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HomeMy WebLinkAbout021-131-038S Pq ro jo V, .1, 90p; SHE Owen '; _.640:W. bertyr Rd Gilidle-y-, (uti4tid H) s' " LEC COMPACTION TEST. RE v' UPPORT,-,STRU ...... E _I' 21'=13;1 3 Permit#335 (inss-a- �ation/MH) S Pq ro eoun4" "..— Date OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Owen Sheats ADDR ESS: 971 Indiana St. CITY & STATE: Gridley, CA 95948 IMPORTANT: October 22 1990 SEE INSTRUCTIONS , DATE OF CLAIM: 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 #3354-90MHU & 3355-90MHI, AP#21-131-38 Receipt #73757, dated 9/25/90. Total Permit Fees Paid--------------------------------- $lbz.bu Retain Plan Checking Fee ----------------------- $15.00 - Retain Plumbing Permit Filing Fee ------------- 10-00 Retain Electrical Permit Filing Fee------------ 10.00 Retain buiiding Fermit P'iling kee-------------- 1U.UU Total Permit Fees Retained----------------------------- 45.00 TOTAL $117 50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have b en performed or delivered, and that this . claim is true and correct as stated. — de of 19 a .</ Dated this......4..Ilr�( ��� Calif.d...�r-................. /..�?.......1.��'...... Y ....................... iG8 � Signature of 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 (Checklone) for the same. - Dated this ........ da or October 19 90 at. Oroville , Calif. .... ........... Y ............................. ....... ........... .. i.....� ....... ...............rtmened or Authori Deputy Code 440-002,,,,,,,,,,,,,,,, od� 4210500 PAYABLE FROM Const, Permits FUND ..................... ............................................................................................................... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV: DATE ENCUMB. GROSS AMT. ell COUNTY OF BUTTE - PEPAR,TMENT OF PUBLIC WORKS 7 County,Genier Drive - OroVillE"; CAlifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 21-131-38 ZONING A5 BUILDING PERMIT OWNER Owen Shpats TELEPHONE 846-2593 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 971 'Tndiana St. Gridley 95948 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER I310LENDER'S UNKNOWN Total Valuation $ Filing Fee $ 10.00 MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD2ESS Y-6 W_ Liberty Rd- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each Qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomlo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK��rr�Yt,, New f_1 Add ition [:]Remodel ElUti I i t i e s [:]InstallationM Other ❑ Describe work: m1iI MHU#3354-90 _ ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): P Y P l y( ) ElNON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. // DWELLING OCCUR.& OR ADONS. 1 ACC. BLDGS. 2h0sgit NEW CONSTR. MULTI -OUTLET BRANCH CIRC ITS 12.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ) EX. Occup(OUTLETS OR FIXTURES 2L@ e2AL03030 Ex. Occup. our OUTLETS IIRESID )D APPLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 1Virin 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j� I shall not employ any person in any manner so as to become subject ��AA11 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue X ai�saild County consequence of the granting of this permit. L / X �/i,r 6�y Date Signature of Applicant — Owner F7 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ALSCI 70.00 HAz CUA PARK EE 1_��HD ISSUE This permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.BY �3� WNITC-D.P.W., YELLOW-ASSCSSO R, PINK -INSPECTOR. GOLDENROD -APPLICANT 7%1,el A.•yy:tY�'ry,.}yy' r- +*v,.w�..e-+gy�r�'+It }'. '+,3'+! rji `bwr"� �•J.yt i''",ri .:i'N►`P'Wi y!"Y``"'Z' "_,T+'„"' �'%,+ ,ya"f ��t{'' fi +Y«.- Y"'S COUNTY OF BUTTE - OE00V U AbF PAUBLIC WORKS - BUILDING DIVISION c 7 COUNTY CENT DRIVE - OROVIL"LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET SAeLQts Permit No.OWNER ow&y1 A. P. o. ` Proposed Building Use 1;7Building Inspector_(!1_14 Date aS9c� 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 ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) ® Mobilehome installation data including manufacturer's installation instructions ................................... .................. 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park t~s pal ........................................... r � e" School District fees paid . 1'W Sanitation approval from 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: i ...... 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 information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Lett r f signs re au Ido Ization. ......... t v C4a ra ri .e.. .. r Whou issue theermi ,process as follows: Mtt�ver. Mail to contractor. Telephone nd hold for pickup at office. Deliver w./inspector. Other Applicant l.Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution' Date f+ " Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issu nce: (Circle tnew ife not c ecked_above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nall—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date 0l� 0 Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE -,.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - 6rdvilte, e-alifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. - �F .3 � P11," ASSESSWIR PARCEL NUMBER 21-131-38 1 BUILDING PERMIT OWNER Owen e is TELEPHONE 846-2593 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 971 Indiana St. Gridley 95948 COUNTY OF BUTTE -,.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - 6rdvilte, e-alifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. - �F .3 � P11," ASSESSWIR PARCEL NUMBER 21-131-38 ZONING A5 BUILDING PERMIT OWNER Owen e is TELEPHONE 846-2593 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 971 Indiana St. Gridley 95948 CONTRACTOR'S NAME pwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation y Filing Fee {�yy $ /y�[ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE 5 W. Liberty Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomEU Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.02 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities M Installation❑ Other ❑ Describe work: MHU 3BR _ Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main Service EA, ADD'L 100 AMP 2.50 2.50 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) ❑ 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. DWELLINGoCCUP.& OR ACDNS. ( ACC. BLDGS. ) 2/zQsgft NEW CONST R.OUTLET NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20@50C eAL@ao FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESIDA EA.) 2.00 Temporary service 10.00, Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ 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 fyof 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid County in consequenc of the granting of this permit. ,3 -rs��,t' Date y- a -5-/J Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- over 3 stories in height.No. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE ALSCH HA2 CUA PARK F PAR 2/ PD HD suE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date rnoLfuctures 73757BY .W., -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,eys, :: r cf ttgi.�'. ( ,± r';—• 3 COUNTY OF BUTTE DEPAM%d-:"t41,QF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE"- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/.538-7541 PERMIT APPLICATION DATA•SHEET Permit No. OWNER .IiUa ►'1 V�IC-�2 S A. ..N . �1 /(3/ �� Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted pribr`to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitte 2. Plot plans in duplicate/ lica lgned by preparer of plans ........ 3. Complete plans in dup 'tate/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 ....................................:.. 12. Park fees paid .................................................... 1'3.hoot Distr)c fees paid .............. OSanitation' approval from �© V t & Health Department / G fait/ 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 _ rlveway permit (construction approval required prior to occupancy) 2G. Pre -Inspection for required Pre-Inspec.request to Building Inspector 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... _ADt4o. Recorded copy of Agricultural Acknowledgment Statement ......... d 25. Lette f signature {thorization . ........................... Ngg0501 o'S (?-SC_�'0 6j When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone R -Q.5M and hold for pickup atorn office. Deliver w. /inspector. Other (,u yA,e4 Applicant �i���u/ Date t 4 �>b a 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 pri ro. pe it 'ss ance: (Circle new item not checked above). 1. Index permit for above items No. AV, 0q 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 —mal l—counter by date Plans checked by Date P ans approved by Date s0".3—co Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental He41th SUBJECT: Sanitation Clearance -' Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroo mobile ome. Other NOTE Le d Sanitarian ate' TO: Building Department FROM: Encroachment Rermit Section RE: Driveway. Clearance u/Gfh S 7Lf D JeS�G owner location AP # Driveway,permit �Q �2— has been issued for the above property. si ature date II COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER. -BUILDER. VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) e6/ signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the.work but I have.contracted (hired) the following parsons to' provide the work indicated: Name Address Phone Type of Work Signed; Property Owner. Social /Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. All 'that real .:property: situate in the County of Butte, State of California, described as follows: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Date: 9/.�2 7190 PROPE TY OWNERS. State of OaQ__) On this the ��day of-�"�p/� 19�, before me, the SS. undersigned Notary Public, personally appeared County o ) Personally known to me. ® Proved to me on the basis OF N OFFICIAL SEAL of satipfactory evidence. REBEfCA L. BLEDSOE to be the person(s) whose name(s) NTY s �o NOTARBUTTECOUAALIIFORNIA subscribed to the within instrument and acknowledged that q��F RHP Niy Comm. Expires Feb. 1, 1993 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. O� 1 - l 1 C1 Kg�17_.),Cw &� Notary Public o- 2 1 ,44E tl n'* to DPW AGRICUIZURAL -STATEMENT OF ACKNOWLEDGEMF. NT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 90-042361 1 Rec Fee 7_.00 The property described herein is adjacent Cash 7.00'. to. land or included within an area zoned f Recorded;„ for agricultural purposes, and residents I Of f icia 1 Records ; of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, i Candace J. Grubbs.F:" but not limited to herbicides, pesticides, and fertilizers; and from the pursuit Recorder -90 s A s of agricultural operations including, 1:25pm 2 -Oct '� X 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.. All 'that real .:property: situate in the County of Butte, State of California, described as follows: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Date: 9/.�2 7190 PROPE TY OWNERS. State of OaQ__) On this the ��day of-�"�p/� 19�, before me, the SS. undersigned Notary Public, personally appeared County o ) Personally known to me. ® Proved to me on the basis OF N OFFICIAL SEAL of satipfactory evidence. REBEfCA L. BLEDSOE to be the person(s) whose name(s) NTY s �o NOTARBUTTECOUAALIIFORNIA subscribed to the within instrument and acknowledged that q��F RHP Niy Comm. Expires Feb. 1, 1993 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. O� 1 - l 1 C1 Kg�17_.),Cw &� Notary Public EXHIBIT A The land referredLto heris e'{ d ibfed 11 Order No. 4-150596 an escr as o ows. All that certain real property situate in the County of Butte, State of California, described as follows: All that portion of Int 22, of Gridley Colony No. 9, according to the Map of said colony, filed in the office of the Recorder of the County of Butte, State of California;. July 10, 1907, in Book 6 of Maps, at page 58, lying Easterly of the following described liner COMMENCING at the•Southwest corner of Lot 22, said point being the intersection of the Northerly line of the West Liberty Road (formerly Cameron Road) with the Easterly line of IbwisGOak�Road (formerly Miller Ave.:)-; thence North 8.9011"51' 40" East along the Southerly line of said lot 22 and the Northerly line of West Liberty Road (formerly Cameron Rd.) a distance of 343.00 feet, to the true point of beginning for the line herein described; thence from said True Point of Beginning Northerly and parallel with the Easterly line of Lewis Oak Road (formerly Miller Ave.) a distance of 639.07 feet to the Northerly line of said Int 22, and the pdint of terminus of this line. EXCEPTING THEREFROM the Northerly 18 feet as described in Book 170 of Deeds at page 42, recorded on March.25, 1918 records of the County of Butte. AP 021-131=038 END OF DOCUMENT rm