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Home My WebLink About079-160-016n -, •STORM' DAMAGE REPORTi� 1 1 i s • - 4-9 0: - om Rogers Const. 3a3 E/S Foothill.Blvd.,app.250'S.of Fair hill, lot Oroville Permit I..1940-77B,P,E,M(new single family)_.'... I T ! `. � \ I. BUTTE COUNTY J RISDICTION BUILDING OFFICIALS Block Parcel No. L Detailed Evaluation Safety Assessment Form BUaDING DESCRIPTION: Name: C�J(115TW 4- -111'c D0,VAa,6 !0 Address: 7�-� / O No. of Stories: Basement: Yes ❑ No B' unknown ❑ Approximate Age: Z b Years Approximate Area: /Zy 0 Square feet Structural Syste Wood Frame nreinforced Masonry ❑ Reinforced Masonry ❑ Tilt -up ❑ Concrete Frame ❑ Concrete Shear Wall ❑ ' Steel Frame ❑ Other SSW "!Z— Primary Occ cy: Dwelling Other Residential ❑ . Commercial ❑ Office ❑ � Industrial ❑ Public Assembly ❑, School ❑ Government' ❑ Emer. Serv.-❑ Historic ❑ Other e OVERAU RATING: (Check One) INSPECTED (Green) LIMITED ENTRY (Yellow) ❑ UNSAFE (Red) INSPECTORn^ Inspector ID lK-y7 0 1--, Affiliation ON INSPECTION DATE: f Mo/day/year C — / `2'S Time% ; s q am pm It%i (a( J6 h e .Instructions: Complete building evaluation and checklist on next page and then summarize results below. Posting: Existing Recommended None Inspected (Green) ❑ ❑ Limited ,Entry (Yellow) ❑ ❑ Unsafe (Red) ❑ ❑ Posted at this Assessment: ❑ Yes I?No Existing posting by: Recommendations: [I1i 10 further action required ❑ Engineering Evaluation required (circle one). Structural Geotechnical Other ❑ Barricades needed in the following areas: ❑ Other (falling hazard removal, shoring/bracing required, etc.): Comments (Why posted Unsafe, etc.): Sheet of Detailed Evaluation Safety Assessment Form (Continued) Instructions: Examine the building to determine if any hazardous conditions exis-L A "yes." answer in categories 1, 2, or 4 is grounds for posting building UNSAFE. If condition is suspected to be unsafe and snore review is needed, check appropriate Unknown box(es) and post LIMITED ENTRY. A "yes" answer in category 3 requires posting and/or barricading to indicate .AREA UNSAFE. Explain "Yes", "Unknown" findings and extent of damage under "Comments." Hazardous Condition Exists Condition Yes No Unknown Comments 1. Structure Hazardous Overall Collapse/partial collapse ❑ ❑ ❑ Building or story leaning - ❑ ❑ ❑ Other ❑ ❑ ❑ ❑ ❑ ❑ 2. Hazardous Structural Elements Foundations ❑ ❑ ❑ Roof/floors (vertical loads) ❑ ❑ ❑ Columns/pilasters/corbels ❑ ❑ ❑ Diaphragms/horizontal bracing E]❑ Walls/vertical bracing Momentframes Precast connections ❑ ❑ Other ❑ ❑ ❑ ❑ ❑ ❑ 3. Nonstructural Hazards Parapets/ornamentation ❑ ❑ ❑ Cladding/glazing ❑ ❑ ❑ Ceilings/light fixtures ❑ ❑ ❑ Interior walls/partitions ❑ ❑ ❑ Elevators ❑ ❑ ❑ Stairs/exits ❑ ❑ ❑ Electric/gas ❑ ❑ ❑ Other ❑ ❑ ❑ ❑ ❑ ❑ 4. Geotechnical Hazards Slope failure/debris ❑ ❑ ❑ _ Ground movement, fissures ❑ ❑ ❑ Other ❑ ❑ ❑ SKETCH: . . . . . . . . . . . . . . . . . . . . . . . . Sheet _ of _ DATE TIME ESTI?TED DAMAGE BY D �Ut�2rfo�Sl DAMAGE REPORT FOR INITIAL ASSESSMENT FLOOD JANUARY 1995 PUBLIC INFORMATION OFFICER 538-8� �3 Name Reporting Party ��-��-�s��A /-1 0- D cj rj "`-D Address/Location 3. �- 3 / /-zJ v 7-�« Z3 L- D -- Telephone Number 6-34-.5-a / 9, City County f/�Gc-T Type of Damage D -�-�yt 14-0`'`S`" (Note: Emergencies Refer to 911) Building Description [ ] Com cial/Usage _ [ Resident'a _ e and # Units 3 [arrently ccupied se [ ] Abandoned/Vacant Electric Any electrical submerged On [ t1rOff [ ] Obvious damage (failure, downed wires, arcing) Gas Natural/Propane Obvious problems (odor, leaks, leaks, propane tank floating/submerged) On [ ] Off [ ] Structure / On/Off Foundation /Coo 19 CAzc SI'D C -/t4 -eV -,S `oq Cd(X(CXC-l� r-zOo�u" a Flooding(above floor S 110,�� ) Obvious leaning, tilting Severe Damage/Collapse -� Debris Hazard Sanitation Plumbing working 69 Running water 0V Well Flooded Obvious Sewage Problems Chemical/Fuel 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 [ J Private ( J Waterway Name Location of damage/problem Obvious hazards Nearest Landmarks Overflow/freeboard Copies: [ ] OES [ 1 Agriculture ( ) Health ( ] Fire [ ] Building I 1 Sheriff PERMIT NO. 1940-77B„PA,M \ O ' PERMIT EXPIRES OWNER Tom Rogers Const. CONTR. owner LOCATION (A.P. 36 -54 -9 -port, NE/S Foothill B1vd.,app.250'S.of Fairhill, lot# ` 15, Oroville oL Temp. Power Pole Called PG&�E Temp. ElecAServ. �� /2 — 7 Called PG&E 77 Tem �as Serv. Called PG&E JOB FINALED (Date) (Signature) MUBILLHUME UTILITIES ------------------ Elec_ Service Elec. Pedestal i Water Piping Sewer Gas Piping OBILEMOME INSTALLATION • • - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE__// j/2 x/77 s lZOz.7 REMARKS OR CORRECTIONS (L oe - (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 372 -3t? -.7 1 v-- Firewall Soil Piping P Forms Parapets 1st F I oor S _ 2 3 Main Bldg. Restroom Finish 2nd Floor FootinS ,5;�--72 Windows 3rd Floor StemwalISidin To out Slab •77 Roof SheathingWater Piping Piers Roofing Sewer f Garage Fdn. Vents Fixtures �Z -� - Footings J— �7 7 Garage Vents Water Htr. Stemwal l Insulation Heaters Slab Carport Footings r pehysically handica Conformancdde of ex.Ing structure Appliances & Test d '7 Temp. Gas Slab FinalJZ Sanitation Patio FIREP ACE Final Footings Footin CTRI A Masonry Walls Throat /iii % Rough Reinf. Steel Final ' Z-- Fixtures `� '% - Bond Beam FIRE SPRINKLERS Motors ?"7 Framing Test Water Htr. Stucco t Final Subpanels . Mesh % MECHANICAV Grd. Fault Prot. '2 -- Scratch 3at,7 % Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilationv7,-- — Permanent Door Closer - Final — % Final `d MUBILLHUME UTILITIES ------------------ Elec_ Service Elec. Pedestal i Water Piping Sewer Gas Piping OBILEMOME INSTALLATION • • - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE__// j/2 x/77 s lZOz.7 REMARKS OR CORRECTIONS (L oe - (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: r . Street Lot Number Tract No. a EXTERIOR WALLS X f Manufacturer412 - Thickness/Type �1— R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer �� -�� Thickness -ter No. BagL�% Wt./Bag Sq. Ft. Covered A" 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 No.�� BY TITLE_ — DATE INSUL ION CONTRACTO HAWKINS INSULATION CO. LICENSE No. 215-925 r' B L TITLE �.''-� _ DA i Z .1 � ""I ..— COUNTY OF BUTTE — DEPARTMLNT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. ' ® I�(j �41F 0 Firepla 14 02 Contractor Total Valuation r3 Mailing Address Permit Fee !� Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00-1,0 (J N Each Trap 1.50 F'Z'rOC� Tv/ r Repair drainage or vent piping 1.50 Water piping 1.50 I So tion Only.Each gas water heater or vent 1.50 �- _ A. P. No. %Z Zo ' s Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Fire Dept. LFire Zone _ Use Permit Building sewer 5.00 EQA Parking Plans 1rParcel Declaration 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. P e -ed P oval L Pla pprovaI Permit Fee $ NEW ADDI I IUIq EJ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .,0 Main service 600V OR LESS 5.0 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L: loo AMP 1.00 NEW CONST.DWELLING 0C P. OR ADDNS. ( ACC. BLDGS. Q ) 22 sq ft NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 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 st le of: %� :;2 �9�1�l� ��iJlr l�Cr � SIG Ex. Occup(OUTLETS OR FIXTURES)50 @254t 109 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 License No. 33406 3 Classification Id' Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 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. 92"have placed on file with the County of Butte a certificate of W'orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I 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 3.0 Heating �O Cooling O2 �0O Ventilation Hood 2.00' . Q0 PermV Fee $ d $ 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 TOTAL PERMI FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signal a of Permi or Agen Receipt No./go or!? White-D.P.W. — yeYcl?&*fiQor Pink -Ins cS-- Goldenrod -Applicant This permit is hereby issued under the applicable provViW(� the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. !� DIRECTOR OF PUBLIC WORKS v Dat Building permit expires Date ,s, �� 0�. o \e� ' 4� O� '� y ♦ ?i a� r� A ®yam ✓A L-- \ i' Y��• i C fit.. h 1 i er - ,fie - ' —'-% •, \��, ,:F.9\. � f/ } � L , anonf \ �. / •'�r\ -file 6 ' or The Bldg. Setback shall be 5 ft, from fhe -side property lino and a��'� 9. -,centerline of� the road, a ram 'mum of a 2 ft, eave overhang but-entirapy l ' E taut of all easements. �r BUTTE COUNTY BUILDING DEPARTMENT APPROVEV