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HomeMy WebLinkAbout040-212-003040-212-003 99-2722 DURHAM COMMUNITY UNITED 2404 DURHAM DAYTON HWY. L NEW GASLINEila1XOl 040-212-003 t99-2722 DURHAM COMMUNITY UNITED 2404 DURHAM DAYTON HWY. CONTR: M.D. PLUMBING NEW GAS LINE 1 f I . I i 1 h 040-212-003 t99-2722 DURHAM COMMUNITY UNITED 2404 DURHAM DAYTON HWY. CONTR: M.D. PLUMBING NEW GAS LINE 1 f I . I i 1 Y OFFICE COPY Address GAS Meter By Dat ELECTRIC Meter By Date COUNTY OF BUTTE - DEPARTMENT OF QEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541j PERMIT ,140. (Rev. 12/96) APPLICATION AND PERMIT C W-97�� ASSESSOR PARCEL NU ` f-C-.•T`J 0 63 - ZONING BUILDINGPERMIT OW ` ER "� TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERs MAIUNG ADDRESS 0t66O ' CONTRACTOfR',S NAME ) -�_ TELEPHONE y5b CONTRACTORS MAID ADDRE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS kw Mi -OVA Energy Plan Checking Fee $ $ � On PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE //( SF ❑ Duplex ❑ Mobilehome Other l )_ !1 �.1.�:-Y1 SPECIFY Each Trap 1 7.00 Solar or heat um 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: ) '� ,1 �[_%�,/i1 C:f' - 1�17� FSU ! p "� Gas piping system 1 - 5 outlets 15.00 , Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LESS Main Service zo.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 I full force and effect. ) License Class it� Lic. No. 6,azlQ ( 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 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. Caworker ' com,Pensation if surance carrier and policynumber are: rrier �,� /; f, ,L /%.4-,* a4x.,-! �r . it � Policy Number F K,1la,-2A b (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 pro isions. -XkQ ��C a-- Date �� _ Signature of Applicant - ❑ Owner XCon actor ❑ 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. DWEWNG OCCUP. OR ADDNS. ( a ACC. sin S. SO 3.5QFT; NON pEOSIDT MULTI.OUTLET 97.50 POWER APPARATUS aSINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL O 1:50 FIXED OR Ex. Occup. our Ts RM.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ oec corxT. TYPE TOTAL FEE $ HAZ. 0 IMP FLooD CDF PARCEL PD HO ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate .above for which fees have been paid. ,�/ A. ,- By T 9170lG'. '.)f {: (�G'J Date PERMIT EXPIRES ON /--'7 Data Receipt No, d(0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California b5965 • Telephone (530) 538-7541 PERI IT 0. (Rev. 12/96) APPLICATION AND PERMIT C- " ASSESSOR PARCELNU ER+ SIL 0 w /a ��J/`f ;L, 3 ZONING BUILDING PERMIT OZTELEPHONE 3`d_zz "} SO, FT. OCC. BUILDING VALUATION .OWNER , 1�1G A�R6S CONTRACTOR' E p TELEPHONE CONTRPORS MAI ADDRES 1 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehomex 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: _tbo Gas piping system 1 - 5 outlets 15.00 1 Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ to 5 -,OD ELECTRICAL PERMIT Fling Fee 20.00 Main Service 'DOA 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 I full f rce and effect. License Class Lic. No. 50L. I 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 °COUP. OR ( s 3.50FT.' Carrs n81uL�TCou�TtFr NON RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES 2L @''0° BA L @ .30 Ex. Occup. OUnJEDTS ASID.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 worker ' compens� n Iq surance carrierr�lnd policy number are: Carrier Q�I �, Z7^.-x-e/KN4 _ �jw$, MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number a ka (� f o?3 (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 comply with ose pro'sions. Q •_ _ Date / Signature of Applicant - ❑ OwnerContractor ❑ 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 $ o CONST. TYPE TOTAL FEE $ 5. 00 HAZ. p, IMP FLOOD COF PARCEL I PD I HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ove for which fees have been paid. By nnDaat�te,,��,,/�-/ � PERMIT EXPIRES ON I Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT