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HomeMy WebLinkAbout039-230-128- � / � ' / ' / . , ^ , , - ALMA, BLAS1NGANE 9659 Robles Rd., Dur'ham Cwocr Sierra mpozzog, Chico� Parmit#lO06-82D/rermmf�S�� ^ ' ' ` L I REPORT w. •WMM-• _ •. REG. R.U. I INCIDENT NO. START MO.� DATES YEAR COUNTY �_r) FIRE NUMBER FIRE NAME: ZEG. R.U.NO. thru y1L1/��Leo TONT: SEC. TOWNSHIP N RANGE ® E Number off m Ne—.1 SIM MILES DIRECTION ❑ FROM ® IN. NATIONAL AIONAL FOREST, FIRE DIST., CITY a STREET NO., 3 INCIDENT TYPE �^ FIRE ❑ FALSE ALARM --GO TO J BLOCK 10 RESPONSIBILITY 4A 4B STATE ZONE S O❑ WILDLAND BURNED OR .THREATEN R P NSIBILITY 0 ❑ CDF LOCAL GOVT. CONTRACT `: = { tO AT ORIGIN) ` O❑ UNPROTECTED. '.' ❑ STATE O❑ ASSIST OTHER AGENCY (Not City) ❑ U.S.F S. LOCAL ZONE'-:. ' ❑ B.L.M. OO ga CDF LOCAL GOVT. CONTRACT ❑ B.I.A. 0 ❑ ASSIST OTHER AGENCY (Not City) ❑ OTHER FEDERAL ©FEDERAL ZONE ❑ OTHER p ASSIST FED. AGENCY (Not Mil.) 0 ❑ CDF LOCAL GOVT. CONTRACT MISC. AND OTHER O❑ ASSIST CRY, CONTRACT CO., MIL, OTHER 5 CAUSE (STARTS IN O O © OR O ONLY) ❑ LIGHTNING - 4 DEBRIS ❑ PLAY W/FIRE ❑ CAMPFIRE Q ARSON ❑ OTHER/MISC. ❑ SMOKING ❑ EQUIPMENT r ND USE (STARTS iN 2 OR 8 ONLY) DOMESTIC 0 FOREST INDUSTRY RANCH FARM ❑RECREATION DUMP - [] OTHER INDUSTRY-COMRCL. ❑ ROAD ❑ WILDLAND ❑ UTILITY, RAILROAD . ❑ NON-WILDLAND ❑ UTILITY, ELECTRIC ❑ OTHER DAMAGE t n 0 <�) OR n ONm 7 S DAMAGE Number off m Ne—.1 SIM 1 2 8/or 8 5 TIMBER a/OR YOUNG GROWTH ;::: t. •.tx:. WILDLAND VEGETATION ^fix Other than T 8'Y G AGRICULTURAL PROD (Ofher than T a Y G) '';. ..;:•_:•`.w:> DWELLINGS. r, &/OR CONTENTS OTHER STRUCTURES a/OR CONTENTS V VEHICLES a CONTENTS OTHER ✓ ,r '.s. • :TOTAL ?{ixi s ZOO d ACRES OF VEGETATION BURNED ON ARRIVAL (Q VEGETATION FIRES ONLY) 9 SIZE DISTANCE ,(Origin to hear!) ACRES FEET WEATHER ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (fl , 10 OVER PLEASE CDF 7840-190-01 11 86 3985 10 .,,D,:R :-NO,'ALER R.U. 1410ENT NO. 1cAR L 4L FIRE RECORD Mo. DATE TIME! OUTSIDE OR4�) ST C�2 GO TO 'P, fFIRE STARTED Enter IST. CD Dispatch INSIDE O O ©OR FIRE 'DISCOVERED 71 FIRST REPORT SITE NAME: SECOND REPORT I SITE NAME: FIRST ATTACK BY CDF -5 3(--) 1 /S,2,t9 I FIRE CONTAINED 3 12 CREW OVERHEAD RECORD CDF STATE & LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CDF STATE & LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CREW NAME IZATION HOURS FLT. HRS. CREW NAME IZATION HOURS FLT. HRS. I ST. A , b 1"p e C 14 DF CREW rn qS CDF OVERHEAD TOTAL ON A. FIRES, ENTER V TOTALS BELOW U.S.F.S. (Incl. Overhead) TOTAL OTHER FEDERAL (Ind. Overhead) TOTAL FIRE DIST. & OTHER LOCAL TOTAL PAID HOURLY (E-F.F.) TOTAL VOLUNTEERS (Unpaid) TOTAL 13MP 10 FC -18B (Additional crew activity) ATTACHED MAP IS: GONE SECTION ❑ FOUR SECTIONS 0 MAP ATTACHED g L.- P 14 A -P%^ rJd A. 4 5-5 3)r - tlt ORIGINAL REPORT BY: SIGNATURE TITLE APPROVED BY-. DATINTL -DATE LIle- 710 P)UA) j q_4 :6�. SIG Sic 2b bt�s ��� F N `L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. i 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSO PARCEL NUMBER y ZONING BUILDING PERMIT OWNS �/r / ` 1A, IV G"/DRESS TELEPHONE SQQ.' FTC OCC. VALUATION /'BUIILDDING /! /- 7.✓'1 i�U OWNER'SAI G AD CONTRACTOR'S NAME/j^ TELEPHONE 4/ CONTRACT'OR'S MAI I G AUDRE S ,IV � � /, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $'Iq 173 10 ri Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Al $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Permit fee $ BUILOING.A DRESS (�r Ste/ PLUMBING PERMIT Flll ngFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 14 4.0 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets ,--,/ USE OF STRUCTURE SF L! Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Additions❑ Remodel EJ Utilities❑ Installation❑ Other Describe work: /f�iir `C✓/ ll 2S _ �1 Permit Fee $ -Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Ov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.81 'Zc sq ft OR ADDNS- ( ACC. BLDGS. 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. �'w License No. � yY Classification 3 3 El 1, 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 I.Ou LET 2.50 ea N.N.RESID BRANCH CIRC ITS NEW CONSTRPOWER APPARATUS e NON-RESID. (SINGLE OUTLET CIR. e0 a 280 Ex. Occup OUTLETS OR FIXTURES BAL@100 IXED TSARESAPPLNS. OR Ex. Occup.(ouT LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 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 liabilities,,.judgments, costsyand expenses which may in any way accrue against said County in consequence -of the granting of this permit. --.3� X '� I f -`�"� Date "'-~ Signature of Appl'rE OwnerEl ❑ Contractor El An OSHA perm 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 $ occu P. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work ;indicated above for which fees have been paid. `' DIRECTOR OF PUBLIC WORKS L `B 7 /"�� Date 5 `X y' _ ., PERMIT EXPIRES Date S 3-A-_3 Receipt No.�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovillejCaliforynia 95965 - Telephone 916/534-4541 /A f//— (/ APPLICATION AND PERMIT ASSESS PARCEL NUMBER /� ZONING BU DING PERMIT OWNE TELEPHONE SO. FT. OCC. BUILDING VALUATION d OW E S MAILING ADDRESS CO ACTOR'S NAME TELEPHONE CoN RAC OR' MAI I DR _ Fireplace CO STRU frIION L DER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ di ARCHITECT OR ENGINEER AADAI LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITE'T OR ENGINEER'S MAILING ADDRESS fee $ ���0-6 BUILDIMD�VPermit BUILDIN A DRES 1�5-- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Aw Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets ,--,� USE OF STRUCTURE SF IJP Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Additio Remodel ❑ Utilities ❑ Installation❑ Other Describe work: � J (L�✓i- _ ,s ldr�a /J ✓/ /(/_�/�g-s �i 3J ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OR LESS 100 100 AMP OR LESS 5.00 /J Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING O OR ADDNST (ACCLBL GS.CCUP,pI� 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 ode and my license is in full force and effect. License No. Classification C—� F-1 1, 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) ' ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NON.CONRESR BRANCH CIRCTITS 2.50 ea NEw CONSTR. (POWER APPARATUS &I NON-RESID. SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES SAL@100 FIXED APPLNS, OR Ex. Occup. (ouTLETs (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. XI 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 Filirig 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. 1s 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 s , indemnify and keep harmless the County of Butte against all liabilities gments, costs, d expenses which may in any way accrue against i my in conse f the lianting of this permit. �..3�. X Date Signature of Ap ant - Owner ❑ Contractor ❑ Agent An OSHAp ' it is required for excavations over 5'0" deep and demolition or construct- ion of structures oaverr stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE 00 Occup. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE Thi ermit is hereby issued under si ns f the Butte County Code and/or ork ndic d ove for which TOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date .J34 i _ S1343 Receipt No. (C7 / �Z, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 J 'I . - 1— xr�,•,.-.>'t`s�•,i.L.:,-�.1:•:+.F`L,.6:.., ;,y...,c�i rY r--....,r.,K."`-;, �-•,+w►�+ary ,aa'-�,-„,.;. . � � .. ,.'..-. .sr•-... `. �` t. -, r COUNTY OF BUTTE - DEPARTMENT OFePUBLIC WORKS — BUILDING DIVISION ,%` , —. r7 WOUNTY CENTER DRIVE - OROVILLE_,'CAf' ;L`RNIA 95965 - TELEPHONE: 916/534-4541. J ., _PERMIT APPLICATION DATA SHEET �. t 414 Permit No. OWNER / L✓ f '' r A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Vk Building Inspector/.�Z;,,7, IV Date .5%.� At time of permit application, Iadvised the following data must be submitted prior to permit processing and/or issuance: �.j DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . 11. . 2. Plot plans in duplicate/tripIcate.._-.. 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.Buildi.ngs. �8. -Fees of $ - < . Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11 _1�1anning approval for (A) Use: (B) Parking: X12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .,. . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector.- Other Z_ Applicant ZDate '3 Copy of plans sent Health Dept., Fire Dept., JG_ther 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, Designer, Owner) was advised of above required data by Telephone Mail Other By Plans checked by Date Plans approved by Date, Other: Copy—DPW Date