HomeMy WebLinkAbout072-160-003BUTTE 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
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
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
InitialAG 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: ORO BANGOR HWY
Permit No: B07-0528
APN: 072-160-003
Square Footage:
Permit Type: MISCELLANEOUS
Occupancy: U-3
Permit Subtype: Ag Exempt
Zoning: A5
Description: AG BUILDING - LIVESTOCK
Required Setbacks:
Applicant: NICHOLS, JENNIFER LYNN ETAL
Front: 50' Side: 20' Rear: 20'
PO BOX 512
PARADISECA95967
Type of Construction:
(530) 873-3542
Type of Siding: T-111
Owner: NICHOLS, JENNIFER LYNN ETAL
Est. Const. Cost: $ 2,000.00
PO BOX 512
PARADISE, CA 95967
Roof Covering: Compostion
(530) 873-3542
Floor Type: Concrete
I declare under penalty of perjury that the building will be used as stated above, and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the
requirements in effect at that time and prior to occupancy.
Signature of owner: f Date: 03/19/2007
FILE COPY
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: ORO BANGOR HWY
Owner:
Permit NO: B07-0528
APN: 072-160-003
NICHOLS, JENNIFER LYNN ET
Issued Date: 06/11/2007 By TMP
Permit type: MISCELLANEOUS
PO BOX 512
Subtype: Ag Exempt
PARADISE, CA 95967
Expiration Date: 06/10/2008
Description: AG BUILDING - LIVESTOCK
(530) 873-3542
Occupancy: U-3 Zoning: A5
Contractor
Applicant:
Square Footage:
owner
NICHOLS, JENNIFER LYNN I
Building Garage Remdl/Addn
PO BOX 512
PARADISE, CA 95967
Other Porch/Patio Total
(530) 873-3542
FEE INFORMATION
DBEH Building Review Fee $75.70
DBOMSCF Ag Exemption Permit $109.98
Total Charged: $185.68 Fees Paid: $185.68
Balance Due: $0.00 Receipt No: B2219
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
owner / /
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
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not more than five hundred dollars
06/11/2007
penalty [$500];,
Please check one of the following:
Contractors Signature Date
'V I I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
OMPENSATION, 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
AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
E]I
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.
My Workers' Compensation insurance
The Contractor's License Law dows not apply to an owner of the property who builds or improves
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 nee not a competed if the permit is or one hundred ollars ($100) or ess.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑1 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'X
06/11/2007
/rT0AAS4A1011_1 AU"
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
O er's Sign ure Date
provisions.
X 06/11/2007
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
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, or 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 or am authorized to act on the property owner's behalf.
06/11/2007
CONSTRUCTION LENDING AGENCY
1 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 1:1 Contractor OR; Agent for Owner ❑Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last me
l
� am P r
Mailing d6ss&Y,5 -/ 2—
City a
State /� �
�(1-� 1
Zj`�� �
P r351-1-2--
Fax
S 7j�--Y- 3,x-9
E-mail
U
ARCHITECT/ENGINEER
Name /v _I
Address ` _ ` "_1_1
City rW t
J
Phone N
E-mail
APPLICA�N/fT�II NFORMAT/ON
CONTRACTOR
Name
Addre
Address
Type Const.
City
State
Zip
Phone
Fax
E-mail
Lic. #
Class
ARCHITECT/ENGINEER
Name /v _I
Address ` _ ` "_1_1
City rW t
J
Phone N
E-mail
APPLICA�N/fT�II NFORMAT/ON
Nam
SRA_I
Addre
Occ.
3
Type Const.
State
Phqg,t
r:. mar'
r— APPLICANT SIGNATURE M
PERMIT
NO.
V07- 66Z
PROJECT LOCATION
AP# Q 7� --l�O— Oji `
Propeoy Add s.
d t �c
City - /
m-[�
BIN #
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
wk—_
-
Address
DESCRIPTION OR SFOPE OF WORK:
1S;1dj;4 A"�d
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning S Flood Zone
0
SRA_I
No
Occ.
3
Type Const.
Recording Requested By and
When Recorded Return To:
JOHN L. BU$.GHARDT, Esq.
MARSHAL, ,tURGHARDT, MIESKE & HARP
1350 E. Lassen Avenue, Suite 2
Chico, California 95973
.IIIIIlllliillilllllllllillllllll�l
—�0l+6ioS2
Recorded
Official Records
Cogpty Of
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
02:09PM 04 -Oct -2001
REC FEE 13.00
PENALTY 9.00
Cindy
Page 1 of 3
APN: 072-160-003-000 GRANT DEED
The undersigned grantor(s) declare(s): THIS CONVEYANCE TRANSFERS GRANTOR'S INTEREST
Documentary Transfer Tax is $ -0- TO THE BENEFICIARIES OF A LIVING TRUST, R&T 11930.
( ) computed on full value of property conveyed, or '
( )-computed on full value of liens and encumbrances remaining at time of sale.
(XX) Unincorporated area: , and
FOR NO CONSIDERATION, receipt of which is hereby acknowledged,
SUSAN JEAN KISTER, Trustee of the KISTER FAMILY TRUST
hereby GRANT'S to JENNIFER LYNN NICHOLS, WENDELYN SUSAN WELLS, KAREN JEAN
- - -- - ----KISTER-ffi1%EC-KER and-GOL-L-ETTE BARNI.WT each-as-to-'an-undivided-one=fourth-interest-as-their --
sole and separate property
the following described real property in the County of Butte, State of California:
SEE EXHIBIT "A" ATTACHED HERETO AND
INCORPORATED HEREIN BY THIS REFERENCE
KISTER FAMILY TRUST
Dated: 120-- 2001
SUSAN JEAN KISTER, Trustee
MAIL TAX STATEMENTS TO: c/o Jennifer Lynn Nichols, P. O. Box 512, Paradise, CA
95967
STATE OF CALIFORNIA )
}
COUNTY OF BUTTE )
On lG� �3, 0200 / before me a Notary Public,
personally. appeared SUSAN JEAN KISTER, person ly known to me (or proved to me on the
basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument
and acknowledged to me that she executed the same in her authorized capacity, and that by her
signature on the instrument, the person, or the entity upon behalf of which the person acted,
executed the instrument.
JAN FAIRESS
Caw "M 01238985 M(r CPS1
Pabk
WITNESS my hand and official seal. � � , cdfwwa
*1 C M*SIM EV. NOV. 15, 2003
Signature (Seal)
Real property situate in the County of Butte, State of California, described as follows:
PARCEL 1:
All that part of the North half of Section 32, Township 19 North, Range 5 East, Mount
Diablo Base and Meridian, lying North of Lots 4, 6, 7 and 8 of the Daniel Subdivision
Butte County, California, according to the official map of said Daniel Subdivision, filed
in the office of the County Recorder of the County of Butte, State of Ca_ lifora, on
December 6, 1920, in Volume "B" of Mars ar „a4P
EXCEPTING THEREFROM, HOWEVER, THAT PART OF THE West half of the
Northeast quarter of Section 32, described as follows, to -wit:
Commencing at a stake on the North boundary of Section 32, Township 19 North, Range
5 East, Mount Diablo Base and Meridian, from which the U. S. Survey quarter section
corner on said North boundary of said Section 32 bears West, distant 220 feet; thence
East along said North boundary line of said Section 32, a distance of 600 feet to an iron
stake, being the Northeast corner of this tract; thence along the Easterly side line of this
tract, South 2° 47' East 1650 feet to an iron stake at the Southeast comer; thence West
parallel to the said North Boundary of said Section 32, a distance of 600 feet to an iron
stake at the Southwest corner; thence along the Westerly side line of this tract, North 2°
47' west, 1650 feet to the place of beginning.
AP No. 072-160-003-000
32
PLANNING DIVISION - BUILDING PLAN APPROVAL
Use: - Date:
Parking: _ Landscaping:
Other.
Signature:
u����« -
_ e
iszoo f o 2"2 Ac
0
(,qo
INM
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 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:
• Make sure your application is complete.
fly 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://municir)alcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-0528
Location: ORO BANGOR HWY
Parcel Number: 072-160-003
Date: 03/19/2007
Owner Name: NICHOLS, JENNIFER LYNN ETAL Phone: (530) 873-3542
Description: BARN TO SERVICE LIVESTOCK
Signature of Property Owne : Date: 03/19/2007
FILE
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 75965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
O
0
0
0
0
arc
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:
B07-0528
Date:
03/19/2007
Location:
ORO BANGOR HWY
By:
TMP
Parcel Number:
072-160-003
Sub Type:
A2 Exempt
Owner Name:
NICHOLS, JENNIFER LYNN ETAL
Phone:
(530) 873-3542
Description:
BARN TO SERVICE LIVESTOCK
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.
Signed:
Title:
FILE
Date: 03/19/2007
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 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.
I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. YES R NO)
2. I(E V 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 CITY
PHONE CONTRACTORS LICENSE NO
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
CITY
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: BARN TO SERVICE LIVESTOCK
Reference Number: B07-0528
Applicant Name: NICHOLS, JENNIFER LYNN ETAL
Owner's Name: NICHOLTNNIFE YNN E L AP # : 072-160- 03
Date:
Signature of Property Owner:
�lAi'�E �t.e,.i 7 l O CUE
es
rnAPR 2 0 2007
DEVELOP
NT
' l l J J i 1- ` L/�%iv , I d G T�
LAI F
u L to rj-s l
A ("�, 5 L --o ,
%2c., vi c ffo
MUMS
WMdO'IlAge
r ADZ 0 Z ddb
A.I aoz)
anfla
JUTLo.�(o PIER Mz —I X367- os a&
C9
Q-1
/Aaol-o
1go.1, I
il\J
PLANNING DIVISION - BUILDING PLAN APPROVAL
Uso*:,66---- Date:.Mm,
Parldng:—%�—ndlscapi
Other.
tol F7 o?v F
bo
'?LOD 4 Utl-j
c
32
,?C-,fo
PTN SEC 31 & 32 T 19N R5E M.D.B. &M. 72-16
1'=400'
Kul nLKruKu Jutlu/voluly u M.U.K. JJ 1-1- l & 1 y
i
J
T
902
EFFEC7W 2002-03 ROLL
Previous Book 37, Portion Of Pae 33
Compiled By the Butte County Assessor's Office