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HomeMy WebLinkAbout063-290-054FK1 - , MF,}ilj�ii `., b t•!`R co r ,h r 2q0"p5q \r\'S,TMvS�,G D\ .. .t i NPVGPN SGP NPLv �JGA�SS i \00 HUGE Gp CL dL�ELtiG �I i ` Nie i a. SONY 9 guy : > r "paw e e AT- }�f t �a.r�� �e st Pr,t� ;-.F�� 5+�{"• • n{''d(, e'i` W S 1 vW r .. '"Y�}� M -LF S' �� + i ytYs E4.i fk n�'� r .•sr F a :a i! e ' SpN r ,.4 r� T �.♦ [[ .� � � � ' r• i. tett, � , f ys5 Sky t and, }`c:l {T } fp..ir, '( nrl - ! - S..`j4P.s� 4.•+. r i .t' y - i1 r�i ��{t 4�K ;^fj }f - ..i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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: Dale: 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 Stale License Law (Chapter 9 commehcing 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 penally of not more than five hundred dollars ($500).): ® I, as owner of the properly, 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 taw 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 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.). ❑ 1 am Exempt under Article 3 of the Business -and Pro sslons Code Date: _ l //7 � Owner: �' �nd 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. ❑ 1 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: Carrier: Policy #: PERMIT NO. BPO53093 Issued Date: 11/17/2005 APN: 063-290-054-000 Site Address: 100 CANYON SHADOWS RD CHI Map Index: Description: ELECTRICAL GATE INSTALLATION & LIGHTS Owner: HALL-ISOM INVESTMENTS P.O. BOX 821 CHICO CA 95927 (530) 893-4232 (530) 893-1725 guy@cal-flor.com Applicant: BRUCE HALL 4551 AL ROAD CHICO CA 95928 (530) 534-1426 x130 (530) 534-0306 bruce@cal-flor.com Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: 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. Dale: Applicant: 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: This pe fnit Is heAby Issued under Resol tions to,,,#b work Indicsated a By: , PERMIT EXPIRES ON: _,,o bte provisions of the Butte County Code and/or Ich fees have been paid. Dale: ❑ 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 stale laws relating to building construction. I 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 purposes. , , ,j„ Print Name: D /t Lt C r-- /"f A LL Signature: Dale: -J9 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** OWNER INFORMATION Last NameI I . r First Name / Address gZ + City State CA- Zip'q5R 2'. Phone g93- N 2-3Z- Fax E-mail G1 � (9 Chi F �o r , C okki APPLICANT INFORMATION CONTRACTOR Name Address L� ss f Address City r cU City State G4 State Zip Phone Fax ✓ 3 y - 03 0 >o Fax E mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address L� ss f Address City r cU City State G4 State Zip Phone Fax ✓ 3 y - 03 0 >o Fax E mail Planner State License Number APPLICANT INFORMATION Name ( Address L� ss f 4 City r cU es State G4 Zip BSc! Z�9 Phone �3y-lNz6 x 13o Fax ✓ 3 y - 03 0 >o E-mail . /CJ rr r C O APPLICANT SIGNATURE X 2ent-__ , /v( For office use only: Zoning ( Flood Zone Cross Street // (az 32, SRA es No Occ. 1 Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP:-. BIN # PROJECT LOCATION AP# 0L3 _ 2aO- oJt_'Y Property Address City c� aw_ C Cross Street // (az 32, WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: <!: lc ✓rte (5ce Ae- In A'. Gni r �7f C ow -e6- 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 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. Received by- Amount: &JBldg SRA Receipt #: S1 V `0 Sheriff co /31 SMIP r e: l /`— / Y% `�� - - LJ G Total K:\FORMS\BUILDING FORMS\BldgAPPISubRgmts.doc Page 1 of 2 REV 8-12-05 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). ❑ 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Hall — Isom Properties, Inc.. 704 West Eighth Avenue, Chico, CA 95928 Phone: 530/893-4232 *Fax: 530/893-1725 November 16, 2005 Butte County Dept. of Development Services 7 County Center Drive Oroville, CA 95965 To Whom It May Concern: I have asked my son Bruce Hall to take charge of the permit process for electrical gate installation located on property owned by the Hall -Isom Partnership, parcel #053-290-054. Butte County, at Santos Road and Canyon Shadows Road. -ISOM PARTNERSHIP H.'Hall) - General Partner j;AS0100hVQV139: Main Assess"uiry Nov 4 7, 2005 '11:45 an) _ Asmt # Fee # d63-290-054-000 Name HALL-ISOM INVESTMENT COMPANY _Status ACTIVE Status Date Addr1 iTPb BOX 821 Tax 000 INORMAL OWNERSHIP TRA 062016 Addr2 CHICO CA 95927-0821 �µ - - _ — Situs Addr3 BaseDt 01 101 /1 980 Addr4 _._ Land 67;261 ' � Timber Preserve Structure 0' AgPres ' Comments 6329005400 CONVERTED 09/08/88 Fixtures 0 Etal Growing 0 �' Creating Doc# 198582003800 Date F Bonds TotalL&1 61,261` �' _ Current Doc# 200280003913 Date 01/25/2002 Fix. RP 01 _ '`= r Multi Situs Killing Doc# - Date MH PP 0' Asmt Desc 160.29 AC HWY 32 SuplCnt : PP 0 c Flagg Zoning [U�SH�� Owell 0 r 910 MH Exempt 0 `Asmt PP Pen Net �67261. Acres/Sq Ft N/C 063 r- Tax PP Pen R/C#� i r Appeal Pending T/R Dt LC Split Split Pending R/C Statl PHY - OWN EXP TAX HON ATT _ MAPR. SIT _PCL '` ► ►� 12p3 Eind ,� i r �_[ ] POWER POLE a E P-7 � l r � ri ina�B✓ /� vc 1J.n�l.� �� G L, PROPOSED OVERHEAD POWER LINE / a J OR r V � o �i jr�r/ o ✓ ✓ls ` I EXISTING CATTLE GUARI LA [N]IN SWINGING GATE [N]TELEPHONE ENTRY SYSTEM W/SAFFY PHOTOI-EYE AND SAFTY-EDGE FREE EXIT WAND W/150' CABLE EXISTING MAIL BORE; 01 F-1 J � � qJ [N]AUTOMATIC GATE OPERATOR ° CANYON SHADOWS ELECTRIC GATE PROJECT /�<oe� [N] POWER PO LI z ON HALL-ISOM RANCHM e+ a Z AT SANTOS RD E o