HomeMy WebLinkAbout022-240-160NOTES
i
022-240-160 06-1837--
IACKSON, FAMILY TRUST OT
i 1716 KOFFORD RD, GRIDLEY
Cont: BILLS ROOFING. - °°�+•
RE ROOF
RESIDENTIAL
APN:
Owner.
l Site Address:
Contractor.
i.
. r
4
4
Type of Permit:
Permit No.
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
r;/3 5
--)-
DATE JOB FINALED:
SIGNATURE: G�y /I B� V,
`. COUNTY OF BUTTE
s BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
.. OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
ti
:the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
=.-. explanation, please contact the Building Inspector as indicated below.
' •Date V Z �° Inspector " ��Ci dGv >1
REV 4/05 Phone #
zSy'�
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061837
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect. 1 ( 2
License Class: License Number:
Date: Z �-� contractor: r 1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: 4Owner: _
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 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy #:
certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Z
Applicant:
Issued Date: 07/31/2006 APN: 022-240-160-000
Site Address: 1716 KOFFORD RD GRI
Map Index:
Description: REROOF W/COMP (39)
Owner: JACKSON FAMILY TRUST
1714 KOFFORD RD
GRIDLEY, CA
95948
Applicant: BILL'S ROOFING
GRAHAM, BILL
1770 KOFFORD ROAD
GRIDLEY, CA 95948
530-846-3981
Contractor: BILL'S ROOFING -
GRAHAM, BILL
1770 KOFFORD ROAD
GRIDLEY, CA 95948
530-846-3981
License #: 801512
Architect:
Engineer:
)tal Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor 1 /
code, interest, and attorney's fees. L.►.
- - _ CONSTRUCTION LENDING -AGENCY 1_—.
1 hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
PERMIT
Address:
Wy.issued under the applicable provisions of the Butte County Code and/or
work Zig.diated above for which'fees have been paid.
Date:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that 1 am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter pon�the
�above mentioned property for inspection purposes. f
Print Name.: Signature:
r
Date:
❑ Owner
0-on�ractor
❑ Agent for Owner
❑ Agent for Contractor
o. a. Dunulny rmiun v 1-,v yy i
.=OK
0=Not
MANUFACTURED HOMES
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-DImcs-Dmd ' Amp -Concrete .
6 Yard Gas; Loctn Test Wrap . Nat ❑ or LP[:]
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -CIO to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD LabeUinsignia Numbers Serial Numbers '
MISCELLANEOUS -
DECKS -COVERS -CARPORTS -GARAGES
1 Zoning4etbacks-Easements
2 Figs; SailsSz-0pthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-0cking-Brcing
Stairs-GuardlHandrails
4 Wood Awn; Posts-Seams4btrs-CnnctrsShthg.
Frmg-Brcng
5 Alum Awn; Columns-DnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds4bVs Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wali pnls
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Ung; Distance-GFI
5 Elec Poal Lting; 15 volts-GFI
6 Elec.Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcitng Egp-Htr
8 Elec Gmdng; Eqp w/5 Crcltng Eqp-Pool Ightg
Boxes 6 rs-polboards-lnsultn to Main Conduit
9 Health Dept Apprvl
10 *Plmb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 Enclsr, Fencing Alarms
13 Bonding, Diving board or Slide
da ids d� a?�
Pool Drawing
0 = Not OK
RESIDENTIAL
(Single
&
Duplex) _
DATE JUNDERFLOOR
DATE
PLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
3 Ftg Garage; SoiisSteel-Elec Grnd Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts Wrapped
6 Stemwalls Garage; Steel-Blockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12• Elec Undrgmd
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Ace & Vntltn
16 Insulation
DATE FRAMING
17 Sills Proper Materials & Anchrs
1S Walls Studs- Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops,'Furreil CeilingsStairs-Chasers-Tubs
22 Headers & Beims-bi &Bearirig"
23 Hangers-Posf'Caps-Anchrs-Cnnctns
24 Ceiling Joist4 tr Ties-Purlin-Roof Brae TrussShthg
25 Frpic Ties or Type A Fine=PrPlc Throat CImc
26 Attic Acc; Sz &'Rmz Pitctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctri Framing -RC Channel
29 Prprty Line Firewall 8 Opngs'
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrin-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath Weep Screed-Fndtn Vnts-Undrtlr Ace
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnis
38 I nsultn-W alts -Ceilings
39 Infiltration Walls-Wndws
41
ya
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Cirnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz ga QCU or ❑AL
AC Wire Sz 9a ❑ CU or ❑AL
48 Range Circ QCU or ❑ AL
Oven Circ _,.0 CU or r_1 AL
Insulated Neutral ❑Yes 0 N
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnis-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr LI -Spa Lt
52 Smoke Detector
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle a
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr. Nail Prfctn
56 Shwr Pan; Test, First fir -Tub Ace
57 Test Tub '& Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs '
59 Fire Sprinkler; Test
60 Yard Gas.Piping
uAie MECHANICAL
61 AC Ducts Insuitn & Support "
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Ace & Pitfrm if Furnace In attic
Ole �s' o'r �sr
FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clmc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
TO GFI & Bath Fxtrs & Tub AccSpa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door; Swing -Landing -Closure
79 AC Duct in Garage -Dampen
80 Wtr Htr, Vnts-Clmc-Com Air Cnnctr-PRY; abv fir
Mech Prtctn; LPG Appince Undr House 3' drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clmc Dmge Planters Dyes ONO
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Pimb. Appinc-Frpic-Cimc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI RcptcWndrgrnd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, Calif=ornia 95965 • Telephone (530) 538-7541 r
1 -f
(Rev.12/96) APPLICATIONAND PERMIT tu'�
ASSESSOR PARCEL NUMBERZONING
022-240-160
BUILDING PERMIT
OWNER
JACKSM PAUL 946-3261
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
1714 KOFFORD ROAD GRIDLEY CA 95948
CONT 3314.00
CONTRACTORS NAME
PF REILLY 898-0833
TELEPHONE
CONTRACTORS MAILING ADDRESS
3028 ESPLANADE SUITE F CHICO CA 9597-3
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 3314.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee
$ 20.00
Permit Fee
$ 63.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
1714 KOFFORD ROAD GRIDLEY
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
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
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REPLACING 5 WINDOWS
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A 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 I 'n f 10 a and effect. /
License Class Lic. No. �L
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.
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' c mp nsation in nce cttier and policy number are:
Carrier
Policy Nu ber
(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 prov' ' of section 3700 of the Labor Code, I shall
forth wit omply with tho Isions.
X Date 0
pp g t OF
Sidifature of A licant - ❑ caner ❑ Contractor ❑ A
An OSHA permit is required for excavations er 60" deep and demolition or construction
of structures over rie in t.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUR so
OR ADDNS. a ACC. S.3.50FT.
NOON-pESID! MULTI -OUTLET 97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDCTURES BAS @ �. 0
Ex. Occup. OUTLETFIXED S__6.0
RESID °ERA 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
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $83.00
HAz
0. FEES I HD
ISS
This permit is hereby issued under the
of th Butte my Code and/or Resolutions
indicat d ab e o hich ees have
By
PERMIT EXPIRES ON
applicable provisions
to do work
been paid.
_
ate
Ole
D to
Receipt No.
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 04,pvtq�
(Rev.12/96) APPLICATION AND PERMIT
[A.!S��S',.�E-SSORPAAMLNU-ER 7 77,/BUILDINGPERMIT
(� ER ✓—^ it t / e' /9-, Q(�% N �/_ / FT. OCC. BU V TION
CONSTRUCnoN LENDER /
LENDERS kWUNG ADDRESS
ARCNnECr OR ENGMM
ARCHn= OR HM IUM ADDRESS
BUL Mr ADDRESS / r] / /
LOT NO. I SUBDN61D" NAME
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other ePEDIFr
TYPE OF WORK
INew ❑ Addition ❑ R%%eyr(oyei ❑ Uh'G6es ❑ In/siella�tion/❑3 Othe
Describe Work: / (�l LLA ---r —5 / ^
PERMIT FEE PAID
win
SHERIFF
OTHER
E�
�1
s
c2
AMOUNT RECEIVED $ /� J
DATE_RECEIVED
Total Valuation Is ✓ CJ 1
/
Firing Fee
$
20.00
Permit Fee
$
23.00
Pian Checking Fee
$
46.00
Energy Plan Checking Fee
$
3.5Q
OR ADONS.
$
PERMIT FEE
$
(2D7.50
PLUMBING PERMIT
Firing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
0
Each gas water haAlpi or ver15.00
Gas piping systemu,&-6,61ets
15.00
Building sewer
15.00
Mobile Home S G I W1
1 1
@20.00
Ex. Otto . OR FDfrVR gq`L ` AD I
FDtFD AP OR ,00
Ex. Occu ESID. FA
Temporary Service 23.00
Mobile Home Facltties 20.00
Wsc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Firing Fee 20.00
6.50
Ventiiation
PERMIT FEt S
Mobile Home Installation Fee $
F.rnv Inenoc4inn Fop $
=0
PERMIT FEE t
TOTAL FEE $
ELECTRICAL PERMIT
Firing Fee 20.00
Main Service
zo oa L
23.00
Main Service
200A To i woA
46.00
NEW CONST.
DWE OCCUP.
3.5Q
OR ADONS.
6 AGC. BLDS.
... (
MULTI -OWLET 1
(2D7.50
Ex. Otto . OR FDfrVR gq`L ` AD I
FDtFD AP OR ,00
Ex. Occu ESID. FA
Temporary Service 23.00
Mobile Home Facltties 20.00
Wsc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Firing Fee 20.00
6.50
Ventiiation
PERMIT FEt S
Mobile Home Installation Fee $
F.rnv Inenoc4inn Fop $
=0
--T- -PE
TOTAL FEE $
HAL
4 FEES
IABP
I FLOOD
CDF
PARCB
PD
��
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
�REILLY
1 -877 -NEW -LOOK
1877.639.5665
3029 Esplanade, Suite F, Chico,CA 95973 - CA Lic #711037
. Chico: (530) 898.0&33 Fax (530) 898.1599
Hanford: (559)585.18W Santa Roaa:(707) 568.0333
NAME
ADDRESS ! / KC>f Ci ►•Tc•{
CITY 6C d If 0 STATE `-Q ZIP C,
EST. START DATE c;7 EST. COMPLETION DATE �� G
z7-7Wlf--/494
14027
�P �_ 7 NE r .J
WK MB M MRS)
PHONE
(HM WK Me MR MRS)
PHONE
(HM WK MB MR MRS(
TM
(DATES ARE APPROXIMATE ONLY)
■
.�
✓t G' /L Lt!a D-1' �G'1 �L� /i 3'/ �? L,,t G� 1'7
S D j I'I d1v Oil S e
c - a !l 5"c (,^ e nd
�c it� 01 L4__1 1 2 q P_S Cv eG7�P477
nn
o %` 't'P✓
The total amount specified thereunder is due upon completion of the project. Any payment not made within 15 days
of completion shall be deemed to be in default and a late fee of 10% plus finance charges figured at 1.5 monthly
°�b
which is an annual rate of 18% will be charged on the unpaid balance each month. The project is deemed completed
upon verbal or written notice of an authorized representative of P.F. Reilly.
SUBTOTAL b
/
$ 3- l y
/ e
SALESTAX C>
$ r
This proposal may be withdrawn if not accepted within 7 days of the date shown above. All agreements, or under-
standing must be set forth in writing in this proposal. This proposal is not valid or binding on either party until signed
and approved by the customer and an authorized representative of P.F. Reilly. This contract represents the entire
agreement between the parties. P.F. Reilly shall not be bound by any promises, representations or agreements not
expressly incorporated herein. The company gives no warranties, express or implied, other than those warranties
previously provided in connection with Its services.
CASHTOTAL
$3 j y,
DOWN PAYMENT c:>
$
BALANCE DUE b
$ 3o i c-1.
ALL CHECKS MUST BE MADE OUT TO P.F. REILLY
:AUTION: DO NOT SIGN THIS PROPOSAL UNTIL YOU HAVE READ THE CONTENTS OF THE REVERSE SIDE.
ACCEPTANCE: ALL PRICES, SPECIFICATIONS AND CONDITIONS RE SATISFACTORY AND HEREBY ACCEPTED.
-\uthorization is given to P.F. Reilly, its employees an signees for rights and access to accomplish the work commissioned.
?F. Reilly is not responsible for existi structural c code viol ns, or conditions existing beyond their control.
CUSTOMER'S SIGNATURE 1- 'f i��= DATE
/ n DATE
REGISTRATION # SUBMITTED B' ✓�7 Z'L ` �\ .� DATE
!_ / l v I
ACCEPTED FOR P.F. REILLY DATE
`-ontractors are required by law to be licensed and regulated by the Contractor's State License Board, which has jurisdiction. to investigate
:omplaints against contractors if a complaint regarding a patent act of omission is filed within four years of the date of the alleged violation.
\ complaint regarding a patent act or omission pertaining to structural defects must be filed within 10 years of the date of the alleged violation,
Any questions concerning a contractor may be referred to the registrar, Contractors State License Board, Post Office Box 26000, Sacramento,
:alifornia 95826. You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this
ransaction. See the accompanying Notice of Cancellation form for an explanation of this right.