HomeMy WebLinkAbout071-160-064071-160-064
LAND DEVELOPMENT SHEET
071-160-064 PERMIT#98-0893
ZEDRICK, David J. & Susan B.
E/S Lumpkin Rd-, Orovill,
Ele for Well & Lot Development
1
071-160-064`.., . PERMIT#98-0893 ..
ZEDRICK,'David J'. & Susan,B.1.
E/S'-Lumpkin'Rd.; Oroville'
.Ele for Well',& Lot,Development
r +` sOFFICE COPY"'* 4'
.Address i
M
ELECTRIC •,
^ F Meter By A 'Date
I
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NIO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBERZONING
FRIO
BUILDING PERMIT
OWNER
DAVID J. & SUSAN R. ZEDRICK .9707)
TELEPHONE
575-9400
SO. FT. OCC. BUILDING VALUATION
OWN% i'"MA,I MO, SANTA ROSA# CA 95407
CONfijA�TOr111A
R'SME
A
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS E/S LU MPKTN RD., OROVILLE
Energy Plan Checking Fee
$
+
PERMIT FEE
$
LOT NO.
SUBDMISION'SNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
i
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY I
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 Q Installation O Other ❑ ;
Describe Work: _W FOR WM & FUTURE LOT DEYELOPWT
k
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home Is I GI W1
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
LE
Main Service ''Y zoonoRORLEsSs8
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.FOWER
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:
0"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'xconstruct 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 ( To
46.00
VTL200A
CCU000A
NEW CONST. DWELLING OCCUP.
OR AODNS. ( d ACC. BLDS.
SO.
3.5QFT.
T.
NON-RESID. MULTI -OUTLET
97.50
APPARATUS
a SINGLE OUTLET CSR.
Ex. Occup. OR FIXTURES
20 @ 1.00OUTLET
BAL o .50
Ex. Occup. ouiLEEDTSA RESID.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
M sc. W rin _
23.00
•
PERMIT FEE
$ 66.00
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
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.)
—❑ 1 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) �� +
X x— + _.- , ,.__ _ Date 'fi �!/
---- ---
`Signature of Applicant'�+Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
I D. FEES
IMP
I FLOOD
I CDF
PARCEL I PD
I HD
I ISS
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.
—^/�—' ` l
By / Date 1
I �
PERMIT EXPIRES ON
Date
Receipt No. �`'�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
4
12
T20N-R.6E.,-'MDB
1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
• 7 Codnty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541ERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
n71--J60-06A
ZONING
FRIO
BUILDING PERMIT
PY
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
DWNEVCrnfMO, SANTA ROSA, CA 95407
CONTP6(MjAME
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flirt Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
E/S LUMPKIN RD., OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
-
SUBDIVISION'S 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 as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities IR Installation ❑ Other ❑
Describe Work: ELE FOR WELL & FUTURE LOT DEVELOPMENT
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I IN
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoo, 'R.SS
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.POWER
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
rLaw 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
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 ( To
46.00
CCU000A
NEW CONST. DWELLING OCCUP.
DWELLING
OR ADDNS. ( 8 ACC. BLOT
SO
3.5¢FT.
NON -R SNNEWCODT B AULCTI CICUET 1.97.50
APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FOTTURS
Ex. Occup.BAL
20 Q 1'00
@ .so
Ex. Occup. GUTELETS(R..6.)PPLNS
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
—
PERMIT FEE
_
66.00
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
I one hundred dollars ($100) or less.)
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
rthwith comply with those prow ions.
X > - 964111-___ Date
Ign re o Applican - Owner ❑ Contractor ❑ Agen
An OSHA permit is re for excavations over 5'0" deep and demolition or construction
of structures over 3 ories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
D. FEES IMP
I FLOOD
F7U7r;;Z9
PO
I HD
I ISSU
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 ate
Mii�
PERMIT EXPIRES ON
Def
Receipt No. 236785
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name'and bearing your signaum.
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.
I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES NO C3
2 I HAVE HAVE NOT 13 signed an application for a building permit for the proposed work."
3. I have contracted with the following person (firm) to provide the proposed construction....,
_ NAME:
ADDRESS:
PHONE:
CONTRACTOR'S 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:
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:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE:�I , o
-Thu Owner -Builder Verification is required bySection 198.31—U798J2—oJ7d
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit
MUT011
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 parry of record on such
a permit. Building permits are not required'to be signed by property owners unless they are personally performing 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 should
be aware of the following information for your benefit and protection:
:L .r
v
♦ 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 contributions. ,
♦ 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" on the reverse side of this form so that we can conium that you
are aware of these matters. The building permit will not be issued until the verification is returned. _
4trely,
l C..Vi ira, C.B.O.
r, Building Inspection
NOTE: This Owner -Builder Informadon is required by Section 19830 of the California Health and Safety Coda
OVER
(Rev. 12/96)
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
U
zoMNG —/�
BUILDING PERMIT
OWNERI/
•�7
TEIEPNONE
tm
80, FT, OCC. BUILDING
'
VALUATION
OWNERS MAILING ADDRESS
0 o D O 6
CONTRACTORA''S ^NAME
TELEPHONE
C NTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Firelace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGWEFAS AWLING ADDRESS
Permit Fee $
Plan Checking Fee $
BU10WGADORESS _5
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT No.
SUBONspNS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
sPeclFv
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:
Gas piping system 1 - 5 outlete
15.00
Building sewer
15.00
Mobile Home ISI GI W
(920.00
PERMIT FEE i
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2�o. LE S
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:
❑ 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 thisPERMIT
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.
❑ I 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.)
❑ 1 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 Date _
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.
Main Service 200A TO I000A 46.00
NEW CONST. OWELLM OCCUP. So
OR ADONNEW IS. (• 3.5¢FT.
Mu�oL
NON•RESID. �iO 7.50
PowER APPARATUS
a 9 LE OUTLET as
Ex. Occup. OVTLFrORFUMMES a 001.00
Ex. Occup. DEs .D APPLNS°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
_
FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE t
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ ,
HAz I D FEES IMP
FLOOD
COF
PARCEL PG
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
ro
Receipt No. IK5
WHITE -D.D.S.•8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
OWNER:
LOCAT]
PRE -INSPECTION
w
DATE
A. P.
CONTRACTOR: 0 uo r QA-,., ZONING f r-- - 1
DATE TO INSPECTOR
PERMIT'HISTORY: NONE AS FOLLOWS:_
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE: L Q //
TENNANT:
[� OCCUPIED [] HAS ELECTRIC HAS GAS [] HAS SANITATION FACILITIES
Q HEATED -COOLED PERSON CONTACTED /�_�y Z �� f c l�
OTHER COMMENTS:
ACTIO ECOMMENDED:
ISSUE 0 HOLD FOR
OTHER:
I
DATE
BY
ILL i
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Cehter Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
AS SESSOAPARCEL NUMBER
I / %
ZONNla _/
BUILDING PERMIT
OWNER
cZ� ` a� E ►��
TELEPHONE
r7s
SO, FT, OCC. BUILDING
VALUATION
OWNERS MAEUNG ADDRESS ,
p.. O Q e S
CONTRACTOR'S NAME
TELEPHONE
C NTRACTORS MAl1NG ADDRESS
CONSTRUCTION LENDER
LENOER'S MNUN/O ADDRESS
Fireplace
Total Valuation $
ARCHrrECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENOWEEAS MAUW ADDRESS
Permit Fee
$
Plan Checking Fee
b
euanwGADOREss .S
vGVI�,
Energy Plan Checking Fee
E
S
PERMIT FEE
_
IDT NO.
SUBDIVISIONS NAME
PARCEL. %aAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
sPECsv
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 ❑ Utilities ❑ Instafla' ❑ Other
Describe Work:
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
i
ELECTRICAL PERMIT
Filing Fee 20.00
OOOV OR LES4
Main Service 2o.OR LESS
23.00 .11
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:
❑ 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.
O I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
O 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:
O 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 it the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 H 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - O Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 60' deep and demolition or construction
of structures over 3 stories inppheei�ight.
Main Service aooA TO I000A 48.00
NEW CONST. OWEII.ING OCCUP. SO
OR ADONS. ( a ACC. 909 3.5CFT.
M CONS MULTFOtmET
NPN RESTS. Q7.50
PowEA APPARATUS
a svroLE oLmET arL
Ex. Occup. OUTLET ORFIxURES ew0'.s�o
Ex. Occu m. s D L 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
_ bL
PERMIT FEE _
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE f
Mobile Home Installation Fee L
Energy Inspection Fee S
occ
CONST. TYPE
TOTAL FEES ,ED
HAZ. I D FEES IMP
I FLOOD
COF
PARCEL
PO
I NO
ISSUE
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.
Date
/04/0
Receipt No.
WHITE •0.O.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
LAND DEVELOPMENT ✓//
BUILDING X�ENVIRONMENTAL ;HEAL LTH .i- PERMIT CLEARANCE Building Permit No.
a
OWNERS _�^�����
NAME: i!c �i ( K I tiV NUMBER:- IImG l[3�►.
""C�
PRINT LAST NAME FIRST -
COUNTY ZONING
DESIGNATION: /�%Z /� FLOOD ZONE: FLOOD MAP: Ova (�
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP L'�
DEED INFORMATION:
DATE OF CREATION: IDEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION:
DATE OF RECORDING
LOT I BOOK 4-s-- PAGE S %
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 current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BEPA/D TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED.
_ 1. Maintain a 50 ft. building setback from centerline of road.
90 ''�✓ s t.nd
2. Maintain a 55� ft.building setback from right-of-way/centerline of Lv.H i�� ✓ ���/�
3. Comply with Zoning code for building setback from road.
4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
— 6. Pay water tender fees in the amount of $_
to Battalion Number of the Butte County Fire Department.
\ 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
_ 8. Connect to a public water supply.
_ 9. Connect to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the 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 Fire Department
specifications, serves the parcel.
_ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
— 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
_ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Ptyment to be meds to the PANn&9 Division.
_ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
_ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 19. 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.
_ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
X 21. Pus ac 0, o n/ I"1 4110
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NOTE; These parcels ore for 033eSSment purposes only
15NOTE;
may not constitute legal parcels.
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1 e Assessor's Mop No. 71-16
on(, County of.eutle, Col/f.
z ; REVISED: 8 - 94
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