HomeMy WebLinkAbout024-090-054STORM DAMAGE REPORT
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LEONARD, Wm. Earl 329-7.2B
27 2-7 2P x
a — D 279-72E
n�s Neilson •Ave,' .2 mi. east of •99E, i e4y ..1
CONTR: Fillmore Const. , ; 2310 Brubaker Rd Si: '
(new single family) ,p/�s��-_-L, 011,
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LEONARD, Wm. Earl 329-7.2B
27 2-7 2P x
a — D 279-72E
n�s Neilson •Ave,' .2 mi. east of •99E, i e4y ..1
CONTR: Fillmore Const. , ; 2310 Brubaker Rd Si: '
(new single family) ,p/�s��-_-L, 011,
,�•-09-'�'Oj'f3, ���
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K
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BUTTE COUNTY BUIL I G OFFICIALSt/ t�
JURISDICTION _ Block Parcel No.
_G—S J
Rapid Evaluation Safety Assessment Form
BL=NG' DESCRIPTION:
Name:
Address -.—T33
R• ley
No. of stories: �/
Basement: Yes El No Q Unknown E1
Primary Occupancy: Dwelling Q . .
Other ResidentiaZ Commercial ❑ Office Q
Industrial ❑ Public Assembly ❑ School []
Government Q Emer. Serv. Q Historic Q
Other
OVERALL RAM IG: (Clceck One)
INSPECTED (Green) Q
Exterior only .
Exterior and Interior
LIMITED ENTRY (Yellow) ❑
UNSAFE (Red) ❑
INSPECTOR:
Inspector ID �a GSA
Affiliation
INSPECTION DATE:
Mo/day/year_11 F
TL-ne ' ID --3,57 air! pm
Instructions: Review structure for the conditions listed below. A "yes" answer to'l, 2, 3, or 5 is
grounds for posting entire structure UNSAFE. If more review is needed, post LIMITED 17,MI"RY.
A "yes" answer to 4 requires posting AREA UNSAFE and/or barricading around the hazard.
Hazards such as a toxic spill or an asbestos release are covered by 6 and are to be posted and/or
barricaded to indicate AREA UNSAFE.
Reco mendations:
No further action required
❑ Detailed Evaluation required (circle one) Structural Geotechnical Other
❑ Barricades needed in the following areas:
❑ Oiher.
Posted at this Assessment Cl Yes [lfNo
Comments: Lo c�cd 5'A0 e� '��
Iwo re
Review
Condition
Yes
No
Needed
1.
Collapse, partial collapse, or building off foundation
❑
❑
2:
Building or story noticeably leaning
❑
❑
❑.
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
❑
Reco mendations:
No further action required
❑ Detailed Evaluation required (circle one) Structural Geotechnical Other
❑ Barricades needed in the following areas:
❑ Oiher.
Posted at this Assessment Cl Yes [lfNo
Comments: Lo c�cd 5'A0 e� '��
pay- a o - v 5-'7,
DATE -L Z�cI �7 PUBLIC INFORMATION OFFICER
TIME / „ 538-6953 _
ESTIMATED DAMAGE
BY
DAMAGE REPORT
'FOR INITIAL ASSESSMENT
FLOOD JANUARY 1995
Name Reporting Party L C 1-14-Ky
Address/Location % /(/leCSvc �/C— �'�`
Telephone Number ���P ' 'J �lZ City C
Type of Damage COX -f "
(Note: Emergencies Refer t 911)
Building Description
[ ] Commercial/Usage
[ Residential Tvne and # Units
( ] Currentl Occupied se
[ ] AbandonedtVacant
my
Electric
Any electrical submerged Yes [ ] No [ ON
Obvious damage (failure, downed wires, arcing)
Gas
Natural/Propane
bvious problems (odor, leaks, leaks, propane tank floating/submerged)
On ] Off[
Structure
On/Off Foundaticn
ooding abov /below floor
Obvious leaning, tilting
Severe Damage/Collapse
Debris Hazard
Sanitation
Plumbing working
Running water
Well Flooded
Obvious Sewage Problems
Chemical/Fuel
Wet, flooded, lost chemicals
Type pesticide, fertilizer, other chemicals
0�Amount
Fuel tanks (above or below ground)
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 [ ]
Waterway Name
Location of damage/problem
Ok
Obvious hazards
Nearest Landmarks
Overflow/freeboard-
Copies:
[ J OES [ 1 Agriculture
( j Health ( J Fire
[ j Building [ J Sheriff