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031-282-035 00-2100
COSTA, TED & CYNTHIA
1566 7TH STREET, OROVILLE
CONTR: MAuDFN & SON
NEW WATER HEATER`j/f�CJ-/7'00
ops
2aoc,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ' "PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER �.
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS --,
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00 ,40
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: rL
4T/7! �1��/UL/
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service( aooV OR LE
200" 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.P
' -�./
License Class Lic. No. =� " � �
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.
Cl 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.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
'ET 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 provisions.
X % i�,' Date
Signature of Applicant "- p"Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service TO I000A
46.00
WEE200A
NEW CONST. DWELLING=UP.
OR ADDNS. ( a ACC. BLDS.
SO
3.5QFT:
p ° IpT MULTI -OUTLET @7.50
OWER APPARATUS
8 SINGLE OUTLET CIR.
zo @ 1,00
EX. OCCU OUTLETORREs BAL@ .50
NS.
FIXED APRESI OR 5,00
Ex. Occup.OUTLETS RESID. EA
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 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 $
Occ
CONST. TYPE
TOTAL FEE $ J?,�
HAZ.
D. FEES
IMP
FLOOD
I CDF
I PARCEL
PO
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By �
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
:A
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 -County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
—�e_ f C—A
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
pleasgcontact this office immediatelv.
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
ON
,., ►. ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT d® -,41
ASSESSOR PARCEL NUMBER 031-28-2-035
ZONING
BUILDING PERMIT
OWNER TED & CYNTHIA COSTA
TELEPHONE
513-1407
SO. Fr. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1566 7TH STREET, OROUT.T.-F.
CONTRACTOR'S NAME
MAULDIN & SON
TELEPHONE
514-1491
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 1566 7TH STREET, OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF � Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00 S; D
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW WATER HEATER
Gas piping system 1- 5 outlets
1 15.00 15.00
Building sewer
15.00
Mobile Home IS I GI W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service .OA 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 ' in f once and effect. Q
License Class Lic. No. C�
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
46.00so
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BUDS.
SO
3.50FT.
N"ONRESD. MULTI -OUTLET
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES
SAL @ I.00
.so
Ex. Occup. piFIXEDg qp .DE
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 workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(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
i ers' compensation provisions of section 3700 of the Labor Code, I shall
rt with compI with those provisions.
X �- Date 3t^ ^OO
Signature of Applican - wner ❑ Contractor ❑ 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 $
Occ
CONST. TYPE
TOTAL FEE $ j(�„
HAZ.
p, FEES IMP
ROOD
DF
177
PARCEL
PD
HD
ISSU
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.
^��d
' Date
PERMIT EXPIRES ON 30 ^ 0
Date
ReceiptNo. 302682 $35.0013775v � :
WHITE-D.D.S.-B.D. CANARY -ASSESS PINK-INSP TOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12r.;.). APPLICATION AND PERMIT "
ASSESSOR PARCELNUMISER
20tiNO
BUILDINGPERMIT
OWNER f
TEL04CNE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRES
P
COMRACTOWS
f J
r �t�
TELEPHONE
CONTRACTOR'S MOUZUAD RES9
w
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCWTECT OR ENGWEER S MAILING
ADDRESS
Plan Checking Fee $
BUILDWGADORESS
Energy Plan Checking Fee $
S
PERMIT FEE S
IDT NO.
SUBDNBgAM
N'SNE
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00•
USEOFSTRUCTURE
SF Duplex ❑ 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
New ❑ Addition ❑
Describe Work:
TYPE OF WORK
Remodel ❑ Utilities ❑ Installation ❑
!^ i
Other ❑
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT I Fling Veel 20.00
600OR LESS
Main Service OVA OR LESS 23.00
ice/ l/v"
Receipt No.
WHITE-O.D.S..B.O.. CANARY -ASSESSOR PINK -INSPECTOR
GOLDEN800•APPLICANT
Main Service 200A TO 1000A 46.00
NEW CONST. OWEL.ING OCCUP. so
OR ADONS. ( 8 ACC. BU)S. 3.52
NEW C MULTI-ovn ET
NON-RESID. 97.50
POWER APPARATUS
& SINGLE OUTLET CI0.
OUTLET OR FIXTURES "
EX. OCCU gqL .50
0 APEx. Occup.oFirnErs REsiD.oEw 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE S
Mobile Home Installation Fee $
Energy Inspection Fee S
occ
co1aT. nvE� TOTAL FEE SSD d
MAZ.
0. FEES IMP
I FLOOD
I CDF
PARCEL
I PO
I HD
ISSUE
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.
By Date
PERMIT EXPIRES ON
oro