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HomeMy WebLinkAbout073-340-003c 73-34-03 4278-90B,P' ;M: KEENEY; `Carol • : l 5679 Forbestown Rd, Forb s �ql Contr: Barry Scott (new sf) 2 , FREEMAN, DANIEL G S'_ t)79 5679 FORBESTOWN RD, FORBESTOWN s Cont: OWNER - AG BLDG Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. .ACCEPTED OR RECORDINGThe property described herein is adjacent AT 8:01 A.m.. to land or included within an area zoned JAN 4 for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, BLTrM COUNTY R CORDER and fertilizers; and from the pursuit of agricultural- operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establi ed 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 r.ea. property' situate in the County of -Butte, State of California, described as follows: ^r LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WALDENPOND ESTATES, PHASE I", WHICH MAP WAS RECORDED IN THE OOFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 4, 1987, IN BOOK 104 OF MAPS, AT PAGES 72 AND 73. I RESERVING THEREFROM A RIGHT OF WAY OVER KRISTY CRESCENT ROAD, AS SHOWN ON SAID MAP. Date: I(:?0% PROPERTY OWNERS: State of On this the 30 day of �' 19 9 ° before me, the ,�SS. undersigned Notary Public, personally appeared g� County of ,"� ) C-2 19Qy� OFFICIAL SEAL � Personally known to me. � Proved to me on the basis DONALD TIMONEY of satisfactory evidence. NOTARY PUBLIC•CALIFORNIA to be the person(s) whose name(s) [ S u '•aNJ My CommVEzpiACOUNTY resMay26,1991 subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. y Notar Public Order No. MI -D VALLEY, TITLE S� Escrow No. # 117 5 2 0 Loan No. 73-34-3 WHEN RECORDED MAIL TO: KENNETH AND CAROL KEENEY P. 0. BOX 240 BROWNSVILLE, CA 95919 MAIL TAX STATEMENTS TO: SAME AS ABOVE 90 -54 856 90-054656 ; R e c Fee 5.00 DOC 25.30 Recorded Check 30.30 Official Records ; County of Butte Candace J. Grubbs ; Recorder 8:00am 27 -Dec -90 ; JJ 1 Y .UMENTARY TRANSFER TAX $...... .5.3 0 ...... Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances remaining oiele. sign,peure of Declarant or Agent determining tax — F Irm Name MID VALLEY TITLE COMPANY GRANT DEED 7'PA%FER TAX FAM FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, T �„ B.K. HERNDON, A MARRIED MAN, AS HIS SOLE AND SEPARATE PROPERTY hereby GRANT(S)0 /n KENNETH KEENEY AND CAROL KEENEY, HUSBAND AND WIFE, AS JOINT TENANTS the real property in the M yux UNINCORPORATED County of BUTTE State of California, described as LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WALDENPOND ESTATES, PHASE I", WHICH MAP WAS RECORDED IN THE OOFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 4, 1987, IN BOOK 104 OF MAPS, AT PAGES 72 AND 73. RESERVING THEREFROM A RIGHT OF WAY OVER KRISTY CRESCENT ROAD, AS SHOWN ON SAID MAP. Dated ?DECEMBER-' 2-1, 1990. B.K. H RNDON STATE OF CALIFORNIA Iss. COUNTY OF I On 12, before me, the unci red, Notary Public in a d for said State, per- sonally appeared' OFFICIAL sSAL p e4er proved to me on the basis of satisfactory SANDY A. STACK: evidence) to be the person(s) whose names) is/are-subscribed to the NOTARY PUBLIC -CALIFORNIA pf oal Offloe In BUTTE County within Instrument and, acknowledged to me that he/sheJMeyexecuted Commlaslon Ires DE 7 993 • the same. • WITNESS my hand and official seal. (This area for official notarial seal) Signature s 1002 (6/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE END OF DOCUMENT `- Address I GAS jMeter By ELECTRIC Date - Meter gay, Date Signature _ C 3 i 4. I ' + "J 73 -3 1 3 73 -34-3 4278-90B,P,E,M KEENEY, Carol •R 1 Contr: Barry Scott (new sf) Address I GAS jMeter By ELECTRIC Date - Meter gay, Date Signature _ C 3 i I ' RESIDENTIAL - ESIDE TIAL - Address I GAS jMeter By ELECTRIC Date - Meter gay, Date Signature _ C 3 I ' RESIDENTIAL - ESIDE TIAL - 73 -3 1 3 73 -34-3 4278-90B,P,E,M KEENEY, Carol 5679 Forbestown Rd, Forbestown Contr: Barry Scott (new sf) • k I , '; • t fo 1 .e+ t •alb. •+ ° { . 1' A 1 s OFFICE COPY Address I GAS jMeter By ELECTRIC Date - Meter gay, Date Signature _ C 3 r> f v=dk O = Not OK =Not Noyable MOBILE HOMES ' =t Ready eadReady Date MOBILE HOME UTILITIES (Plans) OK except #'s 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. 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 i MISCELLANEOUS x 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-Beams-Rftrs.-Coonectors 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O=NotOK•- - = Not Applicable RESIDENTIAL (S = Not Ready 1-11 Date UND FLOOR (Plans) OK except N's Zon' g -Setbacks -Easements -Flood -Slope g., Main; Soils-Elec. Grnd.-1,7/" Ftg. Depth fw 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-12/" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers-.ireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 1 ars-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date' - % � Card B-1 Date Card B-1 Date-/ !4_24 Card B-1 Date Card B-1 Date PLUMBING Permit OK except 4's a tr.; Vent -Access -Combustion Air -Baffle ater Pipe; Test & Anchor -Nail Protection 1 .V.; Test -Fittings & Anchor -Nail Protection 1 lower Pan; Test, First Floor -Tub Access 2Q--T-est Tub & Shower, Second Floor -Tub Access s Pipe; Size & Anchors Date]— Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's fixture & Transformer Clearance -Ins. Protection let. eptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 2 . o x Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fastners-Bond Gas & Water Applia ce Circuts in Kitchen & Conductor Size/GFI 2 . ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or ange Circ. / ga. C I -Oven Circ. / / ga. Cu or Al. Ins aced Ne tral D Yes 0 No Ser ' -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. othes Closet Light -Shower Light -Spa Light e3pSmoke Detector Date Z. /Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ff's 34. A.0 cts Insulation & Support . Vent Fan; Exhaust above insulation nsate Drain & Overflow; Size & Grade Fur a -Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic D4'�- j Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ff s 38!Sils.Proper Material & Ancnors 4e!'Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 44-�eg s over Girders &Floor Nailing 4 raf top in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub inghe & 'Duplex) Date FRAMING (Continued) gess-Post Caps -Anchors -Conn CIng. Joist-Rftr. ties-Purlin-roof @ c -Truss- htll Rfng. fireplace Ties or Type A Flue -Fireplace Throat clearance 41 -Auric -Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions WeTr-a_ge Fire Protection Framing party Line Firewall & Openings xt. ors -One 3' -Check Garage -3rd Story, 2 Exits Stairs idth-Headroom-Rise-Run-Landing-Fire Protection : � ywood on Roof Overhang -Attic Vents -Rafter Outriggers ing-Nailing Veneer 56 ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazin Area -Glass Protection -Skylights -Plastic 56-81're-ar Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date ��Z �ard B 1� Date Card B-1 Date Card B-1 Date Card B-1 Date FINA s OK except q's Ext. oor & Sidelight Protection -Landings Smok tector urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom.Exiting .I. & Bath Fixtures & Tub Access -Spa ec. Trim & Subpanel; Breaker Sizes & Labels 67. lair ails Fireplace or Stove; Clearances -Hearth lac. Outlets at Wood Panel; Int. & Ext. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ec.Q,tlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer mper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7brfttf�ee-& Mech. Equip. Listed for Location ga-f-ec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic IJ Yes jM-IlTu_ard ils & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ollowing instld.; Drive 0 Yes ❑ No; Walks O Yes O No; Plantes 0 Yes ❑ No ' fish U 'connect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings w-Wa—ter Well; Disconnect, Electrical, Plumbing Exte ' lec. Trim; G.F.I. Receptacle -Underground en ilation Throughout House 8 . lass Protection orr ns from Previous Inspections as T -Meters Tagged; Gas -Electric 4XIfater & Sewer Connected -C/O to Grade -HD Approval 9 Energy Compliance Certificate -Other Certificates Date ,/� 4J Card B-1 Date Card B-1 Date " -q Card Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) Building Owner _ Building Location ENERGY INSTALLATION CERTIFICATE • e. Building Permit # DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness (inche ) Thermal Resistance (R Value) EXTERIOR WALL Material Thickness(inches)_ CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type L,eyS-P Minimum Thickness(Inches) I Z Area covered(ft.2) /.3a/ FLOOR, ELEVATED Material R S Thickness(inches) — z'T noa cT An Material Thickness(inches) Width(inches) Material Thickness(inches) Brand Name ae!L 41AI tzt� Thermal Resistance(R Value). Brand Name Thermal Resis an sRVa u J Brand Name Number of Bags-24�- Wt. per bag 2y5lb. Thermal Resistance(R Value) ,e3O Brand Name Thermal Resistance(R Value) ! Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, 'f§ -consistent with approved building department plans and attachments -and -con -=-- forms with requirements of Chapter 2-53 of State of California Energy Requiremen FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a� shown on the approved Building Department plans and -attachments -have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) IrSIGNAr]OF UILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. 9 DATE Ar - STATE CONTRACTOR'S LICENSE NO. Ioi.l%I� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 4r7 ASSt RCEL NUMBER 7 03 �-34- NTNG BUILDING PERMIT OWNER Carol Keeney TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Barry Scott 1531 R 61,270 367 M 138 CONTRACTOR'S NAME P.O. Box 118, Oregon House, CA 95962 TELEPHONE a_/y65 15 ov 150 CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 67.528 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 337.00 ARCHITECT OR ENGINEER `- None LICENSE NO. Plan Checking Fee(See ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee 15.00 Penalty $ BUILDING Forbestown Rd., Forbestown Permit tee $ 362.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each gas water heater or vent 5,00 USE OF STRUCTURE SFE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 .- 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New T Addition❑, Remodel ElUtilities ❑ Installation❑ Other ❑ Describe work: i tiK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE 80000 AMP ORSLESS 10.00 10.00 CONTRACTORS LICENSE LAW I declare nder 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. 0 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 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.& OR ADDNS. ( ACC. BLDGS. 21/22sq ft NEWCONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) 0 50C Ex. Occup(ou XED TS OR FIXTURES e20 AL(?30 Ex. Occup. OUTLETS ( R RESID,IEA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 79.95 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 f Consent to Self -Insure. grI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6.00 Cooling 6.00 Hood 3,00 3.00 Ventilation 1 3.0 3.00 it Fee ee $ 28.00 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.TOTAL 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, qpsts, and expenses which may in any way accrue again aid County in conj(equencpol the granting of this permit--- Date!!'� Signature of Ap i an — OWner ❑ Contractor Agent ❑ Or An OSHA perm is required for excavations ov r 5'0" deep c '0.,. n or construct- ion of structures over 3 stories in height. /lF` Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 OCC CONSTTYPE F $ 5 5.95 HAZ II CUA PARK scH P o PA PD H Issu Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 84820 ' '� WMITE-O.P.W., YELLOW-ASSCSSOR, PINK-INSPE OR, GOLDEN 0o -APPLICANT ib COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIt_ E,'CALIFORNIA 959651- TELEPHONE: 916/538-7541 y w OWNER Proposed Building Use N PERMIT APPLICATION DATA SHEET Permit No. / A. P..No. Building Inspector -jr-2 Date 12 - - % - At time of permit application, I was advised the following data must be submitted prior to permit. processing and/or issuance: f DA RECEIVED APPROVED 1. All items have been submitted. ........... ..................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ................ ...................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ Park fees paid .................................................... Mq2` S 1/1,4 School District fees paid .............. I -3 -Q/ Sanitation approval from _ (�leoyo-L-r- Health Department a--•20 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ....... 18: Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.request to Building Inspector (Date) 21. Contractor's license informatio,nn. (No -Name Style, Classifications ... ;_ t i.`� ✓ t`. 7 C 0 1' /. 22. Certificate_ of`Wbikmans Compensation Insurance .................. Owner-B,U lder Vdrif cation (Given to owner ❑, Mail to owner ❑) .... . 4 Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization. .. . When you issue the permit, process as follows:. Mail to 8 wrier. Mail to contractor. t/ Telephone— lydS and hold for pickup at cab_ office. Deliver w./inspector". 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 tq permi issu nce• Circle new item not checked above). 1. Index permit for above items No. I '� 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone—mall— 7,� �unter by date d Plans checked by ate Al Plans approveby b'"' Date! —,?- Sets of plans on hol Copy—DPW P folder TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit VO /5765:"Z E has been issued for the above property. Z2 -Ol-�� si ature - date TO -. . Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance r own Location AP# Plan Approved for: Sewage Disposal Water Supply Fold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for 3 bedroom mobile home. then NOTE AV, :. Date Sanitarian BUTTE COUNTY SCHOOLS DEVELbPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number '7 o3 Building Department No. School District ,IeS i//44Z� City L_J County [A Jurisdiction Property Owner Project Location/Address 5 6 7? ft.0/Std p bt,.vni 14r Subdivision �,..le�,L A�' �0�1� z-S�'.Qi't S Lot Number—,"Z- Residential umberZ7Residential Development: © a Sq. Footage 151/ # of Living MHI Addition (Group R) Units Commercial/Industrial: Building aSq. Footage New Addition (Including Exterior Roofed Areas) Representative i2 -?-90 Date (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that App,licant Name) (Phone Number (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by theyment of $ ���, 31 representing /$3/ square feet. p school . A 0 District Representativ° Date PAID BY CHECK NO. ,_ BANK NOI IF O PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) t' w BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed an 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. ZONING OWNER • �� PHONE NO: S3 6-1 S - 0 7 OWNER'S ADDRESS 7 O /—o g R E 5 nw C % S 9 LJ LOCATION OF BUILDING r /0 Cl �'� 3% O - I-IV .).J USE OF BUILDING 770 Is y Sv SIZE OF STRUCTURE �0 X1 L—'=ASO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING a:k ROOF COVERING FLOOR TYPE COYY S Y•T /V tJ ��OU 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: S r/`S FRONT 0 `✓v / SIDES REAR AG Buildings shall 'be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, 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. _ ---1-' Date 3 - " - ds Signature of Owner Permit Fee -$109.98 The above described AG Build Receipt No. Manager B in ivision t By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant is exempt from a building permit. Date - ra Daniel & Jacklyn Freeman 5679 Forbestown Rd Forbestown, CA 95941 530-675-0721 April 1, 2005 Letter of Intent on Building Use. Butte County Department of Developmental Services Building Division 7 County Center Drive Oroville, CA 95965 RE: Building Permit# 05-0792 APN Number: 073-340-003 Dear Sir or Madam: The intent of use for this building is for the storage of materials in the use and care of livestock, including feed and a tractor and its attachments. Sincerely, •���1 - " t BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P0 S- . m PERMIT ISL 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. ZONING OWND PHONE NO: OWNER'S,ADDRESS r— .5 (\7 0i ci 9 S yq LOCATION OF UILDING 0 63-A57- OF 1121usc- /V9/Zcc-c- USf OF BUILDING SIZE OF STRUCTURE j z- I � � � 2—SO. x _ FT. TYPE OF CONSTRUCTION: X WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING, T 1 r 1 ROOF COVERING � F OOR TYPE c\ �, ��� d 0 Ve << S 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: C) FRONT 27i SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, 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 n effect at that time and before occupancy. /� /7 Date r Z 3 0-5 Signature of Owner Permit Fee -$109.98 _ Receipt No. 1/7 ) , �) The above described AG Build Manager Byilding By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant is exempt from a building permit. Date _I-/ v \' L 1 . Butte County Department of Development Services BUILDING DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile 03/25/2005 DANIEL & JACKLYN FREEMAN 5679 FORBESTOWN RD FORBESTOWN CA 95941 RE: Building Permit Number: 05-0578 - APN Number: 073-340-004 In order to continue processing and/or issue the above -referenced permit, we need the following information: ❑ Permit application signed and completed where indicated with all copies returned. ❑ Plot plans, 3/4 sets, signed by preparer of plans. ❑ Complete plans and calcs, 3/4 sets, signed by preparer of plans. ❑ Engineered plans and calcs, 1/4 sets, with wet signature on plans. ❑ Hazardous Material Form. ❑ Statement of Intent for Non -Heated and A/C Buildings. ❑ Engineered truss details and layout in duplicate. ❑ Mobile home data and manufacturer's installation instructions, 2 sets. ❑ Fees of , payable to: Butte County Treasurer. ❑ Impact fees paid. ❑ California Department of Forestry plan approvaUfees. ❑ FEMA National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. ❑ Sanitation and plot plan approval from Chico Environmental Health Department. ❑ City of Chico plumbing permit. ❑ Plot plan and business license approval from City of Biggs/Gridley. ❑ Planning approval for use and parcel check. ❑ Land Development (a) Improvements (b) Drainage. ❑ Contractor's license information (No. Name, Style, Class) or exemption statement. ❑ Owner -Builder Verification Form ❑ Recorded copy of Agricultural Acknowledgment 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. ❑ Mobile home utility clearance ❑ Documentation of legal access. ❑ Documentation of 50% subdivision developed of a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements ❑ Existing violations/expired permits resolved. ❑ Plan check list data and revisions. ❑ 10 set(s) of plans in accordance with changes marked in red. ❑ Copy of recorded 60' right of way to a public road. Should you have any questions concerning the above, please call (530) 538-7541 and ask for the Permit Center. Sincerely, < Tammie Powell G�/y (Paz// Permit Technician Daniel & Jacklyn Freeman 5679 Forbestown Rd Forbestown, CA 95941 530-675-0721 ' April 1, 2005 Letter of Intent on Building Use Butte County Department of Developmental Services Building Division 7 County Center Drive Oroville, CA 95965 RE: Building Permit # 05-0578 APN Number: 073-340-003 Dear Sir or Madam: The intent of use for this building is for the storage of materials in the use and care of livestock, including feed. Sincerely, I C