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Home My WebLink About027-340-009SITE PLAN REVIEW APPLICATION 'Z -1 Z -�l>> AP# . Date: �- �� - � — `) i r l� Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Site Address: { (ry 1 L Proposed Use: Zone: Residential GP: AP ❑ New Single Family Residential ❑ _Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) FITemporary Travel Trailer ❑ Multi -family Non-residential , ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ® Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Other: Brief Explanation/Issue: DEVELOPMENT SERVICES INFORMA77ON (For Staff Use JP Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By &&,am&lo Date r ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) F] North Chico Specific Plan ❑ Chapman/Mulberry ❑, Cohasset Area Use Requires: ❑ 'Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: Applicable Building Setbacks: General Plan: ❑ Setbacks identified on site Plan. CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street P- cam^ Rear ,3 � Height Waterway N/A N/A N/A Sp f.aek rZ 6-e, ❑ Setbacks identified on site Plan. CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Created By: EI Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map:—o�ZtS S u Map Date of Recording: Lot: Book: 0 + Page: t6 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053317 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I : am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/27/2005 APN: 027-340-009-000 the Business and Professions Code, and my license is in full force and effect. Site Address: License Class : License Number: Map Index: Date: Contractor: Description: ELECTRICAL POWER POLE -FOR WELL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' .State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BARCLAY BOBBY A & CHI -CHI T permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 8944 CANBERRA DR signed statement that he or she is licensed pursuant to the provisions of SACRAMENTO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95826 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 (916) 364-8372 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).): ❑ 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 Applicant: BARCLAY BOBBY A & CHI -CHI T Code: The Contractors' State License Law does not apply to an 8944 CANBERRA DR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, SACRAMENTO, CA provided that such improvements are not intended or offered for 95826 sale. If however, the building or improvements are sold within one 364-8372 year of completion, the owner -builder will have the burden of (916) 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 Contractor: STRANG ELECTRIC 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.). 250 CANYON HIGHLANDS DR OROVI LLE, CA 95966 O 1 am Exempt under Article 3 of usiness and Professions Code 530-533-4214 �2 Owner. Date: License #: 455231 WORKERS' COMPENSATION gfCLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 Architect: is issued. Engineer: ❑ 1 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 insurance carrier and policy number are: Carrier Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: ❑ 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' o0 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I cJ L� 12-2-77- O b 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. . CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu ion to do work indicated Move for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) '9--2- _/� 5 By Date: /y� Name: n (� 12 ` 2. f - l J /1 Address: PERMIT EXPIRES ON: Date ❑ 1 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 the duly horized 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 substance of any o ial or document of Butte County. I hereby authorize representativesofButteCounty to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Date:. XOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Name Last Name Address First Na o. Address C7 State Zip City �o State Zip g Phon - g3 � Fax E-mail j GC16L4I7GS,Cv�-, APPLICANT NAME CONTRACTOR Name < Address O C,� �vv nl�s City dv Ar.9S State Zip Phone3 4 Z 4- Fax E-mail Planner Lic.12 Class /b APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail 42 APPLICANT SIGNATURE X For office use only: Zoning Property Address 71uV Wdj Flood Zone Cross Street SRA I Yes No Occ, Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION AN. _. 2 -OO Property Address 71uV Wdj City 0)zvm6 Cross Street 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 Descriptio ir Scope of W k: 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. OVER FOR SUBMITTAL REQUIREMENTS L v•%anonec\oi m nomas rine Paoe 1 of 2 � r Received by: 1 \� Amount��"� Bldg Receipt #:1132'7 5 Date: 12- 27•' O5 SRA Sheriff SMIP Other 550 Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan, approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 ADJACENT PARCEL INFO: ADJACENT PARCEL INFO: ADJACENT PARCEL INFO: SIZE (AC) SIZE (AC)—- SIZE (AC) -- ZONING:------- ZONING: - I ZONING: GEN PLAN:- - GEN PLAN: GEN PLAN:-- ---- USES: USES: ---- I USES: 1 LOT 87- — LOT #5 —4 LOT 86 �\ • o � 68.90' REGINALD WAY0 l -- --- --------- T \ \ \ i \ o UTUR6 \6\ \ \ LIGHT \ o � N FUTURE 9° \\ SIZEADJACENT (AC) PARCEL 11\BDG ° 1800 S. \ \ �° • �j\ ZONING:— _---- C), \\ GEN PLAN: \\ USES: - � 1 \ zpNF 12 0" \ ,g 04 ' MART AVE \ \ EXISTING WELL \ x \ rn \ ADJACENT PARCEL INFO:Ln • _. pQ' Q� SIZE (AC) I -- ZONING: ---- �.k \ GEN PLAN:----_-- G USES:----- �O \ Q a PROPOSED \ 1500 GALLONS \ SEPTIC TANK FUTURE p 000,74' - BUILDING .� ! 1900 S.F. O I . 72'-51 z99 -10 �\ W15 35'-f o I \~ `�' • BAR HOP • 225 S.F. 44f 0 }ZF 320'04' --� ---- o o - - --- =- _ -- - - - - -° - - N78°49'07"E 497.65' `. N C" " OVERALL SITE PLAN a OW1302-SP I ' II 'I II . I II I I . I IIS I r` I I o i 0-) I I. I I I � PARCEL INFO: I I :CC) i CD \. I ,o I I \ I \ \ I \ I I \ II \ 3 • • \ I 3I 111�.ti 1 3 I �t IILJIf $1:.Y C LAN AP; }l iii o 44 I a ----- �o'-o" UTILITY EASEMENT N CNVIRONNIENTAL HEALTH . - 2005 J, DRIVE PROJECT THE BARCLAY'S RESIDENCE REQUIRED INFORMATION ASSESSOR'S PARCEL NUMBER: 027-340-009 SCALE: "=60' OWNER NAME: BOBBY A. &.CHI -CHI T. BARCLAY ADDRESS/PHONE No: 8944 CANBERRA DRIVE SACTO. Ck 95826 SITE LOCATION: REGINALD WAY BUTTE COUNTY CONTACT NAME: 'BOBBY BARCUY Phone 918 364-8372 REVISIONS a SHEET TTTLE OVERALL SITE PLAN DRAWN By:' CHECKED BY: DATE SCALE: 1"=60"-0' SHEET A.01 IF TH6 IS SHEET 6 NOT 30"02. RIS GENERAL NOTES LEGEND: • — , — • — PROPERTY UNE — — — — — UTIUTY SETBACK UNE CONCRETE CURB • EXISTING TREES V EXISTING TREES X EXISTING FENCE POSTS 0. FUTURE PG&E UnUTY POLE REVISIONS a SHEET TTTLE OVERALL SITE PLAN DRAWN By:' CHECKED BY: DATE SCALE: 1"=60"-0' SHEET A.01 IF TH6 IS SHEET 6 NOT 30"02. RIS