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HomeMy WebLinkAbout039-080-10039-09-e !O O Earl Gilbertson NW/S Hegan Ln., app.1 3/4 mi.S.of Midway, Chico Permit #2445-7 B(new front porch &� reroof/SF) O— --- 39-08-� )b� Pe- 't #3791-83P,E�(util, MH) �J ELECTR-NQ- 3 200,4 GAS 11-ui-X3 o' AV* ATT SUPPORT STRUCTMNz-ZQ_ (lco COMPACTION TEST REQ �' 39-08 ontr Cal_ ers- _.. • �_ MH -Ser Isgg'ermt f1-8()MHV a /A g s ISS 3 3 d h. 039-080,QW1O0 04-0454 GILBERTSON, EARL 8c HELEN 31_f0 HEGAN LN, CHICO ` REPAIR GAS LINE ` pro 3q � 039-080 b l OD 94-61A GILBERTSOA, EARL• & HELEN t 3120 HEGAN LN., CHICO AG EXEMPT PERMIT -LIVESTOCK c o`i- oti5Y 3 . 0460 - 00q HfLr, ,✓ 3l Z o P HE 4�a•,.� t- � Y,9*4 �N ;o ioe 1fj tech 4a, wiS, 13rtoke,✓ uye•J veop. theM,- Fo•L- 313 Fs ,Ser,4r 3/)-,o tGi9er DETACH FOR SERVING UTILITY . Address J[2o H/Q�,�.� [�✓ Ck/co GAS Meter By e DateZ—AZ Of ELECTRI Meter By Date BUTTE COUNTY VTT�0 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 00 /.. 24 HOUR INSPECTION #: (530) 538-7836 (OROVILLE) (530) 691.2834 (GrHICO) c T:"s " u OFFICE #: (530) 538-7541 COU N'�y PERMIT NO. BP040454 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. ,LICENSED CONTRACTORS DECLARATION I hereby affirm under •penalty of perjury that 1 am licensed under Issued Date: APN• 039-080-009-000 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 effect. Site Address: 3120 HEGAN LN CHI " License Class: License Number. . Map Index: Date: Contractor. , Description: REPAIR BROKEN GAS PIPING OWNER43UILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the , Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: GILBERTSON C EARL & HELEN P TR Permitto construct. alter. Improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to rile a signed statement that he or she Is licensed pursuant to the provisions of GILBERTSON C EARL & HELEN P the Contractor's Slate License Law (Chapter 9 commencing with Section REVOCABLE" LI 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 3120 HEGAN LANE violation of Section 7031.5 by any applicant for a permit subjects the. CHICO, CA 95928 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: GILBERTSON C EARL & HELEN P TR such work himself or herself or through his or her own employees, pP , provided that such Improvements are not Intended or offered for sale. II however, the building or improvements are sold within one year of completion, the ownerbullder will have the burden of proving that he or she did not build or improve.for the purpose of sale.). 1, .as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contmcts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.).' Contractor: LII am Exempt under Article 3 0208Buslaess and ProfessionsCode Date: Owner. !� ' . WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ' O 1 have and will maintain a certificate of consent to 411 -Insure for workers' compensation, as provided for by Section 3700 of the License #• Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit Is Issued. My workers' compensation Insurance carrier and p611cy number are: Engineer: Carrier. Policy It: ' I certify that in the performance of the work for which this permit is Total Square Ft: 0 S:F, Issued, I shall not employ any person In any manner so as to Valuation- $0.00 become subject to the workers' compensation laws of California, and. agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code. 1 shall ' forthwith comply with those provisions. L Data: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject aemployer 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 he y Issued r applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction fending agency for the a ark hid' a for which fees have been paid. performance of the work for which [his permit Is Issued (See 3097 Civ.) Name: 1a' BY 1Da e. G PERMIT EXPIRE N: Address: Date O 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. O Notification in accordance with Section 19827.5 of California Health 8 Safety Code Is not applicable to the scheduled construction of.this project. O Attached are copies of the required E.P.A. notification forma. I hereby certify that I have read this application, that the above Information Is corset, and that I arra the owner or Ihesiulx authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of eD/offs al forth or document of Butte County. I hereby authorize representatives of Buttunty to enter upon the above mentioned property for Inspection pu se y PrintName: l �(_�(, _ Signature, Data: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP040454 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date' APN' 039-080-009-000 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 effect. Site Address: 3120 HEGAN LN CHI License Class : License Number. Map Index: Date: Contractor: Description: REPAIR BROKEN GAS PIPING 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 Business and Professions Code: Any city or county which requires a Owner: GILBERTSON C EARL & HELEN P TR permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of GILBERTSON C EARL & HELEN P the Contractor's State License Law (Chapter 9 commencing with Section REVOCABLE LI 7000) of Division 3 of the Business and Professions Code) or that he or 3120 HEGAN LANE 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 CHICO, CA 95928 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who doesGILBERTSON Applicant: C EARL & HELEN P TR such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 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 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.). Contractor: ❑ I am Exempt under Article 3 of B ' ss and Professions Code 1,77" flf Date: Owner:. 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 License #: Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and p6licy number are: Engineer' Carrier: Policy #: I certify that in the performance of the work for which this permit is Total Square Ft: 0 S.F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation: laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: � � j^ •• �.i WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 1i 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 she er applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the �issued Res3 'on t a for which fees have been paid. J / performance of the work for which this permit is issued (Sec 3097 Civ.) 1-7?- � Name: By: e: Address: Address: �Da PERMIT EXPIRE N: ' 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 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 a offi al forth or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pure se Print Name: ��Signature: Date: — Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891.2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. B. C. Building Permit 01-23-04 pg 2 DATE: _ APN: 0 U NEARS RO S STRE TRACT/LOT#: SITE AD ESS: CITY, ZIP: , Lh 2 OWNER NAME: "FAX STREET ADDRESS: ^ CRY, ZIP: � E-MAIL: APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: - –1 — E•MAIL: CONTRACTOR NAME: - PHONE: STREET ADDRESS: W FAX FAX - CITY, ZIP: E -MAIL - LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: EMAIL: DESCRIPTION OR SCOPE OF WORK: ❑ 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 fees will be required. 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. For office use only: Notes: Application Received by: Date: Amount Received:a Receipt number: n J , l� UP) B. C. Building Permit 01-23-04 pg 2 PERMIT NO. 3791-83P2E PERMIT EXPIRES OWNER EARL GILBERTSON CONTR. OWNER r` ASSESSOR,PARCEL 39 -08 -9 - LOCATION NIS Hegan Ln, app 3/10 mi W of Chico State College Farm Rd, Chico I OF ICE COPY c' l Address ', _ J � �- �h L,GAS r �;- ter BY Datj2' ELECTRICMeter BY Dat i P i 'Temp. Power Pole Called PG&E / ' -,Temp. Elec. Service -Called PG&E _ .6 Temp. Gas Service Called PG&E JOB FINALED (Date) ,Z L Signature d°k 0 =j N . K c`_ Not Applicable RESIDENTIAL (Sin'gle and Duplex) =, Not Ready Date UNDERFLOOR Plans OK exce tit's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalis, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O-Sevaer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings - 57. Smoke Detector Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker. Sizes -Labels _-_ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Stec. Receptacles Spacing -Lights &Switches at Doors - 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location _ - 23. 24. 25. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic El Yes Guard Rails & Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --__Insulated 27. H. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive [].Yes E] No; Walks ❑ Yes [I No; Planters ❑Yes 0 N 76. Stucco; Brown -Finish - - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light 78. 79. 80. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground _ --- --- - ----- Card B -I ----- ------ Date Card -BI Date -_ 81. Ventilation throughout House j Card B -I Date Card -BI Date 82. Glass Protection Date + MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric J 31: A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approlval _ _ 32. Vent Fan_Exhaust above Insulation _ _33. Condensate Drain _& Overilow; Size & Grade 88, Energy Compliance Certificate -Other Certificates -- 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI 35. Attic Access & Platform if Furnace in Attic -- _ Date -i-- Card -BI_- Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: V 36. 37. 38. 39. _Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor _Nailing -- Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. - 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & R_om_ex Protection -Draft Stop -Ins. Baffles Bdrm._Windows or Exiting Doors -Sill Hgt. & Dimensions_ --- Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) J = OK 0 = Not OK — = Not Applicable MOBILEHOMES * ='Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning.Requirements—Setbacks—Easements oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors L,Wwer; Location—Test—Fall-C/O—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatio es' /200,L"ft./f .or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors ility Clearance _ 7. Elec. Card -BI 71 1 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date _ MOBI)e"OME INSTALLATION (Plans) OK except #'s Date _ POOLS (Plans) OK except #'s �Zening Requirements—Setbacks—Easements 1. Setbacks—Easements Fo ' gs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining___ lectricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI ra'n; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed i.,,Lpr and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as and Electricity Tagged 8. Elec.: Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane lboards—Ins. to Main in Conduit &109-xits; Insp.—Sketch B 1Q/C.ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date LN l COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: i Owner Owner's Address L' Mobilehome Mfg. Model Year L. Insignia No. > ` " �'�� 7 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. 1 iT ate Director of Public Works Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS U 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND, PERMIT PERMIT NO/ ASSESSOR PARC L NUMBER 9 09'-J ZONING BUILDING PERMIT OW ER 0 g4gL GI t 7'- o� TELEPHONE -�8� S0. FT. OCC. BUILDING VALUAT ON OWNER'S MAILING ADDRESS E -J J 4.4.1 L? ON ACTOR'S NAME ?� A 0 M1-95 rW013; erg/ me TELEPHONE 3aS-la 1,0 CONTRACTOR'S MAILING ADDRESS %OD.3 6 e4gilEvw.i N c O Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIN R LICENSE No. �J 764Penalty Plan Checking Fee lT $ ,S $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI IN AYIBs� 7,4A) G,4AJC APP 31 PLUMBING PERMIT Filing Fee 10.00 nP/li�(iii v Each Trap 2.00 Solar Water Heater 20.00 elf/w Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome IpLI Other IMobile SPECIFY Building sewer 5.00 Home I S I G JW I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U,tjj'lities Installation Other ❑ Describe work: 10k U77L ,%�VS3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 xc/ vC? Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS, ( ACC. BLDGS. 2/20sgit CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code land my license is in full force . and effect. 4EA.) License No. 12 160 3 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 NEW CONSTR. ULTI.OUTLET 2,50 ea NoN.RESID BRANCH CIRC ITS. NEW CONSTR. POWERAPPARATUS &'I NON.RESID. ( SINGLE OUTLET CIR. / 20®50a Ex. OccupOR FIXTURES 8AL®30 FIXED ALNS EX. OCCUp. OUTLETS PP2.00 (RESID )R Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. r� I have placed on file with the County of Butte Building Department y� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 ounty in consequence of the granting of this /permit. G X Date !!' A Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 1,5.00 TOTAL PERMIT FEE $ 7�r 0�0 OCCUP. GROUP I TYPE of CONST.PARCEL `F PD ND IS E This permit is hereby issued under sions of the tte County Code and/or work ind' ate above r which DI EC OF PUBLIC By. PERMIT EXPIRES to the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. OVI622 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INS ECTOR. GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. ��� r``Jd �� furnish Setup Model No. _ 3 63—!f— Year Width at.) Box LengthTagalong or Expando Size ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. ; show support -details. Footings (check one) • Single l (in.) (in.) 1'. Wood either pressure treated or Typical Support foundation grade . Footing Size 2. Other: (specify) Center support locations* Center support footing sizes (in.) (in.) '.. Supports (check one) Max.Pier Spacing X D 1: Concrete block. j d 1 ❑ .2: Other. (specify) (ft.)(in.) (in.) (in.) (in.) (in.) (ft.)(in.) *----Tagalong or Expando,' show support -details. (ft.)(in.) (in.) (in.) 1 2x3 c7 -- Typical Support (in. (in.) Footing Size (ft.)(in.) (in.) (in.) Max.Pier Spacing (ft.)(in.) 'ya T-- Max. Overhang (ft.)l(in.). (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT z APPROVED/ *if center piers are other than drawn above, draw in. -locations, spacing,. and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville. CA." PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: A _ 2. Installer's name: ' �� © ��110,RlS ode,'* 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes'/ / No r C �. (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 / /. No (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 1/00 Amp s 6. What is the mobilehome site service rating? ---------------------C2 do Amps j 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be•served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- in Natural LPG• 10. What is the type of gas service? ----------------------------- 11. What is the gas pipe length from meter or tank to the mobilehome? 23Fs�o0o MBTu) 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Catifdrnia,05965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.� ASSE OR PARCEL NUMB R _ ZO ING Zv BUILDING PERMIT OWNER �(^�y TELEPHONE SQ. FT. OCC. BUILDING VALUA I©N OWNER' AI INGA RESS I a CO TRAC,TOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Is $ Filing Fee $ �Q LENDER'S MAILING ADDRESS t. , : Permit Fee $ ARCHITECT OR ENGINEER C LICENSE NO. Plan Checking Fee 7 - $ hi 00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ —, ' BUILDING ADDRESS/ ✓� ,� a /V PLUMBING- PERMIT Filin Fee 10.00 g Each Trap 2.00 Solar Water Heater 20.00 ^ICU Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE O�CTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home 10.00 e TYPE OF WORK / New❑ Addition❑ Remodel❑ /❑ Utilities InstallationOther❑ Describe work: Permit Fee $C/o, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS10.00 0 Main service EA. ADD'L 100 AMP 2.50 p NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. ZI/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 50 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 NEW CONSTR. ULTI.OUTLET 2,50 ea N ON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &') NON-RESID. (SINGLE OUTLET CIR. / Ex. Occup(20®50a o OR FIXTURES BAL®30 FIXED A PLISIS R Ex. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 5 (� Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ':W The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 aga,nt said County i co equence of the granting of this permit. /e X1�.. -�-� Date Signature.of Applicant — Owner ® Contractor ❑ AgentEI, An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3�ajstories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ S -v OCCuP. GROUP I TYPE OF CONST. PARCE PD HD IBsu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOOF PUBLIC BY `� PER EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Dated- � Receipt No. �Jy ! WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r t COUNTY ,QF BUTTE - DEPARTMENT`OP.'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. 7 t OWNER A. P. No. V�1 Proposed Bu.iJdri•ng-Use Permit Fee Based Upon: r Complete Contract Price //'DPW Valuation Other,,(Explain) Building Inspector._ ��,� Date At time of permit application, I was advised the f�olowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. , 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , O� N9. Letter of signature authorization. c. Sanitation approval from /•6�1 G O 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.) l4. Owner -Builder Verification (Given to owner0--Mail to ownerEl 15. Improvements may be req-jired. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. •Pre-Inspec. request to X�17. Pre -Inspection for _ Required. Building Inspector (Dote) ther r � en y u issue the permit, pr,�cess as follows: ��Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant�fi� / �!/ Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at t' e f applicati n, C.KClk item.) 1. Index permit for above Items No. — of - 2. Additiona'I items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Y Date Plans checked byDate Plans approved by Date Other: Copy—DPW ATO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance r Owner Locationw, AP# Plan approved for: sewage disposal water supply j Hold final for: water supply Final clearance O.K. for: water supply f/ Clearance for_bedroom meia home Other —W Sanitarian Date AGRICULTURAL AFFIDAVIT EMPLOYEE 'mployee Joshua Greene employee's Address (Present) lame of Owner )wner's Address )wner's Assessor's Parcel No. 3uilding/Environmental:Health ?ermit Description and Number )ate Issued .tanning Department Approval: )ate 5 Z ne �y ' e' L, �/, 1) 19 Phone 916-891-4751. 459-A 4aterford Dr. /Cu By Dwelling on AP# FA 1-1 do declare, subject to the )ena y of perjury, that I am the employee of Earl Gilbertson address (present) Rt..3 Box 53-A on -A 39-08-9 and that I will be employed under Section 24-21.2 C for at least a to g shirty -two (32) hours per week for at least sixteen'(16) weeks per year on IP# 30-08=9 Signed , Dated AGRICULTURAL AFFIDAVIT EMPLOYER Employer C. Earl Gilbetson Einployer's'Address (Present) Rt. 3 Box 53-1 dame of Owner C. Earl and helen Gilbetson J Phone 916-342-7896 Chico, Calif )wner's Address Rt. 3 Box 53-A Chico, Calif 95926 )wner's Assessor's Parcel No. P. 039-08--0-009-0 3uildin,g/Environmental,Health 'ermit Description and Number )ate Issued By 'lanning Department Approval: gate 7 ne /�"-.?U Dwelling on AP// 1 L'.! // i Earl Gilbertson , do declare, subject to the )enalty of perjury, that I am the employer of Josuha Greene address (preserA59-' watir _ord dr. Chico. ,lif on A"p# 39-08-9 nd that I will' -be employer under Section 24-21.2 for at least a to g hirty-two (32) hours per week for at least sixteen (16) weeks per year on T# 39-08-9 Signed C_ Dated Buffe Co. Planning COMM NOV 1_5 1983 Oroville, CaulorwA. OPP- Return to o DPW AGRICULTURAL STATEMENT GLEDGEMENT FOR RESIDENTIAL DEV..- —eIENT Section 26-8.1 of the Butte County Code requires this acknowledgement :�.. be recorded prior to issuance of a building permit.tF.ANQRM.�E;<�� CI�BK - N£(;Ut�I�CR Ef: The property described herein is adjacent to land or included 83-3iozo within an area zoned.for agricultural purposes, and residents of this • property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 1, as shown on that certain ma entitled "Com p p 1_on 5ubdivws ion of parts mf �ections,1,2 and 11,t.21N.R. 1 E.81M.D.B. & M.",which map was filed in the office of the Recorder of the County of Butte.,State of Calif. March 20,1924, in Book 9 of maps, at pages 17 and 18. EXCEPTING TNEREFROVI the following describre,:-. one acre parcel of land: Beginning at a point on the,Southeasterly line of said Lot One,being on the ceneterline of Began Lane, from which point the ironpipe monument at the mo, southerly corner of said Compton Subdivision bears South 51019'West�-.830.0 feet;, thence North 380 41°, West 256.23 feet to an iron pipe;thence South ra38`41' East 256.23 feet to a point on the Southeasterly line of said Lot 1; te: PROPERTY OWNERS: State of ) On this the day of��fb] 19V before SS. me, the undersigned Notary Public, personally appeared County of ) G1 A n K(n -e I _ �- i . _ .: ,n5i!b;:J:R5d2iyedL•iso.1oSCaLa�Obiui:iwietGfiln:..:. � CAROL L. BIRD "- NOTARY PUBLIC -CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY / Personally known to me. roved to me on the basis My comm4sW rwp+w sept 7.1N4 of satisfactory evidence. I hae�srae�eaae�sersnueeeeH,ou�oeww�eea.� to be the person(s) whose hame(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contain d. IN WITNESS WHEREOF, I hereunto set my hand and official seal. thet:ce South 51!191 ;fest 170.0 feet Containing 41.6 acres, more or less. r Present A.P. No. to the point of beginning. A. Ztk�' Notary Public P 00 Z -f ,A)TE—All Mcfeelais & Workmanship Shall Be in ���®ranee with Rocogniaed Good Practices and of a quality prescribed for the Specified use in the Uniform building, Plumbing & Machanicol Codes orad the National Electrical Code- ri Utility connections shall be withi A ft, of the mobilehome, eithe directly behind or within th rear half of the roadside (left. f the mobilehome. C4 . ;Pa, f%ryer;w~ auo� A setback ofmII[Tr from the property.lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. This set of plans and spec;ficatinns MU '"T b. ksia'f on A6 job at all times and it is unla Ful to ► make any changes or alterations on same w hout written permission from the Department of Iublic Works, County of Butte. SO pr# D i lPi ermi be ins allation olf theemuobieired for the ( home: r� e tic, b V- COUNTY LbINC DEPARTM .YY P R V F 4/s = '719 2445-.79B PERMIT NO. PERMIT EXPIRES, OWNER -Earl Gilbertson owner CONTR. 'LOCATION (A.P. 39-08-9 NW/S Hegan Ln., app. 1 3/4 mi.S.of Midway, Chico Temp. P45wer Pole Called PG&E Te �?�Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E roe FINALED (Date) (Signature) rootings /.,;,T/s/ J/C6 _ I Footing / I ELECTRICXIL Masonry Walls Throat Rough Relnf. Steel Final Fixtures FI stucco COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTION'RECORD, BUILDING BUILDING (Cont'd) PLUPAMG Setback /W—y— D Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Ii Water Piping Piers Roofing 117-51—FO Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport p Footings Prov. for ph sica y handica ed Conformance of 4x. I structure Appliances Gas Piping & Test Temp. Gas Slab I Final 12, L -U Sanitation Patio I FIREPLACE Final rootings /.,;,T/s/ J/C6 _ I Footing / I ELECTRICXIL Masonry Walls Throat Rough Relnf. Steel Final Fixtures FI stucco Final I Subpanels Mesh MEJCHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UT LITIES Elec. Service Elec. Pedestal Water Piping ISewer Gas Piping OBILEHOME 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.) COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroYille, California 95965 Telephone: 534-4541 -G� APPLICATION AND PERMIT.,� surf IUCe reNresentauves o1 the L.ounty or tette to enter upon the above-mentioned property for inspection purposes. X r Date Signature of Permiteee2e or Agent Receipt No. a r�� 7Co 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. DIRECTOE•-OF—PUBLIC WORKS BYDate �— Budding permit expires Date �' 7— PO CI BUILDING Owner L L am-- SQ. FT. OCC. BUILDING VAL ON 60 Mailing Address Tele hone No. Contractor �_� (z � Mailing Address Fireplace Total Valuation Telephone No. Permit Fee ,db Building Address !� �� Plan Checking Fee &/or Penalty Permit Fee q.00 i D 6 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r Repair drainage or vent piping 1.50 A. P. No. d / Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F&S I &r_ ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvem nts Each additional outlet .30 Building sewer 5.00 Bldg. P s Rec'd Parcel A roval I Plans pprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE _ (y3 T U 6�1>`ab PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•Q� Single Family 14 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 'Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW OR ADDNS.r \ ACCLBLDGS.CCUP. B\ 20sgft 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 t style of: Y NEW CONSTR MULTI -OUTLET NON-RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS&J NON-RESID. SINGLE OUTLET CIR. Ex. QCCUP(OUTLETS OR FIXTI1RES 5 L25 Ex. Occup. FIXED APPLNS. OR p• OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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. ❑1 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 Land Development Fee $ TOTAL PERMIT FEE $ surf IUCe reNresentauves o1 the L.ounty or tette to enter upon the above-mentioned property for inspection purposes. X r Date Signature of Permiteee2e or Agent Receipt No. a r�� 7Co 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. DIRECTOE•-OF—PUBLIC WORKS BYDate �— Budding permit expires Date �' 7— PO CI ��� �L d �F+.1a.c� l � �� � !� ��'i -• n � �.i� -[fie 9-D . / -� r!�e any cfzangcs csr � feraito�s szn same v�� a ' -'- orbs, County of Butte. eptic_system-endlacation_of-build. Z tng drain stub -out to be as per ---,--- -- utte—C-ounty=I leaith—Bept. ID%e-- - uirements. Ngo;riol���alc:kws:+�sl�ip _ Shall Be in c� Acccmj.ce With F'__:agni.e:l Good Practices aid V ry .,;; c�tcs�-�tse in -t QE c : a: tihe (37ifLrr } �uladietg, Plumbing & ARechanicol Codes and l the N ional E ectrical�de. I - . - �hts"set esf-plan-«rrd--sp2rctficratia*,S--MIDI-S�l� UM TI on the iob ct cil f-mes and it is vnlawfttl $o . / -� r!�e any cfzangcs csr � feraito�s szn same v�� a ' -'- orbs, County of Butte. eptic_system-endlacation_of-build. Z tng drain stub -out to be as per ---,--- -- utte—C-ounty=I leaith—Bept. ID%e-- - uirements. Ngo;riol���alc:kws:+�sl�ip _ Shall Be in c� Acccmj.ce With F'__:agni.e:l Good Practices aid V ry .,;; c�tcs�-�tse in -t QE c : a: tihe (37ifLrr } �uladietg, Plumbing & ARechanicol Codes and l the N ional E ectrical�de. CIS F - v - --- _�• — — The Bldg..Setback shall side-p��-line-arid — ccrferitic cf the road, F MT -6-24T rnur;►ve ove out of all easements. be 5 ft. from tha,, , I""111- -COUNIFY ePmitPin a. maxi - ang en trey 1 11 f=�" `D�" r. 1 i { � 4 { I ' ,.y..r 1. NA PPR O_V_l k 1rs �sec� �'cxQ,�cro�• -_� ���� _� -- ( - BUTTE COUNTY- } mm I'M iddMIMMLOZA sly NA PPR O_V_l k 1rs �sec� �'cxQ,�cro�• -_� ���� _� -- ( - BUTTE COUNTY- } DEPA:Ri1�AENT NA PPR O_V_l CJ y BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT IT 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. 039-080-009 ZONING A20 OWNER EARL & HELEN GILBERTSON PHONE NO. 342-7896 OWNER'S ADDRESS 3120 HEGAN LN CHICO CA 95928 LOCATION OF BUILDING 3120 HEGAN LN CHICO USE OF BUILDING SIZE OF STRUCTURE --L4--, X ---L6--, 224 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME X STEEL CONCRETE OTHER (Specify) TYPE OF SIDING WOOD ROOF COVERING METAL FLOOR TYPE DIRT ESTIMATED COST OF CONSTRUCTION g 200. AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:r r REAR 2 `S FRONT 5 SIDES 2 -T 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 — Permit Fee - $60.00 Receipt No. r Signature of Owner �,4j� The above described AG Building is exempt from a building permit. FL PARCFfL P.D ROOF NG ISS1a Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant