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BUTTE COUNTY DEVELOPMENT SERVICES
COMPLAINT FORM
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KAFORMS\Complaint Form revl.doc
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
C
PERMIT NO.
L �5s9L
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO.
ZONING
0,412) '
S
OWNER
PHONE NO.
C1-11 -S
L0.V, a� �-
S 0
OWNER'S ADDRESS
0,XA 0
LOCATION OF BUILDING
V i
USE OF BUILDING 7
SIZE OF STRUCTURE
X'-:;4SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL
/` CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
Se,�
v
ESTIMATED COST OF CONSTRUCTION
$ DOU
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
P %
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
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.
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 / ;�� /0 y Signature of Owner
Permit Fee - $W00 f Q q ! D
Receipt No.1
Manager Building
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
from a building permit.
Date
fAG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
BUILDING DIVISION
.,:COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
/-7 OUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
,;,
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. Ud "O.5
ZONING
_
0� d�
��
zl
OWNER
CA^1 cx. CI t rX C. � L C" V -k CcL
e.
PHONE NO.
`30 U-19,
7AAD
OWNER'S ADDRESS
LOCATION OF BUILDING J
Ue-r Iete SC(
USE OF BUILDING
SIZE OF STRUCTURE
�r
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE
OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
,
5 \ pct
U co"i C: 1
.'
ESTIMATED COST OF.CONSTRUCTION
$ (0, COU
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
� � '
/ I
FRONT SIDES �
REAR
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.
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'tomply with the requirements in effect at that time and before
occupancy.' ,.
Date 212-1 /C)
Signature of Owner
Permit Fee - $66=00IQq� The above described AG Build
Receipt No. L�1 � � I'�3no+ - #01
Manager Building ivision
By r
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
is exempt from a building permit.
PQ
K
Date f —;� 17-1)
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
t t'
5q
Agricultural building' is define d as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. ZONING
OWNER �l t PHONE
1.«. 1� 1_ V \ I c♦' - (� �.�°Y 7 i
OWNER'S ADDRESS
f 4' C) G< (,I rA 0C
LOCATION OF BUILDING \ j
V -Lc cNram j(%
J J '
USE OF BUILDING
SIZE OF STRUCTURE
_'X ~ ASQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING ROOF COVERING FLOOR TYPE `
ESTIMATED COST OF CONSTRUCTION _5
$
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
z—A �•
/ / ° . .
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
;y.
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
mobilehom,e; 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 ,( ,-`''1, 4
Permit Fee - $60:'001(gq f 0
Receipt No./V/ � Cl (10
C, Signature of Owner ` �''' C C, t
The above described AG Building is exempt from a building permit.
`� .� • FLOOD I PARG�EL v ROOFING ISSUE
Manager Building' Division
By
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant
Date /,'2..e;Z /"IV�
FRONT SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
;y.
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
mobilehom,e; 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 ,( ,-`''1, 4
Permit Fee - $60:'001(gq f 0
Receipt No./V/ � Cl (10
C, Signature of Owner ` �''' C C, t
The above described AG Building is exempt from a building permit.
`� .� • FLOOD I PARG�EL v ROOFING ISSUE
Manager Building' Division
By
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant
Date /,'2..e;Z /"IV�
NOTES
RESIDENTIAL
028-330-052
PERMIT NO.'.- CARTER, CHARLAINE - 04-3594`
313 LOS VERJELES, BANGOR
Cont: OWNER
j AG BUILDING I
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
CHECKED
BY
J=OK
0 = Not OK
. = NotReadyable
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
9.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Roof; Shthg-Roofing
6.
Gas; Location -Test-Wrap;-/ P' L 'ft.
/ P Nat. or / P' L "ft./ P LPG
12.
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Date
3.
Card B-1 Date Card B-1
Date
Elec.; Receptacles and Lighting, Distance-GFI
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Elec.; Enclosures; Conduit Entries -Terminals -Listed
1.
Zoning Requirements -Setbacks -Easements
8.
2.
Footings; Size -Spacing -Marriage Line
Health Department Approval
3.
Gas; MH Test -Demand -Valve -Connector
11.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Enclosure; Fencing -Alarms
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card 6-1
Date PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water; MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Card B-1 . Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel -Blockouts-Wrapped
6.
Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
FRAMING (Continued)
Date
Hangers -Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
57.
Siding -Nailing Veneer
Date
58.
Card B-1 Date Card B-1
Date
59.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Shear Walls; Nailing -Bolts
24.
Fixture & Transformer Clearance -Ins. Protection
Brace Interior/Exterior Wall Panels
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Insulation -Walls -Ceilings
26.
Size Boxes & No. of Conductors Stapled
Infiltration -Walls -Windows
27.
Romex Installed Close to Edge of Studs & C.J.
Card B-1 Date Card B-1
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Card B-1 Date Card B-1
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes 0 No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
70.
Stairs & Rails
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
36.
A.C. Ducts Insulation & Support
Elec. Outlets & Receptacles at Kit. Counter
37.
Vent Fan, Exhaust above insulation
Garage Fire Door; Swirig-Landing-Closure
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
79.
Card B-1 Date Card B-1
Date
80.
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Guard Rails & Deck Construction -Post Caps
41.
Sills Proper Materials & Anchors
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Clearance Looked under Floor ❑ Yes
43.
Bearing Walls over Girders & Floor Nailing
Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
44.
Draft Stop in Walls (rat proof)
Stucco Brown -Finish
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
A.C. Unit Disconnect, Electrical -Plumbing
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swirig-Landing-Closure
76. A.C. Duct in Garage -Damper
77.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
01
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