HomeMy WebLinkAbout072-061-005�. _- ' - t- +•r., 6�.
072-061-005 { PERMIT#96=1231''
HACKETT,:4rankliri &Beverly � � • � '
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'�-172.-Lost Horizon Dr,.",' Orov'i Ile, ,'# LITTLEPAGE, Arthur #5010B ;,4
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Cont': St'r'ang Electric 37
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C e/s Mt. Ida app i iii. N, of, Olive. Hwy
Oroville ,3i -6'
-( addition) *FIREPLACE S010 -;I
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072-061-005 PERMIT#96-1231
HACKETT,.Franklih:& Beverly
172 Lost Horizon Dr., Cirovilie'
Cont': Strang Electric'
Ele ser Ch/SF
OFFICE COPY
Address
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ELECTRIC 17P
Meter By Date A�Wql—
u
COUNTY OF BUTTE - DEPARTMENT OF DEYEL60MENT SERVICES - BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT Ma
ASSESSOR PARCEL NUMBER
72-061-005
ZONING
AR
BUILDING PERMIT
OWNER
FRANKLIN & BEVERLY HA K TT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
179 LOST HORIZON DR QRQVITL�
CONTRACTOR'S NAME
STRANG ELECTRIC
TELEPHONE
—4214
CONTRACTORS MAILING ADDRESS ,
950 CANYON HIGHLANDS DR DROUT-T-F
Fireplace
CONSTRUCTION LENDER
UNI(NOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
172 10ST HDRIMN DR
PERMITFEE $
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
1 7.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF)7 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UGlibes ❑ Installation C Other ❑
Describe Work: UPGRADE MAIN ELECTRIC SERVICE PANEL
100 AMP
Mobile Home I S I G W 1
920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service ( 000V OR LESS )
200A OR LESS
23.00 23.00
„
Main Service ( 200A TO 1000A )
46.00
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.Ex.
License Class C — (% Lic. No. S'S, 3
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
NEW CONST. DWELLING OCCUR
OR ( 8 ACC. )
SO.
3.SQ FT.
CNS.
NEW CONST. MULTI-OUUTLETLE T
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS
8 SINGLE OUTLET CIR. /
Occup. ( OUTLET OR FIXTURES)
B20 @ 1.00
FIXED APPWS. OR
Ex. Occup. (OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE _
Contractor
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
9 Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
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 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, 1 shall
forthwith comp) with those provisions.
/
X Date
Signature pplicant - wner El Contractor ❑ Agen
An OSHA permit is required r excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 66.00
HA2.
1 D. FEES
I IMP
I FLOOD
COF PARCEL I PO HD
ISSUE
This permit is hereby issued under t )e applicable provisions
of the Butte County Code and/or Resolutions to do work
indic ove for whic s h e been paid.
B y
PERMITE PIRESON 9 7
(Date)
Receipt No.201729
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY�OF rU
7COUNT
1 I r
OWNER
' } Proposed Building Use��
TE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
' CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
/h��%-✓ Q fGf Se/-O/cf Building Inspector
A. P. No. -7a - D .6 / -6,0 S
IKA�, Date C -S -moil
At time of permit application, I was advised the foll6wing data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ........ :.................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation. `................. .
7. Statement of Intent for Non -Heated and A/C Buildings . .......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... .
10. Fees of $..................................... .... .
11. Impact fees as shown on attached schedule . ...............................
12. California Department of Forestry plan approval/fees. ........................
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department ..............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development:about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. . .
20. Pre -inspection for to Building
Ins reg0�
required. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ...............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _ )............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ..................... :............
..... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits. ' ..................................... .
33. Plar�,�eck I .S P �`.. �. D ......................................
34.
WhenIssue the r ss as follows: Mail to owner. Mail to contractor.
'y Telephone y� and hold for pickup at ®1-D- office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicants Date
Copy of Haz-Mat form sent' Health Dept. Fire Dept. Air Pollu,tion,Date
Copy of plans sent Health Dept. Fire Dept. Other l Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
h„(Contractor, designer, owner, was advised of above required data by _phone _mail Counter by _Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
il�
I
OWNER: Fr-cKILJ �— t "i
k ,e 4-- •f— DATE: �n — S -�, �,
LOCATION: l/r)`� -.J ))P -
LOCATION:
CONTRACTOR: C-
r- a
`PRE -INSPECTION FOR
AP* ^la- 0 t l -oO S
ZONING:
v r`
DATE TO INSPECTOR
- /FOLLOWS:
PERmrr HISTORY: [ ]NONE ( �'J
TYPE OF OCCUPANCY:
BUILDING INSPECTOR'S REPORT
�g Description: }
[ ] Commercial/Usage:
[ ]
Residential/9 of Units: Mobile Home: Yes[ ] No[ ]
[ ] Currently Occupied.
[ ] AbandonedNacant-
[ ] Yes [ ] No
Electric is currently :[ ] On [ ] Off
Condition of electrical?
Natural[ ] Propane[ ] None[ ] * Currently On[ ] Off[ ]
Obvious problems:
tion:
Plumbing working Yes[ ] No[' ]
Well: Yes[ ] No[ ] Potable water: Yes[ ] No[ ]
Obvious Sewage Proble
n Recommended: [ Issue [ ]Hold for:
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