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Home My WebLink About042-080-038ZONING VIOLATION 5/18/93 'COMPLAINT TOIN PECTOR COMPLAINT TO INSPECTOR ;2--1'5-o5 042=080-038 PERMIT#9 -2830 { RAMOS,. Guadalupe 2303 Kennedy,. Ave-.,,, Chico% / y Cont; Selig Construction Vinyl Siding/SF t / 042.; 080.-038. µ PERMIT#95=3043.`, RAMOS,' Guadalupe _ 2303 Kennedy, Ave., Chico. Cont;, ,John Edwards, Home's:. Water 'Heater /SF ICINfiG C ,�� ,� .; .v . �� I'• _:� BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!!! ' V ' - DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR! of, ., The following information is required for Housing Complaints and -the ' Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: The above. information is not available to the public!!! ! ! ! ! (2) t i . 1 042-080-038 PERMIT#95-3043' RAMOS',` Guadalupe " 2303 Kennedy Ave., Chico Cont; John Edwards Home's Water.Heater/SF ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 NO. APPLICATION AND PERMIT _ 94�,ZRMIT _ 3(9 4_ , ASSESSOR PARCEL NUMBERpW 2 . Ogr4p „ ZONING ^D\ BUILDING P MIT OWNER M , V TELEPHONE SO, FF, OCC. BUILDING VALUATION OWNERS MAILING ADD SS =r ydr, CONTRA R'S NAMEIEI-SPF a H �' DCAJ A-&,oA,c:' E -i 1� I N.G AD CONTRACTOR'S DRESS /Zt4 _,;rAVr43 /'-f ,Co Fireplace CONSTRUCTION LENDER UNIO,OWN 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 PERMITFEE $ .446 k,. + >t PLUMBINGPERMIT Filing Fe.pj2�00 Each Trap 7.00-�II►�� LOT NO. SUBDIVISION'S NAME PARCEL MAP Volar 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 t�(� i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ a -A- 14-C Describe Work: AJ �� —� Mobile Home I S I GI W 1 920.00 PERMITEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service000V 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.0 de, % } and my license is in full force and effect. l �� . �l./ ( License Class rr Lic. No. — -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 OR AD DNS. ( 8 ACC. BLOS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( & POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FD(TURES ) BAzL o p Loo 50 Ex. Occup. (oUTELE7S a sE Io OR OWNER 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 g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S 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.) 7 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, I shall forthwith comply with those provisions f- X . /., ' 1 /' .�i.� ''J '�/�'�IG, Date I �' ; 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 $ OCC CONST. TYPE r � TOTAL FEE $ ,J 5,tAO HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under ttie applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ��/ �- / Byi Date /� PERMITEXPIRESON ,/G// ?A-4 -.1L . , I (D-) Receipt No. �� 7- % WHITE;D.D.S.-B— CAN ARY-ASSESSORW,AAP_INK',INSPECTOR GOLDENROD -APPLICANT f{ i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION _ - 96 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 ,PERMIT NQ. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER�"2 .� ._ zoNlVS BUILDINGP RMIT OWNER V =� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS I ADD SS CONTRACTOR'S NAME p- J CJ _I�.: /TV t %JiJ At ONE CONTRACTORS I AD SS ['� IZLtL� -F SCO Fireplace CONSTRUCTION LENDER UNIw0WN Total Valuation $ LENDER'S MAIUNG ADDRESS Fling 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 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 a Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: i t �-`T�� i L'^Q� —�� Mobile Home I S I G W @20.00 PERMITFEE S ®� Contractor ELECTRICAL PERMIT FilinQ Fee 20.00 Main ServiceOOOV OR LESS ( zooA oR IEss ) 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 Professi ns/Lpde, and my license is in full force and effect. CQ�– �/ (vJ License Class LIC. No. D OWNER-BUILDER DEGLARATI N 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. OR AD DNS. ( 8 ACC. BUDS. ) 3.50 SFTD.. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FDCTURES) 20 Q 1.00 BAL 50 EX. Occup. OUTLEEDTS PRESID.) OR ( ) 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. ❑ 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 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 provisions of section 3700 of the Labor Code, I shall forthwith COMPI with those p ovis X _��/ �'�/�iD�te t 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 $ OccCONST. TYPE TOTAL FEE $ HAZ. 1 0. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions f the Butte County Code and/or Resolutions to do work indicated above for w 'ch fees have been paid. B Date PERMITEXPIRESON / (Date) rReceipt No. l5' (� Z% ITE-D.D.S..-B� CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -"G PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 May 18, 1993 Guadalupe Ramos 2303 Kennedy Avenue Chico, CA 95926 RE: Butte County Code Violation 2303 Kennedy Avenue, Chico AP#042-080038 Dear Ms. Ramos: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Pursuant to Chapter 24, Section 24-64, "All uses of land within a zoned district not specially authorized or permitted by the regulations are prohibited". The SR -1 (Suburban -Residential) zone, (Section 24-162), does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in an SR -1 zone. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk". Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. Remove in -operative "junk" vehicles from property. Guadalupe Ramos May 18, 1993 . Page 2 You have thirty30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Wanda Munsinger in this office at the address or telephone number listed above. Sincerely, . ircher Director of Planning BAK:WM:jc cc: Code Enforcement Building Department n 4 July 2, 1993 Guadalupe Ramos 2303 Kennedy Avenue Chico, CA 95926. RE:. Butte County Code Violation 2303 -Kennedy Avenue, Chico AP#04� 2_ 080 038 Dear Ms. Ramos: count Eu ite PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated May 18, 1993 notifying you that you are in violation of the Butte County Code at the above -referenced location. As of this date, the following violation still exists. Pursuant to Chapter 24, Section 24-64, "All uses of land within a zoned district not specially authorized or permitted by the regulations are prohibited". The SR -1 (Suburban -Residential) zone: (Section 24-162), does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed. use in an SR -1 zone. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk". Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action { necessary to abate the violation. Remove in -operative "junk" vehicles from property. Guadalupe Ramos July 2, 1993 Page 2 This is your final warnin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this_ letter, the court shall impose penalties (fines) -and a Notice of Violation -shall be recorded in accordance with Butte County Code Section. 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a- description of the violation, the date of your convictions and the action necessary to correct or abate the violation(sj. Should you have any questions concerning this matter, please contact Wanda Munsinger at the address or telephone number listed above. . - Sincerely, Pa,ula_ Ae_a4u,\_� Paula Leasure Assistant Planning Director PL:WM:jc cc: Code Enforcement Building Division �i� .,..:;.. a:ar,F.it:'.F ':.. �'s... -"+gym;«.—� dy'y .:...-.-il�'ty0.\:f.,��:s Y+�'PjFj{'ti'ywt.•,nr"vw �.:.}GfiP':;.s.+..zwtxy'�,+"�!fM�_�'x�sexyL•i"=u,��"f!+�'v:.4 ,' 042-080-038, PERMIT#95'-2830. " RAMOS, Guadalupe 2303 Kennedy Ave. Chico Cont; .Selig Cons.truc.tion Vinyl Siding/SF 01 r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 5 - �;)81 0 ZONING SRI BPERMIT042-80=038 OWN READS GUADALUPE TLE ONE -8757 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2303 KENNEDY AVE CHICO 13,588 CONTRACTORS NAME SELIG CONST. TELEPHONE 893-5898 CONTRACTORS MAILING ADDRESS 385 MORROW LN Moo Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 153.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS F` NTM PERMITFEE $ 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 Q 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: VINYL SIDING Mobile Home ISI GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filin Fee 20:00 Main Service e00V 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. 1211 OAF 2 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 e"'9 0,-7 -V.7V e, 4.4, NEW CONST. DWELLING OCCUR So. OR ADDNS. & ACC. BLOS. 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 .50 EX. Occup, OUTLETS (RESESID.) ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 0,4 (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/''x'�� '� _ Date %/-_ �l Signature of Applicant - ❑ Owner ❑ Contractor "G�Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 77 Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 173.0 . HAZ. 1 D. FEES I IMP I FLOOD I CDF I PARCEL PD HD I 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. By I _Date `` PERMITEXPIRESON /i `9 `o; (Date) Receipt No. r I 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 - Orovib,- Ca:aofnia 95965 - Telephone (916) 538-7541 ^��PE�RMIT No. APPLICATION AND PERMIT —o 3 ASSESSOR PARCEL NUMBER 042-080-038 ZONING SRI BUI ING PERMIT OWNER RAMOS, GUADALUPE TELEPHONE 342-8757 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2303 KENNEDY AVE CHICO p 13.5 88 CONTRACTOR'S NAME SELIG CONST. TELEPHONE 893-5898 CONTRACTOR'S MAILING ADDRESS 385 1 MORROW L CHICO Freplace CONSTRUCTION LENDER UNXNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 153.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 9303 KENNEDY, CHICO PERMITFEE = 173.001 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 K7 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: VINYL SIDING Mobile Home S I G I W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service OOOV OR LESS ( zooA 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. � 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 S0. OR ADDNS. ( 8 ACC. BUDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 aAL @ 1.00 .30 EJ(, OCCU FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA) 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: ❑ 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. tib' 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 CigZ. "%f MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number /I%5 -2>,-3P ;9/ o4 (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. r. X v_v ` Date —//- 19- 5;> Signature of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over in height. Mobile Home Installation Fee $ Energy Inspection Fee $ JHD OCC CONST. TYPE I TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL 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. By Date PERMITEXPIRESON (Date) �3ystories Receipt No. b WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT