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HomeMy WebLinkAbout078-130-038r Wynoka Homes. Inc., 573.2 Via Cas.tana, lot 35, Vista Del Cerro#l, Oroville= Permit #4485-77B(new single family wl ara e)- I't'-11 q17i 036=7.20-038 V PERMIT#95: 1474 ' `S ALAZAR,Debbie 5732 Autrey --Ln., Oroville Cont; Diamond Const ruciton Repairs Per -Rehab Ltr/SF 1 � , J r i �. rr Y l y 1 1 yyY 7 r I ' i s M IIIFEMOSSWES CO M PERMIT NO. 4485-77B AWE— P PERMIT EXPIRES OWNER lRynoka Homes, Inc-. CONTR. owner, LOCATION (A.P.. 36-21-19 5732 Via Castana, lot�2'j, Vista Del Cem#l,Oro, 3� Temp. Power Pole Called, PG&E Temp. Elea Serv. f^//0'-7 ��— + Ca 'I ed PG&E Tem/Gas Serv. 4 r�-7 Called PG&E OB INALED (Date) (Signat e) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - • - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS �/ / 149w�� CW � a� -&W 4i' (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: + Street Lot Number Tract No.' " EXTERIOR WALLSA v Manufacturer 4p-2 ���l�C•ipmckness/Type c�� R Value Z/ CEILINGS Batts: Manufacturer .�..// Thickness R Value Blown: Manufacturei�T f2Z-LLC2 Thickness S No. Bags � S Wt./Bag Sq: Ft. Covered R Value - FLOORS Manufacturer Thickness/Type RV SLAB ON GRADE Manufacturer Thickness/Type RV Width of Insulation_ inches FOUNDATION WALLS Manufacturer Thi ness/Type R Value GENERAL NTRACTO .u�. !' LICENSE No. f LZ f BY 1 * TITLE — DATE .� 2 2 '- 24 INSULATION CONTRACTOR: HAWKINS INSULATION CO. LICENSE No. 215-925 BY – Wit, TITLE DATE COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT _ BUILDING v SQ. FT. OCC. BUILDING VALUATION *L/li ,if /9. Fireplace Total Valuation Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee Owner X' f�lJIl /Z/1 PERMIT FILING FEE Mailing Address 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Telephone No. .� Contractor 54 Main service Mailing Address NEW CONST. ( OR ADONS. DWELLING OCCUP. & ACC. BLDGS. NEW CONSTR. NON•RESID. Telephone No. Building Address (POWER APPARATUS & SINGLE OI IT[ FT CIR. Q o C- le o ng er1 1 ati A. P. NeAVA er i6_ FeesC. Sa i Fire Dept. EQA Parking Parcel Pa Plans D claration in i n ' 3FireZone Use Permit 1 a 60' R/W Im P prov ments �� l? 'if y`"Plans e d C_� '" Parcel Approval Plans Approval NEW LJ ADDITION ❑ UTILITIES ❑ OTHER ❑ 'A"WeIllw �- Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: & kdgl# A 10 94 Ala License No. /A?66A Classification _ BUILDING v SQ. FT. OCC. BUILDING VALUATION *L/li ,if /9. Fireplace Total Valuation Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADONS. DWELLING OCCUP. & ACC. BLDGS. NEW CONSTR. NON•RESID. (MULTI.OUTLET BRANCH CIRCUITS NEW CONSTR. NON RES D. (POWER APPARATUS & SINGLE OI IT[ FT CIR. Ex. OCCup(OUTLETS OR FIXTURE. EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. . �l X U Date` 'FB - Signature of Permitee or Agent , Receipt No. __ 1a White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL PERMIT FILING FEE Heating Coo I i Ventilation Hood @ FEE $3.00 1.50 1.50 j 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 22sq ft 2.50ea 2.00 10.00 15.00 6.25 $3.00 2.00 Permit Fee $ y Il 00 �..� TOTAL P RMIT FEE $ ps, 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. DIRECTORf PUBLIC WORKS BY Date �F— 7 — 77 ilding permit expires Date — 9-7— 77 FEE FEE NOTE:' All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quaidl�y prescribed for the Specified use in the Uniform Bui':ding, Plumbing & Mechanical Codes and the National Electrical Coale. 66.24 • t ll f� ` [his set of plans and specifications IMUST t : kept on fhe job at all IL. raps and it isunlawful 4 - make any changes of alterations on same withOU`,, wriMen permission from th ear t ub tic Works, County of Butte. plop 61 IEV P-9-9.6 l / PLAN 2 20"B. 5. L. - A oQOPEQTY. L /ASC S/DEW-4GC c�.2X— — 24' II FIN FLR 286.4 GARAGE II FIN FLR 286.1 II I� 15L61' DRWY 67. 0s C4 S T,4/V4 o The B!:'4. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. 0 M 0 t3UTTE COON UILDING DEPAR' APPROV W,5 r,,4 OEC CCe eo BUTTE (/N/T No / SUBDIVISION I CITY ICOUNTY LOT NO. N. Bu eB/9N.0 SEWER O, W WATER GAS ELECTRIC HOMES,INC P.O. BOX 160 OROVILLE, CAL. 95565 9'16.533.9739 JOB NO. SCALE Idin: D. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aumonze representatives of the county of Butte to enter upon the above-mentione property for i spection purposes. X Date Signature r ee AgIt Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. IRE PIZLO,.1FJUBLIC WORKS By t Date Building permit expires at '4 BUILDING OwnerSO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ^—/- e -G y I c- x'`y A Total Valuation Mailing Address ,p Llve. W v Permit Fee Plan Checking Fee&/or Penalty ✓O• GGA phone No. ��j 3 _ 2i Permit Fee $ Building Address 5732 Via Castana, Oroville PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 _/,O-/--35, Unit #1 Each gas water heater or vent 1.50 p A. P. No. 3 (� - Z % / Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F e Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 g. ans ec Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Electrical for Permit #4485-77 Main service 10000 OR LESS 1AMP OR LESS 5•00 Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service -OVEROAMP OR LESS 25.00 Main service EA. ADD'L 100AMP1.00 NEW CONST. DWELING 0 OR ADDNS. ( ACCLBLDGS.CfISO&) 2¢sgft 35.00 NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ✓` / c _ 1ff Ex. Occup(OUTLETS OR FIXTURES) @L@1 BAL�1 EX. 000U /FIXED APPLNS. OR P•( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r License No. .g`�� ��S Classification �"�� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ 38.00 $ 38100 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability Fkmen's Compensation. ave placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. F -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ 3 00 aumonze representatives of the county of Butte to enter upon the above-mentione property for i spection purposes. X Date Signature r ee AgIt Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. IRE PIZLO,.1FJUBLIC WORKS By t Date Building permit expires at '4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 6f��77 authorize representatives of the County of Butte to enter upon the above -menti ned property for inspection purposes. X G i V pate 1.1 ! 37 Signature of Permitee or Agent Receipt No. #26aAJ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. D CT OF PUBLIC WORKS By ateJ3 J 717 _96dMWpermit expires Date % BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor r- S Total Valuation Mailing AddressRo 'TA Permit Fee Plan Checking Fee &/or Penalty co ca Tleph eo Permit Fee $ Building Address 7ViaPLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 �j Vr _1. Each gas water heater or vent 1.50 A. P. No. —�i — _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fo �- ftu=inn FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W provements Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ell- 'r t , L S- Main service 8000 AMP ORSLESS 5.00 Main service EA, ADD'L 100 AMP 2,50 �/ Single Family Eg Duplex ❑ Mobil Home ❑ Others ❑ OVER 60 Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST /DWELLING ACCBOGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONST. (POWER APPARATUS &) R NON RES,D, SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / License No. ! � Classification e c Z Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 r Heating Cooling lu—_va�D o0 Ventilation Hood 2.00 Permit Fee $06$ Top 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 TOTALPERMIT FEE $ E authorize representatives of the County of Butte to enter upon the above -menti ned property for inspection purposes. X G i V pate 1.1 ! 37 Signature of Permitee or Agent Receipt No. #26aAJ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. D CT OF PUBLIC WORKS By ateJ3 J 717 _96dMWpermit expires Date % E COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone. 534 24541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned propertyforinspection purposes. X GA` e'er{ �L���2 b Date JEZi-Z,2— 'Signature of Permitee or Agent Receipt No. 1:70 36 2 __ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisi s the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By 1 Date ' Building permit expires Date !2L -7/7k BUILDING Owner Wynoka Homes Inc. SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Gridley Plumbing & Heating Total Valuation Mailing Address 590 Hazel St. Permit Fee Plan Checking Fee &/or Penalty Gridley,CA. 95948 Te a hone o. 8 ti -2100 Permit Fee $ Building Address 5732 Via Castana, Oroville PLUPABING No.1 @ FEE PERMIT FILING FEE $3.00 3.00 Each Trap 8 1.50 12.00 Repair drainage or vent piping 1.50 Lot 35, Vista Del Cerro #1 Water piping 1.501.50 Each gas water heater or vent 1.50 A. P. No. 36-21-19 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 .50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 5.00 EQA plans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Plumbing for B.P. 4485-77 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ga Duplex ❑ Mobil Home ❑ Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGOCCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) *2.50ea NEWCONSTR. /POWER APPARATUS & NON .RESID. %SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & P ofessions Code under the name style o Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 09 FIXED APPLNS Ex. Occup. ( OR OUTLETS (RESI.D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 LicenseClassification �_ �� ��i Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby I MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned propertyforinspection purposes. X GA` e'er{ �L���2 b Date JEZi-Z,2— 'Signature of Permitee or Agent Receipt No. 1:70 36 2 __ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisi s the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By 1 Date ' Building permit expires Date !2L -7/7k D DE I COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT - /�7f ASSESSOR PARCEL NUMBER -720-038 ZONING BUILDING PERMIT Bfff SALAZAR TELEPHONE SO. FT. OCC. BUILDING VALUATION contract 22,988. OWNERS MAILING ADDRESS 5732 Autrey Ln., Oroville C RACTOR'S M iainon� Construction TELEPHONE 534-5299 CO TORS MAILING ADDRESS 55 1 Citrus Ave., Oroville Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 234.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 5732 AutreyLn. Oroville PERMITFEE s 254.00 PLUMBINGPERMIT Filing Fee 1 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF XX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other J7% Describe Work: Repairs Per Rehab Letter Mobile Home I S I G W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service 600 OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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. c / License Class Lic. No. ��Fj 7 cp 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. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ACDNS. ( & ACC. BIOS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 1/ of one hundred dollars ($100) or less.) �1 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 pro ' ' ns of section 3700 of the Labor Code, I shall forthwith comply with thos provi 'ons. G .,�_�, Date -SfJ — �� nature of App icant - ❑ Owner ntractor ❑ Agent kAn OSHA permit is required for excav tion over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 254.00 HAZ. 1 0. FEES I IMP I FLOOD I COF PARCEL I PD I HD 6SU 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 he been paid. Date? /3/95 PERMITEXPIRESON 7/ /96 (Date) Receipt No. 180258 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. 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: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the ermit p�ocess as follows: Mail to owner. Mail to contractor. �ephone and hold for pickup at office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from . the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant r .COUNTYOF BUTTE - DEPARTMENTOF�DSE ELOPMENTSERVICES -BUILDING DIVISION Y 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER q A. P. No. D 5(e- -7D C C7-74"' 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 . ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. ..:.................. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... Pre -Inspection request 20. Pre -inspection for required. . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner . ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue theermit pr cess as follows: Mail el ephone and hold for pickup at Other Parcel Creation Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Copy of plans sent Health Dept. Fire Dept. Other tail to contractor. office. Deliver with inspector. Air Pollution Date Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Date By Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT iSzw ASSESSORPAR ELNUMBER ,.. 63 ZONING BUILDING PERMIT OWNE. TELPI'MONE SO. FT. OCC. BUILDING VALUATION OWNERS UAILING ADO ESS a RACTOR'S NAM I TELEPHONE 4 NTRACTORS MAID DRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ Go ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ SUILDINGADDRESS 7PERMITFEE $ a PLUMBING PERMIT Fling Fee 20.00 { 11 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Im Describe Work: 0 Mobile Home IS I G1 W EH @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service a OV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION 1 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 Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-REslo. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) BZL O I:50 FIXED APP S. OR EX. Occup. p• ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating _ Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HA2. 1 D. FEES I IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. �, WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT HOUSING REPA2 R P R C-rERAM CONNERLY & ASSOCIATES, 2215 21ST STREET, SACRAMENTO, CA 95618 <916> 456-4764 r N9:TTTTTTTTTTTTTTTT :::::::::::::::....:::.. . :-:8P£CT;:F:I:C AT I O ..................... . fIE}{i�i IZTATTIIcI:TT Wfl�RK....................•...................•...... . WORK WRITE-UP = APPLICANT .PROPERTY ADDRESS CITY, STATE, ZIP MAILING ADDRESS : CITY, STATE, ZIP : PHONE NUMBER : DATE : DEBBIE SALAZAR 5732 AUTREY LANE OROVILLE, CA 95966 SEE PROPERTY ADDRESS SEE PROPERTY ADDRESS (916) 533-4506 November 11, 1994 �9 The following work is to be performed by licensed contractors and/or the V 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 omis.sion 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 noted as "allowance". If not listed, "medium grade" should be assumed. Owner's preference for style and color should be followed possible. wherever', 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 - 1, PFRMIT 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. $ 550.00 2. . DUMPSTER SERVICE 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. $ 300.00 3. gMOKE DETECTORS If'the value of this bid exceeds $1,000, smoke detectors will be required in each sleeping room and in each hallway leading to sleeping areas and on each floor. Smoke detectors shall be hard wired and interconnected with battery back up in areas of new work and may be the battery type in other areas that are existing. (QUANTITY: 5 ) $ 250.00 4 RXTERI_OR EL. Pressure wash the exterior of structure with a 2,000 PSI water blast as needed to achieve a sound and tight painting surface. Allow to dry thoroughly. Scrape, and/or sand as needed to 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 latex primer, 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. $ 1)200.00 b. Provide and install a barge rafter at the left side of the residence to replace dryrotted one. _ $ 150.00 2 HOUSING REPAIR PROGRAM - WORK WRITE-UP - C. 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 :20) C.- $ 1;650.00 d: ..Raingutters - 134' and 4 downs d,- $ 450.00 5. RXTERIOR OPENINGS Roo a. Provide and install materials needed to remove the two sets of windows where they are existing and replace+hem with a single set of double pane windows. Remove existing deteriorated window units. Install All -Weather or approved equal, satin anodized aluminum replacement windows in existing window openings with horizontal slider and pin locks. Every sleeping room shall have at least one operable window 'or door approved for emergency escape or rescue :which shall open directly into a public street, public alley, yard or exit court. All escape or rescue windows shall have a minimum net clear openable area of. 5.7'square feet. The minimum net clear openable height dimension shall be 24 inches. The minimum net clear openable width dimension shall be 20 inches. The finish sill height shall be not more than 44 inches above the floor. Provide tempered glass in all windows that are within a 24 inch arc of either vertical edge of .a door in a closed position and where the bottom .exposed edge of the glazing is less than 60 inches above the walking surface. NOTE: CONTRACTOR TO VERIFY ALL WINDOW SIZES (TYPE :OF GLASS : Dual glazed ) (LOCATION : Where existing ) b. Replace missing or damaged window t. Contractor to verify size and locations. (LOCATION[S3:throughout) $ 2,250.00 and sliding patio screens. $ 55.00 c; Front security scree: door ' . $ 150.00 d. Replace damaged water heater closet door $ 150.00 3 HOUSING REPAIR PROGRAM WORK _WRITE-UP ______________ a. Clean all interior walls, ceilings, doors, and trim of those rooms listed below. Remove all dirt and grease to achieve a sound painting surface. Fill all irregularities in areas to be painted with approved fillers and sand [or texture] to match existing surfaces in kind. - Paint interior walls and ceilings of the rooms noted below.; with a premium quality latex paint installed as per manufacturer's specifications. Paint color to match existing as closely as possible. Paint (trim/doors) of rooms noted below and walls and ceilings of kitchens and baths with a premium quality semi gloss latex enamel, installed as per manufacturer's specifications. Colors to match existing as closely as possible. (LOCATION :GARAGE CONVERSION,AND CEILINGS IN HALL LIVINGROOM, AND KITCHEN) Qotcj Nor- L6 L1 uk4p_ $ 1,500.00 �02ooh�t s . b. Provide and install materials to complete wall finish before painting in converted garage.(tape,texture) $ 100.00 C. . Remove deteriorated flooring and pad. Grind smooth all ridges and uneven surfaces on floor. Fill all cracks and depressions with crack filler. Provide and install new medium grade carpeting over a 5/8" banded urethane pad. Property owner has choice of carpet. (LOCATION:where existing) (MATERIALS ALLOWANCE: $21.00/yd) 159 yards @ $21.00/yd. d. Provide and install vinyl sheet floor baseboard. Use adhesive recommended by owner will select color and design of floor (LOCATION :where existing and laundry area MATERIALS ALLOWANCE: $15.00yd/) $ 3,339.00 covering with rubber.mo ded vinyl manufacturer. Property covering. and entry way. S (a � � ?sHp 70 yards @ $15.00/yd. , $b sf lb 5,6 . $ 600.00 e. Provide and install upper and lower cabinets to conform to kitchen by layout and specifications, as provided by contractor and agreed upon owner. Cabinets components shall comply with the following minimum quality standards / 1. Solid hardwood fronts J2. Hardwood veneer over solid plywood doors, drawer fronts, exposed end panels and toe kicks 3. Plywood drawers 4. Melamine (or equal 'laminate' type product) for (non exposed) sides, floors, backs and shelves. 4 9 HOUSING REPAIR PROGRAM WORK WRITE-UP - NOTE: Shelves may be fixed or adjustable depending preference: on the owners Owner may select the stain or paint color and hardwood veneer selected from the following: Birch,_ White Ash, br t -he cost equivalent. Contractor to install cabinet as per manufacturer's specifications.' Bid price shall include cabinet installation and finish. (APPROXIMATE LINEAL FEET: 9'lower, 6'upper Kitchen Cabinets (Uppers) $ 50/LF 1. (Lowers) $ 100/LF� �''b nn 11' Lowers 14' Uppers 3' Bat inet u\� $ 2,100.00 f. Provide and install formica cabinet top with a 4" backsplash. Property owner to select color and style of top, and or grout. (LOCATION:kitchen) (APPROXIMATE LINEAL FEET:9). Lob b (MATE RIAL.Ss...ALLOWANCE: $17.00/10l�''�� Kitchen 11' $ 238.00 Bathroom 3' g. Provide and install 1-3/8" thick birch finished, H -C door and jamb. Door shall fit existing opening. Provide.and install privacy locksets where required and standard door stoppers. (QUANTITY -.3) 47b_ (MATERIAL ALLOWANCE: .$50.0 0 ea-.) 1 !O � ���" . $ 500.00 Install a set of birch finished, sliding closet doors with floor uides and all necessary hardware to fit existing opening(s). g (LOCATION(S) :where damaged 4sets) Vanity, sink in bathroom i1 h. $ 625.00 i. Vanity, sink & counter top in bathroom #2 i. $ 400.00 j. Entry door jamb to be replaced & new door knob. j. $ 150.00 7. P1,UHBING/MsECHANI! AL: a. Provide and inntall a new double 45,000 FiTUH gas wall furnace with wall mounted thermostat. Use existing vent piping. Install blower unit, including all electrical connections. .(LOCATION : where existing) $ 950.00 b. Provide and install a. new dishwasher and air gap. Allowance of $375.00 for unit only. $ 525.00 c. Vrovide and install a in oven Haul away existing appliance. (ALLOWANCE FOR MATERIALS $350 ) (LOCATION: where existing) :. $ .. 500.00 d.' Plumbing piping under kitchen sink 75.00 HOUSING REPAIR PROGRAM d. Provide- and install a new ducted kitchen range exhaust- hood. Use existing electrical wiring and sheetmetal ducting. Vent to terminate at .roof. Patch these areas to match. Allow $100 for unit only. (LOCATION[S]: where existing) $ 200.00 8. PLECTRICAL. Provide and install materials to replace short circuited .wiring and outlet.in bedroom 1.. $ .-200.00 StiBTOTAL. $ 19,157.00 OVERHEAD/PROFIT $ 3,831.40 TOTS $ 22,988.40 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 -TONY RODRIQUEZ Inspector G DATE ` HOUSING REPAIR PROGRAM - WORK WRITE-UP - The undersigned hereby certifies that the above information is accurate to ,the best of his/her knowledge, that he/she agrees to abide by regulations, specifications and material allowances as set forth in this proposal_, and that he/she has the authority to legally bind and negotiate for: COMPANY NAME: �ta�oN� �NS IGTIa� ADDRESS: to 5 I C lT2LLS AVE 02-O Vkl_l,l'-; CSA • 9 S9 C9 TELEPHONE: LICENSE:- 'q egg to EXP. DATE: 19 q S Sao -/29z a CONTRAC R I ACCEPT THIS PROPOSAL SUBJECT TO OW LOAN ACCEPT OWNER pWNER APPROVAL AND EXECUTION OF DATE / DATE HOUSING PP -PA=R PROGRAM �NNEMy & ASSOCIATES, 2215 21ST STREET, SACRADM4TO. CA 85618 <916) 456-4764 •• �AT�TIIjc1�:�:WiiRK�:=$P ItArra ms........... WORK WRITE-UP - APPLICANT : DEBBIE SALAZAR PROPERTY ADDRESS : 5732 AUTREY LANE CITY, STATE, ZIP : OROVILLE, CA 95966 MAILING ADDRESS : SEE PROPERTY ADDRESS CITY, STATE, ZIP : SEE PROPERTY ADDRESS PHONE NUMBER (916) 533-4506 DATE November 11, 1994 The following work is to be performed by licensed contractors and/or the V 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. ('ontractor shall specify q , n y 0- tvve and brand ^f material neon which hig/hpr estimate iG based_ All work must be performed in compliance with published "grades and standards". Materials must match, be of equivalent quality, or exceed those noted as "allowance If not listed, "medium grade" should be assumed. Owner's preference for style and color should be followed wherever possible. Any measurements and d.rawings 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. HOUSING REPAIR PROGRAM - WORK WRITE-UP - 1. PERMITS - 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•submi-t 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. r $ 550.00 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. $ 300.00 3. RMORR DETE TG ORS If the value of this bid exceeds $1,000, smoke detectors will be required in each sleeping room and in each hallway leading to sleeping areas and on each floor. Smoke detectors shall be hard wired and interconnected with battery back up in areas of new work and may be the battery type in other areas that are existing. (QUANTITY: 5 ) $ 250.00 4. RXT .RIOR s. Pressure wash the exterior of structure with a 2,000 PSI water blast as needed to achieve a sound and tight painting surface. Allow to dry thoroughly. Scrape, and/or sand as needed to remove loose/spalling paint from woodwork. Fill all depressions and cracks in exterior surfaces with iform finish. Include caulking all lap approved fillers, to create a un joints/trim lines for exterior siding. Prime entire exterior with one coat of premium quality latex primer, 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. $ 1,200.00 b. Provide and install a barge rafter at the left side of the residence to replace dryrotted one. $ 150.00 HOUSING REPAIR PROGRAM WORK WRITE-UP - C. 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 3031 non -perforated roofing felt. REPLACE ALL SHEET METAL WITH NEW:-including.roof jacks, crickets, saddles and or flashing/ed.ge 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 :20) c.- $ 1,650.00 d. Raingutters --134' and 4 downs d.- $ 450.00 5. RXT -RIOR OPENINGS a Qo en CArrr a. Provide and install materials needed to remove the two sets of windows where they are existing and replacefhem with a single set of double pane windows. Remove existing deteriorated window units. Install All -Weather or approved equal, satin anodized aluminum replacement windows in existing window openings with horizontal slider and pin locks. Every sleeping room shall have at least one operable window or door approved for emergency escape or rescue :which shall open directly into a public street, public alley, yard or exit court. All escape or rescue windows shall have a minimum net clear openable area of. 5:7 square feet. The minimum net clear openable height dimension shall be 24 inches. The minimum net clear openable width dimension shall be 20 inches. The finish sill height shall be not more than 44 inches above the floor. Provide tempered glass in all windows that are within a 24 inch arc of either vertical edge of a door in a closed position and where the bottom exposed edge of the glazing is -less than 60 inches above the walking surface. NOTE: CONTRACTOR TO VERIFY ALL WINDOW SIZES (TYPE -OF GLASS : Dual glazed ) (LOCATION Where existing ) $ 2,250.00 b. Replace missing or damaged window Contractor to verify size and locations. (LOCATION[S]:throughout) �.; Front security screen door d. Replace damaged water heater closet door and sliding patio screens. $ 55.00 $ 150.00 $ 150.00 HOUSING REPAIR PROGRAM WORK _WRITE_UP______________ / �13*1119011 a. Clean all interior walls, ceilings-, doors, and trim -of those rooms listed below. Remove all dirt and -grease to achieve a sound painting surface. Fill all irregularities in areas to be painted with_ approved fillers and sand [or texture] to.match existing surfaces in kind. - Paint interior walls and ceilings of the rooms noted below; with a premium quality latex paint installed as per manufacturer's specifications. Paint color to match existing as closely as possible. Paint (trim/doors) of rooms noted below and walls and ceilings of kitchens and baths with a premium quality semi gloss latex enamel, installed as per manufacturer's specifications. Colors to match existing as closely as possible. (LOCATION :GARAGE CONVERSION,AND CEILINGS IN HALL LIVINGROOM, AND KITCHEN) j Nor- $ 1,500.00 gyp. Q.00M S b. Provide and install materials to complete wall finish before painting in converted garage.(tape,texture) $ 100.00 C. Remove deteriorated -flooring and pad. Grind smooth all ridges and uneven surfaces on floor. Fill all cracks and depressions with crack filler. Provide and install new medium grade carpeting over a 5/8" bonded urathane pad. Property owner has choice of carpet. (LOCATION:where existing) (MATERIALS ALLOWANCE: $21.00/yd) 159 yards @ $21.00/yd. $ 3,339.00 / d. Provide and install vinyl sheet floor covering with rubber mo ded baseboard. Use adhesive recommended by vinyl manufacturer. Property owner will select color and design of floor covering. (LOCATION :where existing land laundry area and entry way. �So �A r,4 S (MATERIALS ALLOWANCE: $15.00yd/) $b / . 70 yards @ $15.00/yd. , $ 600.00 e. Provide and install upper and lower cabinets to conform to kitchen layout and specifications, as provided by contractor and agreed upon by owner. Cabinets components shall comply with the following minimum / quality standards J 1. Solid hardwood fronts J2. Hardwood veneer over solid plywood doors, drawer fronts, exposed end panels and toe kicks 3. Plywood drawers J4. Melamine (or equal 'laminate' type product) for (non exposed) sides, floors, backs and shelves. HOUSING REPAIR PROGRAM WORK WRITE-UP - NOTE: Shelves may be fixed or adjustable depending preference. on the owners Owner may select the stain or paint color and hardwood veneer -selected from the following: Birch, White Ash-, br the cost equivalent. Contractor to install cabinet as per manufacturer's specifications. Bid price shall include cabinet installation and.finish. (APPROXIMATE LINEAL FEET: 9'lower, 6'upperO Kitchen Cabinets ( Uppers )$ m 50 /LF 1, (Lowers) $ 100/LF �l" �� $ 2,100.00 11' Lowers 14' Uppers 3' Bath inet . f. Provide and install formica cabinet top with a 4" backsplash. Property owner to select color and style of top, and or grout. (LOCATIOH:kitchen) ( APPROXIMATE LINEAL 'FEET : 9) ' W 10 4041 c o, (MATE RIAL.S:,ALLOWANCE. $17.00/10 Kitchen 11' $ 238.00 Bathroom 3' g. Provide and install 1-3/6" thick birch finished, H -C door and jamb. Door -shall fit existing opening. - Provide and install privacy locksetS where required and standard door stoppers. (QUANTITY:3) fD" (MATERIAL ALLOWANCE: $50.00 ea..) �`I` ,{� $ 500.00 A 11. Install a set of birch finished, sliding closet doors with floor guides and all necessary hardware to fit existing opening(s). (LOCATION(S) :where damaged 4sets) Vanity, sink in bathroom i1 h. $ 625.00 i., Vanity, sink & counter top in bathroom #2 i. $ 400.00- j. 00.000j. Entry door jamb to be replaced & new door knob. j. $ 150.00 7. PT,UMBING/MSECHANICAL a_ Provide and inntall a new double 45,000 BTUH gas wall furnace wit: -- wall mounted thermostat. Use existing vent piping. Install blower unit, including all electrical connections. (LOCATION : where existing) $ 950.00 b. Provide and install a new dishwasher and air'gap. Allowance o $375.00 for unit only_- $ 525.00 C. Vrovi.de and install a n in oven appliance. (ALLOWANCE FOR MATERIALS $350 ) (LOCATION: where existing) d. Plumbing piping under kitchen sink 5 .Haul away existing $ - •500.00 75.00 HOUSING REPAIR PROGRAM WORK WRITE-UP - d. Provide and install a new ducted kitchen range exhaust hood. Use existing electrical wiring and sheetmeta2 ducting. Vent to.terminate at .roof. Patch these areas to match. Allow $100 for -unit only. (LOCATION[S]: where -existing) $. 200.00 8. PLECTRICAL. Provide and install materials to replace short circuited wiring and outlet in bedroom 1. $ 200.00 SUBTOTAL $ 19,157.00 QVERHEAD/PROFI_T $ 3,831.40 TOTAL $ 22, 988.40 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 -TONY RODRIQUEZ Inspector a DATE HOUSING REPAIR PROGRAM - WORK WRITE-UP - The undersigned hereby certifies that the above information is accurate to the best of his/her knowledge, that he/she agrees to abide by regulations, specifications and material allowances as set forth in this proposal_, and that he/she has the authority to legally bind and negotiate for: COMPANY NAME: 7DI P \0NND CoN SGTIar ADDRESS: CD S9 t C ITel-i .S Ave. 2� VO Yu - CA - 9 S9 Co TELEPHONE • 53'4% -25 2-99 LICENSE: �'y �Q - EXP. DATE: 19 Q CR -baa-/2<2z a �CON�TRAC R I ACCEPT THIS PROPOSAL SUBJECT TO OW ��jcCONTRAC l i � OWNER OWNER LOAN APPROVAL AND EXECUTION OF DATE DATE HOUSING REPA= R PROGRAM COMMEMy & ASSOCIATES 2215 21ST STRFEr, SACPAKMno, CA 95616 <916> 456-4764 M9 ....................... WORK -WRITE-UP - APPLICANT : PROPERTY ADDRESS : CITY, STATE, ZIP : MAILING ADDRESS : CITY, STATE, ZIP : PHONE NUMBER : DATE : DEBBIE SALAZAR 5732 AUTREY LANE' OROVILLE, CA 95966 SEE PROPERTY ADDRESS SEE PROPERTY ADDRESS (916) 533-4506 November 11, 1994- The 994 The following work is to be performed by licensed contractors and/or the V 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 d for performing work in compliance applicable code requirements an 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. ntra t-nr shall Rpeclf.y gnantity, type And brand of material upon which hs./L-- estimate is haQed All work must be performed in compliance with published "grades and standards". Materials must match, be of equivalent quality, or exceed those noted as "allowance". If not listed, "medium grade" should be assumed. Owner's preference for style and color should be followed wherever possible. 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. HOUSING REPAIR PROGRAM - WORK WRITE-UP - 1, PF�TTS 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. $ 550.00 2. DUMPSTER SERVICE 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. $ 300.00 3. SMnKR DETRCTORS If the value of this bid exceeds $1,000, smoke detectors will be required in each hallway leading to sleeping areas and in each sleeping room and on each floor. Smoke detectors shall be hard wired and interconnected with battery back up in areas of new work and may be the battery type in other areas that are existing. (QUANTITY. 5 ) __... $ 250.00 4. RXT .RIOR a. Pressure wash the exterior of structure with a 2,000 PSI water blast as needed to achieve a sound and tight painting surface. Allow to dry thoroughly. Scrape, and/or sand as needed to 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 latex primer, 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. $ 1,200.00 b. Provide and install a barge rafter at the left side of the residence to replace dryrotted one. $ 150.00 HOUSING REPAIR PROGRAM - WORK WRITE-UP - C. 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 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 :20) c.- $ 1,650.00 d.. Raingutters --134' and 4 downs d.- $ 450.00 5. EXTERIOR OPENINGS a R� a. Provide and install materials needed to remove the two sets of windows where they are existing and replace+hem with a single set of double pane windows. Remove existing deteriorated window units. Install All -Weather or approved equal, satin anodized aluminum -replacement windows in existing window openings with horizontal slider and pin locks. Every, sleeping room shall have at least one operable window or door approved for emergency escape or rescue which shall open directly into a public street, public alley, yard or exit court. All escape or rescue windows shall have a minimum net clear openable area of. 5.7 square feet. The minimum net clear openable height dimension shall be 24 inches. The minimum net clear openable width dimension shall be 20 inches. The finish sill height shall be not more than 44 inches above the floor. Provide tempered glass in all windows that are within a 24 inch are of either vertical edge of a door in a closed position and where the bottom exposed edge of the glazing is less than 60 inches above the walking a surface. NOTE: CONTRACTOR TO VERIFY ALL WINDOW SIZES (TYPE :OF GLASS : Dual glazed ) (LOCATION Where existing ) $ 2,250.00 b. Replace missing or damaged window and sliding patio screens. Contractor to verify size and locations. (LOCATION[S]:throughout) $ 55.00 @.; Front security scree: door $ 150.00 d. Replace damaged water heater closet door $ 150.00 HOUSING REPAIR PROGRAM WORK _WRITE_UP=====_________ isl a.- Clean all interior walls, ceilings, doors, and trim listed below. Remove all dirt and grease to achieve a surface. -Fill all irregularities in areas to be painted fillers and sand [or texture] to match existing surfaces in of those rooms sound painting with approved kind.- Paint ind.- Paint interior walls and ceilings of the rooms_ noted below; with a premium quality latex paint installed as per manufacturer's specifications. Paint color to match existing as closely as possible. Paint (trim/doors) of rooms noted below and walls and ceilings of kitchens and baths with a premium quality semi gloss latex enamel, installed as per manufacturer's specifications. Colors to match existing as closely as possible. (LOCATION :GARAGE CONVERSION,AND CEILINGS IN HALL LIVINGROOM, AND KITCHEN) 6 Nor n $ 1,500.00 b. Provide and install materials to complete wall finish before painting in converted garage.(tape,texture) $ 100.00 c. Remove deteriorated -flooring and pad. Grind smooth all ridges and uneven surfaces on floor. Fill all cracks and depressions with crack filler. Provide and install new medium grade carpeting over a 5/8" bonded urathane.pad. Property owner has choice of carpet. (LOCATION:where existing) (MATERIALS ALLOWANCE: $21.00/yd) 159 yards @ $21.00/yd. $ 3,339.00 / d. Provide and install vinyl sheet floor covering with rubber mo ded baseboard. Use adhesive recommended by vinyl manufacturer. Property owner will select color and design of floor covering. (LOCATION :where existing 'and laundry area -.,nd entry wa iS ( MATERIALS ALLOWANCE: $ ZS . OOyd/ ) 7 70 yards @ $15.00/yd. , $ 600.00 e. Provide and install upper and lower cabinets to conform to kitchen layout and specifications, as provided by contractor and agreed upon by owner. Cabinets components shall comply with. the following minimum / quality standards 1. Solid hardwood fronts J2. Hardwood veneer over solid plywood doors, drawer fronts, exposed end panels and toe kicks 3. Plywood drawers J4. Melamine (or equal 'laminate' type product) for (non exposed) sides, floors, backs and shelves. HOUSING REPAIR PROGRAM WORK WRITE-UP - ------------------- NOTE: Shelves may be fixed or adjustable depending on preference. the owners Owner may select the stain or paint color and hardwood veneer selected from the following: Birch, White Ash; -or the cost equivalent. Contractor to install cabinet as per manufacturer's specifications. Bie price shall include cabinet installation and.finish. (APPROXIMATE LINEAL FEET: 9'1or6'upper1b. , Kitchen Cabinets (Uppers) $ 0"� 50/LF 1 (Lowers) $ 100/LF n0" $ 21100.00 11' Lowers 14' Uppers 3' Bath inet f. Provide and install formica cabinet top with a 4" backsplash. Property owner to select color and style of top, and or grout. (LOCATION: kitchen) D DIL (APPROXIMATE LINEAL FEET:9)' •,�v~ 1� P (MATERIAL.S,..,ALLOWANCE: $17.00/lf) 1" Kitchen 11' $ 238.00 Bathroom 3' g. Provide and install 1-3/8" thick birch finished, H -C door and jamb. Door shall fit existing opening. Provide and install privacy locksets where required and standard door stoppers. (QUANTITY:3) /_b_ (MATERIAL ALLOWANCE: $50.00 ea.) $ 500.00 Install a set 'of birch finished, sliding closet doors with floo_ . guides and all necessary hardware to fit existing opening(s). (LOCATION(S) :where damaged 4sets) Vanity, sink in bathroom t1 h. $ 625.00 i. Vanity, sink & counter top in bathroom -#2 i. $ 400.00.- j. Entry door jamb to be replaced & new door knob. j. $ 150.00 7. e1 UHRT14G/M4ECHANICAL a. Provide and install a new double 45,0013 BTUH gas wall furnace wit:-. wall mounted thermostat. Use existing vent piping. Install blower unit, including all electrical connections. (LOCATION : where existing) $ 950.00 b. Provide and install a new dishwasher and air gap. Allowance o $375.00 for unit only. $ 525.00 C. Vrovide and install a appliance. (ALLOWANCE FOR MATERIALS $350 (LOCATION: where existing) d. Plumbing piping under kitchen sink 5 .. Haul away existing $ . 500.00 75.00 HOUSING REPAIR PROGRAM WORK WRITE-UP - d. Provide and install a new ducted kitchen range exhaust hood. Use existing electrical wiring and sheetmetal ducting. Vent to terminate at roof. Patch these areas to match.'. Allow $100 for unit only.. (LOCATION[S]: where existing) $ 200.00 8. FT.FCTRT--GAL. Provide and install materials to replace short circuited wiring and outlet in bedroom 1. $ 200.00 SUBTOTAL $ 19,157.00 OVERHEADLPROFIT $ 3,831.40 TOTAL $ 22, 988.40 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 TONY RODRIQUEZ Inspector R DATE ' HOUSING REPAIR PROGRAM WORK WRITE-UP - The undersigned hereby certifies that the above information is accurate to the best of his/her knowledge, that he/she agrees to abide by regulations, specifications and material allowances as set forth in this proposal, and that he/she hasthe authority to. legally bind and negotiate for: COMPANY NAME: CoN S LTIa� ADDRESS: S 9 lT2U� S AVE C)2o t/u_t_e, A • 95 9 to TELEPHONE: 53'y-2.99 LICENSE: io�� �Q EXP. DATE: Sad-iz9z o CONTRAC R I ACCEPT THIS O PROPOSAL SUBJECT TO OW �RfCONTRACT f t OWNER OWNER LOAN APPROVAL AND EXECUTION OF v DATE DATE 036-720038, PERMIT#95-1474- SALAZAR,. Debbie 5732 Autrey Ln.,,broville- Cont; Diamond Con's-truciton Repairs Per Rehab Lti/SF/3/9�p �l I, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541. / PERMIT NO. a APPLICATION AND PERMIT - / ;hS.= NUMBER ZONING BUILDINGPERMIT =1.2,' SALAZAR TELHONE EP SO. FT. OCC. BUILDING VALUATION contr ct 22,988. OWNILING ADDRESS 5% Autrey Ln., Oroville °�iamonX"bonstruction T534-5299 R SS CO, OR's,rrppAAIUNG AD"Ne., bi liltru8 Ve. , OIOViIl@ Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS , Permit Fee $ 2 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 5732 AutreyLn. Oroville PERMITFEE $ 254.00 PLUMBINGPERMIT Filing Fee 1 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF=r'- Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other MX Describe Work: _ Repairs Per Rehab Letter Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 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. �j y+ ^r U / _ / / License Class Imo' Lic. No. e C7 (Q (o 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 NEW CONST. DWELLING OCCUP. OR NS. ( a ACC. ) SO. 3.50T. NEW CCONST. MULTI.OTLE U / TLET NON -RES ID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FDCTURES ) 20 @ 1.00 BAL SO Ex. Occup. (OFIXED A UTLETS (RLN ES ..�EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 proyisins of section 3700 of the Labor Code, I shall forthwith comply with those provis'ons. / Date i L' 1.� -,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. Mobile Home Installation Fee $ Energy Inspection Fee $ CCC CONST. TYPE TOTAL FEE $ 254.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PD HD 55U This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees havA (/ 7/3/96 PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date7/3/95` (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT