HomeMy WebLinkAbout028-110-032BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
OWNER CASEY, DANIEL - Building Garage Remdl/Addn
8281 TEVRIN WAY
SACRAMENTO, CA 95828 Other Porch/Patio Total
(916) 681-2185
J FEE INFORMATION
DBEH Building Review Fee $78.90
DBFIRE Fire Inspection (SRA) $107.00
DBFIRE SRA Fire Plan Review (S $107.00
DBOMSCF Limited. Ag $416.43
Total Charged: $709.33 Fees Paid: $709.33
Balance Due: $0.00 Receipt No: B7948 .
�LICENSED CONTRACTOR'S'DECLARATION'F j ''' °� .� OWNER /BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License
OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full forge and effect.
X 08/26/2008
Contractor's Signature Date
'"WORKERS" COMPENSATION' DECLARATION,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
HAVE
3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier: Policy Number: Exp. Date:
(This section need not be completed if the permit is for one hundred dollars ($100) or less.)
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall note ny person in any manner so as to become subject to the Workers'
Compensation La of Cali ornia, and agree that if I should become subject to the workers'
compensation p visions Section 3700of the L br C II forthwith comply with those
provisions.
X
9 also requires the applicant for such permit to file a.signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO ,THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND '
ATTORNEY'S FEES.
x ,„ • : CONSTRUCTION LENDING'AGENCY ;
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
PleaYcheck one of the following:
Ed' I AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS. NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are notintended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ I AM EXEMPT'und r Section B. & P.C. for this reason:
CJ Date
I hereby certify that I have read this application and state that the above information is correct. I agree*
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, ' s officers, agents and employees from any and all claims and liability for personal
njury, incl in death, and property damage caused by, arising out of, or in any way connected with
the iss nce this permit. I hereby acknowledge that issuance of this permit does not authorize the
use o occu ncy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
Co ty to ter the abov o d property for inspection purposes. I hereby certify that I am the
pr erty er ora uthoriz o ache property owner s behalf.
Co, _ 08/26/2008
D0wner ❑ Contractor OR. - [JAgent for Owner ❑Agent for Contractor I
FILE COPY
PROJECT INFORMATION
Site Address:
5123 LA PORTE RD
Owner:
Permit No: B08-1321
APN:
028-110-032
CASEY, DANIEL
Perm
Permit type:
MISCELLANEOUS
8281 TEVRIN WAY
Issued Date: 08/26/2008 By KCG
Subtype:
Limited Ag
SACRAMENTO, CA 95828
Expiration Date: 08/26/2009
Description:
LIMITED AG (TRACTORS FARM 1
(916) 681-2185
Occupancy: Zoning: A5 0(
OWNER CASEY, DANIEL - Building Garage Remdl/Addn
8281 TEVRIN WAY
SACRAMENTO, CA 95828 Other Porch/Patio Total
(916) 681-2185
J FEE INFORMATION
DBEH Building Review Fee $78.90
DBFIRE Fire Inspection (SRA) $107.00
DBFIRE SRA Fire Plan Review (S $107.00
DBOMSCF Limited. Ag $416.43
Total Charged: $709.33 Fees Paid: $709.33
Balance Due: $0.00 Receipt No: B7948 .
�LICENSED CONTRACTOR'S'DECLARATION'F j ''' °� .� OWNER /BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License
OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full forge and effect.
X 08/26/2008
Contractor's Signature Date
'"WORKERS" COMPENSATION' DECLARATION,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
HAVE
3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier: Policy Number: Exp. Date:
(This section need not be completed if the permit is for one hundred dollars ($100) or less.)
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall note ny person in any manner so as to become subject to the Workers'
Compensation La of Cali ornia, and agree that if I should become subject to the workers'
compensation p visions Section 3700of the L br C II forthwith comply with those
provisions.
X
9 also requires the applicant for such permit to file a.signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO ,THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND '
ATTORNEY'S FEES.
x ,„ • : CONSTRUCTION LENDING'AGENCY ;
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
PleaYcheck one of the following:
Ed' I AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS. NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are notintended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ I AM EXEMPT'und r Section B. & P.C. for this reason:
CJ Date
I hereby certify that I have read this application and state that the above information is correct. I agree*
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, ' s officers, agents and employees from any and all claims and liability for personal
njury, incl in death, and property damage caused by, arising out of, or in any way connected with
the iss nce this permit. I hereby acknowledge that issuance of this permit does not authorize the
use o occu ncy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
Co ty to ter the abov o d property for inspection purposes. I hereby certify that I am the
pr erty er ora uthoriz o ache property owner s behalf.
Co, _ 08/26/2008
D0wner ❑ Contractor OR. - [JAgent for Owner ❑Agent for Contractor I
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
'��:
Ko
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION t
C' Website: www.buttecounty.net/dds
OV N; PLEASE PRINT CLEARLY
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All pu
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
AP (CANT SIGN
X
PERMIT
NO.
161" V
BIN #
PROJECT LOCATION
Al Qg–
_0,0 O
1 44
Property Address
12,City
I
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate ofworkees
compensation must be shown at the time of permit Issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
e
t, Cie
Sq FT- Living Garage Open Cov
O Structure Built without Permits t_� � v9 J�
0 Proposed Change of Occupancy
(Note previous use):
For office use on
OWNER INFORMATION
Last Name//
C^
/�+/
Fi ame
Mailing Address
/
City
State
Zi�f
Phon %
y �S
Fax
E-mail
/ Yon
(it Alt
e 12
AP (CANT SIGN
X
PERMIT
NO.
161" V
BIN #
PROJECT LOCATION
Al Qg–
_0,0 O
1 44
Property Address
12,City
I
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate ofworkees
compensation must be shown at the time of permit Issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
e
t, Cie
Sq FT- Living Garage Open Cov
O Structure Built without Permits t_� � v9 J�
0 Proposed Change of Occupancy
(Note previous use):
For office use on
CONTRACTOR
Name
,
Address
r 6V N WA -
City
.State
Zip
Phone
��
Fax
E-mail
,¢Lel/ % �e -6
Lic. #
Class
AP (CANT SIGN
X
PERMIT
NO.
161" V
BIN #
PROJECT LOCATION
Al Qg–
_0,0 O
1 44
Property Address
12,City
I
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate ofworkees
compensation must be shown at the time of permit Issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
e
t, Cie
Sq FT- Living Garage Open Cov
O Structure Built without Permits t_� � v9 J�
0 Proposed Change of Occupancy
(Note previous use):
For office use on
ARCHITECTIENGINEER
Name
,
Address
r 6V N WA -
City
State
21p
Phone
��
Fax
E-mail
,¢Lel/ % �e -6
State License Number
AP (CANT SIGN
X
PERMIT
NO.
161" V
BIN #
PROJECT LOCATION
Al Qg–
_0,0 O
1 44
Property Address
12,City
I
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate ofworkees
compensation must be shown at the time of permit Issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
e
t, Cie
Sq FT- Living Garage Open Cov
O Structure Built without Permits t_� � v9 J�
0 Proposed Change of Occupancy
(Note previous use):
For office use on
. APPLICANT INFORMATION
Name
,
Address
r 6V N WA -
City
Statec4
Phone
��
Fax
E-mail—_
,¢Lel/ % �e -6
AP (CANT SIGN
X
PERMIT
NO.
161" V
BIN #
PROJECT LOCATION
Al Qg–
_0,0 O
1 44
Property Address
12,City
I
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate ofworkees
compensation must be shown at the time of permit Issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
e
t, Cie
Sq FT- Living Garage Open Cov
O Structure Built without Permits t_� � v9 J�
0 Proposed Change of Occupancy
(Note previous use):
For office use on
Zoning Flood Zone SRA No
Occ.
Type Const.
ab�s�
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.6uttecounty.net/dds
NOTICE TO BUILDERS"
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null .and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by.the Building Division during
each year during scheduled inspections. No changes may be made, in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY*
Application for which'a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if
the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for
Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is .cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to
process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the
permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund
amount) to determine no work was done.
Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
Reference Number: B08-1321
Location: 5123 LA PORTE RD
Parcel Number: 028-110-032
Owner Name: CASEY, DANIEL
LIMITED AG (TRACTORS FARM
Signature of Applicant:
FILE
30 X 30
Date: 07/11/2008
Phone: (916) 681-2185
Date: 07/11/2008
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION.
Storm Water Managment Program
7 County Center Drive
broville, CA 95965
(530)538-7 ' 266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
National. Pollutant Discharge Elimination 'System (NPDES) :Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
Reference Number: 'B08-1321 Date: 07/11/2008
Location: 5123 LA PORTE RD
Parcel Number: 028-110-032
Owner Name: CASEY, DANIEL
Description: LIMITED AG (TRACTORS FARM EQUIP) 30 X 30
By: KEJ
Sub Type: Limited Aa
Phone: (916) 681-2185
By signing below, I the project owner/owners' agent, certify that this project WILL NOTDISTURB 1acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water -Quality Control Board.'Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent; phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware,that submitting false and/or inaccurate information or failure to apply fora Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in: revocation of grading and/or other permits or other santions provided by law.
.Signed:
Title:
FILE
Date: 07/11/2008
California Department of Forestry and Fire Protection
Butte County Fire Department
Fire Prevention Bureau
Reference Number: B08-1321
Location: 5123 LA PORTE. RD
Parcel Number:
Owner Name:
028-110-032
CASEY, DANIEL
176 Nelson Avenue, Oroville CA 95965
(530) 538-7888 Office, (530) 538-2105 Fax
Date: 07/11/2008
By: KEJ
Sub Type: Limited Ag
Phone: (916) 681-2185
Description: LEVIITED AG (TRACTORS FARM EQUIP) 30 X 30
To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County
requires a pre -construction inspection to pro -actively provide the below building and site requirements to the
property owner.
Your property is located within the State Responsibility Area (SRA) of Butte County
SRA is required to meet the below requirements:
✓ � Public Resources Code 4290
✓ Public Resources Code 4291
✓ California Building Code, Chapter 7A
✓ Butte County Improvement Standards
Requirements prior to scheduling the pre -inspection:
✓ Full plansubmittal to Butte County Development Services -Building Division
✓ Driveway and building pad must be identified on site
✓ Structure location must be staked out on the building site
All development within the
Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention
Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension
number).
For the pre -inspections, the property -owner or authorized agent is required to meet the inspector at the construction
site with two hard copies of the site plan.
I have read and understand the above pre -inspection requirements.
07/11/2008
Date Signature
All of the Fire Safe Requirements are posted on the Butte.County Fire Department website at
http://buttefire.org/Firearevention/protalan/protplan.html
Rev'd 5/7/07
FILE
Butte County Department of Development Services
TIM SNELLJNGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
n If you are an employer, you must register, with the state and federal government as an employer and you are subject to several obligations including state and federal
n income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific infoimation about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally. t -
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION'
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMP NT (YES OR NO)
2. I (HA VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I 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 THE 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 PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: LIMITED AG (TRACTORS FARM EQUIP) 30 X 30
Reference Number: B08-1321
Applicant Name: CASEY, DANIEL
Owner's Name: CASEY, DANIE AP h
Signature of Property Owner: Date:
028-110-032
Butte County Department of 'Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA; 95965
(530) 538-7601 Telephone,
(530) 538-7785 Facsimile
www.buffecounty.net/dds
www.buttegeneralplan.net
ADMINISTRATION * BUILDING * PLANNING
OWNER'S DECLARATION OF .USE
FOR A LIMITED AGRICULTURAL BUILDING
Uwe the undersigned hereby apply for a `Limited Agricultural Building' defined in the 2007 California
Building Code, Chapter 2, Section 202 as an agricultural building as follows and which is used as listed in
items 1 through 8 below:
"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 "
1. Livestock shelters or buildings; including shade structures and milking barns.
2. Poultry buildings or shelters.
3. Barns. (A detached farm building used for the storage, of harvested crops, farm products, feed,
machines, or farm equipment and/or agriculture vehicles:)
4. Storage of equipment and machinery used exclusively in agriculture.
5. Horticultural structures, including detached production greenhouses and crop protection
shelters.
6. Sheds. (A detached single story building with one or more sides enclosed, used for shelter or
storage.)
7. Grain silos.
8. Stables.
DESCRIPTION OF BUILDING
Floor Area: Loft/Attic Area: Height:
Proposed Building will be used for: f'A rh
Describe the current Agricultural Use on the property: d f , ,_, .e S
Property Owner's Signature:
Date: Q
K:\BUILDING\WEBSITEFORMS\OwnerDeclarationforLimitedAg 1.10.08.doc
SITE PLAN REVIEW APPLICATION
Date: AP#
Permit Number (if apiffleable) Bin Number
APPLICANT INFORMATION Parcel Size:% A CA: s
Owners Name: A01A O
Owners Address: b21 T,4
Telephone No.:, lb 2
Site Addre ss:
�-
Proposed Use:
Residential
[New Single Family Residential
Ej Single Family Addition
E] Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
Fj Temporary Mobile Home (Aunt. Minnie)
❑ Temporary Travel Trailer
El Multi -family
Non-residential
M New Commercial
❑ -Commercial Addition
FI New'Industrial
❑ Industrial Addition
Other
[5 Septic
F1 Agricultural Exempt Building
F Other:
Brief Explanation/Issue: '
Zone:
GP:
❑ Commercial Remodel-
❑ Industrial Rem6',del
Well
-Agricultural Buffer Form
DEVELOPMENT SERVICES INFORMATION (For -Staff Use)
(Approve 'K�] Cpnditionally Approved 'Resolve Problems Prior to Approval
Resolved
By Date -7
1�
2006
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract
❑ Watershed Protection Overlay Zone
SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain:
4 Flood Zone:
• Flood Panel No.: Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan
❑ Chapman/Mulberry
❑' Cohasset Area
''Use Requires:
❑
Use Permit
❑
Variance
❑
Agricultural Worker Affidavit
❑
Administrative Permit
❑
Minor Use Permit
❑
Minor Variance
Zoning:_
4—<' General Plan:
'
Applicable Building Setbacks:
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2 2006
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
2 ,
Side
f
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2 2006
.a
Parcel Created By:
❑ Deeds:
Date of Creation: Legal Access Provided: E] No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: E] No El Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
arcel Deemed to be legal 06_
Verify Legal Parcel. ❑ Verify Legal Access ro� eed of Ereation
Obtain a:Certificate,bf Compliance
Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑
Construct road to: ❑ Meet Parcel'size required by zone
❑ Meet current Environmental Health Department requirements' .
Subdivision Map/Parcel Map:
Map Date of Recording:
Lot: Book: Page:
y
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Parcelr]90 llFTI D Off]F7Scale:
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oa•bw 23,2L)03 .
FOR OFFICE USE ONLY
Zoning:
General Plan Desig:
Size, Acres
i 4.00"
PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
ZONING:
GEN PLAN:
USES: