HomeMy WebLinkAbout025-030-016BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 4
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-0097 Issued: 01/18/2007
Address: 28 GROVER LN Area: OROVILLE
Owner: FOU CHO PHANH, KOY APN: 025-030-016
Applicant: FOU CHO PHANH, KOY Map Page:
Permit Type: Wall Furnace
Description: GAS LINE & HEATER
Flood Zone: None SRA Area: No
Set Backs
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVER BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Stee l/Ho ldown s
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Finals
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813 -
Pool Final
802
Mobile Home Final
1 802
Inspection Type
IVR INSP DATE
Do Not Insulate Until
Above S gned
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool Elec/Bonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Set acs
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Public Works Fina
538-7681
Fire Department/CDF
538-7111
Env. Health Final
538-7281
"PROJECT FINAL
801 77
-rrolect anal is a %-ernnca[e m occupancy for tKesiaennai uniy)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
Bldg; Peirnit: OFFICE COPY -
a
Address: t•' '
cas ey_
Electric By:
,y Date:
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: 28 GROVER LN
Owner:
Permit NO: B07-0097
APN: 025-030-016
FOU CHO PHANH, KOY HIN C
Issued Date: 01/18/2007 By KCG
Permit type: MISCELLANEOUS
1920 48TH ST
Subtype: Wall Furnace
OAKLAND, CA 94601
Expiration Date: 01/18/2008
Description: GAS LINE & HEATER
(510) 534-8414
Occupancy: R-3 Zoning:
Contractor
Applicant:
Square Footage:
FOU CHO PHANH, KOY HIN
Building Garage Remdl/Addn
1920 48TH ST
OAKLAND, CA 94601
Other Porch/Patio Total
(510)534-8414
FEE INFORMATION
Heater (Wall) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1532
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
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
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.
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 01/18/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
17731rAS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
u COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractofs License
Law does not apply to an owner of the properly, who builds or improves thereon, and who does
WORKERS' 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
❑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, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, 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' Compansation 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 nee not a competed if the permit is or one hundred ($100) or less.
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
I � � t CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
LJ 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 01/18/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owne Signature Date
provisi
X 01/18/2007
I 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
Sig t Date
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
Butte County, its officers, agents and employees from any and all claims and liability for personal
Injury, including death, and property damage caused arising out in any way connected with
HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION,
( )
t is is a
the issuance of this permit. 1 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 occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County enter the above mentioned property for inspection purposes. I hereby certify that I am the
Pro er o am authorized to act on the property owner's behalf.
CONSTRUCTION LENDING AGENCY
01/18/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Naglie7of Permittee[SIGN] Print X Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR Agent for Owner DAgent for Contractor
FILE COPY
Lenders 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**
APPLICANT INFORMATION
OWNER INFORMATION
Last Name
Co
First Name
Mailing Address
State
City
0 State
Zip
Ph ef
Fax
54
E-mail
Lic. #
APPLICANT INFORMATION
CONTRACTOR
Name
Address
Co
City
Zip
State
Zip
Phone
Zip
Fax
E-mail
Fax
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
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
APP CANT SIGNATURE
X
PROJECT LOCATION
AP# O 3 O , ,1
Property Address
City
PERMIT
NO.
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:
r
Sq FT- Living Garage Open Cov
❑ • Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
FloodZone
SRA Yes No
Occ.
Type Const.
Butte County Department of Development Services
TIM SNELLfNGS, 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 unders state law, contact the Department of Benerit 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 thier 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.
1. I PERSONALLY PL���O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. eTS OR NO)
2. (HAVE VE 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
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
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: GAS LINE & HEATER
Reference Number: B07-0097
Applicant Name: FOU CHO NH, KOY HIN CHAO
Signature of Property Owner: Date:
I
REIORDING REQUESTED BY:
Fidelity National Title Company of Cattfornia
Ecuow No.: 06 -100396 -TG
Locate Na: 1-0000108896
Title No.: 06 -108896 -BEE
when Recorded Mail Document
and Tax Statement To:
Mr. and Mrs. Fou Cho Phanh
1920 48th Street
Oakland, Ca. 94601
APN:
2006-0054972
Recorded I KC FEE 1& W
Official Records 1 TAI 181.58
Coati of I
Butte I
CMM J. 6RIIBBS I
County Clerk-Recorderl
I
I JC
19:61B111 19 -Ort -M I Page 1 of 2
IIlIIIIIIII!lllilllllflllllll�lll
SPACE ABOVE THIS LINE FOR REWRDER5 LAE
GRANT DEED
� L
The undersigned grantor(s) declare(s)
Documentary transfer tax Is $181.50
[X ] computed on full value of property conveyed, or
] computed on full value less value of liens or encumbrances remaining at time of sale,
l Unincorporated Area City of Oroville,
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JoyAnn Pool, a widow
hereby GRANT(S) to Fou Cho Phanh and Koy Hin Chao, husband and wife as joint tenants
the following described reals property In the City of Oroville, County of Butte, State of Callfornia:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF
DATED: October 13, 2006
STATE OF CALIFORNIA )
COUNTY OF Butte
ON October 13.2006 more me,
wendv Schroeder, Notary Public
(here insert name and title of the officer), personally
appeared 1QYA_nn Pool.
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted,
executed the instrument.
Witness my h n d official
Z�r
Signature (tel)
INENDY 8CHROEDER
Om Msaion •1818751
No BPublic -CanlionMa
��29.20W r
MAIL TAX STATEMENTS AS DIRECTED A VE
FD -213 (Rev 7196) GRANT DEED
(graM)(06-06)
Emcnm No.: 06-10MG-TSG
Locate No.: CARVT0958-0958-0001-0000108896
Me No.: 06 -108896 -BEE
EXHIBIT "A"
THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF
CALIFORNIA AND IS DESCRIBED AS FOLLOWS:
Lot 18, as shown on that certain Map entitled, "Oak Grove Subdivision", filed in the Office of the County Recorder of Butte
County, California, on December 9, 1946, in Book 15, of Maps, at Page(s) 15.