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HomeMy WebLinkAbout064-710-004{�.. � ,� -.,M,- — _- ._ _. .�.-"' � _ --y.... ani,. �. - .,r•-'.�,,,-�r.� .��--� �. _ - -. .. y F st '-.'.i .,:.t .. ,.- AFH . { 0154-7 10-t .. 05-0093 GAETH, MARK 14741 BRIDGER CC, MAGALIA 'R'j a0 a' Cont: OWNL'R 'a ' SIDING,7WNDWS,KITn DL " _+ I - s d 067-100-004 05-0317 Y � ❑ .. GAETH,MA2K t' Z t r.' 14741 BRIDGER CT, MAGALIA �i't" y Cont. OWNER ADD REN40DEL FOR 050093 44, lr.I . r J - P c �., t; 1r i 5 •� s r•i y`F t . itf:� 'yE�7yi ,tj�j;�,it fsyfw l �.- Yf f't ;;Wt `ss � ' eD'+ ', •t � a. .. t t t i t t r u tt 7..• 7 r[A! r t' if a a_ a k nt4eata's�?y5t.' t t}-3''°ii�£u4r (z-.41 j 1 -.� � A}.t� r�r r s 1 1 ! r;Yc F C! t rS 1 t I� • tF` 5.., �f -'ti �ai.I,. I. d t it `S !' t! 3 n� t fls,'Re# e! i yFl ¢fi t atwt,+' S �t ' a }' Ft{µ ^Sale{'✓t is 'tc 05'. t ri n4 ".�'j rl.i rr moi°} r !-1'tSt��7 r �' }'L t 7 s •+" ,t rii�CG f - yds ?ak? `nv,aaz�� - , ranF.`� 4 r t" r ! Vsy'�`•''i' ", '.(Lu r .> �S fyi ^�l3I 1 '! a '"yt-jjffjC<J ��yy'C�,, s> Y t f + t f i� f N 11 k t zu� 4��s����. t- 1 • Y� 1 t ks1 . �f } J 1+�� t �'4 -f»fir �i.> ��'#. � _ I ,N'Ts t o '�{'.`,. e j. } x s -"'t" 4.3ri' �: w"_�`. r y i .xy t r l'. r ti+•,y �RM, r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP050317 B. C. Building Permit 01-16-04 pg 1 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 Issued Date: 02/08/2005 APN: 064-710-004-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 14741 BRi•DGER CT MAG Date: Contractor: Map Index: . Description: additional remodel for bp050093 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 Owner: GAETH MARK 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 14741 SKYWAY signed statement that he or she is licensed pursuant to the provisions of MAGALIA, CA 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 95954 she is exempt therefrom and the basis for the alleged exemption. Any 530-867-4931 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 Applicant: GAETH, MARK A. Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 14741 SKYWAY such work himself or herself or through his or her own employees, MAGALIA, CA provided that such improvements are not intended or offered for 95954 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-867-4931 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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 Contractor: 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 E empt under Article 3 of the Business a_i3d Profe sions Code Date: 6 Owner: �— License #: 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 Architect: is issued. Engineer: ❑ 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 Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 Census Code: 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' compensation provisions of Section 3700 of the .Labor Code, I shall � forthwith com ly with those provisions. Date: 7 Applicant: _ L WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 4 IEI compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This p mit � her issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for this is issued (Sec 3097 Civ.) Res tions to in icated above for which fee$Jiaye been paid. �G � �• performance of work which permit = BO Date: Name: 2 6 P MIT EXPIRES ON: 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 8 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. I acknowledge it is unlawful to alter the substance of any official form or d ment of Butte ounty. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp ose te Print Name: / / V /\ L /. 0. Signature: Date: JLl Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 i 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 REO UIRED AT TIME OF APPLICA TION NVebsite: www.buttecounty.net>dds "PLEASE PRINT CLEARLY* APPLICANT SIGNATURE 1 X Fnr office imp nnly- Zoning OWNER Name Last Name /� first Name Address (7124 Type Const. State City Phone State Fax Zip Phone F- _ O Lic. # Fax E-mail APPLICANT SIGNATURE 1 X Fnr office imp nnly- Zoning CONTRACTOR Name SRA Address I No City Type Const. State Zip Phone Planner Fax E-mail Lic. # Class APPLICANT SIGNATURE 1 X Fnr office imp nnly- Zoning ARCHITECT/ENGINEER Name SRA Address I No City Type Const. State Zip Phone Planner Fax E-mail State License Number APPLICANT SIGNATURE 1 X Fnr office imp nnly- Zoning Flood Zone r Received by: Amount: SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL Kl=UUtKtmtN I s PERMIT NO. 0:5 D3 7 BIN # LOCATION AP# ©G L/ — / 70 0© Property Address City / v-7 y / 't3ifl D(G�L Q__ %d'19f7� Cross Street LENDING AGENCY Name Address Description or Scope of Work: a nn ITi�wn L �not7� � 2 J��'o S'cr� g. Sq. Footage (r7 w 5"b D 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. I r Received by: Amount: Bldg SRA Receipt #:� - l� Sheriff 1 y SMIP Other Date: �j Q� Total ..,.— -11— ni n 11� 'in' Paoe 1 of 2 RCv /-4/-V4 :t 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: -(A) Data sheets and installation inst, (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. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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. r OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0R10S\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 "Ima., rED '�?=se� `�_.�,:r ,. >wsA�t -:x- _ .st_ •; WMA': sscr. 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 [k ] NO [ ]. X 2. I HAVE LX] 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: 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: PROPERTY OWNER: 1* 4 a K (5�_ ,7' 4 DATE: Z 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 11/42004 Butte County Department of Development Services ADMINISTRATION' BUILDING t GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile I �:Wfffify� a�'�".. a��-•tea �.�.�+��-x,��e +��'}`�-S�'�t.+� tisEra,.�.�`5'L`s,�'�.'.tA2. t0µ �:_y - I 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 $200 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 contractors 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 in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. It C. Vieirl C.B.O. , Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.nelldds 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 Slate License Law (Chapter g_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).): 1, 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.). ❑ 1, 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.). ® 'I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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: Carrier: Policy 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith -comply 7itthose provisions. Date:!!57 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. PERMIT NO. BPO5009,3 Issued Date: 01/12/2005 APN: 064-710-004-000 Site Address: 14741 BRIDGER CT MAG Map Index: Description: SIDING, REPLACE 7 WINDOWS, KITCHEN REMODEL (50) Owner: MARK A GAETH 9196 TRADES WAY DURHAM,CA 95938 530-894-3940 Applicant: MARK A GAETH 9196 TRADES WAY DURHAM,CA 95938 530-894-3940 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: �1�;14q �3a4-9 CONSTRUCTION LENDING AGENCY This permit is hereby issue under the applicable provisions of the Butte Cnunly CodA enrVor u I hereby affirm that there Is a construction lending agency for the Resolutions to d—o w I cated ab a for whish fees have been paid. I -65 performance of the work for which this permit Is Issued (Sec 3097 Clv.) a NBY Date: Name: 6 PERMIT EXPIRES ON: Address: (Date) ❑ I 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 1 am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state 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 purpose Print Name: G`C , Signature: Date: ' XOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor �%3Tr BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o '• O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 O OFFICE #: (530) 538-7541 C a y A FEE WILL BE REQUIRED AT TIME OF APPLICATION OU N� Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" APPLICANT NAME CONTRACTOR OWNER Last Name.0 (, Zip cya YE first NameMr / / r Address Zip W O- City Lic. # tate Zip 95 Phone y,617_ y Fax E-mail/'410'r /'410'r k ��' @ .5b C lob Q, wiz 4 APPLICANT NAME CONTRACTOR Nam City Address Zip cya YE City. State Zip Phone Fax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip cya YE City Fax -State' Zip Phone Book Fax E-mail Planner State License Num APPLICANT NAME Name l��ra Address 9� (n /a City Stattt Zip cya YE Phone nc� r_ J7 O / Fax E-mail. APPLICANT SIG_NATURE X For office use only: Zoning Property Address Flood Zone Cross Street SRA Yes No Carrier Tn Const_ _ Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 05. uog3 BP BIN # escriptio r Scope of Work: n KQ 10. C�e ('j0 P,d' ow � Sq. Footage ❑ 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. OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received b Receipt #: Date: 1 Amount: Bldg I SRA Sheriff SMIP Other Total REV 7-27-04 —LOCATION API Property Address Cit Cross Street WORKER'S COMPENSATION Policy Number Na � a 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 escriptio r Scope of Work: n KQ 10. C�e ('j0 P,d' ow � Sq. Footage ❑ 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. OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received b Receipt #: Date: 1 Amount: Bldg I SRA Sheriff SMIP Other Total REV 7-27-04 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 /N 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (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. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). In If you have questions or would like additional information regarding this process, contact a Permit Application 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 K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 RECORDING REQUESTED BY Bidwell Title & Escrow Cr .Iiany AND WHEN RECORDED MAIL TO Name Mark A. Gaeth Street ress Add9196 Trades Way Addr City, Siate Zip Durham, CA 95938 Z Order No. 00218887-003 ILII IIIIIIIIIItIIIIIlIIIIIIIfIIIII Recorded I REC FEE 10.00 Official Records I TAX 121.00 County Of I BUTTE I CANDACE J. GR iBBS i Recorder I ROSLKARY MCKSON i Assistant I hlar•k 09:00A112—Jan—LIC05 i Page i of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. 064-710-005 064-710-004 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $121 . 00 ❑ City/Town of 0 computed on full value of interest or property conveyed, or 0 Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Gordon Wayne Stout, An Unmarried Man hereby GRANT(s) to Mark A. Gaeth, An Unmarried Man the following real property in the ❑ City of County of Butte, State of California: Gordon Wayne Stout 0 Unincorporated Area SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Document Date: January 4, 2005 State of California - County of BUTTE SS. On ✓.gjULllin� �UUS� before me, the undersigned, a Notary Public in and for said County and State, personally appeared Gordon Wayne Stout*** 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 hand and official seal. Signature FOR NOTARY SEAL OR STAMP LNOTARY JANET CLARK > CORAM. # 1473379 PUBLIC -CALIFORNIA COUNTY OF BUTTE 1aj j mm. Expires March 27, 20DO MAIL TAX STATEMENTS TO: Same as Above BTEC/GRANTDEED Order No. 00218887-003 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOTS 44 AND 45, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 10, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 71, 72, 73, AND 74. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS, AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES BENEATH THE SURFACE OF THE SAID LANDS WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, IT BEING AGREED AND UNDERSTOOD THAT IN ALL OF THESE OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL OPERATIONS RELATED THERETO SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED PROPERTY. AP NO. 064-710-004 AP NO. 064-710-005