HomeMy WebLinkAbout042-320-02142-3;-- 21
Ic z
42-32-21 TOM HUSTON L
23 Arbor Drive, Chico 111q)
u n CONSTRUCTION CO. 302-72B –—
Permit#12-88A0:gric'ltural Bldg Exemp Contr: Michael McGee, Chico
bird aviary) 1313-72 M
Petmit#2886-85B,P(install pitched roof 2095-72E 1458-- 2P
over flat roof & extend plbg, mech & typ" 2732-21
A flue vents SF ?3 Arbor Dr, Chico
1 -'(new' single family) C�c�� ��////�� '
042-320-021 0
BUCKINGHAM, JE kN I N §LE
A
23 ARBOR DR., CHIC 40
RE -ROOF
A
02,
o
02,
"042-320-021 02-2857
BUCKINGHAM, JEANNE. -
23 ARBOR DR., CHICO
'RE -ROOF
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT-2sS7
,_
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
JEANNE
TELEPHONE
5193-2276
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
23 AR1.1OR D11. 011W CA 95926
25 Sq. 19r,00.00
CONTRACTOR'S NAME
OWER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 35.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
23 ARBOR DR. CHIC() CA 95926
Ener Plan Checking Fee $
Energy s
$
PERMIT FEE $ 55.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.0023.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or hest um water heater
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RF ROOF 25 Sr.
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT I Filing Feel 20.00
600VOR LESS
Main Service zoOA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under 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.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ [,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.
IR I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 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 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 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X, ' `J �' : Date 1 ' l ri
Signature of Applicant - ❑ Owner ❑ Contractor q Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DwELLM10 OCCUP. SO
OR ADDNS. ( a ACC. sLDs. 3.50x:
MULTI-OUTLET CIRCUITS ) @7,50
NON -EW p61D. T.
APPARATUS
a SINGLE OUTLET CI R.
.00
Ex. Occup. OUTLET OR FIXTURES BAL O 1.50
FIXED APLNS. . OR
Ex. Occup. OUTLETS PMEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 55. W
HAZ.
D FEES IMP
FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte/ County Code and/or Resolutions to do work
indicated apove for which fees have been paid.
B Date
y
PERMIT EXPIRES ON
Date
Receipt No. /� .
WHITE-D.D.S.-B.D. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT o2 -2s57
PERMIT NO.
ASSESSOR PARCEL NUMBER
042-390-091
ZONING
BUILDING PERMIT
OWNER
JEtIME BUCKINGHO
TELEPHONE
319 -9926 -
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS
23 ilRBOR DR.. CHICO CA 95996
25 Sq. 19500.00
CONTRACTOR'S NAME
OW. -ER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee
$ 20.00
Permit Fee
s 35.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
23 ARBOR DR. CHICO C1 95926
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 55.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE ROOF 25 Sq.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under 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.PSING
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
.S 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 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 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 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a Acc. BLDs.
SO
3.50FT;
T.
NON -RID. MULTI. CIRCUT
97.50
a OUTLET CIR. OWERLE APPARATUS
Ex. OCCU OUTLET OR FIXTURES
BAL @'.0050
Ex. Occup. OFlxL,T ED A= DE.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X / & Date l
��--IVC //�� ��%�����
Sicjrfature of Applicant - ❑ Owner ❑ Contractor 9E Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
D. FEES IMP
I FLOOD
f7F7[;;;;9
PD
I HD
I ISSUE
This permit is hereby issued under
of the ButtCounty C nd/or
indicated ove for w c fee have
B�Iwn
PERMIT EXPIRES ON / T�/-6U
the applicable provisions
Resolutions to do work
been paid.
_-
Date N
Date
60 Receipt No. a
WHITE-D.D.S.-B.D. CANARY-ASSE SO PINK -INSPECTOR GOLDENROD -APPLICANT
&Vrt_, et�4 Depz/TOu,,� C�
O-t4A.
UU
)"Oto-
POK
4.
APN
a.3 A,--ho"c.
PERMIT NO. 2886-85B, P
PERMIT EXPIRES l ozlo [ 0 1)
OWNER TOM HUSTON
CONTR.. Michael McGee
ASSESSOR PARCEL 42-32-21
LOCATION 23. Arbor Drive•, Chico
,y
j:
Temp. Power Pole_
U
Called PG&E _
Temp. Elec. Service
Called PG&E _
Temp. Gas Sere—
Cal led PG
JOB FINALE[
Signature
rs
Z
J = OK -
0 = 'Not OK
Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except ti's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete '
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except k's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
%I = OK
0 = Not OK
Not Applicable RESIDENTIAL (Single and Duplex)
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning req u ire ment s-Setbac ks- Easements
410.,7lRrop" Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49-_-E4A_Dnars_ One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
wiulh-Headroom-R ise-Run-Landing-F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Sternwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Sternwalls, Garage; Steel -B loc kouts-Wrapped-S lab
7. Piers -Fireplace Ftg.-Steel
Screed-Fdn. Vents-UnderfIr. Access
54. Glazing Area -Glass Protection-Skyl i ghts-P last ic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test-
9. Gas Pipe; Size -Anchors
55. S�ear Walls; Nailing -Bolts
10.
Water Pipe; Test-Anchors-Regulator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; C learance-Material-Support- Ins.
i
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
'Eard-BI W Date JQ1 Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date IF Card -BI Date
Card -BI Date Card -BI Date
Date FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent�Access-Combustion Air
56"-E*+.-ftps-Door & Sidelight Protect ion- Land i ngs
-xW-Satoke-Detector
68__EurPaeej Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
q59-Zedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. DXV.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
*+--E4ec--Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
-60-41alLs, & Rai Is
t9r-ftrerplace or Stove; Clearances -Hearth
-e4__EJPa._Out lets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
%55--l"t.-F-ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Csrd-BI
Date
Date Card -BI Date
ELECTRICAL (Permit) OK except #'s
te.r-Efec-.-Out lets & Receptacles at Kit. Counter
67-69fage-Fire Door; Swing -Landing -C loser
6&r-A=71Tudt-in �2rage-Damper
20.
Fixture & Transformer Clearance -Ins. Protection
,16� Wtr. Htr.; VWts-Clearance-Comb. Air-Connector-P.R.V.-
. 4n Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
W Plb., Elec. & Mach, Equip. Listed for Location
22.
23.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
�ceptacles in Garage; (G.F.I.)- mex Protec.
�_o
Foam -Looked in Attic F] Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
CrJ7-GMTrU-R-ai1s & Deck Construct i on -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74-.-Fdn-.Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al
27.
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral E]Yes El No
�R�
, owing in�stld.: Drive [] Yes E] No; Walks El Yes E] No;
Planters Qns 0 No
28.
29.
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances; Pane I s-Motors-Mech. Equip.
-IV Stucco; Br(Kn-Finish
Mt
N" ;Z-,A.G-�dnTf-iDisconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
Disconnect, Electrical, Plumbing
807-E-x"'or-Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Card B -I
Date Card -BI Date
Date Card -BI Date
01--Ven4lalion throughout House
fe2--G4ee&-Pfotect ion
Date
MECHANICAL (Permit) OK except #'s
31. A.C. Ducts; Insulation & Support
e137-ftrre0ions from Previous Inspections
8T.--Ua-s-TZst-Meters Tagged; Gas -Electric
85--Vater-"ewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drai2 & Overflow; Size & Grade
Q6. tnergy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Ldl Date Z42r Card -BI Date
Ca d-131 Date
r Date Card -81
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
I I Comments at Final: j / 4 1?
Date ING(Plans) OK except #'s
1AAMSills;
7107rWa+ls�,s-Nai
Je
Proper Material & Anchors
ling, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
11
OIX4 A4X0_V_1_
_A1fW__y,A All
sr--urEff-stop
in Wails (rat proof)
I
-#0-._-f7re-8Ms;
Furred Ceilings -Stairs -Chases -Tub
,Header & Beam -Size & Bearing
Hangers-��st C aps-,A nc hors -Con ne�2rs
(4n.,
(��Fireplace
Clng. JoWt-Aftr. Tjg��-P Trus hot
,urjl�in-RoOBrac-7
Ties ortT _-F
ype A V_
_ ge;Pireplace Throat
45--A"*&.Aeees9-,
Size & Romex Protect i on -Draft Stop -Ins. Baffles
46_-84Fwr-WTMows
or Exiting Doors -Sill Hgt. & Dimensions
4r.-'Ta-rage�
Fi�e Protection Framing
(NOTE: Anentry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
e7 /
Z
20N11� /
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
S
OWNER'S MAILING ADDR S
CONTRAC OR•S NAME p TELEP ONE
.i
CON RA O S MAIL NG AD ESS
e2 X TcIZ
Fireplace
CONS RUCTION LENDER
UNKNOWN
Total Valuation $ '
Q p
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
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap L &"zi,
12.00
oe
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PAR dEL MA
Water piping
5.00
Each qas water heater o en
5.00 p
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New❑ Addition Remodel❑ UtilitiesU Installation❑ .Other
Describe work: !i sJ O! �/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00'.
✓
V
Main service OOOV 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
and Professions Code and my license is in full force and effect.
License No. r9 Z4- 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 CONST. DWELLING OCCUP.tr
OR ADONS. ( ACC. BLDGS. , /20sgft
NEW CONSTR U TI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex.Occup(OUTLETSORFIXTURES BAL9t
ALo3o
FIXED PR
Ex. Occup. OUT LETS (RESID )EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin 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
of Consent to Self -Insure.
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
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 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
against said C my Tser e of the granting of this permit.
X /�
-d � Date /
Signature of Applicant'— Owner ❑ Contractor la -_—Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ovle1r 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 1,717. 715
OCCUP.
CONST.TYP!
I
JFLOOOJPARCELJ
PD
NO
1580
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OR OF PUBLIC
BY
PE IT EXPIRES Date—ic
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date /,0 —,'3
-8
Receipt No. 7 7977
WHITE-D.r.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
NO
/� IIT 7/
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
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OWNER
PHONE NO.
m,9s Z. W"' rz),V
lS 7q
OWNER'S ADDRESS
U % !d
LOCATION OF BUILDING
v2 1 C- o
USE OF BUILDING
2q v
SIZE OF STRUCTURE
g 'x = 12? SQ. FT.
TYPE OF CONSTRUCTIODI:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
ov Ex
ESTIMATED COST OF CONSTRUCTION
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follow : �
P �
JD
-
FRONT -"` SIDES
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated 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 /,2 qfl8' Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No.Director of Public Works
By Date�����
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant