HomeMy WebLinkAbout017-290-00711.,eR
1'1' 43'-'O7.-' k
.. HERRICK, - Kenneth & Myr na- ` t'
1505 Oalc. Ridge.`Dr,;;.'`Chlco • .li' -`
'dont: Jim Tilton sr: _ (new sf)
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• Return Lo DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section •26--8.1 of. Lhe Butte County Code
re(1uire, this acknowledgement be recorded MAY
prior Lo issuance of a building permit. 2 s 1997
I'he proper, y described herein is adjacent
! 92'022981
to I r)nd or i nc.1 i�dErl.e�w 1 t}i`i;ii in area Toned
Ior agric•clli ural. purpose.5, and residents
F
.,f t.h i s pr rpc rLyy a hc'u 5, llYjec.L to i nc..on-
venicncr�s or discomfort .Irisi.ng from Lhe
,NOTCON1PAREDWITH
'ORIGINAL
u!�:e of aip,ricu.11ur;1.1 chemic.a.ls, i.nc.l.uding,
DOCUMENT
h11L not- 1 iill iI od to herbicides, pesticides,
:Ind ferl. i I i.•r.ers; arid from Lhe pursui t
of :1�;r i c:111 t ura] ()per;ll, i ons incl u(ling,
1)1.11. 110 t. I Illllt.ed Lo cu.ltivat'.1.on, plowing,
sprayj ng, prnn:ing, and harvesting which
occasionally gener.aLe dust, smoke, noise, and odor.
Butte County has esL;lbl.ishcd ;)f;r•icul-
tural zones which have as a priority use for producLi_ve agricultura.] purposes, .ind resident<;
within .said zones and on adjacent property should be
prepared to accept such i nconvctn i encu
or disc_omfr,rL from normal., necessary farm operation;.
!11.1 that real property si.tuate in Lhe CounLy (if ButLe, Stale. of California, dc:;cri.:Ired as
f ()] l cows:
7�L _P
A4
ON rT fo. DNc w-tAA104 LA40
Da Le : �1 ► �J�\ \D% \Qy,
Slate of
<) SS
c'ounLy of
PROPERTY
On this the 1� day of 6� 1 J \OL I , 19gq , before rue,
the undersigned Notary Public, personally a,peared
Y\�2 ver 4 V J C,c G1M 1
a BETTY JANE FRY Personal] y known to n1e. • Proved t:o me on Mlle ..has i s
,•. COMM.#951569 of sati.((sfact-ory c,v.idencc�.
ALI
NOTARYPUBLIC— CFORNIA Lo be Lhe person(s) whose name(s) —iY��c
• subscribed to the within instrument and a knowled ed Lhat
BUTTE COUI(TY • g .,
• CommtsstonExPtresJanuary 3.MIS :executed the same for the purposes therein contained. I.N hl' ESS
�•••••••••••••••••••••�•��`��� WHEREOF, I hereunto set my hand and official seal..
Present. A.P. No.. — 3INotary Puhl ic:
COUNTY OF BUTTE
BUILDING DEPT
MAY 2 6' 1992
4ouuereoutt4
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Kenneth & Myrna Herrick
ADDRESS: 1461 Rim Rock Dr.
CITY & STATE: Chico, CA 95g26 IMPORTANT:
SEE INSTRUCTIONS
DATE OF CLAIM: May 28. 1992 - ON REVERSE SIDE
SUBMIT CLAIM_ TO_ DEPARTMENT_ RECEIVING GOODS OR .SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT
Owner -has decided not to do work. Permit #1706-91B,P,E,M,
AP#11-43-07, Receipt #88965, dated 5/29/91.
I i
iTotal Permit Fees Paid -------- =--------------------- $1365.45
Retain BuildinR Pprmit Filing Pep --------_
Retain Plumbing_Permit Filing Fee--------- 10.00 -
Retain Electrical Permit Filing Fee--"'-------- 10.00
Retain Mechanical Permit Filing Fee------- 10.00
Total Permit Fees Retained---------------------------
I
TOTAL REFUND DUE --------------------------x_____$1325.45
i
I i
I
� i
I
i
TOTAL i
$1325 45
I, the undersigned, 3eclare under penalty of perjury that the services or articles claimed een perf rmed o delivered, and that this
claim is true and correct as stated.
Detect this ...Z�......... day of .....!../..��......... 19Q at. /t.......... Calif. •.......
Signature o Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation or Specific Board Approval F, (Check one) for the same.
/� �� .0roville
Dated this ...................... day of /........... 19 .... at ..... ....................... Calif. ............................................ .............................
Department Head or Authorized Deputy
Dept. 440-002 Exp' 4210500CO st. Permits FUND
Code ............................................ Code ................................................PAYABLE FROM............................................................................................
DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ.
CLAIM NO. INV. N0.
INV. DATE
ENCUMB. GROSS AMT.
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J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541
APPLICATION AND PFRMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
11-43-07
ZONING ,.
R1
BUILDING PERMIT
OWNER
Kenneth & Myrna Herrick
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
3573 R 182223
OWNER'S MAILING ADDRESS
816 M 14688
CONTRACTOR'S NAME
Jim Tilton
TELEPHONE
42-7125
100(1 7133
1296 1 638
CONTRACTOR'S MAILING ADDRESS
1601 Sunset Ave
Fireplace ' "A" 1500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 206,426
Filing Fee $
;0,00
LENDER'S MAILING ADDRESS
Permit Fee $
700.50
ARCHI`ECT OR L.v ;NEEP
L
TICENSE NO.
Plan Che, -king Fee $
350.25
Ener Plan Checking Fee $
Energy g
15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1505 Oak Ride Dr. Chico
Permit fee $
PLUMBING PERMIT Filing Fee
10.00
Each Trap 2.00
30.00
Solar or heat pump water heater 20.00
LOT NO.
I's-
SUBDIVISION NAME
AA16 I. -V 5015,0111
PARCEL MAP
Water piping 5.00
5.00
Each qas water heater or vent 5.00
5.00
USE OF STRUCTURE
SF ®{ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
5.00
Building sewer 5.00
5.00
Mobile Home I S G W 10.00ea
TYPE OF WORK
New n Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 3 bdrm
Permit Fee $
65.00 h
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
Main service 600v OR LESS 10.00
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP 2.50
2.50
CONTRACTORS LICENSE LAW
I declar rider penalty of perjury
p y p l y (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions gode an y license is in full Ace 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
NEW CONST. / DWELLING OCCUP.a\ '/zQsgft
OR AODNS. 1 ACC. BLOGS. I
109.70
NE w CONST- U TI.OUTLET
NON.R ESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
eLO 30 Ex. Occup(OUTLETS OR FIXTURES 2ALO 30
Ex. Occup. OUTLETS FIXED ( R
RESID.IEAJ 2.00
Temporary service 10.00
10.00
Mobile Home Facilities 15.00
Misc. Ivirin g 15.00
Permit Fee $
142 2
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
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.
Contractor
MECHANICAL PERMIT Filing Fee 1
10.00
Heating
13.50
Cooling
g
17.00
Hood 3.00
3.00
Ventilation
9_.00
Permit Fee $
52.50
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 als agree to save, indemnify and keep harmless the County of Butte against
all li bilities, judgments, costs, a xpenses which may in any way accrue
said County /i c/Q.rise ranting of this permit.
D e s Z 5/
at of Applicant - Owner ❑ Conrracror Agent ❑
qAnApermit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
o c
CONST TYPE
TOTAL FEE $ 1 , 365.45
HA ,
CUA
PARK
SCHL
FLD
coF
A
PD
I HD.
ISSUE
This permit is hereby issued under the applicable
sions oP the Butte County.Code and/or resolutions
work indicated above for which fees have been
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
provi-
to do
paid.
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
h
COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION
1
7 COUNTY CENTER DRIVE - OROVILLE, 6A#IFORNIA°95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER/y �/ C�� F� A. P o.
Proposed Building Use ----5E Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE 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 .........
,/�. Statement of Intent for Non -Heated and AC Buildings ..
ah u. Engineered truss details and layout in duplicate (required prior to plan check) S- 2l0 -Cf RU
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid
13. e !/S L7 School District fees paid .............. - 7-.6 -V L
Sanitation approval from e�-- H/G Zi Health Department
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
LLL -0166. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
!Owner -Builder Verification (Given to owner ❑, Mail to owner °)
24. Recorded copy of Agricultural Acknowledgment Statement ..
�9& Letter of signature authoriz tion
X26. G'o�vTAcT VGK9 S��yLTZ...,tLi..Gi�ey..ysd-t2l. .uy�N..�Or�¢ci
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applica ` _ w'7:-!;�Date
Copy of Haz-Mat form sent—i�Health Dept. fire Dept. Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Others D to By ,
The following data must be submitted prior to it,' su ce: (Circle new i em not checked above).
1. Index permit for above items No. -
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone �nail°_counter: by—.date
.date
Contractor
designer, owner, was advised of above required data by—phone —ma II—counter by date
°f Plans (C by- �iDate Plans approved by Date
Sets of plans on hold in File cabinet AP folder
YO& 7�
Copy—DPW SS
S Z� 9Z
y3--07 --
M.,•
x�i res S/Z Y/9 z _ N t SS wecY
No wa./ wt: WOw��
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ti �� 6.¢_ . P r• o c e 5 sc�' c.�- i'��. o wf
!6.n Ion" _x 4-C" . e u � t/: cls Al r -2v te�w -42c../
c /
Cd�c reg w• r-cft 3 I.v .�-f2..
►.,., �eu�
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M eV i��`: i ' ;.cy' rro�r ,-.i°',�. ay�'k�,�r'�7 '14 TZ� .y t>>'i,+. '�^ ..'°ren-.:� .� �:.. a7 " • - - s ..
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE-CERTIFICATION FORM
(One Form per,Bui•lding),
A.P. Number 'gel7 Ud —% Building Department No.
School District City n County, Jurisdiction
Property Owner���
Project Location/Address
SubdivisionLot Number
Residential Development:
Sq. Footage
# of Living MHI Addition (Group R')
Units
Commer-'d al/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed.Areas)
Build' g Department Representative D to
(Floor Plans.reviewed by School District Personnel)
District Id No.
(A School District certifies that
COAL) I
s, _
r �C. ,.,gym 7iL ,v ya 71 a. S
Applicant Name) (Phone Number)
&0 10/ S C.c/iceT
..(!Street Address)
(City) (State); (Zip Code)
has complied with the requirements of Resolution No._.
by the• payment of $ aQ�.a,.��> representing 73 %`, square feet.
311
.
School Distric Representative Date
PAID BY CHECK NO. O REMARKS:
BANK NO
PAID BY CASH
White -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
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'�`"STT'�i'SQA•,vt�:$�r4f-.u'���i�i�'ti,`��!%•i3F-t•i=�t�""i:�'..�a,'Rw.._...r�i�
CHICO UNIFIED SCHOOL DISTRICT
1163 EAST SEVENTH STREET
CHICO, CALIFORNIA 95928..
(916),891-3006 ty
1$10
C.U:S.D. SCHOOL DEVELOPMENT REFUND AGRETWNTT%1
Terms and Conditions for obtaining a SCHOOL DEVELOPMENT REFUND
pursuant to C.U.S.D. Resolution -No.
a
I am requesting a SCHOOL DEVELOPMENT REFUND for fees paid on Assessor
Parcel No. / / • L/3 -or) '7 represented by C . U . S . D . ID No. 0110596
,;,,for one of the ,following reasons:
I will not be building a residential unit on this parcel and
I have cancelled my building permit.
Credit for demolition of an existing residence.(copy of
permit & County Appraisal Report attached)
Other
Development fee paid $• a ?.?.3
Less administrative fee $ 42.
Total refund $n Q
,($2.50 per residential unit)
�4 / - 5..
r
Date
Phone No.
City/"Zip' -
School District Representative Date
White -applicant, pink -building department, yellow-school.district
REFUND.APP
B.S. 43 (2/91)
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT.
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
92=22981
COUNTY OF BUTTE
DEPT. OF PUBLIC WORKS
MAY 2 9 1992
prior. to issuance of a building permit.
On this the 1a`
day
of t ' \Q r , 19 "lq , hoforc: me,
92-0229811 Rec Fee
5.00
`I.'he property described herein is adjacent
I Check
5.00 -
to ].and or included within an area zoned
Recorded I
for agr.i.cuit.ur.al purposes, and residents
Official Records
of this property m:ay Ise suh.ject - to -iicon--
County of I
ven.i.r-_nces or d i.scomfort arising from the
Butte I
use of agrJc:ul.t..ura.1 chemicals, :including,
Candace J. Grubbs
but not l.i.miLed to herbicides, pesticides,
and fert.:i liners; and from the pursuit
Recorder I
26 -May -92 1 PUBL
XX l
of agr.i.cu.l t.ura1. Qperations including,
11:33am
but not: JAm:i.ted to cultivation, plowing,
_ -- - -
spraying, pruning, and harvesting which
-
occasionally generate dust, smoke, noise, and odor. Butte County has esLab.l.:i.shed
Bahr i c:.u] -
Lur.al zones which have as a priority use for
productive agricultural. purposes, aiid
r.es.i.deul s
within said zones and on adjacent property
should be prepared to accept such i nconvell i.encc
or discomfort from normal, necessary farm operations.
All that roa] property situate i:n the County of Butte, State of California, de:�cri_bed as
follows:
Date: �1 , 17�� \a, �Qq�
D �►^�� `0174r" 5 I(t4 NDN S c'�i vis i0 �/
T) --t C7e 2 3, 196 7
r �� �cr� nD Z� o►ti d' 2
PROPERTY OWN
11
State of \��+;iM�
On this the 1a`
day
of t ' \Q r , 19 "lq , hoforc: me,
SS.
the undersigned Notary
Public, personally
a peared
County
BEM JANE FRY : ® Personal] y known to me. 14 Proved to me on the h is i.s
• COMM.951569 of satisfactory ev:i.dc>nce.
�e o r
NOTARY PUBLIC —CAUFORNIA r to be the person(s) whose name(s)
BUTTE COUNTY • subscribed to the within instrument and a knowledged that
• executed the same .for the purposes therein contained. 'IN W.I:']' ESS
�¢t�actris�inu� �iEes ,Pa��a� � �� • P P
®�®®®®®®®ea®•®®•®®•••••••®•`®'• WHEREOF, I hereunto set my hand and official seal..
Present A. P. No. f///--kr3'"��%%
'Notary Publ -i c
END OF DOCUMENT