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HomeMy WebLinkAbout061-460-013TITT . 061.460-013 "-' �NALED HOWARD, ARLIN J� BLACK BEAR RD., BER ELECTRIC SERV. FOR WELL 'Ia-D 061-460-013 03AG 161 HOWARD, ARLIN ob ;41&BLACK BEAR RD, BERRY CREEK AG EXEMPT BUILDING i 3 i BUILDING DIVISION COUNTY OR BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES • 7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P_ERMI_T_Nr_l� - J't' t "_03 Agricultural bjilding 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 ora place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _. 6_0 13 ZONING OWNER17�W_ a//v� PH3Etp OWNER'S D /•O � fJ �� LOCATION OF BUILDING USE OF BULDING .-, — SIZE OF S RUCTURE �2_ Xy. = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME _2�,_ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE � � a ESTIMATED COST OF CONSTRUCTION I ^%2) – i2-20� $® �--o "Z5- - _ S PIA -715' A G AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: f � FRONT 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 mobilehoma, 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 mobilehoma, 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 made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee - $60.0 The above described AG Building is exempt from a OD P�Receipt No. ' Manager B din n 'V_ — By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant 5 Too c s 79,4A4APA16 4 I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION. 7 County Center Drive, oroville CA 95965 Phone: 916-538-7541 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: q11 / Q,� Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet 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 by 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 50% 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 601 60' right of way to a public road Other: Should.you have any questions concerning the above, please contact of this office. 7� 4Manger ery t C. Vieira, C.B.O.MCV:ahb. , uilding Inspection An Agricultural Exempt Buildin Pe t in Butte County may be issued for very specific purposes. The use you have descri or your proposed Agricultural Exempt Building is not an allowed use. Please provide cop plans, and obtain permits for a storage building with office. m �Im Black Bear Rd 031050' TM AR 061-460-013 ,5L-2 SITE PLAN REVIEW APPLICATION Date: 0 ' _ 9 = AP# Permit Number (if applicable) 61 A6- Bin Number APPLICANT INFORMATION Parcel Size: 7 S A L Owners Name: q 2--bA e Z-1 � Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home . ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ ,Industrial Addition Other ,r ❑ Septic J. Agricultural Exempt Building ❑ Other: I Brief Explanation (if necessary): rZAVEZ D2 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan'Stamped Approved Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: M Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) a SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: x • Flood Panel No.: 01000 L' Index Date: /— �7 g ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: Gr ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention S p Front SO Side S -2 Z �� Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 ApplicableDevelopment Fees: Standard Fees Amount ❑ Fire ❑ School*, ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: l 2- 2 c� - J Legal Access Provided: ❑ Nd ' � El Yes Deed of Reference: i i 21 - S S'2- Legal Access Required ❑ No - ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑. Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ' np—cEZ UVE-6-- Z-1 0 ceg?" . \f 0 S S I A O -P Pr --&-i tzjb 1JV6- r 4 IN Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ----------------- F------------------------------------------------------------------------------------------------------------ Page 3 of 5 ❑ Subdivision ME/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4of5 oil BUTTE COUNTY INSTALLMENT SALE CONTRACT—t THIS AGREEMENT, madewl 1971-, by Ad bitiveen i-f 2 ZZ seller, and. 'A.nna.A.`:..'Ander13QL1( a Marriad_:NoJ2lrkl1)_,� ------- 1��ITNESSETH, That the said seller agrees to sell to the buyer, and the buyer agrcef to purchase all that certain" State of California real prop:; s;tuitcd in the County ofMiWA, State of California, bounded and described as follows, to -wits X,V 10 The SW} of the NW} and the West J of theaSE+,Of, tile NWI rand 3:-'nd the .3/4 of SEI of the SF.} of See- 32,"T21N,R;E.' M.D.B.iiM. containn&ng 75*,acres more - or Lnes- "' 0 0 for the skim of in Lawful Money of the United States, to be paid as follows a the cxccutinn of,this 3grcerncrit, receipt whereof is hereby acknowledged, and the balzecc of the purchase price amounting to S25,2,50.0il be paid in monthly installments of $Z50.00 --..or more, beginning -4g gq.2_, and payable on thc.._IAtday of each and every month thereafter until paid in full, with interest on the unpaid balance of the purchase price from date, at the r.tc.of_A7._,:% per ann;mlisiable monthlj ".7 14. All of said payments are to be made at California, and payments shall first be applied upon interest account and then upon principal. -I' In the event of failure to rnaka'any-oif said —monthly payments for_�the Period ;00 days alter tbeA'S'2'M"e sl�.11`611 due,- then these presents shall be null and void, and the scllci, his heirs or 2ssisns,'sh2l1 be released from all obligations in law or equity to convey said property to the buyer, and all money paid upon this contact shall belong to the seller, is compensation for the use and occupancy of the said premises and as a consideration for the making of this contract.:' All - - L 'V- I _,, 11 - . I Buyer agrees to Pay 211 taxes, fire insurance premiums, and assessments that shall become due on said property after this date.ky It is expressly understood an agreed chic at any timeafter the execution -0 this agreement, ific buyer shall at the re- quest of the Seller accept a deed conveying the property herein described to the Buyer, and execute'to the Seller, or nominee, 2 promissc-/ note secured by a deed of trust upon said property for the full amount remaining unpaid an this agreement; pro-.' vided that the terms of said deed of trust shall correspond with the terms of this'agreement, or whet. the Buycr has paid upon said purchase Price exclusive of interest, assessments and charges herein provided for, such turn ora :aunt that will leave the balance due to the Seller equal in amount of any deed of trust which is a lien upon said property, the Seller will convey the said property to the Buyer subject to said deed of trust which said deed of trust the Buyer will assume and Agree to pay. When the Buyer fulfills 211 the conditions of this contract, a good and sufficient deed of said property shall be executed and delivered by the Seller, his heirs, or assigns to the Buyer, his heirs or assigns, and it preliminary report for policy of title insur- 2nce in the full value of said property made by the City Title Insurance Co., will be furnished by the Seller showing record title to be in the Sc I Icr free of encumbrances except taxes and assessments assumed by the Buyer. w Time is of the essence of this contract: " , ' , I r The Buyer is to have immediate possession of said property.1 1. 1 This contract is not assignable without the written consent of Seller, All words used in this instrument shall be construed to include the plural as well as the singular number, and word re as well as the present, and words used in the masculine gender shall include, herein in tile present tense shall include the future , used the feminine and neuter. cl de, IN WITNESS WHEREOF, the parties hereto have execute I d these presents. Cal LAI_ Cc IAL ACCOR01- BUTTE COLINTY-CALIF 'dna Anderson; (Buyer)' -P Et"'t :,E� F 9 �TED 8 01 J Q� wt. 100 J." CS C. DEC U 10 54 AM 1911'"''x ., 1� '4- t .1 LOUIS[ KLUEHnER [j:SqJf COUNTY RECOROER w1bur�'Brilli0pt1' ,(Seller)' F, JL69&9 ".2 1/33 EE Marie' Brilliott (Sell�j c­W7L.,*.s (Qi,v1/_!r/; t Vit' • �s ,•�•�� t„y A! F. 4 a 'k# '7 tj; STATE OF CALIFORNIA. Or rbir..............�........_..J.q oJ.....,!� :tib ».._ __._......1�r Ib. pu on. 1611 ■jAlra b rlrrl.nd............ 1. `!Lr'(i..„_E/C(a�. _ ! 61/ort mr, 1- / I �L .......„..��i Nola) Prdllr Is .rJ for 1br...._.__...........,..._....._�..�_....Cornr) of_.. ». f . „...»... „.... _ .._. _.. . _..._._..._.„._ __ „. __., Sror o Gli/orri., r 1!!r r%rlr, JrJ) root rr ! oo At Worr, �Pri�A.fl)�� rarl. - CIAL SEAL;Lt /J..Lil'i LL_..CL2c1LL _ _„_.......... » Jos 11,11. R. TICKIVJR. SR, brows 10 me 10 de the ter,olr M...Wbell r.ma._ .. .__ ... rrbrrrldrJ 10 16f rrbblr lrurr. NOTARYPUDLIC•CALIFORNN2� r• •' I:UI fE CUUNTY mrel,"rd .rbrowlrJRrl to we rb.l... f...b4 „.Iltrrrlrl lb. l.mr. My Comr• unonlapll as Apr.2,1973 IN Ir•ITNESS 7'11EREOP 1 b er 1u my bond and okfixtl m) OPIII I d it Ibr... .__..... ...,„.....„.»......Corot) of....... .tl..a+...r .,..,_.rbr Jay o! )ea is rbb 115 UIo DAm UlvU., Orovilla, CAId. 95965 ' rrrriFun ISr .dart wlrrrr. /� .............. ....... 0, ublie in and for the ...... ....... —County of—••••• ........_.. _Sine of California. 1AA—Irdrrnrnt-n•nu.11 M) Commission P.apitet.._. L...���� ...._..........,„._ A n01Nrl:t evrot, 1.— NO F U �u WA z 4 1. wan . HcAhood IN AM 01rvo WT +ult s at sit�63itto, skit to to” 041 q �!! Aft be* lnwmmb +alt to vg05 A SIG E 1? F ,C� OkNT ( In consideration of..._LPRNU _ receipt of which is acknowledged, _ hereby sell, assign, t no transfer and set over to....._...___._. _ ._.._allight, title and interest in and to the within contract and the real estate herein described. Consent to the above assignment is hereby granted. Da ted STA•I'F� OF CALL Il/3�/— fornrt o(...............!1'YY{,[0. OFFICIAL SEAL :HO�TAAY E,•li ?. 7MNN17R. SR. E: y PUBLIC•CALIFORNIA�•isUITE C!UVTYomm I19an 1 t yres Apt. 2,1973 7101-'Clv"Plvv� 175 Oro Dam Blvd., OrovilY, CaUI. 95965 1 A rt ner.lratmmb0lnrnl I ” ATT01N[Ya rnI"WO rwr►lt 101. NO, a 19 f ...»_. im ^••••—•-.•........... The )ur ort bo r.rrl /rr brrJr _ . _. _.... _. .„... r drJarr mr, �' �,� .. — �••'.•._»•» ora) rWe it nl /or 16r.._ corm) of m Sr.re of Cdi/orri4 ruiJirR rdnrir, My rommirrio.e! .r! rl.Drr, [rnrard!) .ppeard.......�!!ti e. 4rowr to me 10 N rbr rrr rr, .r!.r4rou•Irlpl ro mr lb.r....�AeW'„rrerrrd rbr r.mr, rbrnidr! ro rbr virbir irrlrr. /N tt'!i'NESS WHEREOF / b.rr bereruo nI mY b.rl -d .&'d m) odrid tell `^ day of Ys, rbir rnliifr.a�/F%jrrr.don wirrrr. • Notary Public in and for the....„..,_._County Of_.._�! •—.Slate of C+Iifomla. D=MD. MY CommissionEspires_f/-.Je..f •� ;ear; f'l,^'a��. "r. .. yr . Cate: SEP 15 2.003 This is to certify that, if bearing the, purple seal of this office, this is a true w copy of the document filed with the Butte County Clerk-Recorder'ig Office. Candace J. Grubbs Butte Coun Clerk-Recorder =i A � 4�OrQ_ll 061-460-013 V0/2-2200 HOWARD, ARLIN BLACK BEAR RD., BERRY CREEK ELECTRIC SERV. FOR WELL OFFICE COPY Address Met ELECTRIC Meter BY —Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 9.5965 • Telephone (530) 538-7541PEr,(R (Rev. 12/96.)- APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER w. 1,1 ZONING T BUILDING PERMIT OWNER R TELEPHONE S2a Q SO. FT. OCC. BUILDING VALUATION _ OWNER'S MANNG ADORES a -' ?JqAn BEAR. F_ 'R 0 4 - CONTRACTOR'S NAME - QWNFR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 -Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS B Al. V. G R r Energy Plan Checking Fee $ $ - - . PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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: >F:t.>" iTt2 Y (`,AI . �F.R T II : t! T+V-Jt_ T? TTT _E F $t �7,1 EMU] LOT DEVELOPMENT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .0A OR LESS 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.FSINGLE 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: ©" 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. ❑ 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADONIS. TAU 3.5¢x; NON- MULTI -OUTLET RANCH iRcurrs @7.50 b OllREr CIR.DWELL APPARATUS 20 @ 1.00 Ex. Occup. oLmFr OR FIXTURES BAL @ .50 FIXED APPLNS. OR Ex. Occup. ouTLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre.-Insmetion 83.00 - PERMIT FEE $ 66.00 • 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.) El 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 forthwith comply with those provisions. X`TcC'k1�`+�_ �`�1_ Date Q+ • 1r�- C`1't� Signature of Applicant - D; Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.W HAZ. D. FEES Imp CDF PARCEL Po HD ISS E 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. a By .11ftta,�� 1.Date �3 lfdAZ PERMIT EXPIRES ON ` f 'Ph da? ' / Date Receipt No. .3660943 $66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMFENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 OM (Eev.12/90) APPLICATION AND PERMIT —� ASSESSOR PARCEL NUMBER 061-460-011 ZONING BUILDING PERMIT OWNER T LEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRE;S 9R8O REAR RIVER. DR.. RIO 090 Q4 Qqa'74 CONTRACTOR'S NAME OWNER rELEIP ht' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS [MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS -BI-ACK BEAR •, BERRY GREEK Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBD'VISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um 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: ,�.T.FC:TRTC:AT SERVICE FOR. WEII � F'id'1'>Ig LOT DEVELOPMENT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "00Main Service zo..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.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm unde- penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 tie project. ❑ 1 am exempt Lnder Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm unde- penalty of perjury one of the following declarations: ❑ 1 have and vill 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 46.00 NEW CONST. DWELLING OCCUR & ACCOuBUDS. 3.5Qso NOR EW CONS . LET =RESID,TC ANCH @7.50 OWER APPARATUS b SINGLE OUTLET C'R. Ex. OCCu OUTLET OR FIXTURES 20 Q I'0°FIXTURES BA L @ .50 Ex. Occup. DFlxun. RENS ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 Pre -Inspection 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) K 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date i'� _ 0-?-- Signature of Applicant -Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP D CDF PARCEL PD HD E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. A D� Date V 00 Ota ReceiptNo. 3660943 $66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ''.�i.i°'ar►i%+y,.��¢ �'+,��'�7�''� S 7'v� # �>yi��.q�y, `� � �y�nycaS3�p1[�'1�i,��i�(r�i4d���''t��Pi+�''�. iR 3u� ! W�� Fi �� F "�' y. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 j PERMIT APPLICATION DATA SHEET OWNER: AvacaM� , � 6 1 t'4 ASSESSOR PARCEL NUMBER Proposed Building Used IL�e ,�'e 1 lj. Counter Technician: I �V Date: �- /� V� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed ty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.1 Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). V-2. Pre -Inspection for Uef-* A41D,1 o-FLo-�'De required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement ......................:............. ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 33 ' / and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:Date 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner; was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date:_ Structural reviewed by: Date: Structural approved by: Date:_ Note transfer by: 'Date: ° Yellow: Building, Division Plan Check Letter OWNER, LOCATION: A REPORT PRE INSPECTION CONTRACTOK (J11/11(of PRE-INSPETIONFOR. C,[eO- T yflV(_6+0( 1j)-t0ft /-OF DATE TO INSPECTOR: PERMIT Hls;ToRY:(kT146NE, BUELDMG INSPECIrOR'S Building Description: DATE: 62 A.P. Ii. j ZONING: ti, )AS FOLLOWS: (2 � e_( ResidendaW of Units: Currently Occupied Al kq3 Abandone&Vacant, e -v i v -6-A W4 Electric: Yes g No Electric currently On Off Condition of Electric Gas: Natu;al', Propane None Currently On Off Obvious Problem: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblerns II comments: V ACTION RECOMMENDED: ISSUE: HOLD FOR Z Inspector. 2 Date ert Sketch buildings on reverse- and indicate location on pirop S . I S