Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
027-100-022
B07-0012 027-100-022 MISCELLANEOUS Demolition DEMO SP PUTMAN AVE BL•NEDICf, JOHN & DOREEN TRUST B07-0013 027-100-022 MISCELLANEOUS Ag Exempt AG BUILDING PUTMAN AVE BENEDICT. JOHN & DOREEN TRUST r$ SSS `m,$acf 027-100-022 I:11cNIcDIC'I', JOHN G4 2920 .�fit..' __ 7 ` ' 1 IAN '� . I . OROVII,LE Cn%:c GREENE ROOFING UI'(iRADF`I±I'.LOCITF ELECT y YV 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 _ UIrFRCTTF • .. ., t,,,rra�..,,,,r., .. or\.l.io Contractor / Applicant: Square Footage: j y Building Garage Remdt/Addn ' -- —� Other Porch/Patio. Total FEE INFORMATION DBMSC Demolition $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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 is in full force and effect. X 01/03/2007 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 Section 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 permitis or on�ed dollars ($100) or less.) I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS C 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro 'sions. \X�� , 01/03/2007 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. 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) r - Lender's Address City State Zip Balance Due: $0.00 Receipt No: B1363 OWNER / BUILDER DECLARATION 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 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]; 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 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 not intended 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 Provessions Code: The Contractors 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 under Section B. li P.C: for this reason: j� 01/03/2007 Owner's Signatur Date - I hereby certify that I have read this application and state that the above information is correct. 1 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. 1 agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of an sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ounty bove entione, properly for inspection purposes. I hereby certify that I am, the prop caner lho ized to ad on the property owner's behalf. V 01/03/2007 Name of Permittee [SIGN] Print- Date 0 Owner 1-1 Contractor OR; Z Agent for Owner ❑Agent for Contractor FILE COPY PROJECT INFORMATION z Site Address: PUTMAN AVE Owner: Permit NO: B07-0012 I'APN: 027-100-022 BENEDICT, JOHN & DOREEN type: MISCELLANEOUS \ 7515 RESERVOIR RD Issued Date: 01/03/2007 By GLB (Permit Subtype: . Demolition OROVILLE, CA 95966 Expiration Date: 01/03/2008 Description: DEMO SF Occupancy: Zoning: A5 0( Contractor / Applicant: Square Footage: j y Building Garage Remdt/Addn ' -- —� Other Porch/Patio. Total FEE INFORMATION DBMSC Demolition $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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 is in full force and effect. X 01/03/2007 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 Section 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 permitis or on�ed dollars ($100) or less.) I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS C 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro 'sions. \X�� , 01/03/2007 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. 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) r - Lender's Address City State Zip Balance Due: $0.00 Receipt No: B1363 OWNER / BUILDER DECLARATION 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 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]; 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 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 not intended 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 Provessions Code: The Contractors 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 under Section B. li P.C: for this reason: j� 01/03/2007 Owner's Signatur Date - I hereby certify that I have read this application and state that the above information is correct. 1 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. 1 agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of an sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ounty bove entione, properly for inspection purposes. I hereby certify that I am, the prop caner lho ized to ad on the property owner's behalf. V 01/03/2007 Name of Permittee [SIGN] Print- Date 0 Owner 1-1 Contractor OR; Z Agent for Owner ❑Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION LA Name 15 N irst,Name . G1Jtil Mailing Address City 0_cwr State ,� Zip,SQ�o20 Phone SSD Fax E-mail APPLICANT INFORMATION CONTRACTOR. Name City Address Zip 9 S9lo City Fax State . Zip Phone Map Book Fax E-mail Planner Lic. # :. Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip 9 S9lo City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name -Ti'1.1 � 13 GN�J t G Address Z S7 /O v 6 City Stated Zip 9 S9lo Phone Fax E-mail APPLICANT SIGNATURE X For office use only: AP# o rl no Zoning On QV -& Flood Zone SRA I Yes I No Occ. Carrier Type Const.' Subdivision Name Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION AP# o rl no Property Address rCity U7N )%V6 On QV -& Cross Street b 2Vdi J� 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: S Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ , Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application' after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receivedi by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: LOther Total 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 PERMIT NO. BP042920 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perl'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/06/2004 APN: 027-100-022-000 the Business and Professions Code, and my license is in full force and effect. 'l 2/� (� License Class: C -i0 License Number: J! 16� - Site Address: 7555 PUTMAN ORO 0-&-611 Contractor. , c5OV ING Date:/ Map Index: Description: UP -GRADE & RELOCATE ELECT. SERV. TO OWNER-BUILDERDECLARATION I hereby affirm under penaltyenaltyoffperjury that I am exempt from the 400 AMP Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which 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 Owner: BENEDICT JOHN & DOREEN TRUST signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or BENEDICT JOHN & DOREEN TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 7515 RESERVOIR RD violation of Section 7031.5 by any applicant for a permit subjects the OROVILLE, CA 95966-9334 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: BENEDICT JOHN & DOREEN TRUST provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Contractor: B SHARP ELECTRIC INC Date: Owner: P O BOX 1390 OROVILLE, CA 95965 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: (530) 533-5218 - ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #• 394993 Labor Code, for the performance of the work for which this permit is issued. Gt'� I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier andel policy number are: Engineer: Carrier:_ � �%�i�G%�i� G-2x�0 Policy #: oto 9, ❑ 1 certify that in the performance of the work for which this permit is Total Square Ft: 0 S.F. - issued, I shall not employ any person in any manner so as to Valuation' $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 1 /� , I� An-n4,S laq. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrvor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutio to do work indical:96-a'ayive for which fees have been paid. ` -+0 — 11 Name: /D By Date: CJ U w EXPIRES O Address: PERMIT ON: L tL/ -S Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or my zed agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substa a o ' r or document of Butte County. I hereby authorize represe antivP8 of Buttty to enter upon the above mentioned property for inspection p os Print NamSignature: Date: �Q 6 �Z 0 ❑ Owner CyContractor ❑ Agent for Owner 0 Agent for Contractor /VT1'�. ; ' BUTTE COUNTY 0 0; ' DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o --- _ - = 0 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 UN A FEE WILL BE REOUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Name . A/6VI ust Name •J /� /Ok , /' Address 7,51S- /ZFS g/LD/LVD/& D City C3 � v� State Zip g J F� Phone '57 Fax E -mag Planner CONTRACTOR Name- T 5WO 5z&:?x'C Ac- Address ;;20 '?VX City ©/w a`�� State Zip�� Phone,,,5-3, SZllf Fax S3� 5027 E-mail Lic.#39/f4 Class D APP ICANT SIGNATURE X 1`16� N� j . For office use only: ARCHITECT/ENGINEER Name S�/012� g1ZrCMIC_ I,tJC. Address SRA City No State Zip Phone Map Book Fax E-mail Planner State License Number APP ICANT SIGNATURE X 1`16� N� j . For office use only: APPLI CANT NAME Name S�/012� g1ZrCMIC_ I,tJC. Address SRA City No State Zp Phone Map Book Fax E-mail Planner APP ICANT SIGNATURE X 1`16� N� j . For office use only: Zoning Property Address 7615-Y u ,4.k'a �yL Flood Zone Cross Street �r�fiZ1JD/t7 SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS ... _^ 111 J-- n--- 4 -se PERMIT (� "2�3' BP BIN # LOCATION API / n / Property Address 7615-Y u ,4.k'a �yL City _ UIG� Cross Street �r�fiZ1JD/t7 WORKER'S COMPENSATION Policy Number Zz��- ZooS� Carrier if hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time ofpermit issuance. LENDING AGENCY Name Address Description or Scope of Work: IV54U V00R 5-6-avx 12 ri r e V Sq. Footage ' ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been. done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. II Received by: TP Amount: /(-I (. $U Bldg I I SRA Receipt P � O Sheriff l,' Sol SMTP Date: Other T � Q ° L� �• Total 11 DMI7 -)7 AA GN SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEG/BLEAND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modularhomes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Lefler of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Hefunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan -heck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION 'AFORMSOUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-nA 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: PUTMAN AVE Owner: Permit No: B07-0013 APN: 027-100-022 BENEDICT, JOHN & DOREEN Issued Date: 01/29/2007 By KCG Permit type: MISCELLANEOUS 7515 RESERVOIR RD Subtype: Ag Exempt OROVILLE, CA 95966 Expiration Date: 01/29/2008 Description: AG BUILDING (30 X 46) (530) 589-1376 Occupancy: Zoning: A-5 Contractor Applicant: Square Footage: BENEDICT, JOHN & DOREEP Building Garage RemdUAddn 7515 RESERVOIR RD 1,380 OROVILLE, CA 95966 Other Porch/Patio Total (530) 589-1376 1,380 FEE INFORMATION DBOMSCF Ag Exemption Permit $109.98 EH Building Review Fee $70.00 Total Charged: $179.98 Fees Paid: $179.98 Balance Due: $0.00 Receipt No: B1365 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 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 X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil than five hundred 01/29/2007 penalty of not more dollars [$500]; Please check one of the following: Contractor's 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 Code: The Contractor's License I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements 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.). ` HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Section 3700 the Labor Code, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractors 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 Contractors License Law.). Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less. I AM EXEMP nder Section B. & P.C. for this reason: I THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS JED, I SSUEDshall not employ any person in any manner so as to become subject to the Workers' Compens i nI s C�a'fomia, and agree that if I should become subject to the workers' ' - 01/29/200 compen do rovi fi of Section 3700 of the Labor Code, I shall forthwith comply with those nes Sig a ure Date provisi ns. X% 01/29/2007 1 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 Sig r0 Date WAR NG: 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 County, its officers,agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, aButte injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the street or subsidewalk. I hereby authorize representatives of Butte use or Occup me o sid���alk/ntionie� ATTORNEYS FEES. County to to abope for inspection purposes. I hereby certify that I am the - Prope o a oraprop owner behalf,� ��1/29/2007 CONSTRUCTION LENDING AGENCY IHEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me O e I e S ] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ,� r/ I Owner Contractor OR: Agent for Owner Agent for Contractor R•�— 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 agriculrural 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 iA County Environmental Health, or any state and federal agencies initiaisk AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials 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 manufactured home, and 23 feet from a commercial/industrial buildings Initials ASG 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 A ress: PUTMAN AVE Permit No: B07-0013 APN: 027-100-022 Square Footage: 1,380 Permit Type: MISCELLANEOUS Occupancy: Permit Subtype: Ag Exempt Zoning: A-5 Description: AG BUILDING (30 X 46) Required Setbacks: Applicant: BENEDICT, JOHN & DOREEN TRUST Front: 20' Side: 5' Rear: 5' 7515 RESERVOIR RD Type of Construction: OROVILLECA95966 (530) 589-1376 Type of Siding: Metal Owner: BENEDICT, JOHN & DOREEN TRUST Est. Const. Cost: $ 8,000.00 7515 RESERVOIR RD Roof Covering: Metal OROVILLE, CA 95966 (530) 589-1376 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 Divison and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at th �timd pr* r to occupancy. Signature of owner:. -- Date: 01/03/2007 FILE COPY BUTTE.COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nam� tD t 1 t�Nam� Mailing Address A uj'-� Q ✓� Citt"' I State,,, Zipot-�I wo Phone S 30 S$q 137 Cp Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City b� l� Address Zipot-�I wo City Fax State Zip Phone Name Fax E-mail Lot # Uc. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City b� l� Address Zipot-�I wo City Fax State Zip Phone Name Fax E-mail Lot # State License Number APPLICANT INFORMATION Name fJ C -, Address s AVb City b� l� State Zipot-�I wo Phone 3Q S3 yU Fax E-mail APPLICANT SIGNATURE X For office use only: AP# 0Z1 -160- dZ2_ Conir!a Q�10J I Flood Zone SRA Yes No Occ. Carrier Type Const. Subdivision Name Name Map Book Page Lot # Planner Date Approved: PERMIT �atn BIN # PROJECT LOCATION AP# 0Z1 -160- dZ2_ Property Address,City SSS V TQM AN A VG Q�10J I Cross Street p CSGrtvcyt .-t_ Mf'Z WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at die 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): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receive by: Amount: `C79 Bldg � — N SRA Receipt #� Sheriff l!5 __SMTP Date: f✓1� ther \Ab - m_ Total Butte.County Department of Public Works J. MICHAEL CRUMP, DIRECTOR _ LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 0. 0 0 0 �Ic 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: B07-0013 Date: 01/03/2007 Location: PUTMAN AVE By: GLB Parcel Number: 027-100-022 Sub Type: Ae Exempt Owner Name: BENEDICT, JOHN & DOREEN TRUST Phone: Description: AG BUILDING 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: •'PPj-?U c`�-r,,-� FILE Date: 01/03/2007 Butte, County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 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: O Make sure your application is complete. D 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 (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 http://municiDalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0013 Date: 01/03/2007 Location: PUTMAN AVE Parcel Number: 027-100-022 Owner Name: BENEDICT, JOHN & DOREEN TRUST Phone: Description: AG BUILDING Signature of Property Owner: APPLICANT Date: 01/03/2007 Butte, County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0013 Date 01/03/2007 Location: PUTNL4,N AVE By: GLB Parcel Number: 027-100-022 Sub Type: Ag Exempt Owner Name: BENEDICT, JOHN & DOREEN TRUST Phone: Description: AG BUILDING The above permit application has the following Clearances required prior Vpermit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit,/plication. Yes No DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, OrovilldCA 95965 - (530) 533-0740 ❑ M LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (53 0) 33-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (� 30) 895-4711 Chico Area Recreation District, 545 Vallombrdsa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447/��dway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction &Park Distr�Et, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Signature of Property Owner: Date: 01/03/2007 APPLICANT Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 /5CHOOL DISTRICTS Biggs Unified School District, 300 ' Street, Biggs CA 95917 - (530) 868-1281 11 ❑ Chico Unified School District, 1 63 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 agnolia, Gridley CA 95948 - (530) 846-4723 ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 C] Oroville Elementary S ool District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ Oroville Union High, 211 Washington Ave, Oroville CA 95966.- (530) 538-2300 Ext:105 ❑ ❑ Paradise Unified S ool District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy f Agricultural Acknowledgment Statement- See Attached Instructions C] City of Biggs lanning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 El Other: ❑ Other: El Other: Signature of Property Owner: Date: 01/03/2007 APPLICANT r a . , SITE PLAN .. .. .. .. .. .. .. ... .. .. .. .. j... .. .. .. .. .. ................. .. .. ............ .. .. .. ................. .. ._ .. .. .. .. .. .. .. .. .. .. .. .................. .. .. .. ............. .. .. .. .. .. .. .. ...... .. .. .. .. ... .. .. .............. .. .. .. .. .. .. .. ..i....................... .............. .. .. .. ..................................s. ............. ............ .. .. .. .........t.. .. .. .. .. .. ._ .. .. .. .. .. i• •}•• • •. .• .. .• .. .. .. •..................•. .. .. •. .......... • • .. .. •. .............. .• •. .. ... t..........• .. .• • .. •• •• _............... •• • .. • ..........t...........t.... .• .. 'I •• .. .. ..................... • •• ................. .. .i •• .. .• _......... _ •. •• .• .• -. .• .• .• .• •. •• _ .. •• .. •• .. _ • .• •. .. _ .. _ .• .. ._ .. • •• •. .. .. .. .• .. .. .• .1.. .. ••....._ .. •. •. _ .• ...... •• .• .....�.• J � wJ V K .• -. •• • .. .• .• •. •. -• •• •• .. .. -• •. .• •. •• •. .• .. ..•'. .• .• .............. •• ............. • .. •• .• .. .. •. .. •- •• •• • • ..•.........J......• L .•....L....._............L..... ............. ......L.....:......i......:.....:......'......L.....:• ....i..... } _...{............r..•................L.......-.._.•••........•{•..•..;.-....L....•{-._._;......L............ i i......•--... {.... •� i .- .............. --. ...... a.•...... .•.•• :......a...•..:.•...{••....3..•.._....._..........._ --..-.........•a.._.. ...... .....�• •..................... •• .............._ • _ .• .. .. ............ }.....{ ............. L............ ....... ...... r...... ...... -a.....:...... ...... L............. a...... s.......... '..a...... :............. a.............. ...... ...... ...... w..... •.................. ....s..... -,_.....t. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . : :•'' ' .. .. _ .. .. _ _ .. .. .. .. .. .. .. ._ .. .. ............. .............. .. .. .. .�. ......................(f��t .- .. -. .. .. .. .. .. .. .. .. .. .. .. .. _. y.�...}a.... - -. .. .- .. .. .. .. ............... .. .. -. .......... .. .............. ...-. i..... .. .. `c1 ' . . . . . . . . . . . . .... . . . . . . . . . .- .. _ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. _.. �. .. ` .. .. .. .. .. .. .. ._ .. .. .. .. .. .. .. .. .. .. .. .. .. ............ .. .. .. .. .. .. ............. ............. .. .. .. .. .. .. ...S. .. .. .. .. ............ .. ........................ .. .. .. .. ...{ .............L....•{......1.•.......... {......•......: •. .. ••..........................•. .•......•. ' i .............. •• .• •. •• .. .. .. •. ................ .. .. .• .. .. .. .. .. ...... .• .. .. .• �. t....:......�.....�_ ..._ .. ...... • _ .• •• .• •. .. •• •. .. • .. .• .. •. .• .. .• .. ..• .. .• ... �. .• .• .• .• • .. .• .• .. .. •• • •• .. •• .• •• •. .. •. •• .. • .. .• .. •. • .. 3............ L. t.............. ..-.-.;.•....L..... {...... }...... ...... J........•..._ ..... ....... ..... _..... ....._.....:...... 3......:..••. J.-._... •• •_ •• • .- •...L.....• - - .�.��:11�"� 3'�.°i.•>sli�F:tti1l�' +�i}i.:� - •• .• .• •. .. .• .. i:5. .. .. .. Pili Vi i!"ir7�i� I�A9���r 'Vi d�' _B ........... _ .... .. .. .. .. .. ... .. .. ' .f3afe:' - - . �- .. .. .. .. .. .. .. .. .. ::...... .. :n -,m. .. .... d� :y -Ria tccr _ e: ..fie.- .. t•. }. .. .. •. .• .. •. .. _. .. • .. .. .. .. .. .. .. .. .• •. •......................•. .. .. .. ._ .. '�•.. .._ .. • • .. ...........................•............... .. .• .. .. .• ... .. Ck ............................................................................. ......_.•................—...•.-............_.. \ Cer Name "%A / Ph®r Site Location Contact: (dame -� 0 ( V� ocwbw' Hwy =3 . FOR OFFICE USE ONLY Zoning: General Playa ®esig: Size, Acnes 4.0(r PROVIDE FOR ALL - A®J64CENT PARCELS SIZE (AC): ZONING: 'GEN PLAN: USES: