HomeMy WebLinkAbout042-170-059E
AR& EREN LSIE BOWLES 42-17-59
/S Grape Way, app 550' E of Meridian,
Chico
•� �w ermit #1139784P, (util, MHE f
�LECTRIC
(GAS 1
COMPACTION TEST REQ IV
&�o�,
UPPORT STRUCTURE REQ
C --
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
" APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR P,A CEL NU BER I
zo"'
_/D
BUILDING PERMIT
AWNER
S'
'OWNER'S
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
MAI 1 GRESS
rl
CO TRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ S^
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING D RESS
PLUMBING PERMIT
Filing Fee 10.00
a
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehomel0%ther
SPECIFY
Building sewer
5.00
Mobile Home lb9i
110-00ei 1D
TYPE OF WORK
New F] Addition ❑ Remodel❑ Utilities Installation❑ Other
Describe work:
3
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 bn
,
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
1
2/20sgft
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 CONSTR ULTI.OUTLET 2,50 ea
No. -RES,., CIRC ITS
NEw CONSTR POWER APPARATUS &')
NON.RESID. SINGLE OUTLET CIR.
Ex. Occu 20@SOS
OR FIXTURES eALeso
FIXED APPLNS. OR
P. FIXE A
Ex. OCCUp. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities
15.00 t
Misc. Wiring 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.
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.
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 County of
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 liabilit'es, judgments, costs, and expenses which may in any way accrue
again t sid Count co quence f the granting of this permit.
X Date 7. JW
Signature of Applicant — Owner Contractor ❑ Age t ❑
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 $
TOTAL PERMIT FEE $ ,
OCCUP. GROUP I
TYPE OF CONST.
PARCEJ
PD
V ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. /
_�(1�J I%
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
tA+'fn . t ..
4
lo
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
r. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
(� Permit No.
OWNER w G U A. P. No.
Proposed Building Use A4 I� ,
Permit Fee Based Upon: Complete Contract Price UPW Valuation
t
� Ot'he'r (Explain)
Buildinglnspector Date—C,(—f-7—
At
ate C,(--/i—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. . . . . . . . . . .
Plot plans in duplicate%trip Ical te.� . . . .
.3. Complete plans in duplicate/triV1 a e. . . . . . . . .
4. Complete engineered plans and talcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8._ Fees of $ . . . . . . . .
9. Letter of signature authorization. •
Aeo Sanitation approval from rHealth Dept. . . L_ g
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
. .
Pre-Inspec. request to
17 Pre -Inspection for Required. Bu'I .n Spector t (Date)
Other �O
When you issue the permit, process a ollows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
-� Applicant IV11�11- o Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.,,
2. Additional items required:
(Contractor, Designer, _nerVwas advised of above required dat b TelephoneMail Ot�he�r
By Date
Plans checked by Date
Plans approved by Date
Other:
Copy–DPW
a
0
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
F.
Owner Loc do AP#
A
Plan approved for: sewage disposal water supTly
Hold final for: water supply
Final clearance O.K. for: water supply
Clearance for bedroom mobi Other CQ��D�'' S��f� w��wayS
Note***
Sanitarian Date
�1 �
r.... /�
X _- r A
1
Return to DPW AGRICULTURAL Ste. " "NT OF ACKNOidLFDGEMENT
FOR RESIDENTIAL DEVELOPMENT OFFICIAL
SDS +tF F +�niAjN
Section 26-8t1 of the Butte County Code requires this acknowledgement: �,��
p
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of t6tilt+�'J '�� �'�"' E�
FE
property may be subject to inconveniences or discomfort arising from 84-120.
the use of agricultural chemicalsi, including, but not limited -to herbicides, pesticides,
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 established agricultural zones which have as a
priority use for productive agriUltural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the. County of Butte, State of California, described
as fo 1 lows :
THE WEST 165.0 FEET OF THE EAST 330.0 FEET OF THE SOUTH 330.0 FEET OF LOT 47 OF THE
SEVENTH SUBDIVISION OF THE JOHN BIDWELL RANCHO, ACCORDING TO THE OFFICIAL MAP THEREOF
FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF -BUTTE, STATE OF CALIFORNIA, NOVEMBER
11,1902 IN MAP BOOK 5 AT PAGE 29 AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT IN THE -CENTER OF GRAPE WAY ON THE SOUTH LINE.OF SAID LOT 47
FROM WHICH POINT THE SOUTHEAST CORNER THEREOF BEARS EAST 330.0 FEET; THENCE FROM SAID
POINT OF BEGINNING NORTH 330.0 FEET TO AN IRON PIPE; THENCE EAST 165.0 FEET TO AN IRON PIPE;
THENCE SOUTH 330.0 FEET TO THE CENTER OF SAID GRAPE WAY AND THE SOUTH LINE OF SAID LOT 47;
THENCE ALONG SAID LINES WEST 165.0 FEET TO THE,POINT OF BEGINNING AND CONTAINING 1.25"ACRES,.
SUBJECT TO SAID GRAPE WAY OVER THE SOUTH 30 FEET THEREOF.
fly 64
Date
. Z210
State of California
County of Butte
PROPERTY OWNERS:
®-ate
On this 17th day of April in the year logo
) ss. before me, r.l ara Rrncn,
the undersigned Notary Public, State of California, duly commissioned
and sworn, personally appeared -We rren F Bnwl es and
F.lciP r:_ Rnwlpq*
( ) personally known to me, (x) proved to me on the basis of satisfactor
evidence to be the persons) whose name(s) arp subscribed t
this instrument and acknowledged that they executed it.
CLARA BROWN
NOTARY PUBLIC—CALIFORNIA
PRINCIPAL OFFICE IN
BUTTE COUNTY
My Commission Expires October 11; 1986
Notary Public, State of California
Acknowledgment, General
GS 134 Rev 4-83