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058-170-039
051170-039 PERMIT#98_82_ SMITH, J.D. 3865 Jeffre n., Oroville _S rmit-Shop/Stg l 34 Suite ount �.' LAND OF NATURAL WEALTH AND BEAUTY Y _- �`__ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 August 14, 2000 J.D. Smith RE: Refund Request 1440 Lauren Drive A.P. #058-170-039 Petaluma, CA 94952 Dear Sir: Your request for refund was received by this office. No refund is due, because of the fact that request refunds must be made within two years of the fees being paid. Your request was received August 3; 2000 and your fees were paid on July 7, 1998. You have any questions concerning this matter, please contact Alice Mefford of this office at (530) 538-7541.. Your very truly, 4Micl C. Aeira. Manager, Building Inspection MCV:aam COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT 7 County Center Drive, Oroville Phone: 9,16-538-7541 J.D. SMITH 1440 LAUREN DR. �QO� SERVICES, BUILDING DIVISION CA 95965 ' PtGAEX PERMIT APPLICATIO #98-82�G GO, CA 94952 A Z, �&TE: 7/8/98 A.P. 085-170-0399 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered -Calculations Typical Plan Sheet owner -Builder verification Fm List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered'plans-and-calcs', 3/4 -sets, with,wet signature on plans. - Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit.. Plot plan and business license approval from City of Biggs/Gridley. Planning -approval for, Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy)." Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: BASED ON THE INFORMATION PROVIDED BY YOU AT THE TIME OF APPLICATION, THE USE OF YOUR A REFUND FOR HE A BUILDING. Should you=have any questions concerning.the above, please contact SCOTT RUTHERFORD of this office. _ MCV ahb rr_ C. Vieira, C.B.O. wilding Inspection BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT F?�T Agricultural-65ilding is defined as follows: Agricuftu-railbuilding is`a structure designed and constructedid house fa m- 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. , � q ZONING � ,p /\. OWNER S `, � i / ' /� PHONE NO. OWNER'S ADDRESS oba- - - - - - - e- 5:,'%. LOCATION -01F BU D _ _ /ilk /,4/ USE OF BUILDING SIZE OF STRUCTURE Z° X 2 ' .= o o SO. FT. TYPE OF CONSTRUCTION: / WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE IN o o (p s 1, r (� b o ESTIMATED COST OF CONSTRUCTION AG Buildings shall.comply with the minimum front, side, and rear yard setback requirements of the applicable County . Ordinances as follows:- �� At,"— a o , FRONT SIDES -9Z 4ww-'/ 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. 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 x obtain any necessary permits, inspections, d approvals to comply with the requirements in effect at that time and before ccupancy. Date 7 ' 3 " c7 a Signature of Owner Permit Fee - $60.00 P, Receipt No. p? The above described AG Building is exempNrom.a-brrildina nerrtirit Manager Building Division By Date r 4 w REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Urban Area Fees i ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM ~FORM.. -DO NOT COMP..LETE.AN.Y OTHER -INFORMATION ON THAT FORM. ' FOR BUILDING DIVISION USE: Receipt Information: Number: 9'f4 � �-3 Date: r7lqlqG Issued To: Amount: Fees Retained: Processing Fee: /Bldg Filing Fee: Plbg Filing Fee Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ SRA Fee: $ Total Amount Retained $ �_ TOTAL REFUND DUE $ v COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS nti RGvcoer- cines j DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT �j 1 i 1 I�I I 11 ( ' TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true .and correct as stated. Da�IKs_ dray f,19_Q2�c. Ca Signature of Claimant i, I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and i{ that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for the same. Dated this day of , 19_, at , Calif. Department Head or Authorized Deputy Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code 'PAYABLE FROM FUND Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS TO CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, description and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the Department head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. L r I. BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT MT �- 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.� _ q ZONING Jam• OWNER —j-7 T t /� / PHONE NO. OWNER'S ADDRESS 7 D )4a14r/* *Pa LOCATION OF BU D - USE OF BUILDING S X10 l � 40� SIZE OF STRUCTURE X 2y _ 010SQ. FT. TYPE OF CONSTRUCTION: / T WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING W 0 d 4 1 ROOF COVERING FLOOR TYPE o R ESTIMATED COST OF CONSTRUCTION $ LF"Ue d AG Buildings shall.comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:; , FRONT �� �'1' SIDES REARao ^� 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, d approvals to comply with the requirements in effect at that time and before Date- ccupancy. 7 - 3 V C1 Signature of Owner. P-ermit.Eee,S60:0 The above described AG Building is ex Nrorn-a-buildina Dermit .,Receipt No.p� �� Manager Building Division _ By Date White — DPW, Yellow — Assessor, Pink — B. L, Goldenrod — Applicant FLOOD :) PA I ' P.D. ROOF SSUE Manager Building Division _ By Date White — DPW, Yellow — Assessor, Pink — B. L, Goldenrod — Applicant fJ MEMO O"lailue, tA2%6Ec' (are) .3KOHg3J3T -- BUM AIRAO�JAS .3_UVORO - HYIRO R3'1W3O if'T14U'00 [ mist enuod of bsrauilenoobis bsn}iaeb R 4 Biu JsId '*jjAT :awollol as boruleb ail Qni- laud I mu#lLoVA .Ismurt to eoslq a ed km Itsda mWoLnIa io,�bofasvil ,�:!'.uqq =nisi .ysr� ,tinameigal r3 ad ti Ilona torr ,bsgsbsq 2Woolq Imutluaiigs mo*;w Sicu3tr ydgps to s:dq s3 in rioitsfdsrt .attduq orif Vd beau 93slq *ea ablsit rbad io Anst oiicM yns m mt toot (a) evil to rntmltliM;s ed 1166 apni&'48 DA } s mvtt feet U f , O.inotuaex � n. v'►t feet ..0 to , Inim_ a betsa?� ed iise? t C. ioolt ni it pa 004t nor W.1, <,lxtlbiiUG VH . -boija 6Mmwlj�� mint foul >r # ,tem slidvm y....y.�•'.---r.7},r,. ilY..�.r�1i �Ki� .�tf�S .V vYw i{Y.�Yt S_�!?i.lfi�:yt•. 31.I :LC'�'�'C .R" K-14 } .-ter 'Z. bi}f i1Y++�1�kR:J ,Qnibi►4:ci> Fiammrx, ' ttroi t ttt`�"m re dvrri ' f nflifbwls Ovodn io is ed laum noltsvals 1001 Oini3 amgr�o7ic+ -;� �fioS foot ti�v Y1G�. +?ufir ^?tiiblitt& ©A 9 FTIV41"s0 80eu , stt�it,w 2rmitn4� s2v t3a��tuq erft bns evods bs3sta.a� bfl2u sd ti+vv pr+blii;d orh 3rrif 1n�ii�i tc► yJt�nsq tisbriu t>�r.:��r, ! � ttrr�, ftfl"s ;iviQ QhiCiliLl� s�.►lo�ttoo iiiW 1 ,ebsrn ti gntt3Tsud 9tt7' �o yf,xsags3shn �o �^,u ^^t' s�nscl� Y�,s tl . �oiJitsi��b grlitl�i� 7A -r.zoi§d bqs .smr t;.ntt is t33 lie ni amsmiifupsi M Ow ylpmw of 8IGvGIq;; s bt, ; , 0irje*,Iz11's .wjmibq y.Is2aae�non yns +liudo , .tiz IVq•Qnwmad a mdjijqtn8x9 21 p*°tr;:r`uMDA.5$'dhazgt;� ovt>tis er+T ggl tiomaq. Iq AM ' % �3 � 1 .._.�.. s' �..�,' �� ,.,..,._-- • apt : F�19 �3fi� noisl4>Q gnibliu8 v ?srW4 .OV! .l3omq flonjam .01.4 3VOHQ' • • i1 ft3WWO 3 �� �238GIIA 3` A CIJ !!$ 3� MOITA J ".`ate! _,.ry .�...�P'l��k'�1`. �''t .�3.=r:,r.'.`—..:� r.:+•«.���..:.a`•A�%..::.—+i+R f i ..r. s..�+r,�.sr•ti.s`c�' ..i.,r �r...':..a.�.._ * . _ _eiw.•+C:++�2 t•s.�a► �.L ywl A 4ofd c73�iIIJIUO is 3Zti _. .1 1 BRI rTOtKfl'2 40 Ma 31.08 ..-Q.�J.;:. a V x g ....._._. Jyfi�3i A N O .a .._...,. 7i3f3�'�t7G ,�_...... J33T , 3 RAf4 QCX 9 j qy r F100A —" 1 FJMIREIV03 gOOR 0, itfi2:10 3gyT NORot1T1`i f+ r 3raT O03to%M3 3(jr,&j oidsailctga aril to atnomoiiupsi Aos4tsv bt" ism bno muchlnim Bill M,,w Vigmuo Itar:z 4gnti31hjS OA ,cble ,triciii c ik\ G� % AA3R ... _ 23G1 " L TY1t i' *ea ablsit rbad io Anst oiicM yns m mt toot (a) evil to rntmltliM;s ed 1166 apni&'48 DA } s mvtt feet U f , O.inotuaex � n. v'►t feet ..0 to , Inim_ a betsa?� ed iise? t C. ioolt ni it pa 004t nor W.1, <,lxtlbiiUG VH . -boija 6Mmwlj�� mint foul >r # ,tem slidvm y....y.�•'.---r.7},r,. ilY..�.r�1i �Ki� .�tf�S .V vYw i{Y.�Yt S_�!?i.lfi�:yt•. 31.I :LC'�'�'C .R" K-14 } .-ter 'Z. bi}f i1Y++�1�kR:J ,Qnibi►4:ci> Fiammrx, ' ttroi t ttt`�"m re dvrri ' f nflifbwls Ovodn io is ed laum noltsvals 1001 Oini3 amgr�o7ic+ -;� �fioS foot ti�v Y1G�. +?ufir ^?tiiblitt& ©A 9 FTIV41"s0 80eu , stt�it,w 2rmitn4� s2v t3a��tuq erft bns evods bs3sta.a� bfl2u sd ti+vv pr+blii;d orh 3rrif 1n�ii�i tc► yJt�nsq tisbriu t>�r.:��r, ! � ttrr�, ftfl"s ;iviQ QhiCiliLl� s�.►lo�ttoo iiiW 1 ,ebsrn ti gntt3Tsud 9tt7' �o yf,xsags3shn �o �^,u ^^t' s�nscl� Y�,s tl . �oiJitsi��b grlitl�i� 7A -r.zoi§d bqs .smr t;.ntt is t33 lie ni amsmiifupsi M Ow ylpmw of 8IGvGIq;; s bt, ; , 0irje*,Iz11's .wjmibq y.Is2aae�non yns +liudo , .tiz IVq•Qnwmad a mdjijqtn8x9 21 p*°tr;:r`uMDA.5$'dhazgt;� ovt>tis er+T ggl tiomaq. Iq AM ' % �3 � 1 .._.�.. s' �..�,' �� ,.,..,._-- • apt : F�19 �3fi� noisl4>Q gnibliu8 v ?srW4 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 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.� _ q ZONING ,p /�• OWNER �aM T t / PHONE NO. OWNER'S ADDRESS / ;o -a LOCATION -01F BU D - USE OF BUILDING S �o l g +0 , f SIZE OF STRUCTURE X '2-u = SQ. FT. TYPE OF CONSTRUCTION: / WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ti✓r v 414 ROOF COVERING vr. S 1iPvr FLOOR TYPE/1 O at ESTIMATED COST OF CONSTRUCTION $ 41-wo a ,.- AG Buildings shall.comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: ; FRONT 4Yr10— 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. 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, d approvals to comply with the requirements in effect at that time and before occupancy. Date -2 3 C1 b Signature of Owner PermitFee `$60 C . The above described AG Building is ex%Tho-Nrom-a- ildinp Dermit ;Receipt No. 07 11,41 IIJ . Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant _/A FLOOD ' l PARCEL P.D. I ROOFI�1 ss Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant _/A . � .;.^w•wa•::-twf.*'T'nc5r�4'R%y: '��`.. -t:.�, ' ,� -.. s.:,�.�,�� _: "7q k -r. _. . -:..�..vq► ;,..,,��,,,F,w,�� BUILDING DIVISION COUNTY OF BUTTE - DEPAF TMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT i ITPO t , Agricuftural building is defined as follows: Agricultural building is a structure designed and constructed to house farm I 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 re processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.�•-�_/' � ? q ✓ J / ZONING �/,p OWNER n i PHONE NO. OWNER'S ADDRESS d 6 / LY U n r-- t alt' LOCATION OF BU LDING USE OF BUILDING S 111.0! S 40� SIZE OF STRUCTURE �O X Zy - 0O SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME '� STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ` ROOF COVERING LQw.p FLOOR TYPE- twua S1,( �d0 ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements ofFthe applicable County Ordin, anses as follows: FRONT �S /!► 90 4n&'i a O 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,6u ldings.-greater-than,-1.000 sq ft: imftoorarebr,"11`�e°I�icated a minim�im of°23 feet from a tesid6nce°an'd a mobilehome: and 40 feet from commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation ' USGS�Datum. -.4 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 -?,3 ' Cj '%0. Signature of Owner. &1:�:= Permit Fee - $60.00' The above described AG-Buildinq is exempt -from -a buildinn narmit #Receipt No. _a? r / 3 FLOOD TPARCELP.D. SSUE - - r = _') I ROOF Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date �hrv. i...r-,!'��vr'Y*'�.%R�' lei*�'�.(�k�JS:✓`.;:.ra�'�7.'�1N"h : ��'`.•�����..: .�^^'r'�'^-"r*r''� • F t .. -BUILDING DIVISION COUNTY OF BUTTE - DEPA&WE" NT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 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.aare processed, treated, or packaged, nor shall it be a place used by the public. - ASSESSOR PARCEL NO.� / ? q AG ZONING ' p•' ,�1 57, OWNER PHONE NO. NG�ISSJ ROOFI/I OWNER'S ADDRESS ) - / ! / GY G �' '' n Re 14 /9 a LOCATION OF BUILDING .: �,`:rpf ♦� �:�' ... �: ��. xt'.")r� l�.ii5.. V. if�. ~i '" Yr Y ( N �,'iF T'+' �i� USE OF BUILDING t SIZE OF STRUCTURE ' X ? ' = tf n SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROTO_ F COVERING FLOOR TYPE�j ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of,the applicable County, Ordinances.as follows: FRONT SIDES '?� `� REAR -0 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 s mobilehome, and feet from a commercial building. z t, AG.Bulldings greaterthan�1000,'sq-rft-in=floor area,shall-6e-I'ocated,-a{minimbmiof�23-feet-frorr a4residertce=and a = - mobile home.a;a 0feetfrom yFc"ommetcialbuilding. 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 '? "� " Ct' V Signature of Owner•-^ ..Permit Fee - $60.00 The above described AG.Buildinn is PYpmnt�frnm a'hi,ilrlinn .;armit Receipt No.f/�l23 _ FLOOD ! r PARCEL P.D. NG�ISSJ ROOFI/I Manager Building Division x By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant -BUILDING DIVISION COUNTY OF BUTTE - DEPA&Mk T OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ER IT NO. Er 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 J, processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. b � � � � ZONING �r-•� ! OWNER J� �� 'j -T t /- PHONE NO. OWNER'S ADDRESS �I ��✓� R1 t"r': /�' lit `! �` LOCATION OF BUILDING _ ..� i1�T• }-Y"�.: may, � �.4� ' / � G . t�T.'� iic ' .Y •.. i`.. .. .�''i.f _i. M , {' .c,. ,1.-. �iG . ! JG/'�� USE OF BUILDING S} S 4-0f t ! SIZE OF STRUCTURE X W ' = 4 +a SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) --� TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ 4Ma0a — r f AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: f� ; 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: irrfloorarea.shall'be located a.minimbm:of 23,feet.from a residence and a mob1Iehome,,.an640,feet from commercial -building. • �, AG Buildings mustNc�omply with Mood Zohe 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. / r„ Daterj a Signature of Owner Q'-^^--_ Permit Fee - $60.00 The above described AG. Building is exempt from a buildina permit. ,'FLOOD PARCEL P.D. ROOFING ISSUE ' *Receipt No. f' Manager Building Division 10 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant .p Date Al c— Received from The Sum of„ 4 ForA02 a -f, Received: LLCASH CHECK �%✓� DAVCO BUSINESS FORMS • (916) 743-8511 Y M LINTY OF SUM FFICIAL %4;�IPT —1 �4— 0 T ISSUING RECEIPT Received By Title By 244423 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 RETURN SERVICE REQUESTED J.D. SMITH 1440 LAUREN PETALUMA,. -CA CA 94952 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, oroville CA 95965 Phone: 916-538-7541 J. D. SMITH 1440 LAUREN DR. PETALUMA, CA 94952 ARE: AG EX PERMIT APPLICATION #98-82AG 085-170-039 With reference to the above subject: Attached is: Application.for permit Building Plans Engineered -calculations Owner -Builder Verification Fm DATE: 7/8/98 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). licensed Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Forma Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision'developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: RACED ON THE INFORMATION PROVIDED BY YOU AT THE TIME OF APPLICATION, THE USE OF YOUR A REFUND FOR THE A BUILDING. Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. 4man very t , l C. Vieira, C.B.O. MCV:ahb r, uilding Inspection OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ajor labor and materials for construction of the proposed property impr vement : YES NO 132. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed. construction:..,.; NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. , 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER:�-- SOCIAL SECURITY NUMBER: DATE• NOTE: This Owner -Builder Verification is required by Se tion 19831 and If832—of7he California Health and Safety Code. This verification must he completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, Workers compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contracgrs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4irely, l C. Vi iia, CB.O. r, Building Inspection NOTE. This Owner-Builder.Informatlon is required by Section 19830 of the California Health and Safety Code- OVER ode OVER LAND DEVELOPMENT „✓// / CHICO (;;;I E��PENTAL HEALTH - PERMIT CLEARANCE Building Pennit No. /�- OWNERS �. A.P. NAME NUMBER PRINT LAST NAME FIRS ADDRESS / LOCATION:IzJr COUNTY ZONING DESIGNATION: FLOOD MAP: FLOOD ZONE: / APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: V / Z A� . PARCEL CREATION BY DEEDS v OR MAP ��t�F f�� `C T' N C L nl• DEED INFORMATION: DATE OF CREATION: �3 I Zo ` DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: W 195 �nviv,%E r MAP INFORMATION: _'-7-Off. W� -y�L� � u A c c eSs� u A c c eSS DATE OF RECORDING: LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. ALL FEES TO BE PAID TO THE BUILDING DIWSION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all existing wells. 5. 6. X7. 8. 9. Maintain a ft. leachfield setback from Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. Connect to a public water supply. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family cWellings:and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 1. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ —12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission .requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22. 23. 24. 25. 26. Ala iWVM013A30 aw 3W8 J0111N1100 8661 8 0 1 n r LD 6/98 a3AI333a FORMS\BLDG PERMIT CLEARANCE