HomeMy WebLinkAbout065-540-013Don ayton ,r R - �:� ..� ��. '�«-:�� •�,f rsr. . ••.�:•�.�;��.�,
E/S Coutolenc Rd.,app.7•/10 ,mi.S.of RRA, ;.
overcrossing, Magalia 1,5'0oA1 140,-c4a-4` s a,
Permit #1062-82B P E new single famil �f-065 540-013 "` ~'
ti i g Y) t� > , r: .� #PERMIT395' 98AG
PIFER, ..JuditlifS�.=v�•''��,
065L540,„013�,� � �;�,�PERMIT#95-2283 h ,t� ` •iOW4-,Merchants-Bar*Rdr:�;Magalia' >
PIF ERIChales:.�`i',; -;��.- �.-i, {,,��•.x: `.. :i Ag sExempt•..Permit=StQo.Tools`'-
15�00�41 Merchaints Bar, �Rd Y, Magalia �� #
,a aCont. Golden !Wes
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RESIDENTIAL
065=540-013 " PERMIT#95-2283
PIFER, Charl`'s
`15004- Merchants -Bar, Rd. , Magalia .
'Cont: Golden West Enterprises
-
-Add &Remodel/SF `
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OFFICE COPY
s ,
4 Address
GAS
Date
%t
i
' ws
Meter By
ELE& '
By Dat
Meter
JOB FINALE
D (Dat
i
S~` Signature v�v
f
J=OK
O=Not OK
NotReayable dMOBILE HOMES
t
Date MOBILE HOME UTILITIES (Plans) OK except #'s t
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
W
n
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.Elec.; Receptacles and Lighting, Distances-GFI
5.Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date E - Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL' (Single
' =
Date UND FLOOR (Plans) OK except h's
Zo ing-Setbacks-Easements-Flood-Slope
tg., Main; Soils-Elec. dtp64 W�' Ftg. Depth
3-'Ftg. Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
tg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls. Garage; Steel- Bloc kouts-Wra pped
6a. Hold Downs and Special Anchors j
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
1P. Insulation
Date TCard B-1 S ✓ Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except h's
1E. Water Htr.: Vent -Access -Combustion Air -Baffle
------------------ ---------------------------
17. Water Pipe: Test & Anchor -Nail Protection
18. W,V.: Test -Fittings & Anchor -Nail Protection
-�/ -- Shower Pan: Test. First Floor -Tub Access ---- - -- ------
t 20. Test Tub & Shower, -- Second Floor -Tub Access
--------------------------- ---- ------------
21. Gas Pipe: Size & Anchors
---------- -------------- ------------------------------------
DateCard B_1 Date_ _ Card B_t
- --
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
2e Fixture & Transformer Clearance -Ins. Protection
---------Y ---------------------------------------------------
- - - 23. Elec_Receptacles Spacing -Lights & Switches at Doors
24' Size Boxes & No of Conductors Stapled
--- ------ 25/Romex Installed Close to Edge of Studs & C.J.
-
26
---------- quip Ground made up w!Mech. Fastners-Bond Gas &Water
--------------------------------------------------------------
-- 27 2 Appliance Circuts in Kitchen & Conductor Size!GFI
--------------------------------------------------------------
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / ! ga.
_ Cu or AI
29!Range Circ / / ga Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral- - - ❑ Yes ❑ No _
30 Service Riser Conductors & Ground -Main Disconnect - - -- - -
- --- ---- ----- ------ --- ------
31 E uip Clearances Panels Motors-Mech. Equip.
---- ---- - -------------------- ---- -------------------------------------
W- es Closet Light -Shower Light -Spa Light
------- --- ------------------------------------------------------
3 .Smoke Detector
---------------------------------------------------------------------------------
Date-------------- Card B -1 --------------Date ------------- Card B_1 ----- -
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except h's
34.- A. -C.- Ducts Insulation & Sup
upport --------------------------------------
�Vent Fan: Exhaust above insulation - -
--- -- 36 Conden m ate Drain & Overflow: Size & Grade -
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
------------------------ ------- ---- ------------------------ -------------------- ------
38. Attic Access & Platform if Furnance in Attic 1,..,
-
-----------------------------------------------------------------------------------
Date Card -B-1 Date Card B_1
Date Card B-1 Date Card B-1
Date FRA ING (Plans) OK except h's
39. Sils. Proper Material & Anchors
------ --------- ----------------------------------------------
--------------------------
------------
4 Walls Studs -Nailing Spacing & Bracing -Plates -Sound
---------- - -------------------------------------------------------------------.-
4L1!Bearing Walls over Girders & Floor Nailing
------ -- -----------------------
--------------------------------
4x Draft Stop in Walls (rat proof)
------------ ------------------------------------------------------------------
4.)/Fire Stops: Furred Ceilings -Stairs -Chases -Tub
- ----------------------
44. Headers & Beam -Size & Bearing
& Duplex)
Date • FRAMING (Continued)
-- --
4K, gers-Post Caps -Anchors -Connectors _
---- =
Cing. Joist-Rftr. ties-Purlinroof Brac-Truss-Shthng%-Ring.
7. Fireplace Ties or Type A Flue -Fireplace Throat clearance
-A0 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection -Framing
-------- S -roperty Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
-------- airs; Width -Headroom -Rise -Run -Landing -Fire Protection
- - -- 5I4.' -plywood _on Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
_ S7/Glazing Area -Glass Protection -Skylights -Plastic
58. S ar Walls: Nailing -Bolls
nsulation-Walls-Ceilings
60. Infiltration -Walls -Windows
Date K Card B-1 ,� Date Card B-1
---- -- -------------
- --- ---------------------- --
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except h's
_ Ext. Steps -Door & Sidelight Protection -Landings
------- ------- _. Smoke Detector _
�6 urnace: Vents -Clearance -Comb. Air-Connector-
ge: Above Floor -Ducts -Meth. Protection
e om
----------------
Exiting-
------------
---- G.F.I,-& Bath Fixtures & Tub Access -Spa
lec. Trim & Subpanel: Breaker Sizes & Labels
------------ ----- - ---
Stairs &Rails
Fireplace or Stove:_ Clearances -Hearth
--------------
- �iHEKOF1
Outlets at Wood Panel: Int. & Ext.
�!0. & Appliance: Grnd.-Air Gap -Cooking Clearance .
lec. u•tlets & Receptacles at Kit. Counter
- -- -----------------
-------------
----- --
-------------
re-Goor: Swing -Landing -Closer
----------- --- - ------
- -
-------- -
A.0 -uct in Garage -Damper
-- ----- -- --- --------------------- -----
Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. ,
In G---- rage; Above Floor-Mech. Protection
Ib. let. & Mech. Equip. Listed for Location
-------------------
- --- --_ c-eptacles in Garage: (G.F.I.)-Romex Protection
n ation-Foam-Looked in Attic ❑ Yes
ils-&fie k -Construction -Post Caps
-------d-----
n. -Vents
& Crawl Hole Door -Drainage & Wood Earth
CI nce looked under Floor C3 Yes
-----------------
ollowing instld.: Drive n❑I^ Yes No: Walks 13 -Yes No;
Planters ❑ Yes -
............
-- A.0 .Unit Disconnect. Electrical, Plumbing
Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings- _
ell: Disconnect, Electrical, Plumbing
error Elec. Trim: G.F.I. Receptacle -Underground
Ventilation Throughout House
- ----------------------
87. Glp.-----------------------
rotection--- -----
-- - --------
C r---tions--
-----from- -- Previous------ Inspections-- -
G est -Meters Tagged: Gas -Electric
---- -- 9ater & Sewer Connected -C/O to Grade -HD Approval --
ergy Compl'anc ertificate-Other Certificates
----- -- - - ------ - -- - -----------------
Dat rd B - -- Date _ _ Card B-1
Date rd -1 Date Card B-1
----- ----------------------------
--- -
Date Card B-1 Date Card B-1
Comments at Final:
I/
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, q;lifornia. 95965 - Telephone (916) 538-7541 MIT NO.
APPLICATION AND AND ZL _ 0 �
ASSESSOR PARCEL NUMBER 065-540-013
ZONING 'Pi120
BUILDINGPERMIT
OWNER CHARLESTELEPHONE
SO, Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS p0 BOX 1 MAGALIA, 95954
9 21
060.00
7,800.00
CONTRACTOR'S NAME
GOLDEN WEST ENTERPRISES
T HONE
6,000.00 EST
CONTRACTORS MAIUNG ADDRESspO BOX 1013 MAGALIA, 95954
Fireplace
CONSTRUCTION LENDER
UNIOVOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ 330. 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 914- 0
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDINGADDRESS r
15004 MERCHANTS BAR RD
PERMITFEE
$
MAGALIA, 95954
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
Z, 1 7.00 98.00
LOT NO.
SUBDN510NS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF7 Duplex ❑ Mobilehome ❑ Other ADD ON
SPECIFY
Water piping
15.00 15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition CY Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADD ENTREY, ADD BEDROM, DEN RESTRUCTURE
ROOF, PLUMB NEW BATH, REWIRE u REDUCT
Mobile Home IS I GI W
@20.00
PERMITFEE
$ 72 00
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service800V OR LESS
( 200A OR LESS )
23.00 23 00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9(commencing on ) with Section 7000 of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
Lic. No.
License Class 3?22(p g"
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
LawfV1he 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.
❑ 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
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BUDS. )
SO,
3.50 FT. 00
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
-45
97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES RES)
20 Q 1.00
B"L S0
EX. Occup. OUTLFIXETS RESID.)EA
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ 88.00
Contractor
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.
Up"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
compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _ Date _
SignatuKaf Applican - ❑ Owner [jyGontractor ❑ Agent
An A permit is required for excavations over 60" deep and demolition or construction
of Aructures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating DUCT
Cooling
Hood 6.50
Ventilation
PERMITFEE $ 35.00
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.A50,
OCC
CONST. TYPE
TOTAL FEE $ 834.
HAZ.
D. FEES
-workers'
IMP FLOOD
CDF PARCEL
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY
PERMITEXPIRESON iS
applicable
Resolutions to
been paid.
Date %J
A5/ITE-D.D.S.-B.D.
Oat.)
rceipt No. 185533
I
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENT OF D
` 7 COUNTY CENTER DRIVE - OROVILLE,
OWNER
Proposed Building
ENT SERVICES, -,'BUILDING DIVISION
95965 - TELEPHONE (916) 538-7541
4 'r s•
PERMIT APPLICATION DATA SHEET
Inspector
IN
Date
6
,V4 -o/,
At time of permit application, I was advised the following data must be submitted prior to permit 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 . .............
Hazardous Material Form. .
4Energy Design Compliance and supporting documentation. .
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. ...........
ees f$ ........... ..........
. Impact fees as shown on attached schedules. �c/.. ...
California Department of Forestry plan approval ees
Flood elevation letter (100 year flood by Calornia ngineer. ................. .
Sanitation and plot plan approval. P Health Department . ........... .
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). .. .. a
Pre -Inspection request
20. Pre -inspection for required. .. to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ........................ .
Owner -Builder Verification even to�owner ail 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 . .........................................
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 ou issue the perm* , ocess as follows: Mail to owne . _Mail to contractor.
Telephone and hold for pickup at On 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. er Date By
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required:
ance: (Circle new item not checked above).
tractor esigner, owner, was advised of above required data by _'Jphone —mail Counter by _�Z Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by C3 t3o,.L5 Date -2 -moi "Plans approved by G 1 Som S Date
Sets of plans on hold in a File cabinet AP folder
Copy - Department of Public Works
E.H. US ONLY
Plot Phm AWwW -
Floor Plan Attached
S.1 to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
ner Location
Plan. Approved for: Sewage Disposal Water Supply. Public
Clearance for bedroom mobile home. C .ther
AP#
Private ; Well
moia nnai tor:
Final clearance O.K. for:
NOTE:
s - 3, �l
Environmen ealth ialist Date ,
8/92
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE COMPLIANCE
Owner G��!/7Y.CL /)5:C -X Climate Zone
Permit # Floor Area v
The following data showing mandatory and required features shall
be installed for additions to dwellings. Additions to dwellings
include room additions, converting garages and patios to living
areas, house moves that add footage and attic conversions, and any
space that is existing non -conditioned space that is converted to
conditioned space. Remodeling of existing conditioned space is not
included.
Climate Zones 11 and 16*
SPECIAL FEATURES/REMARKS
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows,
caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN b BATH NOT LESS THAN 40 LUMENS/WATT
DESIGN COMPLIANCE STATEMENT: The above buildinq desion meets the
requirements of Title 24, Parts I and 6 of the California Code of
Regulations.
Jan 93) SICNAT E OF BUILDING DESIC,IEP. OR APPLICANT
Component
<=100 sqft
101-499
500-999
>=1000 sqft
Ceiling
R-19
R-38
R-38
R-38
Ins.
Wall Ins.'
R-13
R-13
R-13
R-19, 21
Floor Ins.
R-13
R-19
R-19
R-19
Slab Edge
NR
NR, R-7.
NR, R-7
NR, R-7
Ins.
Glass (U)
.75
,75
.65, .60
.65, .60
Max. Glass
50 sq.ft.
1696 +
16% +
16%
Removed
Removed
Shading
NR
.66
.66
.66
Coeff(S&N)
Shading
NR
..40, .66
.401 .66
.40, .66
Coeff(WSE)
Thermal
NR
5% Raised
5% Raised
5% Raised
Mass
20% Slab
20% Slab
20% Slab
Heat, Elect
Not Allowed
Not Allowed
Not Allowed
Not Allowed
Resistance
Heat, Gas
AFUE 78%
AFUE 78%
AFUE 78%
AFUE 78%
Heat Pump
HSPF 6.8
HSPF 6.8
HSPF 6.8
HSPF 6.8
Split Sys.
Heat Pump
HSPF 6.6
HSPF 6.6
HSPF 6.6
HSPF 6.6
Package
Cooling -
SEER 10.0
SEER 10.0
SEER 10.0
SEER 10.0
Split Sys.
Cooling -
SEER 9.7
SEER 9.7
SEER 9.7
SEER 9.7
Package
Increased #1Allowed
w/
Allowed w/
Allowed w/
Allowed w/
of Wtr Htrs
Icalculation
calculation
calculation
calculation
I One entry/column = req both =ones, 2nd entry = req zone 16.
SPECIAL FEATURES/REMARKS
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows,
caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN b BATH NOT LESS THAN 40 LUMENS/WATT
DESIGN COMPLIANCE STATEMENT: The above buildinq desion meets the
requirements of Title 24, Parts I and 6 of the California Code of
Regulations.
Jan 93) SICNAT E OF BUILDING DESIC,IEP. OR APPLICANT
'{'j�`7'`YQrtw�fi�°k4°1'�Crw"�i�F`,�"r"•�Fy"r"rfiq'7;I�eY.t��P'�'YS+EY,l�.+�ii'ZV�{cT'r��1RtG'�'`"�y„o�a`MrS'�s�'f��"`r`7rT' �'.F4r'�Ww�«,y�a[`+i�' �*�;'�^��''�',•va-v''i'/�+'*^.'7.•�+'XT'wii.'3"
M
BUTTE COUNTY SCHOOLS IMPACT. FEE -CERTIFICATION FORM
(One Form Per Building)
School District f/�� Building Departmen o.
A.P. Number l�%�i'y'Q/ Jurisdiction: City County
PropertyOwner Ci2Y4%Z
Property Location/Address
Subdivison
Residential DevelopmentSq. Footage
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial 0
New Addition
• Roofe Areas)
ui ing Depa neAeo6sentafive Da
(Floor Plans reviewed by School District Personnel)
District Identification No. �� — (OLA
726sno,.A \Sly` n, %F �"S,chool District certifies that Jnh rn C t LS Q o
(Applicant)
(Street Add
(State)
has complied with the requirements of Resolution No.
representing 3q CD square feet..
Number)
by payment of $
AB 2926 $ �I
FULL MITIGATION $
CA_`-2-cS
Date t.
Paid by Check # Remarks: , A gra �QP _V_
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified. by the applicable Local Planning Agency that this project
is being reviewed under the.California Environmental Quality Act (CEQA), this project may be subject to,
additional school fees to fully mitigate its impact on the school district's schools.
t
White (applicant), Yellow (building department), Pink (school district) ; feefoimmk1 (11/94)dmm
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT.�E�yIES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspect' n indicates that the following violations of Butte County Ordinances exist at
the above addr sand should be corrected. Please notify this office when correction of work
is completed. you have any questions pertaining to this matter, or need additional explanation,
please con t this office immediately.
Date & Inspector
REV 10/92
-_--ot Ntjrn—er
Description of Installation
Declaration
I hereby certify that .the above insulation was installed in the building at the above location in conformance
with the current Energy Efficiency Srandafds for residential buildings (Title 24, Part 6, California Code of
Regulations) as indicated on the Certificate of Compliance, where applicable.
!��__—�
�1�nature. oate
�loffitlire, Date -•----
Signature, Date
Revised July 1995
SHASTA INSULATION
of swi -ng Subcontractor(Co.Name)
General Contractor (Co. Name) OR Owner
Installing Subcontractor(Co. ame
General Contractor (Co. Name) OR Owner
Installing Subcontractor(Co.Name)
General Contractor (Co. Name) OR Owner
R:' F
Thickness (inches!
Th.firmal Resistance (R -Value)
�.
CEILING
Batt or Blanket Type FIBERGLASS --
Brand Name CERTAINTEED
Thickness (inches) 12
Thermal Thermal Resistance (R -Value)
Loose Fill Type INSUL-SAFE III
_ Brand Name CERTAINTEED
Contractor/s min installed weight/ft'
Ib 'Minimum thickness inches
Manufacturer's installed weight per square
foot to achieve Thermal Resistance (R -Value)
3.
EXTERIOR WALL
Frame Type
A.. Cavity Insulation
Material FIBERGLASS BATTS
Brand Name CERTAINTEED
Thickness (inches) :Z
Thermal Resistance (R -Value)
B . Exterior Foam Sheathing
Material
Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
4.
RAISED FLOOR
Material FIBERGLASS- "iATTS
Brand Name CERTAINTEED
Thickness (inches)
Thermal Resistance (R -Value)
5.
SLAB FLOOR/PERIMETER
Material
Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
Perimeter Insulation Depth (inches)
6.
FOUNDATION WALL
Material
Brand Name
Thickness (inches) _
Thermal Resistance (R -Value).
Declaration
I hereby certify that .the above insulation was installed in the building at the above location in conformance
with the current Energy Efficiency Srandafds for residential buildings (Title 24, Part 6, California Code of
Regulations) as indicated on the Certificate of Compliance, where applicable.
!��__—�
�1�nature. oate
�loffitlire, Date -•----
Signature, Date
Revised July 1995
SHASTA INSULATION
of swi -ng Subcontractor(Co.Name)
General Contractor (Co. Name) OR Owner
Installing Subcontractor(Co. ame
General Contractor (Co. Name) OR Owner
Installing Subcontractor(Co.Name)
General Contractor (Co. Name) OR Owner
I
PERMIT NO. 1062-82B P E
PERMIT EXPIRES 7-�
OWNER Don Clayton i
CONTR. Owner
ASSESSOR PARCEL 58-10-108
LOCATION E/S Coutolenc Rd.,app.7/10 mi.S.91
RR overcrossing, Magalia
7 -
Temp.
f
�R
Temp. Power Pole
Called PG&E
r
s.
Temp. Elec. Service ;
'l
t Called PG&E
Temp. Gas Service
Cal led PG&E
31 JOB FINALED (Date)
. l
i-
Signature
a
1
i
h
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED I�/jC�ONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT & e� uux� ; L raA
(location)
BUILDING PERMIT NO. /'D�z -isZ A;P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER-APPROVED.PLANS:
(Check each item or write N/A if -not applicable)
INSULATION:
Slab Edge !/
Fdn. Walls
Floors -
Walls -I�f
Ceiling/Roof -3 a
Ducts , V
Circulating Pipes A/1A-
APPROVED HEATER
APPROVED WTR.HTR._��
GLAZING : ,
Single Glazed
Special (Insulated)-.
1/
CERT. & LABELED WDS.
& SLIDING DRS.
y
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION
DEV IC SAll
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of
Insulation Applicator
(please -print)
State Contractors
License No.
General Contractq.�r Name����� d& �k
Signature of � (please print)'
General Contractor Date ,42 ;o 3
i9fate Contractor
License No.
THIS -CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
CO�F BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 393,-421`1 , ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Inspector Date
E
J = OK
O = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
`I
MISCELLANEOUS
Dale
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size-Depth-Spacing_Connectors
3. Sewer; Location-Test-Fall-C/O-Cohcrete
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.-Rfg.-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 #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date r Card -BI Date
POOLS (Plans) OK except #'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
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
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/O 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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Applicable '
* = Not Ready RESIDENTIAL (Single and Duplex)
Date UNDE FLOOR Plans OK excepthi's
Date
FRAMIN Continued
�—ZAning requirements-Setbacks-Easementsperty
Line Firewall & Openings
cr—Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Garage; Soils -Steel- / /" Ftg. Depth
.v�airs; Width -Headroom -Rise -Run -Landing -Fire Protection
--4.-Gtg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
mwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding-Nailing-Veneer
mwalls, Garage; Steel-Blocko s -Wrapped -Slab
53.
SlXcco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
-7-.--riiers-Fireplace Ft .-St
54.
Gla ing Area -Glass Protection -Skylights -Plastic
W.V.: F ifl+mfs T 2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
L91—bas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
"'!2 Plenums & Ducts; Clearance -Material -Support -Ins.
-+9. girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI Date ?1f) , 2 Card -BI Date
Date
FINA ans) OK except q's
Card -BI Date Card -BI Date
Date PLUMBING (P K except '
Sfrf.
xt. ps-Door & Sidelight Protection -Landings
5 .
'mo ctor
14. Water Ht., Access- us ' n Air
58.
rnace; Vents -Clearance -Comb. Air-Connector-
In e; Above Floor-Ducts-Mech.—Protection
ater Pipe; Test & Anchors -Nail Protection
W.V.; Test-Fttngs & Anchors -Nail Protection
59
om Exiting
W�Shower Pan; Test, First Floor -Tub Access
60.
G & Bath Fixtures & Tub Access
-d8. Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & bpanel; Breaker Sizes -Labels
Gas Pipe; Size & AnchorsR
ails
_
6
Fire a or Stove; Clearances -Hearth
10 1
6
I utlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date
6
. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
6 .
'6r--G-arage
Elec. 00 41� Receptacles at Kit. Counter
Fire Door; Swing -Landing -Closer
Date ELECTRICAL Permit OK except q's
6
uc in Garage -Damper
20. ixture & Transformer Clearance -Ins. Protection
6
Wtr .; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Garage; Above Floor-Mech. Protection
lec. Receptacles Spacing -Lights &Switches at Doors'
ize Boxes & No. of Conductors -Stapled
Plb., Ele &Mech. Equip. Listed for Location
omex Installed Close to Edge of Studs & C.J.
7
Receptacles in Garage; (G.F.I.)-Rome Protec.
,kquip. Ground made up w/Mech. Fasteners -Bond Gas & Water
7
Insulations Looked in Attic es
'Aar. 2 Appliance Circuits in Kitchen & Conductor Size
7
eck Construction -Post Caps
. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looke un er oor ❑ Yes
_ -2e-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
nsulated Neutral ❑Yes ❑No
75.
Following instld.: D,ri�v� ❑ Yes Walks ❑ Yes
Planters ❑Yes LrDNo
't2 Service -Riser Conductors & Ground -Main Disconnect
o; r - inish
Equip. Clearances; Panels-Motors-Mech. Equip.Unit;
Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Clothes Closet Light -Shower Light
78.
Ve Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
r Well; Disconnect, Electrical, Plumbing
80
E for Elec. Trim; G.F.I. Receptacle -Underground
Card B-1 Date Card -BI Date
Card B -I Date Card -BI Date
81
a hroughout House
8
I Protection
Date MECHANI Permit) O except q's
83.
or ions from Previous Inspections
84.
8
8fi
est -Meters Tagged; Gas -Electric
& Sewer Connected -C/O to Grade -HD Approval
rgy Compliance Certificate -Other Certificates
31. A.C. D cts; sulat' n & Support
32. Vent Fan; Exha s above Insulation
_ 33. Condensate Drai Overflow; Size & Grade
34. Furnace -Vent; cc s -Comb. Air -Return Air Vent -115V outlet
35. Attic Access tPlatform if Furnace in Attic
Card -BI _Date _ Card -BI Date
Card -BI
Date and -BI Date
Card-
ate Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
DateMING(Plans) OK except q's
g. ills; Proper Material & Anchors
_. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
19e3f3r�Draft Stop in Walls (rat proof)
. —Fire Stops; Furred Ceilings -Stairs -Chases -Tub
�.�••41!--Header & Beam -Size & Bearing
gers-Post Caps -Anchors- nneptors
Ing. Joist-Rftr. Ties -P -Ro0 ac.- ss-Shthng.-Ring.
_44. Fireplace Ties or ype A e fireplace Throat
45. Attic Access; Size & ome ratec -Draft Stop -Ins. Baffles
_ 14 Bi rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-*76,• Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 Cour ii> Center Drive - Orovilie, California 95965 - Telephone 916/534-4
APPLICATION,AND PtRMIT 1
ASSESSOR PARCEL NUMBERZpNyNG
— /0 -- . 0
� �/!q.-2moi
BUILDI G ERMIT
O R
A �
TE EPHONE
��
SQ. FT. OCC. ILDING VALUATION
3�MAI
OWNER'S LI ADD ESS
r-, L_
C N R.A ..T R'S''NNAME
a) cW V%Y,
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace I Db
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
�Q
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ ip s^
AR HIT ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ '.
Penalty
$
ARCHITECT OR,ENGINEER'S,MAI LING ADDRESS
Permit fee
$ a
BUILDING ADDRESS
E6 Clnuznucnue
PLUMBING PERMIT
Filing Fee 10.00
7 S
Each Trap
2.00
Repair drainage or vent piping
5.00
(S.-
Water piping
LOT NO.SUBDIVIS
N NAME 7PARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF)] Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Yom' Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$ $ —
Contractor
ELECTRICAL PERMIT
Filing Fee 110.00
Main service 100V OR
00 AMP ORSLESS
5.00 1,0
Main service EA. ADD'L too AMP
2.50 a
NEW CONST. (DWELLING OC W)
OR ADDNS. \ ACC. SLOGS.
2Q Sq ft a
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
�] 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
rNioN.R°Esio R BRANCH CIRC ITS) 2.50 ea
NEW CONSTR. ( POWER APPARATUS &)
NON•R ESI D, SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES s �@
FIXED APPLNS. OR
Ex. Occup.(0UTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Co my in conseqtlenceiof the granting of this permit.
X Date �13 ��'
�7ry
Signature of Applicant — O er IbJ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 'S
OCCUR GROUP
I TYPE ov ON ST.
PARCE
PD
ND �E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR AR 0 BLIC
By.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7
-J- 7-
Receipt NO. y 7 ��.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
,-A
To: Building Department
From: Environmental Health
Subject: Sanitation Clearance
Owner 617Location AP#
Plans approved for :. 3 r/,��/!�z'`` Sewage Disposal f% Water Supply
�-j o�ld (final forWater Supply
Final Clearance O.K. for: Water Supply
Clearance for bedroom mobile home. -Other
Clearance for addition of
Note**
nitarian
Date
t r �¢C9iji==
Return to DPW
AGRICULTURAL STATEI ENT. OF ACKNOWLEDGEMENT `--&VQ0 's g0 lffy-,QALiiF.
FOR RESIDENTIAL DgVtl,,OPMENT RE00R05 RE1Aj)e5 - . r
Section 26-8.1 of the Butte County Code requires this acknowledgement An Pi 19V
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included 4LRtSQROEUr"
within an area zoned for agricultural purposes, and residents of SZe FEE
this property may be subject to inconveniences or discomfort arising 1 i 6�Q `
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
(�x Being a portion of the Southeast quarter of Section 18,:Township 23
North, Range 4 East, M.D.B.&M.and more particularly described as follows:
Beginning at the S.E. corner of said Section 18, thence along the S. line
thereof, S.88056159"West,2075.41 feet to the East line of the West 659.31
feet of said Southeast quarter of Section 18;thence along said line North
00°21112"West,1251.87 feet; thenceleaving said line North 86°57145"East,
2058.49 'feet to the East line of Section 18; thence along said line South;
01°10140" East, 1323.16 feet to the point of beginning and
containing 61.07 acres more or less.
Date • Ird 19e2-
PROPERTTTY OWNE
State of(,a1•4inr`ct ) On this the day of
SS. before me, the undersigned Notary Public, personally
County of appeared.
?o Ka/�/
. known to me to be the person(s) whose names) Grimm
OFFICIAL. SEAL subscribed to the within instrument and acknowledged
ARLINE J OVERSTREET that—L-t,
executed the" same for the purposes
a NOTARY PUBLIC - CALIFORNIA therein co tained.
BUTTE COUNTY IN WITNESS WHEREOF, I hereunto set my hand and official
My comm. expires NOV 6, 1984
�. .:�. seal .
Present A.P. NO..rg— /y- -21)
Notar Public
END OF DOCUMWT
0
Q
QOM
X
X
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
MIT NO
Agricultural building is defined as follows: Agricultural building is a structure designed an onstructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure hall 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.� - S. � o ^ � /3
ZONING
OWNER
PHON O.
OW E I;S ADDRESS p
5 U - U �-e 7-5 !% A -i -,A- �..
LOCATION OF BUILDING
,L
USE OF By1LD r_ _ E- n -v�� nof
l
SIZE OF STRUCTURE
Ld X _ �� ° SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME --2�— STEEL CONCRETE OTHER(Specify)
TYPE OF SIDING
W ac) P .
ROOF CQVERINGFLOOR
&K4- (. S 61-1L_ 6-LE-s
TYPE
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 SS SIDES 'L !�''`''� 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, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date g I Gr
Permit Fee -$60.00
Receipt No.�,_
Signature of Owner
The above describeeWG Building is exerhot from a buil ' g permit.
FL D PARC P.q ROOFINGI ISSU
Manager Building Division
By
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
Date g . 9S
i
A7'%•',.- {''"h J'u� .. c�"'%('y %T'ry[tr7"isle!.`1i �'p�^'�e{_�'{,...� ..�_;„� { 'l�i^ �r ✓�, yw e 47 ��!
. .
17 -4 ��"COUNTYG� 61 �`TE - DEPARTMENTOF DEVEEOPM�NTSERVICES -BUILDING DIVISION
.�
OWNER
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEETLru 41
e r A. P, _ �;� . /5
Proposed Building Use Building Inspector , ` Date
At time of
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items have been submitted.........................................
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 (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. .............
Feesof $ ..........................................
Impact fees as shown on attached schedule . ..............................
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California 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 (A) Use: (B) Parking: ......
Contact Land Development about (A) Improvements (B) Drainage. ........... y
Driveway permit (construction approval required prior to occupancy). ... .
F;,;4;
re Inspection requ
Pre -inspection for required. . . to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation ands 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 . ......................................
Plan check list . .....................................................
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pic at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant t Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other ti 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: a
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ DateyPr ,
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans.Happroved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works