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061-460-011
416 'WILLIAM T4. 'BJERK'E' SIS Bloomer Brck Rd 1.25 mi S .Quincy Hwy, Berry Creek lo%b�v Permit#1732-86-B'(reroof/SF) -1//9 ".`;!BJERKE Bidck 13'e' Rd, Berry i� ,mit#62'-89A(Agricultural Bld E" xemp,�_., -orage � of.�,,t.i�aG tors, - -part _,-di sk arm equip 061-460-011"',.. PERMIT#97-16AG -BJERKE FAMILY TRUST.,. 110'*Black Bear, Rd.'� Berry Creek' Ag Exempt Per. -Tractor, Ducks I.E'quip BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and onstructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure all not be a place of human habitation or a place of employment where agricultural products are processed, trea d, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.O Q / �' l ZONING L/t � OWNER PHONE NO. NER'S A S —LOCATION P. Dx t3`7�7. OF BUILDANG �r JAL"�� USE OF BUILDING SIZE OF STRUCTURE ' x = SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL. CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ 00© '4 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r -.�nl I FRONT Ss �YIt'SIDES ivrz REAR OL6 /0--' 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. W� 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 co ply,witN the require ents in effect t that time and before occupancy. Date s y, 192 Signature of Owner i Permit Fee - $60.00 The above described AG Building is exempt from a buildiKaDermit. Receipt No. �Ct FLOOD PA,RCK I P . / ROOF ISSU Manager Building Division B '4� Date'.7 Y -- White — DPW, Yellow — Assessor, Pink — B. 1., Goldenrod — Applicant „�r'^,.Y.`-.r...7�itb....w..�'F�k.I.C�.-/`f�•'.'-�M•�.r'M�'!b"4i��4'n'^�il�°'''�'+rG�"�+G''ri'kw-,,:rsY�`K►..c�""-�j',,q-,l�+T'+71M4...''rri-�""`'dv�.-•ti.r'�-+^'.n+'fr,:�-'v'vtr-..nr'H"�--�.n,.^......v •- COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965- TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER 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 RECENED 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 California Engineer........ 14. Sanitation and plot plan approval 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.....„........ . 19. Driveway permit (construction approval required prior to occupancy). PnA-Insp on rey�� 20. Pre -inspection for -- 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. / 17 0 . 1t I When you issue the permit, process as follows: _/V I Telephone and hold for pickup at Other Parcel Creation Acreage Applicant tail to contractor. I office. Deliver with inspector. 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 prior to permit issuance: (Circle new item not checked above). 1. Index permit for 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 e OWNER: oll �4 11 rL DATE: LOCATION:. (D G-eL 662.�- I c A.P.#: CONTRACTOR:' ZONING:-lJ DATE TO INSPECTOR: PERMIT FUSTORY:' ]NONE [-<AS FOLLOWS: V V, TYPE OF OCCUPANCY: BUILDING luilding Desc�ription: Commercial/Usage: Residential/# of Units: Cu'rrently Occupied. AbandonedNacant. 3ectric: I I Yes [ ]No Electric is currently:[ ]On Off Condition of electrical? ,as: Natural[ ] Propane[ None[ bvious problems: anitatiom. Plumbing working Yes[ No[ Well: Yes[ ] No[ Potable water: Yes[ No[ Obvious Sewage Problems: r escription of Damaged Area: 'SREPORT Mobile Home: Yes[ ] No[ On[ ] Off[ ) mate valuation of Damaged Area: iect r: . Date: LI) RAOId -MAI sTA. , .oAi INt, RAM E�AAiI: f 7.oAY t Mt, . - � k- , - , RA zo E�IAII� I.�.J STA. t-OAY, tv►did. STA. u IMT RAIN TOTAL_ . C00/80D DAILY INCIDENT LOG LI DAYIDATE TO 0800 bAYlb�11'� FROM 0i0o _�. �,, , % , - �_�� _ SrAMN AMSA N M CPFtCFA akar nme 400 "MeffI 1q,',�\ loco er d2L i cosd NOme No ko. ,: nom f Anp+ FALSE MIARM Misuc AS=r OAar a Hr�o PlUC UB ORLCP.0911 UFMOVE• A39lSr REMUS MOM A M.vaove• I ASSL4r Rescue MAZwr I MSL mtsc INI� ;rAat GW38 u4m use GAMAGB SAVE REFUSE GTIK i KAZIMN I I r+C Sr TEN AMeUUMM I.,CFFKZt I aF-7O Rrnme CASE NO PWH No R.O. 40CATU 1 fw, AMNPA RAW PlUC UB z PMorie NoV qq A M.vaove• I ASSL4r Rescue a.l vEMQ:B PAvmr GTIK i Tj I � (v a-- I I mm LANO use oAMAGe SAVE REFUSe NAZI: v+ "c 1136 COQ. 000 ( I LL.J Permit #1732-86 Wm Bjerke Bloomer Back Rd COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville Calvo4nia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT it ASSESSPARCEL NUMBER +7OR ZONING T BUILDING PERMIT OWNER ,J • b jcrke TELEPHONE SQ. FT. OCC. BUILDING VALUATION CU OWNER'S MAILING ADDRESS ,v. ;7 i ;e� r . Cr eels, CA CONTRACTOR'S NAME 'arrr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER :N UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ $21,j(? PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r I� -t r f Solar or heat pump water heater 20.00 LOT WO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [M Describe work: herUOf Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One). F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fu)t> force, and effect. License No. 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 contractiig with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR ADDNS. ACC. BLDGS. 2h0sgftNEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS e1 \SINGLE OUTLET CIR. Ex. OCCUp(OUTLETSrORiFhx%rURES 5AL630 FIXED P Ex. Occup. OUT ETS (RESID.) EA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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 of 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities,; judgments,, costs, and expenses which may in any way accrue against said/County in/c/on'§eg6e`ncefof the granting of this permit. X i_.�::1L�-fht<r (.l. 1� Date fr, / (� =a. Signature of Applicant — '0 n.rContractor ❑ Agent: ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 2150 occu P. CONST.TYPEJ FL000 PARCEL I PD I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D,IRECT-O' PUB1j116 •/ f'�� BY /, �_; PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ;I Qatefj r Receipt No. i, r./ ! �� WHITE-D.P.W., YELLOW -ASSESSOR{ PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. i A SESSOR PARCEL,NUMBER b2-07-89 ZONING BUILDING PERMIT OWNER William W. Bjerke TELEPHONE S0. FT. OCC. BUILDING VALUA N 600 OWNER'S MAILING ADDRESS Box 377, Berry Creek, CA 95916 CONTRACTOR'S NAME Owner TELEPHONE - CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 11.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING MS Permit fee $ $21.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (J i` Berry Creek Solar or heat pump water heater 20.00 LOT N SUBDIVI ON NAM PARCEL MAP Water piping 5,00 Each pas water heater or vent 5.00 USE OF STRUCTURE SFO •Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ® Describe work: Reroof _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is In full force and effect. License No. Classification 1, 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.d , OR ADDNS. ACC. BLDGS. 2.50 NEW CONST ii RANCH TLETCIRCUITS) 2.50 ea NON•RESID BRANCH CIRC ITS ea POWER APPARATUS 6 SINGLE OUTLET CIR. zo®s0e Ex. Occup OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IVirin 15.00 g Permit Fee $ Contractor 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 of 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against alltliabis, co s, an expenses which may in any way accrue 's"the thegranting of this permit. agin v �, O X Date ` cP Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inheight.Receipt Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ $21.50 occu P. CONST,TYPEJ I IFLOODIPARCELI PD ND I ISSUE This permit is hereby issued under sions of the But County Code and/or work indicated above for which /�D, EC PUB BYate PER T IBES Date the applicable provi- resolutions to do fees have been paid. ORKS — No.�Iq WHITE-D.P.W., YELL0W-ASSE990 PIN. -INSPECTOR• GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 959654,},',-�Phope':,.', 9116-534-4541 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. L. I personally plan to provide the major labor and materials for construction of the proposed property i rovement (yes or no)ge,�-. 2. I (have/have not) 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 A4, Address City Phone Contractors License No. 4. I plan to provide portions of this. work, but I have hired the following person to coordinate,s pervise, and provide the major work: Name A Address City Phone Contractors License No. I will provide some of the work but I have contracted (hired) the following .persons to provide the work indicated: Name ^ i / Address Phone Type of Work Z � & Signed: Property Owner L Social Security Num be ` y Date 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. COUNTY OF 6UTTE DEPT. OF PUBLIC WORKS JUN 241986 . _ F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 11''7'C�UNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PET r Agricultural building is defined as follows: Agricultural building is a structure designed and cons ucted to house farm implements, hay, grain, poultry, livestock, or other horticulutral 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. ZONING OWNER &// PHONE NO.g OWNER'S ADDRESS = ,t 1341 ck 156A'C. Rd // ' LOCATION OF BUILDING USE OF BUILDING A PA SIZE OF STRUCTU / -2,'q 'X t7G SQ. FT. = — TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OFSID �% Pky )) ROOF C RING FLOORvcE &43 ESTIMATED CO;5bOFiCONSTRUCTION (�J _ $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances OIIOWS: tiO / r Gt/G O' FRONTSIDES 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 am in imum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date / 12- e �1C Signature of Owner ' Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. =� White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant FLOODARCEL P.D. ROOFING I I SUE —1 I "T — /--r 41 Director of Public Wo By Date ���� IN COl.•INTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET } Permit No._/ OWNER �/A?lf T,F,YI� Ut/a �"FfC A. P. No. / Proposed Building Use A6 Building Inspector Date Z 71f��' At ti t1. f permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss-datalls and layout in duplicate (required prior to plan check) 8. Mobilehome in ation data including manufacturer's installation instructions...11..C(.J................................................. 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re Ulred . , , , Pre-Inspec. request to p q • . Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process 3as follows: Mail to owner. Mail to contractor. Telephone �� �— —Wand hold for pickup at office. Deliver w/inspector. Other 8©X 3 7 7 / (s 6266x, C6 96-716 Applicant Date 47 - op4of Ia��segT�44;alth De t., I p p Fire Dept„ Other Date 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, owner, was advised of above required data by_phone--naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW