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Home My WebLink About040-213-014040-213A - LYM, 9415 M CONTR:D CI IANGB OI COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT & -;4- 2 ASSESSOR PARCEL NUMBER 040-2-1---3-0141 ZONING BUILDING PERMIT OWNER �j%•� I h `` 1 `` I�.JN'1 TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS __ WI -5 IL i OJ ,t 4131M CONTRACTOR'S NAM t � TELEPHONE CONTRACTORS MAILING ADDRESS �� p 0 �Yj-- CC C a CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9411.5 /L-/` , 4) [�. Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF;EF::�0uplex ❑ 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 ❑ /Re/model ❑ Utilities �❑ Installation ❑ Other ❑ Describe Work: Com/! _ Iri/L(/IY�(G 59w/ C -G Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 V O Main Service zoOOOOA ORR LESSSS 23.00 Z 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 G�/(7 Lic. No. c�7S�l/> � 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 TO I 46.00 WEL200A NEW CONST. DWEWNG OCCUP. U OR ACDNS. ( 6 ACC. SO 3.5,,s OUTLET NEW R61D. T.MULTI-OUTLET CIRCUITS 97,50 8 PSINGLE OOWER APUTLETPARATUCIR.S Ex. Occup. OUTLET OR FIXTURES 20 @'•00 BAL @ .50 Ex. Occup. oirnErs AID.GEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 6 '— 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 erformance of the work for which this permit is issued. 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 insuran ee carr. r and policy number are: Carrier _S& -tri 2 Policy Number I I � l— (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 emplo any person in any manner so as to become subject to workers' compo alio laws of California, and agree that f I should become subject to the wor rs' c ensation provisions of section 3700 of the Labor Code, I shall f hwit ply wit se ovi ' X 0. Date� O Signature o ' ppant - Ef Owner Contractor ❑ Age 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 $ HAz D FEES IMP FLOOD CDF PARCEL PD HD - UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. %--N By —Date 4 L2_01 PERMIT EXPIRES ON 2Qo 00 1 7D to ReceiptNo. 3010?-) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �.R_ ,,..y.:_:_..r.+n.,ar:,��A,,,n•,ru+..:::i7�^..t 'r ..s-.. .«wr. f++ -+r { p t' 040 213-0114 Y 00-2375 LYMAN, BILL 9415 MIDWAY, DURHAM CONTR: DURHAM ELECTRIC CHANGE OF ELECTRIC SERVICE --- OFFICE COPY Address L GAS — Meter By Date ELECTRIC i� Date l3 Meter By 4�— COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 14922 X45: ASSESSOR PARCEL NUMBER_ t . O~ " l `".� '" ON ZONING BUILDING PERMIT OWNER 16111 � � TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAULING ADDRESS CONTRACTOR'S NAME- • t Gtr H,1sLCi .(. TELEPHONE .jJ: -� CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS / 4 ,. / ' / �I Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Ox 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 ❑ UliliUes ❑ Installation ❑ Other ❑ Describe Work: ( jZ"1Wt 11L, ;4f L't Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 400A OR LESS 23.00 Z 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. [ I W Lic. No. License Class A�� 7S 14 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. BLDS. SO 3.5¢FT: NON-RESIU MULTI.OUTLET11, @7,50 PowER APPARATus a SWGLE OUTLET CIR. Ex. Occup. OUTLET OR FORUREs BAL ° ':w Ex. Occup. ountDs .FIXPPa.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 2- 23 PERMIT FEE WORKERS' COMPENSATION DECLARATION I 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. r❑ 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 carr r and policy number are: Carrier rf, ,, Policy Number I!__��+q �l (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 employany 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' comensation provisions of section 3700 of the Labor Code, I shall forthwith; comply with -those provisms. '- Xe/47 r °1 '!• /' _ Date Z— -- Signature of. A hcant - ❑ Owner Contractor ❑ Agent 9 PP � An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ (5 V HAZ. D. FEES IMP FLOOD - - CDF PARCEL PD HD ISSUE - G This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. f 1�^L �/ . •� By `C Date PERMIT EXPIRES ON % eta Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT