HomeMy WebLinkAbout024-200-039B07-2527 024-200-039
MISCELLANEOUS Demolition
DEMO EXISTING HOUSE
492 JOHNSON CLAN AVENUE
RONNIE JOHNSON
B07-2528 024-200-039
RESIDENTIAL SFD-Custom/Model
NSF 3760'; GAR 1 101'; COV 2868'
492 JOHNSON CLAN AVENUE
JOHNSON RONNIE CONSTRUCTION
B08-0028 024-200-039
MISCELLANEOUS Ag Exempt
AG BLDG FOR ANIMALS, OLIVE SHC
492 JOHNSON CLAN AVE
JOHNSON, RONNIE & KRISTEN
31
rlALKER,
Adley 32628 /y r
RENEWAL -50498 2630P i
A -,q0-39
s/s Hopkins Ave., tit/side SNRR, Gridley
(t=, duplex) /? - i� -6 64
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: 492 JOHNSON CLAN AVENUE
Owner:
Permit NO: B07-252$
APN: 024-200-039
JOHNSON RONNIE CONSTRUC
Issued Date: 12/17/2008 By TMP
Permit type: RESIDENTIAL
492 JOHNSON CLAN
Subtype: SFD-Custom/Model
GRIDLEY, CA 95948
Expiration Date: 12/17/2009
Description: NSF 3760'; GAR 1101'; COV 2868'
(530) 370-5586
Occupancy: R-3 Zoning: A40
Contractor
Applicant:
Square Footage:
JOHNSON RONNIE CONSTRUCTION
JOHNSON RONNIE CONSTRI
Building Garage Remdl/Addn
492 JOHNSON CLAN
492 JOHNSON CLAN
3,760 1,101
GRIDLEY, CA 95948
GRIDLEY, CA 95948
Other Porch/Patio Total
(530)370-5586
(530)370-5586
2,868 7,729
FEE INFORMATION
DB R3 Dwelling -Custom, Model $2,558.69
DB R3 Dwelling -Custom, Model $1,705.79
DBEH Building Review Fee $75.70
DBSMIP Residential $24.44
Total Charged: $4,364.62 Fees Paid: $4,364.62
Balance Due: $0.00 Receipt No: B9370
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
JOHNSON RONNIE CONSTRU( 828041 / B / 12/31/2009
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
fessions Code, and my license
is in full force and effect.
(commencing with Section 7000) of Division 3 of t=-1-2-/17/2008
pursuant to the provisions of the Contractors 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
X
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
5; IAS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
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
WORKERS' COMPENSATION DECLARATIONCOMPENSATION,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
E]I
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.).
I1 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
T7,
C�ection
❑ I, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's 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
STATE FUND 713-0012560 09/01/2007
Carrier: Policy Number. Exp. Date:
Contractors License Law.).
(This section nee not a completed if the permit is or one hundre dollars ($100) or ess.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation Laws of California, and agree that if I should become subject to the workers'
X �---- 12/17/2008
compensation provisions of Section 3700 of the Labor Code, I shall fo with comply with those
provisions.
Owner's Signature Date
X
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 Stale laws relating to building
Signature Date
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 claims and liability for personal
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,
( )
injury, including death, and property damage caused arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge thatt is 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.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
12/17/2008
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGNJ Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
D�wner 1:1 Contractor OR;Agent for Owner ❑Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 5')8-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.butiecountynet/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last-Urne
Sbr►
FiVr�1ame ,
Jho ,1 i L
Mailin Add, sets _
City //L
�l
Stater
AV
Zip q
Phone
Fax
� -3
E-mail
CONTRACTOR
Name /
�C�/
Address L
Ute►'\ C l
city
State G
Zip
Phone
Fax
E-mail
Lic. # � �
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name S.
/� A/,
Address ZU
/53'^.. s C_ S7
�1
City
State
Zipglc /
Phone
FaxC �—t�2
E-mail
Sq FT- Living3?4, Garage //;6Open
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
PERMIT_ �
NO. I�
lb
BIN
PROJECT LOCATION
AP# co -2
. _0 09
Property Address Z / 5.�•.. ri—�
City - .'./lL S
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than Iltnse 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:
Zoning
Flood Zone
SRA
r I S�.
T No
Occ.
Type Const.
Sq FT- Living3?4, Garage //;6Open
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
Cove
�t
`� \
LI1��
For office us o
Zoning
Flood Zone
SRA
Yes
T No
Occ.
Type Const.
L-11'gl�
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
"PERMIT APPLICATION DATA SHEET"
Reference Number:
B07-2528
Date:
12/12/2007
Location:
492 JOHNSON CLAN AVENUE
By:
GLB
Parcel Number:
024-200-039
Sub Type:
SFD-Custom/Model
Owner Name:
JOHNSON RONNIE CONSTRUCTION
Phone:
(530) 370-5586
Description:
NSF 3760'; GAR 1101'; COV 2868'
❑
❑
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes
No
DRAINAGE DISTRICTS
❑
❑
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
1:1
❑
LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
0
❑
City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
PARKS & RECREATION DISTRICTS
1:1
❑
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
❑
❑
Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
1:1
❑
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
11
F�
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 C ��
Other: 1`j�S�7rV,f �C W -r— lb
E Other:
"*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.
Signature of Property Owner: �" Date: 12/12/2007
FILE
SCHOOL DISTRICTS
❑
❑
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
❑
❑
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
0
E]
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
❑
❑
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 C ��
Other: 1`j�S�7rV,f �C W -r— lb
E Other:
"*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.
Signature of Property Owner: �" Date: 12/12/2007
FILE
Butte County Department of Public Works
J: MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
O
0
O
0
0
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: B07-2528
Location: 492 JOHNSON CLAN AVENUE
Parcel Number: 024-200-039
Owner Name: JOHNSON RONNIE CONSTRUCTION
Description: NSF 3760'; GAR 1101'; COV 2868'
Date: 12/12/2007
By: GLB
Sub Type: SFD-Custom/Model
Phone: (530)370-5586
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre 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 for a 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: 12/12/2007
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B07-2528
Job Address: 492 JOHNSON CLAN AVENUE
Contractor: JOHNSON RONNIE CONSTRUCTION
492 JOHNSON CLAN GRIDLEY, CA 95948
Printed: 12/12/2007
4:26 pm
Fee Description Account Number Fee Amount Paid Date Pmt Amt
DB R3 Dwelling -Custom, Model
DBF DWLNG CSTM/MDL N Permit F( 0010-440001-4210500-1010 $2,558.69
DBF DWLNG CSTM/MDL N Plan Rvv 0010-440001-4210500-1010 $1,705.79 12/12/2007 $1,705.79
DBEH Building Review Fee
0021-540013-4614901-1010 $75.70 12/12/2007 $75.70
DBSMIP Residential
Printed By: Gwyn Benedict
1001-0-280-1011298 $24.44
49364.62 $19781.49
Balance Due: $2,583.13
At the time of permit application, I was advised the above fees are required prior to issuance of the
permit. These fees may change during the plan checking process. ,
Signature: � �_ �y—� Date: 12/12/2007
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM
(One form per Building)
School District: Gridley School District Building Permit Number: B07-2528
Tax Rate Area No: 082 008
Assessor's Parcel Number (s): 024-200-039 Jurisdiction: County
Property Owner (s): JOHNSON RONNIE CONSTRUCTION
Project Location/Address: 492 JOHNSON CLAN AVENUE GRIDLEY
Type of Development
Residential Development: 0
No
No Ell
Sq. Footage:
3,760
No of Living
Units
Mobile Home
Installation
Addition/ *Supplemental to
Conversion Permit #
Cr. Demo - existing
g
1282
*(No Foundation Inspection)
sq. f},
Net total sq. ft.
2—L4 `1 8
Deed Restricted Sq. Footage:
0
Commercial/Industrial: • =New
Attach signed copv of Deed
Q Addition
Restriction and Notice of Limit
Sq. Footage:
u 1
se atv ocumen
24 -7 $
Pro'e iption: NSF 3760'; GAR 1101'; COV 2868'
(Including
ExteriorRoofed s
08/18/2008
Building Department Re resentative
Date
District Indentification No. 1-1
Gv 1-r -t �`^� �' e d School District certifies that
`} c1 Z J o h" 5 o r-, C- 1 m r\ ,'TVP._
(Street Address) (City)
has complied with the requirements of Resolution No.
representing -.:I-,-A -1 (6 square feet.
Paid by Check #
"-(n VVV\/
Representative
.
Remarks:
(Payor)
(State) (Zip Code) (Phone Number)
by payment of $ 5 5 9. (P (r
AB 2926
FULL MITIGATION
,-,Q
Y'.c c.c.", P +— '* IT L -S
AUG: 2 A 2008
Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will
prohibit you from challenging the imposition of the fees in any court action.
subsequent o the School Districtepresen a ive signing this Butte County Schools Impact Fee Certification orm, the c o0
District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental
Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (School District) Yellow (Building Department) Pink (Applicant) DDS_School Fee Foran rev'd 3.10.08
CERTIFICATE OF EXISTING SQUARE FOOTAGE
Gridley School District Building Permit Number: B07-2528
Assessor's Parcel Number (s): 024-200-039
Project Location/Address: 492 JOHNSON CLAN AVENUE . GRIDLEY
Existing Sq Ftg: 1282 MH Replacement: No
Existing Construction Type: NSF 37601: GAR 1101': COV 2868'
Demo' Permit Issued?: Yes Demo Permit Issued Date:
Verified by: Building R
Comments:3760 sf
Department Representative
08/18/2008
Date
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
AGRICULTURAL BUILDING EXEMPTION PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROWLLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 492 JOHNSON CLAN AVE
Owner:
Permit No: B08-0028
APN: 024-200-039
JOHNSON, RONNIE & KRISTETS
Issued Date: 12/17/2008 By GLB
Permit type: MISCELLANEOUS
492 JOHNSON CLAN AVE
Subtype: Ag Exempt
GRIDLEY, CA 95948
Expiration Date: 12/17/2009
Description: AG BLDG FOR ANIMALS, OLIVE 1
(530) 370-5586
Occupancy: U-3 Zoning: A-40 '
Contractor
Applicant:
Square Footage:
JOHNSON RONNIE CONSTRUCTION
JOHNSON, RONNIE & KRIST
Building Garage Remdl/Addn
492 JOHNSON CLAN
492 JOHNSON CLAN AVE
2,400
GRIDLEY, CA 95948
GRIDLEY, CA 95948
(530) 370-5586
(530) 370-5586
Other Porch/Patio Total
2,400
FEE INFORMATION
DBEH Building Review Fee $75.70
DBOMSCF Ag Exemption Permit $115.98
Total Charged: $191.68 Fees Paid: $191.68
Balance Due: $0.00 Receipt No: B5989
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
JOHNSON RONNIE CONSTRU( 828041 / B / 12/31/2009
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 12/17/2008
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
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
❑I 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 Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compansation insurance carrier
The Contractors License Law dows not apply to an owner of the property who builds or improves
and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: STATE FUND policy Number: 713,00'Exp. Date:9/1/2007
Contractors License Law.).
(This section need not a completed if the permit is or one hun red dollars ($100) or less.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
/
Compensation laws of California, and agree that if I should become subject to the workers'
X cJ 2/17/2008
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owner's SignatuLe__----
Date
X � 12/17/2008
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 State laws relating to building
Signature Date
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 claims and liability for personal
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,
injury, including death, and property damage caused arising out of, in any way connected with
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit 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.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owners behalf
CONSTRUCTION LENDING AGENCY
12/17/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner Contractor OR; Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net/dds
AGRICULTURAL BUILDING EXEMPTION STATEMENT
Agricultural building is defined as follows: Agricultural building is 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.
Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for
an agricultural exemption.
Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any
requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte
County Environmental Health, or any state and federal agencies.
Initials Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
InitialsBuildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence,
0G feet from a manufactured home, and 23 feet from a commercial/industrial buildings
Initial G Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a
,,residence and a manufactured home, and 40 feet from a commercial/industrial buildings
Site Address: 492 JOHNSON CLAN AVE
Permit No: B08-0028
APN: 024-200-039
Square Footage: 2,400
Permit Type: MISCELLANEOUS
Occupancy: U-3
Permit Subtype: Ag Exempt
Zoning: A-40
Description: AG BLDG FOR ANIMALS, OLIVE SHOOT!
Required Setbacks:
Applicant: JOHNSON, RONNIE & KRISTEN
Front: Side: Rear:
492 JOHNSON CLAN AVE
Type of Construction:
GRIDLEYCA95948
(530) 370-5586
Type of Siding: T-111
Owner: JOHNSON, RONNIE & KRISTEN
Est. Const. Cost: $ 30,000.00
492 JOHNSON CLAN AVE
GRIDLEY, CA 95948
Roof Covering: Compostion
(530) 370-5586
Floor Type: Concrete
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 Building Division and obtain the necessary permits, inspections
and approvals to comply with the
requirements in effect at that time and prior to occupancy.
Signature of owner:
Date: 1/7/2008
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION*
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WII L BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO. _
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 -Ma a
c A » ZJY-,
First Name
o on C.—
Mailing Address
City
StateG
Zip
Phone_,_5-5e
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
lS�3l�l
Address
X e�-n
City (�C
/., ".e_1
State
Zip 9S9
Phone
� _
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X��_
PROJECT LOCATION
Property Address
city
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of
worker's compensation must he shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
IA-Ul
Flood Zone
I SRA
Yes No
Occ.
Type Const.
Butte County Department of Development Services
TIM SNELLINUS, 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
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 BNAOmg Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one y from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of tim provided construction progress has been documented by the Building Division during
each year during scheduled inspections. changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expi ion, the permittee shall pay anew full permit fee and additional plan checking
and documentation may be required. Upon com tion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this buildin or any portion of the building for which this permit is
issued without a final inspection. N� Ar �' EXf rnI '
&lIkAirnifE
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
(not yet issued) must be requested within two years 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 of
$54.99 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 hqp://municipalcodes.lexisnexis.com/codesibutteco/
"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: B08-0028 Date: 01/07/2008
Location: 492 JOHNSON CLAN AVE
Parcel Number: 024-200-039
Owner Name: JOHNSON, RONNIE & KRISTEN Phone: (530) 370-5586
Description: AG BLDG FOR ANIMALS, OLIVE SHOOTS (40X60)
Signature of Applicant: Date: 01/07/2008
FILE
Butte County Department of Public Works
MICHAEL CLUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
0 :
C
Aq A`i�ir��,
"�11C vY
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:
B08-0028
Date:
01/07/2008
Location:
492 JOHNSON CLAN AVE
By:
KCG
Parcel Number:
024-200-039
Sub Type:
Ali Exempt
Owner Name:
JOHNSON, RONNIE & KRISTEN
Phone:
(530) 370-5586
Description:
AG BLDG FOR ANIMALS, OLIVE SHOOTS (40X60)
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre 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 for a 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: «----�� Date: 01/07/2008
Title: G
FILE
5033 FEATHER RIVER BLVD., MARYSVILLE, CA 95901 PHONE 530/743-8855 FAX 530/743-8856
QUOTATION AND PURCHASE AGREEMENT
TRUSS QUOTATION
0280507
WITH TRUSS CALCS
Purchase Order Number:
Date: 2/15/2008
Project Name New Residence
To: Johnson Lot No. Plan(s) Floor
Units
Location Sutter County, CA.
Phone
Email
Thank you for the opportunity to submit our proposal for your project. This offer is based on the trusses designed and
included in the calcs that are being provided to you as follows and are subject to the Terms and Conditions provided.
Included in proposal:
L) 4x2 floor trusses; with 19.19" OC; 16" Deep
t) LSL: 1-1/4x16x24' LSL RIM
t) Hardware: U410's
txctuaea in proposal:
Beams; Blocking; Truss clips; Bridging/ Bracing;. Sto 1 Backing; Decking
Delivery El On Ground ❑ Plate Line All deliveries are subject to safe travel and access per Terms and Conditions
Payment Terms ❑ Cash payment Sub Total $2,618.88
❑ Net 15 days with credit approval
Sales Tax 7.2500% 189.86
� Other TOTAL
$2,808.74
This proposal is valid for 7 days for acceptance, and thereafter for 90 days for delivery. Per your request, SEALED TRUSS CALCS are
being produced in advance for permit purposes. In the event that this proposal is not accepted, Homewood shall be entitiled to a
reasonable design fee. This CALC SUBMITTAL is based on the plans and the design information that you have provided. The lead-time
for production and delivery is normally 3 weeks after we receive approval of the calcs/submittals from you and/or your design professionals.
These lead-times may vary with production schedule demands.
To design, fabricate and deliver trusses... is our job. To do it right...is our passion! We look forward to the opportunity to supply the
products and to be of service to your construction project. I will be glad to meet further to answer questions and offer alternatives as
needed.
Respectfully submitted by:
Enclosures
AGREEMENT This Quotation and Homewood's Terms and
Conditions are hereby agreed to.
L Signature: Name Title I Date
❑
Terms & Conditions
❑
Approval Sheet
❑
Pre -Lien Information Sheet
❑
Credit Application
❑
How to Order Guide
Form QPA 11-02-2
5033 FEATHER RIVER BLVD., MARYSVILLE, CA 95901 PHONE 530/743-8855 FAX 530/743-8856
5 WV! �QUOTATION AND PURCHASE AGREEMENT
Tili1SS No. 0290507
WITH TRUSS CALCS
Date: 2/15/2008 Purchase Order Number:
To: Johnson
Project Name New Residence
Lot No. Plan(s)
Location Sutter County, Ca.
Phone
Email
FAX
Units
Thank you for the opportunity to submit our proposal for your project. This offer is based on the trusses designed and
included in the calcs that are being provided to you as follows and are subject to the Terms and Conditions provided.
Included in proposal:
1) 2x4 top chord trusses; with 6/12 pitch; at 24" O.C.; with 18" overhangs
2) 2x4x22-7/16 Frieze & Ridge Blocks
3) Hardware: H1's; H10 -2's; H5's; STC's; LUS24's; LUS26's; HUS26's; HHUS26-2's; THASR218's; LTH7R/L's
4) Hip Rafters
_xcluded in or000sal:
Blocks; Pre Cut Fill; Bridging/ Bracing; Backing Gable End; Valley Trusses
Delivery ❑ On Ground El Plate Line All deliveries are subject to safe travel and access per Terms and Conditions.
Payment Terms ❑ Cash payment Sub Total_ $11,043.59
0 Net 15 days with credit approval
❑ Other
Sales Tax 7.2500% $800.66
TOTAL $11,844.25
This proposal is valid for 7 days for acceptance, and thereafter for 90 days for delivery. Per your request, SEALED TRUSS CALCS are
being produced in advance for permit purposes. In the event that this proposal is not accepted, Homewood shall be entitiled to a
reasonable design fee. This CALC SUBMITTAL is based on the plans and the design information that you have provided. The lead-time
for production and delivery is normally 3 weeks after we receive approval of the calcs/submittals from you and/or your design professionals.
These lead-times may vary with production schedule demands.
To design, fabricate and deliver trusses... is our job. To do it right... is our passion! We look forward to the opportunity to supply the
products and to be of service to your construction project. I will be glad to meet further to answer questions and offer alternatives as
.needed.
Respectfully submitted by:
Enclosures
AGREEMENT This Quotation and Homewood's Terms and
Conditions are hereby agreed to.
Signature: Name Title
Date
❑ Terms & Conditions
❑ Approval Sheet
❑ Pre -Lien Information Sheet
❑ Credit Application
❑ How to Order Guide
Form QPA 11-02-2
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 4957JOHNSON CLAN AVENUE
Owner:
Permit NO: B07-2527
APN: 024-200-039
RONNIE JOHNSON
Issued Date: 12/12/2007 By GLB
Permit type: MISCELLANEOUS
492 JOHNSON CLAN AVE
Subtype: Demolition
GRIDLEY, CA 95948
Expiration Date: 12/11/2008
Description: DEMO EXISTING HOUSE
(530) 370-5586
Occupancy: Zoning: A40
Contractor
Applicant:
Square Footage:
JOHNSON RONNIE CONSTRUCTION
RONNIE JOHNSON
Building Garage Remdl/Addn
492 JOHNSON CLAN
492 JOHNSON CLAN AVE
GRIDLEY, CA 95948
GRIDLEY, CA 95948
Other Porch/Patio Total
(530)370-5586
(530)370-5586
FEE INFORMATION
DBMSC Demolition $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B5609
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
JOHNSON RONNIE CONSTRU( 828041 / / 12/31/2007
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 Contractor's 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 12/12/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Contractors Signature—Date
Please check one of the following:
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 Code: The Contractor's 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
E]I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compansation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: STATE FUND Policy Number: 713-0012560 Exp. Date : 9/1/2007
Contractor's License Law.).
(This section nee not a completed if the permit is oris or on�llars ($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 IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 12/12/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 12/12/2007
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
Qin
Signature Date
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 claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION,
( 1
the issuance of this permit. I hereby acknowledge thatt is 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. 1 hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
CONSTRUCTION LENDING AGENCY
12/12/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner 1:1 Contractor Old. E]Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City State Zip
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.
I PERSONALLY PJAaTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. kyf>0R NO)
2. I D/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
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: DEMO EXISTING HOUSE
Reference Number: B07-2527
Applicant Name: RONNIE JOHNSON
Owner's Name: RONNIE JOHNSON AP # : 024-200-039
Signature of Property Owner: Date: Z� Z�lf7
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION,
OFFICE #: (530) 538-7541 FAX #: (530) 5')8-2140 "
A FEE WILL BE REQUIRED AT TIHE OF APPLICATION
Website: www.buttecountynet/dds
"PLEASE PRINT CLEARLY"
APPLICANT INFORMATION
OWNER INFORMAT/O
Name
Address
Last Name ;,
City
First
n
Mailing Address
Phone
Zip
City
E-mail
Statl�w
Zip?
"(
Phone
Fax
Class
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
Address
City
City
Zip
State
Zip
Phone
Zip
Fax
E-mail
Fax
Lic. #
6
State License Number
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
Open Cov
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
PROJI
AP#
G
Property Address
City
LOCATION
PERMIT
NO.
.04
BIN #
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license 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:
Zoning
Flood Zone
nu
SE
Type Const.
Sq FT- Living Garage
Open Cov
❑ Structure Built without Permi
❑ Proposed Change of Occupa
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA Yes No
Occ.
Type Const.
BUTTE COUNTY uy` �O p0.pTESSION��
o-
F
Pro**.RON JOHNSON
HOME SITE q w ae
492 JOHNSON CLAN AVE. , OVL a
' GRIDLEY, CA 95948
APN: 024-200-039
2RIGHT OF WAY s
{ ' — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
JOHNSON CLAN AVE. CENTER LINEt
6-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-...-_.-.-.-.-.-.-.-._
N W 2504 RIGHT OF WAY z —
O
i/ 10 I 4 -50 LEACH LINES
I
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m m ? .s pyo 0 0 1
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Lo W
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SEPTIC TANK
3
O � NOOSE �
yy
NOTE: EXISTING SEPTIC TANK TO BE ,6 �- J
REMOVED PER BUTTE COUNTY STANDARDS. ��
EXISTING LEACH UNE LOCATIONS ARE
UNKNOW. IF LEACH LINES AREDISCOC
WALL 13EED DURING REMOVEDPEROCO NTYnSTANDARS�ON THEY' { .
EX. HOUSE 11
EX. CARPORT
NOTE DUSTING HOUSE TO REMAIN DURING
CONSTRUCTION AND TO BE DEMOED AS PART
2 OF NEW HOUSE FINAL EXISTING SHOP AND
CARPORT ARE SHOWN IN THIER APPROXIMATE
LOCATION AND WILL REMAIN. L — — — — — –I I
s
I EX. SHOP j
1504
Z
W
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SITE LAYOUT
SCALE 1°=20'
w gi SITE PLAN
TOTAL SHEETS I SHEET No
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