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HomeMy WebLinkAbout024-100-049~~- ' (622-Richards.Ave, GridleyPermit#120-89A(Agricultural Bldg Exemp 57-66Etractor stg)MISCELLANEOUS Re-Roof.622 RICHARDS AVEALSKAGGS, DANNY ET� ' ' . � � ' | ! ' ' . _ | . . . ~ tom..,.:. _ � � .. ,_ _ _ _ �. �..:. - � �:. d' � � �"' BUTTE 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 PROJECT INFORMATION Site Address: 622 RICHARDS AVE Owner: Permit No: B08-1148 APN: 024-100-049 ... SKAGGS, DANNY ETAL Issued Date: 06/17/2008 By KCG Permit type: MISCELLANEOUS 6232 WOODMAN DR Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 06/17/2009 Description: RE-ROOF(15 SQ), REPLACE SIDIN, (530) 713-1338 Occupancy: Zoning: A10 Contractor Applicant: Square Footage: SKAGGS, DON Building Garage Remdl/Addn PO BOX 168 LA PORTE, CA 95981 Other Porch/Patio Total (530)713-1338 .:_ FEE INFORMATION DBMSC Re -Roofing $119.00 DBMSC Stucco/Siding-Stone/Bric $119.00 Total Charged: $238.00 Fees Paid: $238.00 Balance Due: $0.00 Receipt No: B7699 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 06/17/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Cade: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s; licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one ne hundrdollars ($100) or ass. I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT I ISSUED, I shall not employ any person in any manner so as to become subject to the Wo errs' Compensation Laws of California, and agree that if I should become subject to the worker ' 06/17/2008 P! provisions of Section 3700 of the Labor Code, I shall forthwith comply with ose P s I,, O nets Signature Date X06/17/2008 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 Slate laws relating to building Can natureU VDate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all and liability for personal injury, including death, and property damage caused by, arising outt ofof, or in any way connected with , o HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. er or thorized to act o he property owners behalf. �anter the abo a mentioned property for inspection purposes. I hereby certify that I am the 06/17/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for42=6-of ermittee [SIGN Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR:. ElAgent for Owner Agent for Contractor FILE COPY Lenders Address City State zip 14 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.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. ° 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 ° 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 information 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. 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. 1. I PERSONALLY P AN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.�OR NO) 2. AVE HAVE 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: 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: RE-ROOF(15 SQ), REPLACE SIDING (20 L.F.) Reference Number: B08-1148 Applicant Name: SKAGGS, DON Owner's Name: SKAGGS NNY ETAL 1 AP # : 024-100-049 Signature of Property Owner: \ Date: ('9 _ I V-) C) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BO&I Iql2l BIN # "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. OWNER INFORMATION Last.Name Fkst Name )ory Maili Addr so City LR P O R T E StajE Zi Phone � I - Fax` E-mail I �fl C , �� m APPLICANT INFORMATION CONTRACTOR Name City L06n f 6 Address Zipy � All City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City L06n f 6 Address Zipy � All City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name's Addr , O o , 0 City L06n f 6 Stag Zipy � All Phone I / Fax E-mail APPLICANT SIGNATURE X 0-Y1 PROJECT LOCATION API Property Address lQC 14 a C4 CityG P? WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: IJ� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood!TypEeConst. SRA Yes No Occ. COUNTY OF BUTTE -EDARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, N1FORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT T N SX Agricultural building is defined as follows: Agricultural building is a structure designed and cons tru ted to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure all not be a place of human habitation or a place of employment where agricultural products are processe' , treated, or packaged, nor shall it be a place used by the public. 35- ASSESSOR S ASSESSOR PARCEL NOn _ �� FLOOD ZONING .410 OWNER �� L3 ROOF PHONE 3 13, E N N %� OWNER'S ADDRESS LOCATION OF BUILDI G. A vim. USE OF BUILDING rS fc CA 0 SIZE OF STRUCTURE X� SQ. FT. _ TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE bu 0 (JGT ESTIMATED COST OF CONSTRUCTION 3 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: LL 0 / �0 FRONT �,!a 4L SIDES 4 REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to Comply with the requirements in effect at that time and before occupancy. Date /6) / Permit Fee - $25.00 Receipt No. 0 -3 - Signature Signature of Owner Yxl'� Z-�� The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Director of Public Works By Date FLOOD PARCEL P.D ROOF ISSUE Director of Public Works By Date / .Y,. .9.yv"f.Fr7'f�+�i.,n:w. W^.w�,+..ynG'k",w:1;�Sfk�1,����i�''1�!'�'�.'a�..1'1..z""tielT�Y�a-Y"-'ick^ ���""4 t�"�.: 1r•', .;-��....^'' .., t COUNTY OF BUTTE - DEPARTM►-,NT-aF PUBLIC -WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET .� Permit No. OWNER -11 N61 0 0} A. P. No.- Proposed Building Use Building Inspector " Date At time of permit application, I as 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 .. 1 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 .................................................... 13. School District fees paid .............. 14. 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. Plannirng approval for (A) Use: (B) Parking: ...... 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 ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. _ Letter of signature authorization ....................... !`..'. . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail t9 contractor. Telephone and hold for p'cku at office. Deliver w/inspector. Other ' C Applicant v Date O-/ Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item 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—mal I counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date