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Home My WebLink About071-430-009r STORM DAMAGE REPORT 071-43-0-009 THOMAS LEBEAU HIDDEN SPRINGS ROAD i _ _ � _ -_ .: _ �... - � � _ .-. __ .- 1 �L �� - J � �� - ��. - � as � �% 0 r_r ` � �' � :�' ,J � A �j �* t� a � `.�j., a �S a � ', 7 � � �. ,xi � ; Date: Time: I o --o 6 Estimated Damage: 5w o- a 70 BUTTE COUNTY DAMAGE ASSESSMENT Name of Reporting Person:_ THo v'As L -ES 9A U Phone Number: wk- 533 - 33 /3 _ Address/Location:,koss 57geg r P.2'1 111b%Vj sfepv" City: County t3E—mev cRF£K. Type of Damage: mub scrhFhfcsraoyEs b9ijcwAN >}Nb etweb/,va Sir -Building Description B£.i, 227 flWb, 26o Nilb'bu sMiaGs o,✓ EvEn/ sjhE. a tc A011cm SeRN4r [ ] Commercial/Usage [ ✓J Residential/# of Units - Mobile Home Yes[ ] No[, --I Currently Occupied.- [ ] AbandonedNacant. Electric [ J Electrical damaged and/or submerged at any time since disaster occured. [ ] Downed wires? Electric is currently On[ ] Off[ l No Etge m c- AT- TN i s s i T£ Gas Natural[ ] Propane[ ] None[ ] Currently On[ ] Off[ ] Obvious problems (odor, leaks, propane tank damaged or floating) Structure On[ ] Off[ ] Foundation. Raised foundation[ ] Slab[ ] Nan! F__ Flooding above[ ] or below[ ] floor level ' Obvious leaning or tilting of structure Yes[ ] No[ ] Severe Damage/Collapse Fireplace Chimney Damaged Yes[ ] Debris Hazard— Sanitation No[ Plumbing working Yes[ ] No[ ] SUr►c 5Xsi'Ea, t,vsr4 L(_9E A /1\ bAa,Agr� Potable water Yes[ ] No[ ✓]" Well: Yes[ ] No[ ✓]- Flooded? Yes[ ] No[ ] Obvious Sewage Problems? Access to Damaged Prorerty Nearest cross street: 141 h6&y sus Awa 2oc![jrF£ c gtZ Roads Open[✓f Closed[ ] Obvious Damage/Hazardst�a �1zLT .4t.��o i�J �Q\J�WAY uri 'f'o /Y1�tA'4 Location/Landmarks _ -- ---_ — -- Tranversable via Sedan[,, -]"Four wheel drive[ ] Public Utilities Damaged Yes[ ] No[✓f Levees Public[ ] Private[ ] Waterway Name Bridge Damaged Yes[ ] No[ ] Location of damage/problem C-bvious Hazards Yes[ ] No[ ] N, -crest Landmarks: Chemical/Fuel Wet, flooded, lost chemicals: Type ( if pesticide, fertilizer,other chemicals: - Amount: Fuel =ks=Yes[ ] No[ ]Damaged -Yes[ ] No[ ]Located Above[ ] or Below [ ] ground. Obvious hazards: Agriculture Loss Crop Damage Yes[ ] No[ ] Type of Crop: Livestock Lost: Yes[ ] No[ ] Type of Livestock: , Agriculture Building's Damaged Yes[ ] No[ ] This report shall, be refered to the following Departments: [✓]Building [:Environmental Health [ J Agriculture [ ] Sheriff I J C.D.F. [✓] O.E.S. Date: I - 2 y-qS -',,:!-.-.Time: Estimated Damage:+ Stria_ a a - - �By: a - • BUTTE COUNTY DAMAGE ASSESSMENT Name of Reporting Person: _THa, ,4stis £A u Phone Number: wrt. 5-33-131.3 Address/Location:kaoss s7gcET Pz7 Nrbkd Sfe��S,City: County B£R1eY c&EK Type of Damage: Alub scut h£sr2oyel, Drti✓EwA3 ANS aklcDlya Sir =Building Description BET, 227 flAllb, 24o Mflblbu snzWas o,✓ Evew 51SE..a tv TfI W SPrtwr. [ ] Commercial/Usage = [ ✓j Residential/# of Units Mobile Home Yes[ ] No[, --I [ ✓j Currently Occupied.- ; [ J AbandonedNacant. t Electric [ J Electrical damaged and/or submerged at any time since disaster occured. [ J Downed wires? Electric is currently On[ ] Off[ J N £cgc M i c AT- TN 1 S s i TE Gas Natural[ ] Propane[ ] None[ ] Currently On[ J Off[ ] Obvious problems (odor, leaks, propane tank damaged or floating) Structure t On[ ] Off[ ] Foundation. Raised foundation[ ] Slab[ ] Nod! E Flooding above[ ] or below[ ] floor level` Obvious leaning or tilting of structure Yes[ I] No[ ] Severe Damage/Collapse Fireplace Chimney Damaged Yes[ ] No[ ] Debris Hazard ! Sanitation Plumbing working Yes[ ] No[ J SUric Sysrf s, LLE�,�j\ Potable water Yes[ ] No[ ✓T Well: Yes[ ] No[ ✓)' Flooded? Yes[ ] No[ ) Obvious Sewage Problems? Access to Damaged Prorerty Nearest cross street: NrD1� Obvious Damage/Hazards Locatioa/Landmarks Tranversable via Sedan[ ✓TFour wheel drive[ ) Public Utilities Damaged Yes[ ] No[✓] - Levees Public[ ] Private[ ] . Waterway Name S Bridge Damaged Yes[ ] No[ Location of damage/problem_ C hvious Hazards Yes[ ] No[ N,�arest Landmarks: Roads Open[✓f Closed[ BUTTE COUNTY BUILDING OFFICIALS JURISDICTION Block Parcel No. Rapid Evaluation Safety Assessment Form ,� y �k BL=IING' DESCRIPTION: Name: . / LCJ6 C11 tt Address: �- 4015. ` Sp22�5. No. of stories: Basement: Yes ❑ No ❑ Unknown ❑ Primary Occupancy: Dwelling -7?1'7 Other Residential ❑ Commercial ❑ Office ❑ Industrial ❑ Public Assembly ❑ School ❑ Government ❑ Emer. Serv. ❑ Historic Other OvERaLL RAMG: (Cleeek One) INSPECTED (Green) ❑ Exterior only . Exterior and Interior UMITED ENI MY (Yellow) ❑ UNSAFE (Red) ❑ LNSPECTOR: Inspector ID_ Affiliation INSPECTION DAT3 Ti!/jS Mo/day/ ear Time V442 airt(0. 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 LIMITED 1?N'IRY. 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. Condition More Review Yes No NeederL_ 1. Collapse, partial collapse, or building off foundation ❑ ❑ Q 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 ❑ Recommendations: ❑ No further action required ❑ . Detailed Evaluation required (circle one) ❑ Barricades needed in the following areas: ❑ ("Mier- Posted ther Posted at this Assessment: Structural Geotechnical Other ❑ Yes ❑ No Comments: