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HomeMy WebLinkAbout041-260-02741-26-27 BET CULET (Certificate of Compliance) '041-2607027 PERMIT#94-28 .��' 'MCFARLAND, SALLY 331 YADRIA LN.,.OROVILL MOBILEHOMEUTILITIES ELECTRIC a Vlt GAS LINE COMPACT ON TEST REQ a� O����- � � � I� `�: �, I , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,F 7 County Center Drive - Oroville, California 95965 - TeleP hone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9 ^ a$ q 09 (ffffJffff1UM11R 041-260-027 ZONING BUILDING PERMIT OWNEtALLTY t�Cr ARLAIdD S TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNES${.1/11 71016$SA LN. , 01ROVILL ,, CA 95965 CONTE P[AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation j $ LENDER'S MAILING ADDRESS . .. Filing Fee $ ���ry� LL7'1:t1`AY1 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fe $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Ltd. , OROVILL3 ERMIT FEE $ 23.00 /*kE19 fp M D 1 R �n PLUMBIN ERMITIFEE e 20.00 Each Trap Solar or heat ump water he LOT NO. SUBDIVISION'S NAME PARCEL MAP Water pipi Each gas ater heater or ven USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPEcIFr Gas pi Ing system 1 - 5 outl Buil ng sewer M ile Home S G W 60.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities (I Installation ❑ Other O Describe Work: 3 BEDR0014 PERMIT� C ntractor rl ELECTRICAL PERMIT Filing Fee 20.00 al Service ( BOOV OR LESS ) 2OOA OR LESS 23.00 )II -Main Service ( 200A TO IOOOA ) 46.00 NEW CONST.DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) So, 3.50 FT. CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of th Busin��snd 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 C pensa Ion, will do the work, and the structure is not intended or offered for le. a 7044) ❑ I, as the owner, am exclusively contracting with licensed ntrac . (Sec 7044) O 1 am exempt under Sec. Busin sand essions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( ) BRANCH CIRCUITS @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ ,.00 RAL. .50 Ex. Occup. FIXEDA=.)DR p' (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSU NC 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. Cl I have placed on file with the County of Butt Dept. of evelopment Services, Building Division a Certificate of Workme s Compens tion Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner o as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this Ste ment, should you become subject to the Worker's Compensation provisions of the or Code, you must forthwith comply with such provisions or this permit will be rev ed. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this applicatio and state that the above information is correct. 1 agree to comply to all Butte County rdinances and California State Laws relating to building construction, and hereby a thorize representatives of the County of Butte to enter upon the above mentioned operty for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, an expenses which may in any way accrue against said County i onsequence of the granting of this permit. X s Date 71l" — a nature O p cant - Owner ❑ Contrac or O Agent f An OSH permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. t i Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAZ• D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. BY —Date— ateWHITE-D.D.S.-B.O. PERMIT EXPIRES ON [Date) Receipt No. 168940/40.00// r WHITE-D.O.S.-B.O.CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTY OF.BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541_RM,T NO. APPLICATION AND PERMIT 7(p ASSESSOR PARCEL NUMBER i L �. O `I ZONING BUILDING PERMIT owNE C TELEPHONE SQ. FT. OCC. BUILDING VALUATION AILING ADDRESS /V ,, / OWNER'S AAAI—n-,, KTELEPIONE S - CONTRACTORNAME W��_ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ U NDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS/1 '�1 f�J j �1 V 1'c-- l PERMIT FEE $ � (19 %/LV PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home W @20.00 ,0 TYPE OF WORK New O Addition ❑ Remodel ❑ U/ttiiliitties /y Installation O Other O Describe Work: l�/ / /// 11/ q' /��! PERMIT FEE 1 $ d Contractor ELECTRICAL PERMIT Filing Fee 20.00 c e00V OR LESS Main Service ( 200AORLESS ) 23.00 Main Service ( 200A TO IOGOA ) [NEW 46.00 NEW CONST. DWELLING OCCUP. ORADONIS. ( & ACC. BLOS. ) So. 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason_ CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) `00 SAL. 20 @ 1.0 1 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS IRESID.1 EA. ) I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Q Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 0 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 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 Butte County Ordinances and California 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. 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_ Q Signature of Applicant - ❑ Owner O Contractor Cl Agent I An OSHA permit is required for excavations over 5"0" dtep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEES HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. BY Date PERMIT EXPIRES ON (De tel Receipt No. L& Q r ZZ WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK-INSPECTO GOLDENROD -APPLICANT �' •xy -an.r �,.4,, �.' rye. '''�-�'i.e '•-NAY X'1�� COUNTY OF BUTTE - 7COUNTYCENTER k..•.r.rf�,it��.Tw'�''QK'N �+""..-..... n..i'�rw��,..., r.wyr.c.y,mirky,,.M"�7:'r�S.Y'n"1`.a.,�-.sy.,._•tri �,.=,.�ry�}. TMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 01 1�7--hl OWNER A. P. o: - Ile- 2 Proposed Building Use Building Inspector Date d 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted' ....................................... . 2. Plot plans,04 sets, signed by preparer of plans. . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome d to nd manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ........... %w ............................. �1. Impact fees as shown on attached schedule. . 2. California Department of Forestry plan approva ee.. ,A3 Flood elevation letter (100 year flood b California Engineer . ................. . t.� 14. Sanitation and plot plan approval 6jW0 Health DepartmentZ P4g,!�.... . 15. City of Chico plumbing permit . ............................. 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: 8- Contact Land Development.about (A) Improvements (B) Drainage. .......... . �9. Driveway permit (construction approval required prior to occupancy). ..... . Pre -Inspection reque� 20. Pre -Inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner . ........... - 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at 02% office. Deliver with inspector. Other Parcel Creation 1 QVif,"t /� Acreage Applicant 1u Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item no( checked above). 1. Index permit for above items No. -2,/0 Z �% a �7 2. Additional items required: 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 91o��c �� 661191;L �CQill o (11y� � i COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965. Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return. this information at your earliest opportunity to' avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes.or no) S 2. 1? (have/have t) Lave, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name -- S:71 C Address City Phone Contractor's License No. 4.' 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 2.( Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Z' E 'A I L r.. r,! AUTY J.r DEPARTMENT OF PUBLIC WOR'KS WILLIAM, (pill) CH EFF, Acting Director 7 COUNTY CENTER DRIVE; OROVILLE, CALIFORNIA 95965 Telephone: (916) 5344681 June 6, 193'+ Ben Culet RE:. -AP 41-26-27' P. 0. Box 1082 Application for Determination. Oroville-.,'CA 95965 De8ir Mr.. Culet: Enclosed please find a copy of the Cert-ificatue of Compliance i.ssued by the Butte County Department of Public Works j.which was recorded on May 24, 1984 in Booh 2947 Page .6 71 in the Office of the Butte County Recorder. Should you.have any questions regarding this matter ple.-ase contact this office. Very truly yours,. William Cheff Acting Director of'Public *Works - ZltAl �ti J9'hn Mendonsa sistant Director Jiff/ d s enclosure cc Health D e pa r trae n t Building Department GDA RETURN T0: Public Works Land',Development Section r L: UBUC WORKS; -. . CERTIFICATE OF COMPLIANCE ,;P�V 52. l,- ��?^ Rvvi Issued to: Ben.Culet P. 0.' Box 1082 oaf Oroville, CA 95965 FEE -1 M55 This Certificate of Compliance is hereby.issued by the County of. Butte to certify that the land division which created the parcel of property. identified below complies with the applicable provisions of the Subdivision.Map Act and of Chapter 20 of the Butte County Code. 1'. Property location: Approx. 6000' southerly of the intersection of Derrick Rd, and. Oregon Gulch .Road, on -the west side of Oregon Gulch Rd 2. As.sessor's Parcel Number: 41-26-27 Description:. All that certain property located in the County of Butte, State of California, more particularly described as follows: The South half of the West half of the North half ofl the Northeast quarter of Section 21, Township 20 North, Range 4 East, M.D..B.&M. Together with rights of way of record recorded in Book 2876 of Butte.County Official Records at Page 618. Issuance.of this Certificate-is,conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-167 and Government Code, Section 66499.35 (b), to protect the public. health and public safety: None County of Butte Subdivision Violation Committee x LD 1400 v END OF DOCUMENT