HomeMy WebLinkAbout024-090-051A.P. 24-09-51
1p ROBERT J. MONTq0MERY
n/s Neilson Av-e. app. 3-2 mi.
..e w- -Hwy 99i - Gridi ey-- .1- -
Permit 285*5-73P,E 23
(utilities for mob e home)
le'.
A.P. 24-09-51
5k ROBERT J. MONTGOM ERY
;L
1�k n/s Neilson Ave. ap
r - 2 MI-
LEeast 99, Gridley
-Permit2856-78PE;
(utilities for mobile 'home)
A.P.24-09-40
MONTGOMERY
F
N/S of Nielson� 1350 W -of Gilstr P.,
Ll 7:�
Gridley _73
t 383 awnjj�
-rPerL 7 g�for MH)
24-09-51
Permit #376-79P,E(relocate util.pn
exi AZ�ZMH) P-4
s.s
ELEC.9 _4 /c2d
GAS- ;7- '7
SUPP09T kRUCTURE REQ.
COMPACTION TEST REQ.
a [A 17
24-09-51
Contr: Orovill& Trvailer Sales,
Permit #780-79MHI
Issued-,---' .201
-.2 A. at
24-09-51
Permit #5134-79B(new covered awning/MH)
'-Vtz'� da
024-09-0-051 00-049AG
MONTGOMERY, ROBERT
185 NIELSON AVE., GRIDLEY
AG BUILDING FOR TRACTOR, TACK
& HAY STORAGE
,57eC-,v',, d u, -j i/'
,on
Z".
r -.
N
r
Permit History
APN: 024-090-051
Address: 185 and 201
* 00-049- Ag Exempt Building 1200 square feet
0 5134-79b- Covered Awning
* 780-79- Mobile Home Installation 24'x6O'
0 376-79- relocate utilities for mobile home
9 3837-73b- Awning for mobile home 200 square feet
0 2856-73- utilities for mobile home east side mh
* 2855-73 -utilities for mobile home west side mobile home
A�
PERMIT NUMBER B 3837-73B
P
E
PE IT EXPIRES tQ-t C�-
OWNER
Owner
CONTR:
LOCATION (A.p. 24-09-V
NIS of Nielson, 13501 W. of G*lstrap,
Gridley
COUNTY OF BUTTE
Department of Public Works
BUILDING INSI�ECTIOIN --RECORD
Zoning
Setback
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final /0
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
7 County Center Drive - Oroville, California 95965
f
TeIpplione: 534-4541
APPLICATION AND PERMIT
WORKS \ e_1?F16_6
autnutize rupru5eniaiives oi the County oi Butte to enter upon the
above-mentioned property for inspection purposes.
X C-hn Date 19 - 7-?
Sivoure of POermil'evegn.r �Age.,W,11_�
r
Receipt No. I
White-D.P.W. - Y.Ilow-Assess.r Pink -inspector - Goldenrod-Appli cant
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.
DIRECTOR OF PUBLIC WORKS
By Date
1-1
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address r-,9- ?c 3
T I h ieMo
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No. —
Permit Fee
$
$
Building Address
PLUMBING
No.
@
FEE.
PERMIT FILING FEE $2.00
—
? 1, / '/
0 h/1roo,-
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. /4"LoAn'9 & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fe -es I
W. i re Dept F ire Zone Use Permit
��tio I
Building sewer 5.00
4)
EQA
Parking i Parcel
Plans Declaration
f3l
X Map
I Pa cl(�l
-
60' R/W
Improvements
Lawn sprinkler system 2.00
B I dV
(41s R e c'd
Parcel Approval
Plans Approval
Permit Fee
$
lnpo
$
NEW ADDITION UTILITIES OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
-T
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family Duplex Mobi I Home Others
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 0 5
j?al 010
2U
Receps., switches & fix outlets (al 25
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
POO$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
plermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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
I
TOTAL PERMIT FEE
I
$
autnutize rupru5eniaiives oi the County oi Butte to enter upon the
above-mentioned property for inspection purposes.
X C-hn Date 19 - 7-?
Sivoure of POermil'evegn.r �Age.,W,11_�
r
Receipt No. I
White-D.P.W. - Y.Ilow-Assess.r Pink -inspector - Goldenrod-Appli cant
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.
DIRECTOR OF PUBLIC WORKS
By Date
1-1
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
1
TelQp�one: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X -25Z 51, - . -) —4� Date
I t(, We or Agent
nature of Permi9- 72 ---
Receipt No. Z o !�z a -5r
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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.
DIRECTOR OF PUBLIC WORKS
OOV
By Date
Building permit expires Date ...
BUILDING
Owner
2 a , L"
.SQ. FT. OCC. BUILDING VALUATION
Mailing Address (P o e,- all,
No
- 2.
H�Fireplace
Contractor
Total Valuation
Mai I ing Address
Permit Fee
Plan Checking Fee &/orPenalty
Telephone No.
Permit Fee
$
—
$
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
,//2 AX Q1— i
Each Trap 1.50
Y2�en 4 7'
Repair drainage or vent piping
1.50
piping 1.50
--Water
Each gas water heater or vent 1.50
Z,0'
.n/A/A. P. No. 0
Gas piping system 1 - 5 outlets
1.50
JZ)
Each additional outlet .30
Fees I W.C. Fi re Dept. Fi re Zone Use'Permit
EQA I Parking Parcel ��l
Plans ,I Declaration I PaIr R/p 1 60' R/W I Improvements
Building sewer 5.00
Lawn sprinkler system. 2.00
Lft!l
B I d g. P IeA le -6
Parcel 4�0`rovo'l
Plans Ap �aval
Permit Fee
$
;, 4P1
J$ /t�5_706
NEW ADDITION UTILITIES OTHER
ELECTRICAL
No.
@
FEE
—
PERMIT FILING FEE $3.00
Main service incl. 1 meter
:f ow,
Additional meters, each C--
1.00
-
Z -0!�J
_L
Sub -panel (12 or les s) (more than 12) 1
Single Family Duplex Mobil Home,2 OthersEl
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 25
hal (&10.—
Receps., switches & fix outlEets]]�Mffa.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
—
Water pump
-7.70-
Mobil Home Facilities 5.00..
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I 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 the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
1 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
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X -25Z 51, - . -) —4� Date
I t(, We or Agent
nature of Permi9- 72 ---
Receipt No. Z o !�z a -5r
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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.
DIRECTOR OF PUBLIC WORKS
OOV
By Date
Building permit expires Date ...
4 1
�3
'o
Y
The Setback shall be 5 ft. f rom
the side property line aInd 50 ft. from
the centerline of the road, permitting
a maximum of a 2 ft. eave overhang.
All Utility connections shall be
located within 4 ft.
outside the rear
third section of the mobile home
�Zl
on the left (road) side of the mobile
home.
Septic system and location e6601114 -
to be as
--B-7-te--Eo�u�n- H--ea-lth Dept.
per
Re-
quirements.
14(DTE:—Ali Materials & Workmanship Shall Be -ft
6,ccordance with Recognized Good Practices ard
of a qual.ity prescrib--cl for the Spc-cified use in tl�w
Uniform Building Code, Uniform Plumbing Code, an -b
BUTTE COUNTY
the National Electrical Code.
BUILDING DEPARTMEW
ans and spe.cific:,tions MUST be
1his set of pl,
APPROVED
j
Kept on the job at all times and it is u nlawful to
make any changes or alteraiions on same without
written permisson from the Department of Public
Works, County of Butte.
WHE9 RECQRDED RETURNTO:
Robert.J y
P. 0. Box 629 ' -y"
Mue L�Q DECLARATION REGARDING IOTS OR PARC&S
i Calif. 95525
I certify that as owner of the property acquired by deed in
Volume Page 57 Official Records of Butte County, (AP.
1852
#_124 - 09 40 1* am requesting permission to build or install.
an additional, living unit on this property. I will not divide the afore-
.'mentioned.property for sale,.lease, rent, or financing unless all
icabl.e. A and A ivi- sion -laws7-and-. map -requirem'ents.-are .-compl-ied -with'.
am conversant with the present zoning regulations affecting the
I` -aforementioned property, and declare that I shall not violate same. I
it:-., -,,.represent that the proposed use of the -additional living unit is
TWO MOBILE HOMES
and, -that -further I--shall---not,-change-this-proposed-use--of--the--additiona1
, ,7 living unit unless and until -I receive written approval therefor from
the County of Butte.
I fully understand that pursuant to Cha,pter 20 of the Butte County-
.: -:-Code and §11535 et seq of the -Business and Professions Code that if I,
in the future, sell, lease, or finance the area on or adjacent to said
.,.-.:,._;;..�,:.2:mprovement without fully complying with the applicable laws and -
ordinances, that I shall be,guilty of a misdemeanor and therefore, subject'
to'the-aforesaid penalties and -imprisonment pursuant to law. Further,
-this st
atement.-shall-be--properly.:-acknowledged andi.-recorded-at.-the request
90
0FR Wner
OMP
90 kd
, 7__ - 0 �,
313 gas
I V Address
IL
0 Y REMDER
UT.
gate
- - - - - - -------- - - - - - - - --- - - - Ott,
STATZ Or" CALIFORNIA'
COUNTY. 'OF SSG
On this day of
197-3, before me,
_,/�`a Notary Public in and for gae-TountV io
-7 State of Califo ly
_�O, rnia, residing , therein,/ du
commissioned alld sworn, personally appeared-�n�
known to me to be the persVn whose ha
subscri d to the—Wit-hin instrument and acknowledged 4
to me that
he executed the same'.
IlN WITNESS %4IIZREOF I have hereunto set my hand -and affixed my
CA.,
seal in Elie .-County.. 6f--,4C�� the -day-.and-.year in this
certifica :*m"- - ovewrIt
3
E.*
COUNNITY
A'
'7 .0 iNj i
-97
ND OF DOCUMENT
, - . __ 7.",
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC
7 County Center Drive — Orovi Ile, California 95965
Teleptlorie: �34-4541
1/') i APPLICATION AND PERMIT
WORI
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 11 a t e ZY
Sigl<ture
,�f�;errnitee or A OK--'
Receipt No. 7 �W
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant
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.
DIRECTOR PUBLIC WORKS
E83 Date Za-j%_-7_J_
1�/ BuiWing permit expires
BUILDING
0 w:n :er
SQ. FT. OCC. BUILDING VALUATION
Mailing Address le
I
I Tee e Jo.
Fireplace
Contractor
Total Valuation
Mai I ing Address
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee
$
2:0;—
$
Building Address
Ae ".,- )<
PLUMBING
No.1
@ FEE
PERMIT FILING FEE $2.00
-3 <-d Ld, c 7--, r, n.
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 07 0 (
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
FeegtW4__-_� FireDept.1 FireZone Use Permit
EQA I Parking Parcel I ap 60' R/W Improvements
Plans I Declaration I Parce M
Building sewer 5.00
Lawn sprinkler system 2.00
BId4.'05`lons Rec'd
Parcel_Agp&eoal
Plon.CA`ppr.�.l
Permit Fee
$
$
NEW ADDITION UTILITIES OTHER
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
'01
Main service incl. 1 meter
Additional meters, each
1.00
Single Family Duplex Mobi I Home [3' Others E]
Sub -panel (12 or less) (more than] 2)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 2002T-
- _balg W.
Receps., switches & fix outlets 2
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of ihe
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I amexempt from theContractors License Lawsof theStateof California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
11 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
rdI 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 the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
I certify that I have read this application and state that the above I
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby i
TOTAL PERMIT FEE - is
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 11 a t e ZY
Sigl<ture
,�f�;errnitee or A OK--'
Receipt No. 7 �W
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant
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.
DIRECTOR PUBLIC WORKS
E83 Date Za-j%_-7_J_
1�/ BuiWing permit expires
C-31,
5134-79B
.'�ERMIT NO.
PERMIT EXPIRES
XXXXKX R. J. Montgomery
OWNER
ICONTR. owner
LOCATION (A.P. 24-09-51
NIS Nelson Ave., app.1200'W.of Gilstrap'
Ave., Gridley
Temp. Pow Pole
C ilc �
a e, _GaE
Temp. ec. Serv.
Cal ed PG&E
Temp Gas Serv.-
lied PG&E
emp.
Ca I ed
JeG a.
mp, I ed
ALED
(D Aale
i gnature)
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY.OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTIONAECORD
BUILDING.
BUILDING (Cont'd)
PLUMBING
Setback
2241
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
Topout
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
�Fdn. Vent's
Fixtures
Footings
X
Garage Vents
Water Htr.
Stemwa I I
Insulation
Heaters
Slab
Carport
Footings
Prov. for ph sically
handicappey
Conformance of ex.
structure 4
Appliances
Gas Piping & Test
Tern . Gas
Slab
Patio
Final
FIREPLACE
Sanitation
Final
Footings
Masonry Walls
Footing
Throat Z
ELEJtTRICAL
Rough
ReInf. Steel
Final
Fixtures
Bond Beam
FIRE SORINKLERS
Motors
Framina
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MJeCHANICAL
Gird. Fault Prot./
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBII_EH1qeIJTiLITIES
------------------ Elec- Service
Elec. Pedestal
Water Piping(
Sewer
Gas Piping
M0016EUOME INSTALLATION -------------- Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
—REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
V1 COUNTY OF BUTTE , DEF��RTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
T61ephork� �534-4541
APPLICATION AND PERMIT
A"I
AA
'',I
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X A? , (�- Date
I
Qn�ture of PernAfeor A7=9
Receipt No. zs? Llr�� )
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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.
11 D I R =Ce: IC WORKS
By— Date
29 Building permit expires Date
BUILDING 7 1 \ :.,7
Owner
5
SQ. F T. OCC. 13UILDING VALUATION
9 --
J 1
Mai I ing Address
Z/3
Teleph.neN
Contractor Lave -
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building AddressV/5 P/aLWA) "4S APP 12W'
PlanChecking Fee&/orPenalty
Permit Fee $
7 4, 73
W, 1-5 7- RA P A 046
PLUMBING No.1 f FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
P. Ng/
i—oning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
IF es
Sa,91Qfon I FireDept.
1��i�e Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
rce
EQA Parking Pa !
arati
P tAK� I Decl on
P cel't P
1 60' R /W
I improvements
Each additional outlet .30
Building sewer 5.00
Bldg.Zn. Rec'd ji'
7� ALp p ro 7.1
P a r ec-e I
P lans ApEroval
Lawn sprinkler system 2.00
N E W Cg,' ADDITION UTILITIES OTHER
I I
- $
Permit Fee
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE [$3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex Mobil Home D3 OthersEl
Main service EA. ADDIL 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA- ADDIL 100 AMP 1.001
NEW CONST. DWELLING OCCUP. N). 20sqft
OR ADONS. ACC.BLDGS.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR 1.0 L T
N.N.RES'., (MULT
BRANCH CIRCUITS) Q.50ea
NEW CONSTR. (POWER APPARATUS &JI
NON-RESIO. SINGLE OUTLET CIR. �
Ex. Occuo(OUTLETS OR FIXT11PES) 50 @ 25C
I BAL01
F Ul - XED APPLNS. R
Ex. Occup. 0 'TLETS (RESIDO) EA)_ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
J0I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
E] I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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
Land Development Fee
$
TOTAL PERMIT FEE
L
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X A? , (�- Date
I
Qn�ture of PernAfeor A7=9
Receipt No. zs? Llr�� )
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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.
11 D I R =Ce: IC WORKS
By— Date
29 Building permit expires Date
'PERMIT NO. 376-79P,E
PERIiIT EXPIRES
OWNER Robert J. Montgomery
CONTR. owner
LOCATION (A.P. 24-09-51
NIS Neilson. Ave., app.k mi.E.of Hwy 99,
Gridley
(Date)
(Signature)
Temp.-PowerPole
Called PG&E
Temp. Elec,. Serv.
Called PG&E
emp. Gas Serv.
Called PG&E
JO B
0 A I =n
(Date)
(Signature)
r"raming Test Water HtrJ
iz —cc 0 Final SubpaneA
Mesh -1 MECHANICAL Grd. Fj(ult Prot.
Scra/ch HeatirkA Servii(e
Brj(wn CooAg Timp. Pole
Ish
n Du ts nderground
iderior Lath ntilation �Peffnanent
f.00r Closer *Inal I nal
MOBILEHOME UTILITIES ----------------- Elec- Service EXIS-7— /0-6 Elec. Pedestal
I I cc
Water Piping -25; Sewer Gas Piping (5 4 C.
=1 E OME INSTALLA1_10N --------------- Support Elec. Continuity ,o—,'
Wat& Piping 10 Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
56'Al 7' 0 lie 0 /6&A F --4J 5; -r-7;c- /-&d A ?tD A90
cjc�,r 4V V 00F Avq-q--�- AAS SUP A" eZvee,/
(NOTE: An entry must be made on this form each time you vis1t the job site.)
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORXS
BUILDING INSPECTI ON'R E CORD
BUILDING BUILDING (Cont'd)
'A PLUMBING
SeXack
FXewall
Ski Piping
-Forn%
Par%pets
t Floor
Mal'kBldg.
Restkom Finish
2n loor
Fo ings
W
WIndoA
3rd Noor
SteNall
Siding
Topout
Slab
Root Shea'hing
Water Pip%g
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for p sical
handica pe X
Conformance of ex
V structure 'A/
Appliances
Gas Piping & Test x 0(
Temp. Gas y
Slab
A Final
Sanitation
Patio
:FAEk-ACE
Final
Footinas
Footing /J,.,,* -V
OLECTRI&AL
Masonry Walls
Throat
Rough
Reinf. Stee�
Final W
Fixtures N
Bond Bear/
/FIRF SPRINKI EN0.
Motors
r"raming Test Water HtrJ
iz —cc 0 Final SubpaneA
Mesh -1 MECHANICAL Grd. Fj(ult Prot.
Scra/ch HeatirkA Servii(e
Brj(wn CooAg Timp. Pole
Ish
n Du ts nderground
iderior Lath ntilation �Peffnanent
f.00r Closer *Inal I nal
MOBILEHOME UTILITIES ----------------- Elec- Service EXIS-7— /0-6 Elec. Pedestal
I I cc
Water Piping -25; Sewer Gas Piping (5 4 C.
=1 E OME INSTALLA1_10N --------------- Support Elec. Continuity ,o—,'
Wat& Piping 10 Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
56'Al 7' 0 lie 0 /6&A F --4J 5; -r-7;c- /-&d A ?tD A90
cjc�,r 4V V 00F Avq-q--�- AAS SUP A" eZvee,/
(NOTE: An entry must be made on this form each time you vis1t the job site.)
! 1 -,-f
COUNTY OF BUTTF�
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the relluirement.s
of the California Administrative Code, Title 25, Chaiter 5, un er permit
number -79/1 Q f or the following location: A/ S I -S rt-�
C7
Owner I AA r) -A
Owner's Address -1 . 14 1 . aA.4
Mobilehome Mfg. Model — Y I ear
Insignia No. Serial No. 14 a (-
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By
MOBILEHOME I&RELOCATED
THIS CERTIFICATE IS VOID
White - Owner, Yellow - Installer, Pink - D.P.W.
3 -2 4--)
9. Electrical
A. -Is service large enough to provide equdte-an�pe.rage-to mobilehome (must equal rating of
de quate,
mobilehome with a -minimum of. 11 , a7 &)ai�d th r facilities on lot ate�rpumps,
i w
PO
garage, cabana, etc.! Yes--V'No
�_ �o
B. Is there proper clearances around panels? Yes N
C. Is power supply cord or feeder assembly properly fused? Y No—
D. Is continuity test satisfactory as per the'following procedure? Yes Z-��o
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors,, including neutral
conductor, have been disconnected.
3. -Switch all breakers and switches in the mobilehome to the "on" position.
4.' Connect'one lead of a test instrument to the mobil:ehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), -including fixtures and appliances; shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall.be connected to the site service equipment. A further continuity
'test shall then b.e made between. the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
10.- Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign -off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length' Width
Vehicle Serial No. lc).2
State Identification No.
Additional Information or Comments:
MOBILEHOME INSTALLATION INSPECTION CHECK LIST.
1. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yes— 0.
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes .�O_
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes--k-N-0�_
4. Is the mobilehome level? (Sec. 5088) Yes_j:�—go�_
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes 1_�C�_
6. Water I
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. .5566)
Yes_tzgo
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes k---'N-o
C. Backflow - If coach is not f Ca lifornia approved, does station have backflow device
and pressure -relief valve?,jes
ANO
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes-.',�No
B. Does it have minimum k" per foot slope and is it properly supported? Yes— No'
C. Are any leaks detected in drainage system after running 3- lions of water through each
fixture including washing machine standpipe?..Yes— No
D. If :c:oaW ot State of Californiaapproved, does station have required trap and vent?
Q�n
Yes 0
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobilehome gas line ifil'dt without reductions other than the mobilehome
connector. Yes &--No
B. Test OK as'per following procedure? I YesjZNo__
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column', or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes V_'No.
V.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone, 534-4541
APPLICATION AND PERMIT A
QUtIIUII&V IVVI=QWIIL0LIVUZ1 Ul LIIV %,ULJIILY Ul DULLU tU VIIIUF UPUII tne
above-mentioned property for inspection purposes.
X 9: 5n.—" Date 1 -2 -3 - 2V
9 Slgnotul(Woa� Permitee oPAgent
Receipt No. I T (0 3 01
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIRECTOn�'LIC WORKS
By 9', -s., Date L 7-4, -7
BuiVing permit expires Date - / - 7-(, _g,
BUILDING if I
Owner iG
11. FT. OCC. BUILDING VALUATION
1_�
Mailing Address Je T
lephone No.
q Z. -
Contractor
Mai I ing Address
ireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
PlanChecking Fee&/orPenalty
SPermit Fee $
AA
PLUMBING No. @ FEE
z
PERMIT FILING FEE $3.00
Each Tral) 1.50
Repair drainage or vent piping 1.50
A. P. No. q c5 Ili Zoning & Plo ing
W r piping 1.50
Each gas water heater or vent 1.50
F61�_;J
ilt�-;m*tetiei4
Fire De t.
Fi re Zone Use P it
Gas piping system 1 - 5 outlets o L9_0
1.50 IP,
EQA
parking
Plans
Parce!
I Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00 W,0-0
Bldg. Pl"ec'd
P aZiZ
Plans Approval
Lawn sprinkler system 2.0 0
IIEW ADDITIONE] UTILITIES& OTHER,0
Permit Fee $ :3KCX:�,
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESSFSS
100 AMP OR L _ 5.00
Single Family DuplexE] Mobi I Home Others
Main service EA. ADD -L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST - (DWELLING OCCUP.
OR ADDNS. ACC.BLOGS . 120 sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9. Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR_ -OUTLET
N...RES,., (MULTI
BRANCH CIRCUITS) 9.50ea
I
NEW CONSTR. (POWER APPARATUS.&
NON-RESID. SINGLE OUTLET CIR ,
Ex. OCCUP(OUTLETS OR FIXTIIRES 5BOA@L 2@510W
FIXED APPLN OR
Ex. Occup.(OUTLETS (RESSI'D.) EA) 2.001
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
P91 I am exempt from the Contractors License Laws of the State of California.
6ex
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
E] I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
.NtI 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 the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL N0.1 0 FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$ gs—J�5iz
TOTAL PERMIT FEE
1$ 5� I I
QUtIIUII&V IVVI=QWIIL0LIVUZ1 Ul LIIV %,ULJIILY Ul DULLU tU VIIIUF UPUII tne
above-mentioned property for inspection purposes.
X 9: 5n.—" Date 1 -2 -3 - 2V
9 Slgnotul(Woa� Permitee oPAgent
Receipt No. I T (0 3 01
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIRECTOn�'LIC WORKS
By 9', -s., Date L 7-4, -7
BuiVing permit expires Date - / - 7-(, _g,
COUNTY, OF BUTTE — DEPARTMENT OF PUBLIC WORKS
71
Qnunty Center Drive — Oroville, California 95965
Telephone:.�34-4541
APPLICATION AND PERMIT
duinorize representative OT,�ffe oun Or t:sutte to enter upon Me
5 "o
abLove-men�J�o op Y in�s�peon purposes.
X -t- Date 'gr
g n t
natur/of P4.ite
Receipt No. / q- IS 0 13 ct
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant
This permit is hereby -issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above,hnr which fees have been paid.
67
D I F PU LIC WORKS
h!� Date afi
tl V I
Building permit expires Date
BUILDING
Owner &
SO. FT. OCC. BUILDING VALUATION
Mailing Address NJ ' /
AQK A'/9 I.S. J
&D
Telephone No.
Contractor
Mailing Address/#_L-)
Fireplace
Total Valuation
Telephone N
Permit Fee
Building Address /VA .4 ae awr,6
Plan Checking Fee &/or Penalty
Permit Fee
$
I
U-3 o o,
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No. f - 0
ning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fdef
iz I 681'rhutraTt-1
F e De
ir P'
F, re Zone
Use Permit
Gas piping system I - 5 outlets 1.50
EQA
Pa,king
P'lans
Parcel
Deciaratio=narce
P I M ap
60' R/W
I Improvement .
Each additional outlet .30
Building sewer 5.00
13W9. FC rn's-'R e c' d T
P a r c e I Jpooreoov a I
Plansf.A �roval
Lawn sprinkler system 2.00
NEW ADDITION F] UTILITIES OTHER ER
Permit Fee $
i$
_
d�ege-,37(6-72*
ELECTRICAL No. @ FEE
-Aae
PERMIT FILING FEE $3.00
Single Family Duplex Mobil Home Others El
600V OR LESS
Main service 100 AMP _OR L E:SS 5.00
Main service EA. ADD -L 100 AMP 2.50
OVER OOOV
Main service 100 AMP_OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. /DWELLING OCC up- 20 sq ft
OR ADDNS. % ACC. BLDGS.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9. Div. 3, of the
State of CALifornia Business & Professions C de under the name
style of
NEW CONSTP_ -OUTLET
NON.R.S,., (MULTI
BRANCH CIRCUITS) 12.50ea
NEW.CONSTF;L (POWER APPARATUS
NON RESID. SINGLE OUTLET CIR.
50 0250
Ex. Occur)(OUTLETS OR FIXTIIPES,� BAL@100
Ex. Occup. FIXED APPLNS OR
(OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License Classification
Misc. Wiring 6.25
I am exempt from the Contractors L I cerise Laws of the State of Cal i forn i a.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
e
I am aware of th<e ovis ions ot Section3700 of the California Labor
Code whic�h ires every employer to be insured against liability
e Com
for A�Wor R n's Compensation.
,A,� aye placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I 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 the Workmen's Compensation Laws of
Cal I forni a.
MECHANICAL Nol @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Venti I ati on _—TT
Hood 2.00
Permit Fee $
1 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 construction, and hereby
-iiind nou-Iiapment E e Is
cm
TOTAL PERMIT FEE 1$
730 CC
_51
duinorize representative OT,�ffe oun Or t:sutte to enter upon Me
5 "o
abLove-men�J�o op Y in�s�peon purposes.
X -t- Date 'gr
g n t
natur/of P4.ite
Receipt No. / q- IS 0 13 ct
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant
This permit is hereby -issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above,hnr which fees have been paid.
67
D I F PU LIC WORKS
h!� Date afi
tl V I
Building permit expires Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLhION SHEET
1. Ownerls name: 11-�7pllaI7 2V
Installer's nam Xe -
2. e:
3. Is the site currently under permit? Yes lt4 No
(If yes, furnish permit number OR
Is the site an existing site?. Yes No M/
(If yes, furnish two (2) plot'plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes 5,� No
(If no, clarify
5. What is the mobilehome electrical rating? ----------------------- Amps
6. What is the mobilehome site service rating? --------------------- //0-0 Amps
7.' What is the mobil ehome site circuit breaker rating? ------------- 5-0 — Amps
8. Is there any other electric load to be served by the mobilehome
site service? ------------------------ --------------------------- Yes No
(If yes, identify the load and size: (Load) (Amps)�
9. What is the mobiiehome site gas pipe size? ----------------------
LPG
10. What is the type of gas service? -------------------------- :.-- Vatural
11. What is the gas pipe length from meter or tank to the' obilehome? Vc)-1 (ft.)
12. What is the mobilehome gas demand? -------------- .... (BTU)
(This information not required if"pipe length less than 6 ft. on natural gas.
or less than 50 ft. on LPG.)
:C
'-'bPPORT DATA
MOB ILEH S
'If other than single wide,
Mobilehome Mfr.-4i� :�&_AA)4&2d4-2 furnish Setup Model No. /'o' Year
(ft.) Tagalong or Expando Size ft.
Width 4Z (ft.) Box Lengt....,.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973,, furnish manufacturer's installation
manual and structural setup sheets (if not on file7with the County of Butte).
All center�supports measured from front.of
mobilehome unless otherwise specified.
(ft.)(in;) (in.) (in.)
Center support
locations*
(f t.) (in.)
(f t.) (in.)
F3V_51
(f t.) (in.)
Center support
footing sizes
(in.) '
1-.3 Gx. -370
(in.) (in.)
(in.) (in.)
(in.) (in.)
Footings (check one)
Single 1. Wood either -
A pressure treated or
foundation grade.
2. Other (specify)
*If center piers are other than drawn above,
draw"in-locations, spacing, and dimensions.
Supports (check one)
li Concrete block.
2. Other (specify)
4 -Tagalong or Expando,
show support details.
/j�%xj/�) I -- Typical Support
in.) (in.) Footing Size
-- Max. Pier Spacing
(ft.) (in.)
Ido. -101 -- Max. Overhang.
(ft.)(in.)
BUTTF_ COUNTY
BUILDING DF_PARTMF=N1
APPROVPD
COUNTY OF BUTTE
Department of Public Works
7 County Center Drive
Oroville ----- 534-4541
Location
Mobilehome Installation Permit No.
FILL IN INFOR14ATION FOR ITEMS I THRU 10
Watts
1. Width x E�ox Length x 3 = - 0 0
2.
2
Kitchen
Appliance Circuits .................
3,000
3.
-1
Laundry
Circuit .............................
1,500
4. Ovens ........................................ =
5.' Cook Stove Top ............................... =
6. Hot Water Heater .............................. .
7. -Dishwasher & Disposal ........................
8. Clothes Dryer ..................................
U
9. Other (specify, i.e., motors, exhaust fans,
etc.)
/SAO
Sub -total - Watts ......
First 10,000 watts @ 100% ................................ = 10,000
Remaining watts @ 40% ....................... = �56
10. Air Conditioner watts @100%.. =
Central Heat System �!j 5 'watt . s @ 65%.. = Largest Demand
TOTAL DEMAND WATTS REQUIRED .............
"Demand Watts Required" + 230 .............. ............ �Ilo - -3 ;2, AMPS
De -rate Mobilehome' to .................................... AMPS.
BUTTFz COUNTY
OUILDING I 5LPARTM6NI.
APPROVED
.,A
6'110'dlal
0 10 4P_ 7,
01 0, A C.
0
0-1 �
006 k
R 3 E
0 C?- 10 OSI -0-1
Pp7e_ /3/'� payte(
Ave.
W*' Ibis set of plans and specifications MUST bt
Accordance A Recoqnized Good Prele-tices an,4
of a qual �ty prescribed Jor the Snecified use in thp kept on the job at all times and it is unlaw ' ful to
Uniform Euilding, Plum�inq & lvlachanizc�Cocles an� make any changes or alterations on same withoui
Jhe Natio ial Elect . ric . al Code. written permisson from the Department rf
Works, Countv of R10+0
The Setbi ack-shall. be 5 ft. from the
side property ine and 50 ft. from the
centerline of 4 B road, permitting a m 3xi- --Septf;c system and location aft== -
mum of a 2 ft.,, iave overhang but enti -ely to be as per
out -ol'all-eas enfs. Butte, County --Health -Dept. Re�
i rements
-sty,
J
permit -will -be -required for tha_r
i4sialWion of the mnb',Iehome�
e S er�� U741 /is
Q\
All uti [it connection s shall be
kkat�!dWithin 4-f t.-olutside *ie-
thir ' d s ' ecti:)n of the mobile home
on the left (road) side of the -mo'bile
home.
_2A
1:3u TE_C T_
DEPARTMENT-
---.APDDO
_VED
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
NNO
W &M -N, Erl
sm
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.6Z 4
_ 0 Lqo_ C)'5
1
ZONING
OWNER
PHON
OWNER'S ADDRESS
LOCATION OF BUILDING
or
USE OF BUILDING
la! A-0 /+D -f S A Is (-caC48
SIZE OF STRUCTURE
/
44C t4.,-4
&90—, x SO. FT.
TYPE OF CONSTRUCTION:
WOODFRAME— STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING J
FLOOR WE
ESTIMATED COST OF CONSTRUCTION
$ .45-7' 91040, 00
AG Buildings shall comply with the min imum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows -
FRONT
SIDES REAR -9- C
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.
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 comply with the requirements in effect at that time and before
occupancy.
Date �- J -0—(-) ( J — Signature of Owner,
Permit Fee - $60.00
rmit
Rec i t No. 4
The above described AG Building is exempt,,,f
,,f m a building permit.
%Flb I Pt7glL I Pi.Yl R�PfQG I ll§;Jr
Manager Building Division
-j�) ji'� By Date 6)�/00
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant