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028-062-029
3 � Joe W. Hafer AP 28-062-K e/side Middle Honcut d, ncut Permit > (util, MH) `ri _....... 28-062-1.. . CONTR: Upstate Awning, Sacra ento Permit Yr067-76B(awning/MH �0 y� % 28-062-29 OWNER R HARD MEYER P rm 358-83P,5 (reycate util,E c .. MH) -93 GAS / 75 1/41'1- � �Aau/3cE sTG.� SUPPORT STRUCT S REQ.&& �-%��� COMPACTION ,TEST EQ Zc0 J ho Aq 28-062-29 Permit 407-$3MHI,/� Iss • ed_ /L/(0�113 N I ., Butte County Department of Development Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile December 15, 2005 Fely B. Doria 1266 Middle Honcut Road Oroville, CA 95966-9689 RE: Formal Warning Notice Butte County Code Violation Address: 1258 Middle Honcut Road, Honcut AP# 028 062-029 Dear Fely B. Doria; Through our courtesy notice on November 2, 2005, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. The accumulation of junk in public view. 2. The accumulation of garbage for more than. seven. (7) days in public view. Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist: • Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. • Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Fely B. Doria AN 028-062-029 December 15, 2005 Page 2 • Butte County Code, Chapter 31, Section 31-50 - The owner or tenant of any premises, business establishment or industry shall be responsible for the satisfactory removal of solid waste accumulated on said premises. To prevent propagation, harborage or attraction of flies, rodents or other vectors and the creation of a nuisance, solid waste, excepting non-flammable inert material, shall not be allowed to remain on the premises for more than seven (7) days. Non-flammable inert materials stored on a premises shall not be allowed to become either a harborage for rodents, insects or other vectors, nor a public nuisance. Such inert non- flammable materials which are not properly stored shall not be allowed to remain on a premises for more than thirty (30) days. The determination that this violation exists on the property is based on the following definition in the Butte County Code: • Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. • Butte County Code, Chapter 24, Section 24-305.170 - Garbage. "Garbage" means every accumulation of animal or vegetable waste, matter that attends or results from the preparation, consumption, decay, dealing in, or storage of meat, fish, fowl, fruits, vegetables or other food products and shall include any food container in which there is putrescible material either solid or liquid. • Butte County Code, Chapter 24, Section 24-305.370 - Rubbish. "Rubbish" shall mean all nonputrescible solid wastes, combustible, or noncombustible, including, but not limited to, paper, cardboard, yard clippings, grass, ashes, wood, bedding, crockery, glass, metal and other similar materials, excepting compost boxes. • Butte County Code, Chapter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all garbage, rubbish and refuse from your property and maintain a regular removal schedule in accordance with Butte County Code, Chapter 31, Section 31-50. 2. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. 2 3 14 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On December 15, 2005, I served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Fely B. Doria 1266 Middle Honcut Road Oroville, CA 95966-9689 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on December 15, 2005, at Oroville, California. , L-, /� A ` a� -� Alise J. Foots Office Assistant Fely B. Doria AP# 028-062-029 December 15, 2005 Page 3 This is your final wamin . .Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, �Z" Nick Hoekstra Code Enforcement Officer NH:ajf cc: Department of Development Services, Building Division ill 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course, of business on the same day. On January 26, 2006, I served the foregoing Code Enforcement Citation # 0417 on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Fely B. Doria 1266 Middle Honcut Road Oroville, CA 95966-9689 . I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on January 26, 2006, at Oroville, California. AVD& Foots Office Assistant . d OWNER: ►�1` v� 2 � tC ' DATE: LOCATION: (2-`�D �'A.P.#: � CONTRACTOR: ZONING: DATE TO INSPECTOR: PERMIT HISTORY: [ ]NONE [aAS FOLLOWS: OF OCCUPANCY: BMILDING INSPECTOR'S REPORT ig Description: y�y [ ] Commercial/Usage: t [ ] Residential/# of Units: ' Mobile Home: Yes[ ] No[ J [ ] Currently Occupied. ' [ ] AbandonedNacant. [ ] Yes [ ]No, -- Electric is currently : [ ] On Condition of electrical?`� [ ] Off Natural[ ] Propane[ ] None[ ] Currently On[ ] OftT ] Obvious problems: :ion: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Potable water: Yes[. ] No[ ] Obvious Sewage Problems: ' c n of Damaged Area: 19 imate valuation of Damaged Area: pector• 1 Date: f RAIN TOTAL CDF/BCFD DAILY INCIDENT LOG OF of WhAft WH'd800 /Z - a(i, bAY/DATE TO 0800 Z r? -Z- - P1c. ! `' SIAnON. % A AAi!18WNCfi OfrlcEn 1p. ngnpnf lug 111CInQrIll,1,) •I 1!Ar•.rppg' LAA 1.. t rAso too 1,1129 too n n .crAIIo.# veCF,lAnQrt ,�cen•;c�r,n ul0�JAllir 156 0L-4jr, ry/y Q 41 nI1C 111pF a►�uA1 pAAf LOG.,.. e l 53 y�uc rr0 vF.I nCIE rug ^EICV! } we IIA ME LN�`i )`,, pErV?F, lAll!: renal rftl.eq u^•C � 11480 two CAUSE IANOIISE OAAMAO9 SAVE. C . 1 cAt so ALAnrA ASSIST ^ .SIAIION_.:. AMEUI/INCfi OrnCEn aFepat time e1Clpgp#t 1 �.J t tCsnrO� ^lam �•� �-� 1 JGNL...• -. CASE NO nag rip/0668 S"rA t. •OUtlpr� (et _ ` vC�F1AOJ I IYOgpvrYglll U -40 -CA i/1C I LiOV 1`r�f^A ta1lC1U^9 14''wr DAM? / ^ CNC1 Cl7 (� ruONE 1/Q • r v9ulr-tE S ^ESNE l/V ✓✓✓••1 IagMAuQ j 4I } ,/�I �,,A1w.� ��. ^•� peruse e'JElKA9a141 1TNE^AAISC 1N IRon "Ago .. CAUSE. LAND USA OAArArE SAVE. rAtsc At/AMm JASTTT �r�4 �Q Q 70 ►�` � TUU —8' 'Fal §tA: . Lod P -f- 2dZ O"ONE NO "A E1 9a ,IANOUSE 04A+ARE !Av ' lIAIION AMElMr1Cfi Jf1 s ANT ��Ai, • Oo-A flop# �IaI PM CM. Lod 1"a IiIAuQ, in:gn e11,O , CAUSE IA110 $)BE t "1C1nE1f1 to Y�' A1�1� IORr,Ep Er• rine top a p vP(let�lir"1 rrAogpvruarl/ Z41'y 41mlCrupe i SIA It(*. AMEUTANrfi prricen ng"rif time f (0 tfociogrrt 11p �'� I t-lnev Or. —z • SANT 3 vEOAnilriN O 1 e-- + A (/ CA SPNoring rn3 I ^O r I..l M1 YA . J 1 oCAtl 11 (J(J1r' /. / (1' U ��/� ,�f AAL �� 4"'t- 11`u V' �'cf' ve(IF1A 111,)1,1- 1Y=aC\•f�JF111 j /G� 5 6 i n11pnQ rf0 TInuCTU01 lutwt p.Mr _ vgwl;te r 1,i S RISC tag NAmg v ��A 91 h INS►, j +1 nFflj!{t1 Aq!4f1 iitME ttug"MrrO CAUSE. 1.01110 USE OAUAOE SAVE ' PAISq AtAnm Aeslfl 'Fal §tA: . Lod P -f- 2dZ O"ONE NO "A E1 9a ,IANOUSE 04A+ARE !Av ' lIAIION AMElMr1Cfi Jf1 s ANT ��Ai, • Oo-A flop# �IaI PM CM. Lod 1"a IiIAuQ, in:gn e11,O , CAUSE IA110 $)BE t "1C1nE1f1 to Y�' A1�1� IORr,Ep Er• rine top a p vP(let�lir"1 rrAogpvruarl/ Z41'y 41mlCrupe i -&put _ CA A4 NO — V4NKts r As S vEOAnilriN iu12npvoueni •pr A1C nacusg �VMtK •a'Ap A (/ AAIgF AIAnm ASgsl u1Sc 1 , "appal time,nrCrp9n�r+pf5 1730E •' Z41'y Y �� i _ CA A4 NO rine ilft I ^ A � vEOAnilriN iu12npvoueni •pr A1C I SI a11C1U^E AtAAA1 MANI m S ^ESCUq M1 YA "Eruaq ^1/Elrr, AAeer p1NEn A,,,•ct; ^pAmAne f1Avq �..._ t At 1,,a AtAnm AQF7r � i i PERMIT NO. PERMIT EXPIRES_ �/ 15 OWNER RTCHARD MEYER CONTR.- owner ASSESSOR PARCEL 28-062-29 LOCATION SIS Middle Honcut Rd. 200' E of Rrnwn Av,-. Honcut t i v f i i t + Temp. Power Pr+p �t 3�OFFICEtCOPY { Called PC -Address'Y' Temp. Elec. Si r-��__,._,_,,,,� f Called PG GAS .�. Dates PG, Meier .,Y <, wo, ELECTRIC Temp. Gas Sen+ Meter Byw `�' " Dat�G',� Cal ledPGc11 JOB FINAL Signatt 4' J OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBIL HOME UTILITIES (Plo< OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1 gning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3 ewer Location—Test—Fall-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4 ter; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing_ ctricity; Location—Clearances—Grnd.— Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures "as; Location—Test—Wrap:/ J"L"ft./ P'Nat.or/,7s/"L"ft. "LPG _ 6. Carports; Windows—Doors Ao-Utility Clearance 7. Elec. C BI Date — Card -BI Date Card -BI Date Card -BI Date Card -BI Dae Card -BI Date Card -131 _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except P's Date POOLS (Plans) OK except k's Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements o9tings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability G ; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining ctricity; MH Test—Crossovers—Breakers—Clearances _ 4• Elec.; Receptacles and Lighting; Distances—GFI n; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ' W ter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 3/Dater and Sewer Connected—C/0-to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater SS's and Electricity Tagged 8. Elec.: Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit E its; Insp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C d B -I P Date and -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI . Date Card -BI Date Card -BI Date I _ (TK - 0 - Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Card -BI Date Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except p's 14._ Water Ht.: Vent -Access -Combustion Air 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection. 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails - 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection -- _ 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. 71. 72. 73. 74: Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E) Yes Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 22. Size Boxes & No. of Conductors -Stapled --- 23. Romex Installed Close to Edge of Studs & C.J. _- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water - 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI _--__Insulated 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, r_ Neutral __Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive Yes No; Walks Yes 9 ❑ ❑ ❑ ❑ No; Planters []Yes ❑No 76. Stucco; Brown -Finish _ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light _ 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------ Card B -I ----------- - ----- ------ - _Date __- __ Card -BI -- Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31_ A.C. Ducts; Insulation &Support _ 32. Vent_ Fan_ Exhaust above Insulation _ 33. _Condensate Drain _& Overilow; Size & Grade 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent; -Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI - Date _ Card -BI_ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ 36. 37. 38. 38. 39. 40. Sills; Proper Material & Anchors__ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor -Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.=Rfng. Fireplace Ties or Type A Flue -Fireplace Throat At Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windos_ _wor_Exiting Doors -Sill Hgt. & Dimensions_ _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) 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 4D 7-- 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 matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE 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 NwNwpf �cI T p. r 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 ' -completed. If you have any question pertaining to this matter, or need add' onal explanation, please contact this office immediately. I— Inspe / Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 i;. CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number ��' for the following location: Owner Owner's Address% Mobilehome Mfg.- Model Year ' Insignia No. ��' ` "`% �'-� ,°'!� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date y�. /> _, By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION Al "PiERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OW TELEPHONE il,(40TA 74 2 26 O R'S ILI G ADDRESS SQ. FT. OCC. BUILDING VALUAT 0 CO TRA QH*5 NAME TELEPHONE CONTR C OR'S MAIL NG ADDRESS Fireplace CONSTRUCTION LENDER 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 ADDRES �� Permit fee $ BUILDING A DRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 -TOther RUCTURE USE;-5i SF [:] Duplex❑ Mobilehome SPECIFY Building sewer 5.00 Mobile Home S G W 110-00e TYPE OF WORK New ❑ Addition RemmooddeI ❑ Utilities ❑ Installation Other ❑ Describe work: O r s 3 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 L :f L 'nxl� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. / 2/20sgft 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. License No. 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 NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR (POWER APPARATUS &'\ NON•RESID. SINGLE OUTLET CIR. / Ex. Occu z0®60e P.OUTLTS OR FIXTURES 9AL®30 FIXED APP LHS. OR Ex. —_OCC - OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I 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 Filing Fee 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti ludg nts, costs, and expenses which may in any way accrue again t ai Count �ntns7pence of the granting of this permit. .19%©G-� 83 Date Signature of Applicant — OwneLK Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 sttoories in height. Mobile Home Installation Fee $ S , TOTAL PERMIT FEE $ 1:yj OCCUP. GROUP I TYPE OF CONST, I V PARCEL PO ND 95 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR CT R OF PU 1 BY ERMIT E IRES to the applicable provi- resolutions to do fees h ve been paid. C S Dateq Receipt No. 09/1 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT,OF"PUBLIC WORKS - BUILDING DIVISIONt 7 COUNTY CENTER DRIVE - OROVI LLE, CAt`fi= RklA 95965 - TELEPHONE: 916/534-4541 / PERMIT APPLICATION DATA SHEET p� In_ r OWNER Proposed Building Use Permit Fee Based Upon t Building Inspector Permit No. A. P. No. C,0 9 Complete Contract Price DPW Valuation (Explain) n Date At time of permit -application, I was advisdd the following data must be submitted prior to permit processing and/or i Seance: DATE RECEIVED APPROVED �- 1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . ... . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector (Date 18. Other When you issue the permit, process as follows: 1-*� Mail to owner. _ Telephone and hold for pickup at office. Other_- A Mail to contractor. _Deliver w/inspector. Date4 04 03 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Des Plans checked b Plans approved I Other Copy—DPW r, 0 ner) was advised of above required data by Telephone Mail Other By Date Date y Date ' To.. wilding Department From: Environmental Health Subj ct: Sanitation Clearance Owner ,oc o Plan approved for: sewage disposal Water supply Hold final for: Final clearance O.K. for Clearance for, bedroom house mobilehome NOTE * * * other Water supply Water supply ae ~ BUTTE COUNTY"DEPARTMENT OF•PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: WU0Vei 11F14fck 2. Installer's name: 3. Is the site currently under permit? Yes No ( If yes, furnish permit number .Z S 3 ) OR Is the site an existing site? Yes I / No (If yes, furnish two (2) plot plans.) ' 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.all setbacks.and easements? Yes No ( If no, clarify - ) 5. ..What is the mobilehome electrical rating? ----------------------- so Amps 6. What is the mobilehome site service rating? ------ - --------------- Amp 7.. What is the mobilehome site circuit breaker rating? ------------ Amps 8. Is there any other electric load' to be served by the mobilehome siteservice? ----------------------------------------------------- Yes hG No 777. (If .yes, identify the load and size: WC -lam (Load) 14 (Amps) 9. What is the mobilehome site gas pipe size? ---------------=------ 3�`f' (in.)._ ti 10. What is the type of gas service? ----------------------------- Natural /% LPG % rrI 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand?,r------------------------- ��° D �© (BTU): (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA ("] If other than single wide, 72 Mbilehome Mfr.—)7(e eA WOO��I furnish Setup Model No. Year Width—i Z (ft.) Box Length S S (ft.) Tagalong or Expando Size ft. x 1 Z ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of QButte). All center supports measured from front of specified,. ��S• mobilehome unless otherwise Footings (check one) • Single ET"1. Wood either Ca pressure treated or �` foundation grade. (ft.)(in.) (in.) (in.) 2. Other: (specify) Center support locations* Center support footing sizes Supporta (check one) (in.) ij 1, Concrete block. (� Ex 2: Other. (specify) in (ft.)(.!) (in.) (in.) QRRcin�q *--Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) ax 2 -- Typical Support (in.) Footing Size steoo ,/ax. OW swt,. Fok W'X 30" PWAS, �---� L x 'MAX- SP44 .holt l2"X24" A41DS (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) • L X� �� -- Max. Overhang (ft.) (in.) (in.) (in.) BUTTE COUNTY BUILDING DEPARTMEN APPROVEL . *If center piers are other than drawn above, - raw in. -locations, spacing, and dimensions. OWNER PERMIT`# MH UTIL.CLEA TE INSPECTOR ELECTRIC GAS. Support Struc. Compaction Test Re . Service Size Other. Load Type Pipe Size Length YES NO YES NO I COUNTY OF BUTTE - DEPARTMECJT OF PUBLIC WORKS 7 County Center Drive - OroviLle, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. J d —� ASSESSOR PARCEL NUMBERZONING 25V_ 0&2:-- � . A2 ' BUILDING PERMIT , A� OWNERRESS O/,,,t /v, T,.�E��Z_o�E `Ye4 SO. FT. OCC. BUILDING VALUATION �� v OWNER'S P—ZMAILING A/✓O /� :070S— �j�^�// /�'✓ V /Z/ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIN LICENSE NO. Plan Checking Fee ` $ QQ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ B U SG AD- RE ,,,,, N T ��I �PP fFJO PLUMBING PERMIT Filing Fee 10.00 '"' ,: ' �� `'�� AVE 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 ❑ Duplex[] MobilehomeK Other SPECIFY Building sewer 5.00 Mobile Home tV4 __10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities g Installation ❑ Other ❑ Describe work:__ 05L,064M V77t_ • (�P E1C/ST11,/� �`/L� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service i°Do AMP ORV OR LESS10.00 49, Main service EA. ADD -L too AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2/20sgft 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. License No. Classification ff"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 NEW CONSTR ULTI.OUTLET 2,50 ea ..RES,., NON.R BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &') NON-RESID. SINGLE OUTLET CIR. 20050t Ex. Occup(o OR FIXTURES BAL®30 XED A FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �,pQ Misc. Wiring 15.00 Permit Fee $ Contractor "1570 WORKMEN'S COMPENSATION INSURANCE I declarender penalty of perjury (check one): VA�[The permit is for $100.00 (valuation) or less. ❑ I 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 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. I also agree to save, indemnify and keep harmless the County of Butte against all Iiab' it ents, costs, and expenses which may in any way accrue againun in o ence of the granting of this permit. /^� X Date ZI1 '� 83 a Signature of Applicant — Own r 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST.9A;;`T PD 19SU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC �x By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date ��Q� Receipt No. Q Jv3 Q-71 8 2°`J' WHITE-D.P.W., YELLOW -ASSESSOR, PI K -I PECTOR. GOLDENROD-APPLI ANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC -WORKS,, BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL'LE' C LIFORN:I.A 95965 - TELEPHONE: 916/534-4541 i PERMIT APPLICATION, DATA SHEET OV Permit No. OWNER ,ticI-IAer) A(,/L A. P. No. 2.9�0�''iZ % V Proposed Building Use M 14 V T/L/T/rS Permit Fee BasedUpo, : Complete Contract Price � DPW Valuation Other (Explain) Building Inspector.7A At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . .. . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorization. -A/ anitation approval from Health Dept. o" �3 Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance.. - G: 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑•) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Required request to (Dote) r P q Building Inspector t„ ]�K 18. Other Z' -D A C4L- I When you issue the permit, process as follows: I.-' Mail to owner. _ Telephone and hold for pickup at office. Other Mail to contractor. —Deliver w/inspector. Date CJ (/ v Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at tim of I' ation, circle item.)' 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Plans approved b, Other Date Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive9 Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction ` of the proposed property improvement (yes or no). 2. I.(have/have not) ha v�, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City .Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the'work indicated: Name Address Phone Type of Work Signed: Property Owner �Jo�,Oj� *+ Social Security number Date 2.1 se F3 0 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and'Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 83-31343 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement (3t) TI 0Wti be recorded prior to issuance of a building permit:¢,p0,g pR `fY SHOWN The -property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from `' o u� the use of agricultural chemicals, including, but not limited to herbi����; �e�sicidl� and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described. as follows: A portion of the west half of Lot 120 as shown on that certain map entitled, "OFFICIAL MAP OF HONCUT, BUTTE COUNTY, CALIFORNIA", which map was filed in the office of the Recorder of the County of Butte, State of California, on March 13, 1899, in,Book 7 of maps, at page 85 and being more particularly described as follows: Beginning at the Northwest corner of said Lot 1201 thence Eas er y along the northerly line of said Lot 120, 700 feet more or less, to a drainage ditchl thence at right angles Southerly 420 feet; thence at right angles Westerly 700 feet to a point on the Westerly line of said Lot 1201 thence Northerly along said Westerly line 420 feet to the point of beginning. Date: S@' PRO R OWN c� State of [__,A," P. ) County ofj-r�� ) On this the –Zl I5T day of 111"f ,� , 19_8a, before SS. me, the undersigned Notary Public, personally appeared Blowentemieu�a�eonu�nen,ta�rtuo�ere�eetma�tus OFFICIAL SEAL CeANNE M. KIBODEAUX VOTARY PUBLIC. CALIFORNIA COUNTY OF BUTTE My Cumml:sIG" E=pira July 13. 1994 if Nt111111110pi11114Eif 0 UlU1 W 11t�iaU�U�1s011U111% Present A.P. No. 28-CZ-�y 51 T / / Personally known to me. X/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) AizF✓ subscribed to the within instrument and acknowledged that — executed the same for .the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public. lic Works, County of Butte. the National Electrical --Code. ",--,,w""..ul `'odes and 19 _7 71 —Ji A 7:-- s'tb k -6f-,5 -ft. 11 T7t &;a Ic 0 T -T f 5bft.1 f r the 6 Oa c L 7: 7:T �'� — 47.— �-T ".A - 4enierlipe truduras -ra-2 lhai 4r e CAOME MT, nt Pxo� t .* -(5—v, 9 �7 -7: vim ef re-0 T -E heim I �(Pfialjomot 0 e. T -+44 4 112 4- 1. he fiaths s 7—' a.11, e witoln -T-�47Z t ds do U) 77 - tll- MET :4 kc Y.� I I--- -T- 4 4 �-i- 7�4 -4 4:j,t t A A. + t 4, L4 17� V. t E I at %two T G 2 -4-4 7 -�---I-J I lvlEbTf IA 1r) 4 7-� m r -f of #a ii 48 i a cl jpecifi ns; AUST )t. :)T-I:*.--4AIli 40 M4 Ife clir. 0 +ftT 'j 4;., LV, 1,5 U4'Z� - 4� ^o-- ll 9 G�odj. IF '-f' �c s a wrii7fen permissio -n,&Lqm the DeDartment I of Pu Unil' JUWF-7T Orio.,buiiding. U. Plumbine, S' or .,a ["cc! z fl'* use, i n A6 lic Works, County of Butte. the National Electrical --Code. ",--,,w""..ul `'odes and 19 r Y PERMIT NO. r P E M MH UTIL. PERMIT NO. 2179-74P, E PERMIT EXPIRES OWNER Joe Hafer CONTR. .1 LOCATION (A.P. 28-062-01 ) i e/side Middle Honcut Rd., Honcut f i� ti t j Temp. Power Pole Called PG&E oe Temp. Elec. Serv. Called PG&E Temp. Gas Serv. !F f o Called PG&E JOB FINALED r C7 (D to (Signature) t r . r j Temp. Power Pole Called PG&E oe Temp. Elec. Serv. Called PG&E Temp. Gas Serv. !F f o Called PG&E JOB FINALED r C7 (D to (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD E�UILDV413 BUILDING (Con4'd) LUMBING Setback Firewall Soil Pipin Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Pi ing & Test Footings strucWrS 42 Temp. Gas Slab FinaSanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. -Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permane Door Closer Final Final DATE REMARKS OR CORRECTIONS r �. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of butte to enter upon the yc above-mentioned property for inspection purposes. X Date ignature of Permitee or Ag �t "q Receipt No. y / 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 OA PUBLIC WORKS By Date gilng permit expires Date ............ .— ' ��. ........................... BUILDING Owner C SQ. FT. OCC. BUILDING VALUATION Mailing Address © Q o�C!/ Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building AddressS' ' s PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No�—'� oning lanning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s Sanin Fire Dept. Fire Zone Use Permit Building sewer 5.00 �, QQ EQA IParking Plans P i6rE el a P 60' R/W Im ro ements P Lawn sprinkler system 2.00 B O ec'd Beg. Parcel Approval P ns Approval Permit Fee $ Q(� $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -3: 00 Main service incl. 1 meter 00/0 -7.00 Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home 0�-' Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20025 bal 10 Receps., switches & fix outlets 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: Hoed., Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump 311P I 164) Mobil Home Facilities 5.00 s, p Temp. Power Pole 5.00 License No. Classification Mist. wiring LAI am exempt from the Contractors License Laws of the State of California. Permit Fee $ 0 v $ 13. 0i 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -71I certify that in the performance of the work for which this K 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ 6 authorize representatives of the county of butte to enter upon the yc above-mentioned property for inspection purposes. X Date ignature of Permitee or Ag �t "q Receipt No. y / 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 OA PUBLIC WORKS By Date gilng permit expires Date ............ .— ' ��. ........................... 47� V 0 J j I L7 -The** Setback shall b�' side property, line and ft.,"from R f �0� LIZ centerline , of the -road-, permitting nmimuni of i. 2 'It. ea' ve 'overhang. 5 .4• `' i• 'i f_e Its y.y• .,Y' t y I 1 ' r - j e f i } 5 ' 1 , PERMIT NO. 2067-76B PERMIT EXPIRES P to }OWNER Joe Hafer l CONTR. Upstate Awning, Sacramento LOCATION (A.P. 28-062-1 ) ,. E/S Middle Honcut Rd., app. 2 mi. W. NW of F&rmo Honcut Hwy. Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E ' JOB FINALED v (Date) (Sig rfVu re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall C- Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor f Stemwall Siding To out Slab Roof Sheathing 4 4 Water Piping Piers Roofing ✓ Sewer Garage Fdn. Vents Fixtures Footings V Garage Vents Water Htr. Stemwall Insulation Heaters Slab Prov. for ehyslcally Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas _ Slab Final ' " Sanitation Patio FIREPLACE Final Footings Footina ELECT ICAL Masonry Walls Throat 1 Rough Reinf. Steel Final Fixtures Bond Beam FIRE SP INK ERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECH4filCAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent ` Door Closer Flnal A Final DATE REMARKS OR CORRECTI ,NS • svv" '. � �v. (NOTE: An entry must be made on this form each time you visit the job site.) n ti -..F. ._ _: -«. ., "1+7 vy:'rr r, ,+r. •C.,��.^ ..., �.�_ j .;.. -, Y ., COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-;--Urov4IIe, California 95965 Tel Vhone: 5`34-4541 cq O / `/� _ 76 ' APPLICATION AND PERMIT �►� CCJ , �r•���•••-•�•�� �� vvun.y u� uu< w cnici uNvn LI IV above-mentioned property f inspection purposes. X ate Xige of Permitee or Agent Receipt No. White-D.P.W. y- Yellowlow�or – 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 P BLIC WORKS By Date ilding permit expires Date —v- BUILDI Owner feY SO. FT. OCC. BUILDING VALUATION v AIWrvi11/ ap, 00 Mailing Address Telephone No. Fireplace Contractor 5 A'j`�!!- 47W N t Total Valuation ' Mailing Address L 0.4 A4iy� A✓ems PFee Plan n Checking Fee &/or Penalty �GY9 Ju -e r�`i0 aAL; F Telephone No. oZ SP Permit Fee $ Building AddressPLUMBING A.li ddt nJ u7' d. No. @ FEE PERMIT FILING FEE $3.00 PP 1"0 J- A4r 4 �e_ li/2 OF Each Trap 1.50 ,vI P-eA4 o A/d Ivc Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sa) o Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' F'/W Im rovemen s P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans pproval Permit Fee $ NEW ADDITION ❑ ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 w Al/ A, 6, /O, X ' 61OV OR LESS Main service 1010 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1,00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGSO.CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID• ( BRANCH CIRCUITS) 12.50ea _ NEWCONSTR. POWER APPARATUS & 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: Ex. Occup(OUTLETS OR FIXTURES)@ @2SC BAL@4 Ex. OCCU FIXED APPLNS. OR P•(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 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 W men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rtify 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. 1 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3,00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ �g O �r•���•••-•�•�� �� vvun.y u� uu< w cnici uNvn LI IV above-mentioned property f inspection purposes. X ate Xige of Permitee or Agent Receipt No. White-D.P.W. y- Yellowlow�or – 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 P BLIC WORKS By Date ilding permit expires Date —v- FILE MEMO OWNER IV L5- /giJ,�I re I AP NO. / At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 5. Fees of $ 6. Letter of signature authorization. 7:.--7. Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10. Contractors license information. 11. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for 18. Other. By, Date —2 Bldg. Inspector aaaaamasaamamaaamaaaammammamammmamamammaamaaammaaaaaamamaamaamaaammmmmmmammaaaammaasaasaaasaaaaa When permit is issued, process as follows: 1. Mail to owner. t,---2. Mail to contractor. 3.' Deliver with inspection. 4•. Telephone and hold for pickup. 5. Other ■ao��mammanonacoaeamaaacnaemaaaaecaeoaacacocceeneee.T �0ee00caaacaeeecceccceccaeaeanececaaacaaoccn During plan checking process,.the following data or information must be submitted prior to permit issuance 1. Index permit for items numbered 7 above. 2. Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index). 5. Other 6. Plans chegX6 'and/or approved by _ acneeeeaecacct=ceacccecceccccc-c-_ accc cescaacaaaaaamaa Additional Additional Processing Notes d to mmaaaaaammaaaaaamaamaa��asa�iiaaamaaaaa .7 c� !i Z") n/ f1 ,lh*is sist of plans times any chvs:^?^s cr cs6terat' written perr,Wiss?' from the L •_Worrtsj� County of Butte. ,4 T All Materials & VA accordance with Recognize, �f a: quality prescribed for i Uniform ;Building, Plumbing & 9e National Electrical Code. 1 AM, 6K ? now Typical Plot Plan Not To Scale AnnRFss °2 OWNER ADDRESS —144m I hereby authorize the erection of the awning and/or carport shown on the the accompanying plans at the above address. BUTTE COUNTY SIGNED / . BUILDING _ DEPARTMENt ti X71 ark Owner a d/or errAPPROVED SACRAMENTO COUNTY BUILDING INSPECTION DIVISION DEPARTMENT OF PUBLIC WORKS PARK NAME ADDRESS AIR CONDITIONING CONTRACTOR ELECTRICAL CONTRACTOR OWNER ADDRESS IN PARK I hereby authorize the installation of an air conditioner and/or dryer. SIGNED PARK VWNER AND/OR MANAG R NOTES: The air.conditioning contractor is the prime contractor. The permit number issued shall also be used upon the electrical permit in order the two may have.identical numbers. Before .i.nstallatior- can be approved;.Moth permits must .be on record. \� R Y I hereby authorize the installation of an air conditioner and/or dryer. SIGNED PARK VWNER AND/OR MANAG R NOTES: The air.conditioning contractor is the prime contractor. The permit number issued shall also be used upon the electrical permit in order the two may have.identical numbers. Before .i.nstallatior- can be approved;.Moth permits must .be on record. Y S { - • Erre SMS O. Al 1 --__---.. ....- COLUMN SPACING R ^� k� ^P o .A - FF.S. SPA MODEL YR90JEC7/DN COLUMN- MAK COC. HT CONC. SLAB CONC. FTG. SAFETY STARE ,€ r Ar- k E' Splice extrusion Y�:jiVc �_ - _ - q oDad� See. Det E All[ 12'_0" s 3'0,Steel �v (188-/ D -A/2 1.2 Doha AwwR=9" ? JI'�.� 1 f.l k . 8 D -Al 10'-0,DOv61e Alumi.0.888-5 D- 'H A m N��p,A4 ssr-- _ rz' r' _ �en•.sitli.¢' I E,<epF 6F decx;n9 pane[ { 2°OS!kkk),- Marr. pr a0iii. II . G er�y- a/! footinggs down to -firm. undis-lured SO/l01"';p'SPLCCIL -DE•F .tar!'. Pre3iurc- oeAsf,•- GrlastB 't�us it a '' -Sse=c i:F. Sale:'r/¢'=lam?:.c:onciofcn7[zl:f'/V5*With7Ag+Ewaluper3a'ckMTax.. ��.. s /, �.. 2000-Psl_ comprass[�¢ strGggtfr at :6'dexf SECT EtiY at. sloe Ayo.� - �, p��1►�": :., _ - .. ..� .Col ei%Ah fbxe- f- &rami.ng,Sli+lC.bQ.dlrtnunu'rrt:-tfn[ts3? QthC/[tn 3N SI*Own.' QE�B. . . v/C �w,c4 `s. < t.:tE E i¢ fni.{ooiG7ffsn S ¢a[' pa shwa_ ht-As.rritAAGG. /raq/fcd.or.pin/fd ''r"°' .� � . � uiifh^ 3ieeC.P[lmte-d'taemat.��.ni0/� - I Dacilr;' �. 4.4' [mrt. fesfG'nt�t.° S/is(!_ �ftr.tEs�n Ess; �[sun/je� or_ • nNGEre� sc \ .0 -5 ti- oi SM,S.:' Shot /At pR¢,ou�t a �f]L - a' .. - :.- _ • '. ... ; ' .. /!' . _ -.°Itl�` _ - - ._.. _ _-- �Et<p<nslorr..balt� R+r/ orcgya[..7F ..aa - Se¢ nET. €�' • , G � _ ' <- ,- _ - .cant- of ee Ot � - - Scale3^•-110" z wsnerc .. -oab'c.i✓ra,A :.:roe► E B°TN}rhtc GAP- seta a long EUe-w. NOTE -5- v/,rsYMyye-.wre.r-car , - Destgn. LOd DFS •: .,, .+.. .:.i,l cy,. S;.A,i: - •s .. ' 3 -o d .. {ormPd' (,sC I LI:Y s-4.k.OfO-Atur,... - - • LrVG: t0'ar0•: fQ' Ptf. z.oe-� •' t r,,' aro 6cie.1 o-'e�c.umn � � ,.�' win.d''toaoF . lorr3f: s7or. �pr:ini a[-nl/ea; Eo r I I See Det;K QuiCC the ,^eoJ`e Cttd are& cf a:( f%G _Zeme+Tfs °o. - ,E€LT �LEy. - or one psct. i f Open- is to. 3e0!;v dre.) i concrete f[oo..Sea - tCreG�C'.'d. U u t [o'Ps - .-. w good ca dit[on . ISO � E. /G. V/E of �i.�llhii �1G. __ DET. B P f . ! �. 2. Awn%r/g. rima; ek 5ereti:ed :u, E/; open d=; SA efy .Seer gr cnrM <Inchu _ 44, 514S r!•a° - ,. PLAN A'T CORNER \ mesh insect 5cre r.iry or v[Eh.eadi[y w Alum. C/{PC/2c-nfsidelnpss -I - �" 75 \` remov b[e Crgn5l4cenEnr{tans rent -a2ra /"x O.O60•See def. N- m 11 065 - I`. "�' ,#$x Y"SMS(a 36�C. � Dou 6[e Cow 1 'o.07sk j \ v .yrr� rF^ p; LT. 1 u 2 ft ihle fYIB SEIC 5cred of not Y/10r'C. .#ESNs Ci4=o' o�j! •. o m ' I than qo w[t thicCnCSS. a�.:� : a2s o.2s - _ + Vit. Shoe Full q 1/ ^/ - �`( - e _ - I ?� B 3. Each awning 5truete:re 5'na(l %1dv¢ _ COL. - ALE AT L •�.' 1 �' __,- - I ,Z,u- I` � I .-�°__ I attached &hereto r.. d viSr::(e 6OGI-T6 Alvm IOCdticn an dpProved lden&lfreaflon �; �r. gab g•" ¢. AIu/m,1um ozsign =.'sEressas arc /!;/o Og #8.1 sms TYn.O ; I I -.y.b B o uo acro [nq CO ACu m. .i 55Oc. /9G8 li'L a_ w nIM t' C^ %"ex Aotr 4 I 4 SEC.T _-_gIEv:-- h1:r.zs:x'ni o. N buiCd:ne� (�Y.;d.rGtS. I 5. F_nc/osures sho//notbearroched 7o columns_ r' of d I -1,39 Pamf with .%nes Dabney I -J- _4r I P� o•. •060 -.u, - /-- • 1392-15/ Zinc rrchloa m II o•;_! til Ft 7hitkness •.018" a - el - pr 1 / r iN! Surfaces Qo°x 0.020 � c�r:r r I,ce Exlrus,cn ._,r.___ SP.065T L� O ha 2R rYP. 1-4'IGi3 PLAN ...-, I 1 YP• I �- .30R JE+ ♦ 5/ /''C'9•• /16 �,I•N � � 2r'TYP t;6o63 -TS Al.-) �_..a-.----=--J _-1._ 3 �� 1 t •v r m r 0 SAF - x� ar n 90 i, al l�rr Br -W r.o0 .61 r.09 • 61: 3�r0 E HANGER I� E T. (> �� 2.$°'a.a. o: .I ;�' .O6 .75 -- - - - �Q"gl •� o e ETY STAK 6063 -TS Atum. Iz.00_- ' r063 -TS AIrIm. hCe Htader 0 � � `� .ra"R ELEV D E T �; 1 L E D E TAI L G DECK/NG PANEL -=SO -- _ -__ ..T-71 i' 7 C -.q:o[z, See Sfcle Lap-- 3004-H36 Alu-rt b �L/lMN /NSERT 3 25�// k-•06 •d� � � �OI Grade A Steel ASTM A446 45' \..1.050 ry -'., � I ;�' - •_.:_ 1------•�__� j a; '" Tnr_kness •P/B'• L $; {rn:Pd tune ml �- y f J.062 / I I tig Nom• i "l �' t \ • 62 _f .09P -Grade C ASTM-AIA6 9,1 •i ;-R•.1Z5'TYP• 3004--H36 Alum. I I Min Y.P. a 90 list 45° I S 3 I Lr. I iOE...LAF' !� TU[3E COL.. DET K. i •-�:_�- _ ...� I Scale: r•o.2•e-`s. arEs"!e Actual size "STEEL 'COL. • 1 (N) CI.325). (1.3 dd111 �1. 325) I I (1.325) ,Actual Size 8.61. �.. 1,12.-_ r�-•62: r ,o ,t8.2s 1.12 ttt -.080-1-'1.__ _ _ - --�t 12.00. (13.00 o. so I.I .21 v -------- . DECKING P N_EL #1¢ 3 6o63 -r5 Alum ---- +-----"- - ) `---'--'�-• Wall t=.075' r --r_ •,^m Mater%al: 3004- -H36 Alam. I/4 I NG _. _ o oiE: 7 -he f.'gure0 Shown in the br,ic kels Correspond Sco/e: 2x aCtuQ/size 6063-TGA/um. to Ie Wide deck,n9p0nel.(+�.Qiner•dlmes'ons 6063-T6'Alu,». TAg_ DETAIL• l-/ •_, r [ COLUMN 'SHOE . CAP ......-- -_... Sea/P4 i"a o•G v 2. oc:. Si2 e same Lw/n for 2'tIa'fnnds.(+MdrA) 1 -. .... Nut. .. _._ .. Vur T '•m- -_ �. - .�SIeX''6-S/ottedhole s"e NO TES.. Dm.61e ca/. only .•neoa. A- EnrM anchor brorr+et� )• EarYh anchor sbaO 6e a m0nufoctured I - •: _r,�-Lir by A.9. Chance Co. LV` 1 •,___ -_ _ ..._ __ _ '. \ _ Ear dr anchor �/-Mode/ 5430 i "� .••.._,.. �., ... ••.. .... �_-D07o%mi. Ear/h anchor •2 -Moder T436 _ •,r •- Z. Ste./ materia/ shall nave 3SkS l t 't I• ` p \ /c 3p---<yP 5 - PLAN EarM anchor x'or 2' /Ps to/I verAcal ,nin. yield S7renylh. ,lr 4hole 3.25.• A// parts 9.11.n,-zed.c.:OCL3.0 I qq� --FAR L61 A6K90-DET. 3. Soil cond,ro shall 6e defined as: BUTTE COUNTY SPA w°.8 =4.60" `tiW'C' Good sol/- Ccm ocf we//- roiled swrd iV1...-_. 1'm! ~Ne1ir 9.0X9"• .', _..-. P 9 mavl",•oor•.m1,1,,,0cL301977- j II graves hard cloy, w<// -graded fine and coarse L.I 4 ' sand. n,ervge soil- compact Foe rand meal✓ . MPARTMENT EARTH' ANCHOR •l '--' - - - C, , Cd npacf 'sandy ✓Dom, loose coarse sand QRO(6sro - - - - --- -- - i f grove% I o x. k+I ATTAC•HED MOB/LE//OME AWN/N4r/4f USetin average sol/ EARTH •ANC40R •G < /•s' 225 e5" ' Pao, •9011- soft cloy, c/oy loam, poo.ry --'-- Comp4cted sand, C/0 s tan Ca ndi lay a cmaunts ( , DURALUAO /NC. U.^e in Phar' good sail • -- ELw sF sl/t... y 9 9 �fL • °,ate 930/ POWER /NN ROAD APPROVE .�•1 ,► SACRAMENTO C C/F. 95826 ro-iY-7S EAR7H ANCHOR BRACKET A EarM'onehors Shall notbe usedi Ybe Fo mw,jq+� _z�_-_- soi/ types:' .Mon eampgef f/[/ loose; line Sona, .,••9r1>cnla> GOROON wet CTO OIiQ SOlU/Gx°d sl/f. '?al CMd Iss"U`p, c•(;I(q.R.Mqurc�wl�yt IC M•.W7e • t Al g io 1. .. .:.. yY ' • ., 1 i r A0a PFIREEG.1 ER NUMBER INCIDENT NO. START MO. DATE YEAR C NTY WmAhL MBER" FIRE NAME: lNO. thru*� FC -18 (1/80) ORIGIN LOCATIQDN___ C� BEC. TOWNSHUN ��31 RANGE I�E MILES IRECTIO 'FROM d� NATIONAL FOREST. FIRE DIST:, CITY 8 STREET NO.. P3INCIDENT IR [:]FALSE ALARM .OTOPIGO TO 14, ETC. ,. TYPE r ` (N t $100 P3INCIDENT IR [:]FALSE ALARM .OTOPIGO TO 14, ❑ %eb WILDLAND VEGETATION (Other than T& YG) ?is'` 4A RESPONSIBILITY (AT ORIGIN) AGRICULTURAL PROD (Other than T6 Y0) S�RE� T PROT. RESPLCD.P.R^) STATUTORY DWELLINGS Ref. ATE ZONE " 10 ❑ WILDLAND BURNED OR THREATENED RESPONSIBILITY " O❑ SCHEDULE A D.P.R. i❑ STATE 30 ❑ UNPROTECTED. I❑DISTRICT 40❑ OTHER AGENCY D.P.R. ❑ CITY LOCAL ZONE O1A SCHEDULE A D.P.R. []COUNTY ❑ U.S.F.S. 0❑ OTHER AGENCY D.P.R. (Unlncorp) ❑ B.L.M. FEDERAL ZONE 07 ❑ FEDERAL(except 'z F'' ❑ B.I.A. ❑ N.P.S. Military) D.P.R. +"F% O❑ SCHEDULE A D.P.R. []OTHER FEDERAL zog ® ❑ MISC./OTHER(*ZONE') ❑ OTHER 5 CAUSE (STARTS IN 0.0 6 OR 8 ONLY) Did not start in 1 2 6 or 8 ❑ SMOKING ❑ EQUIPMENT ❑ LIGHTNING ❑ DEBRIS "❑ PLAY W/FIRE ❑ CAMPFIRE ❑ ARSON. (HER/MISC. '/ c `LAND USE(STARTS IN O\`Jt�JOR BOONLY) DM not start in" DOMESTIC v ❑ RANCH -FARM ❑ DUMP ❑ ROAD [� UTILITY, RAILROAD ❑ UTILITY, ELECTRIC ❑FOREST INDUSTRY [:]RECREATION ❑OTHER INDUSTRY -.Co ❑WILDLAND ❑NON-WILDLAND/ t ❑OTHER / A.A. A. / nwaawnc � A n .....ED] NO DAMAGE IN [7 r ` (N t $100 1 2 6O 8 TIMBER 3/OR YOUNG GROWTH %eb WILDLAND VEGETATION (Other than T& YG) ?is'` AGRICULTURAL PROD (Other than T6 Y0) DWELLINGS 8/OR CONTENTS OTHER STRUCTURES 8/OR CONTENTS VEHICLES a CONTENTS OTHER 'z F'' +"F% TOTAL zog ACRES OF VEGETATION- SURNIED ON ARRIVAL [310 VEGETATION FIRE ❑ OTHER. GO TO 10 ACRES FEET WEATHER (ESTIMATE AT SCENE) WIND DIRECTION FROM TEMPERATURE M.P.H. OF L10 . OVER PLEASE i 00f,7640-1130-01 16 F 0 9 i C