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HomeMy WebLinkAbout005-393-0010 11 5--393-01 MICHAEL HOLLAND 1210 Tackson St., Chico (two work write-ups) 055-393-001 1"346 D �MIC % HOLLAND, AL 1210 JACKS ST, H ( 01 UP 14 cl 4'� ? T bbliESE. E. 1 fir: 1210 Jackson St., Chico (repair single-fam ily) CONTR: B R CT 01 UP GRA EXIST CT WIRE' 005-393-001 01-242 ' �242! HOLLAND, MICHAEL INALE 1210 JACKSON, CHIC UTIL RM W/O PERMI ELEC AND HOUSE FA# 4 ti .' B07-1855, 005-393-001 MISCELLANEObs" '."�GasRecorinect REPAIR GAS LiNt. 1210 JACKSON ST HOLLAND MICHAEL B,, f C.9_ A 11 C.9_ A IX 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: 1210 JACKSON ST Owner: Permit NO: B07-1855 APN: 005-393-001 HOLLAND MICHAEL B, Issued Date: 8/29/2007 By GLB Permit type: MISCELLANEOUS 1724 BEECH ST Subtype: Gas Reconnect CHICO, CA 95928 Expiration Date: 8/28/2008 Description: REPAIR GAS LINE Occupancy: Zoning: AR Contractor Applicant: Square Footage: MOLESWORTH CONSTRUCTION MOLESWORTH CONSTRUC1 Building Garage Remdl/Addn P O BOX 4535 P O BOX 4535 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530)321-7684 (530)321-7684 FEE INFORMATION DBP Gas System (enter outlets) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4441 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 MOLESWORTH CONSTRUCTI( C660050 / B / 12/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 000) o Division 3 of the usiness and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force a t. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for X 8/29/2007 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]; Please check one of the following: Contract es sici4ature 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 WORKERS' COMPENSATION DECLARATION 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 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 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. 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. Dale: (This section need not a competed if the permit is oris or on�ndred dollars ($100) or less. I AM EXEMPT under Section B. & P.C. for this reason: ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 8/29/2007 compensation provisions of S tion 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 8/29/2007 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 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( 1 the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is riz 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 to enter the above mentioned property for inspection purposes. I hereby certify that I am the property o am auth to act o e property owner's behalf. CONSTRUCTION LENDING AGENCY ]ownner G e%P � 8/29/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name P e SI Print Date the performance of the work for which this permit is issued. (3097 civ, code) Owner Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip .`�VTT� BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION. 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o _—==�''j o A FEE WILL BE REQUIRED AT TIME OFAPPLICATION .� Website: w. lw.buttecounty.net/dds �. OUN'� **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name First Name Mailing Address City State Zip. Phone Fax E-mail CONTRACTOR Names �— n �� Address<75 City City C� C State Zi Phone_3% 2 76 Fax. ,. E-mail Phone Lic. # /i 6 � S—� 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 APPLI ANT SIGNATURE X c2Z�a PROJECT LOCATION AP# ` :54� t 1 Property Address •12,10 ` G City CA d- PERMIT NO. 1 -l -t BIN # . WORKER'S COMPENSATION . Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: ter r Q . Sq FT- Living Garage . Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office wVpw : V Zoning Flood Zone SRA � No Occ. Type Const. \ 6 �,7 (o ( 1t' ;•.e .r�; v `•. ..:.- +.... �. .1,.. ,•y...,yr- r ;.r'i^' .- _.... � r • ' '♦f• , +n} � r,' .e''.:.. r.� r�.n t 'n. •r. 1 C • � �•---�-- 01=2429 � s -Q05' o.�r , . QOLLAND V HOLLAND, <� 1210 JACKSON, CHICO :,z �' : +''�° •^-� T i °-'� . i UTIL. RM W/O PERMIT/MISC_ ' - ELEC AND HOUSE`FAN J OFFICE COPY • I �• `�� I Addre1 �jo'c. SOS � 9 r• = � dl— / GAS Date „ Meter By ELECTRIC %:: j Meter By t + � ,Sd� • i COUNTY 'ftUTVE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7ounty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) �, . APPLICATION AND PERMIT 01-2429 ASSESSOR PARCEL NUMBER 005-393-001 ZONING A{ BUILDING PERMIT OWNER MICHAEL HOLLAND TEUN4 -UON .� "SO. FT. OCC. BUILDING VALUATION 36 R 1,964.00 OWNER'S MAKING ADDRESS 1724 B ST 95928 CONTRACTOR'S NAME - TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1 944 00 ARCHITECT OR ENGINEER LICENSE NO. Flln Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS .. ' , an CheckingFee $ 29.95 BUIL ADDRESS 10 10 (211co Energy Plan Checking Fee $ • PERMIT FEE $ 94.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 7.00 USEOFSTRUCTURE SF III Duplex ❑ Mobilehome ❑ Other sPECFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition E 'Remodel ❑ Utilities ❑ Installation ❑ Other ❑,rm � T V/9 PERMITS, " mm Describe Work: RM B�m INSTAM NEW FAN Gas piping system 1 - 5 outlets 15.00 15-00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE _79-00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service CoA oA .ss 23.00 23.100 LICENSED CONTRACTOR'S DEOLARATION 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 Profess)ons Code, and my license is in full force and effect. License Class Lie. No. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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,\l shall forthwith comply with those provisions. X /%� Aro rlkI/akif Date /' � _ Signature of Applicant - JR Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. sG OR ADONS. ( a Ace. BLDs. 3.54?. 46.48 Lpp}REOSID. " MULTI=OUTLET @7.50 POWER APPARATUS 8 SWOLE OUTLET CIR. Ex. Occup OUTLET OR FIXTURES ® 1.00 i Ex. Occup. DP'uTLBETS (RRD APPA D.GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ � MECHANICAL PERMIT FiIng ee 20.00 Heating r Cooling Hood 6.50 Ventilation PERMIT FEt: $ '15.00 Mobile Home Installation Fee $ Energy Inspection Fee $ f Dec cor FT.TYPE TOTf L FEE $ 2`j l . 43 HA2. D. FEES IMP FLOOD COF PARCEL PD }!0- ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have � B•` F" k d �Z yAf,,Oi r L'y` PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR j GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES I; 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE V14�� ok-a 4, l� ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. • • -COUNTY OF BUTTE • • • - . - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 s: z< CORRECTION NOTICE OWNER PERMIT NO. • t A routine insp ion indicates that the following violations of butte county Ordinances exist at the above ad ss and should be corrected. Please notice this office when.correction. of work is comp) d. If you have any questions pertaining to this matter, or need additional explanation, "1 pie a contact this office immediately. Af o 0 IA� ir 6 D L (A) J (;L-; 71 G k . T r� a f . Y S . r Date-)?, 2 O'y I Inspector T o REV 10/92 y. COUNTY OF'BUTTE - DEPARTMENT OF DEVELOVMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03-2499 ASSESSOR PARCEL NUMBER 005-393-001 ZONING BUILDING PERMIT OWNER MICHAEL HOLLAND TEL&NONE 345-8097 SO, FT, OCC. BUILDING VALUATION 36 R 1,944.00 OWNERS MAIUNG ADDRESS 7224 BEACH ST CHICO 95928 CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1 944.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 29.95 BUILDING ADDRESS 1210 K 0 Energy Plan Checking Fee $ ,T PERMIT FEE $ 94.95 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 7.00 Solar or heat pump water heater 23.00 Water piping Water 15.00 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition R Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UTILITY RM BUILT W/O PERMITS, MISC ELEC INSTALL NEW FAN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 QQ Mobile Home S G W 1@20.00 ' I PERMIT FEE $ 79-n ELECTRICAL PERMIT I Fling Fee 20.00 LESS Main Service zo.A OR LESS 23.00 9^ LICENSED CONTRACTOR'S 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 LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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 with those provisions. X�i/.�'O l�W Date 7-2-46-01 Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service sow To I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( M=UNG 6LDS. 3.5QPT: 46.48 Np gEOSIU T. MULTI.OUTLET RANCH 97,50 POWER APPARATUS 8 SINGLE OTLET CIR. EX. OCCU OUTLET OR FIXTURES BAIL 1;' Ex. Occup..OUT�g RES p°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring +_23,00, PERMIT FEE $ on 1.0 MECHANICAL PERMIT FiIngl=ee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 35.00 Mobile Home Installation Fee $ Energy Inspectin Fee $ VIVPE TOTAL FEE $ 292.43 HAZ. p. PEES IMP FLOOD CDF PARCELpo H ISSU This permit is hereby issued under of of the Butte County Code and/or above for which fees have By PERMIT EXPIRES ON '� C� the applicable provisions Resolutions to do work been paid. / Z D� to / Z 02, et ReceiptNo. 331693/$291.43 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.- TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET ' / OWNER: ASSESSOR PARCEL O — 'Q Q 1 Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted ---------------------- ------------------------------------------------- --------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 1N3 . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- rEne,. ineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ rgy Design Compliance and supporting documentation. ---------------------------------------------------- .tement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. 119. •.Manufactured Home data and ins ation instrugtions i ❑ 10. Fees of $ 2-4 ��{?_- 411. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. Specifications. ❑ 13. Flood elevation certificate.------------------------------- -------------------------------------------------------- t 014. Sanitation and plot plan approval -0 Health Department - ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- 016. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: C§ K (B) Parking: -------------------------- 0 18... Contact Land Development about ❑ Improvements, ❑ Drainage�$egal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). c 022. Workers' Compensation carrier and policy number. ----------------------- `023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- ❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. -------------------------------- 027*Manufactured Home utility clearance. -------------------------- 1128. Existing violation s' and/or expired permits. -------------------- 029. 1:1433 A, OGrant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1-_130. Other: ; 1Z,0 10 -I -p 1 1 � � (Date) When you issue,tee ermuo, ro jss as follows ❑ Mail to owner, ElMail to contractor. Telephone (L�t� JjUUand hold for pickup at �� ( li office. ❑ Deliver with inspector. A16hM1v&� ? 26--0/ Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Depat Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Date: By: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items Contractor, design , owner, of the above required dataTy-0—ph—one, mail, o Building Division counter, b� Date: ,� Contractor, desi er, was advised of the above required data by ❑phone, ❑mail, ❑Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was adyiqed of the above required to by ❑ phone, ❑ mail, ❑ Building Div' ron counter, by Date: Plans reviewed by: D Date: Plans approved by: /�� Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: .' rO =LpU1 / �z :ajnleuBi :Jayap :Buldeaspuel :BUIIJed to - a l mea 1>1 Q :asn IVA®addd NYId JNIaiins-NOIsAIa JNINNVgd c�{J� ON j�;•F a ,,•t•1 `�� `il qct ""I:i, - J�C. 1 � I • S D Existing House , O Gas Dryer 3'0° x 3'0° d.g. slider 6' 0 7� Laundry Room to be upgraded to meet building code requirements. Existing House kadroo� �-- Double 2x4 top plates 2x4 rafters 2' oc typ Corrugated metal roofing A. R-19 Ceiling Insulation UUU(f r CD 0•C-FiQ 1/2" hardboard siding 1/2" 'drywall R-13 wall insulation 2 x 4 studs 0 16" oc ty PT sill typ. --------�a;, Existing conc.. slab U'. (d e Laundry Room 1210 Jackson St. Chico, Ca AP# 3/21 /2001 {. ",,3/21/2 Owner Mich � ., y „ael Holland n n; -",B .rad FIQ�r ffn ails ;i Existing House , O Gas Dryer 3'0° x 3'0° d.g. slider 6' 0 7� Laundry Room to be upgraded to meet building code requirements. Existing House kadroo� �-- Double 2x4 top plates 2x4 rafters 2' oc typ Corrugated metal roofing A. R-19 Ceiling Insulation UUU(f r CD 0•C-FiQ 1/2" hardboard siding 1/2" 'drywall R-13 wall insulation 2 x 4 studs 0 16" oc ty PT sill typ. --------�a;, Existing conc.. slab U'. (d e Laundry Room 1210 Jackson St. Chico, Ca AP# 3/21 /2001 {. ",,3/21/2 Owner Mich � ., y „ael Holland n n; -",B .rad FIQ�r ffn ails N b� rugated metal roofing 9 Ceiling Insulation �— Double 2x4 top plates 2x4 rafters 2' oc typ 1/2" hardboard siding 1/2" drywall R-13 wall insulation 2 x 4 studs ® 16" oc typ. PT sill typ. Existing conc. slab Laundry Room 1210 Jackson St. l/ Chico, Ca AP# 3/21/.2001 -6'UTT"FZ * jOwner Michael Holland � tr "nb iaq:. Burtenshaw -F-lo_Q Plan & [Mails 4 x 4 header ® window rugated metal roofing 9 Ceiling Insulation �— Double 2x4 top plates 2x4 rafters 2' oc typ 1/2" hardboard siding 1/2" drywall R-13 wall insulation 2 x 4 studs ® 16" oc typ. PT sill typ. Existing conc. slab Laundry Room 1210 Jackson St. l/ Chico, Ca AP# 3/21/.2001 -6'UTT"FZ * jOwner Michael Holland � tr "nb iaq:. Burtenshaw -F-lo_Q Plan & [Mails COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: fftic�AJ Hol( a 413DRESS: 112-4 Bcgc� S+ -ITY & STATE: Ck; t b n Of592$ DATE OF CLAIM: 1-02 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE ATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER HAS DUPLICATE PERMITS: AP 0 5-393-001, BP 0 -0346, IPT# 30 OWNER: MICHAEL HOLLAND ' i 'OTAL AMOUNT PAID: 159.k RETAIN REFUND PROCESSING FEE: 25.00 RETAIN PRE INSPECTION FEE: 23.00 TOTAL AMOUNT TO BE RETAINED: 48.00 TOTAL AMOUNT TO BE REFUNDED: TOTAL 111.00 ie undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true correct as stated. - ed this day of re- 6 ti�? at Nco ,Calif. _ A'cJta a , f y,(/ GOA d Signature of Claimant ie undersigned, hereby certify that, to the best of my knowledge, the servicesor articl ecif)ed above h bee performed 6r delivered and t there is a Budget Appropriation I I or Specific Board Approval I' I (Check one) for th $a ad this 8 day of FEB , X.Xg at OROVILLE Caiif. Depa ment Head or Authorized Deputy 3t. Code 440-002 Exp. Code 4210500 PAYABLE FRO BUILDING PERMITS )t. Code Exp. Code PAYABLE FROM )t Code Exp. Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY FUND FUND FUN )EPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 41 PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT G ASSESSOR PARCEL NU BER q3- 00±TE— G BUI G PERMIT OWNER �qNONE (wIV(�-�I SO. FT. OCC. BUILDING VALUATION KM/Jl .OWNERS D - CONTRACTOR' E C.2iLE&A•y�0(o TELEPHONE COM LT MAjL'Qq ADDRESS° J„[ N' COTRUCTION LENDER FirqlAke LENDER'S MAIUNG ADDRESS TiAal Allulallon $ ARCHITECT OR ENGINEER LICENSE NO. Affing Q91 $ 20.00 P r It ree $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS P heckin Fee $ BUILAINGADDRESS 1 r rgy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDNIs�NS NAME P PLUMBING PERMIT Filing Fee 20.00 USEOFSTAUCTURE OW SF,)o Duplex ❑ Mobilehome ❑ Other s Each Tra 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK y A New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Describe Work: O V Gas piping system 1 - 5 outlets 15.00 15, Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S 5. , ° y ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�o.0. LEss 23.00 Z3 • 0 LICENSED CONTRACTOR'S DE LARATION 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 — Lic. No. �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am ex lusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. +, Business and Professions Code for this reason / WORKERS' COMPENSATION DECLARATION 1 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. ❑ 1 have and will maintain®workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carrier Policy Number / (The above sections need not be completed If the permit is for work of a valuation of one hundredfdollars ($100) or less.) rtify that in, t"he performance of the work for which this permit is issued, I shall notemployany person In any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' •compensatio rovisions of section 3700 of the Labor Code, I shall form-mp rth those rovisions. X Date Signature o A Ica t - ❑ Ow er ontractor ❑ Agent An OSHA permit requtl�d-f excavations over 0 ee and demolition or onstruction of structures over 3 stories in heiglit. Main Service 200A TO 1000A 46.00 NEW CONST. Ilw= OCCUP. SO OR ADDNs. a Acc. mss. 3.5¢x: LNdOhi-REBID. MULTI.OUTLE7 @7,50 RAWH POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCcu . OUTLET OR PD=RES B20 @ +.- Ex. Occup. ou R °pR,A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 Z3+� �. ��— - PERMIT FEE S Ry a MECHANICAL PERMIT Fling Fee 20.00 Heating 5 - 1661) Cooling Hood 6.50 Ventilation PERMIT FES $ 36. 00 Mobile Home Installation Fee $ Energy Inspection Fee $ � 3 TYPE TOTAL FEE $ 5q . ,,,,�. IMP FLOOD CDF pgRC0. Po HD SUE This permit Is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate Receipt No. WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK-INSPEqTOR GOLDENROD- PPLICANT + . > +•.. ^~ r.- -�. ti+,E.Y r� •cw+i.'l., .ti ..; - .. .^ ltiti, ,*ter 1_- • , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT,,SERVICES - BUILDING DIVISION rA J K: 7 County Center Drive •. Orovllle; Ca'1'08&d 65965` Telephone (530) 538-7 /41� D PERZIT NO. a (Rev. 12196) APPLICATION AND PERMIT*' ,.C,, !/ rA ASSESSORPARCEL NUMBERS/S.� ^O ZONING BUM GPERMIT OWNER TELEPMONE SO. FT. OCC. BUILDING VALUATION .OWNER5 IU D S _ j • , ��ws CONTRACTOR' E�� UYL1-:49a,(4 TELEPHONE 8o , MAIL`1 ADORE' •�S' CONSTRUCTION LENDER N Fire Ia e LENDER'S MAILING ADDRESS T tal V lualion Is ARCHITECT OR ENGINEER - LICENSE NO. Ilin Fee I $ '20.00 P r4it „ 'Ke $ ARCHITECT OR ENGINEERS MAILING ADDRESS PI : heckin Fee $ BUI'L`DING ADDRESS /"� (J • 1E r Fee gy Plan Checking $ . $ PERMIT FEE S LOT NO. T � SUBDIVISIONS NAME, - I ` PAHO / PLUMBING PERMIT Filing Fee 20.00 ` USEOFSTRUCTURE\ SF,,4 Duplex ❑ Mobilehome ❑ , Other s ' Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel '❑ Utilities ❑ Installation -Describe Work: .lCJ��i./.1i: 1 �d� &,O%a C4. Lu , Gas piping system 1 - 5 outlets 15.00 1 rj Building sewer 15.00 Mobile Home S G W (920.00 I LH I PERMIT FEE a n� ELECTRICAL PERMIT Fling Fee 20.00 800v OR LESSL Main Service 200A OR LESS I 23.00 Z3 • o LICENSED CONTRACTOR'S D� LARATION I hereby affirm under penalty of perjury that I am licq sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of t e Business and Professions Code, and my license is in full force and effect. License Class '� LIC. NO. ER -BUILDER D�FCLARATI N� I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: r" .,0 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. ❑ I, as owner of the property, am ex rusively contracting with licensed contractors to.construct the project '# ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain X 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 >>workore compensation Insurance, as required by Section 3700 of the LaborCode, for the performance of work for which this permit Is issued. My workers' compeyisation Insurance carrier and policy number are: Carrier / " Policy Number / (The above sectldns need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) • I certify that In/the performance of the work for which this permit Is issued, I shall not employjany person in any manner so as to become subject to workers'• compensation laws of California, and agree that 0 1 should become subject to the workers'-compensatio rovisions of section 3700 of the Labor jorthw""-I h'b mptty ith those rovi ions. X Date451* Signature of Ap�lica� - ❑ •O09n r • Contractor ❑ Agent An OSHA ermit is re uired-for excavations over 0 ee and demolition or construction of structures over 3 stories in height. Main Service 20A TO 1000A 46.00 NEW CONST. oWEG OCCUR LLINCSo OR ADDNS. a ACC. S.3.50F WT "NpµRplp, ' MULTI.OtmET (97.50 PowER APPARATus 8 SINGLE OUR.ET'CIR. 00 •Ex. Occu . ounEroR 0. 20 SAL 0 .50 FI7(ED APPLNS. OR Ex. Occup. OLmETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ` Misc. Wirina 23.00 73. R IL Z 23100 13•'00 PERMIT FEE i MECHANICAL PERMIT Filing Fee 20.00 Heating 15.60 1600 Cooling Hood 6.50 Ventilation PERMIT FEt $ :_3 t� Mobile Home Installation Fee $ Energy Inspection Fee $ OCc � . 3 coT_,TVPETOTAL FEE $ 1 �q . U0l..11-. D.� IMP FLOOD Cof PARCEL Po HD TISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Te Receipt No. " Q9y ����9 !%�+� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK' -INSPECTOR GOLDENROD=APPLICANT 0 r ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT C�""�� ASSESSOR PARCEL NUt4BER r�+ � + A� ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.,BUILDING VALUATION - OWN ERSrLI D SS .�. n {•tel CONTRACTOR'S'NAME TELEPHONE / CONTRACTORS MAIF/CJALING D� P" � . , CONSTRUCTION LENDER Fire lace LENDER'S MAILING ADDRESS Total ValuMlon $ ARCHITECT OR ENGINEER LICENSE NO. .Pilin Fee/ $ 20.00 ' Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan,. Checking Fee $ BUILDING ADDRESS . 1 a 10 �� X13 t 'L 1 Energy Plan Checking Fee $ C 4MO-J' it 1&_ in Ilk, �/ � � PERMIT FEE S LOT NO. SUBDIVISIONS NAME ` PARCEL MAP ( j PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE \\ y n SF,I Duplex ❑ Mobilehome ❑ Other 5 / SPECIFY4 ` Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 l TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 13Installation'%0 Other,,0' Describe Work: t(J) G ictc% Q �C /(? �r4t f l n f`_r, h/ �_ r -h.,) ,loD w.7r.,aJ.� A �.L Gas piping system 1- 5 outlets 15.00 1 ,5. � Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE $ e ELECTRICAL PERMIT Filing Fee 20.00 r Main Service .A OR LESS 23.00 Z3-()() LICENSED CONTRACTOR'S 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 �.'� 1)"1 Lic. No. , _ i7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: f ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project.A ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation ,_of one hundred dollars ($100) or less.) hcertify 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 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 ,forfhwith'cgmply with those provisions. X [jt'�� .�"f I [\ i 1'-1',l �1Date Signature -of Applicant - ❑ Owner O'Contractor ❑ Agent ' �l toe An OSHA permit is required for excavations over 60"Aaep and demolition or.construction of structures over 3 stories in height. Mein Service To ,000A 46.00so WEE200A NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACC. eLDS. 3.50FT; NCHO@7.50 NO*RESID. BRANCH POWER APPARATUS a sINOLE ovn ET aR. .00 EX. Occup. OUTLET OR FIXTURES BAL 20 @ I. 0 Ex. Occup. oflinLEis A� � o�w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 .fi) Z 3,C� Z3• C3 1PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating ,AT) 1,5vo Coolingi� f3 Hood 6.50 Ventilation PERMIT FEt $ W Mobile Home Installation Fee $ Energy Inspection Fee $ Occ F, c4NsT, TYPE 0J, TOTAL FEE $ . oo MAZ. D. FEES IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. ot) U - I U. 0' (k , WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK --INSPECTOR GOLDENROD -APPLICANT 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovitle, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96') APPLICATION AND PERMIT C. ASSESSOR PARCEL NUMBER— 393-001 ,i/.lI 93..,.0v1 ZONING - BUILDINGPERMIT OWNER Mlr` t ° F r�/y TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S NNG ADDRESS CONTRACTOR'S NAME TELEPHONE CONTiRAACTORS MAIUNG ADDRESS (0 ° CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filinn Fee. $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS % Plan.`Checkin Fee $ BUILDINGADDRESS j t j 9 (c) \fa �� ,�. � l 1 � �„ � s \ 1 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME f PARCEL MAP �.. PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE �� V ' SF ,b Duplex ❑ Mobilehome 13 Other ►. 1 �� SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition l❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: ! t-11 it -, t �> L /f t 'I! " ' r / [c Ino n h: J r (,cJ� / t ii i l�U J +' 1 r ' n�-. Gas piping system 1 - 5 outlets i 15.00 j -�, e,a Building sewer 15.00 Mobile Home S G W QG 20.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main S@NICs zoOA OR LESS I 23.00 [ � •(�(� LICENSED CONTRACTOR'S 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.�y / License Class C 1 r-, Lic. No. (-) _+l r' �.X — J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 ,forttiwith comply with th'ose'provisions. X L / ~ Datek1 Signature of Applicant - ❑ Owner O -Contractor ❑ Agent I An OSHA permit its required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO tOooA 46.00so WEE200A NEW CONST. DWELLING OCCUP. SO OR ADONs. a ACC. BLns. 3.5¢FT; NEW FpµgESID.NUT' MULTI.OUTLET @7.50 POWER APPARATUS S SINGLE OUTLET CIA. EX. Occup. CUTLET OR FD(TUREs Bq ®I w UNS Ex. Occup. oFimtTs REES,6.GEEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring J 23.00 '`,•t �A a -f t - a- PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating 6 'S+—) Cooling{'.'i Hood 6.50 Ventilation PERMIT FEt S f93 Mobile Home Installation Fee $ Energy Inspection Fee $ occ f, - CONST. TYPE TOTAL FEE $ �{ . O o HAZ. D. FEES IMP FLOOD coF PARCEL PD HD ISsuE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dere Receipt No. "I r7 �r y �/! ' _'- 3 , AI WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L 'File No BUTTE COUNTY Public Works Dept. ,(Fri- Action 1, 21 3, (For Information /I) Director 1 Dep. Dir. J Sec. • Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. • a• 1 Design Engr. r3ridge Engr. Constr. Engr. Surveys Mopping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. P / 14*gc- f!oNge7a,07 v ConlTAT OoNNr'leLY � ASS oc, ,r-Z)EtiTIF/�o ON PGC-WSP, A! A-7&1- (P7 Ted J 6WAC— r-rtNOtAko - , v J�� • 1 • 1 r f. PRE -INSPECTION REPORT OWNER: DATE: LOCATION: 1 CZ I A.P. # 005•- 393— no CONTRACTOR: l'�Cd/l 6�� ��, ZONING: PRE-INSPETION FOR U40 CM)O-C& _Q� DATE TO INSPECTOR ,QL 'off PERMIT HISTORY:( ) NONE (PI -AS FOLLOWS: BUELDING L PECTOR'S REPORT Building Description: Commercial/Usage: - Residential/# of Units: i Currently Occupied� Abandoned/Vacant Electric: yes No Electric currently On_ 5 Off Condition of Electric as �✓ '' k e,412 jo. e,> 14w,(15 b� �ee.')e&,, cirl- Gas: �.l Allp Natural I// Propane None Currently On // Off Obvious Problems: us,qfe/ /3�a fei /oca�irel o��'s t ol,�J�o e.✓r�/os c�� Sanitation: Plumbing Working 1�e S Well Working Potable Water 9 C 5 Obvious SewageProblems Co/mments: ,5',wU/l bus, Az &A- -off. y -O0-4i i4 �l0 {�ee S GtJraSLipi i!/D f ,!1 /Ls",n�.v./o C- d 40' G�iy S lyd?.. r 91a55 mor i..v s //r� u��a �p e✓-.r� 'n � V _ *MON RECOMMENDED: ISSUE: HOLD FOR 'A_t Inspector: Date 2l ZS Sketch buildings on reverse and indicate location on property. 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 dela; 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 materials for construction of the proposed property ' vement : YES >.. NO 2. I HAVE 9 HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person. f Srmt) Ua Ipwvio the.proposed constr= ion: NAME: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work; but . have hired. the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY PHONE: CONTRACTOR'S LICENSE NO. } S. I will provide some of the workI have contracted (hired) the following peirsons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: 7ZDATE: 7-2-�,"O1 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. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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 soutedne*other than yourself, you may protect yourself from possible liability if that person applies for the proper'permit in his or her name. Contractors aro required by law to be licensed and bonded by the State of California,and to have a business Ikmse from the city or county. They are also required by law to put their license number on all permits for which they apply. { Ifyod ptad to ddim(t r own'woik whh the w6eption of various trades that you plan to subcontrvA you should be aware of the following Information for Yourbenefit and protection: ' e If you employ or otherwise engage any pets other than your immediate family, and the work (including materials and other costs) is 5300 or more for the en�r' a project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. W. If you are an employer,. you must register with the State and Federal Governments 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. 0 There may be financial risks for you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ® For more specific information about your obliphons under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administnition). 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. Ma ger. Building inspection NOTE. This Owner -Builder Information Is required by Section 19830 of the Calt(ornla Health and Safety Code - OVER E.H. USE NLY _ Plot Plan Attached Floor Plan Atta hadT— ] <) n Sant to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance /.--N-d Owner Location AP# Plan Approved for: Sewage Disposal ter' Water Supply: Public Private Well Clearance for dwelling. Other nvru 1311431 v, . Final clearance O.K. for: NOTE: C:i 8/96 C nmental Health Specialist Date ertr� �" II;I Tki5 lavkJ vo fats Fy-�L APPROVED qLae County irmmw" lot 6 LIM rDUAkEOAUVV- fro -fu R(Ddj Environmental Heal h -1:-. JUN - 8 2001 inch:= 10I Chico, California ` Existing House El %%" Gas Dryer 6' 4 x 4 header @ window Envlronn?ental Health JUN _ 8 2001 Chico, California N �o»tal Health P- o y X (D (,) O 1 t Laundry Room to be upgraded to meet building code requirements. ------------------------- Existing House Double 2x4 top plates 2x4 rafters 2' oc typ metal roofing R-19 Ceiling Insulation "t C, 9'k I I ('�cP — 1/2" hardboard siding — 1/2" drywall R-13 wall insulation — 2 x 4 studs @ 16" oc typ. —PT sill typ. — Existing conc. slab Laundry Room 1210 Jackson St. Chico, Ca AP# 3/21/2001 Owner Michael Holland Drawn by Brian Burtenshaw Flnrur Plan & (b6tails N HOU S T NG F=AT R PROGRAM CONNERLY & ASSOCIATES, 2215 21ST STREET, SACRAMENTO, CA 95818 6jt 2 q 3,3 . P 410 <918> -4784 :::eii r: .. ..;. .•................ AT:I�}PI .:4.... K. Pg... F.. . ........................•..............................•........................•.•.•...•.•.•.•.•.•.•...•.....•...•. - WORK WRITE-UP - �/d.�►w� �•+� � L APPLICANT Michael Holland PROPERTY ADDRESS 1210 Jackson St CITY, STATE, ZIP Chico, Ca 95928 MAILING ADDRESS 1724 Buch St CITY, STATE, ZIP Chico, Ca 95928 PHONE NUMBER Days (916) 345-7655 Eve (916) 345-8097 DATE : June 2, 1992 The following work is to be performed by licensed contractors and/or the homeowner for the purpose of bringing the subject property, which has been found to be substandard, into compliance with local housing/building codes and regulations. The contractor or owner, in the case of an owner performing his/her own work, shall be responsible for determining the applicable code requirements and for performing work in compliance therewith. Estimates shall be based only on the work specified in this work write- up. Contractors discovering or suspecting an error or omission in either this write-up or plans (when applicable) shall promptly report to the Housing Rehabilitation Consultant (916-456-4784) so that items in question may be investigated for possible addition to required work. All work must be performed in compliance with published "grades and standards". Materials must match, be of equivalent quality, or exceed those published on "materials list". If not listed, "medium grade" should be assumed. Owner's preference for style and color should be followed wherever possible. Allowances, when listed, are guidelines for purchases. All items purchased as "allowances" must be approved by the homeowner. Any measurements and drawings attached hereto are to be considered approximations unless otherwise stated. The responsibility for determining the exactness of structural measurements and other specifications shall be that of the contractor and shall be a condition implicit in all bid or proposal submittals. 1 HOUSING REPAIR PROGRAM - WORK WRITE-UP 11100043-TIMMM I A copy of the building permit will be required BEFORE construction begins and shall be provided by the contractor. The contractor will secure all necessary permits to complete the entire project and must submit to the local entity a signed -off building permit at the completion of the project. IT IS THE CONTRACTOR'S RESPONSIBILITY TO ASCERTAIN, OBTAIN, AND MAINTAIN RECORDS OF ALL REQUIRED PERMITS. Provide dumpster service or daily removal of construction debris for duration of contract. Premises to be left in a broom clean condition on a daily basis. • H 9 %).,.....•i Remove the existing concrete footing. Install a new perimeter foundation system for the existing residence. All new work -to be to current UBC and local jurisdictional codes. El ,NTI_ Strip and dispose of existing deteriorated roof covering over residence to bare wood sheathing. Remove all nails or pound flat. All holes over 1/2" in diameter shall be covered with metal flashing. Provide and install all materials necessary to replace deteriorated wood members where needed. Provide and install 3/8" CDX plywood sheathing over entire roof area. Nail and space as per manufacturer's specifications. Provide and install a 240 lb, 25 -yr, Class "A" fire rated fiberglass composition roof shingles per manufacturer's specifications. Install over a layer of 30# non -perforated roofing felt. REPLACE ALL SHEET METAL WITH NEW: including roof jacks, crickets, saddles and or flashing/edge strips. NOTE: ALL ROOFS TO HAVE A 5 YEAR WARRANTY ON LABOR/INSTALLATION AND A SUPPLIERS WARRANTY ON ALL MATERIALS INSTALLED. (APPROXIMATE NUMBER OF SQUARES: 15 ) E 2 I 0 HOUSING REPAIR PROGRAM - WORK WRITE-UP - ---------------------------------------- ---------------------------------------- Replace the main service entry panel with 100 amp CB main service in a rain -tight entrance panel b -ox, (Crouse -Hinds 3C -002 -AR or any approved equal). Check for re -use of existing weather head/periscope or provide new weather head/periscope. Service feeds to meet all current local and national electrical codes for replacements. Reconnect existing circuits to new panel. Balance loads for existing circuits. New circuits: GFCI breaker of the same amperage on circuits feeding the bathrooms, kitchen counter outlets, one in garage, one in laundry, and any exterior outlets; a 20 amp circuit breaker for the laundry outlets, one 30 amp 240V for the water heater (if existing); one 50 amp 240 V for the stove; four 15 amp 120V lights/general purpose; three 20 amp 120V dedicated for the kitchen; one 20 amp 120V general purpose outlet circuit; two blank spaces. Provide and install No. 8 bare copper hard drawn ground wire from the grounding terminal of the service entrance box and fastened to the street side of the metallic water service pipe and to a rod 1/2" x 8' copper ground set 1" above grade. Use a bronze grounding clamp. Ground wire must be in conduit where exposed to any external damage. ID all existing and new circuits at service panel/sub panel(s) in ink. Rewire the existing runs in the attic. All existing switches, outlets, receptacle "boxes, and junction boxes need to be checked for serviceability and replaced as necessary. All receptacles within 6 ft of all sinks or bathtubs shall be GFCI protected. Exposed wiring in the garage [ below 7'] must be encased in walls or in approved metal tubing. $ Provide and install R-30 Kraft paper -faced fiberglass batts insulation in the attic over the living area of residence. NOTE: PROVIDE CANT STRIPS AT EAVES WHERE RIGID INSULATION IS USED. (APPROXIMATE SQUARE FOOTAGE: 1,200 ) Provide and install all materials necessary to hook washing machine to sewer line. All work to be done to code. Provide and install a temperature and pressure relief valve. Relief valve shall have a 3/4" diameter copper drain pipe extending to the exterior of the building and shall point downwards. 3 HOUSING REPAIR PROGRAM - WORK WRITE-UP - 8. CARPENTRY Provide and install all materials necessary to replace deteriorated front and rear porch covers. All new work to be done to code. $ Provide and install all materials needed to construct a water heater room. All work to be done to code. Provide and install all materials needed to construct a step for front entry. SUBTOTAL OVERHEAD/PROFIT TOTAL $ Any deviation from this bid in cost, materials, labor or scheduling shall be documented in a change order in accordance with the provisions in the owner/contractor agreement. PREPARED.BY TODD CELIZ Inspector 4 DATE HOUSING REPAIR PROGRAM WORK WRITE-UP - ---------------------------------------- ---------------------------------------- The undersigned hereby certifies that the above information is accurate to the best of his/her knowledge, and that he/she has the authority to legally bind and negotiate for: COMPANY NAME: ADDRESS: TELEPHONE: CONTRACTOR LICENSE: EXP. DATE: DATE I ACCEPT THIS PROPOSAL SUBJECT TO LOAN APPROVAL AND EXECUTION OF OWNER/CONTRACTOR AGREEMENT. OWNER DATE OWNER DATE 5 HOUSING REPAIR PROGRAM - WORK WRITE-UP - ---------------------------------------- ---------------------------------------- Tem Reid Division of Environmental Ilealth Jim Glander. Building Inspection Division 7 County Center Drive Oroville,-Californ,ia 95965 Gentleman: 1/We request an inspection of the property identified below for the purpose of obtaining financial assistance for home repairs under the County's Community Development Block Grant Rehabilitation Program. I/We understand that if 'this• inspection uncovers health and safety. violations, we may be required to remedy these problems whether or not we receive financial assistance under this program. SIGNED: Owner Date OwnDate er Property Address 34.5'— CJorLC 3VS- ?o7 Phone T— — iS?;-r rC �: -J lig o ® I CONNERLY & ASSOCIATES, INC. CONNERLy 2215 21ST STREET SACRAMENTO, CA 95818 & ASSOCIATES y (9]6)456-4784 '��2 ll�'1(2. CaA J I- �Y'��1 d V JcU-S-1 V7 (V7 5'�C,;h `c" . i co aw rs -J--� ✓ losf 7��d Sib L�—, w ` I -S3 3N CS` C)46 - I k - `3 po I 0 Sid 861 I r , ngyO� o �o WINN HOUSE MOVERS Highway 45 -- Road 24 0 Phone 826-3322 P. O. Box 578 • Hamilton City, Calif. 95951 PROPOSAL SUBMITTED TO: PHONE- lL�� IliG7l7` %IL �� I We h dstimateVsf gp �'� DATE JOB NAME/C;;?/O STREET I;/1�t4 CITY & STATEZ 1 Aov 7 1W N° - 0'617 Moving S or S Raising S Concrete $F4 7d S s Sub . Total $ Permits $ TOTAL $ V1-`'"'C./`'a.11 ITEMS NOT INCLUDED IN THIS CONTRACT 1. Electrical. 2. Plumbing. 3. Steps or sidewalks. 4. Carpenter work at new site. S. Cost of utilities, wire raising or removal to move over eight structures. 6. Building permits required to relocate structures. 7. Building permits required to raise structures for foundations. NOTICE TO OWNER "Under the law, you may protect yourseit againsT such claims by filing, before commencing such work or improvement, an original contract for the work of Improvement or a modification thereof, In the office of the county recorder of the county where the property is situated and requiring that a contractor's payment bond be recorded in such office. Said bond shall be In an amount not less that fifty percent (50 percent) of the contract price and shall, In addition to any conditions for the performance of the contract, be conditioned for the payment In full of the claims of all persons furnishing labor, services, equipment or materials for the work described in said contract." "Weereby opos t fur ish bor and m en Is, c plete in ac dance wahthe above specifications, for the sum of: >:r-dellars ($ QQ-with payment to be made as follows: Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. All costs of utility wire removal and raising at customers expense. Time allowed for completion of job is 30 days. After 30 days co must a aid ' full. n to not completed in 30 days a rental fee of $5.00 per day will be charged for equipment r ntal. After d rent fee of 0.00 per will be charged. Authorized Signature NOTE: This proposal may be withdraw y us i not accepted within days. ,�rrrp#amz of 1roprizal The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. ACCEPTED: Signature Date _ Signature Late or "FINANCE CHARGE" will be added on overdue accounts at the rate of 1%% per month which is an ANNUAL PER- CENTAGE RATE OF 18%. n Kristine Taylor Connerly and Assoc. 2215 21st. St. .Sacramento, Ca. 95818 Dear Kristine: The estimate for re -roofing and re -wiring the residence located at 1210 Jackson St. in Chico Ca. is as follows: 1. Remove existing roof' covering, reframe porch areas, sheath and place fiberglass roofing, and cleanup. $3006,00 2. Remove exi.sting.wir.ng in attic area and re -wire, place new load center, and place ne'v-i electrical outlets, $2000.00 Thank you for your patience concerning this matter.