HomeMy WebLinkAbout078-220-00702-0740
CAREY, EDWARD
14 LAS PLUMAS WAY, ORO
CONT: HEATH & ASSOC.
MEDEARIS, Robert
5367B
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14 Las Plumas Way, Orovil le
CONTR: A-1 Masonry, 20 1 Fo .
gg Ave , Orovilj
(fireplace repairs) �, j.5 - 6
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 R IT
(Rev. 12/96) APPLICATION AND PERMIT C 2 -CM.
ASSESSOR PARCEL NUMBS(/,;�%�j^�— zo
t�JC
BUILDINGPERMIT
OWNER ' ' TEUEPHONIE
SO. FT. OCC. BUILDING VALUATION
OWN5 MAIU DRESS N'
CONTRAC NAME 4-
TELEPHONE���
CONTW6MAI ADDR S o
CONSTRUCTION LENDER
f
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS i1 r
W
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SFX 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 ❑ Rem ei ❑ Utilities ❑ Installation ❑ Other) (
Describe Work: l' ?-O
aw
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
600VOR LESS
Main Service 20OA 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 in full force and effect.POWER
License Class CZc) V\�Q)%0- Lic. No. Qa Y 3o -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
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.
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' cornpensation insurance carrier andolicy number are:
Carrier 0:;t -v,&2- `.l5- ��
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLOS.
SO
3.5QFT;
MULTI -OUTLET
N COnr CIRCUITS
@7,50
—BRANCH
APPARATUS
a SINGLE OLmiT CIR.
Ex. Occup. OUTLET OR FIXTURES
20 Q 1.00
BAL p .so
Ex. Occu . OUTETS RM.) Ep
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number X51'A SU -Z
(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 comrw' h those provisions.
n
X Date J^ Z� - U2-
Signa ure of Applicant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 60" debp and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
.3
=HYPE
TOTAL FEE $.
HA2.
D. FEES
FLOOD
CDF
PARCEL
PD
HD
I SUE
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.
By Date 3 -a9 -6i
PERMIT EXPIRES ON 3 -29-(V
Date
Receipt No. . 3g336 _-r?
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Name GREY EDWARD D & DARLENE L
Addr1 114 LAS PLU MAS WAY
Addr2 OROUILLE CA 95966
Addr3
Addr4
.Comments 13655000700 CONVERTED 08/08/88
Creaking D oc# 1881 R 2668020 Dake
Current Doc# 12000R0004408 Date 02/04/2000
Filling Doc# Dake
Asmt D esc114 LAS PLU BIAS WAY S uplCnt
Zoning I R 1 Dwell
Acres 1 0.18 N /C 036
Asmk # 036-550-007-000 Fee # 036-550-007-0b0
Status ACTIVE Status Date
Tax 000 INORMAL OWNERSHIP TRA 081-041
Situs 14 LAS PLU MAS WAY OR
Base D k 02/04/2000
Land
S kruckure
Fixtures
C rowing
Total L&I
Fix. RF
MH PP
PP
AgPres
61,200
Ekal
F
N okes
0
8 onds
0
multi Situs
Flag1
Flagg
Asmk PP Pen
Tax PP Pen
Appeal Pending
Split Pending
Land
S kruckure
Fixtures
C rowing
Total L&I
Fix. RF
MH PP
PP
18,360
61,200
0
0
78,560
0
0
0
E xemptl 7,000
Net72f560
R /C#
T/R Dk
R /C S kat
I PHY 1 OWN I EXP I TAX I HON I ,STT I jillT. I ,SPR. I PCL I
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