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24-10-77• BURLESON Gene_ Y 682 -71B.,41.5 -71B -
GENE & SHIRLEY BURLESON ` 404-71P1118 Larkin Rd, Gridley �[�_ �� '7 `7
Permit#1-87A(A&ricultural Bldg Exemp/ F
farm implement,,storage� e/s Larkin Rd. .app-. "500' so.. of .U1Brien, Grz
(new single family) "(*add'1. footage)
24-10-77
A ContR: Bob Fichter
PErmit#3438-88B(reroof/SF) :2 1 - �7 -
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COUNTY OF BUTTE - APJTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
7PRMIT NO.
_Y
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed 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
o - `zA-10
OWNER
PHONE NO.
1
C` Y '
n 7
- 2 J
OWNER'S ADDRESS
L
LOCATION OF BUILDING
1 L Yeo2 A,
USE OF BUILDING � j
--, -t
SIZE OF STRUCTURE
Q` ' X 22 = A 4 0 SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME A STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING f
ROOF COVERING
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
s 450('
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: /
FRONT 33- Z" 46- / ® l ®
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 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—), 1C 8 7 Signature of Owner �iT D c--\�� o► . are
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. /d%' Director of Public Works
By — Date
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
COUNTY OF BUTTE - DEPARTME14t.bAUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916AvWx 538-7541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
Permit No.
tf K- lca3 017 A No
�9M
Building Inspector Date
At time of per application, I was advised the following data must be submitted prior to permit processing
and:/or iss�l nce: DATE RECEIVED APPROVED
1. 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. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , . . . , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. ' . . ./ .
13. Contractor's License Information (no., name style, classif, )
14. Owner -Builder Verification (Given to owner, Mail to owner ❑.),
—15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: ail to owner, —Mai l to contractor.
Telephone and hold for ckup at—off ice, Deliver w/inspector.
Other
Appl icant�
Copy of plans sent Health Dept., 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:
xxxxxxx 538-7541 538-7261
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 —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder xxxxxxx 538-7601
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
�, ? : dl7°�",i "" Z riv" V g`7�►::t,
MMW
Permit#3438-88B
Gene Burleson
1118 Larkin Rd, Gridley
1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATJON AND PERMIT
PERMIT N�O/
-? l C
ASS ESS�)o:. PAR ELc NUMJE
_/ / '(-�
ZONING
BUILDING PERMIT
OWNER
(-,Ir hF 14- .Sh f r - 'i r -.sin
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
_9 (I
OWNS 'S MAILING ADDRESS
fin' .I : � a 9
CONXT R'S AME^ ! �ELEPHONE
CONTRACT R'S MAILING ADDR SS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /'L. /
(X)
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
<� f
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL -M
Water piping
5.00
Each gas 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 I S I G 1W I
10-00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utl lities ❑ Installatio/n ❑ Other
Describe work: ��,2� t. 1,,) �/�!C 1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
`-'
Main service 100 AMP ORSLESS
10.00
Main service EA. ADO'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
❑ 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 contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
occuP.pl\
NEW CONST. / DWELLING OR AODNS. ACC. BLDGS. I
1
1/20sgft
NEW CONSTR. I.OUTLET
RA C IR..ITS I S
NON -R ESID BRANCH
2,50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
EX. Occup( OUTLETS OR FIXTURES
ezo 9 Sot
ALS 30
FIXED ALNS. 11
Ex. OCCup. OUTLETS PP
Ex.)REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Yirin g
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.
1 shall not employ any person in any manner so as to become subject
L�
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.
I certify that ['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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I 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 consequence of the granting of this permit.
/ _ °
%� ' / f �`'t = — Date �/ ��
Signature of Applicant - Owner �y
LJ Contractor ❑ Agent 1:1G/
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ S)�
OCCUP.
CON3T.TTPE
JSC400LJ1L000JP..C.ELJ
PD
NO
133UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees•
DIRECTOA'OF PUBL'IC'WORKS
BY �' �' -
PERMIT EXPIRES Data /
the applicable provi-
resolutions to do
have been aid.
p
Da�tte
',
Receipt No. ,�� / <
WNITE-O.P.W., TELL0W-A3e E330R, PINK-IN3PECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO
ASSES Oji1P�/( A R7EJ--1N UMEn
ZONING
BUILDING PERMIT
R s 1
Or
1� — �i �l7
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
,
OWN /fji� fa AILING ADDRE S )^
/
/ / I �\
Y
CONT CT R'S NAM \' L&
O
LEPMONE
CONTRACT R'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 5
ARCHITECT OR ENGINEER
LICENSE NO.
Pian Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
ux �
BUILDING ADDRESS /719' 9' A) h /Z7
Permit fee
$ �0 S`
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL M/P
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFg Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ R'elnodel ❑t lities ❑ Inst alio ❑ Other R
Describe work: Q l^ i
S L&S' �
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600v 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 Business/POWER
and Professions Code and my license Is In full force and effect.
License No. Classification\
EJ 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.y ,
OR ADDNS. C ACC. BLDGS. /z¢sgft
NEW MULTI -OUTLET 2,50 ea
NON.RES'ESI.. .BRA C CIRC S
APPARATUS e
`SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES eA 0 0
Ex. Occup. OUTLETS FIXED P(RESID )REA.J 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $
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
�f Consent to Self -Insure.
L J 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
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
again id unty in consequence of the granting of this permit.
Date do_g'�
Signature of Ap licont — Owner Contractor ❑ 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 $ �� ��
OCCUP.
CONST.TTPEJ
ISCHOOLIFLOODIPARCELI
P11
1 Ho
1 ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work in d above for which fee have been paid.
IRE F PUB ORKS
B D to D
PERMIT EXPIRES Date J
Receipt No.
WHIT[-D.P.W.. TCL LOW-A3eCe eO R, PINK -INSPECTOR. GOLDENROD -APPLICANT