HomeMy WebLinkAbout027-240-045- _ 27-24-45
Henry Bledsoe ` e+
NE Vr.of inters.of Daly Ave. &
` Palermo Honcut Hwy, Palermo
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: FLOOV DAMAGE "REPOR �^�;
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BUTTE COUNTY BUILDING OFFICIALS .
JURISDICTION
Block Parcel No.
Rapid Evaluation Safety Assessment Form
BL= N DE CRIPTION: OVERALL IZATI�i RAMG: (Check Ones
'
Name: _ G�/J �Q L'VSP . - D (Green)
Exterior only .
Address: Exterior and Interior
LIMITED ENTRY (Yellow) ❑
No. of stories: 4 UNSAFE (Red)
Basement: Yes ❑ No Unknown ❑
714PrLN- SPECTOR: SA 07714—
Primary
imary Occupancy: DwellingV.. Inspector ID -
Other Residential [ Commercial ❑ Office ❑ Affiliation
Industrial PublicAssembly'❑ School [I' INSPECTION DATE:
Government ❑ Emen Serv. ❑- Historic-❑ Mo/day/year
Other Time airyIT
Instructions: Review structure for the conditions listed below. A "yes" answer to i, 2, 3, or 5 is
grounds for posting entire. structure UNSAFE. If more review is needed, post I.IMI` Ell) 1EN17RY.
A "yes" answer to 4 requires posting AREA UNSAFE and/or bamcading 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.
More
Review
Condition Yes No Needed
1. Collapse, partial collapse, or blinding off foundation. ❑ ❑
1 Building or story noticeably leaning ❑ ❑
3. Severe racking of walls, obvious severe damage and distress ❑ ❑
4. Chimney,parapet or other falling hazard ❑ 0
5. Severe ground or slope movement present ❑
6. Other hazard present ❑ ❑ ❑
co endations:
filo further action required
❑ Detailed Evaluation required (circle one) Structural Geotechnical Other
❑ Barricades needed in the following areas:
❑ ether.
Posted at this Assessment: ❑ Yes' No , /
Comments: N o //�'� �� �N S •
y
DATE
TIME
ESTIMATED DAMAGE Go¢°
BY Z-cr
DAMAGE REPORT
FOR INITIAL ASSESSMENT
FLOOD JANUA,BY 1995
PUBLIC INFORMATION OFFICER
538-6953
Name Reporting Party I
Address/Location
Telephone Number 5- 3 G City County
a�v�kt
Type of Damage .3it 4.g�� 5ma
(Note: Emergencies Refer to 911)
Building Description
[ ] Commercial/Usage
[ �] Residential Type and # Units
[] Currently Occupied/Use
[ ] Abandoned/Vacant
Electric
Any electrical submerged Yes [ ] No
Obvious damage (failure, downed wires, arcing)
Gas
Natural/Propane
Obvious problems (odor, leaks, leaks, propane tank floating/submerged)
On ] Off[: ]
Structure
C
On/Off Foundation
Flooding above elow flo �[
Obvious leaning, tilting ALavlO
Severe Damage/Collapse, O %L
Debris Hazard 0 (c.,
Sanitation
"Plumbing working 0 ��-
Running water
Well Flooded
Obvious Sewage Problems U
Chemical/Fuel bt---
Wet, flooded, lost chemicals
Type pesticide, fertilizer, other chemicals
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
Obvious hazards
Nearest Landmarks
Overflow/freeboard
Copies:
[ 1 OES ( 1 Agriculture
( 1 Health ( 1 Fire
[ 1 Building ( 1 Sheriff
-1Vl2--3-78B,PiE,M
PERMIT NO.
V
PERMIT EXPIRES )Ql�
OWNER Henry R. BWsoe
owner
'CONTR.
27-24-45
LOCATION (A.P.
NE corner of inters.of Daly Ave.& Palermo
Honcut Hwy, Palermo
4
-4
t
Temp. Power Pole / A
CalledPG&E
—
Temp. Elec. Serv.
Called PG&E
Te p. Gas Serv..
Called PG&E
JOB
9�-
FINALED
(Date)
(Signature)
2. tv.ds --..a i_lec C:
3 Braces
4. fear -in,; ,'a11s c -v e r Ci^de - F I^v or r.aill2^�
Dr2 c `O;:' in '. = S ( rat L.'_ col".
6. F r;L v t o at .7u. -'re 1. Ciel, Stair Strin Gr
7. ;--=der Size di C.-. Size
S joist 'aY:-.?rs ReCu:.r1--^
9 �a=te_ n, 2s _ :_ 1'^ = Ci SCC' -^ai;l'_'_E
- - -
10. Truss s
_1='iren, ace 7; 3 u
12 Cra;:l✓i� -tot_C�
J _
..��. Llb. I)ccr Cir rec. �=- t i S- -' iY-i 1.
v r C'.
} Garaze
15.
16. Ck Sta? »S r 2— yrl
__. 17.
post.
Ln a,::s &
ATcYors
2
'es^�
16.
Tyre
F1 y-docd
Cr cof
Cver�-m-
c Attic
Vents
_cJ
.C.ri�l:'•P�--
:aiiP.,u
'=^^."?r, 7
2
'es^�
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING A4,ILDING (Cont'd) PLUMBING
Setback -22 Cf Firewall Soil Piping
Forms Para ets 1st Floor
C
Main Bldg. Restroom Finish 2nd Floor
Footin s i F ge Windows 3rd Floor
Stemwal - % n ->-6 Sidina =47 --10 Tnnnut
Slab
Piers
Footings ��)��` / -
Stemwall -----"—
i
Foot! n sl•
Slab
Patio
Footings
asonry Walls
Relnf. Steel
Bond Beam
Roof Sheathing
Roofing
Fdn. Vents OF
Garage Vent
Insulation
Prov. foT44fslcally
handicaDDe
Conformance of ex:
FIREPLACE
a -I3-')4 C.40
Water Piping -.4- / 7ry
-
Sewer
Fixtures
Water Htr. -
Heaters
Appliances
Gas PiDina & Tes�e
v
Motors
ELEIC T
rramin — ! 7
Stucco
T. •t°
Final
Water Htr.
Subpanels i
Mesh
MECHANICAL
Grd. Fault Prot
Scratch
Brown
Heatina
Cooling
Service
Temp. Pole [
y Finish
Ducts
Underground
Interior Lath
Door Closer
do
Ing.-,
anen
/n I
tMOBILEHOME UTILITIES ------------------
Elec. Service
Pedestal
IL Water Piping -
Sewer
Gas Piping
MO§ILEMOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
i Water Piping r
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
IS
C. '
37
r j71
141 1
(NOTE: An entry must be made on this form each time ou visit the . s e.)
A_ \
f � i
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THIS IS .TO CERTIFY THAT INSULATION MS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS,
CALIFORNIA AOIIINISTRAT V C DE, T 25. STATE OF CALIFORNIA. IN -THE BUILDING LOCATED AT:
iStreet�o Number Tract No. I-
0
EXTERIOR WALLS
Manufacturer �v V ` Thlckness/Type�R Value 1 1
CEILINGS
Batts: Manufacturer c i. Thickness I� R Value ��1.
Blown: Manufacturer Thickness a No. Bags Wt ./sag
Sq. Ft. Covered R Value
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR LICENSE NUMBER
By TITLE DATE
IN TION CONT ORhLTnH I.SON TNSULATION LICENSE NUMBER 212461-
B
12461'B mk� 9, TITDATE
;f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner LCA1gy K /jL-oOSOS
SO. FT. OCC. BUILDING VALUATION
[
Mai IingQQAddress 6707 C-1-4C-1-4P-4�4 12Z>_tjg'O�
�
1S6
(1 '7/ g
qJ�
Contractor t�Gf//li�-�
Mailing Address
Fireplace /%/ s . QOo .Ov
Total Valuation 3 7, 0;)L®
Telephone No.
Permit Fee /S, Oct
Building Address iC e oe �e- 0P j tEp
PI anChecking Fee&/or Penalty
Permit Fee /5-/,00
S/
O F _t> R L_`( "G . ApJ PA- LC --9-' M Q
PLUMBING No.1 @ I FEE
(� W -- H.Vj"�,
PERMIT FILING FEE $3.00 S,®a
Each Trap 1.50 /
3�Opair
r^
'�� �.G
drainage or vent piping 1.50
A. P. No 2-- Z� 4
^�
Z°Hing & PI°""• g
Water piping 1.50
Each gas water heater or vent 1,50 „�lJ
F .es
W
Sani n
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking Parcel
Plans Declaration
Parcel M ,
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parce rovol
Pla s Approval
Lawn sprinkler sy tem 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
L P C -t W f f
Permit Fee $ pz/rm0
is
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 cID�
Main service 100V DR LESS
100 AMP OR LESS 5•00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER t 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING O
OR ADDNS. % ACC. BLDGS 20sq ft /• D
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:
Y
NEW RES'.. BRANCH CIRCU
NON -REBID ( BRANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS B
NON.RESID, SINGLE OUTLET CIR,
Ex. OCcuo(oUTLETS OR FIXTIIRES I DU Z BAL�
Ex. OCCU FIXED APPLNS. OR
P•�OUTLETS (RESID.) EA) 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 Califomia.
Permit Fee $ D
$
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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
j� I certify that in the performance of the work for which this
�! permit is issued 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 X00
Heating ;?r 0 00 40 00
#gAr PvAd/;
Cooling 3/� lttlt7
Ventilation
Hood I J 2.00
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
Land Development Fee
$ 80
TOTAL PERMIT FEE
5
GULIIUIIGC IUPICJCIILdLIVCJ UI 111C I_,UUllly UI DUtLU LU till LUT Upull the
above-mentioned property for inspection purposes.
X Datel
Signatur Permite or Agent/
Receipt No._/94/67 uy�
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIRECTOR Of -PUBLIC WORKS
BY Date 17-- Z
Vilding permit expires Date JZ ' Ze- 7S
RES IDENT IAL PLAN CHECKING GUIDE
(S.F., DUPLEX,° & MISC. ONLY)
Bldg.
OWNER ✓ r �-Q� A.P.
A. GENERAL,
zoning requirements (sideyards and parking).
Valuation.
/- Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
vY Complete parcel size and dimensions.
L2_ Setback$, sideyards, easements, etc.
�3. Other buildings or structures..
Grading, fills, drainage.
Permit #
# V7— gJ—
C. FLOOR PLAN
41 --.--,Complete to scale plan with dimensions.
- Required windows for light and ventilation (Sec. 1405).
v3! Required windows for second exit'(Sec. 1404).
Wr'_ Allowable glazing for energy requirements (20% max. per.State law).
"5! Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1407).,
-7! G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
L8'." -Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)):
1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location. >
Smoke detectors (Sec. 1413).
D. STMJCTURAL DETAILS 2-
Foundation plan complete enough to construct building. 3 `�� w,
Floor construction details complete enough to construct building. q)
A�.Fireplace'
Elevations and wall construction details complete enough to construct buildi
Roof construction details complete enough to construct building. m .
construction details and calcs if over one-story in height.
,6, --Sufficient data and details to satisfy energy insulation requirements"(State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
•�! CCX plywood on exposed locations and overhangs.
'2� Stairway details (Sec. 3305).
Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
.�� Exterior plaster - weep screeds (Sec. 4706 & 4708).
Proper roof pitch -for roof covering (Chapter 32).
o���Rafter ties or bearing ridge beam.
(. Garage door or porch header sizes.
L,! Adequate bracing.
Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
N.E. COR.
SEC. 17 "A
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