HomeMy WebLinkAbout021-010-012f
DOYLE JUSTESON
NW corner W. Liberty & Pennington r-
Rds, Gridley
11
021-010-017 A 03AG236
WATERBURY, DEVIN - 1
1283 PENNINGTON RD, GRIDLEY
CONT: OWNER
AG BUILDING
021-010-012 03AG237
WATERBURY, DEVIN
1283 PENNINGTON RD, GRIDLEY
AG BUILDING
021-010-012 j 06-0213
WATERBURY, DEVIN
12836 PENNINGTON RD, GRIDLEY
Cont: OWNER
GAS LINE '
r-lwkL,
/002
JUSTESON, D.E. 3301B
- ' 3290E
2695P �I
21--01-
w/s Penningto_n Rd. -app. 2 mi. so. Gra ey-
Colusa Rd., Gridley
CONTR: Edward Smith, 14.40 Sheldon Ave . , Gr�L
(remodel)' . '(
JUSTESON, Doyle 2567B i
,r 21-01-12
w/s Pennington Rd. app.. 800' no. West Libe-I
Road, Gridley `
CONTR: Edward Smith, 1440 Sheldon Ave.'6AdlA
(remodel)
�r -�
Butte County Department of Development Services. o�T.re_ ani
N O T E S 7 County Center Drive, Oroville, CA 95965
(530) 538-7601 vnvw.buttecamtyneUdds �uat
RESIDENTIAL_
APN: � IVopermit No.04 C
Owner.! ,v
-
Site Address j� 3 �(/
Contractor. •
Type of Permit: r'714<
021-010-012 06-0213 1
WATERBURY, DEVIN
12836 PENNINGTON RD, GRIDLEY
Cont: OWNER'.
GAS LINE
OFFICE COPY
Address
GAS
/
Meter By
Date —�—
ELECTRIC'
Meter By
Date
SPECIAL CONDITIONS
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
:,
DATE JOB FINALED: f`
SIGNATURE:
.=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION Lj SOFT SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/CIO-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -00 to Grade
12 Gas and Electricity Tagged
13 Tie Downs Q Foundation 0
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE . ID E C K S'C O V E R S`C A R P O R T S `G A R A G E S
1 Zoning -Setbacks -Easements
2 Figs; Soils -Sz-Dpth-Spacing -CnnctrsStee I
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts -Beams -Rftrs-C nnctrs -S h th g
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs'
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof-, Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
DATE 1POOLS
1 Setbacks -Easements
2 Soils; CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes-Enclsrs-pnlboards-insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Encisr; Fencing -Alarms
13 Bonding, Diving board or Slide
P
da a o'er o`
Pool Drawing
OK
= Not OK
RESIDENTIAL (Single. & Duplex) I
DATE JUNDERFLOOR
DATE
IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth '
56 Shwr Pan; Test, First flr-Tub Acc
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd flr - Tub. Acc
6 Stemwalls Garage; Steel-Blockouts-Wrap ped
S8 Gas Pipe; Sz & Anchrs
69 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
ti Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
DATE
M E C H A N -IC A L
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
61 AC Ducts Insultn & Support
_ 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16. Insulation
64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
4
4e
DATE IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnis
38 Insultn-Walls-Ceilings
39 Infiltration-Walls-Wndws
DATE JELECTRICAL
40 Fxtr & Tmsfrmr CImc-Ins Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz ga ❑ CU or ❑AL
AC Wire Sz ira ❑ CU or ❑ AL
48 Range Circ ga QCU or FAL
Oven Circ ga ❑ CU or ❑ AL
Insulated Neutral Yes No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnis-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector'
DATE IFINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-CImc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Sts & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clrnc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cime
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 CImc Drnge Planters Dyes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C10 to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
PERMIT NO.
BP060213
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 01/30/2006 APN: 021-010-012-000
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
Site Address: 1283 PENNINGTON RD GRI
•
License Class : License Number:
Map Index:
Date: Contractor:
Description: GAS LINE
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Owner: WATERBURY, DEVIN
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
12836 PENNINGTON,RD
to its issuance, also requires the applicant for such permit to file a
GRIDLEY, CA
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
95948
7000) of Division 3 of the.Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
'6L I, as owner of the property, or my employees with wages as their
/ sole compensation, will do the work, and the structure is not
Applicant: DUISTERMARS, DONALD B.
intended or offered for sale (Sec. 7044, Business and Professions
1283 PENNINGTON RD
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
GRIDLEY, CA
such work himself or herself or through his or her own employees,
95948
provided that such improvements are not intended or offered for
(530) 846-2528
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
Contractor:
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Pe Bions Code
Date: ' Owner:
License #:
WORKERS' COMPENSATION DECLARATION.
I 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
Architect:
Labor Code, for the performance of the work for which this permit
Engineer:
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Total Square Ft: 0 S. F.
Carrier.
Valuation: $0.00
Policy u:
Census Code:
❑ I certify that in the performance of the work for which this permit is
-'' 0
13.
issued, I shall not employ any person in any manner so as to
l
415
become subject to the workers', compensation laws of California,
and agree that if I should become subject to the workers'
w
'.JL
compensation provisions of Section 3700 of the Labor Code, I shall
��
forthwith comply with those provisions.
Date:
I ) p/��
+ 6 ` O
! W
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees. .
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolu -on to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date:���1J
Name:
By:
PERMIT EXPIRES ON:
Address:
(Date)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code. which regulate the storage.
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health '& Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: niJAI T), . /lll S Tkl2lRif J¢ JPS Signature: ZY�V ✓li,/1 LL? /fir -
Date:. Xk ZZ21-0
0 Owner 0 Contractor Agent for Owner 0 Agent for Contractor
rs
$X3T • BUTTE COUNTY
/o o DEPARTMENT OF DEVELOPMENT SERVICES
0 BUILDING PERMIT APPLICATION
0 0 AND. SUBMITTAL REQUIREMENTS
o- `• 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
0 =—=•- -=�: 0 OFFICE #: (530) 538-7541
A FEE WILL BE REO UIRED AT TIME OF APPLICA TION
01f N Website: www,.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
APPLICANT INFORMATION
OWNER INFORMATION
Last NameFirst
e
me
Address
City
City
State
Slatee
Zi
Phone
I
Fax
E-mail
Lic. #
APPLICANT INFORMATION
CONTRACTOR
Name
City 68 ID ��
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City 68 ID ��
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E mail
Planner
State License Number
APPLICANT INFORMATION
Name pN J AISI'
Address P f VAI 1N AlTOI
City 68 ID ��
StateC
Zip
one,6-D 9 6 -25ze
Fax
E -mai
dCfuisteyK,ars P e11rAt IP7 _cpm
A5 VA
PPLICANT SIGNATURE
office use only:
Zoning
Property Address
Flood Zone
Cross Street
SRA
Yes
No
Occ.
Type Const.
Subdivision Name Map
Book
I Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K•\Fr)PKAC\RI III flim(: Fr1RhAC\RIrinAnnMtthRnmtc rinr
PERMIT
NO.
G-02-1
BIN #
PROJECT LOCATION
AP# 2-1 o i 0
Property Address
City
Cross Street
WORKER'S COMPENSAT40N
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
em (Wit
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
I I Received by:� Amount:.. Bldg I I
Receipt #: 4 �'3�$ l Sheriff
SMIP
ICq� Other
Date: 1-
C '2�0 Total
Paae 1 of 2
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK,
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ . 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A1C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or frid plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form .
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department. .
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
UFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
0
01/30/06 03:ZSP P.003
January 30, 2000
From: Devin .1, Waterbury
To: Knurini Graham
Res Owner-builder / I.ettcr
TO The ButteCOtinty Building Nvision, ,
1. Devin J. Waterbury authorize Donald Duimc'rmars to apply fur a building permit in my name and pick it
up for my property loi:oted at 1293 Pennington Rd. Gridley. CA X8949.
Thank You.
Devic J. Waterbury
a
01/30/06 03:25P P.002
' Jan 30 09 02:28p P,Z
(b3u) .
1��i6-011
OVVNER-BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder' building permit has been :applied for in your name and be2ring your
signature.
Please complete and return this information tit your earliest opporUinity 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 maia.r labor and material for construction of Ws -proposed
property improvement: YES [ NO [ I
I HAVE ( ] HAVE NOT [ signed an application for a building permit for the proposed
work. % __
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NAME: '— ---�
ADDRESS:
pliONE CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
PRONE: 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 T�IPR OF WORK
PROPERTY OWNER:
DATE:
NOTE: This Owner -Builder verification is requirW by Section 19931 and 19932 of the California
Health and Sakety Code.
This verification must be completed and returned to our off oe, before we are permitted to issue the
permit. ttc-i'® 11,4=4
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.
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
Z/— —D® O
r ��
OWNER
PHONE NO.
P 6 31,1
OWNER'S ADDRESS n
�- tet
LOCATION OF BUILDING
USE OF BUILDING PDUL72 L;"
SIZE OF STRUCTURE h /l
I-10 ' �®
X' _ SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME __A_ STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
00 f0
00 &1 '06 S /7/ 0-V
✓vL' �-1z�7�
ESTIMATED COST OF CONSTRUCTION
$ 2CL
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
Ste/ 7771/11 -5 4
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 2 -6(5 — 0 `i Signature of Owner.
Permit Fee - $60.00 The above described AG Building is exemp from a builgjp,,g permit.
O D PAR P.D ROOF ISS
Receipt No.
Manager Building Division
By Date
ell
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
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.
X6 0337
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
Z/- 0/0 _6(z _00 O
OWNER
r�,r
PHONE NO.
OWNER'S ADDRESS
0. f3 Ox 7y en'd 9Sy'q
LOCATION OF BUILDING
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USE OF BUILDING
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.SIZE OF STRUCTURE J� ^7
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TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER(Specify)
TYPE OF SIDI G
ROOF COVERING
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
'5n
$ K
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
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FRONTS SIDES---?15
REAfio-29liz
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 - I "�—Of �®Li
Permit Fee - $600�PJq&
0
Receipt No. 7
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White — DPW, Yellow — Assessor, Pink — B
Signature of Owner
The above described AG Building is exempt from a bjfllding peymit.
Manager Building Division
By Date
I., Goldenrod —Applicant
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Owner:
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Address: Date of Inspection
-Tenant: ��/�(o fe7T Inspector
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Building Location: /j/ Q
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Type of Inspection requested:
A.
1. Housing / / 2. Financing
" 4. Other (specify)
3. Change of Occupancy to /l<<` 72.. fj J
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Present use of building: /Ge ),tAyk-
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Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit: _
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:'
14. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:
IM
E.
F.
Plumbing
1. Fixtures connected and vented:
2. Gas water heater':
3. Gas heating vents:
4. Comments:
Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: _
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
A. Information only - file.
B. Hold for ten days, then write letter.
T ,C. Write letter.
/ / D. Other: