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HomeMy WebLinkAbout83-56 1 2 4 6 ? 8 9 10 11 12 1:t 14 15 16 17 18 19 20 21 22 24 26 27 28 RESOLUTION NO. 83-56 RESOLUTION OF T~ CITY COUNCIL OF T~ CITY OF UKIAH ADOPTING A MUTUAL AID AGREtBff~F PLAN BE71¥EEN THE CITY OF UKIAtt AND THE JURISDICTIONS OF AND WITHIN THE COUNTIES OF MENDOCINO, LAKE, SONOMA AND MARIN IN COORDINATION WITH 7tte REDWOOD Eb{PlRE CHAPTF~ OF THE INTFRNATIONAL CONFERENCE OF BUILDING OFFICIALS WHEREAS, an agreement has been proposed between the City of Ukiah and the jurisdictions signatory in the Counties of Hendocino, Lake, Sonoma and ,~4arin for building inspection mutual aid in time of disaster, and WHERFAS, in the opinion of tlle City Council of the City of Ukiah, the City should be a party to said agreement. NOW THEREFORE, BE IT RESOLVED that the proposed agreement between the City of Ukiah and the signatory members and the members of the Redwood Empire Chapter of ICBO, a copy of which is attached as Exhibit A and is hereby approved. BE IT FUR~ RESOLVED that the City Manager of the City of Ukiah is hereby authorized and directed to execute said agreement on behalf of the City of Ukiah. PASSED AND ADOPTED this 4th day of ~.lay the following roll call vote: AYES: Councilmembers Kelley, Dickens, Myers, Feibusch NOES: None ABSENT: Councilman Hickey , 1983 by ATTEST: City Clerk EXHIBIT "A" La~e, Mandocino, Sonoma, and Marin Counties ,, ,.,,-~M BUJLDtNG INSPECTION · 'D~$ASTER CONT'~NG~NCY PLAN · _. floods · .esrthqus · j -- 't o. . LAKE, M~NDOCINO, SONOMA & MARIN COUNTIES UNIFORM BUILDING INSPECTION DISASTER CONTINGENCY PLAN (Page No.) TABLE OF CONTENTS 1. Signatory Jurisdictions. 3. Distribution. 4. Preface 5. Definitions 6. Authorities, References and Purposes. 7. Orginizations and Functions. 9. Concept of Operations. 10. Materials, Equipment, Clothing and Records. 12. Typical Resolution. APPENDICIES A - Attorney General's Opinion.. B - Civil Defense Registration and Identification Cards. C - Emergency Checklist for Building Dept. Disaster Coordinator. D - Daily Log of Disaster Inspectors. E - Sample News Release Form. & F - Building Inspection Report. G - Building Inspection Signs. H - Certification Information. I - Damage Assessment. ''This Uniform Building Inspection Disaster Contingency Plan is being submitted for adoption by the Counties of Lake, Mendocino, Sonoma, Marin and the Towns and Cities therein within the Jurisdictions of the Redwood Empire Chapter of the International Conference of Building Officials. In accordance with the resolution of the Unified Disaster Council it is hereby approved for implementation. Chief Administrative Officer County of Lake Chief Administrative Officer County of Mendocino Chief Administrative Officer County of Sonoma Chief Administrative Officer County of Marin City Manager City of Lakeport City Manager City of Clearlake City Manager City of Ukiah City Manager City of Fort Bragg City Manager City of Willits City Manager City of Healdsburg City Manager City of Petaluma City Manager City of Santa Rosa City Manager City of Rohnert Park City Manager City of Cotati City Manager City of Sebastopol Town Manager Town of Corte Madera City Manager .City of Fairfax Town Manager Town of Tiburon City Manager City of San Rafael City Manager City of Novato -1- City Managcr City of Sausalito City Manager City of Mill Valley City Manager City of Larkspur Town Manager Town of San Anselmo City }~anmger City of Sonoma Town Manager Town of Belvedere -2- D IS TRIBUTION Members, Boards of Supervisors Chief Administrative Officers Offices of Emergency Services California Department of Forestry California Department of Transportation Californis Highway Patrol Offices California Parks and Recreation Department International Conference of Building Officials-Redwood Empire Chapter City and County Librarys Port Authority Red Cross United States Coast Guard United States Forest Service Commander, 12th Naval District Jurisdiction Members of Lake, Mendocino, Sonoma and Marin Counties. County of Lake County of Sonoma City of Lakeport City of Ukiah City of Willits City of Petaluma City of Rohnert Park City of Sebmstopol City of Fairfax City of San Rafael City of Sausalito City of Larkspur City of Sonoma City of Cloverdale County of Mendocino County of Marin City of Clearlake City of Fort Bragg City of Healdsburg City of. Sahta Rosa City of Cotati Town of Corte Madera Town of Tiburon City of Novato City of Mill Valley Town of San Anselmo Town of Belvedere City of Clear Lake -3- PREFACE Disasters are defined as sudden calamitous events resulting in great damage, loss or destruction. Most disasters are the result of floods, fires, tornadoes, hurricanes, earthquakes and less prevalent tsunamis and volcanic eruptions. Disasters can be widespread or of relatively limited scope. But they all have one thing in common--they are desruptive to normal 'life. The secondary effects of disasters are the dangers they leave in their wake in the form of damaged and unsafe structures. Such damages must be assessed by qualified personnel to evaluate conditions and to initiate proper actions for the disposition of threats to life and safety. Very few inhabited areas in the world are completely free of' the threat of a disaster of some sort. The public, as a whole, is seldom equipped or ready to cope with an emergency and instead tends to leave reactions to emergencies for pdblic agencies to handle. In cases of fires, conflagrations, insurrection, riot or other civil disorders, the fire, police, and often the army or national guard, are brought into play as the first lines of defense. Secondarily, the Red Cross and medical teams arrive to ease the suffering. These agencies all have well-designed plans and, often, several types. But what about severely damaged buildings and struc- tures which have been adversely affected by high winds, earthquakes, flood or fires? Who should take the initiative for their disposition, and when? The answer obviously is the building department. DEFINITIONS 1. Building Department Disaster Coordinator. The person designated by the Building Department in any of the various jurisdictions to be responsible for record-keeping, duty rosters, and disaster response. 2. Building Department Disaster Inspector. A volunteer who will assist a building department in cases of declared emergencies when the workload exceeds the capabilities of Building Department personnel. Normally, these volunteers are other military officials, building inspectors, plancheckers, architects, engineers, general contractors or county assessors. 3. Declared Emergency. The action that a government (city, county, or state) must take before invoking mutual aid agreements or assistance from the next higher echelon of government. 4. Disaster. The occurrence, or imminent threat, of widespread or severe damage or loss of property, or life resulting from any cause. 5. Emergency Services. The action taken to mitigate or alleviate the results of any calamitous event or war emergency. 6. Disaster Assistance Center. A center established by state of federal author- ity which serves as a one-stop information center, normally established after the emergency or disaster is over. 7. Director 'of Emergency Services. The local official in charge of all operations during an emergency. Usually a City Manager or County Chief Administrative Officer (CAO). When any jurisdiction outside of the County is affected, the CAO becomes the "coordinator." 8. Emergency Operations Center (EOC). A facility for the centralized direction and control of the emergency organization and the general public, at a local, county, state or federal level. International Conference of Building Officials - Redwood Empire Chapter. An organization composed of a local chapter whose members are employed by various levels of government as building officials. Government employment is a pre- requisite to voting membership. The signatory jurisdictions within said chapter are towns, cities and counties of Lake, Mendocino, Sonoma and Marin. 10. Office of Disaster Preparedness (ODP). The day-to-day staff for the county emergency service organization. 11o Unified County Emergency Services Organization. The voluntary council of local governments created for the purposes of preparing mutual plans for the preservation and safety of life and property and making provision for the execution of those plans in the event of a local emergency, state of emergency or state of war emergency, and to provide for mutual assistance in the event of such emergencies. UNIFORM BUILDING .INSPECTION DISASTER CONTINGENCY PLAN I. AUTHORITIES ANI) REFERENCES A. Federal disaster Relief Act of 1974 (FL 93-288). B. California Emergency Services Act, Chapter 7 of Division 1 of Title 2 of the Government Code. C. California Emergency Plan, December 1970. D. California Disaster and Civil Defense Master Mutual Aid Agreement, November 1950. E. California Emergency Resources Management Plan, January 1968. · F. California Damage Assessment Plan for Volunteer Engineers, May 1978. G. Governor's Orders and Regulations for a War Emergency, 1971- H. Counties of Lake, Mendocino, Sonoma and Marin Emergency Services Ordinance No. 1867 December 1971. I. Lake, Mendocino, Sonoma and Marin Master Emergency Plan, March 1971. J. Uniform Building Code (UBC). K. Uniform Code for the Abatement of Dangerous Buildings (DBC). L. Local Ordinances of affected Jurisdiction~ II. PURPOSES A. To provide for the inspection and posting of all structures in any area beset with any type of disaster which might have resulted in structural damage and created an unsafe and hazardous structural condition. B. To provide a viable organization with a sufficient number of skilled personnel through mutual aid or augmentation from the private sector to conduct building inspection in a disaster, area with the least possible delay. C. To designate those structures for shoring or demolition which are found to be in such an unsafe condition as to create an immediate threat to a safe environment. D. To provide for such reports and records of building inspection and posting operations as may be required by the various levels of govern- ment. -6- ' III. ORGANIZATION A. Pr imary 1. Office of County Emergency Services 2. Building Department, each signatory jurisdiction 3. Damage Assessment Teams Bo Support 1. Redwood Empire Chapter-International Conference of Building Officials 2. Building Department Disaster Inspectors 3° Structural Engineers Association of California 4. California Building Officials 5. American Institiute of Architects IV. FUNCTIONS A.' Office of Disaster Preparedness 1. Pre -Emergency a. Prepare and update as necessary the Uniform Building Inspection Disaster Contingency Plan, receiving input to said Plan from the San Diego Area Chapter of ICBO. Plan and organize the disaster area building inspection program, receiving input from the Redwood Empire Chapter of ICBO. c. Register as Civil Defense Volunteers, maintain current information on, and issue appropriate identification to those architects, engineers and general contractors certified by ICBO and designated Disaster Inspector. (Appendix A) e. Maintain a list of local building department disaster coordinators and alternates. 2. During Emergency a. Coordinate the building inspectors mutual aid program. -7- b. Notify the following in order (until the appropriate number of volunteer Disaster Building Inspectors are available): (1) Local signatory Building Department Director coordinators o (2) Individual private certified architects, engineers, contractors and other qualified people. B. International Conference of Building Officials - Redwood Empire Chapter 1. Participate in the preparation and any necessary updates of the Uniform Building Inspection Disaster Contingency Plan. Provide technical guidance on legislative requirements necessary to obtain government funding or reimbursement. 3. Disseminate information concerning new legislation affecting the operations conducted under this plan. 4. Assist local jurisdictions in recruiting qualified personnel as Disaster Inspectors. 5. Certify to OES those architects, engineers, and general contractors qualified to be designated as Disaster Inspectors; and withdraw certification as warranted. Local Building Departments 1. Determine in area o'f jurisdiction natural and man-made hazards which in a disaster situation could impact on building inspection operations. Designate Building Department Disaster Coordinator and alternate. 3. Review local ordinances to assure they support the disaster building inspection operation and where necessary, initiate appropriate changes. 4. Review local emergency plans to assure they are responsive to the overall Building Department disaster operations. 5. Program for and procure through ICBO-Redwood Empire Chapter standard inspection forms, signs, equipment.and other material required in disaster building inspection operations. Do Local Building Department Disaster Coordinator (Name and Title) 1. Prepare, and maintain currency of this plan. 2. Alert and advise those Disaster Inspectors needed to assist in the disaster building inspection operation. -8- Be e me ® 0 Coordinate the local disaster response and inspection operation (Annex C). Maintain local duty rosters of approved disaster inspectors and asign tasks to building inspection response personnel. (Appendix D) Insure that the standards of the building code are enforced. Notify local Emergency Operating Center of building conditions and those requiring immediate shoring or demolition. Maintain necessary records add-prepar~ required reports. V. CONCEPT OF OPERATIONS A. Implementation le This plan shall be implemented on order of the Director/Coordinator, of the Emergency Services Organization upon the request of the local jurisdiction(s), or as indicated by the situation. Implementation of local plans shall be in accordance with the pro- visions contained in those plans. Bo Notification to building inspection personnel may be by telephone recall, radio/TV announcements, or as indicated by the situation. o Unless otherwise notified, building inspection personnel initially will report to their respective offices. B. Mutual Aid lo Mutual aid will be provided in accordance with the California Master Mutual Aid Agreement, California Emergency Plan, County Operational Areas and this contingency plan. The requesting jurisdiction must declare a local emergency prior to requesting mutual aid. Bo Mutual aid will not be requested until all local resources have h~oeen committed. o Mutual aid requests will be directed to the County O'perational Area coordinator. o Mutual aid requests need not be honored by any jurisdiction when local resources would be depleted ~nreasonablM. C. fDtsaster Inspector Augmentation Assistance beyond that which mutual aid is capable of providing will be from the personnel pool of Disaster Inspectors. -9- D. 2e Requests for Disaster Inspector augmentation will be made to o~s stating any special qualifications desired, when and where to report, special tools, equipment or other materials needed and pro- jected duration of stay. Damage Assessment le The initial effort shall be directed to a determination of the extent of the affected area and a general I',nowledge of the magnitude of structural damage sustained in the area. e The affected area will be divided into inspection areas. Damage Assessment Teams will be assigned to conduct inspection and posting operations in specific areas to assure a complete and rapid assess- ment. ® me Damage Assessment Teams may drive or walk through their assigned areas when more clearly defining the boundaries of the disaster area and providing initial information on structural damage. Damage assessment information from steps #2 and #3 above will be used by the Building Dissaster Coordinator to make an estimate of the basic extent of and dollar value of damage. This information will be provided to the local EOC. e A structure by structure inspection then shall be made by Damage Assessment Teams with each team being asigned ~bout 20 b~ildin§s per eight hour shift, as the situation merits. Ge Building inspection information shall be recorded on a Buildino Inspection Report (Annex F) and transmitted to the Building DiSaster. Coordinator. Buildings which require immediate shoring or demolition shall be reported without delay to the Building Disaster Coordinator. The Building Disaster Coordinator shall take immediate appropriate action to strengthen or demolish the' building. It should be noted that to operate under the provisions of the Uniform Code for the abatement of Dangerous Buildings, it is necessary that an emergency be officially declared unless the jurisdiCtion has already adopted said code. Be Notices to indicate the habitability of a building shall be posted in a conspicuous location at all identifiable entrances so that signs are visible from street or driveway. (Annex G) Inquiries concerning federal assistance to disaster victims shall be referred to the appropriate Disaster Assistance Center. -10- VI. MATERIALS, EQUIP~.IENT, AND CLOTHING A. Building inspection personnel require the following items- 1. To be provided by the local or county government requesting aid. a. Official identification issued by gITS b. Inspection forms, signs, posters, writing instruments, and D cell flashlight batteries. c. Communications equipment d. Maps 2. To be provided by the Building Department Disaster Inspectors- VII. RECORDS A. , B. a® f. g. h. i. j. Clipboard Hardhat Flashlight UBC and DBC code books Tape measure Special tools, i.e., hammer, level, crowbar, etc. Camera, film Calculators, beam computers Cassette. tape recorder Field clothing appropriate for the season and weather Records containing the following information are necessary to document requets to the federal government for reimbursement. 1. Damage sustained, in dollar amounts 2. Act ions in itiated , 3. Manhours worked Appendices H and I indicate the details of information to be submitted to the federal government. -11- (TYPICAL RESOLUTION) RESOLUTION OF T~IE TO~N OF CORTE btADERA ADOPTING A MUTUAL AID AGREEb~NT PLAN BETWEEN THE TOWN OF CORTE bttDERA AND Tt{E JLT~ISDICTIONS OF LAKE, ME~fDOCINO, SONO~tA AND MARIN COUNTIES IN COO..RD~ATION WiTtt TIlE REDWOOD EMPIRE CikRPTER OF THE INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS. The Town Council of the Town of Corte Madera does hereby resolve as follows: WHEREAS, .an agreementahas been proposed between the Town of Corte Madera and the Jurisdictions signatory in the Counties of Lake, Mendocino, Sonoma and Marin for building inspection mutual aid in time of disaster, and WHEREAS, in the opinion of the Town Council of the Town of Corte Madera, the Town should be a party to said agreement. NOW, THEREFORE, BE IT RESOLVED by the Town Council of the Town of Corte Madera as follows: That the proposed agreement be~¢een the Town of Corte Madera and the signatory members and the members of the Redwood Empire-.Chapter of ICBO, a copy of which is on file in the office of the Town Clerk of the Town of Corte Madera, California, be , and the same is hereby approved. BE IT FURTHER RESOLVED that the Mayor of the Town of Corte Madera be, And he is hereby authorized and directed to execute said agreement on behalf of the Town of Corte Madera, California. Presented by Approved as to form by Edward Eisner' Code Enforcement Officer A1 Bianchi Town Attorney 198 AYES: NAYES: ABSTAIN: ABSENT: ADOPI]~D AND APPROVED BY I]IE , California, this , by the following vote, to-wit: Supervisor or Councilman Supervisor or Councilman Supervisor or Coundilman Supervisor or Councilman day of Chairman or Mayor ATTEST County Recorder or To%~ or City Clerk I,. of the DO HEREBY CERTIFY that the above and foregoing is a full, true and correct copy of RESOLUTION NO. repealed. and that the same has not been amended or DATED (seal) ATTORNEY GENERAL'S OPINION. Following are selected extracts from an Opinion (CB 77/91 IL) rendered by the California State OFfice oF the Attorney General on December 7, 1977, relative to the use of volunteer engineers, particularly Structural Engineers, fur post- disaster damage assessment. Extracts include the four questions posed by the Calif. ornia Office of Emergency Services, which were primarily concerned with damage assessment following ~ajor earthquakes, and the conclusions relative to each question provided by the Attorney General. Copies of the complete opinion are on file at the State Office of Emergency Services, its Regional Offices, and with the Structural Engineers Association of California. 1. QUESTION' ® May structural engineers who are registered as Disaster Service Workers be utilized to assess the extent of damages incurred by buildings in areas struck by earthquakes? ANSWER' Struct'ural Engineers who are registered as Disaster Service Workers may be utilized to perform post-earthquake damaqe assessments following the procla- mation of a State of Emergency or Local Emergency. ,~ . QUESTION' Would the appointment of such engineers as Deputy Building Inspectors, with- out pay, affect their eligibility for State Disaster Worker's compensation benef its? ANSWER' The appointment, without pay, of Structural Engineers who are registered Disaster Service Workers, as Deputy Building Inspectors by local govern- mental entities would not affect the enqine~'s entitlement to state Disaster Service Worker's compensation benefits, which would remain the exclusive remedy for physical injuries suffered by them while performing disaster related activities. QUESTION' Would such engineers be required to be "fully conversant" with local build- ing and safety codes? ANSWER- · Volunteer engineer/disaster workers would not be required to be fully con- versant with local building and safety codes. APPENDIX A A-1 e QUESTION- If a local engineer, Building Inspector, or volunteer engineer certifies a structure is safe for occupancy and when occupied it collapses and indi- viduals are injured, would the local entity, the state, or the certifying engineer be liable? ANSWER' No liability would attach to a public entity, its employees, or a Disaster Service Worker under the circumstances presented. APPENDIX A A-2 CIVIL Dr-E?:SE R_EGIS/P~\TION A:~ IDENTIF~"~TION CARDS DISASTER ~rORK£R OATH & REGISTRATIOel RECORD CC~NTY OIr' HRaIN . / DATi,~ do solemnly svoar (or affirm) that ! vt, Il allegiance to thc ,'o;,~'tlutlmt of the l'nt~cd States and t~e Constitution of tnt Stain of ~llifornisl th.~= [ t.:ku this obligation freely, *ithout ar.v mental reservatli,n or purpose ~ evasion; and th[: I '~tll ~ell anJ faithfully discharge ;he duties upon -'htch l IbO~t to enter. [ certify under penalty o~ perjury thal t~e Ioregoing ts trae {u~ correct. · . Issued Disaster · · -. Wor~er C&rd No. · , · Address Telephone ~ THIS CARD TO: Matin County Office of Emergency Services Ci~J,C Center, San R=fael, CA 94903 Under the. government code, all government employees are automatically considered to be "disaster workers" during declared emergencies and '. official disaster training exercises. Coverage under'Workmen's Compensation regulations is therefore automatic. · . Volunteer disaster workers, however, to be similaJly protected under Workmen's Compensation regulations, must sign the oath and certificate on the reverse of this card. This form when returned to this office Constitutes registration with the Disaster Council, as required by the government code. ..- · f COUNT~ OF MARIN AND MARIN OPERATIONAL. AREA EMERGENCY SERVICES DISASTER WORKER ; IDENTIFICATION ,~.o 3500 , NAME ADDRESS ! AsSIGNM ENT.,'~ ISSUED by ' DATE: / /COORDINATON~--OF FM~-HO~CY SERVIC~-S . . SS NO. HEIGHT WEIGHT HAIR COLOR EYES BLOOD TYPEi D.O.B. OFFICIAL DISASTER~YORKER DEFENSE CIVIL PREPAREDNESS BEARER IS ASSIGNED EMERGENCY DUTIES· TRAVEL ASSISTANCE IS REQUESTED. SIGNATUrE OF WORKER MISUSE OF CARD IS A PUNISHABLE OFFENSE. PHOTO APYEhS~IX B (APPENDIX C) EMERGENCY CHECKLIST FOR BUILDING DEPARTMFNT DISASTER COORDINATOR A. INITIAL DAMAGE ASESS~qENT · ~ Notify your inspection staff []]] Brief your inspection staff ~ Have your inspection staff make initial dan~age assessment (in teams of 2 inspectors) []~] Forward initial assessment information to your local Director of Emergency Services B. MUTUAL AID, IS NEEDED '. Marinsonom~ - []~] Activate mutual aid system by calling _ ~le~doc ±no [~ Advise 025 where disaster inspectors are to report, for how long they will be needed, ,and what supplies they should bring []]] Provide for sleeping and eating facilities for disaster inspectors as required ~ Deputize disaster inspectors for insurance and identification purposes ~ Brief disaster inspectors , F--1 Provide maps, identification cards, inspection forms, and signs * ~ Have teams of two disaster inspectors from your inspection staff make structure by structure inspections and post each structure. F~ Mobilize heavy construction manpower and equipment contacts as required for demolition ho~tact Dept. of Publi~ !~orks.. , F"-I Forward assessment information to your local Director of Emergency Services C. MUTUAL AID IS NOT NEEDED To be performed by inspection staff D. PUBLIC INFORMATION AND RECONSTRUCTION ['-'-']Send out news releases as required (see appendix E-1 for a sample) F---1 Participate in the Disaster Assistance Center as directed by your local Director of Emergency Services ~ Maintain complete and accurate records C-1 DAILY LOG OF DISASTER INSPECTORS Jurisdiction Date (Yes or No) (Hours wnrked to the tenth) Has Start Stol) Total NAME AFFILIATION Deputized ID Card Time Time Hours , ....... , . , . . , .... , , , I _ · . · .... . . . ._ , ..... , . __ ..... =, ..... __ .! ,.. ,. · .. , ,, · __ ....... ,. APPENDIX D D-! FOR IMMEDIATE RELEASE NEWS RELEASE The (jurisdiction) advises all contractors wishing to engage in repairs or reconstruction work neccessitated by our recent disaster to obtain permits and copies of disaster damage inspection forms before proceeding with any work. In addition, all contractors must be Stal~e licensed, furn~'$.h a Certificate of Workmans Compensation Insurance and have a local Business License. · All citizens and residents of (jurisdiction , please be informed that the purpose of these requirements is to screen ~ut possible opportunists from taking advantage of the current situation. Furthermore, residents are cautioned and warned not i~o sign blank contracts, agree to have work performed without first 'seeing the contractor's current State and local 'licenses, or allow work or alterations not authorized by the (jurisdiction) Building Department. Signature Title" ' · Phone Number Date (Double space all news releases) APPENDIX E E-1 INSPECTORS BUILDING INSPECTION REPORT Jurisdiction (name) __ (affiliacion) (~ame) ('afl i l'i at i'on ) Date Type of Incident ' BUILDII;G STATISTICS LOCATION Name of building Address Street intersection '(nearest) NUHBER OF STORIES Basement Yes No OCCUPANCY OR USE OF STRUCTURE Describe TYPE OF STRUCTURE (place X in b-ox) r-1 Steel frame _ r-1 Concrete frame Concrete bearing walls [--] Reinforced Unreinforced Hasonry bearing walls []]] Reinforced Unreinforced ~ood frame []]Other (describe) sketch of outline of bldg. showing '~' street(s) location(s) DAMAGE STATUS (fill in box with number designating degree of damage) KEY: Extreme Hazard(5) Major Hazard(4) Damaged(3) Minor(2) None Apparent(I) If not applicable, leave blank. .1. ROOF Surface condition ~ · Structural condition Comments including tyupe of construction EXTERIOR NALLS--Clockwise starting from street address side Wall No. 1 Exterior surface Windows Doors Structural condition Comments APPENDIX F F-1 JUNE 1981 KEY' Extreme ltazard(5) Major Hazard(4) Damaged(3) Minor(2) None Apparent(I) Wall Ho. 2 Exterior surface Doors Structural condition Comments Wall No. 3 Exterior surface Windows Doors Structural condition Comments Wall No. 4 Exterior surfact Windows Doors Structural condition Comments 3~ FOUNDATI ON Foot ings/Grade beams Basement Comments 0 FLOOR, STAIRWAY, AND ELEVATOR CONDITION First Elevator Stairs Floor surface Floor structure Comments including type of construction Second Elevator ~ Stairs Floor surface Floor structure Comments including type of construction Otheb Floors Damaged Floor No. · Elevator [-1 Stairs Comme n t s-- J--1 Surface [~l Structure Floor No. Comment s--- Elevator F1 Stairs F1 Surface [-1 Structure F1 Floor No. Comment s Elevator []] Stairs []] Surface Structure Floor No. Elevator U Stairs F1 Surface ~] Structure Con~nents .... (Use extra sheets if bu'i'l'ding is more than five fl'oor 'level's i'n height) F-2 5, INTER[OR BEARING/S~EAR WALLS DAMAGED Floor No. Structural ~ Comments Floor No. Structural~ Comments Floor No. r .', Structural Comments Floor No. Structural Comments · Ge INTERIOR CEILING/JOINTS OR TRUSSES DAMAGED r--1 Floor No. Structural N Comments Floor No. Structural~ Comments Floor No. Structural Comments Floor No. Structural Comments UTILITIES l~ater distrbtn lines Sewer drain lines Htg/Clg ducts Elec cables/~iring Gas 1 ines Water fixtures Sewer fixtures Htg/Clg appliances Electrical panels Gas meter 8. SOIL OR GEOLOGIC PROBLEMS [--1 Comments Comment s Comments Comments Electrical fxtrs Gas appliances U 'C'ommeAt's Comments 9. SAFETY OF BUILDING OR OCCUPANTS JEOPARDIZED BY AN UNSAFE ADJACENT BUILDING Yes E] No [--1 Unknown 10. ESTIMATE OF DAMAGE (if known) Percentage of Damage Dollar Value o-~ Damage 11. PHOTOGRAPHS TAKEN Yes [-1 How many n-I No [-1 RECOMMENDED USABILITY OF STRUCTURE PLACARDS POSTED (place X in box) KEEP OUT No. HABITABLE-Repa'irs required No. Special conditions and comments LIMITED-Entry permitted, but no occupancy No. SAFE No. " Connect ions Approved No. (use only if service is d'i'sconnected) Water Electric Gas Permit Information (if known) UDemolition No. Reconstruct i on/ATCer at i on None required No. F-3 ~I-nsp6~'t'or ' s §ignature 'Insp'e'Ct-or' s s]gnat"ure L!...I Z Z E o · ILl LU LLlZ ~0© 0 w d iii I- z E ILl I-- z 0 rr" 0 i...- CO Z,,< o,.) ~ --.! r..9 I-.-- -- ,.-d 0 I-'" 3z uJ LU I.-.- ~ _ · o 0 © u.I OI-- ~Z u~Z rr Z ~ LU Z LLI F- Z i 0 0 Il,II 0 Ii 0 I ,ii,,I IiiiI E LLI LLI APPENDIX H CERTIFICATION INFORHATION '('d'°unty, City or Special District) CATEGORY OF ASSISTANCE- AMOUNT INDIVIDUAL ASSISTANCE' lA. HOUSI ~,'G lB. INDIVIDUAL AND FAMILY GRANTS 1C. MASS CARE 1D. OTHERS (SPECIFY) TOTAL 2. 'PUBLIC ASSISTANCE' 2A. DEBRIS AND WRECKAGE CLEARANCE 2B. PROTECTIVE WORK 2C. RESTORATION OF PUBLIC FACILITIES 2D. PUBLIC SAFETY 2E. OTHERS (SPECIFY) · TOTAL $ GRAND TOTAL $ This certifica.tion information covers expenditures and obligations of local govern- ment for the current disaster for which no federal .reimbursement will be requested. 'Pl'epared By Date Approved By Date Position within Jurisdiction H-1 June 1981 APPENDIX I DAMAGE ASSESSMENT ~]I-6unty, City or S'p~cial 'D'i's't'ri'ct)- (Use Numb=.ring System When Reporting) lA. NUMBER OF DEAD 2A. NUMBER OF HOMES DAMAGED 3A. NUMBER OF BUSINESSES DAMAGED lB. INJURED . 2B DESTROYED 3B. DESTROYED 4. TOTAL PUBLIC DAMAGE: INCLUDING: 4A. ROADS (FEDERAL & SECONDARY) 4B. SCHOOL FACILITIES 4C. FEDERAL FACILITIES 4D. INDIAN TRIBAL FACILITIES 5. TOTAL PRIVATE DAMAGE: INCLUDING: 5A. AGRICULTURE 5B. RAILROADS '5C. PRIVATE HOSPITALS *5D. PRIVATE SHCOOLS *SE. PRIVATE UTILITIES * DO NOT INCLUDE PRIVATE NONPROFIT FACILITIES - SEE CATEGORY H-1 AND H-2. ESTIMATED AMOUNTS TO REPAIR OR RESTORE PRIVATE NONPROFIT AND PUBLIC FACILITIES 6. EMERGENCY WORK CATEGORIES -. A. DEBRIS CLEARANCE $ B. PROTECTIVE MEASURES · C-1. ROAD SYSTEMS · D-1. WATER CONTROL FACILITIES E-1. PUBLIC BUILDINGS AND RELATED EQUIPMENT · F-1. PUBLIC UTILITIES It-1. PRIVATE, NONPROFIT FACILITIES I-1. OTHER (NOT IN ABOVE CATEGORIES) I-1 June 1981 DAMAGE ASSESSHENT (CONTINUED) 7. PERtqAt4ENT ~ORK CATEGORIES C-2. ROAD SYSTEMS D-2. WATER CONTROL FACILITIES E-2. PUBLIC BUILDINGS AND RELATED EQUIPMENT F-2. PUBLIC UTILITIES G. FACILITIES UNDER CONSTRUCTION H-2. PRIVATE NONPROFIT FACILITIES I-2. OTHER (NOT IN ABOVE CATEGORIES) FEDERAL INDIVIDUAL ASSISTANCE 8. TEMPORARY HOUSIHG ASSISTANCE 9. DISASTER UNEMPLOYMENT ASSISTANCE 10. LEGAL SERVICES 11. FOOD STANPS A. NUMBER RETAIL STORES OPERATIONAL B. NUMBER RETAIL STORES NON-OPERATIONAL 12. DISASTER LOAN ASSISTANCE A. SBA B. FmHa 13. CRISIS C~JNSELING ASSISTANCE 14. INDIVIDUAL AND FAMILY GRANTS NO. OF INDIVIDUALS AND FAMILIES $ ' )TE' Idhen an emergency occurs, the OES Regional Manager will contact all entities of govern- ~nt in the affected area and obtain from them information for the current emergency or dis- ~ter. Report will immediately be filed with the Chief, Emergency Assistance Programs Division, -S, Sacramento. - , Prepared By l~ate ApproVed B'y Date Pos-it ion' wi't'h in Jd'~'isdict ion -' 'i71me I-2 June 1981