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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. If , �� —A Co SOCA - 3 Ao CA Rn JAN L 1 _ BUTTE COUNTY y�- ' ISI • , `- • .• i A 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. g.­icel ery t d ' I C. Vieira, C.B.O.MCV:ahb , uilding Inspection