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Home My WebLink About079-220-004034=2-1-0.00-1— 01-2362 , NISSEN, DONALD no--�, 801 NISSEN RANCI� OROVII CONT: JACE RASH WELL HOUSE WfpOWERPOLE �j`79-zao-oo� Oap.WCT -Plac�.8 fto (790 0fto �� ) a COY cy� 81oi Net�c�,� 11 E.M. USE ONLY Plot Plan Attached Floor Plan Atta e sent to B.D. dij/ r" TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance N t� e n -.. N-Lsse ( Kvh 437 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for Other l t9�x �� Gth/_.� (2, Hold final for: Final clearance O.K. for: NOTE: Environm 8/96 Health Specialist f7 7 - Date iir 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 01-2162 ASSESSORF�C�FLNy,IA�EA 7 ZONING RI BUILDING PERMIT OWNER D'�."'�j•wNNISSEN Jy,#SEN TELEPHONE SO. FT. OCC. BUILDING VALUATION , 00 . OWNERS MAj�7 14 i1ANCH RD, OROVILL E 95966 CONrRACTO309" RASH TELEPHONE 533-6585 CGNTRACTOP O BOX 526, PALERMO 95968 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 3240.00 !:ARcmrrECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ 40.95 suILDINGADOREss 801 NISSEN RUCH RD OROVILLE Energy Plan Checking Fee $ $ 1 PERMIT FEE $ 123.95 LOT No. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF C1 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 ❑ Utilities ❑ Installation ❑ Other EX Describe Work: my, Hiilspi WTTR NRW P(WR pmx Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V0 R LESS Main Service 2006 OR LESS 23.00 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. ,�^�, ,I License Class % Lic. No. ' It W 05 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 OCCUR OR ADDNS. ( L ACC. SLOS. SO 3.50 so N N -RE ,p MULTI -OUTLET . BRANCH CIRCUITS 97.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. ourLEr OR FocruREs 20 Q 1.00 eAL o .w Ex. Occup.OFlUT>Ers AM OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s 43.00 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 ,( 4!, Cooling Hood 6.50 Ventilation PERMIT FEi: $ 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.) 1� 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 those7ovisions. Date X - )4"o— Ic ed0 % ` _ Signature of Applicant - ❑ Owner Pr.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 $ 166.95 HAZ. I D. FEES IMP FLOOD CDF PARCEL 1-H ISS 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 Date AeceiptNo. S� n' O 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 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01 -2362 ASSESSOR E— —=007 ZONING R1 . BUILDING PERMIT OWNER DONALD NISSEN TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 801. NISSEN RANCH RD, OROVILLE 95966 0 3240.00 CONTRACTOR'S NAME JACE RASH TELEPHONE 533-6585 CONTRACTORS BOX 526, PALERMO 95968 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is 3240.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDING ADDRESS 801 NISSEN RANCH RD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF EX 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other 12X Describe Work: WELL H011SE WITH NEW P9WRR. nnr E Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 19 G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Feel 20.00 0LESS Main Service . AOR LESS 23.00 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 f II force and effect. License Class Lic. NO. OWN WILDER 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. ❑ 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 Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR so OR ADONS. ( 8 ACD. BLDS. 3.50FT. =R.,MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTETORFIXTURES 20°''00 BAL @ .so Ex. Occup.onxitTEiFrs A� OEa 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: $ 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 workers' compensation provisions of section 3700 of the Labor Code, I shall =fowithmply with ovisions. p�r� � ` // `do "— 1 XC Date Sign a of Applicant - ❑ Owner contractor ❑ Agent An 6tHA 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 $ 166.95 HAZ. I D. FEES IMP FLOOD CDF PARCEL ISS UI 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. B Date OI PERMIT EXPIRES ON Date Receipt No. 332223/$166.95 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i fI' LOCII I APPROVED Buie County Env* : "mental eaith i�natur® Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 1 7 County Center Drive Couwry Oroville, CA 95965 (530) 538-7601 Telephone AUG 2 ZQ� (530) 538-2140 Facsimile IDEVELOPYIENT www.buttecountv.netldds SERVICES PLAN CHANGE El"' RECHECK ❑ Owner's Name: I P m I <Ain BP#: Date: �h4 0 Contact Person & Phone Number: AP#: U�G. -d 2. ,� — 6a Received By.• J� ( n V-1 0 Time: PURPOSE OF PLAN CHANGE OR RECHECK Response to Inspector's Correction Notice — Inspector's Name: ❑ Response to Plan Check Letter — Plans Examiner's Name: *Submit two (2) drawings reflecting the plan change or recheck for plan review. If engineering is involved, .the engineer or architect must put his requirements .on these drawings and wet stamp and sign two sets of engineered drawings. Drawings must clearly show changes proposed and locations involved. WHEN APPROVED: O Call and hold for pick-up. • Deliver. with Next Inspection( for 8 Y2 X 11 only) Minimum plan change fee to be collected at time of submission, plans examiner will determine if •.add' Tonal plan checking fees�a"�r_e"n. e�eded: 0 Additional Fee Amount: Receipt #: Revised 07/09