HomeMy WebLinkAbout072-230-02472-23-24
W. OVERSTREET
Phoenix Mine
FIRE. DAMAGE
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BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
�. SPECIAL INSPECTION REPORT
Owner: �y6` SW?
Address:
Tenant:
Building Location:
/x m I lUE,
Type of Inspection requested.
1. Housing. 2. F
r- 4. Other (specify)
A. P. #
Date of Inspect on 3-�(
Inspector
ing ,[� 3. Change of Occupancy to
Present use.of building•
A Sanitation (Housing
1. Water closet:
2. Lavatory:-
3.
avatory:3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating' facilities: `
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection' to sewage disposal:
12. Connection to water'supply.
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and Iroof construction:
5. Fireplaces:
6. Cormnents:
C. Electrical,
1. Service A-ld ground:
2. Receptac. es • '
3. Fusing:
4. Count ent: s : _
D. Plumb ink
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4... Comments •
1
E. Other
1. Maintenance and repair:
2. Fire hazards
3. Safety hazards: ~+�
4. WeaO!er protection:
5. Uuderfl`oor and attic.
6. Ccim ents • .
ventilation:
F. Cocmerci"al Buildings
1. Rcof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Rest:-oom floors and :calls:
5. Exits:
6. Tmprovem nts :
7. Z or_ I_r.g : _.
8. Comment, -
G. Field Prohlrns or Viclatic,rxs
1. Problem o -Tiolation ;give complete. description) :
r . ~g
2.
What
action
taken (give complete
-.Jescripti.on) : t
3.
WF~a*
a,::LionWrecommended:
%% A. -.nforaution only - fil,,-.
B. Hold for tcn (10) days, then wri::e letter.
% D. Other•
n ORIGIN LOCATION
1 ORDER NUMBER
REO. RU. INCIDENT NO.
FIRE NUMBER
SEC.TOWNSSHHIP�N
�...
0 ACRES BURNED
RANGE �E
NOA
0 DAMAGE
L ❑3
_ ❑W
.4% 71- Z 3 -- zQ
START MO.' DATE YEAR COUNTY •
FIRE NAME: .
hru
G)• 0Q/c2.ST1'
MILES �.IRECTIOJ,5JFROM[]IN (NATIONAL FOREST, FIRE DIST., CITY & STREET NO.,
ETC.
3 :IREJ
DENT TYPE
❑ FALSE ALARM
❑ TOP GO TO 10
4A RESPONSIBILITY car ORIGIN) 48
riDI_ RECT PROT. RESP.('D.P.R•) STATUTORY
ef.�/ STATE ZONE RESPONSIBILITY
SCHEDUWILDLANLE ARNED D.p,RR THREATENEDTATE UNPROTECTEDDISTRICT
4oQ OTHER AGENCY D.P.R. CI CITY
LOCAL ZONE COUNTY
0 ❑ SCHEDULE A D.P.R. L U.S.F.S.
[]OTHER AGENCY D.P.R. (Unincorp) B.L.M. r
FEDERAL ZONE i't ❑ B.I.A. ,I ?
7 ❑ FEDERAL except Military) D.P:R. !; •0 N.P.S.
0❑ SCHEDULE A D.P.R. h - OTHER FEDERAL
® ❑ MISC./OTHERVZONE•) OTHER '
LCAUSE(STARTS
IN 0 2006 OROONLY) ' { not start In 1 2 6 or S ❑ SMOKING ❑ EQUIPMENT
HTNING ❑ DEBRISI ❑PLAY W/FIREPFIRE - - rARSON . [flOTHER/MISC. i
i
6 2
LAND USE(STARTS IN O fOROONLY)
E] Did not start in0 2 6 oro ❑ FOREST INDUSTRY
DOMESTIC ❑RECREATION
RANCH -FARM (]OTHER INDUSTRY- COMRCL.
❑ DUMP ❑WILDLAND
❑ ROAD ❑ NON-WILDLAND
[� UTILITY, RAILROAD ❑OTHER -
F-1 UTILITY, ELECTRIC
DAMAGE ( 12 6 OROONLY)
�...
0 ACRES BURNED
STATE
NOA
0 DAMAGE
Number
$ DAMA
(Nearest
26 OR B
Veh/Dwlg
1
2 &/or
NACRES OF VEGETATION BURNED
oVJE
�...
0 ACRES BURNED
STATE
ACRES BURNED
O.
B.L.M.
TYPE
1
6
TIMBER
OTHER
FED.
WOOD
t.
.., ,
LAND
BRUSH
GRASS
"`" x,,. y' •
r»>: .
AGRIC.'
PROD.
CDF
TOTAL
STATUT.
RESPON.
OF
�...
0 ACRES BURNED
STATE
Ce•T �s to
U.S.F.S.
B.L.M.
B.I.A.
W. P. R. S.
(Ex -BOR)
OTHER
FED.
HER
k0
t
TOTAL
A'
9 1v1
R r%5 14 Is V P%I- w
VEGETATION FIRE p OTHER, GO TO 10
DISTANCE (Origin to head)
SPOT ACRES FEET
WEATHER (ESTIMATE AT SCENE)
WIND DIRECTION FROM TEMPERATURE
06 M.P.H. �j 0i °f
10
OVER PLEASE
CDF 7640-130-0111
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