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HomeMy WebLinkAbout063-050-002t C 63-05-2 Res Holmgren 'L N corneg*e-`Tippi Toe Lane, Forest R nc _ contr: S a Trailer Sales, ico Permit #168077 _ Issued G / ��► - - - -- 96 63= -z Permit # 37-76P,E(u .,MH) ELEC. S GAS AAR �UPPORT_...T TURE_REQ•. /1J..D COMPAC TEST REQ. /0/'- 63-05-2 Perwit #2865-78B(new covered por es & > storage/MH) �y r JAS & LORA BABCOCK-05-02 ME 4863 Tippitoe Lane, Forest Ranch Permit#9-84A(Azricultural B1dgExemp.,. >n) livestock I r �` r.. l� 63-05-2 Res Holmgren 'L N corneg*e-`Tippi Toe Lane, Forest R nc _ contr: S a Trailer Sales, ico Permit #168077 _ Issued G / ��► - - - -- 96 63= -z Permit # 37-76P,E(u .,MH) ELEC. S GAS AAR �UPPORT_...T TURE_REQ•. /1J..D COMPAC TEST REQ. /0/'- 63-05-2 Perwit #2865-78B(new covered por es & > storage/MH) �y r JAS & LORA BABCOCK-05-02 ME 4863 Tippitoe Lane, Forest Ranch Permit#9-84A(Azricultural B1dgExemp.,. >n) livestock 1. r �` ti f 0 .9 util. ,MH 2371-76gE • PERMIT N0. PERMIT EXPIRES OWNER Rex Holmgren CONTR. owner LOCATION (A.P. 63-05-2 NIS Tipitoe Ln.,app.180'E.of Fitzgerald Rd., Forest Ranch 4 V S Temp. Pow r Pole i Calle PG&E Z9e10. lea Serv. C led PG&E C--3 — Zi — Z (1 13 .� Te . Gas Serv. ailed PG&E ° ' 9 J B INALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD � BUILDING BUILDING (Cont'd) / PLUMBING Setback- (p * / _. Co Firewall Forms Parapets Main Bld9f. Restroom Finis Footin Windows ' Stemwal I Siding Slab Roof Sheathing" Piers Roofing. i Garage Fdn. Vents Footings Garage Vents+ Stemwal I Insulation Slab Prov. for physical Footings Slab Patio Footi nas Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer a Fixtures Water Htr. Heaters Ap liances Gas Pi Ing & Test Temp. Gas -� Sanitation FI • PLACE Final ELECTRICAL Relnf. Steel / \ I Final I / IN, I Fixtures / Bond Beam / I I FIRE SPRINKLERS I Motors _ "" I _ Water Htr. Stucco / 1 I Final `_ \ ISuboanels IN, / Mesh _ MECHANICAL- Grd. Fault Prot. Scratch Heating Service Brown Cooling. Temp. Pole Finish Ducts Underground Interior Latd Ventilation Permanent iK Door Closer Final Final Zo DATE REMARKS ORQCOOR ECTIONS MC ooe s' r RsI (NOTE: An entry must be made on this form each time you visit the job site.) I'Insp. Fee UUG DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS ACTIVITIES REPORT • NORTH AREA OFFICE +,t "ft. 700 L, ROOM 300 SACRAMENTO, CA 95814 ❑ SOUTH AREA OFFICE 28 CIVIC CENTER -PLAZA ROOM 639 SANTA ANA, CA92701 M/H, Dir. JA7H' Qthery ` "fit ; Date /��f �:' Inspected by—t: `J '} l R/V Mfr. ; R/v Other Firm/Person-6 r' S4 ZZi L. A' ,� ie ; i FBH Mfr.:"1 . "+, ^ " ' f /> e1 1 / �' •'' /)i ".Location / % 7 •k' `�.< o /, r••; ..�:, FBH Other .r, l ":3rd+, ' Owner and;Address if.other than above Page one of AN No. ' ID No. PI RI .A' FTS CPT CPT No. DOM /l 'lil.rj� 'Ai !r r� /06 Si_ n ' Legal C/NA # Insp. # Comp. Violations S E M PS Insignia , No. Issued No. Voided / ! NOTICE: Itegiil indicating corrections are violations of the California Administrative Code, Title 25, Chapter ❑ 3 ❑ 4, Sections indicated. Copies of these ' regulations may je o`bt`ained from the State of California, Documents Section, P.O. Box 20191, Sacramento, CA 95820. It is unlawful to sell, offer for sale, 'rent, or •46ase'`1jpy; noncomplying mobilehome, recreational vehicle, or commercial coach, or to sell or offer for sale any noncomplying factory -built - housing unit or componepf system thereof. Upon receipt of a notice of violations, the person served shall notify the department in writing within 10 days of the action tokenjo co Secf,the violations. A person so served shall not move or cause to be moved said vehicle, unit, or component system until -the department has been fnotified'oflits destin,ctiontand disposition. ,tAA person.,serveil+with the notice of violation contained in this activities report has rhe right.to request, and shall be granted, a hearing', on the matter before e'Dlrector of the I epgrtment•or hit authorized representative. A request for such hearing shall be in writing and•shall set forth a biief, statement as to the grounds lrefor::.Requests for such hearing' must be presented to the Department by mail of in person at 1807 13th Street,"Sacramento, CA• 95814.` VIOLATIONS INDICATM SHALL BE. CORRECTED AND A REQUEST FOR FURTHER INSPECTION FILED WITH THE AREA OFFICE INDICATED ABOVE ON OR :`BEFORE' "'a '�"1 THE REQUEST FOR INSPECTION SHALL BE ACCOMPANIED BY MINIMUM FEES OF $ P/A: No. _ y' ;} Type of Occupancy Insignia No. Serial No. •t i 'D41-3 'lil.rj� 'Ai !r r� /06 Si_ n ' 12 ..� Lo •� �Jr ,t t y �!c/ p i,J c7 /UVC Is- , Ohl ,U Received''b �� r1i /T'� '� r• Y� — ,CC: • E]'Mfr. ' Ej Dir. ❑ Plant CSI ❑ CC's Mailed ❑ Other 'HOD^:i.T2 (Rev.��75) 4. r crir MOBILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehom® located with quired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome Have required clearances above ground? (Sec.5085) Yes 3. Are footings and supports -properly sized, spaced, and braced as pera owed plans? (Note" possible variation at spring shackles.) (Sec. 508 & 5083) Yes 4. Is the mobilehome level? (Sec. 5088) Yes o 5. I.f mo e it, are crossover connections properly installed? (Sec.. 5088) Yes 6. Water ' A. Is flex' e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes C. Backflow - If coach4ve t t of California approved, does station have backflow device and pressure -relief No 7. Wastes and Drains , A. Is connection made with Schedule 40 DWV and have flex connectors at each end?'Yes 4__1q10_ B. Does it have minimum" per foot slope and is it properly supported? Yes C_,�_1Qo M C. D. Are any leaks detected in drainagesystem after running 3-ga s of water through each fixture including.washing machine standpipe? Yes No If coach is not to of ifornia approved, does station have required trap and vent? Yes No <rit Gas_ Piping and Gas Vents A. -Connector - Is mobilehome,connected,to. he gas supply with an approved 3/4" minimum mobileho connector not more than 6 t, long? Note: All -piping is to be at least as large as fh mobilehome gas line inl t without reductions other t n the mobilehome connector. Ye No B. Test OK as per foll ing proced e? Yes_ No 1. Open all applianc connec r valves. ' 2.. Shut off appliance bur r and pilot valves. 3. .Air1test;with - nom er.to 10"-14".,water column, or test with slope gauge (minimum `_ \I `�` 6oz.-maximum.8 oz. calibra d in tenth pound increments. Test'for'-10-min, without drop. 1 4. Connect gas me r,to,mobilehome w'th�connector, turn on gas, test connections with soapy water. l C. Are all applian vents properly installed. Yes No 9. Electrical A. Is service large enough to provide adequate amperage to mobil'ehome'(must equal rating of mobilehome with a minimum of 1( amp) and other facilities on lot, i.e., water u�, garage, cabana, etc.? Yes 4 No�cc 17!:; B. Is there proper clearances around panels? Yes 4-1 r C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per-thetfollowing procedure? Yes °-' No 1. De -en gine electrical wiring system of'the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors,;.including neutral condu or, have been disconnected. 3. Switc all breakers and switches in the mobilehome to the "on" position. 4. onnect.one lead of a test.instrument to the mobilehome grounding conductor and .apply tie other lead to each ro.obilehorne supply conductor, including neutral. 5. 1 non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall,be tested for continuity from Zpo h a ipment and the grounding conductor. 6.n completion of the above procedure, the power supply cord or feeder. assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay,.sign off card and tag services. MOBILEHOME DATA 117, Manufacturer and/or Namestyle r ��--@C,13 Length (o4 Width &-A PA Arf--)6 Vehicle Serial No, � State Identification No.. Additional,Information or Comments: 7-Z0-- 7 .. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center drive -4 Urwlle, Calitornia 95965 ^^^yyy Telephone: 534-4541 // —76 APPLICATION AND PERMIT y / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. %( X Date Jam- / --7.0 Ignature of ermitee or Agent Receipt No. 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. Cr*1.. DIRECTOR OOUBLIC WORKS BY�����.Dateing permit expires Date S-13-77 BUILDIN Owner Ex H O SQ. FT. OCC. BUILDING VALUATION Mailing Address UC_ i+ T-. / � Telephone No. R'� &A ' qaq90 Fireplace Contractor n W 4Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address 5+ p "rb PLUMBING No. @ FEE ERMIT FILING FEE $3.00 ,QQ UEZEgNL Each Trap 1.50 _P0 RE -57 RA LACA Repair drainage or vent piping 1.50 Water piping V 6.08 (® ,®p Each gas water heater or vent 1.50 A. P. No — Zonin HT Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fie< W.C.an' on I FireDept. FireZone Use.Permit Building sewer (m 10,00 EQA Parking plans Parcel eclaration r Parcel ap 60' R/W Improvements Lawn sprinkler system 2.00 ions Recd 'L` Parcel Approval Plan pproval Permit Fee2A s 61 NEW ❑ ADDITION ❑ UTILITIES Q OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1;9,00 Main service OR LE 100 AMP ORSLESS 5.00 SfIbo Main service 490. ADD'L 100 AMP 2.50 , Single Family Du lex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service OVER 600V loo AMP OR 25.00 0 AM Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESSID. SINGLE OUTLET CIR. 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 style of: YZ H r00 Ex. Occup(OUTLETS OR FIXTURES) BA@L� Ex. Occu FIXED A,PP LNS. OR P•(OUT LETS (RESID.) EA) 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 $ 24n,,Isle 1_2k2 isz 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. ❑ I 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 x 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 $ $ 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 TOTAL PERMIT FEE 1$ 4q 1T9 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. %( X Date Jam- / --7.0 Ignature of ermitee or Agent Receipt No. 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. Cr*1.. DIRECTOR OOUBLIC WORKS BY�����.Dateing permit expires Date S-13-77 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive' 7 Or6viIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT •••�••-- �r•���^•�•�•�� aiu vuun.y Vi ouuo W emut upun Lne above-mentioned property for inspection purposes. X `C Date Signature ff(/Permitee or Aget RPraint Ain / r �lY 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. DIRECTOR OF LIC WORKS rte' / By Date— B (ding permit expires Date t/ ill /712 BUILDING Owner AxQ M / SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractory Jew Total Valuation Mailing Address Q/ 9 Permit Fee Plan Checking Fee&/or Penalty Telephone No. .2, G Permit Fee Building Address ':G PLUMBING No.1 @ FEE NF t h. PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3— (is— Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s W. . 9errrt8 n I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 Bld ans Recd F Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 00V OR LES Main service 100 AMP ORS' SLESS 5.00 37/-7( Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADO'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20.sgft NEW CONSTR. (MULTI -OUTLET NON-RESIO BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 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 style of: �A r- Y9'1e S' Ex. Occup(OUTLETS OR FIXTURES) BALT 25gt L@1 04 FIXED A Ex. Occup. (OUTLETS PRESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2��5`Zb Classification C,Misc. V , 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. I 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 7 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 anthnri7n .,..:..,,.. ,.. .r... ,....._.. /✓�T fi G /O / Q. IAC TOTAL PERMIT FEE $3� •••�••-- �r•���^•�•�•�� aiu vuun.y Vi ouuo W emut upun Lne above-mentioned property for inspection purposes. X `C Date Signature ff(/Permitee or Aget RPraint Ain / r �lY 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. DIRECTOR OF LIC WORKS rte' / By Date— B (ding permit expires Date t/ ill /712 rMOBILEHOME SUPPORT DATA Mobilehome Mfr...._..-_. �,� G� _ Setup Model No. Width 1 _(ft.) Length (ft:) Expando Sizeft.xft. (Draw support details below) / b Year 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) . A S e Center Center Support Support ��� Footing S�3zes� � Locations_, (in.�) ���/ Ingle .., -- ��� d ! Footings-- (check . one /1. ;Wood 'either pressure treated oz fdn::: grade. '. . _.._ _ .. .._. .. � G�' � � �: ' x:� -- • /� 2:=Concrete pad. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Max. c Pier. 'Spacing �.n. Max. Overhang in. gU`�TE ��UNTY BUILDING DE.ARTMENI A P ROS x 3.!)Other `specify ® ^ < Supports (check ont 1. Concrete block ter, :. . + ... 2. Concrete piers (ft in (i3i,.: in .. _ ... 3. Steel piers .... ........,.. _ ...... ::�: - 4. Other, specify._ Typical Support Footing 'Size' �.n. ('in.) (in.) -. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Max. c Pier. 'Spacing �.n. Max. Overhang in. gU`�TE ��UNTY BUILDING DE.ARTMENI A P ROS BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 Countv Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: Sl ft ho y- 5�4 3. Is the site currently under permit? Yes / / No (If yes, furnish permit numbe-r ) OR Is the site an existing site? Yes / / No (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 _L ( If no, clarify 5. What is the mobilehome electrical rating?-----------------��-a- === 6. What is the mobilehome site service rating? --------- ----------- 7. What is the mobilehome site circuit breaker rating? ----r ------- 8. Is there any other electric load to be served by the mob r Amp Z Amp (This information not required if pipe length less than 6 ft. on natural-gas or less than 50 ft. on LPG.) site service? --------------------------------------------------- Yes / / No 12 - (If (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural /—/ _. LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. :What is the mobilehome gas demand? -------------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural-gas or less than 50 ft. on LPG.) v / / NOTF:—All Mat,,q,ls Lrr !"Jnr! �;,ar+ship .Shall Ete in Accordonre wife of a qu�rlitEr Good Practices anal r�rescr%erl for ;he Snecified use in the Uniform Building, Plumbing & M thachanical Codes and Me Nafional Electrical Code. Sept,c sYstem and location of build- / ing drain stub -out to be as. per But County Health Dept: Re- quirements. f/ 10 i w® All utility connections shall�l�s, �. located within 4 ft. outside the rear third section of the mobile horse on the left (road) side of the mobile home. / 14 SPX /m9reyr Na/r>>; J -1d . S 710rr/ 4 '71 /1 IfC;1 I'his set of plan: and sPecii-ications PAUST b xopt on tt+e job at Oil times a„d ii is unlawful cc make) any cb my es or alterati„ns on. same . wilt Sul writ7�n permisson from the Department of P btir Works, County of Butte. The'IW�k 4 /,mss ii�'S si Sefback shall Ise 5 ff, Me cee�ferl oeeoffy fhere and 50 f¢, a Maximum of a 2 ff. ecare overhad' oveA Permit tivill b ihsfallafio,n of be required for tl e mobilehorne. NN BUTTE COUNTY BUILDING DEPMTMENI APPROVFr. -g% / �A 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 C Ii ornia dministrative Code, Title 25,eapt�rer: 5, under per��ggi�t number a- for the following location: s i i iZZ:)e !...L7 t 9b C mom' XiT,-Z-r.EJPai n /QD — XA1/1 c'-, h�IAh-,A Owner kt0 //'��Y) G.e&-N ,L Owner's Address.���- C -A 14ov - Mobilehome Mfg. OCX !? 1. 02 Insignia No.�1—'/ Zai/ C,64O It is hereby certified f may be occupied. Date Model AA"i3D/'Uki Year(,` -j Serial No. occupancy at the above described location and Director of Public Works THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 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 C li ornia Administrative Code, Title 25, apter 5, under peg number 6-7 % for the following location-W,7Z)6 Owner L-E%S �p1-40 kk M �,���/ u• ^ Owner's Address @= r v1_ GR M) - Al /JUT 5 4, J C Mobilehome Mfg. oo Model JQO/?D/y©leyear�J Insignia No. _ k/'V56 S5_Serial No. -3—` It is hereby certified fQ occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE'IS VOID WHEN MOBILEHOME IS RELOCATED " COUNTY OF BUTTE - DEPAR.TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 G - � AGRICULTURAL BUILDING EXEMPTION PERMIT LERMIT N 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. 63 — 05 04? ZONING OWNER �, �D lee PHONE NO. OWN ER'5 ADDRESS/ / �/"s/ / O ��/�� • 0���'/� �i�������/U�! / L/T ���C� LOCA ION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE 3 S/ZWr A,,V 204C TYPE OF CONSTRUCTION: WOOD FRAME STEELCONCRETE OTHER (Specify) TYPE OF SID NG /� STE�r. ROOF COVERIN _SW*Ve FLOOR TYPE ESTIMATED COST OF CONSTRUC I N AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:t FRONT �� SIDES 40 /0 _Sb .., 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 ancy. Date d �j t Z �FYY' Signature of Owner���� Permit Fee - $2 .�41The above described AG Building is exempt from a building permit. Receipt No. ��� Director of Public Works BY Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Fo 0 P6 '$W ��rr � I L 120 F • 45- '-PERMI,T.NO. 2865-1$B---- P • - PERMIT EXPIRES OWNER Rex Holmgren "'CONTR. owner LOCATION (A.P. 63-05-2 NIS Tippi Toe Ln., app.200'E.of Fitzgerald,l Rd., Forest Ranch Temp. Power Pole Called PG&E Tem/ Elea Serv. /emp. alled PG&E Gas Serv. alled PG&E JOB �. FINALED (D (Si nature uoor closer x I Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pe stat Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 1 �- Jr L- / (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLICXORKS BUILDING INSPECTION RECORD:'. ' BUILDING B,,UILDING (Cont'd) PLUMBING Setback ✓ Firewall ' SolI Piping Forms =- f Para ets 1st Floor' Main Bldg. Restroom Finish 2nd Floor . Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping' Pier ✓ Roofing y Sewer Garage fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physicallY handicapped Conformance of X. structure Appliances Gas Piping & T st Gas Slab A Final -Temp. Sanitation Patio FIREPLACE Final Footings Footing / LECTRICAL Masonry Walls Throat / Rou 4h Relnf. Steel - Final Fixtures Bond Bea FIR SPRI ERS Motors Framing — d Test Water Htr. Stucco i Final Subpanels Mesh ME HANK L Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under roun Interior. Lath Ventilation Perm, uoor closer x I Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pe stat Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 1 �- Jr L- / (NOTE: An entry must be made on this form each time you visit the job site.) d COUNTY OF -BUTTE — DLPARTMENT OFPUBLI C WORKS 7 County Center Drive • —• Oroville, California 95965 y Telephone: 534-4541 APPLICATION :AND PERMIT 4q 11� BUILDING " Owner SO. FT. OCC. BUILDING VALUATION DU Mailing Address �cil/ li/ ! e� Telephone No. L- L Contractor ` Mailing Address Fireplace Total Valuation Q(� Telephone No. Permit Fee , Building Address 7r Plan Checking Fee Vor Penalty Permit Fee O,DO D PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 /� A. P. �—!/,% Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es C. S tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking P Parcel Declaration Parcel Map . 60' R/W I Improvemen Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel A roval I Plans A4roval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home iID Others ❑ Main service EA. ADD'L 100 AMP 2.50 / Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST ODWELING R ADDNS. ACCLBLDGS.CCUP, Y� 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business 8 Professions Code under the name style of: NEW CONSTR.S,D, MULTI.OUTL T NON•RESID BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. EX. OCCUQ {OUTLETS OR FIX IBES 50 BAL@1 FIXED LNS Ex. Occup. (OUTLETSP(RESID)REA) 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certif that in thef a f th w k f h' h h' MECHANICAL No. @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling y per orm nce o e or or w Ic t Is Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ 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 County of Butte to enter upon the above-mentioned property for inspection purposes. .� X ccs Date Signature of Permi tee Agent Receipt No. Z,ZZ 1-lJ"Z White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ m Lon 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 bee aid. DIRECTOR F P BLIC WORKS BY Date__ ��U�ilding permit expires Date