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GARY -D. SMITH--
NIS
MITH;N/_S Wayman Lane, app. 1 mi. SE. of San- /
dra Lane,. -off -Black, Bart,.Rd..,,.-.Orovil.le
Permit #849-76PSE (util . ,MH) ;
ELEC . �„ x
GAS
SUPPORT STRUCTURE REQ, I
COMPACTION TEST REQ.
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ell
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�W RMIT NO. 849=76F;E-
PERMIT EXPIRES
OWNER Gary D Smith
� f
CONTR. owner
LQCATION,(A'.P. 72-42-13 )
Wayman Lane, appl mi. SE of Sandra Lane, off.
Mack Bart Rd. , Oroville
fS -
j
' s 7WI?-TA
z
Temp. Power Pole
y E
Called PG&E
Temp. Elec. Serv.'
Called, PG&E.
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Stucco
Mesh
Scratch
Brown
Finish
Interior Latl
Door Closer
DATE
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Final
Sanitation
FIREPLACE
Final
Footing ELECTRICAL
Throat Rouah
Final
MECHANICAL
Heating
Cooling
Ducts
Ventilation
Final
REMARKS OR CORRECTIONS
Grd. Fault Pri
Service
Temp. Pole
Undergroun
Permanent
Final
(NOTE: An•entry must be made on this form each time you visit the job site.)
J
COUNTY OF BUTTE -T.. DEPARTMENT OF PUBLIC WORKS
7 County Center Drive. - Droville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnorize representatives or the t;ounty or butte to enter upon the
above- ntioned property fo 'nspection purposes.
Date1,P_974
Si n ture of Permitee'or Agent�j
Receipt No. ( �lj� ! a ,/
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OFAPUBLIC WORKS
By Date 3-7-
wilding permit expires Date 3-Z3 7%
BUILDING
Owner "
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 04e,tC - lie 0 :,110
- 1
TelephoneNo.
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checki ng Fee &/or Penalty
Telephone No.
Permit Fee
$
is
Building Address fPLUMBING
No.
@
FEE
PERMIT FILING FEE $3.00
` DRA AAM
Each Trap 1.50
p
Repair drainage or vent piping
1.50
Water piping 4-S
Q S
Each gas water heater or vent 1.50
A. P. No. -�Z .- !1 13
hr'- oni
Zng 8 Planning
Gas piping system 1 - 5 outlets
L_
1,50
/d, 0 0
Each additional outlet .30
F
Sa n Fire Dept.
Fire Zone
Use Permit
Building sewer ` &-a@
®. Cd
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im ments
Pro
Lawn sprinkler system 2.00
Fii�dy. Plans Recd
arcel val o
PI s Approval
Permit Fee
$
3„ Gel
$®(
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
3,,ba
Main service ,00v DR LESS t 5.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP
y
2,50
ER Main service 10 0 AMP oR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service/ EA. ADD•L 100 AMP 1.00
OR ADONS. ACCNEW CONST. LBLDGOCcup-&)
(
20sgft
NEW CONSTR MULTI -OUTLET
NON•RESID. ( BRANCH CIRCUITS)2.50ea
NEW CONSTR (POWER APPARATUS &1
NON•RESID. SINGLE OUTLET CIR, /
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
~
_ nUh MorOA-Ce
50 @101
Ex. Occup(OUTLETS OR FIXTURES)
Ex. OCCU FIXED APPLNS, OR
P•(OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
�,®p
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
IRA A permit
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to,all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$. DC
autnorize representatives or the t;ounty or butte to enter upon the
above- ntioned property fo 'nspection purposes.
Date1,P_974
Si n ture of Permitee'or Agent�j
Receipt No. ( �lj� ! a ,/
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OFAPUBLIC WORKS
By Date 3-7-
wilding permit expires Date 3-Z3 7%
I
NOTE-
Accortdon,
of a ,quo,
I lniform I
the Natic
b A K. I A KI -JL
yif
& Workn
, Shall Be 'in
-
i-4h:,j,.Recochiz6d, -Good Practices and
tit 4 -4or the Sp6cified u�e,
i
;cr,.. e I r,,Aen S and o
-tTlumbing &. M0IcnQnk�-
npil.,"Etectrical, Code. 60
Pow iEIL Po LE
U, Li -TY
GAS•WA TE it S'EWEIL
Hookup
MuST.".
0
U �'
0
plans times an is unlowilal out
This set *, all times is
at a e
kept on the I - X?
ir alterations on some w
t U)
Irtm
cl,cincies C - ' rtment Public
Gp a iromtheDepo
,.,,tten permissionoj Butte.
Forks; County
f_,L.1S&UTA
N -74
S
-tions
utility connections
IVLOME. 4 it- outs"
located Within of, the rr
SEPT'IC
tion
-W A TIE R. L I IJ C
I-At4K LINEqsid of
on heat
left
VOodl
_: ®` �•Sy home-
�. �-` s
W,ELL Apit) TAmIL,
Septic sys+em'and location a-
fo be as per
Buffe courify Health Dept. Re.
quiremenfs.
0
J�v
T6 q
10r" Sef back shall be 5 ff. from
the side properfy line and 50 ff. from
the centerline of the road, permitting
a,max;
mYfvliof a 2 ff. ea,e overha
�AR-1 51TH
MOW LE 140ME UTILITs WCAT10 AJS
8 .17 4 c. A P # 7?.-- 42- - a 13
sh be
e rear
lie home
e mobile
tvTTE COUNTY
BUILDING, PEPARTMEN'I�Vi
APPROVED
f jle -
-Workmansli�p ,.Shall Be:.,in " ,. •• �,: -
A]t`Merials & . r. }
NOTE. '�s�:. MUST be.
ccordanc� .:Wi}h (�eG'aanized Good Practices an
A ua `-" ,presoribed for the . Specified use in ,the plans .a ' '
Of aye.. nical Godes.: a�ad 'j �' .. This set of p at "all times` and ►t isame the t
o q ob_
Uniforrm �i ildit g,.Plumbing &. Nlacha O. W -o-+ on the lic
,nke any changes or alterations 0 ent of: P
ar
the National.. Electrical Code. j _ from the Dep
`` POwE1C. POLE writtar
en permissioof Butte.
UTILiTi► - Works, County
GAS- WAt�R.- SEWER.
Q
Hookup
i
X 1 Ip. BU TA M E
# 5S _
3 SEPTIC SEwr:R LAN
AT/� Eis •'1pE
R,
TAMC LINE
W ELL A ki O TA AI %.
4e. 1i e.
11,74
Am4�
1
The Setback shall be 5 ft. frY
om E
theside property Ione and 50 ft. from
the centerline of the road, permittina
a mgximum of -a 2 ft. eave overhang.
SMITH
IVi��31 LF, N OM,. UTILITS LOCATIO 115
n
8.1-7 .AC— AP 72. 42 013 %,.