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Home My WebLink About005-396-010005-396-006 HOMER BEDDING CERTI qqTE OF MERGER .' 785 Wisconsin St . , Chico /CoO Permit#3127- 79P (relocate gas water) existing MH site i ,ELEC. 'Q S GAS -- - 'SUPPORT STRUC :,, COMPACT ION _TEST oUU -06 t,ont: .. 5-396- ; Clarance Stengel Permit #3729-86E(ele ser chi I N7 oLo cri i l fil- �I A WTMENr 40 �0-bow- CIC V Department C o u n t y j. micnaei crump, [hector Warner C. Phillips. Asrirtant D/rector February 10, 2000 Goldie A. Redding 785 Wisconsin Avenue Chico, CA 95928-7516 of Public Works o f B u t t e Re: Certificate. of Merger, AP 005-396-006 & 008 Dear Ms. Redding: LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7683 Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on January24, 2000, under Serial Number 2000-0002882, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell Manager, Land Development Division SE/kp Enclosure cc: L wilding Division Environmental Health Dept. Ron Graves & Associates (99-033) AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 LANDS BEING MERGED: Recorded Official Records County Of CANDACEEUJJ.. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:12PM 24 -Jan -2000 CERTIFICATE OF MERGER AP NUMBER(S) 005-396-006 & ons_jg� nna SUBDIVISION / PARCEL MAP: BORN 16.00 I • I I Fay I Page 1 of 4 o< BOOK 5 PAGE 11 BLOCK 11 LOT(S) BOOK 5 PAGE 11 BLOCK 11 L'OT(S) 7 As bf• .t date . of recordation, those lands noted above are merged to create two '$ parcel(s) of land as aescribed in 6;6461t(s) A. R _ JANUARY 21. 2000' MIXE CRUMP DATE . Director of Public Works OWNERS' CONSENT TO MERGER as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that/ those parcel(s) as described in Exhlbit(s) A , R ALL SIGNATURES MUST BE NOTARIZED: SIGNATURE DATE SIGNATURE DATE LD 1530 (1/98) CO� AMERI C STATE OF CA� �NIA } COUNTY OF }ss. On ( e / �, before me pe onally appeared n 1�-V personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are F subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Sig Title of Document Date of Document - JD Other signatures not acknowledged ,- •' ' '`• ^ LUCY A. PERSHALL • Comm. #1092344 NOTARY PUBL C CALIFORNIA 0 ♦ _ BUTTE COUNTY 1 My Comm. Expires Mar. 24, 2000 (This area for official notarial seal) No. of Pages GI -5191 3008 (1;'94) (General) First American Title Insurance Company EXHIBIT "A" Legal Description Redding Merger Beginning at the Northeast corner of Lot 7 of Block 11 as shown on the Map of Bouchers 2nd Addition to the Town of Chico as recorded in the Butte County, California Recorders office in Book 5 of Maps at Page 11; thence West along the North line of said Lot 7, 65.00 feet; thence South 132.00 feet to a point on the South line of said Lot 7; thence East along the South line of said Lot 7, 65.00 feet to the Southeast comer of said Lot 7; thence North along the East line of said Lot 7, 132.00 feet to the point of beginning. Containing 8580 square feet more or less. The Basis of Bearings for this description is the same as shown on said Map 5 M 11 apn 05-396-06 Job no. 99-033 11 f EXHIBIT "B" Legal Description Redding Merger Commencing at the Northeast corner of Lot 7 of Block 11 as shown on the Map of Bouchers 2nd Addition to the Town of Chico as recorded in the Butte County, California Recorders office in Book 5 of Maps at Page 11; thence West along the North line of said Lot 7, 65.00 feet to the True Point of Beginning for the herein described parcel of land; thence continuing West along said North line and the North line of Lot 6 of said Map, 51.00 feet; thence South parallel to the West line of said Lot 6, 132.00 feet to a point on the South line of said Lot 6; thence East along the South line of said Lot 6 and said Lot 71 51 feet; thence North, parallel to the West line of said Lot 7, 132.00 feet to the point of beginning. Containing 6732 square feet more or less. The Basis of Bearings for this description is the same as shown on said Map 5 M 11. Job no. 99-033 LANj RONALD L GRAVES ' - * PLS 4085 D(P. 6/30/00 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS Ix 7 County Center Drive - OrovilletCaliforlrwia95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER %r r•r , TELEPHONE ,LJ ., �r r a • rl SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS, J / S_– r— 1 1 1 �,•• ! ✓ CONTRACTOR'S NAME -- ti -(C- • f TELEPHONE r� ti'4 CONTRACTOR'S MAILING ADDRESSJ r� / r , .r ' f Fireplace CONSTRUCTION LENDER N. ,. _ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS oe Permit fee $ PLUMBING PERMIT Filing Fee' 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00' Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome .❑z Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New❑ Addition[] Remodel❑ Utilities❑ Installation❑ Other 11 Describe work: r r ' r ..- _ •'% Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �. 3 r-- % .1 ,.. ._fr•k...r� '� 810V OR LES Main service 100 AMP ORLS ESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ' It Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM , OR ADDNS. ACC. BLDGS. / �2OsgIt NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) I SINGLE OUTLET CIR. ) EX, OCcup(OUTLETS OR FIXTURES eA 0530 FIXED APLNS. EX. Occup. OUTLETS IFR R ESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 / Permit Fee ' $ 7 , u WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. O I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant – Owner ❑ Contractor El Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oc CUP, CONST.TTP! FLOOD PARCEL PO ND I,SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By - J - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - Receipt No. art r % �. ��+ WNIT!-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ..:- d --6 COUNTY OF BUTTE K DEPARTMENT OF PUBLIC WORKS T 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville •- Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. /Ovid N G( fOvt'G"a Ir OkNCX �� •4 Q lvU�v d CJNy.�Ac �o� ,re —e vP22� I NS"'4 � ASe NU- f < ae 0ve-611 rev, Zv-- Inspector in/ Date - 3 / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. a 9 - ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE 11 S0. FT. OCC.1 BUILDING VAL ATION OWNER'S MAILING AOCRESS y Ad 1tv CONTR CTOR'S NAME TELEPHONE y 5--k *,3 9 CONTR CTOR'S MAILING ADDRESSU . 0tin eCX.(1/6JFireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECC`T'} OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS co ry Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 t Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New F1 Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: N e ---[e C -„,x+14.0 � f iCtS�t.wu d� �r -��Nw -y �e•�n4e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ° a� ClIV V OR Main service 80000 AMP ORSLESS 10.00 16.60 Main service EA. ADD'L 100 AMP 2.50 ;2, S O CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess i ns Qo e a d my license is in full force and effect. License No. Classification — j�. �n� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( ACC. BLDGS. DWELLING OCCUP.8i ,�2 Osq ft ONEWR ADDNS. NON•RESID R BRANCH CIRCTITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 200SOC SAL030 Ex. Occup. OUTLETS IIRESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,Uo Misc. Wiring 15.00 -77rs $� Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. rVf I shall not employ any person in any manner so as to become subject 6a'i to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t aid County in con equence of the granting of this permit. ��ls Q� X Date o Signature of Applicant — Ow er ❑ Contractor R Agent ❑ An OSHA permit is required fore ovations over 5'0” deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ S-0 Occu P. CONST.TYPE I FLOOD PARCEL PO NO S9 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /Z _�� -- 2�7 Receipt No. �c . �'iJ WHITE-D.P.W.. YELLOW-ASSESSO/, PINK -INSPECTOR. GOLDENROD -APPLICANT i . w • -s e a` � i --L`• Y.` �.�^ R. ,R14.,.: •i. �v.Y e � ..- .r r `. �� , e. _�.. , -..- •..--� - - z COUNTY OF BUTTE - DEPARTMENT OF 6.B�IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE4.CALI'kZ5%' IA' 95965 - TELEPHONE: 916/534-4541 f PERMIT APPLICATION DATA SHEET Permit No. OWNERw^ 1�c�-r��u. y A. P. No. S — :396 — Proposed Building Use ,rl� (f - Building Inspector Date -2 1 S' 9C At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and talcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . , , , , 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate �f Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑.), _15. Improvements may be required. . . . . . . . . . . . 1 . Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to tI� Pre -Inspection for �le�� G Required. Building Inspector (Date 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, •M to o contractor. Telephone and hold for pickup at—off ice, Deliver.w/inspector.. Other Applicant Jul to 4L Zle Copy of plans sent Health Dept., Fire Dept., Other 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: Contractor, designer, owner, was advised of above required data by—phone---Mail Contractor, designer, owner, was advised of above required data by_phone=mall Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder .ter by date ter by date Date — Flours::10:00 a.m. - 3:00 p.m. P, COUNTY.OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —� 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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. DIRECTOR OF PUBLIC WORKS By Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EGA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER60ov 25.00 100 AMP OR LESS Main service// EA. ADD•L 100 AMP 1.00 NEW CONST DWELING OR ADONS' l ACCLBLDGS.CCUP. 4� 22sgft 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: NEW CONSTR. MULTI.OUTL T NON -RES-( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS D , NON.RESID, SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES a 1� le C4 Ex. Occup. (OUTLETS P(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ 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. PERMIT FILING FEE J$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 relatinq to buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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. DIRECTOR OF PUBLIC WORKS By Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -k� OrdiOle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent d Receipt No. ea 37� o 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. DIRECTOR Of�-)PUBLIC WORKS By Date1-01, Zoo ` 7 permit expires Date BUILDING Owner � SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No� 7._ Contractor -e Mailing Address Fireplace Total Valuation. Telephone No. Permit Fee ' Building Address taGC>zSc%t/� PI an Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,C)C> Each Trap 1.50 G Zj Repair drainage or vent piping 1.50 )Water A. P. No. [ '^ Zoning &Planning piping 1.50 , Each gas water heater or vent 1.50 Fees Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 D EOA Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W. Improvements additional outlet .30 Building sewer 5.00 BtIT§`-Pr.—n,--RFed Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE --. ^ — / PERMIT FILING FEE $3.00 ' Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. Y) 20sgft 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: NEW CONSTR BRANCHCIR-OUTLET NON-RESID (MULTI BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 11 NON-RESID. SINGLE OUTLET CIR. / Ex. OCCUD(OUTLETS OR FIXT(IRES B L@; FIXED ALNS Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL NO -J @ 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 solas to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ �Q( TOTAL PERMIT FEE$ 95 le)c authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent d Receipt No. ea 37� o 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. DIRECTOR Of�-)PUBLIC WORKS By Date1-01, Zoo ` 7 permit expires Date