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Home My WebLink About079-180-027Don Ld F. Sandusky 3482 rrb Bangor Hwy, Oroville contr: Arth-ur,,L. Davey, Chico , Permit #5829-80& P(repair fire damage/SF) Contr- James Edwards, Oroville Pe3;�i`t 6107-80E (ele/5829-80)SF 01-2655 �)D SANDUSKY, ROBERT • �26 3482 ORO BANGOR, OROVI E REPLACE ELEC SERVICE IM � r rtt I� I� I, 0 _ � ` • � • w.: 9 036-113-056 01-2655 SANDUSKY,ROBERT 3482 ORO BANGOR, OROVILLE REPLACE ELEC SERVICE I i k f 4 OFFICE COPY Address May ELECTRIC Meter By Date 2-- f 036-113-056 01-2655 SANDUSKY,ROBERT 3482 ORO BANGOR, OROVILLE REPLACE ELEC SERVICE I i k f 4 OFFICE COPY Address May ELECTRIC Meter By Date 2-- L Al COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive • Oroville, California 95965 • Telephone;(530) 538-7541 PERMIT No,t (Rev. 12/96) APPLICATION AND PERMIT 0J _?Ags ASSESSOR PARCEL NUM89R Ujd-113--056 ZONING AR BUILDING PERMIT OWNER ROBERT SANDUSRY TE 534E 6891 SO. FT. OCC. ".BUILDING VALUATION _ OWNERS MAILING ADDRESS 3482 CMO BANGOR HW, ORO 95966 CONTRACTORSr iNNAMEAME U TELEPHONE CONTRACTORS MAILING ADDRESS S' CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation-.. $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS r,TPlan Checking Fee $ BUILDINGADDRESS f 3462 ORO BANGOR HWY ";Energy -Plan Checking Fee $ $ `PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE J SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater Or vent 15.00 TYPE OF WORK r _ New ❑ Addition ❑ Remodel ❑ Uli hies q( Installation ❑ Other ❑ k Describe Work: RFP1,A(;R RR F'r,Ff", CFQTVA .AIUT1 1N'�C�; 4ITD1QIr' ,,,,,; j Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE t r ELECTRICAL PERMIT Filing Fee 20.00 a00V OR LESS Main Service 2a.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.POWER License Class LIC. NO. 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.PRE ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) . 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 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 tliose provisions, T0�j X Date /0 -1f) ' Signature of App Icl antes YOwner ❑ Coitractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service z TO 10ooA 46.00 NEW CONST. DWELLING OCCUP. SO EL .50SO OR ADDNS. a ACC. Bins. 3.5¢Fr; NEW CONST. NON -REBID. MULTRANCI.OLmET @7,50 APPARATUS 8 SINGLE OurLEr CIR. .00 EX. OCCU . OUTLET OR FIXTURES Ex. 20 0 I.50 Ex. Occup. D ��R� D, " 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 INSPECTION .23.00 PERMIT FEE 9 $Q MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE 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. Aw -� % By t -"'� Date !'1 17, t I PERMIT EXPIRES ON Date Receipt No. 3.367(0 -? 7 )R,00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A 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 01-96ss ASSESSORP iC NUA�B _O56 ZONING AR BUILDING PERMIT OWNER . RROBElRT .SANDUSKY TE 534E 6891 EPHON SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3482 ORO BANGOR HWY, ORO 95966 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3482 ORO BANGOR HWY Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF X 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 ❑ Remodel ❑ Utilities ❑X Installation ❑ Other ❑ Describe Work: REPLACE. EX ELEG SERIVE—AND MISC WIRING Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR'ss 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. License Class Lic. No. 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. KI, 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) . 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 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 tKoUP Visions gaiof XJ Date �a O Signature of Applica Owner ❑ C tractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OOCUP. sD OR ADONs. b ALS. BIDS. 3.5¢x. N CUM . MULTI.OUTI.Ei NON-R61p. (07.50 Por APPARArus 8 SINGLE OUTLET S Ex. Occup. OUTLErOR FIXTURES)_BAS @':50 Ex. Occup. OUrIEEDTs Ao .°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 93 00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89.00 :HA:Z. p, PEES IMP I FLOOD I COP PARCEL I PD HD ISSUE This permit is hereby Issued under the Butte Coun Code and/or indic bo for hich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. p Date Ne �y Receipt No. 33(0(08- 07• WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT p.� :�.�.,�' xtt�,"' ;,F �..ct�:�ir�•�*.-its-+w ��»'a�r•Zr,� ^ Y'*�°N:i^ito11��=��'�#i"71ti'i��6r;+�i*•�9�`�,�,�'1��-"�.;��"ti »�. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 = TELEPHONE (530) 538-7541 V PERMIT APPLICATION DATA SHEET OWNER:5CI&A kdake.1t. ASSESSOR PARCEL NUMBER: 3(,- 1 1.3 _''}sip Proposed Building Use: U Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ------------------ Date Received By 1 iiems have been submitted .------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets; signed by the preparer of plans. --------------------------------- ----------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- '' -❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------.------= ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway construction approval prior to occupancy) - ---------------------------- r, ❑20. Pre -inspection for required Request to Building Inspector on ' ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. -----------------------------------❑22. Workers' Compensation carrier and policy number. -----------------------------------------=----------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. -------------------------------------- ------------------------------------ 028. Existing violations and/or expired permits.---------------------------------------------------------------------- IL ❑29 433Grant D, ❑ M.H. Title, 11Check to H.C.D $ .--------------- 30.Other: CZ)90 J (Date) Whau issue the pernut,pjroceesss as follows El Mail to owner, ❑Mail to contractor. k Telephone 370- 1 J 1 V and hold for pickup (%UV 1 % �Q office. ❑ Delivwith inspector. ,yTce Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VAIMM(�nnv._4nanarfmant''nfTlP.min...,,o. ♦ Ce...: o '.D..a t:__ 161 PRE -INSPECTION OWNER: "k�e� LOCATION: 3 Ll? o1 14 CONTRACTOR:_(�/� PRE-INSPETION FOR: V DATE TO INSPECTOR:—A O 6 _ PERMIT HISTORY:( ) NONE Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes--ZNo DATE:_LC-) - 13 -v 1 A.P. 113 05(0 ZONING: XAS FOLLOWS: BUILDING INSPECTOR'S REPORT I 1 Electric currently On Condition of Electric Gas: NaturalPropane None Currently On /Off Obvious Problems: Sanitation: Plumbing Working / Well Working Potable Water Obvious Comments: ACTION RECOMMENDED: ISSUE: )MOLD FOR Date_ 0 Sketch buildings on reverse and indicate location on property. "� . �; mow; - 534f-1891 April 13, 1989 Kathy Gibbel 3482 Oro Bangor Highway Oroville, CA 95965 RE: Building bode Violation 3482 Oro Bangor Highway AP# 36-113-56 Dear Ms. Gibbel: With reference to the above subject on February 15, 1989, we talked by telephone concerning the living area constructed to the rear of of the storage building. You were to somehow verify to me in -writing that the building addition was previously existing, prior to being used for living, and then request an inspection to verify conversion back to a storage use. To date I have not heard from you: Please contact me within 10 days of the date of this letter and have the violation resolved or I will proceed in accordance with my February 8, 1989 letter to you. Should you have any questions concerning this matter, please contact this office: Yours very truly, .�— William Cheff - -,Director of Public Works J: F: Glander Chief Building Inspector ,TFG/l j V® l April 13, 1989 Kathy Gibbel 3482 Oro Bangor Highway Oroville, CA 95965 RE: Building bode Violation 3482 Oro Bangor Highway AP# 36-113-56 Dear Ms. Gibbel: With reference to the above subject on February 15, 1989, we talked by telephone concerning the living area constructed to the rear of of the storage building. You were to somehow verify to me in -writing that the building addition was previously existing, prior to being used for living, and then request an inspection to verify conversion back to a storage use. To date I have not heard from you: Please contact me within 10 days of the date of this letter and have the violation resolved or I will proceed in accordance with my February 8, 1989 letter to you. Should you have any questions concerning this matter, please contact this office: Yours very truly, .�— William Cheff - -,Director of Public Works J: F: Glander Chief Building Inspector ,TFG/l j V® February 8, 1989 Donald F. and Harriet E. Sandusky 3482 Oro Bangor Hwy Oroville, CA 95965 RE: 5th Wheel Trailer and Bldg Construction A.P. #: 36-113-56 (behind 3482 Oro Bangor_Hwy) Dear Mr. and Mrs.•Sandusky: We sent you'a warning letter dated November 3, 1989, notifying you that you are in violation of the Butte County,. Code at.. the above referenced location. As of this date, the following violations still exist. 1. Placed 5th wheel trailer in violation of Butte County Code Section 24-87(A)(1) - allows one single family dwelling per parcel, not includ- ing tents, trailers, or mobilehomes. 2. Construction of carport and living area additions in violation of the sections of the 1985 Uniform Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) 301(a) - Permits required. (b) 305(a).- Inspection required. (c) 305(d) - Inspection approval required prior to use or occupancy. The above listed violation (1) shall be corrected.or abated by you by ceasing and desisting the occupancy or use of the 5th wheel trailer and removing same to an authorized_ park or dead storage area within 30 days of the date of this letter. The above violation (2) shall be corrected or abated by you by submitting two complete sets of plans, applying for the required permits, and paying the appropriate fees within 30 days of the date of this letter. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. Unless the violations are so corrected or abated, a citation shall be issued to you to appear in court for said violations and for failing to comply with this notice. Upon conviction of said violations or of failing to comply with this notice, penalties shall be impi�os�ed and a Notice of Violation recorded in accordance' with Section 41=7 of the Butte County Code. o \�f , x ��` Letter to .Donald F. and Harriet E. Sandusky (RE: 5th Wheel Trailer &Bldg Construction, A.P: #36-113-56) Page Z February 8, 1989 Should you have any questions' concerning this matter, please contact Jim Glander or Bob Reith of this office at 538-7541. Yours very truly, William Cheff Director of Public Works 1P. F. Glandw- J.F. Glander JFG:ahb. Chief Building Inspector cc: Building Inspector PROCF OF SERVIC7- By M`,IL I am ove_Jthe ace of 18 and not a part./ to this c`,,s` 4 I am a resident of and empl oyed Ln the county where the mailinc 5 occurred , My business address is Butte County Dept of Public W 7 County Center Dr. Works California. Oroville, CA 95965 i I served the foregoinc 30 -Day Violation Letter 8 _ 10 .11 • .12 by enclosing a true coov in a sealed envelope and depositing said envelope in the United 13 States mail with postage fully prepaid on 9th of February 14 198 9 , and addressed as follows: 15 Ifi 17 1$ 19 1 20 Donald F.. and Harriet E. Sandusky Zr�`�_ G pcj� 3482 Oro Bangor Hwy Oroville, CA' 95965 21 I declare under penalty of p ,- e_ jury under of ;221 theState of California that the forEcoinc is true and correct 23I and that this declaration was e:cecuted on 2/9/89 2Y at Oroville 2n 26 27 29 Cal=fornia. February 8, 1989 Danny and Kathy Gibbel 3482 Oro Bangor Hwy Oroville, CA 95965 RE: 5th Wheel Trailer t& Bldg Construction A.P: #: 36-113-56 (behind 3482 Oro Bangor Hwy, Oroville) Dear Mr. and Mrs. Gibbel: We sent you a warning letter dated November 3, 1988, notifying you that you are in violation of the Butte County Code at the above referenced location. As of this date, the following violations still exist. 1. Placed. 5th wheel trailer in violation of Butte County Code Section 24-87(A)(1) - allows one single family dwelling per parcel, not includ- ing tents, trailers,.or mobilehomes. 2. Construction of carport and living area additions in violation of the sections of the 1985 Uniform Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) 301(a) - Permits required. (b) 305(a) - Inspection required. '(c) 305(d) - Inspection approval required prior to use or occupancy. The above listed violation (1) shall be corrected or abated by you by ceasing and desisting the occupancy or use 'of the 5th wheel trailer and removing same to an authorized park or dead storage.area•within 30 days of the date of this letter. The above violation (2) shall 'be corrected. or abated by you by submitting two complete sets of plans, applying* for the required permits, and paying the appropriate fees within 30 days of the date of this letter. After permit issuance and field authorization to proceed, the work must. be completed and approved by this office within the permit'specified time. Unless the violations are so corrected or abated, a citation shall be issued to you to appear in court for said violations and for failing to comply with this notice. Upon conviction of said violations or of failing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Letter to Danny and Kathy Gibbel (RE: 5th Wheel Trailer & Bldg Construction) Page 2 February 8, 1989 Should you have any questions concerning this matter, please contact Jim Glander or Bob Keith of•this office at 538-7541. Yours very truly, William Cheff Director of Public Works cijinai glgn�r$ U J.F. Glander JFG:ahb Chief Building Inspector cc Building Inspector 1 2 3 4 5 G 7 10 .11 12 13 14 15 I (i 17 Is 10 20 21 221 23I 2' Y 25 2) 27 28 PROOF OF SGRVICr- By M`,IL I am over the age of 18 and not a Par"Y to this caus` I am a resident of and employed in the county where the mailinc occurred. b?v business address is Butte County Dept of Public Works 7 County Center Dr. California. Oroville, CA 95965 I served the foregoinu 30 -Day Violation Letter by enclosing a true coov in a sealed envelope and depositing said' envelope in the United States mail with postage fully prepaid on 9th of February 1989 ,'and addressed as follows: Danny and Kathy Gibbel 3482 Oro Bangor Hwy. M_ Oroville, CA 95965 I declare under renalty of perjury under t^e of the State of California that the Lo_ecoi,.� r n g, is true anc correct and that this declaration was executed on 2/9/89 at Oroville California. November 30 1988 Danny and Kathy Gibbel 348JLOro Bangor Hwy Oroviile, CA 95965 RE: 5th Wheel Trailer & Bldg Construction X.P.: 36-113-56 (behind 3480L Oro Bangor Hwy, Oroville) Dear Mr. and Mrs. Gibbel: This''is aIwarning letter' to notify you that you are in violation of the Butte County'Code at the above referenced location as follows: Placed a 5th wheel trailer, not allowed by zoning, and constructed a `carport' addition and Living area -addition to the storage building without permits, inspections, and approvals from this office and the Health Department.' Since permits and inspections are required for the above work,. please contact this office within ten days of the date 'of this letter, submit two, complete sets of plans, apply for the required permits, and pay the appropriate.fees._= All work -'must stop until 'these permits are' issued and you. are authorized_ by our field inspector to proceed. This field authorization'cannot be made until the existing worlk•is inspected and approved. Please be aware:that Butte County has entered into a Code'Enforcement Program that seeks voluntary compliance with the Butte County- Code but 'provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement -will be pursued through the issuance of:t tations, fines, and the recording of a Notice oU Violation. Your cooperation in ,resolving this matter would. be appreciated. Should you have any questions concerning this matter, please contact•this'office. JFG:ahb cc: Assessor Building Inspector File Yours very truly, William Cheff Director of Public Works Original signed 1� J. F. Glandm, J.F. Glander Chief Building Inspector November 3, 1988 Donald F. and Harriet E. Sandusky i 3482 Oro Bangor Hwy Oroville, CAi 95965!,• RE:'.. -5th Wheel Trailer and Bldg Construction A.P. #: 36-113-56 (behind 3482 Oro Bangor Hwy) Dear Mr. and Mrs. Sandusky: This is .a warning letter to notify you that you are in violation of the Butte County Code at the above-referenced•location as follows: Placed. a 5th wheel trailer, not allowed by zoning, and constructed a carport addition and living area addition to the. storage building without- permits-, inspections, and'approvals from. this office and the Health Department. Since permits and inspections are required for the above work, please contact this office within • ten, days of the date' of -this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All 'work must stop until these permits are issued .and you are authorized by our ••field inspector to proceed-. This field authorization• cannot, be�msde until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code'Enforcement Program that seeks voluntary compliance with the Butte County Code but provides .an effective means of enforcement if such compliance -is not. obtained. • If voluntary compliance is not •obtained,.enforcement -will be pursued through tf the issuance of citations, fines, and the recording of a Notice of Violationo 1 Your cooperation in resolving this matter would be appreciated. Should you have`any questions concerning this matter, please contact this office. Yours very.truly, JFG:ahb. cc:• Assessor. Building -Inspector File William Cheff Director of Public Works ()rW,nal signed b1t ,L F. Glandes J.F. Glander Chief -Building Inspector ❑ Complaint -Daae ❑ Other -Date "�� ,�_ _••_.__ y BUT -Tr COUNTY DEPARTMENT OF PUBLIC WORKS _ SPECIAL INSPECTION REPORT n � Owner 5"Ooj A 'j t it � Address:_ Tenant: Z0NING /4- A. 4 A. P. # Date of Inspection Inspectors Building Location: 3'a/ SZ'Z.. Q w -.o,,G Type of Inspection requested: 1. Housing ".'2. 2. Financing A. Change of Occupancy to _ r ---- 4. _, 4. Work W/O Permit„ / / 5. Other (specify) Present use of building: Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: _ 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: T4-1 ..4-- 03 o Lc.K R i N :1-•� r 3 113 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: I r ! 11 12 1 LI.IT D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy: 7. Comments: 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 description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. T7 C. Write letter. / / D. Other: r / j -A } c`— t a " al --c. { `PERMIT w 829-80B P ' NO. ._ :. PERMIT EXPIRES Donald F. Sandusky OWNER Arthur L. Davey, Chico CONTR. 36-113-52 ASSESSOR PARCEL 3482 Oro Bangor Hwy, Oroville • ,: a 3 :,�- k LOCATION R s F� . .j r x V. ,r Temp. Power Pole Called PG&E it Temp. Elec. Service i Called PG&E r- i Temp. Gas Service, Called PG&E' JOB FINALLrED (Date) ! Signature t ' f J- = OK 0�= Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except it's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 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 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ P'L" ft./ /"Nat. or/ P'L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. I Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except H's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable RESIDENTIAL.(Single and � Not Ready Duplex) Date UNDERFLOOR Plans OK except #'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 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 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 -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 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. F' eplace or Stove; Clearances -Hearth E!.%o. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date _ 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 #'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. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 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 72. Insulation -Foam -Looked in Attic C] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive F1 Yes E] No; Walks ED Yes []No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 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; Plb9•-Appliance-Fire I• -Clearance to O n s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date 2 -•Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI 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 #'s Comments at Final: 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors __45. 43. 44. 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 0720 47. Garage Fire Protection Framing (NOTE: An entry must be made each IiruVs 4 _ • I - j 4 ;.• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO. ' 7 County Center Drive - Oroville, California 95965 -Telephone 916/534 41 _ APPLICATION'ANO PERMIT ASSESSOR PA117 t MBER 3 — 5 ZON BUILDING PERMIT Ow FT LEPHONE SQ. FT. OCC. BUILDING VALUATIO ' ^t� O WNER'�S [MAI LING ADDRESS + Y _�- O o -r rM CO TR C OR'S NAME ^ TELEPHONE lTJ CONTRACTOR'S IL��INrq,G ADDRES `- CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation LENDER'S MAILING ADDRESS Permit Fee $ ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING AD KESS Permit fee $ , BUILDING DRESS PLUMBING PERMIT Filing Fee D00 Each Trap 2.00 Repair drainage or vent piping 2.00 • 1 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 Ly' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstalI941on ❑ Other Describe work: — �Q/l/\ /, 't- .r Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): r 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. I� Q ( License No. Ott :31e 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 ULT' -OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS NEW CONSTR. ( POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. ExOccup(ourLETs OR FIXTURES 50@aa . US BAL@10Q FIXED APPLNS. OR \ Ex. Occup. (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ 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. 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. 1 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 2.00 Ventilation a 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. 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 Cc ty in conseq ce of the granting of this permit. X Date "7 �W Signature of Applicant — Owner Contractor ❑ Agent 9 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 $ TOTAL PERMIT FEE $ r OCCUP. GROUP I TYPE OF C011ST.7 PARCEL PD I HD 19SuE This permit is'hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY PE T EXPI ES Date— the applicable provi- resolutions to do fees have been paid. WORKS Date / Receipt No. ^ WHITE-D.P. W., YEL W -ASS 5 R, INK'IN P T R, OLDE - PL ANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • PERMIT N0. 7 Coynty Center Drive - Oroville, California 95965 - Telephone 916/534-45 O — V APPLICATION -AND PERMIT ASSESSOR P RCEL NUMBERZO I BUILDING PERMIT OWN- TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIL NG A ESS Cb NT ACTOR'S NAME T LE HONE C NTRA T R'S MAILING ADDRESS ��I Fireplace CONSTRUCTION LENDER ib -Y) UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 0"1 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee , $ BUILDING ADDRESS' annao PLUMBING PERMIT Filing Fee 10.00 JB Each Trap 2.00 Repair drainage or vent -piping 5.00 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 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remode Utilities ❑ Installation ❑ Other Describe work:( 0�202c�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. IDWELLING�OCCUP.N\ OR ADDNS. ACC. BLDGS. 20 sq ft ' 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. �� /,`L ll Classification L- 1D ❑ 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 .OUTLET 2,50 ea NON•RESID BRANCH CIRC TS NEW CONSTR. (POWER APPARATUS 9 NON.RESID. (SINGLE OUTLET CI_R. EX. OCCUp OUTLETS OR FIXTURES_ BALei FIXED00 APP LHS. OR EX. OCCup.(p UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ , Contractor MECHANICAL PERMIT FiIingFee 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 $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot -Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in co sequence of the granting of this permit. X Date / /-s -�� S arure of Applicant - Owner ❑ Contractor F]Agent❑ A 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 $ , `j OCCUP, CROUP I TYPE OF CONST. PARCEL PD ND ssuE 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. SDEC KOOF PUBLIC WORKS Rt By Date -1 S PERMIT EXPIRES D e Receipt No. ��staf f p WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT RRM E � `tea I :; F�' ,h 7,.. w.r :0 A • : ►: • ffRR.U. NUMBERDENT NO. •` STAF Z I- LR . thru I _ :5 9 -- . J DATE YEAR COUNTY FIRE NAME: MILES TOWNSHotaNRANGE 1IJJUU❑s 64E ff'SEC* 1 c _ _�j ❑w J DATE YEAR COUNTY FIRE NAME: MILES DIRECT10h. FROM ❑ INATIONAL FOREST, FIRE DIST.,, CITY & STREET NO:, GO TO 10 tC&AUSE(STARTS HTNING ❑ MPFIRE ❑ ARSON ❑ OTHER/MISC. Q d2. TYPE P3INCIDENT RIR []FALSE ALARM TOP GO TO 10 tC&AUSE(STARTS HTNING ❑ MPFIRE ❑ ARSON ❑ OTHER/MISC. 4RESPONSIBILITY car ORIGIN)4 A6 a IRET PF,QT. RE8_P.(•D.P.R•) STATUTORY Ret. ./STATE ZONE RESPONSIBILITY to ® WILDLAND BURNED OR THREATENED DOMESTIC ❑ RECREATION O❑ SCHEDULE A D.P.R. ❑OTHER INDUSTRY- COMRCL. STATE UNPROTECTED❑ 30 ❑ ❑ ROAD DISTRICT 40❑ OTHER AGENCY D.P.R. ❑OTHER El CITY LOCAL ZONE ❑COUNTY 4 []SCHEDULE A D.P.R. ❑ U.S.F.S. O❑ OTHER AGENCY O.P.R. (Unincorp) ❑ B.L.M. FEDERAL ZONE ❑ B.I.A. t\7 ❑ FEDERAL(except Military) D.P.R. ❑ N•P.s• O❑ SCHEDULE A D.P.R. ❑OTHER FEDERAL ® ❑ MISC./OTHER(•ZONE•) ❑ OTHER IN 02005 OROONLY) not'start in 1 2 6 or 9 ❑SMOKING [&EQUIPMENT tC&AUSE(STARTS HTNING ❑ DEBRIS ❑ PLAY W/FIRE MPFIRE ❑ ARSON ❑ OTHER/MISC. B.I.A. a e:NLAND USE(STARTS IN 0 2 OROONLY) 6 ❑ Did not start ino 2 5 oro ❑ FOREST INDUSTRY DOMESTIC ❑ RECREATION ❑ RANCH -FARM ❑OTHER INDUSTRY- COMRCL. ❑ DUMP ❑WILDLAND ❑ ROAD ❑NON-WILDLAND UTILITY, RAILROAD ❑OTHER [� UTILITY, ELECTRIC DAMAGE (1 2 5 OR 8 ONLY) % Number $ DAMA T E IN of" earest OR 8 Veh/Dwlg 1 2 8/or TIMBER &/OR YOUNG GROWTH WILDLAND VEGETATION (Other than T& Y G) AGRICULTURAL PROD (Other than T & Y G) DWELLINGS O®0 &/OR CONTENTS OTHER STRUCTURES &/OR CONTENTS .......X......... VEHICLES & CONTENTS e° BURNED' , STATUT. RESPON. OF o ACRES„BURNED STATE U.S.F.S. - B.L.M. B.I.A. a W.P.R.S: (Ex -BOR) OTHER FED. ” OTHER 1 TOTAL i P + P --�-- OVER PLEASE. ._. CDR- 7540-130-0118 -7:80-x �4P