The URL can be used to link to this page

Home My WebLink About005-393-0026-39 -02 4,q, QQ ,. J.E. FLUCARD r16 'Jackson St, Chico Permit##7386-79E (ele ser.- ch &instal . dryer plug) Contr: Kce Const, Chico �. ' " Permi&3854-82 E M(rehab/7/30/84) Contr; ce Const ;m- t11504 -85E (add' 1 ele/" &54-84') ' � K i 5 • 1 i r •- 2 ' e o + t � 1 i 6-39 -02 4,q, QQ ,. J.E. FLUCARD r16 'Jackson St, Chico Permit##7386-79E (ele ser.- ch &instal . dryer plug) Contr: Kce Const, Chico �. ' " Permi&3854-82 E M(rehab/7/30/84) Contr; ce Const ;m- t11504 -85E (add' 1 ele/" &54-84') ' � K i 5 • 1 i r •- 2 ' e o + t � 1 k ' PERMITNO. t, 3854-84B,P,E,M { rPERMIT EXPIRES s" V v It OWNER J.E; MERRIDY FLUCARD i CONTR. Pierce Const, Chico " 46-113-2 ' ,�. ASSESSOR PARCEL • LOCATICI;4 1216 Jackson St, Chico i_ OFFICE COPY `" • Address r r a _ ------------------------------- GASr: - r r Meter By Date - ,. ELECTRIC'S Meter By Date .Ak.i T' y�� t •' T _ _''i.,._(y �., T _+..• '�,},p"��+43x F..IN.YTj y`V *'7j ifi -'� V -i( ••4 .#a. ' OFFICE COPY Address ' `•., ,j •� 7�A3�r�» t.� �r 'J��r�,, •,c . {� at `�� '�i�t s !�+ Rim Meter ByDate` }ELECTRIzCr<� / <Meter. By sLt tt*%`� Temp. Power Pole Called PG&E " w Temp. Elec. Service !z fG. Called'PG&C,�' ' e, %..,�• Temp. Gas Service it Called PG&EIV i JOB FINALED (Date)% . r. ' Signature ` r Owner: Permit No. ENERGY CERTIFICATION Jackson St., LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Batts Thickness(inches) 31," CEILING Batt or Blanket Type Thickness(inches) Loose Fill'Type Fiberglass Minimum Thickness(Inches) 14" Area covered(ft.2) 864 FLOOR, ELEVATED Material FihPrQlaas Ratti Thickness(inches) 6,11, FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R11 Brand Name Thermal Resistance(R Value) Brand Name Manville Number of Bags__J.L Wt. per bag 35, _lb. Thermal Resistance(R Value) R30 Brand Name Owens-Corning Thermal Resistance(R Value) R19 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements, LOERKE INSULATION COMPANY #432518 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. June 24, 1985 SfGANRE OF INSTAL TION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. Alele-Ce*_ 67457 - FIRM NAME/OWNER (Please int) IGNATURE OF GENERAL CONTRACTOR OWNER ,;?-F_;; 9 /7 STATE CONTRACTOR'S LICENSE NO. �-2-y-�S�. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 �J IAPvG Address Q 196 Memorial Way Reply to Chico, Calilornio 95926 Tele,phono: 916/891.2727 Y, ; V f, i= O F. iJ 1 T U R A L E A L i H A tv D B S A U' T Y DEPARTMENT OF PUBLIC HEALTH DIVISION.OF ENVIRONMENTAL HEALTH X7 Counry'Ce'nro-r Drive' Cl 747 Elliott Rqod . Oroville, California 95.465 Paradise, California 95969 TelepboRe:.9.16/334_4781 T- i. 916/872-2961, Ext. 58 July 30; 1984 J.E. and Merridy Flucard 2338 '. Honey Run Road Chico, California 95926 RE '1216 Jackson -Street,. Chico, C1?/APS .46_'I't-3-002, Rehabilita- tion Inspection. Dear Mr_ and. Mrs..Flucard: At. your request;. an inspection. was made of .the above. listed duelling .on July' 26; 1984. The inspection was made as part of the rehabilitation project currently underway in. -the Chapmantown area in South Chico_ Thedwelling is a two story Brood frame structure . with a concrete perimeter foundation under .the main house; and. pier and" post:'under the .addition at the -rear. The dwelling has. wooden siding, the roof and upper floor have been damaged by fire':. Plumbing is.. . damaged and lacks vents. Electrical wiring i.a in: poor repair and has been fire .damaged. Heater is inadequate: The house is served by community water, and a private septic tank system.. In order to rehabilitate the dwelling raider this .program, _the following will be required: 1. Verify size and condition of septic tank. and, leach lines° If alterations are required, a septic tankpermit will be required from the Butte County Department of Public Health. . 2.- Provide an adequate under -floor support system by'add-ng piers and girders as. required and replacing all damaged materials.,. Remove - and replace all damaged or, deteriorated. floor joists, sub -floor and floor coverings `oii first and . second floors_ Insulate first floor to R=11 standards- Provide adequate under -floor ventilation and crawl'spac.e 3_ Strip walls to frame Replace damaged or deteriorated materials in walls, add bracing and studding to walls as necessary_. Make all exterior walls weather tight. Insulate walls to R=1'1* . standards_ Replace all windows with thermal or dual glazing. tarpes, (.65 insulation standard)_. Merridy Flucard i ni,n Provide eme.rgenc.y exit windows in bedrooms with a clear openable width of 20 inches and'24 inches high; with a minimum. area. of 5.7 square feet. Make all doors and. windows weathertight. 4. Remove and replace fire damaged. roof. covering and' sheathing.. Provide an adequate.roof support by adding rafters,. ceiling .joists and bracing as required. Provide: proper ceiling heights in second floor rooms. Remove and replace all fire damaged or deteriorated materials. Insulate ceiling to R-30 standards_. Provide adequate ventilation. 5: Remove existing electrical service panel;.. deteriorated or damaged wiring, outlet boxes and fittings; .unprotected wiring; open or exposed splices. Install new 100'amp service and all related.wiring, boxes, switches, and.outlets as required. All lights replaced shall be floureseent.type_ 6. Provide adequate plumbing fixtures with effective traps and vents Provide proper supports for all drain.waste and vent piping: .-Provide. proper leak free plumbing fore all dram., waste, vent, water and gas lines. 7.. Remove and replace. the heating -system? with an approved type with -proper installation, vent and clearances from com- bustibles and capable of maintaining a minimum temperature of seventy degrees.Fahrenheit as measured ata point three feet above the floor in.all habitable roons. S_ Remove and replace the existing water heater with a proper installation, venting, clearance from combustibles, and temperature and pressure relief valve and.line. 9'. Provide a smoke detector on both floors. 10. Remove rear addition and reconstruct to code. I 1 .. Remove all debris. from fire damage from the property. The following item, although not'required, is strongly recommended to effectively prolong the useful life of the :dwelling and/or to make.the dwelling more habitable: 1. Provide a cooling system. Post of the items will require permits and inspections by the. Butte. County Department of Public Works. Permits may be. obtained at 7 County Center Drive, Oroville,' C.A 95965_. If septic tank repair or replacement is required, obtain septic tankpermit from the Butte County. Department of Public Health, 196 Memorial Way, Chico, C.A.. 7 & Merridy Flucard tinued sib All..repai-rs,-r--construc-ti.on, replacemelat or pat6hing'shall. be completed.to the extent .necessary to result 'in a'.f inishedproduct.;,' This may require tile linoleum, I shingles,.* -waIlbo" a* d: int r . -pa vents or whatever is necessary:tq accomplish the desired 'finished product,. Should youhave any questions ple'as6 feel free contactme t" to a the above indicated address or telephone number. Very truly yours, Howard J Sayd6-r, Jr., Ri.S.- Division' of.Environme'n'bal Health HJ8/lda 1-7 • cc: ,"Public Works -Jim Glander- .0oi2nerly & Associates, Inc. J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special.MH Support -Sketch - Date DECKS, COVERS, CARPORTS, ETC: (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors - E. c 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rai.ls 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"fL/ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors, ( t 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except it's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Ligliting;�15 volt$-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7.' Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date- - Card -BI Date Card -BI Date I r t ' E. c �0.-blot OK — = Not Applicable RESID 1TI1l (Single and Duplex) = Not Ready Date UN ERFLOOR Plans 'OK except #'s Date FIR ING (Continued) oning requirements—Setbacks—Easements Property Line Firewall & Openings . Ftg., Main; Soils—Steel—°tee--B"W.— / I?J" Ftg. Depth A. Ext. Doors—One 3'—Check Garage -3rd story, 2 exits Soils—Steel— / /" Ftg. Depth fairs Width—Headroom—Rise a di —Fire P 19c -tion Sf Plywood on Roof Overhang—Attic Ven s—Rafter Outriggers 4. tg., Porches & Decks; Soils—Steel— / /" Ftg. Depth . Stemwalls, Main; Steel—Blockouts—Wrapped—Slab 52. Siding—Nailing—Veneer 6. temwalls, Garage; Steel —B lqc kouts—Wrapped—Slab Screed -2n. Vents—Underflr. Access Piers—Fireplace Ft —Steel VI Glazing Area s r ctio Skylights—Plastic �{ Q 6 D.W.V.: F K -F AeSgs3afill way C/0—Sewer esy 3V Shear Walls; Nailing—Bolts ater Pipe; —A ors—W4.k'tc' ervice Tes 11.1 Electric; Underground T Gi rs—S' —Anch s—J ents Gcipples Card -BI Date .Zy Card -BI Date Card -BI .Dates Card -BI Date Card -BI Date Card -BI Date Card -BI SK Date Card -BI Date Date FI AL (Plans) OK except #'s Card -BI IL Date ItWIS Card -BI Date Date PtjjF4BlNG (Permit) OK except #'s Ext. Steps—Door & Sidelight Protection—Landings W Smoke Detector Water Ht.; Vent—Access . Furnace; Vents—Clearance—Comb. Air—Connector— An Garage; Above Floor—Ducts—Mech. Protection tY Pipe; Test & Anchors—Nail Protection 1 !!E D.W.V.; Test—Fttngs & Anchors—Nail Protection 5WrBedroom Exiting Shower Pan; Test, First Floor—Tub Access .F.I. & Bath Fixtures & Tub Access low ower, 2nd Floor—Tub Access Elec. Trim & Subpanel; Breaker Sizes—Labels Gas Pipe; Size & Anchors AMairs & Rails ace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI St DateCard-BI Date -/Kit. Fixt. & Appliance; Grnd.—Air Gap—Cooking Clearance Card -BI .rr— Date Card -BI Date AElec. Outlets & Receptacles at Kit. Counter Date EL CTRICAL Permit OK except #'s di6r�ge�ire Door; Swing—Landing—Closer uct in Garage—Damper fixture & Transformer Clearance—Ins. Protection tr. Htr.; Vents—Clearance—Comb. Air—Connector—P.R.V.— In Garage; Above Floor—Mech. Protection Elec, Receptacles Spacing—Lights &Switches at Doors Ib., Elec. & Mech. Equip. Listed for Lo tion i Boxes & No. of Conductors—Stapled eceptacles in Garage; (G.F.I.)— mex Protec. Qmex Installed Close to Ed f Studs & C.J. Equip. Ground made up w ch. Fasteners o Gas & ter Insulation—Foam—Looked in Attic Yes V. Guard Rails & Deck Construction—Post Caps KA Appliance Circuits in Kitchen & Conductor Size ire tiize / ga. Cu or AI— I Fdn. Vents & Crawl Hole oor—Drainage & Wood -Earth Clearance ,Looked under Floor LTYes Range/ / ga. Cu or AI—Oven Circ. / / ga. Cu or Al, nsulat d Neutral ❑Yes ❑No K Following instld.: Driv E3 Yes o; Walks ❑ Yes o; Planters ❑Yes No /Service—Riser Conductors & Ground—Main Disconnect .46,., Brown—Finish ./Equip. Clearances; Panels—Motors—Mech. Equip. 7nit, & Cond. Size -115V Outlet Clothes Closet Light—Shower Light 76, Vents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle—Underground Card B -I Date eZCard-BI bate W. Ventilation throughout House Card B -I Date R, 5 Card -BI Date 46.1Glass Protection Date MECHANICAL (Permit) OK except #'s Correcti ns from Previous Inspections _ est—Meters Tagged; Gas—Electric 7 46" Insulation & Support ater & Sewer Connected—C/O to Grade—HD Approval . Energy Compliance Certificate—Other Certificates Vent Fan; Exhaust above Insulation 9er-::i?t�C¢f1S8 Drain & Overflow; Size & Grade Furnace—Vent; Access -Comb. Air—Return Air Vent -115V outlet Platform if Furnace in Attic a Card -BI --'F— Date S Card -BI Date Card -BI Date and -BI Date Card -BI Date S' Card -BI Date Card -BI Date Card -BI Date Comments at Final: Card -BI Date I Card -BI Date Date FRAMING(Plans) OK except #'s Sills; Proper Material & Anchors . Walls; Studs—Nailing, Spacing & Bracing—Plates—Sound JeyBearing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) ire Stops; Furred Ceilings—Stairs—Chases—Tub Header & Beam—Size & Bearing V./Hangers—Post Caps—Anchors—Connectors CIng.Joist— fir. Ties—Purlin—Roof Brac.—Truss—Shthng.—Rfng_._ _ les or Type A Flue—Fireplace Throat ttic ess, 'ze & Romex Protection—Draft Stop Ins. files drm ndo or Exiting Doors—Sill Hgt. & Dimensi V. Garage ire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mater, or need additional explanation, please contact this office immediately. j Inspector Alnfy- Date % 9 COUNTY OF BUTTE f DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ,,7ter, or need additional explanation, please contact this office immediately. I } p ► --T / .1'i —.c Inspector `✓rt Dated �l� 5 kw COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE U Ir� yrf /J" h ,/,fr ' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whn correction of work is completed. If you have any question pertaining to this tter, or need additional explanation, please contact this office immediately. 85 s, - V InspectoF '---e7 //VI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ' 'PERMIT NO. 50 - ASSES PAR L NUMB R ZO G - K BUILDING PERMIT OWNER TTAO E ELLEPH` SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD RFSS, (•]L3 CONTRACTOR DAME TE{"E/''/j//��//((`'��f`�11J CONTRACTOR'S MAI ADDRESS 1.Fireplace CONSTRUCTION LENDE li UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 1 G + !/ ` Ice PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each Qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 / USE OF STRUCTURE SF IVJ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI GJWJ 10.00e TYPE OF WORK New ❑ Addition❑ emo I ❑ tilitie Installation❑ Other ❑ Describe work: — % ✓ 8 S� �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS I00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLIN P.& OR ADDNS. ( ACC. BL t �% ✓1 ) 2�x QSgft CONTRACTORS LICENSE LAWNEW I declareender penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Businessz0®s0C and Professi s e a my license is in full orce and effect. License No. I Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason CO IDR BRATCH CIRCTITS 2.50 ea NEw CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES BAL®30 IXED PTs R Ex. Occup. OUTLETS (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ t2 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 0 Type permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s d County in conse ce of the granting of this permit. p X�� Date �J Z 3 '�� Signature of Applicant — Owner ❑ Contractor Z Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 'i �• �.� OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC B IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �, r `� Date � d 3 -7 9 , Receipt No.�^�� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Olbville,'Ca�ifornia,.95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 1 RMjrT NO J � AA... ASSESSOR PAre EL N BER —//gam.- Z ZONING BUILDING PERMIT OWNER //EpeiD/V )LUC4� TELEPHONE S0.FTr. OCC. BUILDING UAT OJ' $4 o` �OWNER'S MAVLING ADDRESS OR C ��UTw S N�E V��-�I &; /O T([J�JJF V 0► �/ C/ �� /�L//� A C;fZ ky?a D Fireplace' CONSTRUCTION LENDERO/Ve - UNKNOWN Total Valuation $ ,�.�J�, Filing Fee _ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Feeee� $ a.(� S --i`-` ��• $ •ro, ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee h, $ 2_6 , 0-0 BUILDING A DRESS �- 'Q S' PLUMBING PERMIT Fi lin 9 Fee 10.00 Each Trap S 2.00 /Q. CrV Solar Water Heater 20.00 Water piping 5.00 r LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,0'0 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S FIG W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work://►► ADD 9 HRO PE R- /%VSP Permit Fee $ , 0.0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service j°oo AMP ORSLESS 10.00 Q _0"o 3-d�� / d c IVEDD Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLINGF?f&\ OR ADDNS. 1 ACC. BLDG L/l 2%0sgft /!f, C/ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. G �j �� License No. ��+ 3/ / Classification _ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWT -RESIT R. BRANCH CIRCLET ITS 2.50 ea NEW CONSTR (/POWER APPARATUS &) NON -RES,D. 1 SINGLE OUTLET CIR. Ex. Occu 2oQSOa P�o TS OR FIXTURES 9AL®30 FIXED APPLNS. OR FIXED EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 31 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T e permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating (rpp 0.0 Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all 'liabilities, judgments, costs, and expenses which may in any way accrue against s id County in consequence of the granting of this permit. X__ Date Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ S • TOTAL PERMIT FEE $ 9 , �. OCCUP. GROUP I TYPE OF CONST. 1,, PARC P HD IssUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PU LIC � By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1_ Receipt No. � 3/87 WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Inter -Departmental :`Memorandum TO: -J�� Cr1�1,�� ETC— Y '��l L C FROM: S �eYL V • �i �d R �( SUBJECT: �Zt6 ��c�cse-came2+ (lft�0 `� DATE: dwe<<, u am�-- �..�s 6c�e�n cera/��P� au� �v�ove� c-. G C � V � V LAND OF NATURAL WEALTH AND BEAUTY a DEPARTMENT 0F•Py8LIG HEALTH-. DIVISION OF ENVIRONMENTAL. HEALTH Address . ❑ 196 Memorial Way . 37 County Center Drive ❑, 747Elliott Rood: Reply to, Chico, California 959.26 Oroville, California 95965' P'aradise,California 95969 Telephoner 916/891-2727 Telephone: 916/$34-4281. Telephone: 916/872-.2961, 95969. Telephone: July 30-, 1984 J.E. and Merridy Flucard 2338 Honey. Run Road. Chico,, California 95926 RE: 1216 Jackson Street., Chico, CA%AP#•46-11-3-002; Rehabilita=- tion Inspection.. .Dear Mr:. and Mrs. Flucard: At your request, an inspection was made of the --above- listed dwelling.on July 26, 1984. The inspection was made as part of the rehabilitation project currently underway in the Chapmantown area in'South Chico The dwelling'is a.two story wood frame.structure with a concrete perimeter foundation under the main house; and..pier and post under the additi-on at the rear. The dwelling has wooden.siding, the roof and upper --floor have been damaged .by fire.:. Plumbing is. damaged.and.lacks vents... Electrical wiring is.in p-oor.repair:and has-been fire damaged. Heater is inadequate. The house is served by community water, and a -private septic:-tank.system. In order to -rehabilitate -.the dwelling under this .program,, the following will be required 1. Verify' -size and condition of septic tank. and leach lines. If alterations are required,a septic tank permit will be required from the Butte 'County Department. of Public Health. 2: Provide an adequate under -floor support system by'adding piers and girders as. required and replacing ail. damaged materials. Remove and replace all damaged or deteriorated:. floor joists, sub -floor and floor coverings -on first.and . second floors.. Insulate first .floor to R-11' standards: Provide adequate under -floor ventilation and crawl space_ 3. Strip walls to frame.. Replace' damaged -or deteriorated materials in walls, add bracing and studding to walls. as necessary.. Make all exterior walls weather tight.: Insulate walls to R-1.1 standards. Replace all windows with thermal or dual glazing- types, (.65 insulation standard). Page. 2- J.E.; & Merridy Flucard. Continued Provide emergency exit.*.windows in bedrooms with a clear.. openable- width of. 20 inchesand24 inches .,high,..with a miniTmim area of 5.7. 'square. feet. - Make',all: `doors and windows,. weathert.ight-.1- 4. -Remove'land replace fire damage d- roof covering. and sheathibg. Provide. an,'adequate roof support by adding rafters, .-ceiling - joists , and 'brac ing as required. Provide% prope r - ceiling . heights: in second flo.or.rooms..- Remove and replace. -all fire damaged or deteriorated materials.. Insulate ceiling,to-R-30 standards.:,. Provide- -adequate ventilation. 5- Remove existing electrical. service -panel; deteriorated' 'or. damaged wiring, outlet *boxes and fittings; unprotected wiring open or exposed splice,s-.. Install new 100amp service and all related.wiring,.*boxes-,: switches,. and ou't,lets-as required. All. lights replaced.. shall- be f lourescent- type. 6:... Provide: adequate plumbing fixtures. with effective traps and`. - waste.* vents".. � Provide. proper supports for. all. drain..: ' ste.* and. vent plumbing; - all. drain piping.. Provide. proper. leak. free mbing, f or waste.,- vent, water and gas: lines. Remove and replace.the heating system,. with an -approved, type.with'.proper installation,. vent and clearances from com--, b-ustiblesand'capable of maintainin&.a minimum temperature of seventy degrees Fahrenheit as measured at. -a point*three feet. above 'the floor . in. all habitable rooms, 8.. Remove: and replace the existing. water heater with a proper installation, venting.,. clearance from` combustibles-, and temperature and pr&ssure relief valve and -line. 9.: Provide smoke detector on both floors. 10:. -Remove * rear addition - and're.c onstruct. to. code, 11. Remove all.debris from fire damage froin the property. The. following item,*although'not'required, is,strongly-recommended.-'. to effectively prolong the useful*life ofwthe dwelling and/or to make the dwelling more habitable: . - : - 1. Provide a cooling system.... Most of * the 'items will requirepermitsand inspections by the Butte County Department of Public Works. Permits may b-e..'obtained at County Center Drive.; Oroville,.'CA 9596.5 if septic tank repair. or replacement is required, obtain septic tank permit from the Butte County Department:of Public Health, 196 Memorial Way7 Chico,.CAi. RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM Owner S. E� /'% �� %�.,(tG�¢� Climate Zone �� Permit No.. � 74 Floor Area Compliance path: 'Package ❑ A ❑ B ❑ C f Point System []Budget ❑ Other MIN R -VALUE DESCRIPTION REQ'D INSTALLED -..ITEMS (1) INSULATION: Roo f/CeilingJ �_ S ® Wall r 1 /L-CbL ❑ Slab Floor Perimeter ® Raised, Floor .(2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ® (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and,shall be certified and labeled. ® (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %F1 r Area Single Double Triple ® Total Bldg �e 5% / it ij North ® East 3/. .- X �i South ❑ West ❑ Skylights 'J (B) Shading Shading Coeffi4ient Description East .. (� S_� � South , West ❑ Skylights ® (C) South Overhang Length of projection ',— ft. Description ' ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. 'HC= R= MC= Location ❑ Type. - Area Ft'.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 FORM (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM . (A)"Heating Central Gas Furnace SE 9 (brand and model number)' Btu/hr (heating capacity) Heat Pump. (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar ACOP type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (seasonal EER) (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired ,fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems -exhausting air to the outside. ® (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, -and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 FORK (6) DOMESTIC WATER SYSTEM �$ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2. Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 -(backup heater type, brand and model number) .(collector area) (collector.orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five feet of pipe closest to the water he and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per, watt (usually florescent)'. *1 Submit documentation of sizing heating and cooling equipment by..Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature _°, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU It A10 Cooling: Summer design temperature °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE,INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels.. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 GN TURE OF BUILDING DESIGNER OR APPLICANT 3 7 eA a> 4:t#+i e.;o �`(/�� Oe f ` K�'_ / ti."G✓Lpi.��'I/_'_ i fir• � r L�✓G�ei!/L�I 2 46��A i%1a6/e ZZ) final r -i COUNTY OF BUTTE— TMENT OF PUBLIC WORKS r 7 County Center Drive oville, California 95965 Tel eph ne. 4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. NO. Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 80000 AMP ORV OR SLFSS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1,00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. �) 20sgft CONTRACTORS LICENSE LAW State of California Business & Professions Code under the name style of: NEW CONSTR /BRANCH CIRCUITS) NON.RESID l BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & . Ex. Occup{OUTLETS OR FIXTIIRES I Ig L ,@1= FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No @ 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. ❑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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 OF PUBLIC WORKS By Building permit expires Date Date _ I COUNTY OF BUTTE — C,t TMENT OF PUBLIC 7 County Center Drive 7Orov)le, California 95965 Telephone: 5,1�I-4541 APPLICATION AND PERMIT WORKS authorize representatives of the County of Butte to enter upon the above-mentioned property for, inspection purposes. X ate 1-9 Signature of Permittees or Agent Receipt No. �9`t 9 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 OF YUBLIC WORKS p If By Date 11!r �� g'permit expires Date BUILDING 411 Owner 1E rVUCA-PLD SQ. FT. OCC. BUILDINd A UATION Mailing Address P70 K 10'-f Ah m s iva ,.J Swe Clglcz cA T`yz° � ="� 3 Contractor W�(k:511 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 121 ( DfIiIex<oA) Sr Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. o. "1 (P �- ( rj 07)Water Doing 8 Planning piping 1.50 Each gas water heater or vent 1.50 Ftlees; Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 d Parcel AEEroval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ 04APJ66 Co -44-:007" S6VOIC8 It _rVSTAALC- ELECTRICAL No. @ FEE /✓�� P�6 PERMIT FILING FEE $3.00 $,00 Main service 600V OR LESS 100 AMP OR LESS 5.00 95,� Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER P O 25.00 R100 AMP OR LESS Main servlce EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADONST k ACCLBLDGS.CCUP. Y) 22sgft 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: U IR T NEW RESID. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS/ 2.50ea NEWCONSTR. POWER APPARATUS a NON -RESID. SINGLE OUTLET CIR. Ex. OCCUD{OUTLETS OR FIXTI1RES1 g @,@j FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 'SDP-OA4 eC-- 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ /C1.26 $ 1(4 ZS MECHANICAL No. @ 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. 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesTOTAL and State Laws relatinq to buildinq construction, and hereby Land Development Fee $ PERMIT FEE $ `�' 2� authorize representatives of the County of Butte to enter upon the above-mentioned property for, inspection purposes. X ate 1-9 Signature of Permittees or Agent Receipt No. �9`t 9 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 OF YUBLIC WORKS p If By Date 11!r �� g'permit expires Date 4 SEC. TOWNSHIP RANGE PJE _gfS a A os ❑w E ORDER NUMBE BER $ ' ,—O 113 (JVR k E -J XREDIST., � • .. FORM., i.. ' REG. R.U. INCIDENT NO. S ART MO. DATE YEAR COUNTY � •� of •• ASS � E� T FIRE NUMBER - ., FIRE NAME- REG. R.U. I NO. r thru_ FC -18 (1/80). A.25 RE OR LE r10RIGIN LOCATION ^S 0 B A - `' - '/ ► k: .'' 4 SEC. TOWNSHIP RANGE PJE _gfS a A os ❑w MILES IRECTIO ❑FROM QCIN11 N AL FO E I TREET BER $ ' (JVR k E -J XREDIST., � • ��' INCIDENT TYPE 3 [;IR ❑FALSE ALARM TOP GO TO 10 cl 4A RESPONSIBILITY (AT ORIGIN) Zy•`u 4B DIRECT PROT. RE�P,(•D.P.R') ST ORY Ret. ✓ STATE ZONE RESP SIBILIT 10 ❑ WILDLAND BURNED OR THREATENED O❑ SCHEDULE A D.P.R. +. - STATE O ❑ UNPROTECTED; F; _ -, -, , - DISTRIC E . 40❑ OTHER AGENCY D.P.R. ❑ CITY IUN # c LOCAL ZONE -_ � ,. 5LN7SCHEDULE A D.P.R. ;e ' S. O 80❑ OTHER AGENCY D.P.R. (Unincorp) B.L.M. ' FEDERAL ZOe_� !/`':_�'f ' e LA 0 ❑ FEDERAL(excepry) D. .R. ❑ N.P.S. OTH FEDE AL 8 HEDU E DOSC Lr ZONE' MI / ( ) SC.O fit EE] CAUART N OOORDid!TN;j ' S org ❑ SM G ❑EQUIP LIG❑ rFIRE -l�..:{ p C _ ON O R/MISC. rcfJ L USE(STARTS 0 OROONLY) ❑ Did not start n(1> 5 oro8 ❑ REST INDUSTR OMEST ��// , IC n ECREATI r , RANCH -FAR OTHER D Y- MR ❑ R C BU P W D IL L �-❑ D A N L L ND " r. ILITY RAILRO A t , UTILITY. ELE Orr _ r • • �� Wit• DAM ( 1 0 5 ORO LY) 7❑ N //S�AGE IS/N� _j N t r are MA 2 &OR(8) /n -i. 1 L 2 A#740* (5> T &/OR G GROWT WILDLAPP VEG TION (Other n T& ) AGRICU URAL PROD (Other T&YG) .............. �—• W l GS IJ AA�i & CONTENTS i ',E OR CONTENR CDF 7540-130-0118 8 5 TY 1 S BER $ ' (JVR k WOOD TOTAL LAND •• ASS � 8B SIZE SS PROD. A.25 RE OR LE ^S 0 B A 8 C 10-99 s ATUT. " RESPON. 1 ACRES BURNED O D610 ACRES OF '' •� E -999 ACRE STATE + U.S.F.S. " 1000- 9IWMES G 500 OR MORE L.M. B.I.A. �; ... W n, .P.R.S. r t 'E: - (Ex-BOR) OTHER r.,. T,. FED. .s+ 4. OTHER O 3• i �. 1 TOTAL s ON ARRIVAL f.:/E]o VEGETATION FIRE "OTHER, GO TO 10 SIZE DISTANCE (Origin to head) ACRES FEET WEATHER (ESTIMATE AT SCENE) WIND DIRECTION FROM TEMPERATURE , 1 .. . MPH °F OVER PLEASE CDF 7540-130-0118 v�i X cn 00ow *�a