HomeMy WebLinkAbout005-404-0085'--
Betty Tackett F��a9d
696E.-12th_St., Chico T, Tommy065 - 5487B#
Contr: Harry BakerEle, Chico- — _ __3497EPermit#3678-82E(ele ser ch cir 'rl
washer C•�kcen circuit� 12th St., Chico r,
on) (*RENEWAL)
Contr: Gar 5-404-8
PErmit#640-88B,P(remodel/SFS
����� /� _
005-404-008 - 99-2000 -
WILSON, RUBY 99-2001 }
696 % EAST 12THSTREET, CHICO_ Pry ---i`
CONTR: KENNY OLSEN ' . r
DEMO DETACHED GARAGE f���..+'�'--A ;
RE
MOVE & REPLACE FURNACE REHABILITATION INSPECTION
5-404-8
3-10-92
4
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005-404-008 99.2�Op
n n- WILSON, R:BY
696 %2 EAST STREETCHIC(CONTR: KEY OLSEN
DEMO DETACHED GARAGE
REMOVE & REPLACE FURNACE
f
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • OroA16', Cdiifornia 95965 • Telephone (530) 538-7541 PERMIT
(Rev. 12/96) APPLICATION AND PERMIT C• 1e4
ASSESSOR PARCEL NUM5,),, — ^
UU
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAINQ ADDRESS LLSf •
`
CONTRACT R' NAME TELEPHONE
1z-41 q/1 a
CONTRAC ii�JJDRE,SS_, ,1 A r&�
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE N0.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS %t E
Energy Plan Checking Fee
$
PERMIT FEE
$ (j(
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE (
SF P Duplex ❑ Mobilehome ❑ Other
SPECIFY I
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 i
New ❑ Addition ❑ �R.je� model ❑ Utilities ❑ Installati-onn ❑ Other ❑ I!
Describe Work: ( ,,� Q ZI W 0,' At �:f; I C:t �_.1(Z �i I
V
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200A OR LESS
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.
License Class g.i Lic. No. Y 3 U
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 4,7!7z. In -4-
(The above sections need not 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 Date / Ci
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. a ACC. BLDS. 3.5QFT.
FIpµR61D MULTI.OUTLET
97,50
POWER APPARATUS
a sINGLE 0. .111.OWNER-BUILDER
EX. OCCLI OUTLET OR FIXTURES 20 @'00
BAL @ .SO
Ex. Occup. ol�s Aes�io°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CAIMT. TYPE
�k TOTAL FEE $
HA!._
_
D. F IMP
FLooD
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CDF
pARC0.
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ISSUE
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.
/ UL, - p.�� 94?of
By Z�IQ 1; l _, Date O
PERMIT EXPIRES ON 9.3�� V
Date
ReceiptNo. 7�`3 7 6 el,1, D' w
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
._J
K
no
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Californir 95965 • Telephone (530) 538-7541 PERMIT
(Rev. 12/96) APPLICATION AND PERMIT C�
ASSESSOR PARCEL NUM o ��1J ,_ Q �
UU
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
49-16
SO. FT. OCC. BUIL DINCI VALUATION
.OWNERSLIN DRESS I AL
,
CONTRACT. ' NAME TELEPHONE
CONTRACQV
�D L�Cj ,,M(
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS I
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS �/ I /" ` /�
Energy Plan Checking Fee
$
$
PERMIT FEE
$11)(),00
LOT NO.
SUBDP/ISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ,k Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
2 3. 00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:f Q 47 Qa w
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
LE
Main Service zoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licansed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license IS 'n full force and effect.
V
i e)
License Class Lic. No. •y // 23
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 wife 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 perrait 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 nof be completed of the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work -or which this permit is issued, I shall
not employ any person in any manner sc• as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of secton 3700 of the Labor Code, I shall
forth 'th comply with those provisions.
X _ Date
Signatu a of App -cant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP, SO
OR ADONS. a ACC. eLOs. 3.5QFT:
NEW RESHOT' MULTI -OUTLET
@7,50
POWER APPARATUS
& SINGLE OUTLET CIR.Ex.
Occup. OUTLET OR FDRURES SAL @ I.50
Ex. Occup. DuxT EDAR 6. 0" 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
cc
C44SL TYPE
TOTAL FEE $ �. 00
HAZ. D.
IMP
FLOOD
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CDF
PARCEL
PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indica above for which fees have been paid.
By o .Date :gU'9q
PERMIT EXPIRES ON o -3 P 00 0
Date
ReceiptNo. .3 CU
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTN OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive-06ville, CA - (530) 538-7541
CORRECTION NOTICE
OWNER 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 imrriediately.
j
.t
Datef lInspector
REV 10/92 '
. w _ .._ YSY .v .� . ..�, .. , ....cs^^Y'i••_7<ry � :•y;v, .. � r� r. y...�..,-�..,�., q.,K vrrn .ns.ec�yyr-.�rrs
' 1a.
k r005-4047UURUBY 2001 t
WILSON, TH STO
696', EAISTT 12 OLSEN
° CONTIR
DEMO DETAC PLDACE ARGNIi
REMOVE 8c EtE
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COUNTY OF BUTTE - DEPARTMENT O DEVLOPIENT SERVICES - BUILDING, DIVISION
7,Gounty Center Drive • Oroville, alifornia 95965 •,Telephone (530) 538-7541 PERMIT No.
(Rev. 12/96) \ APPLIC ZONA DPERMIT
ASSESSOR PARCEL NUMBER �1/'��
ZONING
BUILDING PERMIT
OWNER
4TELEPHONE •-:�O
SQ. FT. OCC.' ! BUILDING VALUATION
in 0'
OWNERS MAWNrG' DRESS i
�n y 4
CONTRACTO 'S NAME TELEPHONE
1fl n
CONTRAC - ADD 1, ? T
{/
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS' _ 1
Total Valuation $ I C165, UV
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS .y
Plan Checking Fee $
BUILDING ADDRESS
(„� -•�h ��
Energy Plan Checking Fee $
-r
PERMIT FEE S
•(?(j
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
r =,
SF,*� Duplex ❑ Mobilehome ❑ Other
'SPECIFY
Each Trap
;7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
t 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 13Utilities ❑ In/sstalllllat�ion❑ Other ❑
Describe Work: 1V.-� eR_-e q)�r`C C Q
1C
o t t— at Jl! v t aC Q `"'t "t
Gas pipinstem 1 - 5 outlets
15:00
Buildingsewer
15.00
Mobile Home S G W
@20:00
PERMIT FEE $
jj// /� g rye•. �j (t ^ ~
ELECTRICAL PERMIT
Fling Fee 20.00
600V OR LESS
Main Service 200A OR.
R LESS
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 inAull force and effect. -
License Class 1.5-) Lic. No. 1
� � '1 ?- 3 G
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the'iollowing reason: I
❑ I, as owner of the property, or my employees with wages as their sole compensation,
willtdo the work, and the structure is not intended or offered for sale.
❑ 1, -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
Main Service Zoog To +000A
..46.00
NEW CONST. DWELLING OCCUP.
( .FT
NRA
9 5¢sG.
corer. MUL"�TI OUTLET
NON-RFSID, c
97.50
POWER APPARATUS
8 SINGLE OVTLEf CIR.
-
Ex. Occu . OUTLET OR FDRURES
20 @ I.00
BAL Q_ .50
Ex. Occup. ourEit s R6ID.°RFA
,45.00
Temporary Service
'23.00
Mobile Home Facilities
20.00
Misc. Wirina
29.00
PERMIT FEE $
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. -
❑ I 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 1#4.1 G e m R �PERMIT
Policy Number O's -11 G In -5— p _
(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
forthwith comply with those provisions.
l
X /7p./ll/il1J•, Date / '��/
Signat eru of Applic ,nt';gEg� wn [03Contfactor 0 Agent/
An OSHA permit is required for excavations ver 5'0" deep and demolition or construction
of structures over 3 stories -in height.\�,.
MECHANICAL PERMIT Fling Fee 20.00
Heating pU j* 'm
Cooling
Hood 6.50
Ventilation
FEIE $ 3�• �U
Mobile Home Installation Fee 1.$
Energy Inspection Fee $
OCC
R • j
CQNST. TYPE
TOTAL FEE $ ni
HA2.
D. IMP
FLOOD
LO
CDF
PARCEL
AR
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HD
SSUEm
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.
By Date
PERMIT EXPIRES ON' 9-30-69000
Date
Receipt No. y-�j y W %d• dU
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 - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER jr%�
v TO -on
ZONING
BUILDING PERMIT '7
OWNER
EUPHONEqq, poi
SO. FT. OCC. BUILDING VALUATION
.OWNERS
-•i-�N-i
0,00
I qt
CONTRACT90 NAME
TELEPHONE
CONTRACTORS IING A D
`y
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $ , 015
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDINGADDRESS _' L
^Tl-./►,
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SFX Duplex ❑ Mobilehome ❑ Other
SPECIFY_
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instatation ❑ Other ❑
Describe Work: �y�-
`�
Gas piping stem t - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
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 1 111 f rce and effect. j�
License Class Lic. No. % 7 3 U
UILDER DECORATION ER-B
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.
❑ 1, 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' compens tion insurance rner and policy number are:
Carrier t: A"_7 t �0-" 4!
Policy Number 10 — y V
(The above sections need not be complete] 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
forth ith comply with those provisions.
X Date �J
Signat re of Appli ant—Et-Owner ❑ Contractor ❑ Agent
An O A permit i required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service zoOA TO I000A 46.00
NEW CONST. DW EWG OCUP.
I
NC3.5Qso
OR (
NEWcONS.
MULAOCou�rLES.
NON-RESID. BRANCH CIRCUITS @7.50
POWER APPARATUS
a swGL
E OuaET CIR.Ex.
OCCU . OUTLET OR FIXTURES SAL @':50
OWN
PPLNS
Ex. Occup. ountrs RESID.OEl 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating /5•QD ,01D
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ S•
Mobile Home Installation Fee $
Energy Inspection Fee $
/Loci
aATYPE
TOTAL FEE$ Q.
HAZ.
pIMP
FLOOD
CDF
PARCEL
PD HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated bove for which fees have been paid.
By Date $-30-99
PERMIT EXPIRES ON -.T0'-0q000
Data
Receipt No. L 3 V5 -3 1V %J. 10
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
4
7
.. V' td
_ -•- u e oun y
_ LAND OF N1A U,Z ; W _A 3_AU
s DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Address O 196 Memorial Way CP7 County Center Drive O 747 Elliott Road
Reply to Chico, California 95926 Oroville, California 95965 Paradise, California 95969
Telephone: 916/891-2727 Telephone: 916/538-7281 Telephone: 916/872-6308
February 10, 1992
Connerly and Associates
2215 21st Street
Sacramento, CA 95818
RE: Rehabilitation Inspection - 696 East 12th Street, Chico, CA
95927 AP# 5-404-8
Gentlemen:
On January 28, 1992 an inspection was made of the above premises
as part of the Butte County Rehabilitation Project currently
underway.
The dwelling is a one story wood frame and wood siding structure
with a composition roof and pier support system. The dwelling is
served by public water and natural gas. Electricity is provided.
Sewage disposal is by a septic tank. The dwelling has a partial
basement.
This Department recommends work to be completed as included within
the Rehabilitation Work Specifications dated December 10, 1991.
The following items are required to comply with minimum
requirements of the California State Housing Law.
1. Repair or•replace the roof as necessary to exclude the
elements.
2. Replace all deteriorated sheathing and roof supports as
necessary during roof repairs or replacement.
3. Replace all dry rot siding.
4. Repair or replace the front porch as necessary to replace dry
rotgwood, provide a secure support for the porch cover and to
properly support the floor.
5. Provide adequate combustion air for the hot water heater.
Connerly and Associates
February 10, 1992
Page 2
6. Provide a temperature and pressure relief valve for the hot
water heater properly vented to the outside.
7. Locate and eliminate the source of leakage into the basement.
8. Provide a smoke detector for sleeping area.
9. Paint or otherwise resurface exterior walls to protect the
wood and to.exclude the elements.
All repairs, reconstruction, replacement or patching shall be
completed to the extent necessary to result in a finished product.
This may require new materials. Inspections permits shall be
obtained as required.
Yours truly,
Thomas Reid, Director
Division of Environmental Health
TR/mlf
,cc:Jim Glander - Building Department
Ruby Wilson, 696 East 12th Street, Chico, CA 95927
lot
S voy- 8
Tom Reid
Division of Environmental Health
Jim Glander
Building Inspection Division
7 County Center Drive
Oroville, California 95965
Gentleman:
I/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
Owner
Property Address
Phone
71
Date
Date
HOUSING REPAIR PROGRAM
CONNERLY & ASSOCIATES, 2215 21ST STREET, SACRAMENTO, CA 95918 (918) 456-47e4
APPLICANT
PROPERTY ADDRESS
CITY, STATE, ZIP
MAILING ADDRESS
CITY, STATE, ZIP
PHONE NUMBER :
DATE :
.......
.............•...•.,.•...•..._.•.•.•.•.......•.....p.,.,..
WORK WRITE-UP -
Ruby Wilson
696 E. 12TH Street
Chico, 'Ca 95927
SEE PROPERTY ADDRESS
SEE PROPERTY ADDRESS
(916) 343-5095
December 10, 1991
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 -
----------------------------------------
----------------------------------------
• ;r
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.
$ 150
�
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 300 non -perforated roofing felt.
REPLACE'ALL SHEET METAL WITH NEW: including roof
and or flashing/edge strips.
NOTE: ALL : ROOFS, TO HAVE A__...,...5... YEAR WARRANTY ON
SUPPLIERS WAVAW9TY ON ALL MATERIALS INSTALLED.
(APPROXIMATE NUMBER OF SQUARES : 16 )
jacks, crickets, saddles
LABOR/INSTALLATION AND A
Remove the dilapidated wood (stairway /entry deck)
(LOCATION: Front Entry )
Form and pour 4" thick 2,000 PSI concrete floor slab. Prepare and
compact subgrade to required density, provide 4" thick compacted gravel
base course, approved moisture barrier and 6"x6"x 10 gauge EWWM
reinforcement. Provide 1/2" thick PEJF wherever new concrete abuts
existing concrete. Steel trowel and broom finish new concrete.
(LOCATION: Front Entry )
(SQUARE FOOTAGE: 40 )
2
N
M
HOUSING REPAIR PROGRAM
- WORK WRITE-UP -
5. SIDING
Remove existing wood siding on the dwelling where needed.
(APPROXIMATE 10 LINEAR FEET )
Provide and install new wood (plywood/lap siding) siding, over 15# non-
perforated. felt paper. Door and window trims to match existing. All
fasteners -to be galvanized.
(APPROXIMATE 10 LINEAR FEET )
Pressure wash the exterior of structure with a 2,000 PSI water blast to
achieve a sound and tight painting surface. (Allow to dry thoroughly).
Burn (hot-air/torch), scrape, sand and/or remove loose/spalling paint
from woodwork. Fill all depressions and cracks in exterior surfaces with
approved fillers, to•create a uniform finish. Include caulking all lap
joints/trim lines for exterior siding.
Prime entire exterior with one coat of premium quality oil base
primer/surface conditioner, to manufacturer's specifications.
Paint entire exterior with a premium quality latex, applied per
manufacturer's specifications, to achieve a uniform color coat.
Property owner to have a choice of one base.and one trim color.
$ 2,500
3
HOUSING REPAIR PROGRAM.
- WORK WRITE-UP -
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 SCOTT FRICKER DATE
Associate Program Manager
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 is
for:
AL@lV#12A'A'Mz[o Vvt*
ADDRESS:
TELEPHONE: LICENSE: EXP. DATE:
CONTRACTOR DATE
I ACCEPT THIS PROPOSAL SUBJECT TO LOAN APPROVAL AND EXECUTION OF
OWNER/CONTRACTOR AGREEMENT.
L
OWNER DATE
OWNER
4
DATE
J
;�� S
�'� W
Q
,
.r
Y
1
{ PERMIT NO. 640-88B, P
1
PERMIT EXPIRES
OWNER BETTY TACKET
CONTR. Gary Kerch
ASSESSOR PARCEL 5-404-8
LOCATION 696 E. 12thSt, Chico
i
.i
Tamp. Pow-- "-'-
Called
: Temp. Elec
Called
Temp. Gas
i
Called
JOB FINAL
Signatu
❑ BLLN� REQUEST FOR INSPE
t
Owner:_- " Contractor or Tenant:
Complaint:
BLDG.
PLUMB/MECHM
-' .H.L/M.H.U.
PRE -
Form
Rough
Corrections
INSPECTION
Frame
Top Out
ce i9al
41
Housing
Stucco
Fireplace
Gas in
Te p. G
I/ OTHER
Job Status
Permit Renewal
Bond Be�jn
g
ell Ci uit
Verify Utilities
Insulation
iping
Corrections
Shower Pan
Corrections
Final
Corrections
READY
Finala.m.
FOR INSP. ON
19
Final
p m
Date:
Time: Note:
= OK
0 =-Not OK•
Not Read�yable MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s ''
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts_Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures.
6. Carports; Windows -Doors
7. Utility Clearance
7. Elea
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -1211
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1 Date. Card -B1 Date
Card -B1
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -131 Date
Card -B1
Date Card -131 Date
= OK
0 = Not OK
Applicable
- =Not Applicable RESIDENTIAL (Singift and Duplex)
•
= Not Ready -
Date
UNDERFLOOR'(Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks;`Soils-Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting.Doors-Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall &'Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15: Insulation
58. Insulation-Walls-Cig.
59. Infiltration-Walls-Wndws
Card -B1
Date Card -131 Date
Card -131
Date Card -B1 Date
Card -81
Date Card -61• Date
Card -131
Date Card -B1 Date
Date
PLUMBING (Permit)'OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test &Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace;'Vents-Clearance-Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -61
Date Card -B1 Date
66. Stairs & Rails
Card -B1
Date Card -B1 Date
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen &Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic ❑ Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor D Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
80. Stucco; Brown -Finish
Card -61
Date Card -131 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -B1 Date
82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -B1 Date
Card -B1
Date Card -131 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
38. Sills, Proper Material & Anchors
Card -61
Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCEL ONUM ER
ZON G
BUILDING PERMIT
OWN
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
SSE
OWN l;nN GADORE/a LJ'5? .
/ 7
CONTRACTOR'S NAME
TELEPHONE
CONT ACTO 'S MAILING ADDRESS
Fireplace
CONSTRUCTION L DER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
FTZE4T
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARC OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
'
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF�D Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 eb
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New❑ Addition❑ Remode5& Utilities❑ Installation[] Other❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
1
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness
and Professions Code and my license is in full force and effect.
License No. Classification
[�,• I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
eor sale. (Sec. 7044)
l. as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW ACDNS. C DWELLIN GOCCUP EI� S.
'/22sgft
NEW CONSTR. u I.oUTLET
NON.RESID .BRA CH CIRC S
2.50 ea
/POWER APPARATUS tr
(SINGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES
SA2050
FIXED ALNS. OR
Ex. OCCUp. OUTLETS P(RESIDJ EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate,De
Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
=
Contractor
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 of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County ' onsequence of the granting of this pe "t.
X Date .51.-,2-
Signature of Applicant — Owner n Contractor ❑ Age
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee., $
Energy Inspection Fee $
TOTAL PERMIT FEE $
o uP.
co FyPc
ISCN:T��fo
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO"F PUBLIC
BY 22Z4,XDate
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
`��`' 'rii w^' y., t+�'�yy t �,ii y ,.x•-Y+� .r►(nP (+r Wlt+~Cti`t TM rf 1 1� d ". p ed" r
-= .;1".Jl �' � ,rr "' .+ .�-fir ��t ,Y� t. ri►`"Y,. �`".�..xa�' 1,..'`tr�+��tlt)r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISLON
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICHO'N DATA SHEET
OWNER 7r
Proposed Building
Permit No.
A. P. No. e
Building Inspector
> - 51.61 -,
Date
At time of permit application, I was adv sed the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. _
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District ''Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . , . . . . .
9. Letter of signature authoriza-ion. . . . . . . . . . .
10. Sanitation approval from _ Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
_14" Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_.__...._15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . "'
Pre-Inspec. request to (Dote)
17. Pre -Inspection for--.-,---- . ..-._.__ _ Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. _ —
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone and hold for pickup at office, Deliver w/inspector.
nthP."
Copy of plans sent Health Dept.; Fire Dept., Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by—phone—mail counter by date
Contractor, designer, owner, was advised c? above required data by—phone —mai l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
KWJ
Dear Sir:
� ,� a.�I ter. .� M. .� ... . - .• w
This set of plans and specifications MUST be
kopF on the job at all times and it is. unlawful to
Mike any cheinges er alterations on some without
written permission from the Department of Public
Works, County of Butte.
PROPOSAL and CONTRACT
-1 .
NOTE—Ail Materials & Workmanship -ShaH ift e
Accordancea�e Re6bgnizQ 2Good Pra nd9
%' of • quaNty prescri a or the Specified use in the
0.0 �� 'form Building, Plumbing & Machanical Cady, e>4d
lVAMAf/, Yl�wir . -- .-
A6
A6 f��I s1. C_k"C_Q r. M24
propose to furnish all materials and perform all labor necessary to complete the following:
6062 scall (39") , Inav!
I „ ,,
/XS Sl,,
All of the above work to be completed in a substantial and workmanlike manner according to stand-
ard practices for the sum of Oni.f'%eu.5AVIA - i,L k(AnJei;�,�d/_'�C� Dollars ($ )13Q )
o c, r �J
Payments to be made st9i -7(7)O—rn CA- I1!�,'ct �5
n as the work progresses
to the value of QaE_ h(AnARr( � per. cent (/dD %) of all work completed. The entire
amount of contract to be paid within J days after completion.
3 Any alteration or deviation from the above specifications involving extra cost of material or labor
will only be executed upon written orders for same, and will become an extra charge over the sum men-
tioned in this contract. All agreements must be made in writing.
�/*'c)coGCg30,z-' ,-3(--)A�/ Q►'\1S/ Respectfu submitted, E
J < BY
ACCEPTANCE
You are hereby authorized to furnish all materials and lab,�r� { quuiirreede�occ t i� work men-
tioned in the above proposal for which agree IX� n;t entioned in
said proposal, and according to the terms thereof.
d ��
ACCEPTED 0 vi;n
Date , 19 1
".'0" AIGNER FORM NO. 50.250 PRINTUD IN USA
L
_�' _
y�...Iy +iF''"+`�[?'v`•x�.f^.! - r..'^'M,Yr'i#'k Vfv.`*.1. '!. r-. .. - .�.:� wn..+�,.r+r, .q ve �'s'""1%
_m
y�...Iy +iF''"+`�[?'v`•x�.f^.! - r..'^'M,Yr'i#'k Vfv.`*.1. '!. r-. .. - .�.:� wn..+�,.r+r, .q ve �'s'""1%
PW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
01 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
• APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
_ Z�'4/— O
ZONING
A Z,
BUILDING PERMIT '
OWNER�, ,�/
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'SNAMETELEPHONE
14,;,",,e � ��f J'
v —IZ/
CONTRACTORPS MAILING ADDRESS
' / G
Fireplace
CONSTRUCTION LENDER
A10
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
AJ
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS / j
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑GDuplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00e
TYPE OF WORK
New ❑ Addition [:1 Remodel ❑ Utilities ❑ Installation ❑ Other �
Describe work: /� �fl�T S��U/lf �t,. Z C.u��
!
/A [ -//!C !J %� �f✓/I I4/ /t L'Nr+ C R r ��A^, r�/7 wi�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
10.00 /0,00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. // DWELLING OCCUP.&
OR ADDNS. 1 ACC. BLDGS.
21/2Qsgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Q/I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. ; �EA I � Classification P— /to
MW#`_1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
,{ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
�, l am exempt under Sec. , Business and Professions Code
-�
for this reason
NEW CONSTR ULTI-OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS &1
NON.RESID. SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES Sslog oQ
FIXED APPLN5. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) Z 2.00 (J cJ
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ c , DCS
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
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 of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against Said County in consequence of the granting of this permit.
X��%' '>'� Date �1/� -
Signature of A, icant — Owner❑ Contractor'® Agent F-1work
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
9C
TOTAL PERMIT FEE $ 00
OcCUP. GROUP
I TYPE OF CONST.
PARCEL PD
HD
-
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
'DIRECTOR OF PUBLIC
BY '�G%'/'y�. �.L/
PERMIT EXPIRES—=Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/ �s
Date/,2
1� �1,
Receipt No. �) � � �
WHITE-D.P.W., YELLOW-ASSE5SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle— Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
9 4''
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correct n of work is completed. If you have any question pertaining to this
matter, r need -additional explanation, please contact this office immediately.
D
na/.t/ 1r'G T A-IreV c. ji yre Laa O/rl
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
--APPLICATION AND PERMIT
3 MV;; kq
ASSESSO •PARCEL NUMBER
,j — O
ZONING
4—Z,
BUILDING PERMIT
OWNEfR !
TELEPHONE
SQ. FT. OCC., BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONT ACTOR'S NA
TELEPHONE
C TRACTO S MAI NG ADDRESS
f
Fireplace
CONSTRUCTION LENDER
NO
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
f� iGU
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home ISI G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑/ Remodel ❑ Utilities: ❑ Installation❑0 her
Describe work: /fiG7S�l�l�/G� C�G�t/G4 C.y� _
,�
/, /L� �L/N �`/• C`��7
//� L ,G(� ll//00�(f�(AJ ! /V
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service, 100 AMP OR LESS
10.00 bi OO
Main service EA'. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP,&\\
. OR ADDNS. ACC, SLOGS. f
21/2Qsgft
CONTRACTORS LICENSE LAW
I declareu der penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full fort and effect.
�5 I6 I Classification
License No. '
4WIr, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contacting with licensed contract-
ors. (Sec. 7044)
r-wI am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET
NON -REBID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu z0@s0e
P�o OR FIXTURES BAL�30Q
FIXED A
EX- OCCUp. OUTLETS P(RESID )LNS REA.) 2.00 QV
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ pv
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):.
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
LJ/I shall not employ any person in any manner so as to become subject.
to the W. C. laws of California.
Notice to Applicant: If after making this.statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 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 of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in -any way accrue
agains aid County in onseque e o the granting of this perm't.
X Date
Signature oXA anr — Owner ❑ Conrraaror Agent
An OSHA' s required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ Z Ov
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IRE TOR OF PUBLIC
B y_2k
PERMIT EXPI e
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/�
��te����
Receipt No. 7�5.�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
.//��•
C%� � jfJ �/� E��t
�- c. ,. ,.
.. You r:
Please send us all report;
entitled matter immediate:
for trial and issue the ni
The matter is set for
on
Very truly yours,
KENNETH H. LEACH
District Attorney
DA 139
14
.s
f, BUTTE COUNTY
s DEPARTMENT OF SOCIAL WELFARE
TO: Dept. of Public Works ; AM: Jim Glander Date: 7-19-78
RE: Name: Betty Tackett �
Address: 696 E. 12th ` St .
Chico,'.CA 95926
Finding Directions:
Request: Please verify the need for the following:
The -'bathroom floor is -disintegrating and.the stool is leaking — also the front porch
is rickety and;they need a.railing. Please evaluate condition of house and if it is
worth fixing. There might also be termites."
Thank you. `
Bertha Meyer, Phone: 534-4760
Social Worker
TO: Dept. of Asocial Welfare � r ! � � Date:
R"mmenda .ion ___jA
> > e t srz�P C
C 41
Ity'spector
Butte County Dept. of Public Works
INSTRUCTIONS: Complete in' triplicate. . Send 1st and 2nd copies to Dept. of Public Works and retain
3rd copy in Welfare Dept. Upon completion of its recommendations, Dept. of Public Works will return
2nd copy to Welfare Dept.
Bu 116
aB y tE -COUNTY WELFARE
J U L 21 1978
OROVILLE, CALIFORNIA
9d o�lg��I�I�tICIlOC1618wv
8161 0 in
v�-, —
SANOM olland do ldaa
3J.lna do uNnoo
a