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B07-2026 CALFIRE FINAL (4)
STATE OF CALIFORNIA 278798 DEPARTMENT OF FORESTRY AND FIRE PROTECTION NOTICE OF DEFENSIBLE SPACE INSPECTION LE-100 (NEW-5/2006) NOTICE OF DEFENSIBLE SPACE INSPECTION ©F \ THIS IS A LEGAL NOTICE OF FIRE HAZARD VIOLATIONS (IF NOTED IN BLOCK 32) SHADED BOXES MANDATORY-ALL OTHERS OPTIONAL 1.INSPECTOR'S FULL NAME(FIRST,M.I.,LAST) 2.INSPECTOR'S TITLE 3.BADGE NUMBER 4.INSPECTOR'S AGENCY 5.INSPECTION DATE .I 6. 7.UNIT ID 8. BATTALION NUMBER 9.STATION NUMBER PROTECTION RESPONSIBILITY SRA LRA FRA BIA ❑ ❑ El 10.AP BOOK 11.AP PAGE 12.AP PARCEL# BLM u ) CAL FIRE ❑ ❑ (� q / ! i ) Contract County 0 0 ❑ 13. LATITUDE (Datum=WGS84) 14. LONGITUDE (Datum=WGS84) USFS ❑ 0 ❑ (Decimal Degrees;ex:38.5761) (Decimal Degrees;ex:121.4969) Other 0 ❑ ❑ 15. If mailing address for notices is other than inspecti• location,check here: ❑ and write complete address in comments section. 16.NAME(LAST,FIRST) 111 1±1 17.ADDRESS `OS- .. 4'1° l' 18.CITY 19.STATE 20.ZIP z 21. PHONE NUMBER #1 22. PHONE� NUMBER#2 23. E-MAIL ADDRESS 24.COMMENTS: n '-? . P,..exce_4144-eige_tA-6) ,0- wip / IF YOU HAVE QUESTIONS CONCERNING THIS INSPECTION NOTICE, CALL THIS PHONE NUMBER:,5 3 fi- a 25. 26. INSPECTION# I 27. CITATION# F• LOW/ P INSPECTION DATE: � VIOLATION REINSPECTION? -'❑ ❑ ❑ ❑ ❑ f� ❑YES .12°-NO 1 2 3 1 2 3 ewDD/Y` sr.?' 3 ./Si N/A 31. 29. ❑ No violations observed. 30. ❑ Alternative practices approved having same practical ACTIONS TAKEN applicable) effect. See comments section above(14 CCR 1299(c) (check if pp' ) ❑ Left information material (check if applicable) ❑ Discussed clearance with resident 32. eft copy of this inspection notice Or Violations were observed. Additional clearance is needed for the following areas: ❑ Citation issued (check applicable sections) ElRecommend citation to prevention ❑ 30 foot zone, PRC 4291(a); 14CCR 1299(a)(1) ❑Grass 0 Brush ❑ Trees ❑ Shrubs 33. GENERAL BUILDING ❑ Reduced Fuel Zone(30'-100')PRC 4291(b); 14CCR1299(a)(2) ❑Grass 0 Brush ❑Trees❑Shrubs CONSTRUCTION TYPE • Remove specific hazardous fuel identified by inspector-14CCR 1299(b) ❑ Wood Siding ❑ Dead and dying woody surface fuels-14CCR1299(d) CI Wood Roof ,J -1ion-combustible siding ❑ Remove portion of any tree that extends within 10 feet of the outlet of a chimney or stovepipe PRC 4291(c) ❑ Manufactured(Mobile)Home ❑ Metal Maintain any tree adjacent to or overhanging a building free of dead or dying wood-PRC 4291(d) ❑ Concrete/Block • Maintain the roof of a structure free of leaves,needles,other dead vegetation-PRC 4291(e) ❑ Other ❑ Provide and maintain at all times a screen over the outlet of every chimney or stovepipe that is attached to a fireplace,stove,or other device that burns any solid or liquid fuel. The screen shall be constructed of Deck Present j2KES El NO nonflammable material with openings of not more than one-half inch in size. PRC 4291(f) 34. FOR ADDITIONAL INFORMATION ON HOW TO COMPLY WITH DEFENSIBLE SPACE CLEARANCE REQUIREMENTS, PLEASE VISIT: WWW.FIRE.CA.GOV f= 4:.i; sk} California Department of Forestry and Fire Protection ...0 RE Butte County Fire Department }i$i.•:17N... Fire Prevention Bureau << w;.c.t. c,, 176 Nelson Avenue, Oroville, CA 95965 AZ` - (530) 538-7888 Office, (530) 538-2105 Fax Final Inspection Sheet Property Owners Name Ir ,. Property Location: Jo OGZC City: 4?.4 l f i Inspector, ne,(,i ,1'tulnspection Date: 66 73-- I I Pcrmit# ,-,10 APN# y — I I Correct -_L Notes ::$`.::i: ::::::#:::i;:;:i: :: ;• :i;: i:. .Y'';"i.',::;;. '.:.:. . 3}':`i i:*::;•.......•:f::':•:.....i. ";::' ii:.iiiiiifiiiiiii;:: ::.iii......:::£' .': {':;;:i;: ii:::i:::i::iii:£;:i:.';:;:::::i:`.:.....;:i:g;:iii::}ii } < ii>::;::::::;::;::::;:::::::'}: ii::i ii::ilii:::: :ii:::i:t,:i:::::':: :i.: ...... ......... .� .::T:��..•�yryy1�p `�¢ �y.' ` :}}i}}:}}:sii:{;:;iiiii:;ifi;i:::ii^til;v::.:.}i:•}i}}}:•ii:;ifiiiii;•: }}}}:i: 4iY4i�iii}i%iii}}i}iiiiiii}ix� ii: ::ii:4Y iiiiiiiiiiiiiiii:viii}}}}}}:.}Y:^:�:�i}}:}:}}:.:}:�: il1273.02 0 Roadway u P veway Surfaces 1273.03 0 Roadwayiveway Grades 1273.04❑Roadway Iatveway Radius 1273.05 0 Roadway IVDriveway Turnarounds 1273.06 0 Roadway 0 Driveway Turnouts 1273.07 0 Roadway 0 Driveway Structures 1273.08 One-Way Roads 1273.09 Dead-End Roads r/ 1273.11 0 Roadway I�Drivewa'Gate Entrance $$$: .. 1274.01.Size of Letters,Numbers and Symbols for Street and Roads Signs 1274.03.Height of Street and Road Signs 1274.05.Intersecting Roads,Streets and Private Lanes A 1274.06.Signs Identifying Traffic Access limitations 1274.07.Installation of Road,Street and Private Lane Si'ns rte.. ..»#: iY:r• ,it :.fi.. 1274.08.Addresses for Buildings/ r' jeyLl . ► /,�.4Amor }: A / rh' f.< IN ,1274.09.Size of Letters,Numbc and Symbols for Addresses Ai $ I 1274.10.Installation,Location and Visibilit of Addresses %�� _ l fes: i :•il"'r' iih.,•}}}:tiv:- oi;h} •vl`r}}:•:+iiiiii;::. .nh:•:::•i?. :}}:•i}:�:i�}iii ..::�:::::.� :::::::::•}p ::;v. :$•}:;;n;ii:xt.. g:..:::::::::::::nom:::{ ....,.......... x.. � .....n,.. f»;. ........................ 1276.01 Setback for Structure Defensible Space s Same Practical Effect Requirements for buildings less then 30 feet from property line 1276.02 Disposal of Flammable Vegetation and Fuels .:.i, -:::::::..'•.�:•.•�+•w••::.•ll41 .l€.i�.'�i..�.�'i'a�`.��.+.�..=::,•,#<,:�.11��.'r....3fi',{�.�:.:x'. �.•.' �:�'ts•.!F<;��'''it�il?i�:�.i..�'�.��Sf1k:::�t`.i..�i }.�.: ... � ,:«ii.}}:>:.f}}:iiiiii::iii.:iii.:}:i.......... ..�::::.::::::::::::::::.:....., »� 'd � I3... �? �?ift txRzl�C'il.�Ir;.��LEa.........,...................................»:.3}f}.......,......................: onIf required,request to see a copy of the conversion permit or Timber Harvest Plan ........: RI:.M N......:.A...t3v0..: ...t... :..,...;..,...: x:.:...}...»:..i..::..:..} :.} » :.E:: :}n: } . . .e..}rd : };..f }r:}} n}¢ i#:::i:;: nRf ..: }:: ':.:. .%:�:� : : :� TRIAtSi .CQN:..,REMlOf � I�.� r1:°:�: .. . �, :'...:; VI� ;:.:,,A�S �0k}.:::moiff. f> ::#fiiM ::::f:.f::}::f$$$$$::# }5.R}» ::; }iffff<}::.::::: 704A.1.2 Roof coverings 704A.I.3 Roof valleys 704A.I.5 Roof gutters 704A2.2 Eave or cornice vents 704A.2.3 Eave protection 704A.3.1.1 Exterior wall coverings 704A.3.2 Exterior wall openings 704A.3.2.1 Exterior wall vents 704A.3.2.2 Exterior glazing and window walls 704A.3.2.3 Exterior door assemblies 704A.4.1.1 Decking surfaces 704A.4.2.I Underside of appendages and floor projections. 704A.4.2.2 Unenclosed under floor protection Chapter 15 Roofing and Roof Structures 1503.I, 1503.2, 1503.3 Roof Coverin_s within State Res onsibilit Arca }}}�.y:•:.•. »}•.f..fin...x}::v$}:::f"J.}t'}}�?;f$:Y$f if;'$;ff::f$$;Jfi :}::}}}:f;:::$f::::::::$::f::$::::ff::f::i i :i;if.Y:2}}}:ii2;' .:fss ffS}> �I•�L �•1� �1 ..i}i,n vi i' .:{"i4:c:oi}}}ii}i}ii}}i}i}:i.::!!.::i.:^:C:C;i.}:.;iiiii:v'Ji;:,{:::i:,i{is;{;..::..::�:}'.... ... :$'rM.A:I:t:F::.�.1€t:NJA:::i�:'.. :;i�tJ:fJ:. ... :::::�: i.:: ,:}}Y}}}} nen:;...:.n:•::;w;•.•n,n.}::....}.. .ge--7 3807.3,LPG Tank Clearance of Combustibles 44/"---- 3807.4 Protecting LPG containers from vehicles RE-INSPECTION DATES IN PE OR RE-INSPECTION DATES INSPECTOR 1snd t g‘..1-71 1- � � C1.(�f� 3rd 2 �w�� I/�,yL,v' Inspection passed on: The above esidential 0 ancillary structure has been built to meet all applicable state and local fire safe standards including those standards described in Government Code Section 51189(b). --14) 040-------- Inspector Signature