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058-220-021
-- —��j CROOKS, Fra PERMIT$95-122a CROOKS, Frank Concow Rd., Oroville Ag Exempt Permit -Ste Trn,t k T 41 COUNTY 'OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: GEORGE ROOFING - DONNA GEORGE ADDRESS: 1875 WYANDOTTE AVE CITY & STATE: nROVTT,T,F, CA A5966 DATE OF CLAIM: 2/12/96 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES IMPORTANT.' SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT CLERICAL ERROR — AG EXEMPT. BLDG. B.P.#96-0240, RECEIPT #191030 DATED 2/1/96, A.P.#058-220-021, OWNER: FRANK CROOKS ............................... TOTAL AMOUNT PAID.. 35.00 TOTAL AMOUNT TO BE REFUNDED.. TOTAL 1 $35 .00 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. ' ated this day of !- /L , 19 , , at ' I '•-� Calif. GY Signature -o—ftlaimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or art' s specified above ave b n performed or delivered and that there is a Budget Appropriation I ] or Specific Board Approval [ ] (Check one) fo t e. . -. Dated this 12TH day of FEB 19 9§t OROVILLE Calif. D partment Head or Authorized Deputy Et.e 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION 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. f ar j FOR BUILDING DIVISION USE: 6 J V Receipt'Information: �c/03o Number: Date: Issued To: Amount: $ �S. 00 ,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 $ Total Amount Retained $ TOTAL REFUND DUE $ j'.Od REFUND CLA ;k4 APPLICATION CLAIMANT'S NAME �2D!2o W MAILING ADDRESS O� �-f Q� L / 11!`e Qi Sci o Co ASSESSOR PARCEL PERMIT # 07 RECE I PT NUMBER (S )` 1 I Q 3n Request- a refund of fees paid on the above receipt number(s) for the following reasons: 41111 C (2-v-, c co,-P11�JL �1� - 01V 1 VY, 04- 1010( 0-1 . L i' Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) [ Building Permit Fees [ ] Sheriff Fees [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. ZSIGNATURE C DATE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICAlriON AND PERMIT IL - ��Q/-() ASSESSOR PARCELNUMBV yf /V/ VZ ZONING BUILDING PERMIT OWNER TELEPHONE Q. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' 10D CQMV D CONTRACTOR'S NAME ^ TELEPHONE CONTRACTOR'S MAILING ADDR 1 Q ( t� . �� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS�� .� Ile, /yam (� PERMIT FEE $ 3tj , `00 I&. PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 . Each gas water heater or vent 15.00 USE OF STRUCTURE � ( n� SF O Duplex O Mobilehome Y'l Other EcAzn SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities ❑ Installation O Other O Describe Work:P_ — C ? `� n(3l(� – Q �J C;��ILs/ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 OV OR LESS Main Service ( BO ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. (' & ACC. BLOS. ) so. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. L-1�7t616 Classification —1�OUTLETS �! O I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPLNS. OR ( ) IRESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): GIL)Id" 150,qc IVIS.0-0 O This permit is for $100.00 (valuation) or less.OC) 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte:to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count In consequence of the grant g of this permit. e�7� X f � Date oC-. /— ! 4/ Signature of Applicant - O Owner OC tractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 00 HAZ. D. FEES IMP I FLOODCDF PARCEL PO HD ISSUE 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. By Date PERMIT EXPIRES ON /Date/ ve Receipt No. t Q d WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Me] Agricultural building is defined as follows: Agricultural building is a structure design/andnstructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This strucnot be a place of human habitation or a place of employment where agricultural products are processed, treackaged, nor shall it be a place used by the public. ASSESS R,P CEL NO. _ ZONING OWNE , raYJ' rn { PHONE NO. 6-6,q�1 _ t OWNER'V!r rl A? n LOCATION OF BUILDING r -o% n As^ L/ % Cci i ►^ L� c f 1 Eck 'sem b (2© pt C o to USE OF BUILI�M11 L 6^0. ® P^fz GT U tr 6 r�Gt T�� SIZE OF STRUCTURE U q'D - � / � X _ ID 0 SQ. FT. TYPE OF CONSTRUCTIO P,c9Su m Tre4tfm ©mss WOOD FRAME X STEEL CONCRETE OTHER (Specify) TYPE OF SIDING 61e6,q ROOF C VEING r yet n FLOOR TYPE ESTIMA D COST OF&ONSTRUC N $ C -Cl© , AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: C t r , FRONT -7 SIDES ��% REAR l� 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 co ct a Building Division and obtain any necessary permits, inspections, and approvals to comply wi the r quiremen n eff ct at t t time and before occupancy. Date OQ —(O — �1 Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from abuildina permit. Receipt No. [ 1 , S�3 Manager Buil ing By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ru Manager Buil ing By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant I LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMITCLEARANCEBuilding PermitNo.F ��/aa 7�t OWNERSA.P. NAME: �.� r / ''�I� l� NUMBER: PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: FLOOD ZONE: X FLOOD MAP: & APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION COMMENTS/CONDITIONS: DEED REFERENCE: LEGAL ACCESS REQUIRED: YES NO YES NO MAP INFORMATION: L /� lC w ca -,v /4C /LGA �^/ I T DATE OF RECORDING .JR+vvnt 9. / 964 LOT 13 BOOK :31 PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES _X NO . IF YES, MARK APPROPRIATE ITEMS) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. X 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from 5. Pay water tender fees in the amount of $_ to Battalion Number of the Butte County Fire Department. )c 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 7. Connect to a public water supply. _ 8. Connect to a public sewer system. 9. 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 dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ >" 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees,;(See phone. number below) 12. Obtain approval from the Department of Fish' and Game for vegetation removal. Contact Fish & Game at 916-355-7010. W 4� Y 13. A traffic mitigation'fee for'eacFi new or additional living unit shall be paid. -Pay the amount'of in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be eiadle to the PJFar mkg Di k*w. — 14. 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., — 15. Deer Mitigation fees are to be paid,- if such fees have been adopted by the Butte County Board of Supervisors. J X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. 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. — 19. 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. 20. 21: 22 23 24. 25. A',0 A31AIdonao atoll Tune 40 AIMOa 5661 Z 1 DO a3ni303m LD 9/95 - C:\WP51\FORMS.K\8LDGPERM.CLR COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 4 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET No. Date Building Inspector A. P At time of permit application, I was advised the following data must be submitted prior to5permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . ; .....s....pection �. quest 20. Pre -inspection for required. . to Building Inspector. (Date) .21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... X73,, Owner -Builder Verification (Given to owner , Mail to owner ............... .... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. �.... . 27. Letter of intent on'building use. 0 ............................. . 28. Mobilehome utility clearance. 29. Documentation of legal access . ..................... :.................. ` 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the per 't, Vss as follows: Mail to,,��pY��((ner. Mail to contractor. Telephone and hold for pickup at LJ /'office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone . mail Counter by r Date Contractor, designer, owner, was advised of above required data,by._ phone _ mail Counter by _ Date Plans checked by Date Plans:ap.proved•by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works