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Home My WebLink About060-090-038r I–U NTEI 68EZ 'F CAU -,ENTER-, ',R.R. 555�68B 511- 08-0063t'.� 060-090-038; ots- 19*&'22; Wade 'Sl�bdivisi n 'OUM! E' ;MIS.�tl:LAN -11 -Ag Exem �!Ia o ;:�B d 4 S ddition) pt 'AG BUILDING'35X30'ici �er�i�eii�'e'�a—nv.'�, tU8 POT HOLE rii ilk G JI I 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: 21108 POT HOLE DR Owner: Permit No: B08-0063 APN: 060-090-038 PURVIS FAMILY TRUST Issued Date: 09/08/2008 BY TMP Permit type: MISCELLANEOUS 728 CIULLA LN Subtype: Ag Exempt CHICO, CA 95973 Expiration Date: 09/08/2009 Description: AG BUILDING 35X30 to service tree (530) 342-8359 Occupancy: U-3 Zoning: U Contractor Applicant: Square Footage: PURVIS FAMILY TRUST Building Garage Remdl/Addn 728 CIULLA LN CHICO, CA 95973 Other Porch/Patio Total (530) 342-8359 FEE INFORMATION DBEH Building Review Fee $75.70 7 DBOMSCF Ag Exemption Permit $115.98 Total Charged: $191.68 Fees Paid: $191.68 Balance Due: $0.00 Receipt No: B6038 LICENSEDCONTFbACTOR'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, after, 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 Contractors 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 09/08/2008 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 UIJXOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does COMPENSATION DECLARATION 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 E] 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, 1. As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by 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 permit one hundred dollars ($100)or-1—es—sT— I AM EXEIA74�.rlion B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, 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 09/08/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Sign;iure Date provisions. X 09/08/2008 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 - - - I d. dea and property damage caused by, arising out of, or in any way connected with injury, inc u ing ea HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, ce 0,7 the issuance/of I i p it. 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 occupa y of ny sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEYS FEES. T County to a er the bove mentioned property for inspection purposes. I hereby certify that I am the property ror m authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY_ 09/08/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Nanigdf ?Aftiftee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor' OR: DAgent for Owner E]Agent for Contractor FILE COPY Lender's Address -city State 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 VVEBSITE: 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 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 A County Environmental Health, or any state and federal agencies. Initials 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 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: 21108 POT HOLE DR Permit No: B08-0063 APN: 060-090-038 Square Footage: Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: U Description: AG BUILDING 35X30 to service tree farm Required Setbacks: Applicant: PURVIS FAMILY TRUST Front: Side: 201 Rear: 201 728 CIULLA LN Type of Construction: CHICOCA95973 (530) 342-8359 Type of Siding: Other Owner: PURVIS FAMILY TRUST Est. Const. Cost: $ 10,000.00 728 CIULLA LN Roof Covering: Metal CHICO, CA 95973 (530) 342-8359 Floor Type: Concrete I declare under penalty of perjury that lbe—ouilding will be used as stated above, and the proposed use conforms with the AG Building definit' . If /any change in use or occupancy of the building is made, I will P4-1 contact the Building Division and ob�din the necessary permits, inspections and approvals to comply with the c requirements in effect at that t me pr to occupancy. Signature of owner: 7 Date: 01/09/2008 FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" 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 PERMIT NO. - ,90 Z-00 493 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. M OWNER INFORMATION Last Name wry 1, S F' Name AV Mailing Addiess— — k L city 0 State C z*5 7 -7 -3 Phone 5 9 Fax "?,qS - -7 917 E-mail I M APPLICANT INFORMATION CONTRACTOR Name city Address Zip city Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHiTECTIENGINEER 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 X PROJECTLOCATION AN b (0 0 CL 0 _ 0,�,V Property Address Z� CityK?"-A-k, WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than licensed contractors, a certhficate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name ks, Address DESCRIPTION OR SCOPE OF WORK: '20 Y_ -39 Alt, _77 _Wek Sq FT- Living Garage Open Cov 0 Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office use only: Zo�iing] Flood Zone SRA No cc. yp A/ 0. S�,,4&e&S 4 1 q / . 0<�( Butte County Department of Development Services I TIM SNELLfNGS, 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: 0 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://municiDalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the Califomia Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0063 Date: 01/09/2008 Location: 21108 POT HOLE DR Parcel Number: 060-090-038 Owner Name: LSPI EXCHANGE CORP, Phone: (530) 342-8359 Description: AG BUILDING 35X30 to seryj�tr�eefik In Signature of Applicant: Date: 01/09/2008 FILE Butte County Department of Public Works ' J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DAqSION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds Qt-- ) i 0 .0 0 0 0) * -"%- - -ow KMO - 111�17rc National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE I Reference Number: B08-0063 Date: 01/09/2008 Location: 21108 POT HOLE DR By: TMP Parcel Number: 060-090-038 Sub Type: A2 Exemi)t Owner Name: LSPI EXCHANGE CORP, Phone: (530) 342-8359 Description: AG BUILDING 35X30 to service tree farm By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB I 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 Storrn 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: 6WAA-r— FILE Date: 01/09/2008 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 yourselffrom 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. a 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. 13 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 ofIndustrial 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. I PERSONALLY PL�A,,TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT<� ,�S R NO) 2. (HAV /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 6�9v 3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO_ 4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE T14E MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. 1 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 BUILDING 35X30 to service tree farm Reference Number: B08-0063 Applicant Name: LSPI EXCHANGM F,tol Owner's Name: LSPI EXCHA 7;�YCOR�11, AP h Signature of Property Owner: Date: 0 -0 60 7 0-0 8 —z/ li N13 I 'Ll / / , I/- 9 q'm o cl cto� f1s, + As lZk 'SIC, - Ar �i-VOW . p afw%l Ili I — ot'hef'. --- TJ