HomeMy WebLinkAbout040-160-041040-16-0-0410111 B
COLE, Millard I 1 3p
1909 Cummings Lane, Durham
(vinyl siding)SF K Designers
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COLE 97-0111 B
, Millard
1909 Cummings Lane, Durham
(vin
yl siding)SF K Designers
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California, 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PI5RMIT
Ug!y6A"fR
Z°"'AS
BUILDINGPERMIT
OWNER
M11LARD COLE
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
f�
12,387
OWNER'S MAILING ADDRESS
1909 MIMINGS IN, DURIWI CA 95938
CONTRACTOR'S NAME
K DESIGNERS 800
TELEPHONE
782-9578
CONTRACTOR'S MAILING ADDRESS
11261 SUNRISE PARK DR. RANCHO CORDOVA CA 95742
CONSTRUCTION LENDER
NONE
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
NW1IE
LICENSE NO.
FilingFee
$ 20.00
Permit Fee
$ 144.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
1909 Ci1INI INGS LN, WRHAP1
Energy Plan Checking Fee
$
PERMIT FEE
$ 164-00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 11% 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
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )+I
Describe Work: VINYL SIDING
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service z"..A R 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 i I f rCe and effect.G /
U
License Class Lic. No. '/ Q p g Dip
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
46.00NEW
CONST. DWELLING OCCUP.
OR ADDNS. ( a A.C. S.
S°
3.52 FT.
T.
HON-RESlo MULTI. CIRCUITS OUTLET
97.50
POWER APPARATUS
d SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
SAL @ ';50
LNS
Ex. Occup. pUI7LE7SRES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
p I 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.
123 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 ut _L t%$(-/r/t T A X C —%Pr`,L`I15.__`n_,y�"we: 7AI,
Policy Number e5AO,6--k e( -.)p
(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 comply1with those provisions.
r �7 qy
X �Cja-�,����_•--�' Date - `r{= / /
Signature of�'Applicant - ❑ Owner ❑ Contractor 1 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
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 164.00
HAZ.
1 0. FEES IMP I
FLOOD
I CDF
PARCEL I PO
I HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
BY L I r "
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date, _
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'h COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75,dl- PERMIT NO.
(Rev.12/96)APPLI,r.►AT�ON AND PERMIT✓.
AS40ORP�
-1000
ZONING
A5
BUILDING PERMIT
OWNER
MILLARD COLE
TELEPHONE
SO, Fr- OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1909 CU`MINGS LN, DURHAM CA 95938
CON"R 12,387
CONTRACTOR'S NAME
K DESIGNERS 800
TELEPHONE '
782-9578
CONTRACTORS MAILING ADDRESS
11261 SUNRISE PARK DR, RANCHO CORDOVA CA 95742
CONSTRUCTION LENDER
NONE
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 144.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1909 CUMMINGS LN, DURHAM
Energy Plan Checking Fee $
$
PERMIT FEE $ 164.00
LOTNO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF EY Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: VINYL SIDING
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 200A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwSection ) Business anons
ith Sti7000 of Division 3 of the Busid Professions Code,
and my license iS' 1 f rce and effect.{'
License Class Lic. No. �� �� 06
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, SO
OR ADONS. ( & ACC, BUDS, 3.50FT.
NEW CONST. MULTIANCCU-OUTLET @7.50
NON-RESID.
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES BPL @ 1.50
Ex. Occup. ourLEeors AEESI6.DFR.A 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring -E 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
` I 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' comhsation insurance carrier and policy number are: _
Carrier D ILL l OS i462 � � e�7Lausc`a�vYiUE%A� .NS
Policy Number B C 7D
(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
fort with comp h those proyj6ipns.—
Date I " _
Zg)nrtu�rApplicant - ❑ Owner ❑ Contractor Rk Agent
An OSH 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
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. YPE
TOTAL FEE $ 164.00
=.A.T:IEES
IMP
FLOOD
CDF
PARCEL
I PD
I HD
SUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for ich fees have been paid.
By i
PERMIT EXPIRES ON >_
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT