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
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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