HomeMy WebLinkAbout041-290-103B07-1974 041-290-103
MISCELLANEOUS Electric Panel
ELECTRICAL FOR FUTURE LOT DEV
MELLO, DAVID
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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
PROJECT INFORMATION
Site Address:
Owner:
Permit NO: B07-1974
APN: 041-290-103
MELLO, DAVID
Issued Date: 9/18/2007 By GLB
Permit type: MISCELLANEOUS
PO BOX 215392
Subtype: Electric Panel
SACRAMENTO, CA 95821
Expiration Date: 9/17/2008
Description: ELECTRICAL FOR FUTURE LOT I
(916) 519-2228
Occupancy: Zoning: U
Contractor
Applicant:
Square Footage:
MELLO, DAVID
Building Garage Remdl/Addn
PO BOX 215392
SACRAMENTO, CA 95821
Other Porch/Patio Total
(916)519-2228
FEE INFORMATION
DBE Single Phase Service-Resid $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B4670
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
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X9/18/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
PI se 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
FFERED 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
❑
❑ 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' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permitis or on7 ahundred dollars ($100) or eT)
IAM 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'
9/18/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signatu a v Date
provisions.
X 9/18/2007
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
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnity, 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 by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
roperty owner or am authorized to act on the p pe owner ehalf.
v d sal e�� 0 9/18/2007
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner ❑ Contractor OR. E]Agent for Owner Agent for Contractor
FILE COPY ,
Lender's Address City State Zip
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION NO.
OFFICE #: (530) 538-7541 FAX #: (530) 538-21406
\
A FEE WILL BE REOUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds YYY BIN #
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name O
First Name
Mailing Address o� ois 3 9 2
City
State
Zip S$LI
Phone I S 9 2 u
Fax
E-mail
dIY lrello 63 Arno• rd AA
APPLICANT INFORMATION
CONTRACTOR
Name
C�
Address
Zip .
City
Fax
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCH/ TECT/ENG/ NEER
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
A PLICA 19 SIGN /TORE
X �V
PROJECT LOCATION
AP# 90 O
Property Address yb 1L0 0N Gk
City AOV/ !�e
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:
Cc=1k2rC
Sq FT- Living Garage Ope Cov
❑ Structure Built without Permits
❑ Proposed Change of Occuav
(Note previous use): l�
For office use only:
Zoning
Flood Zone
SRA
Yes No
Occ.
Tye Const.
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
.,r
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. X OR NO)
2. I"E/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:
ADDRESS
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: ELECTRICAL FOR FUTURE LOT DEVELOPMENT - WATER FOR ANIMALS
Reference Number: B07-1974
Applicant Name: MELLO, DAVID
Owner's Name: MELLO, DAVID AP # : 041-290-103
Signature of Property Owner: Date:
SITE PLAN REVIEW APPLICATION
Date: � -JX -C J AP# XI
Permit Number (if applicable)
APPLICANT INFORMATION
Owners Name:
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
Bin Number
Parcel Size:
r�
/—A C. <-- 217-2 0
- / / 9 el Email:
Aj ,u_4 -L
Residential
❑ New Single Family Residential
❑. Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition.
❑ New Industrial
❑ Industrial Addition
Other
Septic
❑ Agricultural Exempt Building
❑ Other:
Brief'Explanatiori (if necessary):
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
Well
❑ Agricultural Buffer Form ❑ Applicable ❑ N/A
DO NOT WRITE BELOW THIS LIN
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
M Site Plan Stamped Approved
ByY-4,jtA
Date 04
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and -requirements)
Expansive Soils (Test for expansive soils and if verified proper foundation design required)
d
SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone:
• Flood Panel No.: 04� Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the tarifornia Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
❑ Detached Building Use Form ❑ Encroachment -Permit W
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning:
6P -
Applicable
i -
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑CDF approval needed for encroachments into SRA setbacks.
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
i
3U r
Side Street
l v f
Rear
I
JQ 7
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑CDF approval needed for encroachments into SRA setbacks.
'0.
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area - Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit. "
Parcel Created By
. M Deeds:
Date of Creation: 7 Legal Access Provided: ❑ No Yes
Deed of Reference: ` t-� 7� Legal Access Required.El-Noes
Parcel Frontage on Publicly Maintained Road: ❑ No S Yes, Road Name:
Complies with County Standards for D, ed Creation:❑ No ❑ Yes
Comments:
Parcel Deemed to be legal
Verify Legal Parcel ' ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance/Notice of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
❑ Subdivision Map/Parcel Map:
Map Date of Recording:
Lot: Book:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Page:
Parcel Map/Subdivision Map[Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications; serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development.. Approved dust control measures are
found in the fugitive dust control plan for the site. approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
0
x
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CALartys\Building Permit Site Plan Reviewl .doc
I
DFFLCML RECORDS
PETURN TO: CERTIFICATE OF COMPLIANCE MLMME rMM
Planning.Deept. issued to: Kay Jordan
PUBLIC WORKS
16790 Grand Ave.
Elsinore, CA 92330
cl-AA x I..
O F;1
L ------ j
FEE
133,19
This Certificate of Cdmliance is hereby issued by the County
of Butte to certify that the land division which created the parcel of
pronerty identified b6lcrw complies with applicable n.rovisions of the
Subdivision Map Act' and of Fhar)ter 2() of the Butte County Code.
1. Property Ipcation- on Oregon Gulch, couthwect of Potter.
Ravine..
2. Mtess6r`s Parcel Number: AP 41-29'-103
Descrioticin: All that •ct-rtain-oiQpertv located in the County
of Butte, State of California, more oarticularly.
described as follows:
All that portion' of the A of the Sk of the Na of the NWS{ of
Sec 34, T20N, R4E, MDB&M, lying easterly of the centerline of
Oregon Gulch Road, -being' a portion of lots 5 and 47's a-z-choWn
on Government Survey Map of said` Sec --34.
Issuance.of this certificate is conditional upon the follow-
iA.9 conditions whic% have been inoosed nursuant to Butte County Code
Chapter 20-48 and Business and Professions Code Section 115832.(b)
;t(J protect thd i6ublic health and public safety.
14ONE
29
CIO
co
County. of Butte r10
Subdivision- Connittee
By
OF DOCUMEM
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SITE PLAN
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FOR OFFICE USE ONLY PROVIDE FOR ALL
Zoning: ADJACENT PARCELS
SIZE (AC):
General Pian Desig: ZONING:
Size, Acres GEN PLAN:
'
4.00° � USES.:
r"r
3 4 5 6 SCALE 101110 OF AN INCH '
- ' . ,: ;?;:,.rte _ - - .•
41-29
O O O n7 SI
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F 40Ac
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Ile
wti Y
60A c
T.6
JOAO
Ac
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30. GSA v
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Ol / c OI co ul?fy ot Butte I 'f
JUN
is r:
... - REVISED: 10-796