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HomeMy WebLinkAbout042-160-060' -------� -----------� s------�----- ' --- — - — — -- . . Reivel CamerZon 1106 Glenwoo Ave., Chico Permit 101-7 B (new single f euel Cameron 1106 Glehwood Ave., Chico Permit 63�-71B (RENEW 101-70B) Reuel C e on Permit 7 (2nd RENEWAL of.,oo J -e.,., h:yc 217-7 B� 042-160-060 02-1638 AMERON FAMILY TRUST � � � ~ / 1 . - - ` 7-1 ` ^ � / , . . � ~ / ^ _~.` � �'�Fc ojf -P.14111 042-160-060 02-1638 CAMERON FAMILY TRUST 1106 GLENWOOD AVE., CHICO CONT: AR'fIC AIR. HVAC C/O i Irl ff: WAI OF DEVELOPMENT SERVICES - COUNTY OF BUTTE - DEPARTMENT CE BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 E (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCELNUMBER qd ZO '" BUILDING PERMIT OWNE TELEPHONE. 343-9M S0. FT. OCC. BUILDING VALUATION .OWNERS IUN ADDRESS 1 CONTRA 'S ME �1 a CONT iii-,p• GONNG AY/`ESSSJ,QJA`rWl959dg CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 11 O(DPERMIT Energy Plan Checking Fee $ FEE $ LOT NO. SUBDNSroNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 0. Ulilities [3Installation ❑ Other ❑ Describe Work: �{ UAC otct Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W F @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 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 : - V_20 G Z Lic. No. Q 9 !• 3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 erformance of the work for which this permit is issued. 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 in$urance carrier and policy number are: Carrier %.-L rA'"_ w�Aa en_ Policy Number 5!3A i'b 2_ 41 00 (The above sections need not be completed 0 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 •rf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / XDate / Sigmifure of Applicant - ❑ Owner ❑ Contractor &.49ent �— An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heigh Main Service 200A TO 1000A 46.00 NEW CONST. DW EWNG OCCUP. SO OR AODNS. ( 8 ACC. S.3.50FT. NON.R°SIOT MULTI.OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES B20 @'.00 Ex. Occup. ounFrs PEM.°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating AD M, 615 CoolingI , Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ ° RTYPE TOTAL FEE $ MAZ D F IMP FLOOD CDF I PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicate above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date �3 Dete Receipt No. 535�s �•°p WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT i -7 --71 101-70 76-70 102-70 PERMIT EXPIRES / - 7 1 OWNER Revel Cameron owner CONTR:. t 42-161`,2 LOCATION (A. P. ) J 1106 Glenwood Ave., Chico r_ f' F �a 8° a P �i l �l. COUNTY OF BUTTE Deportment -of Public Works Q BUILDING INSPECTION RECORD Q Zoning' �! — �y Setback _ '�G�� Forms c%,�'n- Foundation "J Piers & Girders Fireplace Rgh. Plumbingb/._/ ^ Sr— �% D Bond Beam Loth•& Plaster Rein. Steel Gas Piping & Test s -ol Found. Vents Z_ Framing t /O -A/- PImg. Topout 00 Rough Elec. Wtr. Htr. Z— /S ^ % Z '� Furnace : — _ 2-- % ;z Kitchen Vent Firewall Garage Vents i Sanitation & Woter •______� ELECTRICGAS BUILDING f Temporary —^ % Temporary Cert. of Occup. . Final Final Final DATE REMARKS OR CORRECTIONS _s 7 .� jam,, ,�.� �% c% H �`' d-��.� c� c�•c �'� y ? e7 Gt 04 -Ir -t /`7.0 44- IS e-- cv% • r' • ii i NEW 0 ADDITION O REPAIRS El OTHER F O U N D A T 10 N Others =�'1 - • r •.-. /(1 / -� -%!� J3 MATER!AL EXTERIOR PIERS Single Multi Width at Top USE OF STRUCTURE Family 0 Duplex Q Dwelling 0 Others Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders joists- 1st Floor Joists- 2nd Floor Fireplace Joists -Ceiling Total Valuation Exterior Sttids Permit Fee/, 4 �'—= / ^7 Interior Studs Plan Checking Fee &/or Penalty c Roof Rafters er Total Permit Fee Bearing Walls 'J' -CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: t I am 1. licensed under, the provisions cf Chapter19, Div. 3, of the State'.of California Business & Professions Code under the name ' style of........................................................................................................................................................................................................................`................ License No. ......,••„•••;......•••••. Classification .............................................. . and certify thatlthe aforesaid license is in -full force and'effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: f I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q 1. am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors. (Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis,, if any, for other statutory exemption ........................ ..........................................................................:................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am, aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all Cothe above ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X.......................................................................... Dace.............:...............�'� SIGNATURE OF PERMITTEEIOR'AGENT Receipt No ............. ..:..:.:...L'...... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By............................................................................. Date ................................ Permit Expires Date,, COUNTY OF BUTTE ,7 f •/- iJ DEPARTMENT OF PUBLIC WORKS f % 7 County Center Drive - Orovllle, California 95965 Phonet 533-1230, Ext. 259 A P PLICATION AND BUILDING PERMIT Permittee Owner A. P. No. Fire Zone Zoning Mailing Address str [— t) Contractor Sanitation I ' Planning Mailing Address err f i% Plans Fees W.0 R/W Encroachment BLDG. Address ) �l' (^ /" �'v t ��r FI I�" �- J NEW 0 ADDITION O REPAIRS El OTHER F O U N D A T 10 N Others =�'1 - • r •.-. /(1 / -� -%!� J3 MATER!AL EXTERIOR PIERS Single Multi Width at Top USE OF STRUCTURE Family 0 Duplex Q Dwelling 0 Others Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders joists- 1st Floor Joists- 2nd Floor Fireplace Joists -Ceiling Total Valuation Exterior Sttids Permit Fee/, 4 �'—= / ^7 Interior Studs Plan Checking Fee &/or Penalty c Roof Rafters er Total Permit Fee Bearing Walls 'J' -CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: t I am 1. licensed under, the provisions cf Chapter19, Div. 3, of the State'.of California Business & Professions Code under the name ' style of........................................................................................................................................................................................................................`................ License No. ......,••„•••;......•••••. Classification .............................................. . and certify thatlthe aforesaid license is in -full force and'effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: f I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q 1. am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors. (Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis,, if any, for other statutory exemption ........................ ..........................................................................:................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am, aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all Cothe above ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X.......................................................................... Dace.............:...............�'� SIGNATURE OF PERMITTEEIOR'AGENT Receipt No ............. ..:..:.:...L'...... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By............................................................................. Date ................................ Permit Expires Date,, y 14177 avxll*� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner�- Mailing Address Contractor Mailing Address Fire Zone 3 Zoning Sanitation ^— Planning Plans --- I Fees t-- ( W.C. BLDG. Address R/W Encroachment NEW 0 ADDITION D REPAIRS O OTHER El F O U N D A T 10 N "�.; e/ f O" %� MATERIAL EXTERIOR PIERS Others ! * s . �'/-"t- Single Single Multi Width at Top USE OF STRUCTURE Family �Duplex Dwelling Others Width at Bottom Depth in Ground SO. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders joists - 1st Floor Joists - 2nd Floor Fireplace Joists -;Ceiling Total Valuation Exterior Stdds Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee /, '% �� '� Bearing Walls i% CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ . License No. Classification,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I. am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis,. if any, for other statutory exemption............................................................ .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am_ aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ^.' i X ....................................................: Date ................................ SIGNATURE OF PERMITTEE OR AGENT Receipt No ........................................ This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By..............j Date .................:........................................ ................................ Permit Expires Date... r � ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS / 7 County Center Dri-ve - Oroville, California 95965 Phone: 533-1230, Ext. 259 f 1 APPLICATION AND BUILDING PE R M I T NEW P" ADDITION REPAIRS OTHER Others Single �' Multi USE OF STRUCTURE Family Duplex Dwelling Others SQ. FT. OCC. BUILDING VALUATION Total Valuation .41 Permit Fee MATERIAL Width at Top, Width at Bottom Depth in Ground R.W. PLATE (Sill) Girders oists - 1st Floor Joists- 2nd Floor l� Joists - Ceiling Exterior Sttids Interior Studs FOUNDATION EXTERIOR PIERS Plan Checking Fee &/or Penalty I I Roof Rafters I Total Permit Fee I Q Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: SIZE " SPACING SPAN L am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof ...................................... ................................................................................................................................................................................... :...................... License No . ........................... Classification........................,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed -contractors. (Sec. 7044). Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis,. if any, for other statutory exemption ................................ :.................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ........:.. - r............::.�.. .t.........' t .}... Date.........:....� ....�'rJ SIGNATURE OF PERMITTEE OR AGENT 1 _ . of Receipt No ......'.................. .. ........................................................................ This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By...............� ........:..:. +.r Date Permit Expires Date, Permittee Owner ./ti `.-�; r %'�' �--' -- 't.At , _ ..�'" _,,. A. P. No. Mailing Address —' ~t - '�' r�`�' f ^ w'�-•'� Zoning 'o, Sanitation,'� "> IW..C. - Contractor r`-6- �' Plans Fees . Mailing Address Planning. - D.P.W. C -r:,' l.' (/e2,tC✓ BLDG. Address �f� ,lam v,_ .y_ .4 NEW P" ADDITION REPAIRS OTHER Others Single �' Multi USE OF STRUCTURE Family Duplex Dwelling Others SQ. FT. OCC. BUILDING VALUATION Total Valuation .41 Permit Fee MATERIAL Width at Top, Width at Bottom Depth in Ground R.W. PLATE (Sill) Girders oists - 1st Floor Joists- 2nd Floor l� Joists - Ceiling Exterior Sttids Interior Studs FOUNDATION EXTERIOR PIERS Plan Checking Fee &/or Penalty I I Roof Rafters I Total Permit Fee I Q Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: SIZE " SPACING SPAN L am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof ...................................... ................................................................................................................................................................................... :...................... License No . ........................... Classification........................,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed -contractors. (Sec. 7044). Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis,. if any, for other statutory exemption ................................ :.................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ........:.. - r............::.�.. .t.........' t .}... Date.........:....� ....�'rJ SIGNATURE OF PERMITTEE OR AGENT 1 _ . of Receipt No ......'.................. .. ........................................................................ This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By...............� ........:..:. +.r Date Permit Expires Date, . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center'Drive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner .,-�✓ L -�Q+�t P.. �2-►-•,..✓ A. P. No. ��}✓/- Mailing Address,, Contractor�� le� Mailing Address BLDG. Address DESCRIPTION OF NEW ADDITION OTHERS: Remarks: WORK METER SERVICE PERMIT FILING FEE No. Fee �j $2.00, Supplementary Filing Fee 1.00 Main Service .171' 00 Range, Dryer or Water Heater Z Each 1.00 Z d O Oven, Cook -Top or Space Heater Each .50 Light Fixtures g � First 20 2u E Each Additional .10 7 Receptacles., Switches & Fixture Outlets First 20 20 Each Additional .10 •� �� r J p USE OF STRUCTURE Single Family Duplex OTHERS: Remarks: Multi Dwelling Hood, Exhaust Fan or F.A. Furn. Motor / Each .50 r :1-ro Evap. Cooler, Gar. Disp. or Dishwasher Each .50 �% r 00 Air Conditioner or Heat Pump A -:5-0 Water Pump Misc. Wiring Min. 13'.50 r TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof......................................................................................................................................................................................._..................................................... > License No. Classification......,,,,,,............. I.................... , and certify that the aforesaid license is is full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). P� I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ordinances and oState Laws relating to building construction. .......... ............. Date ........................................ SIGNATURE OF PERMITTEE OR AGENT Receipt No. ........`..........� ........................ APPROVED This ELECTRICAL PERMIT is hereby issued under the appli- cable provisions of County Ordinance 887. DIRECTOR OF PUBLIC WORKS By. ....................................................... Date t- . ?—.:7v....... Permittee Owner Mailing Address Contractor Mailing Address BLDG. Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 16 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APP/LICATION AND PLUMBING PERMIT / A.P. No. plc •"'�t '" DESCRIPTION. OF . W:•ORK NEW ©"' ADDITION 0 REPAIRS E] OTHERS: Remarks: PERMIT FILING FEE No, @ Fee $2.00 ©6 Each fixture or trap or set of fixtures on one trap 1.50 , a Q Repair or alteration drainage or vent piping 1.50 Installation or repair water piping / 1.50 /f Each gas water heater or gas heater vent- 1.50 O () USE OF STRUCTURE Single Multi RESIDENTIAL Family © Duplex Q Dwelling Q OTHERS: Remarks: Gas piping system 1 - 5 outlets 1.50 , U Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 TOTAL FEE $ A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................. License No .............................. Classification,,,,,,,,,,,,,,,, and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................: WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. r X..;-!..................................................................... Date . .............................. SIGNATURE OF PERMITTEE OR AGENT Receipt No........... !� .............................................. This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By�rY"��.sJ............ Date...-..:.-. 7,C�....