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Home My WebLink About065-510-012' 1 � <__� ,� Va11Ulr '.J•fi� �,�f��T.i�t'"�t'-�;�N�1di ti+f.,44� .. ' . CMV ' f 06T57p51_0-0v1L2 try Y �04577:� i'"BtHIN,S�` KEVIN•% eY: .�r�? �.'tM�H� it jam/ 14661 FOREST _GE RD."'M?►GA�-lA CONTR °, G ENE &' SON ROOFING,,,RE r 3 is r t. • t Ln L r COUNTY OF BUTTE - DEPARTMENT,OF DEVELOPMENT SERVICES - BUILDING DIVISION,, 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT X - /577 ASSESSORPARCEL MER ZONING BUILDING PERMIT 61/ OWNER , / - / TELEPHONE s� SO. FT. OCC. BUILDING VALUATION OWNERS MA LING'ADDRESS R lcouTRA6ToRis NAME / TELEPHONE CONT RACTQ � NNG ADDRESS CONSTR CTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ Z L;[ !�-- ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ - 20.00 Permit Fee $ 4vif ARCHITECT OR ENGINEERS MAILING ADCRESS Plan Checking Fee $ BULDINGADD Ess .•• , 440) aZI r d �/ Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing FeiIl 20.00 USEOFSTRUCTURE 1 j, SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 17.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: j & #7 -? / <� a n /94 00 - `lV« Auer— Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE s ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2200 A oA Ess 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. J License Class — 3 Lic. No. -2 % �IJ a / OWNER -BUILDER DECLARATION (• I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200AWEE TO lOooA 46.00 NEW CONST. DWELLINGOCCUP. OR ADONS. ( aL ACC. BLDS. SO 3.5,s rNpµRESIEW p. MULTI.OurLET 97,50 PGWER APPARATus 8 S WGLE OUTLET US "x.00 Ex. Occup. OUTLET OR FDRURES 20 BAL-' '-.50 Ex. Occup. ouriEDTSA RESIo.0E0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �E] 1 have and will maintain workers' compensation insurance, as required by Section T3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insuranc# carrier and policy number are: Carrier -S1T Policy Number 024W 2Z 427 (The above sections need not be completed If the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 1�-✓`'� Date ✓ Sidna of A * Applicant - ❑ Owner C Contractor ❑ Agent An OSHA permit is required for excav tat ions over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ q3, G(% HA2. I D. FEES IMP I FLOOD I CDF PARCEL PD[ I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte"�ounty Code and/or Resolutions to do work indicated ab a for which fees ham been paid. By , .Date PERMIT EXPIRES ON 7 /0 Receipt No. ✓ WHITE-D.D.S.LB.D.' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C&JNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ��'��7-- ASSESSORPARCEL s /,� , U� ZONING BUILDING PERMIT - OWNER / TELEPHONE 7 SO. FT. OCC. BUILDING 6 VALUATION !,I w . OWNER'S MAI NG D ESS �(` / �/f/J '!/�G% b O ' �/ pig/ (lam ;:ZOO CONTRA67 R'S NAME o� arm/�G TE HONE 7 CONTRAC' S IUNG ADDRESS (�/ a �j CONSTR CTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ '0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADD S / ,/ J �P&) OY't°�% tel¢ Energy Plan Checking Fee $ PERMIT FEE $ Q LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing FeiII 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑Re odal ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: � pZ S/Y 6 9—a�s '5 AZ iiz ` Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZDDAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fill force and effect. License Class — Lic. No. { 7 2 �7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation Insurance, as required by Section )L 700ofthe Labor Code, for the performance of work for which this permitis issued. workers' comp nsation insurances carrierpnd policy number are: IIMy Carrier fe f-l4i1) a Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. S. SG 3.5¢FT: NpNNEOSI.T. MULTI.OUTLET BRANCH @7,50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL 3 1.50 Ex. Occup. oFIx�LEED�A RM oER,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number '7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co ly with those provisions. X Date / �/ SijnafUre of Applicant - ❑ Owner 9FEontractor ❑ Agent An OSHA permit is required for excaviftions over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ , HAZ. 0. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under Code and/or of the Bu 2for indicat ab awhich fees By PERMIT EXPIRES the applicable provisions R olutions to do work Vlbeen paid. _ �// Date (i(f Date ReceiptNo. G4 WHITE-D.D.S. .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (SPAC105)_ ASSESSORS:SECURED MASTER PROPERTY.DETAIL_.:. „..(PAGE 1.OF.2) _ � - 04-22-87 14:22 ' PARCEL 058-24-0-011-0 ST ACT 'TRA 093-27 USE RSXCX ZONING CODE TM5 NAME LEWIN SHIRLEY G SS GEN PLAN ZONE CONF N C/O AC ZONING YR _ STRT P 0 BOX 441 MISC CODE 00 PROP MISC :ITY MAGALIA CA ZIP,95954-0000 SITUS PTN LOT 1 & PTN SEC19 T23R4E RECORDER # 2963-316-84 TAX DELINQ = _ PENAL FLAG 0 % VALUES 86-87 _ ASSESSORS ROLL AUDITORS ROLL ASSESSORS MPR LAND 9,601_ 75 BSYR 9,601_ BSYR IMP 28,852_ 28,852_ TO PERS ------------------------------------ *GROSS 38,453_ 38,453_ MISC EX 00 CODE 00 CODE :. CODE HO EX 7,000_ 74 YEAR 7,000_ .. YEAR BUS INV ** NET 31,453_ 31,453_ (SPAO106) ASSESSORS SECURED MASTER PROPERTY DETAIL (PAGE 2 OF 2). 04-22-87 14:23 PARCEL 058-24-0-011-0 ST ACT TRA 093-27 USE RSXCX ZONING CODE TM5 NAME LEWIN SHIRLEY G SS GEN PLAN _ ZONE CONF N C/0 AC ZONING YR _ STRT P 0 BOX 441 MISC CODE 00 PROP MISC CITY MAGALIA CA ZIP 95954 0000 SITUS PTN LOT 1 & PTN SEC19 T23R4E RECORDER # 2963-316-84 TAX DELINQ= = PENAL FLAG 0_% ' SOC SEC 1 ..... ........ SOC SEC 2 ....... ..-.... NEW PARCELS RETIRED SUB CODE MAP REFERENCE SALES AREA CODE USE CONF Y ATYP ADJ 4040404 NEW COND ADJ CODE 0 , , APRAISER NO ..... EVENT DATE TRANSFER STATUS _ PICKUP YR .. ORCH CODE 00 BLDG CODE 0 FIREPLACE.CODE _ ,HEAT CODE _ COOL CODE _ BLDG CLS D55AM BDRMS 2 BATHS 1.5 EFF YR 1900 SQUARE FT 1,368 LAND TYPE H GARAGE N POOL N YR BLT- 1973 i f _ y R f r (SPA0105) ASSESSORS SECURED MASTER PROPERTY DETAIL (PAGE 1 OF 2) 04-22-87 14:26 PARCEL 058-24-0-012-0 ST ACT TRA 093-27 USE RVXXX ZONING CODE TM5 NAME LEWIN SHIRLEY G SS GEN PLAN _ ZONE CONF N C/O AC ZONING YR _ STRT P 0 BOX 441 MISC CODE 00 PROP MISC CITY MAGALIA CA ZIP 95954-0000 SITUS PTN LOT 1 & PTN SEC19 T23R4E RECORDER # 2963-318-84 TAX DELINQ = _ _ PENAL'FLAG O_% VALUES_ 86-87 ASSESSORS ROLL AUDITORS ROLL ASSESSORS MPR LAND 8,960_ 75 BSYR 8,960_ BSYR IMP T/V PERS ------------------------------------ *GROSS 8,960_ 8,960_ MISC EX 00 CODE 00 CODE ..-CODE , HO EX `' 00 YEAR YEAR ' BUS INV -------------------=---------------- ** NET 8,960_ 8,960_ (SPA0106) ASSESSORS SECURED MASTER PROPERTY DETAIL (PAGE 2 OF 2) 04-22-87 14:27 PARCEL 058-24-0-012-0 ST ACT TRA 093-27 USE RVXXX ZONING•CODE TM5 NAME LEWIN SHIRLEY G SS GEN PLAN _ ZONE CONFN C/0 AC ZONING YR' _ STRT P 0 BOX 441 MISC CODE 00 PROP MISC CITY MAGALIA CA ZIP 959.54 0000 SITUS PTN LOT 1 & PTN SEC19 T23R4E ' RECORDER # 2963-318-84 TAX DELINQ = _ = PENAL FLAG 0_% , SOC SEC 1.....-....... SOC SEC 2.....-....... NEW PARCELS RETIRED SUB CODE MAP REFERENCE SALES AREA CODE USE CONF Y ATYP ADJ 4040404 NEW COND ADJ CODE 0 APRAISER NO ..... EVENT DATE TRANSFER STATUS _ PICKUP YR .. ORCH CODE 00 BLDG CODE 0 FIREPLACE CODE _ HEAT CODE _ COOL CODE _ BLDG CLS BDRMS 0 BATHS 0.0 EFF YR 1900 SQUARE FT LAND TYPE H GARAGE POOL YR BLT 1900 -72B,P,Ej BER B 3o67 PERMIT NUM P E PERMIT EXPIRES OWNER —WhMM Walter Lewin CONTR: D. E. LeVasseur, Magalia ,LLOCATION (A.P. 58-24-11 mi. off w/s Coutelenc Rd. -L mi. no. of'S.P.R.R. 2 Crossing, Magdlia' cp MUS - To -1. CzP 7- 2 T7--57,- 0/Y Sojk PlPt) -11TAIT i/V/v* v,clv 75 COUNTY OF,BUTTE Department of Public Works BUIL-DING INSPECTION RECORD Zoning Setback //7 2-,V- 72- Forms &1--7—!V r2 7, Foundation Piers& Girders Fireplace Rgh. Plumbing J-2-7-3 Bond Beam Loth & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing :2,-,2 -7:3 PImg. Topout z —,73 Rough Elec. 7 Wtr. Htr. Furnace Kitchen Vent 2-2,3 iy Firewall Garage Vents Sanitation & Water ELECTRIC. GAS BUILDING Temporary Temporary Cert. of Occup. Final 5Z-�/ 2-7 yL Final' Final 7-Z:? - 2 3 DATE REMARKS OR CORRECTIONS MUS - To -1. CzP 7- 2 T7--57,- 0/Y Sojk PlPt) -11TAIT i/V/v* v,clv 75 COUNTY OF BUTTE - DP_:PARfMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California.95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X / 0-19-4A9-1—Date 16 _Q %' %. Signatur of ermitee or Agent , / Receipt No. t Zoo I ` : _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of 1 the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ByDate Building Permit Expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 3 H 6a Mailing Address Fireplace Contractor A E �' �=(, CG --1r5 CG Total Valuation Mailing Address d % ,L /j/Q /(/E // Permit Fee Checking Fee&/or Penalty CA4571- Permit Fee $ b';�(j $ Building Address Glc` 4 ��v C C �0 PLUMBING No. @ FEE PERMIT FILING FEE .$2.00 V�:.• /?0/�'/% CA057i C Each Trap 1.50e; zi � Repair drainage or vent piping 1.50 Water piping 1.50 �s -/C Each gas water heater or vent 1.50 A. P. No. '~z. �/ Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. eid Planning Building sewer 5.00 Plans Fees W. C. P/ R/W I Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ f ' i $S, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 GO Main service incl. 1 meter Q� Additional meters, each 1.00 Sub -panel (12 or less) (morethan 1 J USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or y4ater heater 1.00 Oven, Cook -top or space heater 1.00 (j Light fixtures. bat 2 41 Re s., switc es & fix ou ets CONTRACTORS LICENSE LAW I an licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: LE Va s e� ��' 5 Ccs. Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap.cooler, ar.disp.orD.W. 1.00 Air conditioner or heat pump Water pump 'Misc. wiring License No. S~� I Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 !J Heating Cooling Ventilation GD Permit Fee $ SGU $ Gd 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 Inrtrumenraaron r groo^ion $0.07/$1000 Evaluation $ /p J TOTAL PERMIT FEE $ f g /�7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X / 0-19-4A9-1—Date 16 _Q %' %. Signatur of ermitee or Agent , / Receipt No. t Zoo I ` : _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of 1 the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ByDate Building Permit Expires Date n I RECORDING REGUESTED ev GAO, T -LE, TITLE0M:.9.:3 AMD V!Igoi RocOROW MAIL TO r I T '�, n .w. r and ::r,. :• alter Lc,. in P.m 7651 ?rack Avc. t aAd*—L West efinstez. California 92683 — OFFICIAL RECORDS t MITiE CCU%TY-CALIF EF �:n,•r•:T'6diPANX "0 r12 og FN 1311 LOUISE YRECO- 0I I p • COUyTY HECDdDER� f 217945 FEE li -SPACE ABOVE THIS LINE FOR RECORDER'S USE .u, �•• aawrn m r 000UMENTARY TRANSM TAX 6-- "� Sage as above XCOMNREO ON FULL VALUE Of iRO"M CONYETED. OP a.M utwo IAA PAItf 0 COMPUTED ON FULL VALUE LESS LIENS E ENCUMIRAN. • i REMAtNSK IMAT TIME OF SALE I u* . I ^ rtraon. r taMti . w rd �h. .... . Tenancy Grant Deedl D.T.T.E Joint nos ►ORM FURNUMaD n T TLa a SUS^KCR AND TRun COM►A"V FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknonkdged, a,1(1:rife, en 'o:. ��^_._it , herebv GRANT(S) to j:� i,_ ^ nCi %,l e , AS JOINT TENANTS, the red property in the State of Cd fornia, described as: County of 3.::t . Lot 1 Of the Northwest quarter of the NOrthtrf:N. BRING a portion of 4 _ quarter of Section 14, Township 23 North, Range 4 East, M.D.B. F: I.,, and more particularly describ_-d as follor:s: BZ!;1NNlN-3 at the `:orth?•:cst corner of said Section 19; thence along ' the '.lest line of said Section, South 001 56' 07" ::est, 329.50 feet; 57' 33" Borth 89° 39' 7_7" Last, 330.Sl feet; thence Borth 00° ,thence East,329.50 feet to a point on the ::orth line of Section 1S; thence South 89° 30' 44" *.;est, alon; said forth line 331.05 feet to the pointCM m CM of bc�inning. 1'OG':11;I:`; 421H anon -e :elusive easement for road purposes and public land 60.00 feet•in t:i<lth, " lying 30.00. O� 'Ali utility purposes over a strip of feet on either side of a line be;inninS at a point on the •:'est line 1 f31 of the above described parcel 30,00 feet Porth of the South?:est corner thereof and runnin thence 'South 00° 57' 3311 '-.test, 359.50 feet; thence r� North89° 30' 10" Zast, 962,32 feet to `a point 30.00 feet :.'est of � the East: line of said :ordiuest quarter Of the "North?:est quarter Of Section 19; thence parallel frith said East line, South Ol° Ol' S?." Nest, 1420.39 feet to Coutelenc Road.`, BUTTE COMITY DEPARTMEJJT OF PUBLIC WORKS `SPECIAL INSPECTION REPORT r: Address: Tenant: �W Building Location: Type of Inspection requested: I. dousing / / 2. Financing A. P. Date of Inspection % Inspector % , 6 1 3. Change of Occupancy to Other (specify), Preseaat use cf b.uilding: A. Sanitation I10u21n91 1. Grater (.Aoset: 2. Lavatory,-, � Bathtub or shower: -� 4. Kitchen.. sink: 3. Hot and cold vater to fixtures: 6. Heating facilities: 7, Natural light and venfglat:on: - 8. Room and space requirements: 9. Bedroom window or door; for second exit:, 10. Infestation of izsect_s, vermi", or rod iSits: 11. Connection to sewage disposal..- '12. isposal.:'12. ConnecG.i.on to ;rater supply:� 13'. Rubbish and.garbage facilities: 14. Continents: B. Structural 1. Pi.ers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction:. t S. Fire.pl.aces: 6. Ccruments: C. Electrical i. Servicc: end ;round:___ 2. Rece7tacles: 3. 4. �' lP1 i CCS : __-.__�- D. Plaunb IEF 1. F-ixt.,ur.es connec e.,d and vested: 3. Cas '.eating, ve.n s°4. Comments,__ .7 IL E. Other 1. Maintenance and 2. Fire hazards:_ 3. Safety hazards: 4. Weather protection: — 5. Underfloor and attic ventilation: 6. Continents : repair: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls:_. 5. Exits: 6. Improvements: 7. Zoning:_ 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete descript .on) : 3. wusL allLion recommennea: 77A. Information only -- fil.i,. B. Hold for tea (10) days, then wrire letter, C. Write letter. 77D. Other• i II l TI0,a (C D F Direct P.A.) l t i i it t;0H 4, nom. iNIL. f4 %ii :i i. FtiiF DIST.. Cif -!,b i.t4:El Iib; " �t %� R (%!)i- IJ:rr_•Ct F'!^!t_.;!ir)r! L.rg:i Gr,';i i SSE TYRE ACRES BURNED ' STS) :(: t;, ( AGEi`:CY PROTECTI0 ------ 3.� S AC;,ES HlP,dr�•. >EC C.D.F.^-� �r'_inPOi� SIBILITY {Ai -----..__ - S :;:_�T ti- "T:,TUTora:r :, • p?;_,Fq + ( RE`.iO.1S:_iiL1TY • - — -f.__I ,�,. r . 4'' �- TOTAL 1 E _ ... 8D JR�9 T OF' STATE C.D.F. D.P.A. ACRES BURNED VEG. C.G.F. O.P.A. TYPE ACRES BURNED c." i A',mac;..:{£ C r i � f 7", 2RUSH s:: SIZE CLASS GRASS .25 ACRE L_._; '� OR LESS - i- C- •' ''''.I. ,..;r.: '�Or,tr: - I r.J 11,5.!'.S - LOCAL ZONE j _.hl. '� C B .26 _� I LJ ACRES r-_� LA10-9.9 l �. • I _- .. , ....i -_::f i ..,.i7 1.-J S ACRES ++f F'E'fJfA:aL ZONE f r� F-! :E i R. i iAt p 700 25+5 . L_J ACRES F4I'S 'C.J0Ti-iER ; �l--i orri_; , 300--999 ACRES EAUSh ACRE' OR MORL-* PROPERTY U :. , SE :. Aft�lzl (Y41,11 u — 1 �M1'l i f i „ •f vi 8D JR�9 T OF' STATE C.D.F. D.P.A. ACRES BURNED VEG. C.G.F. O.P.A. TYPE ACRES BURNED B.O.R.t V'a00!J LAND t - 2RUSH 1 GRASS t,tJK i E' TOTAL . 8D JR�9 T OF' STATE C.D.F. D.P.A. ACRES BURNED J.S.F.S. ,' ! B.L.M. i B.I�A. ` B.O.R.t OTHER ' FED OTHER T t OTA, L I kk f . _..,IDA { •% VSE rt.'+:: ! y,' R)N�.i G ;i?'.`. I l i - -- ---- Ltd 9 ON ARRIVAL (CI F Uitr...j Protection tired onl ) _+ VEGETATION EIFi _ otH, fl, TO v: i ^L�%iiJ'., r� 1 i�:S7;{fvCE ;Origin to he3aj ,,r,; CO. ` . : �. WEAr -R (Est. at scene) C w,, DIRE C. + rE d F v+, . _ ... .. n f)�+ t 1G - - .—:.----^-_-_._•......_._ �; .-.v ; r