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HomeMy WebLinkAbout030-461-009f" .30-461-09 �.. 864=89 KEAN, Raymond -'2082 Tehama Ave, Oroville Contr: Mountain Air (replace furnace)SF _FINALED: r 030-461=0o9 „ " �,. ' PENT#95-3026 F KEAN, Raymond { 2082 Tehama Ave., `Orovil2e'ex Cont: RHA Inc`' Replace Furnace/SFS '030-461-609 - * „PEBMIT#95=307.6.E .KEAN-,Ray­ 2082 .. c. �. 2082 Tehama-'Ave'.,:Orovi.11e Clint; Richard':, Heath. & Assoc . Replace.-Wal 1 Heater/SF';' , 030-461-009 PERMIT 96-2010 KEAN, Carol Ann 2082 Tehama Ave., Oroville Cont: Tim O'Shea Const . 1/x j9� Reroof,Windows & Misc Ele/SF L � 09 I/ `ice 030-461-009 PERMIT#96-2010 KEAN, Carol Ann 2082 Tehama Ave., Oroville Cont: Tim O'Shea Const. Reroof,Windows.& Misc Ele/SF le- . COUNTY OF BUTTE - DEPARTMENT QF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT \r_A�S—SESSORPARC0.NUMBER YylO-4�1_ ZONING ' BUILDING PERMIT OWNER CAROL ANN LEAN TELEPHONE 534-3350 SO. FT. OCC., BUILDING VALUATION 21 R F 1, 260 OWNER'S MAILING ADDRESS 208 -MMAMA AVE.OR E_ SIDING WIS _5,100 5,100 O»•1' Q' S .NAME CONST E TELEPHONE 894-3314 GARAGE tIOR .. 2,000 'CONTRACTORS MAILING ADDRESS JAR CHICO q 11 Fireplace CONSTRUCT ION LENDER +MAIUNG UNIO+OWN _ Total Valuation $ 8,31W Filing Fee $ 20.00 LENDERS ADDRESS Permit Fee $ 108,00 ARCHITECT ORENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS \ , Penalty $ BUILDINGADDRESS - - 2082 TIZAMA AVE PERMITFEE $ 128.00 PLUMBING PERMIT. Fling Fee 20.00 . Each Trap 7.00 LOT NO. ., I S UBDNIS IONS NAME PARCEL MAP Solar orheat pump water heater 23.00 Water' piping 15.00 ' r USEOFSTRUCTURE " SF [�; Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent f r00 Gas piping system 1 - 5 outlets 15 00 „ Bu0ing sewer 15.00 ter, TYPE OF WORK >' ` New ❑ Addition ❑ Remodel 5 Util"Ities"N Installation ❑ Other ❑ Describe Work: & E ST NDOWS ' ` N ARA(i' j Mobile Home S I G W 920:00' PERMITFEE $ Contractor �; 1 j 'ELECTRICAL PERMIT Filin Fee 20.00 Main Service E00V OR LESS ( 200A OR LESS ) 23:00 Main Service ( 200A TO iOOOA 46.00 LICENSED CONTRACTOR'S DECLARATION ' I here'by,.affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (c mencing with Section 700% of Division 3 of the" usiness and Professions Code, and licen e ' In lull force7�a�nd,��`Q�ffe�ct ense I•a It � �.++ Z I I N -aft ,` \OW ER-BUILDERi DECLARATION by%@k_._�",,1r �Ir kengl�f perjury that I am exempt from the Contractors License fo?t* iollowih'g reason: \ ❑ I, as owner of the property, or y employees with wages as their sole compensation, Will do theme oo k,�Od th �ur`�Is not in n ed o` ff�(et. for sale. ❑ I, as owner ohtlT�p'��?�erij�, b>ToA�sivetnij�iiit)lcensed co�itrctors to construct the proleot: ' ❑ 1 am exempt under Sec. Business and Professions Code for this )MECHANI reason WO ATiON A Ykers' I hereby affirm under pe f per one of the Ilow g d�c ra ions: / 1 have and will maintain a cer icate of consent to set -insure for 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 wh'ch this permit is issued. My workers' c ll nsati�n i[>¢yran�e carrier Jr1 Poly, umber are: Carrier / V ^' "� 1 NEW CONST. DWELLING OCCUR ` sO. OR ADDNS. ( a ACC. / 3.50 FT. UTLE NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS 97.50 POWER APPARATUS (a SINGLE OUTLET CIA. Ex. Occup. OUTLET OR'FXTURES sA0 ��, * FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA .5.00 Temporary Service 23.00 , Mobile Home Facilities / 20,00 X Misc. Wiring PERMITFEE $ 43.00 Contractor LPERMIT Filing Fee 20.00 eating❑ Cooling Hood 6.50 Ventilation PERMITFEE $ J Contractof Policy Number (The above sections need not be completed if the permit is for work,of a valuation of one hundred d Ilars ($1 ) less.)n, ' I certify t afi tJn� Te thew�rk for which this permit is issued, I shall not employ any rson in an manned so as to become subject to workers' compensation Iaws,pf 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. - W 0' X s (/�••• Date Signa ut re ',of Applicant - ❑Owner Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demglition or construction of structures overin height. Mobile Home Installation Fee Energy Inspection Fee $ OCC R3 CONST.'TVpE TONAL FEE'$ 171.W Z. D. FEES IMP I 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 icated inda ova for which fees have been paid. BY j(� Date 9 3 PERMITEXPIRESON �' ?P— (Date) ^^3 //stories Receipt No. Z.1:1? 1 0! WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT WHITE-D.D.S.-B.D. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891.:2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Kea ..� -0/ OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 71 %r 0 VGI girl Ce, 11 4)i rto;.,<t7r_It',i Date /0/2 L L Inspector REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF PEVEL,OPMENT SERVICEX(9538-757% ION 7 County Center Drive - Oroville, California 95965 - TelephonPERMIT NO. APPLICATION AND PERMIT _001n ASSESSOR PARCEL NUMBER 030-461-009 ZONING - BUILDING PERMIT OWNER CAROL ANN KEAN TELEPHONE 534-3550 SO. FT. OCC. BUILDING VALUATION 21 S R OF 1 260 OWNERS MAILING ADDRESS 2082 EHAMA AVE, OROVILLE SIDING 8 WIND WS 5,100 CONTRACTOR'S NAME TIM O'SHEA CONST T894-3314 GARAGE 100R 2,000 CONTRACTORS MAILING ADDRESS 49211 JAKE RD, 04IM 9597-1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 8,350 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 108.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2082 TEHAMA AVE PERMITFEE $ 128.00 PLUMBINGPERMIT Filing Fee 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 Lx 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 It Utilities ❑ Installation ❑ Other ❑ Describe Work: RFROOF & RFPL, AC EXIST WINDOWS MINOR ELECT GARAGE TE GET Mobile Home I S I GI W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Servicea00v OR LESS ( 20 A 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. / r� License Class 4 e N 3 I Lic. No. V -t 14 ?,1) 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 NEW CONST. DWELLING OCCUR SO. OR BLOB. 3.51y FT. N ( aT. MULTI-TI-ACC NEW CCONSS OUTLET NON-RESID. ( BRANCH CIRCUITS @7.50 (a SINGLE OUTLErWERT ICIC A. / 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 1 23.00 23.00 PERMITFEE $ 43.00 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 Policy Number (The above sections need not be completed 0 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 provisions of section 3700 of the Labor Code, 1 shall forthwith comp with those provisions. Vyt� Date 0� Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is occ R11TOTAL CONST. TYPE FEE $ 171.00 HAZ. I D. FEES I IMP FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated ve for which fees have been paid. BY 029 3� ss Q Date PERMITEXPIRESON y' 3 (Date) ^3 �storiies Receipt No. 2.(10 1 0I WHITE-D.D.S.-R-D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 30-461-09 864-89M. KEAN, Raymond 2082 Tehama Ave,! Otoville Contr: Mountain Air. (replace furnace)SF FINALED: w 3- 3a��c� o i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. J4-_ 7 County Center Drive - Oroville, California 95955 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS-ESSOR PARCEL NUMBER ZONING BUILDING PERMIT fi TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNEaA I 1 ORE S �CO-O 'S NAME r TELEPHONE CONTRACTOR'S MAILING -ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 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 SFkDuplex❑ Mobilehome❑ Other ,T\\ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe wo k' t u�0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS "7iT'"'^^^--- and Professions Code and my license is in ful force and effect. License No.3 � 71 !7!!7-- Classification El 1, 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 OCCUP.a OR ACDNS. ACC. BLDGS. /zQsgft NEW RESID,MULTI-OUTLETNCHCI2,50 ea NON.R ESID .BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES eA 090 FIXED APLNS. Ex. OCCUp. OUTTS P(RESID )REJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. XI 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of Californian 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 FiIingFee 10.00 Heating Cooling Hood 3.00 _ 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. also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ounty in consequence gt the granting of this permit. ., X r' Date� 6S'ig Lure of Applicant — Owner ❑ Contractor ❑ 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 $ oceuP. CONST.TYPE SCHOOL FLOOD PARCEL I PD ND ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE rOF PUBLIC By v PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 2 7� ate a `y/- :;, q - - / Receipt No. WHITE-D.P.W.;'YELLOW-ASeESSOR. PINK-INSPl CTO R. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,;'alifornia 95965 - Telephone: 916/538-7541 APPLICATION ANd PERMIT A SSOR P R EL NUMB R — _ ZONING BUILDIA PERMIT N TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION WNER I RE S _anT ACTO 'S NAME L66 TELEPHONE CONTRACTOR'S MAILING -ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _T__ Permit tee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 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 I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Desc ibe wo k: j EJ i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OV OR RSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 Professions Code and my license is in fug force and effect. License No.a ?�?/ % 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 OCCUP.EI OR ACDNS. ( ACC. BLDGS. ,/20sq It NEW CONSTR U TI.OUTLET NON.RESID .BRA CH CIRCUITS2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex.Occup(OUTLETSOR FIXTURES 200504 .ALO 30 FIXED APLISIS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ 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. ❑ 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 Hood 3.00 uea4at'1'on 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 liabiliti , judgments, costs, and expenses which may in any way accrue against sa' unty in consequence the g ting of this permit. Date Ignature of Applicant — Owner Contractor ❑ 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 $ oCCUP. CONST.TT SCHOOL FLOOD PARCEL PD I HD SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D E OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / ate Receipt No. WNITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE GZI 9_4;)A 95965 - TELEPHONE: 916/538-7541 s PERMIT APPLICATION DATA SHEET a J _ 1 Permit No 4 OWNER A.__ VLA-- ✓ ( — Proposed Building Use Building Inspector Date At time of permit application, I was advisedthe 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 calcs, with wet signature on plans . . 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions........................................................ 9. Fees of $ ...... •................... . 10. Chico Urban Area fees paid ......................................... 11. Park fees paid ........:.......................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ..................................... . 15. Plot plan and business license approval from City of (see i t y for other requirements) 16. PI nning approval for (A) Use: (B) Parking: ......... 1 1 provements may be required. riveway permit (construction approval required prior to occupancy) ... Pre -ins. for ��� re ulred ... , Pre-Inspen request to p - =n� q Building Inspector (Date) 20. Contractor's license inf rmation D_ Name Style, Classification) ....... 21: Certificate of Workmans Compensation Insurance .................... 2`2. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy;of;Agricultural Acknowledgment.Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date 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--inail_counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by r ' w Date _ 4 Plans approved by Date Sets of plans on hold in File cabinet AP folder 1 Copy—DPW COUNTY OF BUTTE - DEPAF 7 County Center Drive - Oroville,;Calil APPLICATION MENT OF PUBLIC WORKS iia 95965 - Telephone: 916/538-7541 PERMIT PERMIT NO. A.S.S5SSOR PARCEL NUMB R ZOING BUILDING PERMIT PIVN TE PHO E S0. FT. OCC. BUILDING VALUATION / INNER AI RESS T A TO 'S NAME TELE NON . CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water Diping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFkDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Descqibe wo k: 5���r��i� �il I1.(i i1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP OR ORSLESS 10.00 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 Professions Code and my license is in ful force and effect. License No. -3 2 :2Z %�'f Classification � ❑as the owner, or my employees with wages as their sofa 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 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.tr OR ACDNS. ACG. BLOGS. , /20sq ft NE w CONSTR U TI.OUTLEr 2,50 ea NO N•RES!D BRANC CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLET3 OR FIXTURES BALI 30 BALI 30 li EX. ()CCUp. , FIXED PR OUTLETS IRESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ 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. ❑ 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 VAW14eti'bn C 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 liabilitie , judgments, costs, and expenses which may in any way accrue against sa' unty in consequence the g ting of this permit. • Date — Ignature of Applicant — Owner Contractor ❑ 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 $ Occup. CON3T.TTP[ JSr"00LJFL00.JPAIICZLJ PD ND 4S5UC This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE7300. PINK -INSPECTOR. GOLD ENROD-AP►LI CANT 030-461-009 PERMIT#95-307'6 KEAN, Ray 2082,Tehama Ave:;.Oroville Cont; Richard Heath &Assoc. Replace Wall Heater/SF J M ti r d' r i r n -s 1, r C �t t r • i • 1 ft J J i . ' r P Gtr t P• w �� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7'County Center Drive - Oroville, Califorftia 95965 - Telephone (916) 538-7541 y PERMIT NO. APPLICATION ANG PERMIT , ASSESSOR PARCEL NUMBER 030-461-009 ZONING BUILDI r,ERMIT OWNER RAY KEAN , TELEPHONE - SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2082 TERAMA OROVILLE, 95965 CONTRACTOR'S NAME RICHARA HEATH & ASSC. TELEPHONE CONTRACTORS MAILING ADDRESS 2055 SAN JOAQUIN H FRESNO, 93721 Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT ORENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2082 TEHAMA PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF EJ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1 5.00. -Building sewer 15.00 TYPE OF WORK a New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: REELACE WALL HEATER — Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service600V OR LESS ( 200 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. ''11 License Class Lic. No. �17 3"a 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 NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( a ACC. BLDS. ) 3.50 ---- NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FD(TURES) 20 ®1.00 SAL 50 Ex. Occup. OUTLETS (RES D.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certifi6ate 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 fo which this permit is issued My workers" compensation: insurance carrier and Foly�number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 . Ventilation PERMITFEE $ . 35.00 ' Contractor Policy Number (The above•serions need not be completed if the permit is for work of a valuation of one hundred dollars 0100) 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 Zfowith comply with those provisions. f X i Date Lz 1 _ Sign ure of Ap Iican`t - Q+ 4vner ❑ Contractor ❑ Agent n OSHA permit is required for excavations over 60" deep and demolition or construction10 of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated 'hove for which fees have ben paid. I ! ry BY / Date PERMITEXPIRESON (Date) Receipt No. 190/0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville,'�Ca�fornia 95965 - Telephone (916) 538-7541 __PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-461-009 ZONING BUILDIN ERMIT OWNER RAY KEAN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2082 TEHAMA OROVILLE, 95965 CONTRACTOR'S NAME RICHARD HEATH & ASSC. TELEPHONE CONTRACTORS MAILING ADDRESS 2055 SAN JOAQUPI R FRESNO, 93721 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHRECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 2082 TarHAi•IA PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF Ox Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New O Addition O Remodel O Utilities ❑ Installation ❑ Other 15 Describe Work: REPLACE WALL HEATER Mobile Home I S I G1 W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service a OV OR LESS ( 2ooA 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 i full force and effect. •7 / ^� - License Class Lic. No. //I C� L� 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 NEW CONST. DWELLING OCCUR \ ST.O OR NS. ( 8 ACC. / 3.5¢ F . NEW CT CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 SAL .50 Ex. Occup. oFT�s �PLNS. ORA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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 j' performance of the work for which this permit is issued. Ly 1 have and will maintain workers' compensation insurance, as required by Section /1 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 Filing Fee 20.00 9 Heating 15.00 Cooling Hood 6.50 Ventilation PERMITFEE S 35.00 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.) ❑ 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 comply with those provisions. /of Date G— p lican - ner ❑ Contractor ❑ Agent AOSHAt 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 is OCC CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions the Butte CountyCode and/or Resolutions to do work indicated ve for which fees have been paid. By T Date PERMITEXPIRESON 9 i, (Date) �� Receipt No. 190707 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 30-461-00,ZONING BUILDING PERMIT OWNER RAYWINT KW TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2082 THMA AVE CONTRACTOR'S NAME PdIA INC. 02-2955 TELEPHONE CONTRACTOR'S MAILING ADDRESS 20-55 •• JOAOTIN Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER- LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �/ - .1 ! , '� PERMITFEE $ - PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 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 ❑ Describe Work: — Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service600v 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. License Class Lic. No. 08307. 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 NEW CONST. DWELLING OCCUR \ OR ADDNS. ( a ACC. BIDS. / SO. 3.50 FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( b POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL 50 Ex. Occup. OUTLEEDTS(REso.)EA ( () 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I 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. UQ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Cy f I'Ic NA 1 ic,JA L MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S �. Contractor Policy Number ( L2 C.' :� j. q -' (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 _}f� _. Date d- - / - ItS, Signature of Applicant - ❑ OwnLir .❑ Contractor �Q Agent An OSHA permit is required for excavations over 60" deep and demolition or constructions of structures overstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have B PERMITEXPIRESON 7.-- applicable provisions Resolutions to do work been paid. Date 1, (Date) G3 Receipt No. I / "7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, C:alifcFnia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 30-461-09 ZONING BUILDINGIPERMIT OWNER RAYMOND TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2082 TEHAMA AVE CONTRACTOR'S NAME RHA INC. (209)1232-2955 TELEPHONE CONTRACTORS MAILING ADDRESS 2099 SAN JOAQUIN FRESNO CA... Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS • U PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 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 O Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: Mobile Home IS I GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service a OR LESS ( 20oA 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. License Class UI E �p ©83oZ 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ I.W BAL .50 Ex. Occup. ( OUTLEEOTS (RESID.j OR) 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: O 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. Cq I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compens§ltion insurance carrier and policy number are: Carrier sUrce-6L MATICn1� Policy Number WC—V!,nRCi1--b (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 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 _ X2'7- 9S Signature of plicant - ❑ Owner O Contractor g Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I COF I PARCEL I PO HD ISSUE 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. B Date PERMITEXPIRESON 7 �� (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MOUNTAIN, Alta, iAftaidjag & Air Coinditioning (916) 671-6625 MC. 4 Olt CURRENT "OOMPANT; �PwIN A'18 '16 INFORM ,YOU TRAP THR c-1tUmog YR. TH Mima.. WHICH WAI INOTALM PYr MOtJNTAiN MI. Vl-TH9 DUILDINO DIP� PIP M MOR TO' 89T A DATE AND I ; YHMPHdT ION YOUR "022 '19 Y #tI r NOSPORD, ' A1?� Nit MglP OF-'-Tftf8 NOTICE � . Tf �. 190""01 MAY HAYS PGBtt TURN'`YOUk�:GAN oev, NCSPLffiA t H IIHLAY* , AHSJ'S' 101 ANY INCONVINIINCE This MAY, CAOSS. !3' . •rast Si. MOUNTAIN"5"d . r 4 ' 1 _ WO tndustAat t1Hv0 ,South- f: ` Yubs 6ty, OA 95993 Lic. 377199