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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) .y: �� `I r Pile ' �r' ^��fQlll • 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. � } � . . ! .. � � - .. 1 ' 1 - • J 4 � _ ..1 1 . dddjlll'i . _. i � � #_ v _ � i - , ' 4 11111111144 • . v��i 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�� LtL(d 4 f1l" G�GV iJ < a / �o V '1'1.x, .t�� � e CF.T�o .✓ -w e w (� 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� �yp 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) I ascm t' 9w � 0 CZ CM o C%o =m V � '�`"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