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HomeMy WebLinkAbout078-220-00702-0740 CAREY, EDWARD 14 LAS PLUMAS WAY, ORO CONT: HEATH & ASSOC. MEDEARIS, Robert 5367B -- ao- 14 Las Plumas Way, Orovil le CONTR: A-1 Masonry, 20 1 Fo . gg Ave , Orovilj (fireplace repairs) �, j.5 - 6 07. d;7 � - - �_ \ a!� �. t. � �..� j � Q O 'r 0 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 r -,'I --,�I II M r7. rtia nrti-1 e% +tom +%a ML J Find