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