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HomeMy WebLinkAbout007-200-067I A—P, V5 17 ROBERT STUBBLEFIELD 12.Ma-yfair.Dr. ,,Chico Permit 1423-73B,P _(new single family) .007-r200-067 94-0424B�I MCKINMEY, HARRY 12 --MAYFAIR, CHICO qONT: HARWARD"& CO: I /9/ v VINYL SIDING .& REPLACE-WINDOWS/SF f I A e '�L cm CN CD PERMIT<NUMBER _ g 1423-73B,p P t E { PERMIT EXPIRES DOWNER Robert Stubblefield CONTR• owner ' "LOCATION (A. P. 44-38-67 � �4 i, 12 Mayfair Dr., Chico ' k d' s DATE -73 REMARKS OR CORRECTIONS COUNTY OF BUTTE Department of 'Public Works BUILDING INSPECTION RECORD Zoning :d Setback✓� / Forms Foundation Piers &Girders '"� Rgh. Plumbing c��&V 74 Bond Beam legce Rein. Stee Gas Piping & T ound. Vents, Framing Plmg. Topout ' —72) Rough Elec. Wtr. Htr. �— Furnace � Kitchen Vent Firewall Garage Vents Sanitation & Water^ ELECTRIC �—��� GAS BUILDING Tempor Temporary Cert. of Occup. Final (�_ � Final Final --7 DATE -73 REMARKS OR CORRECTIONS 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 Butte to enter upon the above-mentioned property for inspection purposes. X Date ignature of P�ermitee r Agen Receipt No. w �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte Court Code and/ res lutions to do work indicated above for w ees hav a aid. D EC PUBLIC WORKS By Date -7—.,-2 - 2J VF Building ate • `.,- Building permit expires Date .)..i.:l,2. 4k BUILDING Owner /% SQ. FT. OCC. BUILDING VALUATION Mailingddress `- Telephone No. Fireplace Contractor f Total Valuation Mailing Address _ _ Permit Fee P I an Checki ng Fee &/or Penalty t Teleph ne No aa Permit Fee $ $ Building Address B ` i PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Q� / A. P. No. Q (p Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel M a P 60 ' R/W Improvements P Lawn sprinkler system 2.00 P:::] Bldg. Plans Recd Parcel Approval I Plans Approval Permit Fee $ $ NOVJ�JAD TION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter ry 4 •_ _ S Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ anger Cook -top or Oven 1.00 r Heater or Space Heater 1.00 Li ht fixtures C7 pal 020 R s., s itc es & fix o lets "j CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State California Business & Professions Code under the name s e a • oo Ex. Fan r F.A. Furn. Moto 1.00' ' O vap. cooler, ar. is . D.W. 1.00 : 010 Air conditioner or heat p myr Water pump Mobil Home FaciI Ae 5.0( Temp. Power Pole 5.00 License No. fro zClassification C/ Z) Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ o01 C,$ 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. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑pI certify that in the performance of the work for which this ermit 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. @ FEEPERMIT 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 $ C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignature of P�ermitee r Agen Receipt No. w �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte Court Code and/ res lutions to do work indicated above for w ees hav a aid. D EC PUBLIC WORKS By Date -7—.,-2 - 2J VF Building ate • `.,- Building permit expires Date .)..i.:l,2. 4k COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR�Gx-cJ 7 County Center Drive — Oroville, 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. Signature of Permiteg/or Agent Receipt No. �/6.1 U2 O a White-D.P.W. — Yellow -Assessor — Pi Date �� / 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 q By Date Building permit expires Date , f�.:..7.• BUILDING ' Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ��� , ` Telephone No. Fireplace 1045:2 Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ ° $ D� Building Address ��� e ° PLUMBING No. @ FEE PERMIT FILING FEE $2.00 - •, Each Trap 1.50 O CJ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heatery vent 1.50 A. P. No. �� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. San ita n,Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking arcel Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans A val Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family 14Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 25 ball 10. 10 Receps., switches & fix outlets zooms 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring Elra—m—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. o-1—Frave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. [z]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 $ $ 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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Permiteg/or Agent Receipt No. �/6.1 U2 O a White-D.P.W. — Yellow -Assessor — Pi Date �� / 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 q By Date Building permit expires Date , f�.:..7.• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 53,4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date la /^�3 Signature of Permitteee oorr/Agent - (� 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 is fees paid. F PUBLIC WOR//KS By Date •ermif expires Date... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor 04 Total Valuation r Mailing Address p lepne til u!, Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ^ / A. P. No. C9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES 0TH R ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ o me Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures balldlo Receps., switches & fix outlets1- 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 o Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 � /� A 2� License No. o—L-F�d SC"CF % Classification c' ^ 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. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 cS �— Heating Cooling Ventilation Hood 2.00 Permit Fee $ 43 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date la /^�3 Signature of Permitteee oorr/Agent - (� 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 is fees paid. F PUBLIC WOR//KS By Date •ermif expires Date... I p+c�-t. ,.,ry,.w-. ..., - .. >e i1/' •:`H�,h+^,':.t ,...r: ;+.^.E xvT3':r, • x ;5:.: l �, a T'M'i�: `F?t�7i"1e 'Y'S(1 K•r'.'�''.si"'�i'r['r--nw.-..�Smrwn..r,.;,�r.�.'drs'.7r'yr�, ;4 ` 1 007-200-067 - MCKINNEY, HARRY 94-0424B 12 MAYFAIR, CHICO CONT: HARWARD & C0.' VINYL SIDING & REPLACE WINDOWS/SF k OPP k . pF 4j. 'LJ e 14 �. i r� t„� r f r 1 COUNTY OF BUTTE - DEPARTMIENT OF DEVELOPMENT SERVICES - BUILDVISION 7 County Center Drive 0?8ville, Ctilifomicv 95965 - Telephone (916) 5J38 -541,E PERMIT NO. APPLICATION AND PERMIT VL1 ASSESSOR PARCEL NUMBER 007-200-067 ZONING R1 BUILDING PERMIT OWNER HARRY 11111MCKINNEY TELEPHONE 894-6342 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 12 MAYFAIR CHICO 95928 CONT ES . 10 066 CONTRACTOR'S NAME HARWARD & CO TELEPHONE 893-5898 CONTflACTO R'S MAILING ADDRESS . RR LANE. 7 CHI 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 126.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12 MAYFAIR CHICO PERMIT FEE $ 146.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 I ; Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFXd Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK Nevr 'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other �J x Describe Work EXnRHR VINYL SIDING -REPLACE WINDOWS PERMIT FEE_ $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW( 10e lore under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect. License No. /; Classification �'% , ❑ I, as the owner, or my employees with wages as the sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 3 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.50 Ex. Occup.FIXED A RESID OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. - 1 have placed on file with the County of Butte Dept. of Development Services, RBuilding Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling —Hood 6.50 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 Butte County Ordinances and California 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, Ad expenses which may in any way accrue age. St said County in consequen of the granting of this permit. X X– C n Date �, /G C_. 6 V Signat a of Applicant `Owner ❑Con ractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 146.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicate d'ab ve for which fees have been By l PERMIT EXPIRES ON IDa tel provisions to do work paid. Date 156063 Receipt WHITE-D.D..D. S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING (VISION 7 County Center Drive - Oroville, Califernia'9S-965 - Telephone (916) 538- 541nPER_ MIT NO. APPLICATION AND PERMIT J�- ll�' )� ASSESSOR PARCEL NUMBER 007-200-067 ZONING R1 BUILDING PERMIT OWNER HARRY iiX,'MCKINNEY TELEPHONE 894-6342 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 12 MAYFAIR CHICO 95928 CONT EST 10,066 CONTRACTOR'S NAME HARWARD & CO TELEPHONE 893-5898 CONTRACTOR'S MAILING ADDRESS CHICO3851 MORROW LE #7, 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 126.00 ARCHITECT OR ENSINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12 MAYFAIR CHICO PERMIT FEE $ 146.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFXX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK Nevv]r,Addition ❑ Remodel CIUtilities ❑ Installation ElOther (XX Describework:EXTERIOR VINYL SIDING—REPLACE WINDOWS PERMIT FEE J$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I e re under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and rofessions Code and m license is in full force and a fect. License No. Classification ❑ I, as the own r, or my employees with wages as th ' sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.500 Ex. Occup. OF APPWS. OR p' ( OUTLETS (RESID.1 EA. ) S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to .Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c sts, d expenses which may in any way accrue agai st said County in conseque a granting of this permit. X Date Sign t e of Applicant - CMwner ❑ Conractor ❑ Agent An S A permit is required for excava ions over 5"0" deep and demolition or con c ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 146.00 HAZ- D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ve for which as have been paid. By Date PERMIT EXPIRES ON o2 (Date) Receipt No. 156063 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I FEB -22-1994 10:06 GP,AI,! I TE I PISLIPAIJCE 1 915 853 2505 P. 00 1 CID 1 rKVUV%.eR G.L. Anderson Insurance Serv. Granite Insurance Services 11031 Sun Center Dr., #130 Rancho Cordova, CA 9567( PHONE9 6-853-2500 INSURED Harward-9 Company Don Hary rd 90 Circle CorddoaCA 95670 CSR CM 02/294 THIt CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT:AN ONLY A115 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI''. CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ----------- POLICIES BELOW. --------------------- ------------- - COMPANIES AFFORDING COVERAGE - -------------------------- ----------------------------------------------- COMPANY LETTER A Superior National -------------------------------------------------------------------------- COMPANY LETTER13 Valley Insurance Company ------------ ----- ----------------------------------------------------------- COMPANY LETTER C -- ------------------------------------------------------------------------- COMPANY LETTER D I COMPANY LETTER E COVERAGESFOR i►�E POLICY TH!S IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IEISURED NAMED ABOVE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED 14EREIN IS SVBJE'T TO ALL TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS —— SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS -------------- -- --------------------------- —-------- — --------------- CO TYPE OF INSURANCE POLICY NUMBER POLICY DATEEFf POLICY EXP LIMIT Taff---------- ------------------ ---------------------------I-------------- --- ---- GENERAL AGGTEGATE — 2, 000, O O BI BI A GENERAL LIABILITY ERI COMMERCIAL GE11 LIABILITY I I CLAIMS MADE I X] OCC. I I OWNERS'S B CONTRACTOR'S PROTECTIVE II AUTOMOBILE LIAB ( ] ANY AUTO (I ALL OWNED AUTOS (I SCHEDULED AUTOS OD HIRED AUTOS IM NON—OWNED AUTOS I I GARAGE LIABILITY ------------ I—] ---------- EXCESS LIABILITY I I UMBRELLA FORM I I OTHER THAN UMBRELLA FORM WORKED COMP EMPLOTERSf LIAR ----------- OTHER CP013291-01 --------------------------- CP013281-01 06WCP60377—B __ '----------------------------------- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 09/01/9309/01/94 -------------- 09/01/93 RE: ------------------ 'ROD-COMP/011 ASG. -------------- 2,000,00C 'ERS & ADV. INJURY 1,000,00 ___ 9ACH OCCURRE►ICE ---------- 1,000,00 °IRE DAMAGE [ANY ONE FIRE) 50,000 9ED. EXPENSE (ANY ONE PERSON) 5,000 ------------------- COMB. SINGLE LIMIT -------------- 1, 000, OO BODILY INJURY (PER PERSON) BODILY INJURY (PER ACCIDENT) PROPERTY DAMAGE EACH OCCURPENCE AGGREGATE ISTATUTOFY LIMITS 1,000,000 EACH ACCIDENT DISEASE—POI. LIMIT ,000, 00C 1,000 1 DISEASE—EA(H EMP. ---------------------------------- 1,000100C ------------ CALIFORNIA OPERATIONS > CERTIFICATE HOLDER ��°�raa==e==a==C��"��as=a:coo=> CANCELLATION.<===________——'--°°------- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1NE EX- - PIRATION DATE THEREOF, THE ISSUING COMPANY WILL 210W YI4 MAIL 10 COUNTY pF BUTTE a DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, )= DEVELOPMENT SERVICEl9 s ,d Is FAX DEPT. OF 538--2140 -------------------- ------------•--- ------.��--x------------ naOV LLEYCCENTER DRIVE a AUTHORIZED REPRES TAT Vito to to Certify t1l4t Joan K._Kearr}ey __lige Authurtzat'toit to •tan for all permits heeded at ------- for for Ilarw4rd 6 (:I)reI)OIly I,Ic 1 129109 Clsss I► state comp, Volk y r 1956I117 (Jif at II§FVaFd MONO 3291 #*"w CIrLA 9 Rca►clw Coa.lovq, CA 9667U t CA: Wense •629109! P11011e: j996j 638 6898 ___—_