HomeMy WebLinkAbout056-350-017BUTTE 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: PINE WAY
Owner:
Permit No: B07-1844
APN: 056-350-017
PERRY, JOHN
Issued Date: 09/20/2007 By KEJ
Permit type: MISCELLANEOUS
1840 PARK AVE
Subtype: Electric Panel
CHICO, CA 95928
Expiration Date: 09/19/2008
Description: ELECTRIC FOR LOT DEVELOPMI
Occupancy: Zoning: TM -5
Contractor
Applicant:
Square Footage:
BUTTE CREEK ELECTRIC
MATT LUKE
Building Garage Remdl/Addn
2226 HONEY RUN RD
CHICO, CA 95928
,
Other Porch/Patio Total
(530) 892-9231
FEE INFORMATION
DBE Single Phase Service-Resid $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B4421
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
BUTTE CREEK ELECTRIC 804545 / C10 / 02/29/2008
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 09/20/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
❑ 1, 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
❑❑
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 competed if the permit is or one hundred dollars ($100) or less.)
❑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
V'NISSUED, 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 09/20/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 09/20/2007
I hereby certify that I have read this application and stale that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, in any way connected with
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
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner ora authorize to act on the property owner's behalf.
9/20/2007
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; DAgent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
61T7* BUTTE COUNTY
0 o DEPARTMENT OF DEVELOPMENT SERVICES
0 . o BUILDING PERMIT APPLICATION
o. o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
o-_ - o
A FEE WILL BE REO UIRED AT TTWE OF APPLICATION
% : 4 Website: w. lw.buttecounty.net/dds
ouI **PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name
��
First Nam
O�
Mailing Address
City
State
Zp
Phone
Fax
E-mail
APPLICANT INFORMATION
APPLICANT
CONTRACTOR
Name
City
Address
Address
Z Z6
Fax
City
�
State
Zip�7�
Phone
E-mail
Fax
E-mail
Lic. #
G yS
Class
APPLICANT INFORMATION
APPLICANT
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
APPLICANT
Name 7-7— Z -
Address
City
State
Zip
Phone
Fax
-mail
-E-mail-
APPLICANT SIGNATURE
X
4
PERMIT
BIN #•
//PROJECT LOCATION
AP# 62
Property Address
City
l
. 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:
��E ?_(:2'0,4-
Sq
(:2'0 Sq FT- Living Garage Open ov
❑ Structure Built without Permits (,
❑ Proposed Change of Occupancy Va(yy
(Note previous use):
For office use o
Zoning Flood Zone SRA Yes No
Occ.
Type Const.
to
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 95965
Permit Number: B07-1844
Job Address: 0 PINE WAY
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Contractor: BUTTE CREEK ELECTRIC
Fee Description
2226 HONEY RUN RD CHICO, CA 95928
Printed: 8/29/2007
9:05 am
Account Number Fee Amount Paid Date Pmt Amt
DBE Single Phase Service-Resid
0010-440001-4210500-1010 $58.00 8/29/2007 $58.00
Printed By: Gwyn Benedict
58.00 $58.00
Balance Due: $0.00
At the time of permit application, I was advised the above fees are required prior to issuance of the
permit. These fees may change during the plan checking process.
Signature:
Date: 8/29/2007
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified.in Government Code Section 66020(a).
Butte County Department of Development Services
TIKI 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
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.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the 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://municipalcodes.lexisnexis.com/codesibutteco/
Reference Number: B07-1844 Date: 8/29/2007
Location: 0 PINE WAY
Parcel Number: 056-350-017
Owner Name: PERRY, JOHN Phone:
Description: ELECTRIC FOR LOT DEVELOPMENT
Signature of Property Owner: Date: 8/29/2007
FILE
Butte County Department of Development Services •�VTTF•
TIM SNELLINGS, DIRECTOR,I PETE CALARCO, ASSISTANT DIRECTOR • •
7 County Center Drive • •
Oroville, CA 95965 • •
e •
(530) 538-7601 Telephone COV Nay
(530) 538-2140 Fax
www.buttecounty.net/dds
PERMIT APPLICATION DATA SHEET
Reference Number: B07-1844 Date: 8/29/2007
Location: 0 PINE WAY By: GLB
Parcel Number: 056-350-017 b Type: Electric Panel
Owner Name: PERRY, JOHN Phone:
Description: ELECTRIC FOR LOT DEVELOPMENT
The above permit application has the following Clearances required prior to pe t issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit applic4fion.
Yes
No
DRAINAGE DISTRICTS
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95 65-(530)533-0740
E]
E]
LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-200
❑
City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895- 711
PARKS & RECREATION D STRICTS
E]
E]
Chico Area Recreation District, 545 Vallombrosa, Chico A95926-(530)895-4711
1:1
E]
Durham Park & Recreation District, 9447 Midway, D ham CA 95938 - (530) 345-1921
Feather River Recreaction & Park District, 1200 M ers Street, Oroville CA 95966 - (530) 533-2011
Paradise Parks & Recreation, 6626 Skyway, Para se CA 95969 - (530) 872-6393
Biggs Unified School District, 300 B Street, Bi gs CA 95917 - (530) 868-1281
Chico Unified School District, 1163 East 7th treet, Chico CA 95926 - (530) 891-3006
Durham Unified School District, 4920 Pu ey Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 Magnolia, idley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Str et, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washin on Ave, Oroville CA 95966 - (530) 538-2300 Ext:105
Paradise Unified School District 6696 Clark Road Paradise CA 95969 - (530) 872-6400
F-1 ❑ Other:
Signature of Property Owner:
OTHER
Acknowledgment Statement- See Attached Instructions
hent, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
FILE
Date: 8/29/2007
Recorded copy of Agricub
City of Biggs Planning De
❑
Other:
❑
Other:
F-1 ❑ Other:
Signature of Property Owner:
OTHER
Acknowledgment Statement- See Attached Instructions
hent, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
FILE
Date: 8/29/2007
Butte County Department of Public Works
K41CHAEL 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
C
oo_:: Z
i
O
•
0
0
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
Reference Number:
B07-1844
Date: 8/29/2007
Location:
0 PINE WAY
By: GLB
Parcel Number:
056-350-017
Sub Type: Electric Panel
Owner Name:
PERRY, JOHN
Phone:
Description:
ELECTRIC FOR LOT DEVELOPMENT
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.
Title: ��cj G y --a f—
FILE
Date: 8/29/2007