HomeMy WebLinkAbout040-212-003040-212-003 99-2722
DURHAM COMMUNITY UNITED
2404 DURHAM DAYTON HWY.
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NEW GASLINEila1XOl
040-212-003 t99-2722
DURHAM COMMUNITY UNITED
2404 DURHAM DAYTON HWY.
CONTR: M.D. PLUMBING
NEW GAS LINE
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040-212-003 t99-2722
DURHAM COMMUNITY UNITED
2404 DURHAM DAYTON HWY.
CONTR: M.D. PLUMBING
NEW GAS LINE
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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
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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