4NG '" BUILDING PERMIT OWNER ;, °- Rax WftSOz� —� TELEPHONE SQ. FT. OCC. BUILDING VALUATION - 4700.00 OWNER'S MAILING ADDRESS , , 342 MISSION OLIVE ROAD OROVILLE-. CA. 95966 CONTRACTOR'S NAME TION C. r ORCE TNII. TELEPHONE 533-6393 .4 CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROV LLE. CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 4700.40 Filing Fee $ 10.00 • LENDER'S MAILING ADCRESS Permit Fee $ 50.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINE= -R'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 342 MTSISTON 01,TVEROAD OROVT .F-- Permit fee $ 60.50 PL UMBING.PE.RMIT.—. .•. F Filing .ee 10.00, Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP i Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[:] Duplex[] Mo:)ilehome❑ Other P J?PA,IR - SPECIFY r Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ ;Other ® Describe work: M_F T_ A T P 0 0 V V WP A_ T__ A N W Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V R Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 t CONTRACTORS LICENSE LAW f 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. [; 5?? Classification e Q r ❑ 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 own3r, am exclusively contracting with licensed contract- ors..(Sec.704&) ❑ I ami exempt, under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGoCCU1.a` , OR A.D.S. ACC. SLOGS. / ,Zsgft NEW CONSTR. M U TI.OUTLET 2,50 ea NON.RESI0 -RANCH CIRCUITS) POWER APPARATUS tr\ (SINGLE OUTLET CIR. / EX. OCCUp OUTLETS OR FIXTURES\ DAL@30 Ex. OCCUp. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ' Permit Fee $ WOR14MENIS 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 Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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 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. Ari�-�1/%�r: ' X 21/89 ,. _ Date 2/ Signature,cf.Applicant•- Owner'` ❑'Contractor ® Agent ❑ An OSHA permit is requir3d for excavotions:oveC5'0" deep and demolition or construct-. ion of structures ins in height. Mobile Home Installation Fee $ Energy Inspection Fee $, TOTAL PERMIT FEE $ 60.50 occuP. C0NST,TYPFJ SCHOOL FLOOD PARCEL PD 14 39UE This permit is hereby issued under the applicable provi- sions'of the Butte County Code and/or resolutions to do work indicated'I above for which fees have been aid. t � � �� P OF PUBLIC WORKS /�/ DIREW"VJ?,h //ti�7���r1 By Dat@ 1 PERMIT EXPIRES Date _ w �3 •K tt- Receipt No. WHIT[-D.P.W.. YlLLOW-ASe[SSOR, PINK-INSPlCTOR, GOLDENROD -APPLICANT f Permit#519-89B Roy Wilson 342Mission Olive Rd COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATIQN AND PERMIT PERMIT O ASSES,WA7q NUM3 . �ZONIyG BUILDING PERMIT OWNM ROY WILSON ONE SQ. FT. OCC. BUILDING VALUATION ' 4700.00 OWNER'S MAILING ADDRESS 342 MISSION OLIVE ROAD OROVI-LLE CA. 95966 CONTRACTOR'S NAME DON C. GEORGE INC. TELEPHONE 1533-6393 CONTRACTOR'S MAILING ADDRESS P.O. BOX 724 OROVILLE CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 4700.00 LENDER'S MAILING ADDRESS _ Filing Fee $ 10 .00 Permit Fee $ 50.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ,. 342 MISSION Permit fee 1' 6 PLUMBING PERMIT Filing Fee 10.00 Each Trap ' 1 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL -MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mooilehome❑ Other REPAIR • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ *Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: YETAL Rt9nR RERA?R Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 Main service E-A. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1Yvr'I 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. ..45226 Classification C_� El1, 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 owrmr, am exclusively contracting with licensed contract- ors.(Sec. 7044) r❑ I am exempt under Sec. , Business and Professions Code for this reasor: NEW CONST. DWELLING OCCUP.y` OR ADONS. ACC. SLOGS. / , /20sgft NEWC ONSTR TI -OUTLET 2.50 ea NON-RESID .BRA C CIRC 5 /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCcU Occup(OUTLETS OR FIXTURES e2AL@Ale3090 FIXED APLNS. Ex. Occup. OUTLETSP(RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) of 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 emaloy 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 Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have rei:&this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building constructior, 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 County in c nse ence of the granting of this permit. XDate 2/21/89 Signature of Applicant — Own Contractor ® Agent ❑ An OSHA permit is requited for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 60.50 Occup. CONST.TYPE SCHOOL FLOOD PARCCL PDF77= This permit is hereby issued under sions of the Butte County Code and/or work in ' e above for which IREC F PU i B dvAmw ` P 11 XPIRES Date the applicable provi- resolutions to do f have -been- paid. I ORKS D to Receipt No. WHITE-D.P.W., TELLOW-ASEtleOR. PINK -INSPECTOR. GOLDENROD -APPLICANT BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. l Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. f 6 OWNER-/ n c � 69yc 4E I C7 / PHONE NO. OWNER'S ADDRESS 17)15 �c���� LOCATION OF BUILDING USE OF BUILDINGc5e-�n � 60"nreI25 �zzD �i�! l:T SIZE OF STRUCTURE -7^ j /� 45 G L SO. FT. TYPE OF CONSTRUCTION: i/ WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING . Aml ROOF COVERING FLOOR TYPE . ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: _ FRONT r'L SIDES a O'REAR I 41441"� AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 fleet from a commercial building. AG Buildings greater -han 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is ade, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with a requirements in effect at that time and before occupancy. f Date I� — / 1-4�� Signature of Owner I adv Permit Fee - $60.00 The above described AG Building is exempt from a b 'Iding per it. FLOOD I PA EL P.D ROOF G I ISS Receipt No. -,— ��� Manager Building Division By Date " White —DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant . �A . Ckf/,tbf'oZe ClPW,60S 7 o 010.0 t aoz J I/ X 4, N r. rs 4;p '27".d �l ell> ok X 4, N r. �l ell> ok "CL try 104 _ 4 —�' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • - 7 County CenteN Drive — Oroville, California 95965; --• �� �� � /%� Telephone: 534-4541 / APPLICATION AND PERMIT ...rI�„�,�•�•,��o �� , — %,vunty Ui ouuc LU tllltl UpUll int above-mentioned property for inspection purposes. X Dates f Signature of Permitee or Agent Receipt No. T / 3 �y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date buwlcuny perrmr expires Date ------- ------- --- _- BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai l i ng Address .01 D L i Telephone No. (/ e ✓ t Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address ���� / /�� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 n pm L LQ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. .� �� - ^ —3 Gas piping system 1 - 5 outlets 1.50 additional outlet .30 Fe W,02' amtaticn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W ImprovementsLawn sprinkler system 2.00 081ans PlRecd Parce pproval plan o Permit Fee $ �j $ NEW ❑ ADD;TION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 i Main service incl. 1 meter _ r _ Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home � Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol 10 Receps., switches & fix outlets bA 10 10 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ Gd WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be -insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that i -i the performance of the work for which this permit is issued; I shall not employ any person in any manner so as to become su:)ject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ ...rI�„�,�•�•,��o �� , — %,vunty Ui ouuc LU tllltl UpUll int above-mentioned property for inspection purposes. X Dates f Signature of Permitee or Agent Receipt No. T / 3 �y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date buwlcuny perrmr expires Date ------- ------- --- _- Ail utility connections shall be f located within 4 ft. outside the. rear third section of -the mobile home y-JeftJ co the =ad)4i.de efobile home. Septic system a ea*iew-ef4Dt� JIM a,ia--&tub_—eut to be as spar Butte�Count�y Health Dept. Re- quire ents. • 1 \. This set of plans and specifications -MUST be . :- kept on the job at all times and it is unlawful to make any changes -or alterations on same without' er�,itten permisson from the Department of Public a Wgrks, County of Butte. �� of � �-1>��•. � .{� BUTTE COUNTY BUILDING DEPARTMEN•I APPRO-VED BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT RMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 40 _ ZONING OWNER °r. 6A&EIV PHONE NO. �--s�7 (� p OWNER'S ADDRESS _pC) �p (Ak A 6 U `t G. LOCATION OF BUILDING 34� 3 L141 i:ss;d� �-ve 1 USE OF BUILDING-NGt© ( *^J 1�-- SIZE OF STRUCTURE (�/ ' ' y X SQ. FT. TYPE OF CONST.:IUCTIO�:. WOOD FRAME --I STEEL CONCRETE OTHER (Specify) TYPE OF SIDING , . , / ROOFCOVE FLOOR TYPE 4.'20AIC— ESTIMATED COST OF CONSTRUCTI N ©cam $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:r t /l , FRONT S� lo, SIDES REAR AG Buildings shalt be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings musi comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comp h th quirements in eff ct hat time and before occupancy. c Date to L Signature of Owner Permit Fee - $60.00 The above described AG Building is q empt from a b ildin permit. Receipt No. ls(01 9 FLVK I PAR L D ROOF JpIG I ISS Manager Building Division r� By A460 Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant i�'("�l'�j�'lY^uwi�`�'T'�T"`'�•yr'..L.i�ww+�' t�"'~��,� �� � }�' w�. :ct x� �^�'i'��� •' r.r' �.�; COUNTYOF BUTTE - DEPARTMENTOFDEVELOPMENTSERVICES - BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVIL6E, CALIFORNIA95965'- TELEPHONE (916) 538-7541 APPLICATION DATA SHEET Proposed Building At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEN60 BY 1--- 1, All items have been submitted . .......................................... 2. 3, 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. When you issue the permit, process as follows. Mail to owner. Mail to contractor. w lephone . and hold for pickup at office. Deliver witli�inspector. �- Other Parcel Creation 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 't By The following data must be submitted, prior to permit issuance: (Circle new item not checked above). 1. Index permit'for above items No. 2. Additional items required: c Contractor, designer, owner, was advised of above required data by _-phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works i � Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ........................................... . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non=Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees......................... Flood elevation letter (100 year flood) by California Engineer... ` . .............. Sanitation and plot plan approval Health Department . ............ / I , City of Chico plumbing permit...... / Plot plan and business license approval from City of Biggs/Gridley. ............ Planning approval for (A) Use: (B) Parking: ....... ( , Contact Land Development about (A) Improvements (B) Drainage. .... / Driveway permit (construction approval required prior to occupancy). .. 9 Pre Insped on mc ueiE- Pre-inspection for required. .. to eui�ding Inspector n �� (Date) Contractor's license information. (No., Name Style, Classification). .......... .. 1 /. / Certificate of Workmans Compensation Insurance . ......................... Owner -Builder Verification (Given to owner Mail to owner ) ........... Recorded copy of Agricultural Acknowledgement Statement . ................. " Letter of signature authorization. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... �' Letter of intent on building use . ........................ Mobilehome utility clearance . .......................................... _ Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed G Parcel frontage and (B) meets zoning area and requirements . ............. Existing violations/expired permits . .................................... 1 / / Plan check list . ..................................................... - 31. 32. 33. 34. When you issue the permit, process as follows. Mail to owner. Mail to contractor. w lephone . and hold for pickup at office. Deliver witli�inspector. �- Other Parcel Creation 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 't By The following data must be submitted, prior to permit issuance: (Circle new item not checked above). 1. Index permit'for above items No. 2. Additional items required: c Contractor, designer, owner, was advised of above required data by _-phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works i