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HomeMy WebLinkAbout005-472-014Lw 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 S TIP t a i t.�1 c^ �Y/ yy�� ��� -\�' I �: � a i t.�1 'v . a ..- f �ti 7 wl�� .y L J � ,1 . ►.�V =.. ,,�. '.r •', � r ��• � ��..� k� ►;� . —� �i ,; E .,r ,, �. r �+ ;;� ::',' ' �: r . ..�.,�, .� rS: �-i e � •- �. I.1i`•. + •,' � �_ '"�. ' �� .Y f�- � �� / � V � � '� � . ��u � r <-�. JJ22! f��"� i .��.i.t,�.(�� ��j�N _�- H'r �, .. ��} i �s�.r' :... ... . f ,Yf `f :'.c . , , ...:. ..� ._ .. ate_,.. .. \� io (\ \ v -- � L� �� � � �,o `f :'.c . , , ...:. ..� ._ .. ate_,.. .. 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 Y L } Ki 1y9R } V r 1+ `•A 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