TRANSMITTAL of OMAH A LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID#: ^t^.)A| Date: ^j^'^ } ^' ^ 

Address: ^q-tn CAtl-frRNm Sl , 

Stabilization Contractor: Pruden t Technologies, Inc . Year: 2010 _ 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

y Video of property (DVD) pr ^ ^/i j pi^<r 

0 ' Executive Summary 

\ y Signed Access Agreement for subject property 

QZ Pre-Renovation Form signed by Property Owner 

D Pre-Renovation Form for Occupant/Tenant, if applicable 

y Painting Agreement 

D Settlement documents (i.e., for-damage or to replace plants, etc.) 

SK Renovation Recordkeeping Checklist signed by Certified Renovator 

y Photographs 

sf Satisfactory close-out check list signed by Property Owner 

of Property close-out check list signed by EPA 

y Property information from Douglas County Assessor's Office 

^ Hazard analysis, if prepared 

D Safety Audit 30260161 

D Other (describe): II I III llll lllll I III III lllll lllll I 

Superfund 

Prudenf Technology, Inc. Signattire MJate' 

'Oat/ 
TECHNOLOGIES. ] 

Property Suinmary 

Date: 6/24/2010 LBP STABILIZATION EPA CONTRACT EP-R7-08-07 Month of: June 

Property Address: 3410 California St. SAID #: 24161 

A. Executive Summary: 

a. Issues Encountered: NONE 

b. Issues Resolved: NONE 

c. Unique Findings: NONE 

d. Other Relevant Information: 

i. Access Date: 0i3/30/2010 

U. Work Began: 04/18/2010 

iii. Close-Out Date: 04/20/2010 

B. Enclosures: 

1. Pre-Stabilization Video 

2. Post-Stabilization Video 

3. Signed Access Agreement Form 

4. Advance-Notice Form 

5. Pre-Stabilization Video Agreement Form 

6. Access Tracking Form 

7. Property Access Assessment Form 

8. Neighbor Access Agreement Form 

9. Property Paint Match Form 

10. Pre-Stabilization Property Safety Assessment Form 

11. Work-Site Hazards Analysis Checklist 

12. Pre- Stabilization Property Hazard Assessment Photographs 

13. Douglas County Assessor Property Information 

14. Signed Property Completion Agreement Form 

15. Property Close-Out Check List Signed By EPA 
s STsPsw 

%. & 

TECHI40L0GIBS. IN C 

Prudent Technologies, Inc. (Prudent) is under contract (Contract # EP-R7-08-07) vsdth the U. S. 

Environmental Protection Agency (EPA) to stabilize Lead Based Paint (LBP) at a number ofproperties 

located in Omaha, Nebraska, including the property located at: 

The EPA requests your permission to allow Prudent to perfonn LBP Stabilization at this property. By 

signing this form, the property owner grants permission to Prudent to perform activities related to LBP 

Stabilization including scraping paint and painting ofthe referenced property. Further, the 

owner/tenant verifies that they have received the LBP pamphlet "Renovate Right." 

By signing this document I agree to allow an EPA contractor to conduct a soil cleanup at my property 

following completion of lead-based paint stabilization, if fhe soil cleanup has not already been 

performed. I imderstand that the stabilization contractor cannot provide assurances of which 

contractor will be bound to the soil cleanup. I further imderstand that the soil cleanup contractor will 

make all reasonable efforts to address concems that I, as the property owner, may have regarding soil 

cleanup at my property. 

[X.] Yes, I have read and understand the paragraph above. 

S^-<rly£^ft^7>^ia.''<r'^'^t, <^^^<=g^t^A^ ^^-^CZ Q 

Property Owner's Signature Date 

If you have any questions about the LBP stabilization plaimed for your property, please contact 

Prudent's Customer Relations/Office Manager for the Lead Based Paint Stabilization, Mr. Chandra 

Shekar at 402- 504-1004 or 402-889-3821. General questions about the Omaha Lead Site cleanup can 

be directed to the EPA Public hiformation Centers at (402) 731-3045 (South Omaha office) or (402) 

991-9583 (North Omaha office). 

Propertv Access Granted Bv: 

^ QM'Cl^^ZViyO.^ttt, hn^ZAytlu ^(^'J<0ZO 

Property Owner's Signature Date 

Please Print Name 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
% s 

TECHNCnOCIBS, INC. 

PROPERTY INFORMATION 

(To be completed by resident and/or property owner ~ please print) 

RESIDENT NAME: ^^CtZL/yj^ C ofU. cL^iUaxS^ ^ /^Owne ) Tenant 

RESIDENT ADDRESS: \^cxtXc x O^o^'^Ifa ^ 

IF RENTAL, PROPERTY OWNED BY: ^^H^^JAyO-iL oly€i4y^^^i^az^'<:^^ 

OWNER'S MAILING ADDRESS: 'JiUs O (^Ql.A>rpC ^ 

OWNER'S TELEPHONE NUMBER: 

Home: 3^1-^52- 7 Work: _ Cell: 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: O 

TOTAL NUMBER OF OCCUPANTS: 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR 5 HOURS 

OR MORE PER WEEK: CD. 

COMMENTS OR SPECIAL INSTRUCTIONS (such as dogs, entrv gates, etc.): 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be implemented 

by EPA under this agreement are pursuant to Section 104 ofCERCLA, 42 U.S.C. 9604. EPA's right 

of access to the property is provided for in Section 104(e) ofCERCLA, 42 U.S. C 9605(e), which 

provides entry for "determining the need for response, or choosing or taking any response action under 

this title, or otherwise enforcing the provisions ofthe title." 

Property Owner Signature: VT Lyd-eyy^^ZU^'^x^t^Cei^ %i.y)LZ^^A. "^ O- O cu t o 

(Signature) Date 

8080 Ward Parkway, Suite 405 2505 N. 24'" street. Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone:(816)363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
% 

PRE & POST PAINT STABILIZATION VIDEO AND PICTURES 

I understand that prudent Technologies (Prudent) will be coming out to shoot a PreStabiiization video and to take pictures of my property. Prudent will use the videos and 

pictures to document the current property status/condition. Also, Prudent will shoot a video 

shot following the completion of the paint stabilization. I give permission to videos and 

pictures of my property. 

Please list any special conditions that Prudent employees need to be aware of before 

shooting a video (such as pets, prior notice, etc.). 

3 ^ 1^ C<y\'€^c Oio t St- Property Address 

T^aCCnt l^gck-oAc i

Owner's Name 

X 

Signature 

^f^^//^ 

Date 

ADVANCE NOTICE REQUIREMENT 

After signing the access you allow Prudent to begin Lead Based Paint Stabilization. All 

Plants, weeds and any vehicles or items on open porch (enclosed porches will NOT be 

stabilized) must be removed prior to stabilization. All Pets must be out of yard during 

stabilization. Please indicate below how much advance notice you need to have the abovementioned tasks completed. If you are a landlord you will need to contact the tenant as 

Prudent will only inform the property owners. 

Do you have any pets that reside in yard: "Vv-^ 

Notice needed: r> H *^^ ^ 

Phone number to call to give notice: ^L/y ^5^7 

Whom we are giving notice to: pHe^r >'*? f ry.ri OS. 

6080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
Current Sample Pre-Renovation Form 

Effective until April 2010. 

Confirmation of Receipt of Lead Pamphlet 

"9 I have received a copy of the pamphlet, Renovate Right: Important Lead Hazard 

' Information for Families, Child Care Providers and Schools informing me of 

the potential risk of the lead hazard exposure from renovation activity to be 

performed in my dwelling unit. I received this pamphlet before the work began. 

Printed name of recipient Date 

^j^^^<Uz€yt\..a^cL:t^ 

Signature of recipient 

Self-Certification Option (for tenant-occupied dwellings only) — 

If the lead pamphlet was delivered but a tenant signature was not obtainable, 

you may check the appropriate box below. 

Q Refusal to sign — I certify that I have made a good faith effort to deliver the 

pamphlet, Renovate Right: Important Lead Hazard Infonnation for Families, 

Child Care Providers and Schools, to the rental dwelling unit listed below at the 

date and time indicated and that the occupant refused to sign the confirmation 

of receipt. I further certify that I have left a copy of the pamphlet at the unit with 

the occupant. 

Q Unavailable for signature — I certify that I have made a good faith effort to 

deliver the pamphlet. Renovate Right: Important Lead-Hazard Information for 

Families, Child Care providers and Schools, to the rental dwelling unit listed 

below and that the occupant was unavailable to sign the confirmation of receipt. 

I further certify that I have left a copy of the pamphlet at the unit by sliding it 

under the door. 

Printed name of person certifying Attempted delivery 

date and time 

lead pamphlet delivery 

Signature of person certifying lead pamphlet delivery 

Unit Address 

Note Regarding Mailing Option — As an alternative to delivery in person, you 

may mail the lead pamphlet to the owner and/or tenant. Pamphlet must be mailed 

at least 7 days before renovation (Document with a certificate of mailing from the 

post office). 
SRm 

INC. 

% 

PAINT MATCHING FORM: 

1. TO BE FILLED OUT ONLY IF MATCHING COLOR 

PROPERTY ADDRESS: "^Z) )d? (^^\ x Co ? ^

BVID: 

The following notes are for the benefit of paint crew only. 

Location 

Siding 

Soffit 

Fascia 

Comer Trim 

Window Trims 

Door Trims 

Front Porch Ceiling 

Front Porch Ceiling Beams 

Front Porch Floor 

Front Porch Railings 

Front Porch Steps 

Siding Baseboards 

Foundation 

(T\CC<^< ^ P 

v-y > (J 

Paint Description 

Asit^^^^^ 

-

«J D 

H ri 

VAJ^?^^C^ *r,*cU'i ^ 

y 

^ ok S4 

Paint Yes Paint No 

y 

y 

y 

y 

y 

y 

y 

y 

y 

y 

y 

y 

/ 

y 

• I UNDERSTAND SHER^ VIN WILLL\MS WILL MATCH MY C URRENT CO] LORS. 

Homeowner signature: >C tt^'^^.-cOC^JC^^^^u.^CiL Dzte:}iUZAyL6(.. 3 ^ -'^t^P £ O 

8080 Ward Parkway, Suite 405 2505 N. 24'" street. Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
% 

TECHNOLOGIES, IN C 

ACCESS ASSESSMENT FORM: ^ l j \ ^ ^/ ^ L' « ^ (- ^ Z \ ' 

Is the property stucco or asbestos? ftsl:><2^<.-f^^ 

If yes, is any of the stucco or asbestos damaged or 

cracked? y^ o 

If yes, stop as we can't stabilize this property. It 

requires special preparation techniques. It will be 

returned to EPA and they will assign at a later date. 

Does this property require lots of scrapping? r J ^ 

Does this property require a lift or scaffolding to reach K/CJ upper levels? 

Does this property have lots of plants or items in areas 

where painting is required? S^v^^^— 

Does this property have any significant structural 

damage? If yes, EXPLAIN? >i e 

Does this property have a garage? yey; - yy^\^c\^ty If yes, describe location of garage. 

Does this property have aluminum siding? Ifyes, is it 

original factory finish or has it been painted over? -r( o 

Does this property have any other type of structural 

components? (I.e. roof shingles as siding)? >1 0 

Ifyes, EXPLAIN? 

Is this property vacant or occupied? o 

Are there any pets at this property? W<9 

Are there any low hanging power lines? 

yc<r 

Do we need neighbor's access? If yes please explain 

and get neighbor's property address and owner 

information. If possible, get signature from the 

neighbor. 

8080 Ward Parkway, Suite 405 2505 N. 24'" street. Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
% 4». 

TEOiNOLOGIBS, INC %.. R0*5» 

ACCESS INFORMATION TRACKING SHEET 

BVID: PROPERTY ADDRESS: I^y/ O y/^ZL/yzPZ^zyzy^ j-y . 

Property Owned By: 

(If new property owner) 

Owners Phone No's: Home: Work: 

Cell: Fax: -

Access Contractor: ASW PDA MES PE Other (Prudent) 

DATE^ TIME ACCESSOR CONRACT DETAIL 

^o^V^" HA^ 

^ \ \ y 

Comments: 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
(effective April 2010) 

RENOVATIO N RECORDKEEPIN G CHECKLIS T 

Name of Firm: /j^fiL/iy 60. 

Date and Location of Renovation: j]?- ^ ^U ^ ^^l O n^-llUf/Jj i g ^ 

Brief Description of Renovation: ^C^ApC j Pfjm ^ /fhl/iJV - j dkf)^ - ^ 

Name of Assigned Renovator: Pfiyf flffy/)lfjp. 

Name(s) of Trained Workers: ^ (jo lrf> j/ l /^tM'2- ^ 

Name of Dust Sampling Technician, Inspector jcter,, and/o and/orr Ris Riskk Assessor Assessor,, iiff use usedd

: 

km Cm\fzc/ (^fiMy Um/yy? 

^ Copies ofrenovator and dust sampling technician qualifications (training certificates, certifications) on file. 

y Certified renovator provided training to workers on (check all that apply): 

]/Posting waming signs B^etting up plastic containment barriers 

^Maintaining containment ^Avoiding spread of dust to adjacent areas 

^^Waste handling / • Post-renovation cleaning 

D Test kits used by certified renovator to determine whether lead was present on components affected by 

renovation (identity kits used and describe sampling locations and results: i 

JZWWarnin J g signs posted at entrance to work area. 

^0^Work area contained to prevent spread of dust and debris. 

/•"Windows in and within 20 feet ofthe work area are closed 

ytiooTS in and within 20 feet ofthe work areas are closed and sealed 

D Doors that must be used in the work area are covered to allow passage but prevent spread of dust. 

^0^oun d covered by plastic sheeting extending 10 feetfiromwork area - plastic anchored to the 

building and weighted down by heavy objects. 

D If necessary, vertical containment installed to prevent migration of dust and debris to adjacent 

property. 

y Waste contained on-site and while being transported off-site. 

Renovation Recordlceeping Checklist Omaha Lead Site 
(effective April 2010) 

Work site properly cleaned after renovation. 

jZf'^All chips and debris picked up, protective sheeting misted, folded dirty side inward, and taped for 

removal. 

]^Work area HEPA vacuumed to get paint chips from ground surface, if necessary. 

D Certified renovator performed post-renovation cleaning verification (describe results): 

y I certify under penalty of law that the above infonnation is true and complete. 

Name and Title Date 

Renovation Recordkeeping Checlciist Omaha Lead Site 
mmm %

Ruy 

TECHNODiCXSIiS, IViC 

Checklist for the Worksite Hazard Analysis 

Address: ^^V/(0 LiJUh\/iLU J J ^ ' 

Crew: Date: ^'U ' /6 

Item OK? Hazard Corrective Action 

Overhead Lines y 

In-transit Vehicle Clearance 

Levels around high wires y I^^^Uiy^jM^ f 

Vehicle Clearance around y high wires when working jUyy^ czy£\ ^ 

Phone lines y 

Cable lines y 

Gas Line . y 

Water Line •,y 

Sewer Line y Septic Tank . ^ 

Propane/Butane y 

Access to/on Property y Neighbor Access Required ^ 

High Traffic Area • . ^ 

Garage y 

Structures y 

Driveway y 

Sidewalk . y 

Foundation . y 

Retaining Walls y 

Fences -, ^ 

Trees i ^ 

Foliage 

General Condition of yard i ^ 

Damaged Areas: sink 

holes/rotted wood i - ^ 

Sprinkler System t y 

Pets . y 

Insects . y 

Weather Conditions y 

Unsafe driving conditions y 

Unsafe neighborhood y 

8080 Ward Parkwdy, Suite 405 2505 N. 24"" Street, Suite 308 4242 Medicdl Drive, Suite 4250 

Kansas City, MO 64114 Omaha. Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210^822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 



% 

ENVIRONMENTAL & CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

OMAHA LEAD BASED PAINT REMEDIATION 

2010 

(Lead-Based Paint Stabilization EPA Contract EP-R7-08-07) 

Property Owner Close-Out Form 

SAID: o?m6i 

Property Address: rT^^C f <<>?Z. Zy=tZy^y\Zyy9 .^ y 

Owner'sName: Z^/Jye// ^ 7>/Z'^:^ 7^/9'Z>yP 

Performance Standards/Close-Out Criteria YES NO 

1. Was the entire structure(s) painted with the exception ofthe stated, excluded areas? This 

would include painting of other associated features including fascia, eaves, siding, all trim, 

porches, box beams, columns, rails, and exterior surfaces of garages. 

2. Was all scraping and other preparation work completed satisfactorily? 

3. Were all required areas ofthe structure(s) primed as needed and painted with two top coats? 

4. Was the paint products utilized equivalent to a 25 year product/quality? 

5. Are all ofthe areas where contaminated materials have been spilled thoroughly vacuumed/ 

cleaned? y

6. Did the contractor collect/vacuum all falling and scraped paint chips on the entire property, 

roadways, alleyways, public access areas and also remove any other generated debris? 

1. Is the grass area that surrounds the structure(s) in reasonably good condition? i 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, barrier tape, etc. 

properly removed? { 

9. Is there any evidence ofproperty damage that was done by the contractor? Any property 

damage needs to be completed prior to the EPA Close-Out. 7

10. Are you satisfied with the work performed? T 

11. Are there any property items that were temporarily re-located by the contractor that need 

to be moved back? 7

12. Are there any (known) lingering issues with the property owner(s) that have been left t 

unresolved? 

Other Considerations/Property Owner Discussions/Additional Work that is Required: 

PropeftyOwneiv Signature Date 

Prudent Techno/ogies, Inc. Signature Date 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 218 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phorie: (816) 363-3703 Phone: (402) 504-1004 Phone: (210)822-9588 

Fax: (816)363-3707 Fax: (402)504-1005 Fax:(210)579-6577 
•RIJDEN ENVIRONMENTAL & CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

OMAHA LEAD BASED PAINT REMEDIATION 

EPA Close-Out Form 2010 

(Lead-Based Paint Stabilization EPA Contract EP-R7-08-07) 

SAID: p//;6/ 

Property Address: 3^| Q <^fc'iC.e^c-Q S f 

Owner's Name: 

Performance Standards/Close-Out Criteria YES NO 

1. Was the entire structure(s) painted with the exception ofthe stated, excluded 

areas? This would include painting of other associated features including fascia, 

eaves, siding, all trim, porches, box beams, columns, rails, and exterior surfaces of y 

garages. 

2. Was all scraping and other preparation work completed satisfactorily? y 

3. Were all required areas ofthe structure(s) primed as needed and painted with 

two top coats? t y 

4. Was the paint products utilized equivalent to a 25 year product/quality? K ^ 

5. Are all ofthe areas where contaminated materials have been spilled thoroughly 

vacuumed/ cleaned? y 

6. Did the contractor collect/vacuum all falling and scraped paint chips on the 

entire property, roadways, alleyways, public access areas and also remove any t ^ 

other generated debris? 

7. Is the grass area that surrounds the structure(s) in reasonably good condition? y 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, y barrier tape, etc. properly removed? 

9. Is there any evidence ofproperty damage that was done by the contractor? Any y property damage needs to be completed prior to the EPA Close-Out. 

10. Has the Property Ovraer signed the completion form? 

11. Are there any property items that were temporarily re-located by the contractor 

y that need to be moved back? 

12. Are there any (known) lingering issues v^th the property owner(s) that have 

y been left unresolved? 

Other Considerations/Property Owner Discussions/Additional Work that is Required: 

yaliAjrfL..y£ayLc^J^y^t^ 

EPA COR Signature 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 218 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone:(816)363-3703 Phone: (402) 504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax:(210)579-6577 
Douglas County Account Inforij^ion Page 1 of3 rn^ion 

% 

Douglas County, Nebraska Property Record - R1264200000 

Print Report 

NEW Feature - Parcel Dimensions available &. scale 0-50 ft west of 52nd St - Vie w OH IViaO Information is valid as of 2010-3-16 Treasurer's Tax Report 

New Feature - • -> ^ Auto Sales Search 

Owner 

DEESTRADA MARIA E 

^ ^ ' pvwo: 24-1-M-5ST 

3410 CALIFORNIA ST ~ 

OMAHA NE 68131-0000 

Property Informatio n 

Key Number 6420 0000 12 

Account Type: Residential 

Parcel Number 1264200000 

Parcel Address: 3410 CALIFORNIA ST 

OMAHA NE 68131-0000 

Legal Description: HARTS SUB DIV LOT 8 BLOCK 0 W 40 FT LTS 6-7 & 40 X 120 

Value Informatio n 

Land Improvement Total 

2009 

2008 

2007 

2006 

2005 

2004 

$6,000.00 

$6,000.00 

$6,000.00 

$6,000.00 

$5,600.00 

$5,600.00 

$56,300.00 

$56,300.00 

$46,300.00 

$49,000.00 

$54,100.00 

$31,000.00 

$62,300.00 

$62,300.00 

$52,300.00 

$55,000.00 

$59,700.00 

$36,600.00 

Sales Informatio n 

Sales Date: 

Deed Type: 

Price: 

Grantor 

2001-10-26 

WD 

$63,000.00 

Book: 2195 Page: 534 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Valid 

Sales Date: 

Deed Type: 

Price: 

Grantor 

1994-10-31 

D 

$34,000.00 

Book: 1991 Page: 449 

http://douglasne.niapping-online.com/DouglasCoNe/static/accountinfo.jsp7accoun tno=R1264200000 3/22/2010 
Douglas County Account Inforn^ion Page 2 of 3 rn^^on 

% 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.11 4800.0 1.0 120.0 40.0 No 

Improvemen t Informatio n 

Building 1 

11/2 Story Fin 3410 California St 

D«t<>«fB0« 

400 iq t 

LI7 • 0 

ss?t?fr 

ur Sir 

H t 

>U«4t 

SBinakxliBn eTZDSqR 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1200.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 1 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 6.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1914 0% 1914 96 

Detail Type Detail Description Units 

Add On Covered Patio 

24.0 

Appliance Allowance 

1.0 

Basement Bsmnt Block 8 ft 

672.0 

Fixture Additional Fixtures 1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R 1264200000 3/22/2010 
Douglas County Account InfornM^on Page 3 of3 rnu^on 

% 

Fixture 

Fixture 

Garage 

Porch 

User 

User 

Base Fixtures 

Bath Full 

Detached 

Slab Roof Ceiling 

Frame Asbestos 

SEE NOTES 

1.0 

1.0 

400.0 

192.0 

1.0 

1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R1264200000 3/22/2010