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HomeMy WebLinkAbout068-343-0251 4�_�--• j TOM HAMPTON (8-343'x5 I 17 Edgewood Drive, Oroville Contr: Waibel AC I Permit#3635-80E,M(install AC & furnace) 68-343-25 DIANA CHA' _ 17 Edgewood Dr, Oroville� Contr: George Roofing e Permit#635-87B(reroof/SF) 1�1 I?. 68-.3w4�3-42Z Contr. Ridy Hill OTv� PErmit#3864-87B,E(Repair fire damage & remodel) I I! f r I i •s DIANA CHApman 68-343-25 17 Edgewood Dr, Oroville .�---. Permit#117-89Aicultural BldgExemp farm e ui st /tractors etc I i d I I ��'; � �-. 7- �i' ! ��I � ,� r� C 1 C� ' . INTERDEPARTMENTAL MEMORANDUM TO: FROM: Kristy He'stalk, Cashier .j SUBJECT:. Credit Deposit Check ' ' DATE: ' ^ A check deposited by your department has been return d,'by the bank and oonn't`6o red�posited^ A copy of t�e �6eck i w�enclosed. . It will' :be -charged back to�you on a credit deposit-uithin the next two weeks^ ' Within the'next throe working days, ploase'provido the inform@- tiu'/ a s t hi h funds u w c t o coarge^ If we are not provided with information' from 'you, we will.chargo the check to the, fund we fee} is' corre tYou can then verify the credit deposit uhen received and if/`the fund is incorrect, process a transfer.,': This procedure hacome necessary because of the lack of -response to .thi.s memo by����some departments and the time involved in making. ` follou-.up phone' calls� If you have any questions, Please call me` (538-7350) , ` . _ _ - -_ _-_ _~ _ _ _ 7 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ '��azc��- - TO: K' � risty Hemstalk - Treasurer's Off'ice { - &VIAmount.:�/�/��) Maker: /� ' Check ' #: Fund #: . .� �� ' �^ff^ /l � �� /YL{'�� Name � Department : ��w/'c \�z�uYl� \/ `^ / ' - / Da[e: l//// COUNTY OF BUTTE - D0.AJR jMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE,-CALIFORNIA 95965 -TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO Agricultural building is defined as follows: Agricultural building is a structure designed and constru t d to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure sh II not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER PHONE NO. ROOFING S 3 s OWNER'S ADORES -'0 5 s 6 LOCATION OF BUILDING 4_4 es 1 = T r USE OF BUILDING L SIZE OF STRUCTURE ' X = SQ. FT. TYPE' OF CONSTRUCTION: WOOD FRAME J�_STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE _D OrA<" ESTIMATED COSTOFCONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: 'io �✓�•�- 4 ( FRONT . SIDES 1� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee - $25.00 Receipt No. Signature of Own The above describe��G Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B.1., Goldenrod - Applicant Director of Public Works FLOOD PARCEL P.D. ROOFING ISSUE I r Director of Public Works _ ��r�:;3"h"1:^'<„�^+.:i,,,¢.' r.:r.�r�-:.-..:ti,�.=--,i��-h:d:%-� �.+,•..w..c...l��r�,_._ ,r -._ ,y�. .t, ; •y, COUNTY OF BUTTE - DEPARTMENT�OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE� CAL ORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �--� f Permit No. a Q IN1 OWNER A P. No. Proposed Building Use p r Building Inspector Date Idzu t .r At time of permit application, I w s 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, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ..... :.................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............... 14. Sanitation approval from Health Department 1.5. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19.' Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner. p) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. y When you issue the permit, process as follows: V Mail to owner. Mail to"ontractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date e— Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: } '• i Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by .date Contractor, designer, owner,was adviled of above required data by—phone —mal l—counter by date J Plans checked by Date Plans by approved Date Sets of plans ori �Q�. `lle cabinet AP folder I-V Copy—DPW i OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: George Roofin ADDRESS: P.O. Box 7.29 CITY & STATE: Oroville, CA 95965 IMPORTANT: DATE OF CLAIM: July 20, 1987 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do.work. (Bldg Permit Appin.,#635-87B, Receipt #78076, dated 2/25/87, A.P. #68-343-25). Owner: Diana Chapman.. Total permit fees paid ------------------- ----- $20.00 Retain filing fee----------------------------- $10.00 TOTAL REFUND DUE --- =-------------------------------------- $10.00 $10.00 TOTAL $1 .00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this......../Gil................. day of ....... 19/at Calif. Y.....t:��R:S!l�........... a.. Signature of Claimant I, the undersigned, hereby certify that, to the beet of my knowledge, the services or articles specified above have n performed or de. livered and that there is a Budget AppropriationE]or SpecificBoard Approval E) (Check one) fo��- Dated this .............�.O.GAI.......... day of ........ .J.ljl......... . 19..sic at .....QAY.iJJ!^. . Calif .................................. .......................... t Heed or Authorize 'f�rop�uty Code' 440-003 Code ,,,,,4710700.•...,..,. .. PAYABLE FROM ,,,,,,,,Cons . Permits FUND ...... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. I PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. V COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 3Z3 = ASSZ7 R P RCE, NUM ER ((/J- PBUILDING ZONIN PERMIT OWNER Diana Chapman TELEPHONE 533-0518 SO. FT OCC. BUILDING VA ATION OWNER'S MAILING ADDRESS - 17 Edgewood Dr. Oroville CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O. Box 729 Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ 10100 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 17 Edgewood Dr. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater - 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFR] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [IInstallation❑ Other [NPermit Describe work: Roofing _ Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® 1 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. 452266 ' Classification C-39 ❑ 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 CONST. DWELLING OC C UP. Ile , h¢sgft NEW DCONSTFL A ULTBI-OUTLET CRC ITS 2.50 ea NON.RESID BRANCH I /POWER APPARATUS e) \ SINGLE OUTLET CIR. Ex. Occup 20@50C OUTLETS OR FIXTURES 20@030 Ex. Occup. OUTLETS ED P(RESID )REA.) 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyoto Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstoccu all liabilities, judgments, costs„and expenses which may in any way accrue against sa County in consequence o the granting of this permit. %� Z /✓ - Date 2-25-87 Signature of Applicant — Owner 9 PP ❑ ' Contractor ❑ Agent. An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ , Energy Inspection Fee ' TOTAL PERMIT FEE .�.��$ ' " J P. CONST.TYPe JFtb'o!JPA.��,LJJP , D NDISSUE This permit is hereby issued.under,_fhe sions of the Butte County C,ode•;and/or work indic d above for which REce PUB B P T EXPIRES Date applicable provi- resolutions to do fees have been aid. p C ORKS D e Receipt No. WNI TE-D.P.W.. YELLOW-ASSESS'OR, PINK -INSPECTOR. GOLDENROD -APPLICANT `8�lC baa '. , GEORGE ROOFING Don C. George Inc., Contractors License 452266 P.O. Box 729 Oroville, CA 95965 Telephone (916) 533-6393 July 16, 1987. County of Butte 7 County Center Dr. Oroville, CA 95965 To whom it may concern: We are requesting a refund for permit numbers 62-21-45 and 68-343-25 due to the owners cancellation of these jobs. Sincerely., Donald C. George, President leA"0 DCG/st t s� LIP - Y y� �yv. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATSM AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT O WNER — j� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CU )R� J k.v 1MEA / c 71 ...� TELEPHONE - CONTRACTOR'S MAILING ADDRESS i�'� i% b=. iCf p CONSTRUCTION LENDER UNKNOWN I Fireplace LENDER'S MAILING ADDRESS Total Valuation $ Permit Fee $ ARCHITECT OR ENGINEER ,{ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 V Each Trap 2.00 Repair drainage or vent piping 2.00 rn UI a Water piping . LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ©/Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 -4— TYPE OF WORK New [—I Addition❑ Remodel❑ Utilities[] Ins}allation❑ OtherQ*`� Describe work: l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 �. NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 20 sq it 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. 7 '11.0 License No.--//'' i/�� Classification ` r- ❑ I, as the owner, or myemployeeswith 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) NEWCONSTR.POWER APPARATUS &) NON -RESID• (SINGLE OUTLET CIR. `;0@25c Ex. Occup(ourLETs OR FIXTURES BAL�1oa EX. OCCU FIXED APPLNS. OR p•(OUT LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ 14 Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. O 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 1' A 1 t 11 LI An Cooling 44. Hood 2.00 Ventilation permit Fee $ i JI 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 liabilities, judgments, costs, and expenses which may in any way accrue against said'County in consequence of the granting of this permit. ��� zr� - ` •/— �10 X Date Signature of Applicant — Owner❑ Contractor El 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 $ Land Development Fee $ t, --r, TOTAL PERMIT FEE $ :a 7-7-IIr -OCCUP. GROUP I TYPE OF CONST. PARCEL 7 '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. DIRECTO OF PUBLIC WORKS j BQ \\ e Dat y L PERMIT EXPIRES Date �'r/^� / Receipt Na 9�7 f WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • .. . � - .' ..,..' .•., Li„ � �Sy .- y { .., ._ . •,. , , � i .. • r..1 e.4/J ,: l rP-. ( ._ "S'!'•d�.'fi ..{ COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS ^ PERMIT NO. 7 County'Center Drive - Oroville, California 95965 - `Telephone,916/534-4541 APPLICATION, AND- PERMIT � ry a ASSES OR PARCEL NUMBER - _�Z� ZONING � - , -+. � ., - - 1,, ��' BUILDING PERMIT' - OWNER - t TELEPHONE., t SO. FT.- OCC. BUILDIN ALUATION s OWNER'S MAI LI G ADDRESS - C NTRACT R 5 E a - TELEPHJONE 0 CONTRA-CTOOR'S IL G A .RES -ER - C N TRUC TION LEND UN'KNOW/N -' Fireplace - LENDER'S MAILING ADDRESS -' -- � • • Total Valuation $ Permit Fee . $ ARCHITECT OR ENGINEER- LICENSE NO. Plan Checking Fee - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty, $ ' _ Permit fee", $ ' BUILDING ADDRESS - PLUMBING PERMIT Filing Fee 3.00 - a Each Trap 2.00 I ,Repair drainage or vent piping 2.00 yD V I I Water piping, LOT NO. SUBDIVISION. NAME PARCEL MAP Each qas water heater or vent 2.00 ' [Gas piping system 1 - 5 outlets ' USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ . Other " ' Building sewer., Lawn sprinkler system 2.00 t ' SPECIFY TYPE OF WORK ' ' ermit'Fee $ -New ❑ Addition ❑ ' Re ode ❑ Uti liti s ❑ Ins allation❑ Other Contractor Describe work:' ] S .%�' ' T ' iL1aL^� ELECTRICAL PERMIT, FiIing'Fee 3.00 , , k Main service 6011 OR LESS 100 AMP OR LESS 5.00 - Main service EA. ADD'L 100 AMP 2.50 ' a 'NEW CONST. DWELLING OCC UP:& OR.ADDNS. ( ACC. BLDGS. 2¢Sgft • - _ 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 Professi ns Code a d my license is in fu f rce `and, effect. y O_ License No `Classification ❑ I, as the owner, or my employees with wages as•th'eir sole compen- NEW CONSTRULTI-OUTLET NON-RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &I NON-RESID. SINGLE OUTLET.CIR. t so 25c Ex. OCCUp(DUTLETS OR FIXTURES BAL@10¢ FIXED APPLNS. OR Ex. Occup:(o UTLETS (RESID.) EA.� 2.00 " Temporary service "" 10.00' Mobile Home Facilities _ 15.00 sation, will do the work,and the structure is not intended:or offered for sale. (Sec. 7044) . , ❑ 1; as the owner, am exclusively contracting witli' licensed contract- Misc. Wiring 6.25 ; , . ors. (Sec. 7044) .- ' ` Y ^ ❑. I am exempt under Sec. - , Business and'Professions Code Permit Fee for this reason 'Contractor . WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT. FiIingFee 3.00 Heating I declare underpenaltyof perjury (check one): S, ❑ The permit is for $100.00 (valuation) or less.' `- t -. 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: Cooling Hood 2.00 . Ventilation fi El.'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. - permit Fee $ Contractor - I certify that I have read this applicatiowand state that the above information Mobile Home Installation Fee $ r Land Development Fee $ is correct.•I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot, .Butte to enter upon the above-mentioned property for inspection purposes. `TOTAL PERMIT FEE $ 1 also agree to save, indemnify and keep harmless the County of Butte against all liabil 'es judgments; costs, and expenses which may in any way accrue- OCCUP. GROUP ; TYPE OF CONST. PARCEL PD HD' ISSUE against i ou y i sequence of the granting of this permit'. This permit is hereby issued under the applicable provi- �sions of the Butte County Code and/or resolutions to do �J �Q - , %� Date / 1� ViZure of Applicant — Owner ❑ ContractorZ Agent ❑ work. indicated above for.,which fees have been paid. SHA permit is required for excavations over 5'(l" deep and demolition or construct- ion of structures over 3 storiesinheight. , TO F PUBLIC (/\—/JJ BY 'PERMIT EXPIRES Dae WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT' " 3864787B,E• PERMIT NO. PERMIT EXPIRES OWNER DIANE " CHAPMAN " Rudy Hill CONTR. . x ASSESSOR PARCEL 68-343-25•. ' LOCATION 1.7,Edgewood 'Dr, Or oville - { • Temp. Power.Pole Called PG&E Temp. Elec. Service, ". Called PG&E Temp, Gas Service ` —loop,.' = OK 0=Not OK ' = Not Readyiable MOBILE HOMES'- - MISCELLANEOUS A �� Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s . 1 -Zoning Requirements -Setbacks -Easements rT,- 1. Zoning Requirements -Setbacks -Easements 2. Soils; •Special MH Support -Sketch '.,- 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer;',Location-.Test-Fall-C/O-Concrate 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails - 4..,Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. _ / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. . 6. Carports; Windows -Doors 7. Utility Clearance - • 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses• 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1. Date - 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1.2oning Requirements -Setbacks -Easements Card -B1 c Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances . Date POOLS (Plans) OK except #'s 5. Drain; MH.Test-Fall-Flex Connector" + 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and -Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity -Tagged _. 9. Exits; Insp.-Sketch _', ' 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI ; 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip, "Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date .. Card -B1 Date 9. Health Department Approval F 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date i = OK 0 = Not OK Not Applicable RESIDENTIAL (Single and Duplex) - = = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel _=77N 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test ,t N 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. V 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date LUMBING (Permit) OK except #'s 1 . Water Ht. Vent -Access -Combustion Air 1 . Water Pipe; Test & Anchors -Nail Protection 1 . D.W.V.; Test-Fttngs & Anchors -Nail Protection 1 Shower Pan; Test, First Floor -Tub Access 2 . Test Tub & Shower, 2nd Floor -Tub Access 24. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s 22,, yxture & Transformer Clearance -Ins. Protection 3. El". Receptacles Spacing -Lights & Switches at Doors 4.,,Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. L -426'. -Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2Z-2-Appliaaee-6ircartsrin Kitchen & Conductor Size eed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29-Renge-Orc�---/-ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Ins ted -Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31-fgni3,-Clearances Panels-Motors-Mech. Equip. fight -Shower Light -Spa Light Card -61 Da a, Card -B1 Date Card -81 Date Card -81 Date Date ECHANICAL (Permit) OK except #'s . A.C. Ducts Insulation & Support 31. Vent Fan; Exhaust above insulation . Condensate Drain & Overflow; Size & Grade . Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet . Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Date FRAMING (Plans) OK exce _ Sills, Proper Material Anchors Walls Studs -Nailing, Spacing Bracin Plates -Sound . Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub eader & Beam -Size & Bearing Date FRA G Continued "Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. -46-Z!xep4ace Ties or Type A Flue -Fireplace Throat X47 Attic -Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection Framing 4i8'`P!Pperty Line Firewall & Openings WExt. Doors -One T -Check Garage -3rd story, 2 exits , Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers r% 4. Siding -Nailing Veneer Screed -Fd. Vents-Underflr. Access Area -Glass Shear Wells; 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Plastic Card -61 Date % 8C rd -B1 Date Card -B Date and -B1 Date Date F N (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings ---61-Srrr3ke Detector -62. Farn=e; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection - 63-Beefoom Exiting & Bath Fixtures & Tub Access -Spa Trim & Subpanel; Breaker Sizes -Labels X66 --Stairs-& Rails —67�Fireplace or Stove; Clearances-Hearth ---69-Et�Outlets at Wood Panel; Int. & Ext. -Q9-X t-Flxt-&Appliance; Grnd. -Air Gap -Cooking Clearance -JO.-Etec-Outlets & Receptacles at Kit. Counter —q'h-Garage-Fire Door; Swing -Landing -Closer -Q-*49 Batt in Garage -Damper , ' ents-Clearance-Comb. Air-Connector-P.R.V.- In_Gerege; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location _.Z5-Etec: Receptacles in Garage; (G.F.I.)-Romex Protec. .78-lnsotation-Foam-Looked in Attic O Yes -"T-r-GM-a-rd1Ms & Deck Construction -Post Caps n. ants & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 79. Following instld.; Drive s ®-No, Walks .GLXds O No; Planters ❑ Yes O No --8@-Sfucco; Brown -Finish ni ; Disconnect, Electrical, Plumbing s ove Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 483.. Well; Disconnect, Electrical, Plumbing . Exte ' - r Elec. Trim; G.F.I. Receptacle -Underground jB,vVentilation throughout House --yk<80 Gla rotection 8?1CnrrAr.t4nnQ from Previous Inpections --88-6as-Test-Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval -90-Energy Compliance Certificate -Other Certificates Card -B Date-/f'-9Card-B1 Date Card - l Date_*� Card -61 Date Card -81 IJ Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE �` • = DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date -�,,` � COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE P G 5,/-1�1-/ 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. rr -4-1 - . 1 7 .' '// r �y` r Inspector Date �'17' COUNTY OF BUTTE - DEPARTMENT OF .PUBLIC WORKS PMIT N0. ' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-74 5� APPLICATION AND' PERMIT ASSESSOR PARCEL NU BER - O 5 d' ZONI BUILDING PERMIT OWNER T PHo E SQ. FT. CC. BUILDING VALUATION OWNER'S MAILING ADDRESS' CONTRACT 'S NAME TELEPHONE CONTRACTOR'S MA IN DDRE ® Fireplace CONSTRUCT ON LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 .LENDER'S MAILING ADDRESS _ Permit Fee $ '- 60 ARCHITECT OR ENGINEER LICENSE NO. ARCHITEC T,OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ $ $ BUILDING ADDRESS der vel. Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 I Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP I . Water piping ' 5.:00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work:(1� / p/JZ(C(. Q!f9(� 3,r Permit Fee, S Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 100 AMP OR LESS sooV OR LESS . 10.00 Main service EA, ADD'L 100 AMP 2.50 ONTRACTORS LICENS AW 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. l � SU -7 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 OR ADDNS. CONST. ACC. BLOGS. DWELLING OCCU y2¢sgft / NEW CONSTR MUL.TI-OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS /POWER APPARATUS (POWER OUTLET CIR Ex. OCCUp zo ®aoe OUTLETS OR FIX RES. 2so FIXED APPLNS OR Ex. OCCUp. OUTLETS IRE D.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilitie 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 Tie 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the. County of Butte against all liabilities 'udgments, costs, and expenses which may in any way accrue against sa' ou ty in consequenceof a grant' g of this permit. I X Date % Signature oYAppli — Owner Contractor Agent ❑ 11 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. 'Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 1, eccu P. CONST.TYPE rCHOOLIFL7;TARCEL PD HO Iss E This permit is hereby issued under sions of the Butte County Code and/or Work indicated above for which DiRECTAP OF PUBLIC 3y PER EXPIRES Date the applicable provi- resolutions to do, fees have been paid. WORKS Datet Z� I-- Ipt No. fA r9) (45 3 "..e., -D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT b —'S ; ~a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATKQN111ATA SHEET _ Permit No. OWNER A. P. No. Proposed Building Use%�/ � P.�7r�L��/����CB Building Inspector ,," Date /A s' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED ems have be cr_strt3mitted. - /VV�" n duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 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 owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Prednspec,request to 17. Pre -Inspection for—.------ _-..-._._. _ Required- Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of _ 21. - - - 22. _ When, you issue the permit, process as follows: Mail to owner, Nail to contractor - XTelephone ���' ���� and hold for pickup at, office, Deliver w/inspector. nthPr (cc.dl- n Date) Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior t 09 1. Index permit for above items No. �t 2. Additional items requirWJ: A it issuance: (Circle new item not checked above). ontract , designer, owner, was advised of above required data by l:�`ph.ne--nail_counter by �//—d—,te 1 L' 497 Contractor, designer, owner, was advised ci above required data by—phone —ma il—counter by4 date Plans checked by Date Plans approved by Date % z-/0— Sets of plans on hold in File cabinet AP folder Copy -DPW A. ul 717- 17-t _ �.�..• _ _i . r.... r 'is "_(„ » � ra».••r...a+w_ �... �.•+.•wr_s.�+_+•1+r�-w4.. r.��'..\_i�y,� _._..4_ -. �....�w .. � ._. �� Sall C, T vi O • ..t . ♦ _ -. ' .._.� __ .�,._..._.. � , l ...,.......s..-..«� �..{......,.,,».,. i,�,,.....j- r �,. _...;;..,.,,_.�,._, ill M _....__.,.._ �. 1 ' r'{ }r.. _ . ..._L.._.. .f. _...a =. .. .. .__... �...+.._ �_V I- ..tu..:.-.vti.rK,.�_w�r�_.�.rj. ._ y-.,..Y.�_ � � .. w K. .... ..� _. .a... _\� • W{ 0 go rL go 1�4 a G) - -1 . Z/ z 004 ' 3 w ' F �� m , ...._..�.,. .'..�..r.f-..•F.ir.. ..._ ...a.....-,1 ....r •.wr -. •.•. �...�.r �}.. •'• � ^T._ •^�••r.+�-- . _ _. _i.•d.,_w•.r �. ,n,.� wq. .rr i f'1r��, rbc Fixc� TT s0 -6- S af 0-(Saffazing -3773 x Ice,lJ0 �I v E \F t i Co Safety jl ?)�S�Af N . ci i Safelty G ing k -3`6.3060 C ' E" s-74 =o Safety Glazing f 0. kffTl BUTTE COUNTY r = BUILDING DEPARTMENT ch,7PIMPR -D ! IVE ` r "; - .. .. .� ORDER NUMBER RE�j I L�CID!? DATE AR COON IT— -2r7 0 V FIRE NUMBER FIRE NAME: r: ED ORIGIN MEPOR RF -27J a [t--10- FC-18 LOCATION RANGE MILES, PIRECTIC!N NATIO�AL FOREST, FIRE DIST., CITY & STREET NO - TOWNSHIP&< io F�6M,','j Tr E _ .0 VEGETATION BURNED INCIDENT ACRES OF T TYPE 0 FALSE ALARM --GO. TO -?V X Rom 10 DIRECT' PROTECTION AGENCY .. ACRES BURNED ACRES fluKr4tV fA RESPONSIBILITY, . .--- 1__1 � - k ... , Z;*" ' !P--;TATLITORY_,�� .V STATE -ZONE�`__'- L LANDVURI,�_Oft LITY" D THREATEAM RESPONSIBI LOCAL GovT 'CAND AT G �Tm ORIGIN) UNPROTECTED,` o OTHER TOTAL, ❑ U.S.F.S� GRASS CT 0 CDF LOCAL _G0VT_:CONTRA 77i_ 'HER ;��--.O'ASSIST_OTHER A ........ AGRIC.' 01 PROD. OTHER BB 0 CDF FEDERAL ZONE 0 ASS19T FED. AGENCY (No TOTAL SIZE CLASS Z VIS p CDF LOCAL GOYF._CONTRAcT D MISCLAN mn A OiH LESS'� ASSIST- CITY, CONTRACT CO, AOU ER A -25 ACRE OR BURNS -.ACRES _BU 8 �i6 ACRES" El", CAUSE (sTA 8 A STATE,',%.-. 5 0 P c 10,99, ACRES 1] LIGHTNING �- -.0 DEBRIS . LAY W/FIRE. "o, CAMPF OTH IRE.-_� l,�, 0 ARSON,,,�-__,% ...... 0 ER/MiSC-_ 100499 ACRES',, U E 300-999 ACRES,,, (STARTS04ONO IF 1000-4999 ACIRES,--. LAND­U�t 6 1000 ACRES' -OR MORE Bd.R: joODC � M OTHER ON:-_ RE TI I:m -g- - b, Ki 4C 16N T INCID tl x OTHER INDUSTRY DMRtL 4;� 0 "M (?THER 0 o 8 DLAND A"' I T, ONLY.),�� OR DAMAGE� v ON ARRIVAL VEGETATION FIRES ONLYj- 7 SIZE DISTANCE (Origin to b ACRES WEATHER.- (ESTIMATE AT DIRECTION M WIND SPEED RECTION (FROM) 4 TEMPERATURE ,OVER PLEASE 0E CXF 75"0 - ! 3"1,4', A S Z0717 PA.%ACX (Roupd off to Nooreit $10M TIMBER &/OR YOUNG GROWTH W S Z0717 PA.%ACX (Roupd off to Nooreit $10M TIMBER &/OR YOUNG GROWTH WILDLAND VEGETATION., . NO (Other *tiinl & Y G);:.--'- AGRIC0LTUU1 PROD �'.�_','., (Other +an T & Y G) DWELLINGS 3/OR CONTENTS %,.'11�, OTHER STRUCTURES &/oR CONTENTS VEHICLES` & CONTENTS TOTAL SAM. W /--NORDER NUMBER I u, R R U INCIDEN Iry MAP iEkT5"- Comm r- I Nuffinmen 1 05— MERMEN/® EN&MMUFFAME 001-MMIKAMS NERMENEE NEEMEMMEM 13B 77 ��l Sffk FIRST REPORT.. MAP IS:-,, ONE TIRE RECORD Mo. DATE 'TUNE 4 OUTSIDE NAME SECOND REPORT GO TO. 1© CREW NAME E CA C iw FIRE STARiW Enter 'ST- D4*kh SITE FLT_ HRS. 1ST. ATK %,7 INSIDE 4�� 1�� Cx CffwW1_4F-1a4X# FIRE DISCOVERED 7 e,—,N CREW/OVERHEAD RECORD k P . O�i. iff 1 ST. or 2ND. report made by LookotA MAP iEkT5"- Comm r- I Nuffinmen 1 05— MERMEN/® EN&MMUFFAME 001-MMIKAMS NERMENEE NEEMEMMEM 13B F ATTACK FIRST ATI�A 9Y CDF, Sffk FIRST REPORT.. MAP IS:-,, ONE SECTION- 0 f0m SECTIONS ,_ •CR�W 4 NAME SECOND REPORT LRE C CREW NAME IZATION SITE FLT_ HRS. 1ST. ATK %,7 MAP iEkT5"- Comm r- I Nuffinmen 1 05— MERMEN/® EN&MMUFFAME 001-MMIKAMS NERMENEE NEEMEMMEM 13B F ATTACK FIRST ATI�A 9Y CDF, MAP IS:-,, ONE SECTION- 0 f0m SECTIONS ,_ •CR�W 4 NAMJ; IZATION LRE C CREW NAME IZATION _HOURS'.' FLT_ HRS. 1ST. ATK %,7 Cx CffwW1_4F-1a4X# 7 e,—,N CREW/OVERHEAD RECORD k P . CDF STATE. &JOCAL GOVT. CONTRACT ORGAI`4- PERSON AIRCRAFT CDF STATE & IOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT NA�A MAP iEkT5"- Comm r- I Nuffinmen 1 05— MERMEN/® EN&MMUFFAME 001-MMIKAMS NERMENEE NEEMEMMEM 13B TITLE _,op -IDA MAP IS:-,, ONE SECTION- 0 f0m SECTIONS ,_ •CR�W 4 NAMJ; IZATION Houps FLT.'KRS.- CREW NAME IZATION _HOURS'.' FLT_ HRS. 1ST. ATK %,7 Cx CffwW1_4F-1a4X# k P /lk NA�A 05' %Aq' Y c 4� CDF OVERHEAD -TOTAL - ON FIRES, 04M I TOTALS BELOW= - U.SYS. find. Overhec4 JOTAL :7- OTIHEIR TOTAL ot, ........................ FIRE DIST;OTHER Li0'CA1 TJOTAtj,"� W PAID H&Wif(Efl�) TTOTAL4 : ko, VOLUNTEERS (M064 TOTAL -�j - ' , ' %, � ! e­me, FC -188 (Addifiorkd crew activity)- ATTACHED 1,�, .- --& MAP iEkT5"- Comm r- I Nuffinmen 1 05— MERMEN/® EN&MMUFFAME 001-MMIKAMS NERMENEE NEEMEMMEM 13B TITLE _,op -IDA MAP IS:-,, ONE SECTION- 0 f0m SECTIONS ,_ MAP,,ATTACHEb- 4 %,7 NA�A 05' %Aq' Y V* eN ORIGINAL REPORT RYt 14 5!ATUBE TITLE _,op -IDA 4 14 5!ATUBE TITLE _,op -IDA I