HomeMy WebLinkAbout073-320-032BUTTE 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: 25 ANGELA COURT
Owner:
Permit N0: B07-0986
APN: 073-320-032
FAHEY,
TERRY
Issued Date: 06/05/2007 By KCG
Permit type: MISCELLANEOUS
PO BOX 794
Subtype: - Ag Exempt
OROVILLE,
CA 95965
Expiration Date: 06/04/2008
Description: AG EXEMPT BLDG- (200) HAY, TR
(530) 589-3507
Occupancy: Zoning: A5 0(
Contractor
Applicant:
Square Footage:
FAHEY, TERRY
FAHEY,
TERRY
Building Garage RemdUAddn
PO BOX 794
PO BOX 794
OROVILLE, CA 95965
OROVILLE, CA 95965
(530)589-3507
(530)589-3507
Other Porch/Patio Total
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: B2957
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
FAHEY, TERRY OL:CRW_00417187 / /
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 1 am licensed under provisions of Chapter 9
(commencing with Section 7 ) of Div' on 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 a e
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
06/05/2007
penalty [$500];
Please check one of the following:
ContraC is Signature Date
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 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.l.
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 carrier and policy number are;
The Contractor's License Law dows not apply to an owner of the property who builds or improves
/
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit is foris for ondollars ($100) or less.)
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
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'
ompensation laws of California, and agree that if I should become subject to the workers'
X ., 06/05/2007
compensation provisions of Section 00 of the Labor Code, I shall forthwith comply with those
Owner's S gnature Date
provisions. �.
X 06/05/2007
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 Stale 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, indemnity, 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, death, and property damage caused
I s including arising out of, in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
of t is
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
a
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter t above nlioned property for inspection purposes. I hereby certify that I am the
pro am a rued toact on the property owner's behalf.
CONSTRUCTION LENDING AGENCY
jg /—}-G /05/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
me Of P rmi ee ( IGN] Print ate
the performance of the work for which this permit is issued. (3097 civ. code)
0Qwner 1:1 Contractor OR.Agent for Owner Agent for Contractor
jam-' FILE COPY
Lender's Address City State Zip
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
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 J�?�G Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
Initials WAG
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence,
feet from a manufactured home, and 23 feet from a commercial/industrial buildings
Initials Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a
idence and a manufactured home, and 40 feet from a commercial/industrial buildings
Site Address:
25 ANGELA COURT
Permit No:
B07-0986
APN:
073-320-032
Square Footage:
Permit Type:
MISCELLANEOUS
Occupancy:
Permit Subtype:
Ag Exempt
Zoning:
A5 00
Description:
AG EXEMPT BLDG- (200) HAY, TRACTOR
Required Setbacks:
Applicant:
FAHEY, TERRY
Front: 20' Side:
20' Rear: 20'
PO BOX 794
OROVILLECA95965
Type of Construction:
(530) 589-3507
Type of Siding:
T-111
Owner:
FAHEY, TERRY
Est. Const. Cost:
$ 3,000.00
PO BOX 794
OROVILLE, CA 95965
Roof Covering:
Compostion
(530) 589-3507
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 an fort occupancy.
Signature of owner: F Date: 05/07/2007
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**
OWNER INFORMATION
Last Name
First Name
Mailing Address
City L
Dkn'Ll ILPhone
State
Zip
E-mail
Fax
E-mail
ll
CONTRACTOR
Name
Address
City
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
=Address
Zip
City
Fax
State
Zip
Phone
Sq FT- Living Garage
Fax
E-mail
I
State.License Number
APPLICANT INFORMATION
Name Ea
Address
City
State
Zip
Phone
Fax
E-mail
APPLI ANT SIGNATURE
ra
PERMIT
NO.
0C
BIN #
PROJECT LOCATION
AP#Q _ 0, 13
ertssAL
V
ity O V L L4
I WORKER'S COMPENSATION- ' I
olicy Number
V S?
e other than license contractors, a certificate of worker's
must be shown at the time of permit issuance.
/I LENDING AGENCY I
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Zoning
lood Zone
AJ S 4
SRA
I Yes
I No
Occ.
Type Const.
Sq FT- Living Garage
Open Cov
❑ Structure Built w thout Permits
❑ Proposed Change of Occupancy
(Note previous use):
I
For office use only:
Zoning
lood Zone
SRA
I Yes
I No
Occ.
Type Const.
p
I
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 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 perforin their work personally or through thierown 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.
1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENTOOR NO)
2.I VE VNTRE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HA COACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME! A I 4�_
ADDRESS CITY
PHONE f I rCONTRACTORS 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►081
ADDRESS CITY
PHONE CONTRACTORS 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
Description: AG EXEMPT BLDG- (200) HAY, TRACTOR, IMPLEMENTS
Reference Number: B07-0986
Applicant Name: FAHEY, TERRY
Owner's Name: FAHEY, TERRY---- AP # : 073-320-032
Signature of Property Owner: Date: —/— 7
Butte. County Department of Public Works
J. MICHAEL 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
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: B07-0986 Date: 05/07/2007
Location: ANGELA COURT By: KEJ
Parcel Number: 073-320-032 Sub Type: A2 Exempt
Owner Name: FAHEY, TERRY Phone: (530) 589-3507
Description: AG EXEMPT BLDG- (200) HAY, TRACTOR, IMPLEMENTS
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: 05/07/2007
SITE PLAN REVIEW APPLICATION
Date: % AC\ '�� AP#
Permit Number (if applicable) Bin Number
APPLICANT INFORMATION Parcel Size:
Owners -Name:
Owners Address:
Telephone No.:
Site Address:
Proposed Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition
❑ Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
EB -Septic
Agricultural Exempt Building
❑ Other:
Brief Explanation/Issue:
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
❑ Agricultural Buffer Form
Zone: A ✓
GP: COL
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
❑ Resolved
ByDate
1 2006
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract
Watershed Protection Overlay Zone
SRA - (CDF to determine specific requirements)
100 -Year Flood Plain:
• Flood Zone:
• Flood Panel No.: Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan
❑ Chapman/Mulberry
❑ Cohasset Area
Use Requires:
❑
Use Permit
❑
Variance
❑
Agricultural Worker Affidavit
❑
Administrative Permit
❑
Minor Use Permit
❑
Minor Variance
Zoning: ' General Plan: ��OL-,
Applicable Building Setbacks:
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number: Date of Approval:
PA
2006
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
A
-�D f
Side
S-1
Side Street
Rear
s
Height
Waterway
N/A
N/A
N/A
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number: Date of Approval:
PA
2006
Parcel Created By:
Deeds:
Date of Creation: Legal Access Provided: ❑ No ElYes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
4 Comments:
❑ Parcel Deemed to be legal
? ❑ Verify Legal Parcel ❑ Verify Legal Access
EJ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Construct road to: I❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Subdivision Map/Parcel Map:
Map Date of Recording:
i
Lot: Book: R/ Page: n2 f -aZ
3 2006
-p
V
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Assessors Parcel Number El 51 51 El — E ff] F Scale: 1
Owner Name
P "Wdress /Phone No.
Site Location
Contact: Name
Phone
FOR OFFICE USE ONLY
Zoning:
General Plan Desig:
Size, Acres
i 4.0(r
PROVIDE FOR ALL -
ADJACENT PARCELS
SIZE (AC):
ZONING:
GEN PLAN:
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