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Home My WebLink About061-520-006rol NZ o UN061 X52-0= 006 93.162BSTOC8 P; E STANLEY ' & MICHELLE SZ0 729 BLOOMER HILL RD,.BERRY MHU CREEK GAS COMPACTION TEST REQ SUPPORT STRUCT REQ ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLfCATIGN AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 061-520-006 ZONING U BUILDING PERMIT OWNER Stanley & Michelle Bunstock TELEPHONE 533-6152 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 10 Re ent Loo Oroville 95966 CONTRAC TO 'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1,�( Permit Fee $ ARCHITECT OR ENGINEER Nonp LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 790 Rlnnmpr RT11 Rd-, Berry Creek Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. =N NAME �PARCEL AP J3 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I w 1 13 @ 15.001 45.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities �-�°� I_I Installation❑ Other ❑ Describe work: MHU (2 Bedroom) Permit Fee $ 60.00 Contractor r Oil ELECTRICAL PERMIT Filing Fee 4` 15.00 Main service ?OOA OR LESS j 18.50 18.50 Main service 20CATO1000A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. )cense .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ADONIS. ACC, BLDGS. / _37.50 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS &) (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 750 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EAI I 3.00 Temporary service 15.00 Mobile Home Facilities j 15.00 15.00 Misc. Wiring g 15.00 Permit Fee $4B.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate eCoolin �f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating g 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a ee to save, indemnify and keep harmless the County of Butte against all Iia ili s, judgmen ,costs, and expense hich may in any way accrue against Co ty i ns u. e f e gr ti g of this permit. X ? �2 �, /' Date �" � ' Signature of Appl' nt — Owner t� Contractor ❑ Agent ❑ An OSHA permit i5 required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 128.50 ` HAz DFEES IMP FLOOD CDF PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 143177 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .." {�+� .,�. ,• t- 1, ,>� - "ri{ ., �`T h � ,`•i;�*, �. .. '�' • • ,_ � - .. •? COUNTYOF BUTTE - DEPARTMENTOFkjEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER Stan k V la OC/ A. P. No. Proposed Building Use Building Inspector Date 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, 3/4 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). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by CI))'fornia Engineer .............:: . 14. Sanitation and plot plan approval 00u � health Department. . : 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: 18. Contact Land Development about (A) Improvements (B) Drainage. .....• .• .. . 1r- Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for Prey"spegI°" act�64or p required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. 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 perms as follows: Mail to owner. Mail to contractor. Telephone,�/S nd hold for pickup at f office. Deliver with inspector. Other Parcel Creation Acreage Applicant I Date C� 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 not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, o er, was advised of above required data by _ phone _ mailCounter by t5bate Contractor, designer, oWner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by � Date -J5"'9 3 Plans approved by Date 71 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 majo labor and materials for construction of the proposed property improvement es r no) S 2. I Vave/ave not) signed an application for a building permit foroposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name - Address City Phone Contractors License No. 4: I plan to provide'portions of this work,.but I have hired -the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors Lide'nse 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: Property Owner Social Security Number ' Date 1�; Z_ Z .7;,1 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 per- mitted to issue the permit. l turn- R,; urfto DPW AGRICULTURAL STATEMENT OF ACRNOWLEDGEMM 9 3 - 2 2 3'9:4 /L `FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Cede requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned 93-022394'1 for agricultural purposes, and residents- I of this property may be subject to incon- Recorded I veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbe I of agricultural operations including, Recorder I but not limited to cultivation, plowing, + 12:05pm 2 -Jun -93 I spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural.zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. Rec Fee 8.00 Cash 8.00 COUM V OF BUTTE BUILDING DEPT JUN 0 e $93 PUBL XX 2 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All 'that :real .:property:`s t:uate in -. the. County of Butte, State of California, described as follows: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF 4 Date: (�" Z' -173 PROPERTY. 112"� w" teals " State of California On this the 2nd day of June 1 , 19 93 , before me, the ) SS. undersigned Notary Public, personally appeared County of Butte ) Stanley Paul Bunstock �L.•`y OFFICIALSEc1L Personally known to me. 0Proved to me on the basis °' BARBARA A. WOODW.ARD of satisfactory evidence. NOTARY PLMUC - CAUfORRIA to be the person(s) whose name (s) is BUTTE COUNTY subscribed to the within instrument and acknowledged that he ps Iuly Comm. Expires Sept. 24, 29.43 executed the same for the purposes therein contained. IN WITNESS WHEREOF, -I hereunto set my hand and official seal. Present A.P. No.� n�cj Notary Public Nk�"93-22394 92-49461 % �! SCRIP TIot1 All that certain real property situate in the County of Butte, State of California, described as follows: A portion of the South half of the North half of the Northwest quarter of Section 29, 'Township 2,1 North, 12ange 5 East,;•1.D.B. & M., more particularly descril:)ed as follows: Parcel 1, of that certain Parcel *.lap recorded in the offibe of the Re- corder of the County of Butte, State of California, on July 8, 1975, in I)ook 53 of Parcel !.caps, at page 1. RESrRVING TIIEREFROr•l a GO foot non-exclusive easement for road and public utility purposes over the Southerly 60 fent as shown on said Parcel -tap, TOGETHER :'7ITII a 60 foot non-e::clLIsive easemc-nt for road and public util- ities purposes along an eXisting roadway: Being a portion of Sections29, 30 and 31, Township 21 North, Range 5 East,I.I.D.B. & M., and being more particularly described as follows: BEGINNING at a point on the centerline of Ponderosa Way, said point lying South -31' Ol' 08" East a distance of 674.82 feet from the South quarter corner of Section. 30, Township 21 North, Range 5,East,-as per the R.O.S. recorded in Book 33 of Maps, at page 67; thence from the said point of beginning South 89' 54' 41" East a distance. of 1172.62 feet; thence North 0' 40' 05" West a distance of 577.84 feet; thence North 50' 45' 06" East a distance of 503.39 feet; thence along a curve to the left having a -radius of 300.00 feet, through a central angle of 67' 22' 41" an arc distance of 352.79 feet, said curve having a tangent bearing -of North 50' 45' 06" East; thence- North 16' 37' 35" East a distance of 102.87 feet; thence South 69° 04'.59" East a distance of 186.11 feet; thence along a curve to the left, having a radius of 100.00 feet, through a central angle of 32' 20' 16" an arc distance of 56.44 feet, said curve having a tangent bearing of South 69' 04' 59" East; thence North 78' 34' 45" East a distance of 29.92 feet; thence along a curve to the right, having a radius of 200.00 feet through a central angle of 56' 02' 24" an arc distance of 195.62 feet, said curves having a'.tangent bearing of North 78' 34' 45" East; thence South 45' 22' 51" East a distance of 54.86 feet; thence North 610 52' 19" East a distance of 37.02 feet;. thence along a curve to the right, having a.radius of 100.00 feet, through a central angle of 52' 57' 30" an arc distance of 92.43 feet, said curve having a tangent bearing of North 61' 52' 19" East; thence South 65° 10' 11" last a distance of 91.37 feet; thence along a curve to the left having a radius of162.66 feet, through a central angle of 75' 34' 59" an arc distance of 214.58 feet, said curve having a tangent bearing of South 650 10' 11" East;. thence North 39' 14' 50" East a distance of 89.46 feet; thence along a curve to the left having a radius of 325 feet through a central angle of 25' 43' 45" an arc distance of 145.94 feet, said curve having'a tangent bearing of North.39' 14' 50" East; thence North 13' 31' 05" East a distance of 181.99 feet; thence along a curve to the right having a radius cf 375.00 feet, through a central angle of 35' 01' 30" an arc distance of 229.24.feet, said curve having a tangent bearing of North 13' 31' 05" East; thence North 48' 32' 35" East a dis- tance of 55.42 feet; thence along a curve to the left, having a radius of 300.00 feet,.. through a central angle of 14' 43' 30" an arc distance OL / l.iU feet, S,-1curve Nl ve having a. tanggnt bL?aring' of urLh '49' .32' .1i5'1 East; thence North 330;4-9' 05" bast a distance of 41.51 feet; thence along a curve to the right having a radius of 125.00 feet, through a central angle of 84' 16' 30" an arc distance of 183.86 feet, said curve ; having a tangent bearing of North' 33' 49' 05" East; thence South 6.1'. 54': 25" East a distance • of 158'.04 feet; thence along a curve to the. left, having a radius of 100:00 feet; through a central angle of 88' 09' 38"• an arc length of 153.87 feet, said curve leaving a tangent bearing of South 61' 54' 25" EasL; thence North' 26' 15' 13" East a distance of - 200 feet, more or less, to a point on the centerline of Bloomer Mountain Road; thence NTortherly and Northwesterly along the existing.centerline of Bloomer Mountain Road to the point that said road leave.s Section 29. TOGETHER WITH a right of way over that portion of the South 60 feet.of the North half of the North half of the Northwest quarter of said. Section 29, lying Easterly of the Old Bloomer Mountain Road. ALSO TOGETHER WITH a right of ways over tha portion of the Old Bloomer Mountain Road lying within said Section. 29. EM OF DOCU�AWI .END OF DOCUMENT � ; � ,� ;, �cv�,�ra l r END OF DOCUMENt fK 0 ot-►ty R OWN CA- £- 4 r Z D 7C**q &7 t r •`y' I �� Pik c-. -- - .... _ _ �__ • .. rAf t t-+ t.1 f N. V i's set of plans acidsca ons MUST be �7f ke t on the job at all.times and it is unlawful to . Of -0 Qu IK ty RD, k9 any changes or alterations on same without --- �w�___ _..__._-.--------.-•-.- _______._.......__.. _... - r n permission from the D of .P Works, County of Butte.OWN - ��rt� �. � `� pAU t_ . 4 � l c �} E`� � � �.n i G—r•l.oN �3U/�t �. •"( c� t:-. a �• • D"..•T2 DoO' 117- - CONIq 7+- - /� S NOTE:—,dill Materials & Workmanship Shall B 'in Accordance with Recognized Good Practices nd D 5 -aj D( of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical C the National Electrical Code. sand v149gG-7 p3 ALL STRUCTURES AND EQUIPMENT ll ING OVERHANGS SHALL BE CLEAR OF ALL EASEtMNTS. A SET. BACK OF , _ FT. FROM TF,:: ,37-_ FT. PROM THE REAR PROPERTY ;.,:1NL.. ; S-6 FT. FRW THE ROAD CENTERLINE SHAi._-JE CLEAR OF'STRUCTURES AND EQUIPMENT EXCEPT FOR 2 FT. EAVE OVERHANG. %%6 ik JH 0 j` i'ihPsEL.E HOMC �» L.. Z `1 U� �tQV(P.lC: E?t.a�( r r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 _;.,APPLICATION AND PERMIT ERMIT NO. 913 If r42 -IE!9 ASSESSOR PARCEL NUMBER 61-520=006 ZONING U BUILDING PERMIT OWNER Stan 1 & Michelle Bunstock TELEPHONE 533-6152 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL NG ADDRESS 10 Re ent Loo Oroville 95966 CONTRACTO 'S NAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nnnp •UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Non LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 729 Blopmer Hill Rd • Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [:1 Duplex[] MobilehomeE] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ;_i Remodel El Utilities❑ Installation EX Other F] Describe work: MHI _ /(MHU # Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 s Main service 600VORLESS 200A OR LESS 18.50 Main service 200ATO1000A) _ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively, contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM ADDNS. ACC, BLDGS. I 3.60 sq.ft. NEW CON5TOR NON-RESID R" BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 CO) 4FA4 FIXED APP LNS. ORAL Ex. Occup. OUTLETS (RESID.) EAJ 3.00 1. Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Buildin6 Department a Certificate of Workmen's Compensation Insurance or a Certificate oyronsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a to save, indemnify and keep harmless th County of Butte against all II Illt judgments, sts, an expens s w h may In any way accrue against Cou. in c s que o h nti of his permit. X 4, � � Date Com' 2 r % !> Signature aF A Iica – Owner p / g pp [2� Contractor ❑ Agent ❑ An OSHA ion of structures toverr 3gstories oineheight ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee 570.00 Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $105.00 HA2 DFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- � resolutions to do have been paid. WORKS Date 143177 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLC-�CAMMRNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER V fC7r1 C- 6ans o d<,A. P. No. Q� � �,Sp� nog/ J Proposed Building Use Building Inspector l�+c'� Date w Z AV 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. 2. 3. .4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted. 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 (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California 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 (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. . Pre -inspection for P�a"specU°" `ect p required. . to Building Inspedor (Date) Contractor's license information. (No., Name Style, Classification) . ............. . Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner , Mail to owner )............ 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 . ...................................... Plan check list . ..................................................... W en you issue the per it process as follows: Mail to owner. Mail to contractor. Telephone ,5'G/S .and hold for pickup at rD v, office. Deliver with inspector. Other I,%% -- Parcel Creation Acreage Applicant 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 p�r to permit issuance: (Circle new item not checked above). 1. Index permit Ifor above items No. 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER tQ C l OC I � A. P. NO. ! -3 PROPOSED BUILDING USE DATE ( �� REC. # DATE REC 1. School District Fees Off IJ -17,'01f (paid at District Office) 2.. Sheriff Fees (paid at Building Department) 2ol1/�,3 Residential ..........X��D =$JO % 43 M c� unit amt. Commercial(per sq.ft.) % =$ sq.ft.. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) % _$ # units amt. Commerical(per sq.ft.) A =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE I COUNTY OF BUTTE - Depar'tment of Public Works 7.County.Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention -Property-Owner- Phone: Property Owner Phone: 916-538-7541 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 themajo labor and materials for construction of the proposed property improvement or no)' 2. �(ha�v/have not) 4signed 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 Address City .-Phone Contractors License No. 4: I plan to provide portions.of this work,.but,I.have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contract ors'Lioense 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 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 per- mitted to issue the permit.