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HomeMy WebLinkAbout040-160-041040-16-0-0410111 B COLE, Millard I 1 3p 1909 Cummings Lane, Durham (vinyl siding)SF K Designers oho iso out 001 - of IZ 4[1 3 _ 040-16-0-041 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