HomeMy WebLinkAbout058-210-181- __-
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BUILDING DIVISION
COUNTY OF BUTTE - DEPARTRkNT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
v
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.'5 ' — szo—O
ZONING Fi��
FR
OWNER
PHONE NO.
-(0-7,s-4
OWNER'S ADDRESS
LOCATION OF BUILDING j
USE OF BUILDING
-Td C4 -0 Iq a lld epi 1` ,.. to e—vl
SIZE OF STRUCTURE
--��' X SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER(Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows:e
FRONT 16, �^-�. 1
SIDES REAR Li
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 conforms 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 2`�i�-- Signature of Owner 7�
Permit Fee — $50.00 The above described AG Buildinq is exempt from a building permit.
Receipt No. N _V)S 1
FLOOD PAR L P.D. ROOFING ISSUE
Manager Building Division
By / Date�—
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant _
iI
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COUNTY OF BUTTE - DEPARTME I bF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APP`_LICATION DATA SHEET
OWNER MUNI C /�
Proposed Building Use
v A. P. No. SS "S2" 037
Building Inspector ;�J� bate
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
Plot plans, 3/4 sets, signed by preparer of plans.- .........................rte
Complete plans, 3/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ................. .
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets .............
Feesof$ ..........................................
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 . ......................................... l
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. .......... .
Driveway permit (construction approval required prior to occupancy). . .
Pre -Inspection requ ;
Pre-i6spection for required. . to Building Inspector (Date)
ontractor s icense in ormation. (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 and 60 right of way to a public road. .... .
Letter of intent on building use . ..........................................
Mobilehome utility clearance . ............................................
Documentation of legal access . ........................................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ......................................
Plan check list . .....................................................
When you issue the permit, process as follows: Mail to ow r/ Mail to contractor.
Telephone and hold for pic c office. Deliver with inspector.
' Other
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution - Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
'Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
;0l!'
q 4 -
The-.
F„ RESIDENTIAL
r ,
93-976 BPEM
058-52-0-037
JACKSON, HOMER
55 TOBIN CT, OROVILLE
CONTR: JAY PARKER
NEW SF
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1-9i
r OFFICE COPY
Address
f
E GAS
k Meter By Date l
ELEleT
MPr Y
i
t A4&�er-B -
y Date.
ELECTRIC
Meter B i
y
Date
L%/
Y
i
JOB FINALED (Date)
Signature
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i
V=OK
O = Not OK
Not Reaay$ble MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fell -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /"L"ft.
/ /"Net. or/ P'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
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 Teat -Fall -Flex Connector
6. Water; MH Teat -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
MISCELLANEOUS
Date/Initial 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 -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/Initials 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-Enclosu res -Pane I boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
- =Not Applicable =Nat RESIDENTIAL
= Not Ready
Date/Initials UNDE OR Plans OK except #'s
t?/( -
;7M . oning-Setbacks-Easements-Flood-Slope
Ftg., Main; Soils-Elec. Grnd.- ' Ftg. Depth
tg., Garage; Soils -Steel -Ela . Grnd.- Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
AAS'Stemwalls, Main; Steel-Blockouts-Wrapped
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Downs and Special Anchors
. SP; Steel -Wrapped
Piers -Fireplace tg.-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
4,1-Y`Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
ienums &Ducts; Clearance -Material -Support -Ins.
14. Gird -Sills-Anchor Bolt KwVents-Cripples
15. Acc s & Ventilation
16. Insulation
6
Date/Initials PLUMBIN Permit OK except #'s
16. Water Htr.; ent- cess -Combustion Air -Baffle
L7 -'Water Pipe; Test & Anchor -Nail Protection
11 W.V.; Test -Fittings & Anchor-Naii Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
Gas Pipe; Size & Anchors
Date/initials ELECTRICAL Permit OK except #'s
ta'Fixture & Transformer Clearance -Ins. Protection
. Ele .Receptacles Spacing -Lights & Switches at Doors
Si -Boxes & No. of Conductors -Stapled
R mex Installed Close to Edge of Studs & C.J.
E uip. Ground made up w/Mach. Fastners-Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
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. Equip. Clearances Panels -Motors -Mach. Equip.
32. glothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date/Initials MECHANICAL Permit OK except #'s
. A.C. Ducts Insulation & Support
. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRA fNG Plans OK except #'s
Sils, Proper Material & Anchors
10 1ls Studs -Nailing, Spacing & Bracing -Plates -Sound
Kw ring Walls over Girders & Floor Nailing
Of Draft Stop in Wells (rat proof)
43 f)re Stops; Furred Ceilings -Stairs -Chases -Tub
Headers & Beam -Size & Bearing
Single & Duplex)
Date/Initials / FRAMING (Continued)
445. Mangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthno.-Rfna.
#47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
AtC Access; Size mex Protection raft Stop -Ins. Baffles
49'Ifigrn. Windows or Exiting Doors -Sill Hgt. & Dimensions
W -Ga ge Fire Protection Framing
rgperty Line Firewall & Openings
5Y . Doors -One 3' -Check Garage -3rd Story, 2 Exits
rs; Width -Headroom -Rise -Run -Landing -Fire Protection
plywor6d on Roof Overhang -Attic Vents -Rafter Outriggers
a// J/�� §,. iding-Nailing Veneer
o Mesh -Drip Screed -Fd. Vents-Underflr. Access
P!G azing Area -Glass Protection -Skylights -Plastic
.Shear Walls; Nailing -Bolts
W/11 42 9. Insulation -Walls -Ceilings a' - /
60. Infiltration -Wells -Windows
Date/Initials FINAL Plans OK except #'s
�Pt. Steps -Door & Sidelight Protection -Landings
oke Detector
Furnace; Vents -Clearance -Comb. Air-Connector-
JsrGarage; Above Floor -Ducts -Mach. Protection
*oom Exiting
Fl& Bath Fixtures & Tub Access -Spa
Trim & Subpanel; Breaker Sizes & Labels
ifs & Rails
or Stove; Clearances -Hearth
ets at Wood Panel; Int. & Ext.
Appliance; Grnd.-Air Gap-Cookina Clearance
at Kit. Counter
Door;
qr*A_Q:1Duct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
�arage; Above Floor -Mach. Protection
L.K. Pit.—Elec. & Mach. Equip. Listed for Location
Ele eceptacles in Garage; (G.F.I.)-Romex Protection
ns ion -Foam -Looked in Attic ❑ Yes
G ails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor Y. -Yes
80. Following instid,( Drive 0 Yes o; Walks 13 Yes o;
Planters es P No
inish
A. nit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to
Wa ell; Disconnect, Electrical, Plumbing
,tertbr Elec. Trim; G.F.I. Receptacle -Underground
Vent I6h Throughout House
87 a rotection
eclions from Previous Inspections
Test -Meters Tagged; Gas -Electric
W�N6,r & Sewer Connected -C/O to Grade -HD Approval
ZLj:e�. Energy Compliance Certificate -Other Certificates --
m nta at Final:
Installation Certificate: Residential CF -6R
BUILDING OWNER: D l'YI /Q �Als /1 U BUILDING PEFJ1IT # :
BUILDING LOCATION: .`j t � '�,)/ �;� Qfi0141 f CA. C Q tVC 0 w /9,fe,9
An installation certrficate is required to be posted at the building site prior to the issuance of the occupancy permit. This form
may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that
the efficiency and type of the aopiiance installed must be acutvaient or better than the appliance specified on the Certificate of
Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall r
responsibility for the appliance installation.
I, the undersigned. verify that the equipment listed in the category above my signature is the actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that
the equipment is equivalent to or more efficient than the equipment specrfied on the Certificate of Compliance submitted to
demonstrate compliance with the Energy Efficiency Standards for residential buildings.
HVAC SYSTEMS
Note: Hydronic boiler
information is entered here. Other
hydronic or combined hydronic equipment is listed under
Water Heating Systems.
External
Tank
Insulation
R -Value
Ilk
Heating Equip.
CEC Certified
Actual
Distribution Duct or Heating Load
Heating
Type (furnace,
Manuf. Make &
Efficiency
Type and ` Piping '. Before Over-
Equipment
heat gums. sic.)
Model Number
(AFUE. etc.)
Location R -Value 'Sizing (Btuh)
Catacity (Btuh)
f?.6Ff 9JS.AA
80
C E4JT41 -L �L =-cl. 0 d
s� 10 —`
tZ&06o'2W4A4612_,
_
vjun,�z Ft. -acre.
CEC Certified
Cooling Equip.
Compressor Unit"
Actual
Distribution Duct or
Type (air Gond.;
- Manuf. Make &
Efficiency
Type and Piping
C
heat aumo, etc.)
Model Number
(SEER)
Location R -Value _-
_'
/kt (L Cvwa917trat/EQ�
12- _
/ n CEAIT7�LA-•L i2 .d• L
The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of
the nergy Efficiency St cards, are two of he criteria used for equipment sizing and se�lectiGn.. -
f / 3b'L S �M lfis� 7t/tl G`t2 �sND l 7zaNi A/fr e,ve,
Date HVAC Subontractor (Co. Name) or General Contractor or Owner
WATER HEATING SYSTEMS
Water Heating
System Type
storage gas etc)
CEC Cartffled
Manuf. Make &
Model Number
n. S 172
=
Rated' `Tank
Input (kW Capacity
or Btuh) (gallons)
Energyt
Factor or t
Recovery Standby
EffIciien�cy Loss ( e)
External
Tank
Insulation
R -Value
Ilk
t. For small gas storage Iratea inout 5 75.000 Etu/hq. electric resistance and heat pump water heaters. list Energy Factor.
For large gas storage water heaters iratea input >75.000 Etwhrl. list Rated Inout, Recovery Efficienei ane Stanaby Less.
For instantaneous gas water heaters. list Ratea Inout ano Recovery E!fivency.
For instantaneous electric water heaters. list Rateo Inout.
FAUCET S & SHOWER HEADS
All,faucats and snowerneaas instailea are fisted in the Commission's Directory of Candied Faucets and Showerheacs.
pursuant :o Title 24, ?art 6. Subcnacter 2. Section 111.
Sian r Date rlumotng Subcontractor (C of or General Contractor or Owner
THIS CERTIFICA'17- MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTIO',
APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
Insulation Certificate
-
BUILDING, OWNER • M 0 /9 -,CR n�/%Aes BUILDING PER= #
J Y
BUILDING LOCATION:
Description of Installation
ROOF
Mar-- ial
Thickness (inches)
CEILING
C
Brand Name
Thermal Resistance (R-Vaiue)
or eldul 19��/9��
B= or Bianimt Type- Brand Name 0 w f -A/ S Co / A11,41'
Thickness ('mches) Thermal Resistance (R -Value) /I - 1510
Loose Fill Type F -M f R 01 d S S Brand Name cL coAirewC
Contractor's minimum installed weight/fr�.� lb Minimum thickness IQ incites
Maaufacmuzz's installed weight ger square foot to acheive Thermal Resstance (R -Value)
EXTERIOR WALL -
Material Brand Name w N S r
Thickness (inches). f„ " Thermal Resistance (R -Value) IM
RAISED FLOOR
Material el a e4 (' 1 - RS S 6,117
Thickness (inches) (Q `►
SLAB- FLOOR
Material
Thickness (inches) -
Width (inches)
FOUNDATION WALL
Material x fQ ER 04 R S S 13 A77
Thickness (inches) f, t
DecIdaration
Brand Name Qu/ Clv5 GO &O
Thermal Resistance (R -Value)
Brand Name
The. -mal Resistance (R -Value)
Brand Name Ow,CNS__. C0�<A//W
Thermal Resistance (R-Vaiue) 9-/
I he.--; -v cs: dfv that the above insulation was installed in the building at the above location in conformance with
the c�uri--::t Building Energy Efficiency Standards for new resid-tial buddin�s contained in Title 24 of the
California administrative Code.
6AY PAR /Y� Co i✓,S
G con=or tButiaer)
D wNt��
Signature and Tiuc
SCO FAKE 'Al - 4ft,647cakl CO
Z)
S uonaaccor t lnsuiauon instailcr )
3Is-/ %-5�
+.cruse Numoer
/,f / D - 9 3
Dace
Logue N=mr
Signature ana T We Date
c
THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPATMT-NT PRIOR TO FINAL INSPECTION
.APPROVAL AND A COPY SHALL BE .POSTED WITHIN TILE BUILDING.
JANUARY 1993
COUNTY OF BUTTEi-. DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIle,,Cal i,forWa 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
V
PERMIT NO.
q-9-- 9710
ASSESSOR PARCEL NUMBER
058-520--037
ZONING
FR -2
BUILDING PERMIT
OWNER LHi
eDDRE
TELEPHONE
726-2466
S0. FT. OCC. BUILDING VALUATION
Skson
OWNER'S MAILING
55 Tobin Court, Oroville 95965
1,774 R 95,79 .00
551 M 9,918.00
CONTRACTOR'S NAME
JayParker #351736
TELEPHONE
36 C8.00
-u-
CONTRACTOR'S MAILING ADDRESS
2900 Muir Rd., Yuba City 95991
2 2 ,
Fireplace A 1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valu I ,
LENDER'S MAILING ADDRESS
Filing Fee
,$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 316.25
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ 20,00
Penalty
$
BUILDING ADDRESS
Permit fee
$ 983.75
55 Tobin Court, roville
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
91 5.00 45.00
Solar or heat pump water heater
1 20.00
LOT NO. SUBDIVISION NAMEPARCELMAP
4
Water piping
1 7.00 7,00
Each qas water heater or vent
1 7.00 7.00
USE OF STRUCTURE
SFEZ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
1 15.001 15.00
Mobile Home S I G I W
TYPE OF WORK
New❑{ Addition❑ Remodel❑ Utilities❑ Installation[] Other E]
Describe work: New 3 Bedroom Single Family
Permit Fee
$ 94.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
1 18.50 18.50
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)
pI 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 200A TO 1000A)
37.50
NEW CONST.( DWELLING OCCUP.p+\
OR ADDNS. ACC. BLDGS. //
X 3.64sq.ft. 81,40
NEW CC NSTR. U TI.OUTLET
NON -RE Sic. BRANCH CIRCUITS
@ 5.00
(POWER APPARATUS e)
`.JINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20 @ 76
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-15.00
Permit Fee
$ 114.90
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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.
1 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 15.00
Heating Dual Pack
1 9.00 9.0
LPG
Cooling 3 : Ton
1 16.50
Hood
1 6.50
Ventilation
1 4.50 ' 4.50
Permit Fee
-
$51.50
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 aid County i c �sequene granting of this permit.
X DateVA4
Signature of Applicant Owner Contractor ❑ Agent ❑
An OSHA y
permit is required For excavations over 5'0" de o i 'on or con -
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $40,00
occ
CONST TYPE
TOTAL FEE $ 1 284.15
HAz
0FE IMP
FLOOD cDP
PARCEL PD
USS
This permit is hereby issued under the
sions of the Bu COu ode and/or
work indica ab f r which fees
�� R O OF PUBLIC
y
ERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
RKS
al
D e 1
Receipt No. 140471 PC $396.25// g4,11A8 Ria L�u
WHITE -D. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i�
y..^,"'►r,.Y, �r}i1ri'�,.-"T^r'i'-rlh.wr+'�� `• .t`�ti� ^,._,+�. ��� r r t'� ;f; _ r. ,.. ..,� . 1 ....
U TYOF BUTTE - DEPARTMEWY D ,V4OPMENTSERVICES - BUILDING DIVISION
i
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLIeATION DATASHEET
OWNER 1/01141fle ;:DACASOAJ I A. P. No. 058. SZd - 037
Proposed Building Use _ _5F 3" Building Inspector _ Ab Date IV 9s
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
>6
II items have been submitted.
lot plans/4 sets, signed by preparer of plans. ..
omplete plans/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Ha dous Material Form . .............................................
6, ergy Design Compliance and supporting documentation . ..................
to ent of Intent for Non -Heated and A/C Buildings . ..............
ngineered truss details and layout in duplicate (required prior to plan check).
9. Mobilehome data and manufacturer's installation instructions, 2 sets. .
10. Fees of $ 8e . .........................................
- 11. Impact fees as shown on attached schedule. 7/ z-«3 !Z0
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer. . .
---- 14. Sanitation and plot plan approval Health Department . ............ a� 9
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. ..............
'K 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). .. .
Pre -Inspection reque�s
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information, o., ame Style, Classification) . ............. .
22. Certificate of Workmans Compe ion Insurance . ......................... .
23. Owner -Builder Verification (Given to owner Mail to owner. ........:: ;�, /
PIA 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
1.and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
Plana check list . ........................ I. . . . . . . . . . . . . . . .
Whenyou issue the permit, process as follows: Mail to owner. Mail to contractor.
v� Telephone and hold for pickup at _ 6,&, office. Deliver with inspector.
Other
Parcel Creation
Acreage' �>;1O VOW LLSTN Applicant 7 L Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. 6ther Date By
The following data must be submitted
1. Index permit for above items No. _
2. Additional items required:
hecked a
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by_ Date
Plans checked by 2\4-1 Date _(Q • Co -93 Plans approved by !; )?) — Date "74Z`?3
Sets of plans on hold in File cabinet AO f'oLddO
Copy - Department of Public Works
TO
FROM:
SUBJECT
Building Department
Environmental Health
Sanitation Clearance
COUMTy OF
BUILDING Dep rrE
APR 2 2 1993
[.H. l .' : NLY
Plol Plan nu_wi,cd
ri„,,r Plan nuaci,.•d
b 6w �ac�So �Db1v►. C�."��--37
Owner Location AP#
Plan Approved for: Sewage Disposal _� Water Slupply: Public Private Well 41-1Clearance for bedroom el}r}e home. Other n-0 E t(m f► --%.5 A51, 5A6 . 2a? Xd6
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental /health Specialist
8/92
Date
inter -Depart Memorandum
FROM: �S
SUBJECT: (�6V� �1ecLtgy�C� �� �UG�ai / - d� _3/
DATE:
jai �9 (�/ v 4ci ndf
I11�w2 1 /
Com`""_ `�2 �6 dl. •
COUNTY OF BUTTE
BUILDING DEPT
- JUL 0 2 1993 -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER Av/1'1 P J4 S d N A.P. NO . -5 Z 0 C)312
PROPOSED BUILDING USE S ` 3 �— DATE y/_
REC. # DATE REC
1. School District Fees O%a
(paid zt�istrict Office)
2. Sheriff Fees
(paid at Building Department)
Residential ......... X =$
unit' amt.
Commercial(per sq.ft.) X =$
sq.ft. amt..
3. Urban Area Fees
(paid at -.Building Department
Residential (per unit) X =$
# units amt.
Commerical(per sq.ft.) X =$
sq.ft. amt.
4. Recreation District Fees
(paid at District Office) ..........................
5. Drainage District Fees
(Contact Land Development)
6. Other
7. Other
_711Z: . !3
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT
DATE
0
Ao " ,RICHARD FEUERSTEINK
r '`COMIA. #986104 17
..° NOTARY PUBLIC -CALIFORNIA o
BUTTE COUNTY
My Comm. Expires Feb. 28, 1997
State of California 93 - 27 9 5.2 2
County of 6a74 O�
on O�- ,o before me, x ,P gird
personally appeared AlelVe'io` 9ACAf52 1
personally known to me
(or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s)
is/are'subscribed to the within instrument and
acknowledged to me that he/she/they executed
the same in his/her/their authorized capacity(ies),
and by his/her/their signature(s) on the
instrument the person(s), or the entity upon
behalf of which the person(s), acted, executed
the instrument.
WITNESS my hand and official seal.
®g
Notary Public
Return to DPW AGRICULTURAL-STATF,,im OF ACKNOWLEDGDIENT
FOR RESID TIAI; DEVELOPMENT
Section 26-8.1 of the Butte County Code
g3-22952 �
requires this acknowledgement be recorded
prior to issuance of a building permit.
1
93-0229952
I
Rec Fee 8.00
The property described herein is adjacent
Recorded I
Cash 8.00
to land or included within an area zoned
I
Official Records
for agricultural purposes, and residents
{ County
CO MVOF
of property may be subject to incon-
of I
DINGO�g
this PT
veniences or discomfort arising from the
I Butte
Candace J.
21 W3
JUNuse
of agricultural chemicals, including,
Grubbs
but not limited to herbicides, pesticides,
Recorder
and fertilizers; and from the pursuit
1I:04afn 7 -Jun -93 I
PUBL XX
of agricultural operations including,
2
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally 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.
t All ftrat real :property "situate in the County of Butte, State of California, described as
follows:
the real property in the
County of BUTTE State of California; described as
Parcel 2 as shown on that certain Parcel Map being a portion
of Section 359 Township 229 Range 4, East, M.D.B. & M., filed in
the office of the Recorder, County of Butte, State of California
on January 16, 1980 in book 75 of Parcel Maps, at page 57.
Recorded as Instrument. No. 9820, March 273, 19803, Book 2500, Page 300
Lot #4 MOAK PAR)( SUBDIVISION
Date: 3 PROPERTY OWNERS:
State of (�f j�g�q/i�) On this the 07 day of S6LA1Z 19'9e, before me, the
SS. undersigned Notary Public, personally appeared
tiCounty of g )
. ' -M• ` %RICHARD FEUERSTEIN
COMM. #986104 ❑ Personally known to me. Proved to me on the basis
NOTARY PUBLIC -CALIFORNIA 0 of satisfactory evidence.
`� ' > • : BUTTE COUNTY
My Comm. Expires Feb. 28,1997 to be the person(s) whose name(s)
_ subscribed to the within instrument and acknowledged that
' executed the same for the purposes therein contained. IN WITiESS
WHEREOF, I hereunto set, my hand and official seal.
t,
,
Present A.P. No.
Notary Public
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f T}
j BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One -Form Per Building)
School District �,greq Building Department No.
A.P. Number Q.56)- s--;eo —40.:?7urisdiction City `� County
Property Owner llowe-,e ,gcAaN
gill. 9 1 1.8dd
1430 EJNIOlins
W-11.00:40 uNnoo
Property Location/Address
Subdivison Lot No.
Residential Development 0 '` l Sq. Footage l%
No. of Living MHI Addition (Group R)
Units t
Commercial/Industrial 0
New
Building Department Representative
Sq. Footage
Addition (Including Exterior
Roofed Areas)
(Floor Plans reviewed by School District Personnel)
Date
9�a692 1�tIt
District Identification No. F
`nn v vi E rd U +U ht it t4 School District certifies that {"� 0 rn /Z A C. �l'S 0 N
(Applicant)
TO
(Street Address) (Phone Number)
(City) (State) 't, "' :� (Zip Code)
has complied with the requirements of Resolution No. -�U 1 " "*' *�,` by payment of $ a 9 a 7 , /U
representing 7 -7/ square feet.r. M '�
School
Paid by Check Number �.. Remarks:
Bank Number I
Paid by Cash
ybbA .
Date
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.
White (applicant), Yellow (building department), Pink (school district)
feeformmkf (4/92)
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FRON- UC CONTRP COSTA'
P. 2
A. A jV
)VARK
XNGIX�MNG �t SCIRVEYNG
COUNTY Op SUTTLl
WILDING DEPT
JUL
12 1993
July 12, 1993 1
To: 'kutte county Building Departme-nt
25 County Center Drive
Oroville, CA 95965
Re: liomer Jackson Project, Yankee Hill
APN 58* -52-37
Attn: Bob Keith
This co=lunication confirms -our, phone conversation on Friday,
july 9,* 1993 regarding the :subject project.
Thebearing wall foundation at the center span support wall
for the 'T-5' trusses needs to be extended as a continuous
footing from where the garage retaining wall changes
direction for the full length oaf the wall.
Very/, ruly,Yours ,
Ross P. Shoaf
Land Mark Engineering
cc: Parker Const.
V T nf F S -S �12 A 14e,
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