HomeMy WebLinkAbout065-171-00965-171-9Patrick Dixon100 Rosewood Dr., lot 357 Nk, Fir HaI NT TO INSPECTOR Sub, Magalia isecontr: Fisci BrosipPermit #4673-77B,P,E,M(new single111/4/OY family)SubconPe r65 71-009— - FL-- FCODE
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Butte County Department of Development Services. euTYe, aaEa
N ® T E' S 7 County Center Drive, Oroville, CA 95965
e� co•
(530) 538-7601 www.buttecounty ngVdds
RESIDENTIAL
r
APN: Permit No.
Owner. 065-171-009 06-0254
�STEPHENS,;CHARLES'& MARG'—
Site Address: _6492 ROSEWOOD DR, MAGALIA _
Cont: OWNER
Contractor. REROOF_ W/COMP (20)-
Type of Permit: --- - —
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
l
DATE JOB FINALED:
' SIGNATURE: %
r 6 ,
= OK
= Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION Lj SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/CIO-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat 0 or LPQ
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs Q Foundation Q
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE ID E C K S`C O V E R S -C A R P O R T S `G A R A G E S
1 Zoning -Setbacks -Easements
2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts -Beams -Rftrs-Cnn ctrs -S hthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills -An chrs-Stu ds-Rftrs -Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnis
DATE IPOOLS
1 Setbacks -Easements
2 Soils-, Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool Ightg
Bones-Encisrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
P
Ise °� °'� °�
Pool Drawing
= OK
0 = Not OK
RESIDENTIAL (Single & Duplex)
DAIt JUNDERFLOOR
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts-Wrapped
6 Stemwalls Garage; Steel-Blockouts-Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
_ 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples
15 Acc & Vntitn
16 Insulation
s
DATE IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist -RW Ties-Purlin-Roof Brac TrussShthg
25 Frplc Ties or Type A Flue-Frpic Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 Insultn-Walls-Ceilings
39 Infiltration-Walls-Wndws
c c
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz ga ❑ CU or ❑AL
AC Wire Sz ga ❑ CU or ❑AL
48 Range Circ ga [ICU or ❑AL
Oven Circ ga ❑ CU or Q AL
Insulated Neutral ❑ Yes ❑ No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnis-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
1�109m o' o`
PLUMBING
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Prtctn
56 Shwr Pan; Test, First fir -Tub Acc
57 Test Tub & Shwr, 2nd fir - Tub, Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
4 0\ e* 441
�
UAIt IMECHANICAL
61 AC Ducts Insultn & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
41 4
FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clrnc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door; Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-OImc-OOm Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Loon
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters QYes ❑No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT BP060254
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
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: 02/03/2006 APN: 065-171-009-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 6492 ROSEWOOD DR MAG
Date: Contractor:
Map Index:
Description: REROOF W/COMP (20)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: STEPHENS, CHARLES AND MARGARET
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
1064 FAIRVIEW DR
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
PARADISE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95969
violation of Section 7031.5 by any applicant for a' permit subjects the
to a civil penalty of not more than five hundred dollars ($500).):
530-872-5036
tttapplicant
'tp 1, as owner of the property, or my employees with wages as their
i\ 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
Applicant: STEPHENS, CHARLES AND MARGARET
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
1064 FAIRVIEW DR
year of completion, the owner -builder will have the burden of
PARADISE. CA
proving that he or she did not build or improve for the purpose of
95969
sale.).
530-872-5036
❑ 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.).
Contractor:
❑ I aim under Article 3 of the Business and Professions Code
�Exempt
Date: ;�L+,� Owner:
WORKERS' COMPENSATIO D CLARATION
I hereby affirm under penalty of perjury oneV the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
License #:
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
Architect:
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Policy #:
Total Square Ft: 0 S. F.
I certify that in the performance of the work for which this permit is
�\
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
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.
f
Date: ✓ r'
Applicant:
WARNING: Failure to sG e 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.
I .✓
CONSTRUCTION LENDING AGENCY
This permit is he by 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 work for which this -permit is issued (Sec 3097 Civ.)
Resolutio t- ork ind'cated above for which fees have been paid.
U
performance of
BY: Date:
Name:
PERMIT EXPIRES
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 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 document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
ar �e�` � �
tPrint
Name: /� Signature:
— Q
Date:
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
f:*
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.
BP060254
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
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: 02/03/2006 APN: 065-171-009-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 6492 ROSEWOOD DR MAG
Date: Contractor:
Map Index:
Description: REROOF W/COMP (20)
OWNER -BUILDER DECLARATION
1 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: STEPHENS, CHARLES AND MARGARET
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
1064 FAIRVIEW DR
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
PARADISE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95969
violation of Section 7031.5 by any applicant for a' permit subjects the
to a civil penalty of not more than five hundred dollars ($500).):
530-872-5036
fft,,a.,,p���plicant
'gyp 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 Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: STEPHENS, CHARLES AND MARGARET
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
1064 FAIRVIEW DR
year of completion, the owner -builder will have the burden of
PARADISE, CA
proving that he or she did not build or improve for the purpose of
95969
sale.).
530-872-5036
❑ 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.).
Contractor:
O 1 am Exempt under Article 3 of the Business and Professions Code
Date: -9t3—h(& Owner:
WORKERS' COMPENSATIO D CLARATION
I hereby affirm under penalty of perjury alofthe following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
License #:
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
Architect:
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Policy #:
t�
Total Square Ft: 0 S. F.
ICi I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
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.
Date:
Applicant:
WARNING: Failure to s e 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.
I b
CONSTRUCTION LENDING AGENCY
This permit is he by issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
of the work for which this permit is issued (Sec 3097 Civ.)
Resolutio s -t ork ind'cated above for which fees have been paid.
�'
performance
Bv: Date:
Name:
PERMIT EXPIRES
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 & 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 document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
1
� �` � � � �
Print Name: moi./ r G Signature:
�'
Date:, 1
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 OFAPPLICA TION
Website: www.buttecounty.neUdds
"PLEASE PRINT CLEARLY" *
MA
OWNER INFORMATION
Last Name
" S
Name
Address V-
-��
City
State
Slates N
Zip S
Phone $ q A .
0
Fax $-77 Q 7, /q
E-mail
, U -Y\'—
MA
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name
-
Address
City
City
State
State
Zip
Phone
E-mail
Fax
E-mail
Planner
Lic. #
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
City
City
State
State
Zip
Phone
E-mail
Fax '
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT INFORMATIO
Name
Flood Zone
Address
City
U
State
Zp
Phone
Fax
E-mail
Page
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address ,Q
Flood Zone
Cross Street
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
BP
BIN #
PROJECT LOCATION
AP# 19 / 7
Property Address ,Q
City i
Cross Street
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:
-
�b SQ
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 departtnent costs are not
refundable.
llqice�ibA_ . Amount: ( ` V Bldg
Receipt #:
Dater 6> 1
Sheriff
SMIP
6Total
K \Fr1RMR\RI m nwr: FnPhAR\RlrinAnnlRnhRnmt.q r)nn Paoe 1 of 2 RFV R -19-n5
v-
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 A/C 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.
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
K:TORMSOUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
OWNER -BUILDER VERIFICATION
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 [ x] NO [ ].
2. I HAVE [ X] 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:
DATE: � - "`� - o�_OD
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 11/4/2004
Butte County Department of Development Services
ADMINISTRATION `BUILDING `GIS' PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
OWNER -BUILDER INFORMATION
Dear Property Owner:
IV', 4
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
penuit. 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 perforin 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 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 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.
Sincerely,
Scott Rutherford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
RECORDING REQUESTED BY:
Fidelity National Title Company of California
Escrow No.: 05-30BG43-WB
Lecebs No.: CAMTD958-0958.0003-MI308643
TWO Nor 05-30864343D
When Recorded Mail Document
and Tax Statement To:
Mr. and Mrs. Charles A. Stephens
1064 Fairview Drive
Paradise, CA 95969
" ti 2005-0078682
Recorded I REC FEE 18.88
Official Records 1 TAX 192.58
County of I
t
CNIMBut
. ffim I
County Clerk-RecoMerl
I KL
89:880111 2949e -m i Page 1 of 2
11911101r 111111111111
APN: 065-171-M SPACE ABOVE Th[S LWE FOR RECORDERS USE
GRANT DEED
The undersigned grantor(a) declare(s)
Documentary transfer tax Is $192.50
[ x ] computed on full value of property conveyed, or
[ l computed on full value less value of liens or encumbrances remaining at time of sale,
[ ] Unincorporated Area City of Unlncorporetied,
!1� FOR A VALUABLE CONSIDERATION, raoeipt of wAieh Is hereby acimvwledged, Tomas Chavez, Jr. and Evelyn
n Chavez, husband and wife
Sj hereby GRANT(S) to Charles A. Stephens and Margaret A. Stephens, husband and wife as joint tenants
the following described real property in the City of Unincorporated, County of Buttes, State of California:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF
DATID: December 23, 2005
or proved to me on the basis of
satisfactory evidence) m be the persons) whose name(s)
Ware subscribed to the within Instrument and admowledged
tD me that hefahefthey exealted the same in hl%4w ftr
authorcapadty(ies), and that by hbfiw/their
signature(s) on the instrument the person(s), or the entity
upon behalf of which the person(s) acted, executed the
instrument.
'J. A. POTERO J '
Commission R 1353754
Notary Public - California
Riverside County
1*.MvCornrn.Ex*e6May24.2008
MAIL TAX STATEMENTS AS DIRECTED ABOVE
FD -213 (Rev 7/96) GRANT DEED
(9ant)(12-05)
Escrow K" 05 -308643 -WB
Locate nio.: GIRVTD9 308643
Title Na: 05 -908643 -BD
EXHIBIT'A"
THE LAND REFERRED TO HEREIN B0.0W IS SITUATED UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF
CALIFORNIA AND IS DESCRIBED AS FOLLOWS:
Parcel I:
The Norkh half of Lot 357, as shown on that certain Map entitled, "Fir Haven Subdivision", filed In the Office of the County
Recorder of Butte County, California, on May 19, 1955, in Book 21, of Maps, at Page(s) 31, 32, 33, 34 and 35.
EXCEPTING AND RESERVING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the right
to mime and extract said minerals, it being agreed and understood that in all mining operations the surface of said lands wig
be protected against damage, and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices
outside of the surface area of the above described realty, all as excepted and reserved In the deed from Magalia Mining
Company, a corporation to E. D. Starts, et ta4 recorded September 4, 1947, in Book 423, Page 385, of Official Records.
Parcel II:
An easement for water line purposes over the West 2 feet of the South half of Lot 357, as shown on that certain Map
entitled, "Fir Haven Subdivision", filed in flee Office of the County Recorder of Butte County, California, on May 19, 1955, in
Book 21, of Maps, at Page(s) 31, 32, 33, 34 and 35.
Initials:
N
A
PERMIT NO. 4673-77B.P,E,M
. i
i
PERMIT EXPIRES
�zg
OWNER Patrick Dixon 1�
CONTR. Fisci Bros., Par&se
LOCATION (A.P. 65-171-9
Nz
100 Rosewood Dr., lot 357, Fir Haven Sub, Maga;
j
r 31 yl 0 't ••
'V
r
r��
r2.
1
V Temp. Power Pole
Called PG&E
Temp. Elec. Serv. ?
Called PG&E
Temp. Gas Serv.
Called PG&E
i
JOB
FINALED
(Date)
(Signature)
THIS IS TO CERTIFY THAT INSULATION NAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS.
CALIFORNIA ADMINISTRATIVE CODE, TITLE 25. STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT:
F:nrhaven — brscoJ /,g.,)/ieg a" Jir-
�`—$ ree Lot Number Tract
EXTERIOR WALLS glass
J -M 3%''fiber R Value l
Manufacturer Thickness/Type z
CEILINGS
1.9
Batts: Manufacturer T = M Thickness_ - 6 2�� R Value j
Blown: Manufacturer Thickness I No. Bags Mt;/Bag
Sp. Ft. Covered R Value
FLOORS g 1 a S S '
Manufacturer 7- M Thickness/Type3 1-,11f i b e r R Value 1 1
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value //
=Izn�
LICENSE NUMBER aZ(1601, f
I DATE - 70
INSULATI N CONTRAcTop N LC HO 1, SONTNSULAIMNLICENSE NUMBER 2. 1 2. 4 6 1
g• Owner DATE 12 12,/77 ��
•.1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILD
BUILDING (Cont'd)'
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidina
To out 5 -�
Slab
Roof Sheathing
Water Piping I
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa I I
Insulation
Heaters
Slab
Carport
Footings
Prov. for ph slcally
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAIL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
bcratcn -16 % /
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts "19 3 / C
Underground
Interior Lath :Z '? '7 -'7
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------Elec.
Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOR16EMOME INSTA LAT& N - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DA TE
REMARKS OR CORRECTIONS
`
0 A A44,c&
11 -� 5-? 7i ��,�✓�r..� ������-� � ���z � ,��-�e .��� e�.'-5-�
(NOTE: An entry must b ade on this form each time you visit the job site.)
�.rr•
/monk,COUNTY OF BUTTE — DEPA ;MEN OF PUBLIC WORKS
�C/
7 County Center drive '' U ovville,,California 95965 r�7
�• Telephone: 534=541 /
APPLICATION AND PERMIT V
BUILDING
Owner SQ. FT. OCC. BUILDING VALUATION
L b
Mailing Address
Telephone No. a a- 4F 0
Fireplace j V
Contractor ( S L ( 0 Total Valuation �(
Permit Fee
Mailing Address _ q • P I an Checki ng Fee &/or Penalty
S T lephone No. 3G Permit Fee
40 S$ o $
Building Address PLUMBING No.1 @ F E
PERMIT FILING FEE $3.00 Rr G /
W la;` Each Trap 8" 1.50 1.
N ( L L� C �-'7 Repair drainage or vent piping 1.50 "
/F. Water piping 1.50
(k)(*12 A Cy 14 &r#n5tVerification -0_91)E Each gas water heater or vent 1.50
A. P. No. /eTZ , Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe W:Lr ion' Fire Dept. Fire Zone Use Permit Building sewer 5.00
EQA Parking Parcel60' R/W ImprovementsLawn sprinkler system 2.00
Plans Parcel M Declaration
FFYBl�lons Rec'd Parcel pproval Plan pproval Permit Fee $ $ 0'7fQ
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE
3
PERMIT FILING FEE $3.00
Main service 60ov OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 1.00NEW CONST. I
OR ADDNS. ( ACCLBLDGSNG OC 20sgft 4, -go
NEW CONSTR. MULTI -OUT
NON.
RESID. ( BRANCH CIRCUITS' 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON•RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Pro ssions Code under the name Ex. Occup(OUTLETS OR FIXTURES)@�
BAL�1
style ofFIXED APPLNS. OR
: Ex. (FIXED
(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25 c
License No. Classification_
❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00
I am aware of the provisions of Section3700 of the California Labor Heating /c% �cen �/
A h' h I b' d41
Co e w )c requ)res every emp oyer to a )nsure against ()ability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I 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 Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives the County of Butte to enter upon the
above-mentioned ope,tyy for nspection purposes.
XG ate —72
Signature of Permitee or Agent / 7O o /�
Receipt No. / (0 6 "1 / Y
White-D.P.W. — Yello s s o — ink- spector — Goldenrod -Applicant
Coolin
Ventilation
Hood 2.00
Permit Fee $
r $ r—
TOTAL PERMIT FEE / ��,3y� -
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR Of PUBLIC WORKS
By Date 7�
B rlding permit expires Date 'F, ?,6— 7
w;;4
OWNER
A. ENERAL
Zoning requirements
94" Valuation.
3. Signature by R.C.E.
RESIDENTIAL PLAN CHECKING GUIDE
` (S.F., DUPLLA,' & loss.. ONLY)
Bldg. Permit #
tlYLc.
A. P. #
(sideyards and parking).
or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
etback,9, sideyards, easements, etc.
3. Other buildings or structures.
4. Grading, fills, drainage.
C. FLOOR PLAN
1! Complete to scale plan with dimensions. _
91 --Required windows for light and ventilation (Sec. 1405).
X --Required windows for second exit (Sec. 1404).
4—Allowable glazing for energy requirements (20% max. per State law).
–Human impact glass (Sec. 5406).
dt_ Required room sizes, ceiling heights (Sec. 1407).
--G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
4,—t-i.ght fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
_Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)).
3'0" exterior exit door (Sec.. 3303d).
replace location.
. Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
---F1ooF construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
&— F ireplace construction details and calcs if over one-story in height.
4CrSufficient data and details to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
�--CCX plywood on exposed locations and overhangs.
2. Stairway details (Sec. 3305).
3. Guardrail details (Sec. 1716).
4. Brick or stone veneer (Chapter 30).
5'. Exterior plaster – weep screeds (Sec. 4706 & 4708).
. ,<—groper roof pitch for roof covering (Chapter 32).
J._Rafter ties or bearing ridge beam.
�, Garage door or porch header sizes.
cA._ Adequate bracing
building.
(State law).
M Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc. .,
11. Two (2) exits on three-story dwellings (Sec. 3302).