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STORM -DAMAGE 'REPORT
lfOMf TATn-Tf .. - _. i� I - - �__
2291 Mulberry St,, Chico
Permit 261-73B I C%Ck
., E F ' I I - 13, -9
(repair fire damage-�
Perm'it #6204-76B(re.roof/SF)
_? k
-7
LCI
BUTTE COUNTY BUILDING OFFICIALS
JURISDICTION Block Parcel No._��2�
Rapid Evaluation Safety Assessment Form
BI7II..DIING DESCRIPTIQN: OVERALL RATING: (Clceck One)
Name:�D W c kwn L iSPECTED (Green) ❑
1 Exterior only
Address: XExterior and Interior
LIMITED ENTRY (Yellow) ❑
No. of stories:UN - (Red) ❑
Basement: Yes ❑ No4& Unknown ❑
INSPECTOR:
Primary Occupancy: Dwelling ❑ .. Inspector ID
Other Residential ❑ Commercial ❑ .Office ❑ Affiliation
Industrial❑ Public Assembly [ISchool ❑ INSPEL71ON DATE:
m
Governent ❑ Emer. Serv. ❑ Historic Q Mo/day/year
Other Time am pm
Instructions: Review structure for the conditions listed below. A "yes" answer to 1, 2, 3,
or 5.is
grounds for posting entire structure UNSAFE. If more review is needed, post LriVIlTED ENTRY.
. A "yes -7 answer to 4 requires posting AREA UNSAFE and/or barricading around the hazard.
Hazards such as a to -mc spill or an asbestos release are covered by 6 and are to be posted and/or
" barricaded to indicate AREA UNSAFE.
More
Review
Condition Yes No
Neded
1. Collapse, partial collapse, or building off foundation ❑ �- .
❑
2: Building or storyotzceabl leanui ❑
❑
3. Severe racking of walls, obvious severe damage and distress ❑ .
❑
' 4. Chimney, parapet or other falling hazard ❑
❑
5. Severe ground or slope movement present ❑
❑
6. Other hazard present ❑
❑
Recommendations:
❑ No further action required
Detailed Evaluation required (circle on tructur SGeotechnical Other
❑ Barricades needed in the following areas:
❑ Wilier.
Posted at this Assessment: ❑Yes `JZ_No
Cor.
DATE " 3 -C4 PUBLIC INFORMATION OFFICER 1
TIME 101130 538-6947
ESTIM T DAMAG 00
BY
DAMAGE REPORT
FOR INITIAL ASSESSMENT
FLOOD JANUARY 1995
Name Reporting P
Address/Location
Telephone Numbe
Type of Damage avl
(Note: Emergencies Refer to 911)
Building Description
[ ] Commercial/Usage
[ Residential Type and # Units
[ ] Currently. Occupied/Use
[ ] Abandoned/Vacant
Electric
Any electrical submerged On '[ ] Off [ ] OK ,
Obvious damage (failure, downed wires, arcing)
Gas
i1propane
vious problems (odor, leaks, leaks, propane tank floating/submerged)
Ong( ] Off[`]
Structure
• (5/Off Foundation
Flooding above elow floor
Obvio leanin - tilting S-4tZt'k
Severe ama ollapse
Debris Hazard iso
Sanitation
Plumbing working
Running waterY�
Well Flooded
Obvious Sewage Problems I' '
Chemical/Fuel
Wet, flooded, lost chemicals
Type pesticide, fertilizer, other chem
Amount
Fuel tanks (above or below grou
Obvious hazards /
Agriculture Loss
Crop Damage _
Livestock Lost _
Building Damage
Roads (Public)
Road Name
Obvious Damage/Hazards
Location/Landmarks
Traversable (Sedan, 4 wheel)
Involved Utilities (downed wires)
Levees Public [ ] Private [ l
Waterway Name
Location of damage/problem
Obvious hazards _
Nearest Landmarks
Overflow/freeboard
copies:
[ 1 OES ( 1 Agriculture
[ ] Health ( ] Fire
( J Building [ 1 Sheriff
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PERMIT NO. 6204-76B
PERMIT EXPIRES
OWNER Tommy Tackett
CONTR. owner
LOCATION (A.P. 46-212-14 )
2291 Mulberry, Chico
4
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
( /77 JOB r
FINALED P
(Date)
(Signa e)
I,
k
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Pip ng
Forms
Parapets
1st F16
Main BI g.
Restroom Fini h
2nd F106
Footin6
Windows
3rd Floo
Stemw II
Siding
To out
Slab
Roof Sheathing
Water Pi in
Piers
Roofing j 117 6
Sewer
Garage
Fdn. Vents I
Fixtures
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physi ally
handica ed
Conformance of e .
structureTem
�
Appliances
Gas Piping & 4st
. Gas
Slab
Final 2, Z r.0
Sanitation
Patio
FIR PLACE
Final
Footings
Footing
E ECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
L9
COUNTY OF BUTTE — '-DEPAR-r-MENT OF PUBLIC WORKS
7 County Center Drive — oroviIle, California 95965
Telephone: 534-541
APPLICATIbN AND PERMIT
X Date h) U7
Signature of ,e mite or Agent
-
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OFVUBLIC WORKS
Z�ildlinag
-� Date�permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDIN VALUATION
Mailing Address
`J
Telephone No.
3— 751S
Fireplace
Contractor a
Total Valuation
Mai I ing Address
Permit Fee �. w
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address ��
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
/
C v C
Each Trap 1.50
Repair drainage or vent piping 1,50
Water piping 1.50
Each gas water heater or vent 1.50
— ��� --/
A. P. No. `
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
Vim•
Fire Dept.
FireZore
Use Permit
Building sewer 5.00
EQA
Parkn g
PlaBld^_
DeP arc ion
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Pi_=---^- °e -'a' I
Parcel Approval
Plans Approval
Permit Fee ,$
NEW ❑ ADDITION ❑ UTILITI:ES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
W 177 1
Main service 600v OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family J4 Duplex ❑ Mobil Hone ❑ Others ❑
Main service OVER 1100 AMP oR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONST DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 20.sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS)2.50ea
NEW CONSTR. POWER APPARATUS
NON-RESID, ( &SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)BA@L@1�C
Ex. Occup. (OUTLETS PRESID IREA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
TI 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.1 @ I FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned nrnnerty fnr insnartinn noimn ae
TOTAL PERMIT FEE
This permit is hereby issued under the applicable provisions
of
X Date h) U7
Signature of ,e mite or Agent
-
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OFVUBLIC WORKS
Z�ildlinag
-� Date�permit expires Date
0
MESSAGE • .
TO
-- ---- - - - - - - -------------------------------------------------
D---------/- - - -- - TI M E. ---- W
g.`3 d
• WHILE Y U WERE DUT/ s
i�
M R.
*I9
PHONE N(3.--!----,&---
Telephoned -�- - -7 Please Call - - - ❑
Called to Seel" - - ❑ Will Call Again - - ❑
M ES S AP E:---------- `--------1 _e9�L Ems- — ----------
PERMIT NUMBER - B 261-73B,E
P
i
AI E
F
L �7
PERMIT EXPIRES
IOWNER Tomy Tackett
CONTR:. owner
LOCATION (A.P. 46-212-14 �
2291 Mulberry St., Chico,
'l
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V
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1+
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COUNTY OF BUTTE
Department of Public Works
BUILDING IWSP°EICTION RECORD
Zoning
Setback
Forms
2 `/
Foundation �- � J ` �S.
Piers & Girders �' '16
— -7g— Fireplace
Rgh. Plumbing
nd Beam •
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
�
Framing --�
Plmg. Topout- SGs
Rough Elec. ^ %
Wtr: Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents `--
Sanitation & Water �—
ELECTRIC /
"—�
GAS
BUILDING
Temporary' [D
Temporary
Cert, of Occup.
Final ,"�/ -- % J J
Final
Final
DATE REMARKS OR CORRECTIONS
F ' s
~�-,mac.. �-�,..-__-- em� ✓��'��.e`7
1
-r
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR o� ����
7 County Center Drive — &bville, California 95965 pG
Telephone: 534-4541
APPLICATION AND PERMIT
iepresentau ves ui tilewunty ui tsuue to enter upon the
above-mentioned property for inspection purposes.
X U h
ate / ?/�
Signature of Per iteeAgen�tt �j
Receipt No.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work lndicateo
above for which fees have been paid.
DIRECTOR -OF PUBLIC WORKS
Building Permit Expires Date—Z— 7
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address `
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
Building Address
-
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
w
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
f�
Each gas water heater or vent 1.50
o� nJ
A. P. No. �7•/ (p /'-' [„2
Zoning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plans
Fees
W. C. R/W
Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ OTHER
Permit Fee
$
$
!r
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
i
Main service incl. 1 meter
Additional meter 2, e -h
1.00
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, dryer or water heater 1.00
Oven, Cook -top or space heater
1.00
Light fixtures 11 a
SO
Rec s., switc es & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License No. Classification
i am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
d0
$ 0®
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ 1 have placed on file with the County o` Butte a certificate of
Workmen's Compensation Insurance.
permit is issued I shall not employ any person in any manner
�oI certify that in the performance of the work for which this
as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee $
$
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
tate Fee for $tr ng Motion
nstrumentation (grogram $0.07/$1000 Evaluation
$
TOTAL PERMIT FEE
`
$
iepresentau ves ui tilewunty ui tsuue to enter upon the
above-mentioned property for inspection purposes.
X U h
ate / ?/�
Signature of Per iteeAgen�tt �j
Receipt No.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work lndicateo
above for which fees have been paid.
DIRECTOR -OF PUBLIC WORKS
Building Permit Expires Date—Z— 7