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Home My WebLink About038-190-006038-190-006 PERMIT#97-0309 NELSON, Dale 8911 Stanford Ln., Durham Gas Line,Wall�,nnna�ce,Wt��Ht_�SF Y i I �- �� 038-19 0-006 PERMIT#97-0309 NELSON, Dale 8911 ..Stanford Ln., Durham Gas Line,Wall Furnace,Wtr.Htr/SF 1 f OFFICE COPY Address %U S 7A v AbRR GN Ap- GAS //��,, Meter By n�;eDate[(/ ELECTRIC Meter By Date I �- �� 038-19 0-006 PERMIT#97-0309 NELSON, Dale 8911 ..Stanford Ln., Durham Gas Line,Wall Furnace,Wtr.Htr/SF 1 f OFFICE COPY Address %U S 7A v AbRR GN Ap- GAS //��,, Meter By n�;eDate[(/ ELECTRIC Meter By Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT o. (Rev. 12/96) APPLICATION AND PERMIT, '97' ao i ASSEsd'M 11=U6 ZONING BUILDING PERMIT owNE)ALE NF1MN TELEPHO(J�� JJ((�i SO. FT. -'OCC. BUILDING VALUATION OWN79111 5l i1V RD LANE, DURHAM CONT q 21rME TELEPHONE M CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan CheckingFee $ * BUILD18G AQDfiES§TANFGRD LANE, DURHAM' 079711 jj LANE, Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE V SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 0• 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other .♦O Describe Work: GAS PIPING, WALL FURNACE, VrR HTR Gas piping system 1 - 5 outlets 15.00 • Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service i. no.LE S 23.00 7 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,N-RES"o.' and my license is in full force and effect.PSINGLOW License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ,A\ 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 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.) ,CIS 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. p X uY�ia_ Date �(�/ �__ Signature of Applicant = ,.Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. B.S. 3.50FT. AULrI-ourLET1. 97.50 dS E OUTLET ER APPA CIR. 20 I.00 Ex. Occup.OUTLET OR FIXTURES BAL p .w Ex. Occup. ourLEEDTs RES1n.oERa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating WALL FURNACE 5. Cooling Hood 6.50 Ventilation PERMIT FEE $ 35,00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ $S,Cb HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ySSUE A This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which ees have been paid. 2/20/97 By Date _ PERMIT EXPIRES ON 'ZTO/fi n Date Receipt No. G1wG1. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, California 95965 - Telephone (Rev. 12/96) APPLICATIOM_AND PERMIT BUILDING Dr ISION (916) 538f7541�� _ PERMIT ASSES�D,{ig11ffU'dT006 �•jj�L 11N UU ZONING B . DING PERMIT OWNE ALE NELSON TELEPHONE 343-3009 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8911 STANFORD LANE, DURHAM CONTRACTOR'S NAME ,9w� Do "%J TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'SMAIUNG ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 8911 STANFORD LANE, DURHAM Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CY Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 T5. OT TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 10 ("4 -rd 11'e&-1-- Describe Work: _ GAS PIPING, , WTR HTR / Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S CZn no ELECTRICAL PERMIT Fling Fee 20.00 Main Service soonoRLEN 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 LIC. NO. 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING Occup. OR ADDNs. ( a ACC. BLOS. so 3.5¢FT; NEW CONST. MULTI.OUTLET NON•RES10. ANC c""ITS@7.50 POWER APPARATUs 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'00 SAL Q .50 Ex. Occup. ourrs RFSID.OFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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. ❑ 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 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 I hwith comply with those provisions. ,-) X Date �A-- Signature of A plicantOwner ❑ Contractor ❑ Age t An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating TW*LT rr_Tnt.� 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35,00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 85.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD {$SUE X This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which ees have been paid. By Date 2�20�97 PERMIT EXPIRES ON 2/20/98 Date Receipt No. 210027 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. , Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until.this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES NO[ ]. ' .2.: I HAVE[] HAVE NOT[ ) signed an application for a building permit for the proposed wor 3. I have contracted with the following person (firm) to provide the proposed construction: N ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portion this work, but I have hired the following person to coordinate, supervise, and provia major work: NADA: ADDRESS: CTTY: PHONE: . CONTRACTOR' ICENSE NO. 5. I will provide some of the work but I have contracted (hir the following persons to provide'the work indicated: NAME ADDRESS PHONE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: �-- , U NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER r Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record permits are not required to be signed by property owners unless they are personally on such a permit. Building pe rformed by someone other than yourself, you may protect performing their own work If your work is being pe permit or her name. yourself from possible liability if that person applies for the proper to be licensed andon bonded by the State of California and to have a Contractors are - required by law business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed. as contractors or subcontractors, then you may be an employer. - 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security tares, e costs, and unemployment compensation contributions. workers compensation insurance, disability insuranc 0 There may be financial risks for you if you do noancarry out these obligations, and these risks are especially serious with respect to worker's compensation 0 For more specific information about your obligations under Federal Law, contract- the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. owners who If the structure is intended for sale, property are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbtulde building permit, erroneously implying that the propem owner is providing his or her own labor and material red to be signed by property owners unless they are performing their own personally. Building permits are not requi work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Since rel , ` Michagl C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Orovilla, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER (�[^� { '� YONINO� BUILDING PERMIT OWNER ,SGS TELEPHONE 3 3 3GD SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS LA,/ CONTRACTOR'S NAME TELEPHONE - CONTRACTORS WILING ADDRESS -- 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 O Y, h Energy Plan Checking Fee $ $ / l U >^ ho PERMIT FEE $ LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF)o 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C�� l/1%%�' � L— t/. ,4/ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LES Main Service 20.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 Lic. No. 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 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.) 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 Signature of Applicant - ❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 6 ACC. BLDS. 3.5¢rr. rNioN-RESNDT gN�CTI OUTLET 97.50 d PSINOWGLEER APPARATUS OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES SAL i0 LNS PEA 5.00 Ex. Occup. OUTLETSRES D.O Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating 2n1_A /s Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE HAZ. D. FEES IMP I FLOOD I CDPARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dere Receipt No. '�lr'] WHITE-D.D.S.-B.D. - CANARY - ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT