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Home My WebLink About062-620-003062-620-003 06-0976 WINDLL-, LINDA 544 GALEN RIDGE RD, BERRY CREEK Cont: OWNER REPAIRS TO ELEC SERV LAND DEVELOPMENT _ PERMIT CLEARANCE m BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: 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 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 pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 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 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 Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 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 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.). ❑ IIaamExempt under Article 3 pJ the Businessand Professions Code Datk_2 v/"lOwner. � Vv w WORKERS' COMPENSATION DECLARATION I 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 is issued. ❑ I 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: Policy #: I certify that in the performance of the work for which this permit is //J 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: v 7 o 6, _ QQ Applicant: IL, L,-) lM E%t PERMIT NO. BP060976 Issued Date: 04/27/2006 APN: 062-620-003-000 Site Address: 544 GALEN RIDGE RD BCK Map Index: Description: REPAIRS TO ELEC SERVICE Owner: WINDLE, LINDA PO BOX 396 BERRY CREEK, CA 95916 530-589-5024 Applicant: WINDLE, LINDA PO BOX 396 BERRY CREEK, CA 95.916 530-589-5024 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: 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.�.�il, CONSTRUCTION LENDING AGENCY This permit is hereby iss d under the applicable provisions of the Butte County Code and/or 1 hereby affirm that there is a construction lending agency for the Resolutions to do R icated ab a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) l� a� .___. By: t Date: I PERMIT EXPIRES ON: / "t U` Address: !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 authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name: n d n /ALJ I i rel I Signature: Eci L�_I Date: y " 2 6 C, +Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY ?4 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* APPLICANT INFORMATION OWNER INFORMATION Last Namer irst Name Address 3 CitY& jele 12eStat Zip Zip / / Phone Fax Fax E-mail Lic. # APPLICANT INFORMATION CONTRACTOR Name Address �o Address City 4'(4 0 City StateA State Zip Phone Fax Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address �o Address City 4'(4 0 City StateA State Zip Phone Fax Fax E-mail State License Number APPLICANT INFORMATION Name Occ. Address �o Subdivision Name City 4'(4 0 yejj StateA Zipc/C /( ✓✓ Phone v3d - �t ( Fax E-mail APPLICANT SIGNATURE For office use only: Zoning Flood Zone SRA I Yes INo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT BP BIN # PROJECT LOCATION AP# 1 /, !/ Property AddressS�L � / 7 Gell City Cross Street �v\ lG 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: V& tl + LAG Sq FT- Living Garage Open Cov ❑ 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 required. 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. Amount: SRA Receipt #: Sheriff aSMIP Date: �'1 Other Total Page 1 of 2 REV 8-12-05 W SUBMITTAL & PERMIT 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. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). Cl 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who -paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property 'improvement: YES D--:� ] NO [ ]. 2. I HAVE L)< ] 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: PHONE: CONTRACTOR'S 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: .1. . NAME: ADDRESS: PHONE: CONTRACTOR'S 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 SIGNED: __r PROPERTY OWNER: DATE: '!�- -,I` , C) � NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 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.buttecounty.netfdds OWNER -BUILDER INFORMATION Dear Property Owner: 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o 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. o 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o 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 their own employees, without a licensed 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-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we canconfirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Manager, Building Divi NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. V ❑ APPROVED CONDITIONALLY APPROVED RESOLVE PROBLEMS PRIOR TO APPROVAL ✓►'lid' PERMIT CLEARANCE Permit #: ,� . Date_ � l Genera/Information JUN 7 County uenig► unve AP#: Oroville, Ca Owners Name: f e l� fj% Parcel Acreage: Owners Address: Building Site Address: Vii, yep 614 &A) i�j u a P Pr0,Ve1tylnf0rma&017 Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel *Septic ❑ Weil . ❑ Other Zone District: V(. Date of Zoning Ordinance: to e7 General Plan: A. Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement & No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan ® No ❑ Yes Violation Area 41 No ❑ Yes Specific Plan R No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone 0 No ❑ Yes, check use Floodplain ® No ❑ Yes Zone: _ Panel Number: 6 406 G Watershed Protection Zone AN No ❑ Yes Pr000sed Use Complies With: IfGeneral Plan ® Zoning Pr000sed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Aoolicable Setbacks: Code Street & Hi hwa s Fire Prevention Subdivision Ma Front ��'Zonin ✓ 0 Side Side street S 1 C G L Rear Heiqht '- Environmental Health Issues: Septic Permit Review: Well Permit Review: Land Development Review: Parcel Created by: IN Deeds ❑ Map Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan •(Com/Irid/Multi) ❑ No ❑ Yes - tif, Date of Creation: i 8 Legal Access Provided: ❑ No ❑ Yes Deed Reference: / `i re9 04-70 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: fAu&- 44As ��crST/NG D�✓Ecc��6, �fsPT�t S pS7-��. �,i�• Date of Recording: Lot: Block: Conditions That Must be Met Prior to Issuance of Permit: IBook: Page: NIA ❑ Verify Legal Parcel ® Verify Legal Access 91 Provide Creation Deed ,4 ❑ Comply with condition no. of conditions of approval for the ,3 ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Oage 23). ❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. ❑ Other General Comments: ^' 3108 4011MOO 0004 S z Ow a3A1333a I ❑ APPROVED ❑ CONDITIONALLY APPROVED PERMIT CLEARANCE Permit #: (a'4 - �_ W Genera/Information RESOLVE PROBLEMS PRIOR TO Date �'y AP# • //V — 4 --J/Or Owners Name:e L&1L Parcel Acreage: Owners Address: Building Site Address: Propertylnformation Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel Septic ❑ Well ❑ Other Zone District: General Plan Use Permit: UDate of Zoning Ordinance: A. r` Development Agreement: Variance: Parcel Is in: Land Conservation Agreement @ No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan in No ❑ Yes Violation Area In No ❑ Yes Specific Plan n No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone in No ❑ Yes, check use Floodplain ® No- ❑ Yes Zone: _ Panel Number: 10 6"06,C Watershed Protection Zone No F-1 Yes e —97 Proposed Use Complies With: General Plan ® Zoning Proposed Use Requires; ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit Commercial/Industrial/Multi-Familv Uses: Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Other ❑ Other ❑ Accessory Building Use Zoninq Code Street & High as T Fre Prevention Subdivision Ma Front 5-0 - Side 5 - Side, Side street 50 C �L Rear 5- Heiqht I a Environmental Health Issues: Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes Well Permit Review: Designated Well Site ❑ No ❑ Yes Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Parcel Created by: ❑ Deeds Date of Creation: i 9 8 Legal Access Provided: ❑ No ❑ Yes Deed Reference: / `/- (e 9 04-70 O Legal Access Required: ❑ No Q Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑.Map Date of Recording: Lot: Block: ! Book: Page: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ® Verify Legal Access Provide Creation Deed yi l' ❑ Comply with condition no. of conditions of approval for the :r. ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps40age 23). ❑ Construct road tog ❑ Meet parcel size required by zone ❑meet current EHD requirements. ❑ Other General Comments: nl 3111718 AO kiNf100 a3AI333H