HomeMy WebLinkAbout065-350-005COMPLAINT TO INSPECTOR
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065-350-005
14847 WOOD DR., MAGALIA
FIRE REPORT
6/30/00
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FIRE, DAMAGE REPORT
OWNER: DATE:
LOCATION: OO r au, A.P. #CF
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CONTRACTOR: ZONING:
DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE (XAS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
AbandonedfVacant
Electric:
Yes No �q Electric currently On Off
Condition of Electric /
Gas:
Natural Propane�None t_ Currently On Off
Obvious Problems: rY'O
Sanitation:
Plumbing Working r� ,
Well Working Potable Water
Obvious SewageProblems0 6 MI
Description of Damaged Area: �Ls?L/ � �/ ' �g l-�o IV. Waw (--ry vtL
Estimate Valuation of Damaged Area:
Condition of
Mobile Home: CoOition of Utilities:
Date 6 -
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Sketch buildintt on reverse and indkate area of damage.
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CDF/BUTTE COUNTY FIRE INCIDENT LOG
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DATE 05/12/2000 INCIDENT NUMBER r 4686 LOGGED BY TGC
REPORT TIME 16:38 LOCAL FIRE NUMBER 117, RO ROMINE
STATE FIRE NUMBER132y acf Cfafn Fim nas�o.c BI�
CASE NUMBER IARfGARPB MEDICS
LOCATION 14847 WOOD DR PRA IV2 ECC ❑
RP JASON PHONE NUMBER 873-9030 REPORT METHOD 1911 i
WILDLAND FIRES ❑ ESTIMATED ACRES0�
FIRE INFORMATION
STRUCTURE FIRE RESIDENTIAL
FIRE INFO SENT HOW E-MAIL BY CJS TO 33
OTHER FIRE
7 -DAY LOGGED ® INITIALS CJS J
MEDICAL AIDS
INCIDENT NAME WOOD
PSA/OTHER
START DATE 05112120001 START TIME 16:25
HAZ MAT
DIAMOND # 1.1-1.8
COMMENTS
CAUSE EQUIPMENT f
LAND USE IDOMESTIC
ACRES 0 TYPE OF ACRES
DIAMONDS ONLY $ DAMAGE TYPE
DOLLAR DAMAGE 1000.001 SAVE 60000.001
INJURIES/FATALITIES ❑
# CIVILIAN INJURIES # CIVILIAN FATALITIES
EMD ❑ OES ❑
# FF INJURIES # FF FATALITIES 01
New Incident
FC -40 INFORMATION
FC -4O ❑ DATE OF FC -40 INC
AGENCY INC # INC P# i
FC -40 COMP DATE FC -40 COMP BY �®
County Notifications ® EARS Hard Copy Recleved ne EARS Checked Agenst EARS Computer ❑
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