HomeMy WebLinkAbout041-290-092i
I
041-290-092
i
LAND DEVELOPMENT SHEET
041-290-092 99-0898
MULKERRfN,Kathlccn Q���(;
171 View Lane, Oroville ,• �j/t
041-290-092 AG -98-138
JI
Contr: Owner �I
Electric service for well `
MULKERRIN, KATHLEEN
VIEW LANE
AG EXEMPT PERMIT
041-290-092 .. 99-0898
MULKERRIN, Kathleen
171 View Lane, Oroville
Contr: Owner
Electric service for well
l 1
OFFICE COPY
Address
GAS Date —
Meter By
I ELECTRIC Date __
Meter By
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
'A. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIy1vO.
(Rev.12/96) M111 APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER^' 1—^ham M^
IM/n{ LLRRINN,
20NINGJ
BUILDING PERMIT
OWNER 1LRy
KArllRn MI
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 175 INGLEWOOD DRIVE, OROVILLE
CONTRACTOR'S NAME OWNER
OWNER
TELEPHONE
/
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S "UNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
2U76 O.
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
171 VIEW LANE, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ELECTRIC SERVICE FOR WELL .200A)
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
.00v OR LEs9
Main Service 200A OR LESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
f3_ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'HA2.
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with tfit a provisions.
X ` ete �_ ) =T—_
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is require for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46,00
NEW CONST. DWELLING OCCUP. so
OR ADDNS. ( 6 ADC. BWS. 3.50FT.
NEW
NONN•RESIID. T.MULTI-OUTLET
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occu OUTLET OR FIXTURES
SAL @ 1.00
Ex. Occup. ouTLEFrOSA REs o.) EA 5.40
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 1 23.00
PRE INSPECTION I 12T.00
PERMIT FEE $ 89.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee
occ
CONST. TYPE r 8
TOTAL FEE 5 T
D. FEES IMP
I FLOOD
CDF' PACEL
PD
HD' VS14
This permit is hereby issued under the applicable pro is
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
���� ��� �! C
By 'Ct�',�'4: % i% �f.Y�!/"� Date �/% %�
PERMIT EXPIRES ON
oats
Receipt No. 2
WHITE-D.D.S.-B.D. CANARWASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT O.
(Rev. APPLICATION AND PERMIT 9� dg�w.
ASS ESSOR PARCEL NUMBER 041-290-092
ZONINOU
BUILDING PERMIT
OWNER MULKERRIN, KATHLEEN
TELEPHONE
SO. FT, OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS 175 INGLEWOOD DRIVE, OROVILLE
-
CONTRACTOR'S NAME OWNER
TELEPHONE
,}
-- �•i,.F-L`.
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
FilingFee $
ZO.'OO
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
171 VIEW LANE, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee " 20:0
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ELECTRIC SERVICE FOR WELL %1200A)
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
15.00
Mobile Home ISI G1 W1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
OR LES
Main Service 2oonoRe00VLEssS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license Is In full force and effect.
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
4-1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BUDS.
So
3.50FT.
NEW CONST. MULTI -OUTLET
NON-RESID. C I
07.50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occu CUTLET OR FORURES
s20 ® 1: o
Ex. Occup. ourlEEDrs RE�sID.o11
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PRE INSPECTION
23.00
PERMIT FEE $
89.00
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE 1 $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
,JQhwith comply with a provisions. _
tX _ •�-•�6ate �_=
Signature of App cant- Owner ❑Contractor ❑ Agent
An OSHA permit is require for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TY
TOTAL FEES 89.00
HA2.
:().FdEESIMP
FLOOD
CDF
PARCEL Po
HD
S
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By ,, D
PERMIT EXPIRES ON ,
provisigns
to do work_
paid.
to le/
fe
Receipt No.
WHITE-D.D.S.-B.D. CANAR •ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
LAND DEVELOPMENT
;OROVILLE / CHICO
BUILDING / ENVIRONMENTAL HEALTH -PERMIT CLEARANCE aullding Permit No.
OWNERS
NAME A /�ElZ,i?//✓
PRINT LAST AME RRST
ADDRESS/
V/ e
ON e,
A.P.
NUMBER -V/
COUNTY ZONING
DESIGNATION: C� FLOOD MAP: FLOOD ZONE:
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP
DEED INFORMATION:
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO_,
COMMENTS/CONDITIONS: 3 0 �{ No c_mI�► ✓� IT► o �vS
MAP INFORMATION:
DATE OF RECORDING: LOT BOOK PAGE
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES —NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet owrent E.H.D. mq *mw ts.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP ALL FEES TO BB PAID TO THE aun_ersra nnnsiew tw P -me niftRaYl!@fsm en .
_ 1. Maintain a 50 ft. bw'Idng setback from centerline of road.
—2. Maintain a % building setback from right-of-way/oenterMe
—3. Comply with Zoning code for bull ft setback from road.
_ 4. Maintain a 100 ft. leaddield setback from all e)dsting wells.
—5. Maintain a R leachtield setback from
—6. Pay water tender fees to the amount of $ to Battalion Number of the Butte County Fire Depwimient.
—7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
—8. Conned to a public water supply. —
—9. Conned to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed In all residential structures in accordance with the NdwW Fire
Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes. NEPA
Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specflcadom serv" the
parcel.
Y
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
.7 -County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P R N
(Rev. 12/96) APPLICATION AND PERMIT �
AsaES,oR°""`!`NUMMMO
O —Z 6i – , 6
This
D' a
BUILDINGPERMIT
O1N'" N i
TZLE'„ONe
SO. FT. OCC. BUILDING VALUATION
OWNER, WALING ADORES!
CONTRACTORS NAA!O
TEug Hoo!
CONTRACT01017 MAJUNG ADDRESS
00148TFAXT10N tENDIA
LENDERS MNUNG ADDREsa
—Fireplace
Total Valuation E
ARCNrrecT OR ENGNrEIA
ucENSE
Filing Fee
$
20.00
ARCWTECT OR ENC011 R7 MODUNG ADORESa
Permit Fee
$
Plan Checking Fee $
OULDfq ADDRESS /
Energy Plea Checking Fee
$
.
s
PERMIT FEE _
ADT NO.
lUeONEI lON'a NAI!
►ARCEL YAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Moblehome ❑ Other
!`Y
Each Trap
7.00
Solar or heat pump water heater
23.00
Wager piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities d—Iri t kation ❑
Describe Work: (p S /6p—
ZO p 14
Other ❑
F=a
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Moblle Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Feel 20.00
LESS
Main Service 20�0A OORR LM23.00
2-3, 00
'
Main Service 2WA TO IOWA 46.00
NM CONST. OWEIING OCCUR 3.5QSCL
OR ADONS. a ACC. OWS.
NONRE910. ' BRANCHMW GUM INI @7.50
FOwEA APPARATUS
a smu oun1T aft)
Ex. Occup. OUTLET oR FKnjREs 200 1'00
RAL 0 .50
Ex. OCCU FDD APPUAB. OR
ovn�a Esro. EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 2.3
A
rte•- ioti. �
PERMIT FEE _ 9e00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee S
Energy Inspection Fee s
D"
CONST. TYPETOTAL FEE $
NAZ
D.
FLOOD
I a)F
PARCEL
OAo-11-
1-1101-11-
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
Receipt No.— ���Gj/ PERMIT EXPIRES ON
WHITE•O.D.S.•B.D.. '" s6R P NK•INSPECTOR GOLDENROO•APPLICANT
Date
C='
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your Si
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 ft.
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES NO 13
2. I HA HAVE NOT 13 signed an a for a building gn application PP � g permit for the proposed wrrdc;
3. I have contracted with the following person (firm) to provide the proposed construction:. °a.:
LY®111E:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to' coot$inie;
supervise, and provide the major work:
NAME: :r.:.....
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:
PROPERTYOWN_�
.�j
V\ SOCIAL SECURITY NLTMgER:_
DATE:
V,
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed mi
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property .
improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such
a permit.- Building permits are not required to be signed by property owners unless they are personally perfotining their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply. _
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you shduld .
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you -are
subject to several obligations.including state and federal income tax withholding, federal social; security .taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation coaributions.; .
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially,serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information' about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" yn the reverse side of this form so that we can confirm that you .
are aware of these matters. The building permit will not be issued until the verification is returned.
4ic
ly,
l C. Vi iia, C.B.O.
r, Building Inspection
NOTE. This Owner-Builder.Injormation is required by Section 19830 of the California Health and Safety Coda
OVER
PRE -INSPECTION
OWNER: n _�Gt .�/C�r^y i DATE_
LOCATION: / % /�r' e -c Jy� - A. P. #
CONTRACTOR: ��J,. ZONING !� .
PRE -INSPECTION FOR: I/--_ C..- I
DATE TO INSPECTOR --------------------------------
'S
PERMIT HISTORY: [3 NONE AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
M OCCUPIED [] 'HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES
[� HEATED. -COOLED ED PERSON CONTACTED
OTHER COMMENTS: .
ACTION �ECOM'MENDED:
ISSUE SUE HOLD FOR-
OTHER:
OR•
OTHER:
BY V�� - -- DATE
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive- Oroville, CA - (530)'538-7541
CORRECTION NOTICE
ER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date S �l Inspector
REV 10/92 V
i.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
6 m"NO a BUILDING PERMIT
SO. FT. OCC. BUILDING VALUATION
OwNltl, MODUNO ADOR MS
cowmCrows NAL! O
i ^
T!l!D►gN!
CONTP.ACTOR's 1Aa1NO ADom
cow" cnM u7O01
u:NOOM IANUNa ADDRESS
Fre lace
Total Valuation =
ARa+rrEcr OR lNOINEER
uClNce No.
Filina Fee i 20.00
AACWMC'f OR 09MEM S YAa1N0 ADOMS
Permit Fee $
Plan Checkin Fee b
suao�+o ADDRESS
Energy Plan Checking Fee $
S
PERMIT FEE S
LOT NO.
SUa0Mb10N1NAY!
PA11ClL YAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF O Duplex O Moblehome O Other
�Pecr
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition O Remodel O Utilities d— Instalation O Orttter O
(Q S ��� u , C� _ �w
Describe Work: �ca—e-2-0
/
` —e- O 1%)
Gas piping system 1 - S outlets 15.00
Building sewer 15.00
Mobile Home S G W Q20.0o
PERMIT FEE t
ELECTRICAL PERMIT FiUng Fee 20.00
Main Service 200 OOa LE"23.00 23. -
Main Service 20" To i000A 40.00
NEW CONST. ow8Awo OCCUR 3.508
OR ADOw. A ACC. alba.
NLVW GUM T. NON•RESIo. YULTFOURET @7.50
POw9t APPAR W
as o aR
Ex. Occup. ounzr oR Fwnmi s sa# .w
Ex. OCCU RXED APPINe. D" 5.00
olmr`�s oro. E.
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
PERMIT FEE co
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 0.50
Ventilation
PERMIT FEt: $
Mobile Home Installation Fee t
Energy Inspection Fee $
°L0
NST. "Pe
TOTAL FEE $
NAz
o. FEES
IUP
n000
eoF
PARca
Po
No 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
ro
Receipt No.
wHITE•D.D.S.•B.D..SOR P NK•INSPECTOR OOIDRE NROD•APPI.ICANT
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT. SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
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.0 i
ZONING
OWNER
PHONE NO.
5-3
OWNER'S ADDRESS
LOCATION OF BUILDING
v,�- r s
lk
USE OF BUILDING
SIZE OF STRUCTURE rr\\
' QO.
X FT.
TYPE OF CONSTRUCT N:
WOOD FRAME CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF CO�VEF ANG
FLOOR TYPE
W_.4
ESTIMATED COST OF CO TRUCTION
$7
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows: !
'"�
FRONT A"44' SIDES REAR .
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 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 must 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 c ply with the requ' ents in effect at that time and before
occupancy.I
Date `' ^ C Signature of Owner
Permit Fee - $60.00 The above described AG Building is exempt frorrya-budiing permit.
Receipt No. E (03
FLOOJP I PARC Vr I ROOfjI G I SU
Manager Building Division
By Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
01
A
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
t ,
PERMIT APPLICATION DATA SHEET
OWNER: %k L1 Z KFC. /l. ft (d ASSESSOR PARCEL NUMBER: Y O9
Proposed Building Use:( _ �1WBuilding Inspector: Date: I (=mac,
At time of permit application, I was advised the following data must be gUyinitted prior to permit processing and/or issuance:
Date Received By
K. All items have been submitted .-------------------------------------------------------------------------------------
❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
0 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
E16.
-----------------
❑6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
117. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate. ------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------------
Ell 5.
------------------
❑15. City of Chico plumbing permit. ----------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------
1117.
---------------------
❑17. Planning approval for (A) Use: (B) Parking:
El 18. 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---
❑20. Pre -inspection for
required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =-------------
❑22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization. -------------------------------
025. Recorded copy,of Agricultural Acknowledgment Statement.
026. Letter of intent on building use. ----------------------------------
❑27. Manufactured Home utility clearance. --------------------------
1128.
-------------------------
❑28. Existing violations and/or expired permits. ---------------------
❑29. 11433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
E130. Other:
When you issue,the permit, process as follow Mail to owner, ❑Mail to contractor.
❑Telephone and hold for pickup at I offs . ❑ ]:)qhv4U with inspector.
Applicant: 1"'' '" `Date: l I 43
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
(Date)
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
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ATHLEEN MULKURIN
75 INGLEWOOD DR.
ROVILLE, CA 95966
Phone: -916-438-7641
RE: AG EXEMPT PERMIT#98-138 DATE: 11/10/98
A.P. # 041-290-092
with reference to the above subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engineered -calculations Typical Plan Sheet
Owner -Builder Verification Fm List of Codes Enforced
we need the following information prior to permit processing and/or issuance:
Permit application signed and completed where indicated with all copies returned.
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.
Mobilehome data and manufacturer's installation instructions, 2 sets.
Fees of $ payable to Butte County Treasurer.
Impact fees paid.
California Department of Forestry plan approval/fees.
F.E.M.A. National Flood Insurance Program Elevation Certificate prepared bj►a licensed
land surveyor, architect or engineer.
Sanitation and plot plan approval Health Department.
City of Chico plumbing permit.
Plot plan and business license approval from City of Biggs/Gridley.
Planning approval for
Land Development (a) Improvements (b) Drainage.
Driveway permit (approval of construction required prior to occupancy).
Contractor's license information (No. Name Style, Class) or exemption statement.
Owner -Builder Verification Form.
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 Soak subdivision developed or (a) Road improvements completed and
(b) Parcel meets zoning area and frontage requirements.
Existing violations/expired permits resolved.
Plan check list data 'and revisions.
sets of plans in accordance with changes marked in red.
Copy of recorded 60' right of way to a public road
Other: A DETAILED DESCRIPTION OF THE PROPOSED USE OF THE BUIi.DTNr_
Should you have any questions concerning the above, please contact SCOTT RUTHERFORD
of this office.
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C. Vieira, C.B.O.MCV:ahb , uilding Inspection