HomeMy WebLinkAbout031-281-135- _____
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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 aplace 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 Lid AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
Initialsz�/ 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 & AG 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:
859 THERMALITO AVE
Permit No: B07-1825
APN:
031-281-135
Square Footage: 0
Permit Type:
MISCELLANEOUS
Occupancy: U-3
Permit Subtype:
Ag Exempt
Zoning: A -R
Description:
AG EXEMPT BUILDING (950)
Required Setbacks:
Applicant:
RICK AND TAMI WALKER
Front: Side: 20' Rear: 20'
GEORGE AND ARDEN BROWN
Type of Construction:
OROVILLECA95965
(530) 532-4841
Type of Siding: Metal
Owner:
RICK AND TAMI WALKER
Est. Const. Cost: $ 4,000.00
GEORGE AND ARDEN BROWN
Roof Covering: Metal
OROVILLE, CA 95965
(530) 532-4841
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: /y,„ _ ,. // %J Date: 08/27/2007
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
AGRICULTURAL BUILDING EXEMPTION 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: 859 THERMALITO AVE
Owner:
Permit NO: B07-1825
APN: 031-281-135
RICK AND TAMI WALKER
Issued Date: 10/03/2007 By TMP
Permit type: MISCELLANEOUS
GEORGE AND ARDEN BROWN
Subtype: Ag Exempt
OROVILLE, CA 95965
Expiration Date: 10/02/2008
Description: AG EXEMPT BUILDING (950)
(530) 532-4841
Occupancy: U-3 Zoning: A -R
Contractor
Applicant:
Square Footage:
RICK AND TAMI WALKER
RICK AND TAMI WALKER
Building Garage RemdUAddn
GEORGE AND ARDEN BROWN
GEORGE AND ARDEN BROW
OROVILLE, CA 95965
OROVILLE, CA 95965
(530)532-4841
(530)532-4841
Other Porch/Patio Total
_ FEE INFORMATION
DBEH Building Review Fee $75.70
DBOMSCF Ag Exemption Permit $115.98
PW DRAINAGE $0.00
Total Charged: $191.68 Fees Paid: $191.68
Balance Due: $0.00 Receipt No: B4384
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
RICK AND TAMI WALKER / /
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 of not more than five hundred dollars
10/03/2007
penalty [$500];
lea
Pse ck one of the following:
Contractor's Signature Date
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
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
Section 3700
E]I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
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;
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be competed if the permitis oror on�Tdreddodollars ($100) or less.
❑ I AM EXEMPT under Section B. 8 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
10/03/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Si ature Date
provisions.
X 10/03/2007
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
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 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
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorizedto a on property owners behalf.
CONSTRUCTION LENDING AGENCY
� QJ 10/03/2007
HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [ GN] Print Date
h1
te performance of the work for which this permit is issued. (3097 civ. code)
Owner 1:1 Contractor OR 0Agent 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) 538-7785 Facsimile
www.buttecountv.neUdds
www.butteaeneralplan.net
ADMINISTRATION'` BUILDING' PLANNING
September 19, 2007
RICK AND TAMI WALKER
859 THERMALITO AVENUE
OROVILLE, CA 95965
Subject: Permit B07-1825 (APN031-281-135); AG EXEMPT BUILDING (950)
Dear RICK AND TAMI WALKER:
The Butte County Department of Development Services, Planning Division, has reviewed the
submitted permit application, and requires the following revisions to your site plan, or
information in order to continue the review (this may be for notification purposes, please see
below):
❑ Site Plan Resubmit — Follow Requirements
❑ Setback Conformance
❑ Erosion Control Plan
❑ Front Yard
❑ Watershed Protection Zone
❑ Side Yard
❑ Cohasset Specific Plan
❑ Rear Yard
❑ Subdivision Map Note
❑ Special Setback or Parcel Limitation
❑ Fire Sprinklers
❑ Federal Aid Road/Arterial Road
❑ Parking for Specified Use
❑ Easement
❑ Landscaping Requirements
❑ Subdivision Map Condition/Note
❑ Oak Tree Plan ® Other:
SUBMIT WRITTEN DEXCRIPTION OF THE CURRENTAGRICULTURAL USE ON YOUR
PARCEL. AG EXEMPT PERMITS CANNOT BE ISSUED IN THE A -R ZONE WITHOUT AN
EXISTING AGRICULTURAL USE ON THE PARCEL.
The requested information, or notification, is described on the included hand-outs. You will also
be given some brief direction, on the following page, of how the information should be
submitted or returned to the County. Should you have further questions please contact me
between the hours of 7:30 a.m. and 4:30 p.m. Monday through Friday at (530) 538-7601, or the
appropriate Department/Division identified in the hand-out.
Sincerely,
Counter Planner
Cc. GEORGE AND ARDEN BROWN
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BUTTE BOUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE 533-7541 • FAX #: (530) 538-2140.
A FEE WILL BE REQUIRED AT TIME OF. -APPLICATION
Website: w -,w,buttecounty.net/dds
**PLEASE PRINT CLEARLY"
CONTRACTOR.
.. OWNER INFORMATION
_
last Name
B it Ee,
First Name
czeiaeagrr
Mailing Address
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City
State►A. Zip r
State
Zip
Phgne
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E5 -mail
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CONTRACTOR.
Name
Address .T.. ! :.
City r
State 1
Zip
Fax -
E-mail
Class
r ---^APPLICANT INFORMATION ~T
Name
ARCHITECTIENGINEER
Name
City • .
Address
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City
Phone
State
Zip
Phone
-�--
Fax
E-mail
State License Number .
r ---^APPLICANT INFORMATION ~T
Name
Address.
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City • .
State .....
Zip .
Phone
Fax
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APPLICANrSIGNATURE
P mmuzal
PER'v1IT
NO.-
BIN
0:
BIN #
PROJECT LOCATION
AP#
(15
b._. 1 ' 1 �i•K
Property Address,
City
WORKER'S COMPENSATION -
Policy Number
Carrier
I if hiring anyone other than !!cense contactors, a certificate of worker's
compensation must be shown at the time of permit Issuance,
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
•�----�----- J/����j---hie-�----
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Sq FT- Living Garage 9 Sa Ope.n
Cov .
Q Strk urs Built without Permits
O Proposed Change of Occupancy
(Note previo6suse): �1
For•office usp. on! :.
Zon A` No
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Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (%� OR NO)
2. I (HAVE/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:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS
CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: AG EXEMPT BUILDING (950)
Reference Number: B07-1825
Applicant Name: RICK AND TAMI WALKER
Owner's Name: RICK AND TAMI LKER AP #
Signature of Property Owner: - !� Date:
031-281-135
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
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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:
B07-1825
Date:
08/27/2007
Location:
859 THERMALITO AVE
By:
KEy
Parcel Number:
031-281-135
Sub Type:
Ali Exempt
Owner Name:
RICK AND TAMI WALKER
Phone:
(530) 532-4841
Description:
AG EXEMPT BUILDING (950)
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: 08/27/2007
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