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065-190-080
9 s f R 65-19-80 S 2 �L/ c./ •�'� .t Wert _Kepkey (Lot 478) _ 165 Vine.Rd., Fir Haven Sub, Magalia contr: Tri V Const.; -.Paradise Permit #288-78P,E(util.,MH lktAel ELEC. ' q _ GAS SUPRRT STRUCTURE REQ. - COMPACTION TEST REQ. _ -65-19-80 Contr: John Beutl(Sr, YC Permit #2719-7 MHI l9t1?AL Issued - 65-19-80 Permit �k4828-78B E(new pri.garage) 65-19-80 Permit #590 c,78B(.pew open decks /MH). X065-190-080`' 3 �-�?i PERMIT#95-1974 u'KEPKEY,'';:bob ' s '6569 Nine St .'41 Cont,'vTri Gas Line/MH p L'il ;� I X065 190-080 ;? ,,r ,PERMIT#,97 2336, KEPKEY,� Robert &'Florenc a ,.. 6569 `.Vine 'St " "Magalia NCont:'Sieria.Pacific-.,MHiSer.� Ex' MH on Perm' Fnd , ` ,ti I LO T� mil ALC4jRGllc.i AF.Iiwteta0 •r u.. 111 .••11.1+.1 t0 _ r... Suutht•rn Cullfornlu Ausuelutlon )(►u;a ••I'. •••a of Svveuth-da Adventists Y MUI TE "VJI:1 :' ..'1' f.r 104 ' r'. '' v v t AND wifew aaCOAo•o EAI► 10 Ea 11:: 1,1, 0. W ISA 1 rSouthcrn California Allsociation.•• «j r1.... of Sovonth-day Adventists . !-CLI-fir A. NClt,;11 � •• CLENK'11EC1)MDEIi P. 0. Box 969 wµ ClenJule. CA 91209 y.l:..,vyi;'•%i;: A..:' L J 81— 4733 FM -r. 6 Mrs. Robert Y. Kepkey 640 Norl.h Chantry Drive A«:w la Hubris. CA., 90631 ll"u•'w "' 4^^"'' 1111/AC[ AOOV[ TNIe LIN[ FOR 119COADG1'e UDE I.I,•J ':.., a:') a' t ( Corporation Grant Deed Ctrw, ;Y.n w I..v.l..•9, 065-19-0-080-0 al:w V.n.l.l• IMIa IaAY 11IANI.MaY a, 11COa 111a1 IMaY./n• . I M 'Ib, undrnlKnrd Klrnlurl.) Jrrinrl.h NONE NO CONSIDERATION PAID. 16n•unsrnlury Irrlaa(rr Irl 1. i l I ".mj.wlyd .,It full Valu, of prupetly runveyed, or l 1 —11,puly4 .,Is full Valllr Ira. Valu. of lira. And rnrem6tAnrra rrinrining At Ilmr Y( —Ir. 1 11'niululynlatr.l .Ira: ( 1 Cily ul—_ And I•OII � \.1.11{111.1. (.l)UIDF.II�'IIUX, rrrlq.l ..1 ,,blah n hrnlq rrin.lwlydxrd, S()UTIIY,KN CAI.IY()KNIA ASSOCIATION OV S1.'VYNTII-DAY ADVENTISTS 0 a ..,it 141iun m,lani/rd vwlrl 11..• t... 11f Ihr Slide all 11,1,1) (;NA',* I S b. KOBY,KT Y. Y.YI'Y,1'"Y and FLORENCE. V. KY,1'KY.Y• husband and 'wife, it., L.Ilua.ulx llrartil—1 1,41 prglrrly in Ihr C., us. 1V ul Gutta , Stair of (..Ilfornl.' A LIFE. ESTATE 1N AND TO: Thu South half of I.ut 478, as sham on Hutt eertaln.Map entitled "PIR IIAV12: SUBDIVISION,' which Mop wait recorded In the office of the Recorder of the -County of Butte, State of Culi(urnia. May 19, 1955, In Book 21 of Maps, at Pager 31,72173,14 and 35, and as sliowll un that cvrtuln Iwcord of Survey recorded March 12, 1961, in Mnp (souk 27, at I'uyen 8, 9, and 10. YKC1:1'TIN(: AND RESERVING 111r)(F.'K04 all of the valuable mineruls heneath the surface of Lha: said lands, with rlltht tit mine and extract eatd minerals, it he1nK agreed and underntutxl that In all minlnK operations, the surface of sold lands will be protected avainst /llamnva and Moll all snob mislay shnll lie car -.!cd on frlxa-untic:a, drifts haviny, their orifices ootslde of the surface urea of the nhuve-described realty, .Ill is,, exeupted and reiterated in the Deed from Mtsynlln Mining Company, it curporntion. to 1'. I). !;torts, et 11x, recorded !sept-eisilwr 4, 1947, !n hunk 427. of )little '-'ousity Off ItAtil ((•:cords, ❑t Paige 711;. In Wilnr.. U'llrtruft ,.ill rulp11lrliun hit r.u.rd im �....,.11,�111011 nnnr a...1 «•.I 1.. I.• .(lard hn,t.. and 111" .... 1. a. IIKIII lit IM rVrulyd I.)' 11. V��J'1 r.11Ir111 aul .._--.._._—.._.. _._.�—. w•�'rrl.l) Ihrlruutu duly aullnaLnl, SOUTIIY.KN CALIFORNIA ASSUCLATICIN"'. e U.ud; OY SEVENT11-DAY AUV_F'.':itBTS %1 AIL lit' I:A1.11't111N1t 1111 Alli 1 I► 7 l.ul'h'I Y UI'.. _... _. Y�5('..l.h.___-- ///J/�^•• � � ,r %r.adno 111, _., • Jtliluary._S,••,•iJtll.....—..._. Ialwlr TI, Ih1 Yndll• :n/L 4 - ,gnnl. • Haat I'u1d11 In rl.d I.1 .lad ?u". palrrodlr ayyru rd ...111 1V _ _ I.eu111lr.d.•�lVgL'Y11.SiLtlltll'_-_.._-- Inoue `' ..,,N„- _� and To I to lnuva 1. 11w a W _ Krrlrurl of ILr G.ts.4allun (bat ran -wird 1M o;;7.;,� .•T ,.•.;; ' •;ibis In.11 Y11VM, 1M..n L1 mr 111 I.r Ila 1.11 wit• uh. rarrw0d IM t;r^} Y•�„'•;.•'•� Yldun In01111nrn1 un 1.1,01 1 shot (inpuullYn 11-8,10 aatwrd, sad ;�6i.> p'LM•r1/dead 1Y n” Ih.1 ... It 6.01 /all'. rarrulyd list ■Idda Inuto Of I I C I. t S ( t 1Y1n1 pul•Yan1 to n. 61.6.6 of a uwlunnn of Ik.814Iwd .1 alllrra• i' l , A: t►1111 L fJ11M " N'1 I M.14 last hmd •nd u1t1Vu1 .rrl. ,1�� A.d111 1 V611C UldJaxll �'ti: 1115 RNCitts wusiTY I.P.r1 114 11. 1161 1 ./ ..... ... ..... .. .. .. .. lTM1 «r• I.++r....1 w+l «.•I •.•n TAlt 01±1 Nn..... _ I:.1... 111 I...1. Ku.. . MAIL TAX STATEMENTS AS DIRECTED ABOVE 1 \7j co 0:? 0 The undersigned grantor(.) declare(a)1 v t HONE NO CONSIDERATION PA! �M '1 sa a , Documentary Iranaler Isis, is i + •, d,aD ( ) compmeJ on lull value Of property conveyed, or Cwwt S� en �„ sv "l ( 1 compute) on full value lea',value of Ilene and encumbrances remaining at time of ..It. ( ) Unincorporated area ( ) City of , and I•TiR A VALUABLE CONSIDERATION, receipt of which In hereby acknowledged, SOUTHERN CALIFORNIA ASSOCIATION OF SEVENTH -DAY ADVENTISTS, a nonprofit x corporation orgsniard under the law& of the Scott of Cal Ifornia, hereby GRANTS to NORTHERN CALIFORNIA CONFERENCE ASSOCIATION OF SEVENTII-DAY ADVENTISTS, a California nonprofit c0r;0!atlon, the following described real property In the County of Butte , State of California: The South half of Lot 478, as shown cn that certain Map entitled "FIR HAVEN SUBDIVISION", which Map was recorded in the offic@ of the Recorder of the County of Butte. State of California, May 19,1955, in Book 21 of Maps, at Pages. 31,32,33,34, and 35, and as shown on that certain Record of Survey recol'ded March 12, 1962, in Map Book 27, at Pages 8, 9, and 10. t o:•..•. S,t..; : 't(:.. EXCEPTING AND RESERVING THEREFROM' all of tho•valuable•minerals"beneath the surface of the said lands, with right to mine and extract said minerals,'it being agreed and understood that in all mining operations, the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orffices outside of the surface area of the above described realty, all as excepted and reserved in the Deed from Magalia Mining Company, a corporation, to E. D. Storts, et ux, recorded September 4, 1947, in Book 423, of Butte County Official Records, at Page 385. In Wilnrsa whereof, aid corpnratlon he& raueed its corporate nun. and .sal to be &IT..,J hereto snd this inrhu- mrnl to lie exer•ule.l by It. - Vire President end.secrealy Iherrurdo duly aotherlsed. SOUTHERN CAL I FORN ff. ASS, IAT fl-'� Diced May_ 24 , 1984 OF SE NTN -DAY ADKW-ISTS.. COUNSTAT%' cnl.n•t) coin �oz Angeles � ss. ��Y ., ....•r ,_ f:OIJN'1'1' ell 9 11 ,. •f On May 24 , 1984 ,before me, lht 1z.10 ,(//1,] f .• �@ ).1,rsidenl undetilgncd. a Nuu�y 1'.bli , 1 fur said State, p41antally Dy—.,�iL+ f'ry=:• °1 -��'• appeared Il• �. 5'lai den a •, 'v 5.•nrliry fictionally known to itis or proved to me on the basis of stir• 1 +�y , factorycviJrnre a/ be the person who actuted the within, imvunvns aR�dV @ President. and •• . L_. personally known to __...«».- ...... .._........,._._::....... . . mr m I1 , vrJ w ".v r,n Ilie basis of satisfactory evidence w be the ')"'CIA' S(A( Prtiou wit., rxtrutr,l site within instrument a the �• •it KATHY L. TUCKER Scriclary ul the f,Orporatiun that executed tht wirldn Imtrurntnl .& " I UOIA11Y PUBLIC -CAL truitRIA and acknowlr.lged to me Iliac such corlmra(Ian executed dlr LOS ANGELES COUr(IY within insirumtm pursuant to its hylaws or a rtsolutlon of its 4/Comminlon(.pn, ors. 1,1933 i hwrJ til direeuvs. wrrNNCS my .n and n(fi,id teal. (aur w.. L, .ma.l arwl.l ...1) 'Title Order No. -------•-------_,__F..rrnw or lean Nn..._—••----.. --_.—.. I MAIL TAX STATEMENTS AS OIRECTEO AaOVE END C1f OC3<UM" RC.:ORDRfQ ncoucsr[D •r MOIInIIN CA((r0&NIA COwrrarNCI ASSOCIA"OI( or ter ltvlrin•oar .Dvrrru]r3 P. o, aox 3na ►I NnL cAry» OFFICIAL RFCORO: llurnoneAsaN( (413) 643.13e0 BuTSf. C3uNTY-G3c.•- AND WHEN acco Dea WAIL To IECCRos ,Northern Caltforn;a Conference "1 L�LIls�+o nil ap1l Assn. of Seventh -day Adventists a... P. 0. Box 23165 :U al.•:1. ;LERk-+,f.Cllicl�:il Pleasant Hill, CA 945[3 J' —, n a n,.. ,,,_, rMr. h Mrs. Robert E. Kepkey � Cox 649 as Magalia, CA 95954 Co. a ■... �_ J OPAC[ ANOV[ THIS LIN[ POR R[CORO[R'111 Use Use - Corporation Grant Deed CAT. NO. a 12-0005 o 10 1371 C+ )-]I yNl■ IOaW IVaN1aNa0 ay rICOa Tlrla IN&Uafaa T1' �\ The undersigned grantor(.) declare(a)1 v t HONE NO CONSIDERATION PA! �M '1 sa a , Documentary Iranaler Isis, is i + •, d,aD ( ) compmeJ on lull value Of property conveyed, or Cwwt S� en �„ sv "l ( 1 compute) on full value lea',value of Ilene and encumbrances remaining at time of ..It. ( ) Unincorporated area ( ) City of , and I•TiR A VALUABLE CONSIDERATION, receipt of which In hereby acknowledged, SOUTHERN CALIFORNIA ASSOCIATION OF SEVENTH -DAY ADVENTISTS, a nonprofit x corporation orgsniard under the law& of the Scott of Cal Ifornia, hereby GRANTS to NORTHERN CALIFORNIA CONFERENCE ASSOCIATION OF SEVENTII-DAY ADVENTISTS, a California nonprofit c0r;0!atlon, the following described real property In the County of Butte , State of California: The South half of Lot 478, as shown cn that certain Map entitled "FIR HAVEN SUBDIVISION", which Map was recorded in the offic@ of the Recorder of the County of Butte. State of California, May 19,1955, in Book 21 of Maps, at Pages. 31,32,33,34, and 35, and as shown on that certain Record of Survey recol'ded March 12, 1962, in Map Book 27, at Pages 8, 9, and 10. t o:•..•. S,t..; : 't(:.. EXCEPTING AND RESERVING THEREFROM' all of tho•valuable•minerals"beneath the surface of the said lands, with right to mine and extract said minerals,'it being agreed and understood that in all mining operations, the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orffices outside of the surface area of the above described realty, all as excepted and reserved in the Deed from Magalia Mining Company, a corporation, to E. D. Storts, et ux, recorded September 4, 1947, in Book 423, of Butte County Official Records, at Page 385. In Wilnrsa whereof, aid corpnratlon he& raueed its corporate nun. and .sal to be &IT..,J hereto snd this inrhu- mrnl to lie exer•ule.l by It. - Vire President end.secrealy Iherrurdo duly aotherlsed. SOUTHERN CAL I FORN ff. ASS, IAT fl-'� Diced May_ 24 , 1984 OF SE NTN -DAY ADKW-ISTS.. COUNSTAT%' cnl.n•t) coin �oz Angeles � ss. ��Y ., ....•r ,_ f:OIJN'1'1' ell 9 11 ,. •f On May 24 , 1984 ,before me, lht 1z.10 ,(//1,] f .• �@ ).1,rsidenl undetilgncd. a Nuu�y 1'.bli , 1 fur said State, p41antally Dy—.,�iL+ f'ry=:• °1 -��'• appeared Il• �. 5'lai den a •, 'v 5.•nrliry fictionally known to itis or proved to me on the basis of stir• 1 +�y , factorycviJrnre a/ be the person who actuted the within, imvunvns aR�dV @ President. and •• . L_. personally known to __...«».- ...... .._........,._._::....... . . mr m I1 , vrJ w ".v r,n Ilie basis of satisfactory evidence w be the ')"'CIA' S(A( Prtiou wit., rxtrutr,l site within instrument a the �• •it KATHY L. TUCKER Scriclary ul the f,Orporatiun that executed tht wirldn Imtrurntnl .& " I UOIA11Y PUBLIC -CAL truitRIA and acknowlr.lged to me Iliac such corlmra(Ian executed dlr LOS ANGELES COUr(IY within insirumtm pursuant to its hylaws or a rtsolutlon of its 4/Comminlon(.pn, ors. 1,1933 i hwrJ til direeuvs. wrrNNCS my .n and n(fi,id teal. (aur w.. L, .ma.l arwl.l ...1) 'Title Order No. -------•-------_,__F..rrnw or lean Nn..._—••----.. --_.—.. I MAIL TAX STATEMENTS AS OIRECTEO AaOVE END C1f OC3<UM" LaDonna Joyner President Chief Executive Officer Serving the north state since 1929 ❑ Main Office 500 Wall Street P.O. Box 5173 Chico, CA 95927 (916) 894-2612 (916) 533-2553 (916) 846-4583 FAX (916) 894-0713 TO WHOM THIS MAY CONCERN: ❑ Oroville 1835 Robinson St. . P.O. Box 811 Oroville, CA 95965 (916) 533-2414 FAX (916) 533-1589 RE: MOBILE HOME CONVERSION TO FOUNDATION ON REAL PROPERTY RE: 6569 VINE STREET, MAGALIA CA 95954 MOBILE HOME: FAR WEST SERIAL #A2252 & B2252 SELLER:KEPKEY BUYER: EAKINS X] Paradise 7126A Skyway P.O. Box 490 Paradise, CA 95967 (916) 877-6262 FAX (916) 872-5129 ❑ Gridley 560 Kentucky St. P.O. Box 949 Gridley, CA 95948 (916) 846-4005 FAX (916) 846-0584 October 27, 1997 Escrow No: 3 -178783 -DLT WITH REGARD TO THE MOBILE HOME DOCUMENTATION DELIVERED TO BIDWELL TITLE AND ESCROW COMPANY UNDER ESCROW NUMBER 3-178783, BIDWELL TITLE & ESCROW COMPANY WILL FORWARD CERTIFICATE OF TITLE TO THE MOBILE HOME, FULLY EXECUTED BY BOTH BUYER AND SELLER DIRECTLY TO THE COUNTY BUILDING DEPARTMENT, IN LIEU OF DEPARTMENT OF HOUSING. Sincerely, YOUR HOME TEAM! Ln L. Thomas, Escrow Officer Affiliated with the Chicago Title and Trust Family of Title Insurers sTECnenere Chicago, itcor and Security Union Title Insurance Companies 03;:5:95 10:45 TEH CO BLDG DEPT '$`916, 52i 2655 QJOU1!001 STATE OF CALIFORNIA Z `yf.. BUSIIvTESS, TRANSPORTATION AND HOUSING AGENCY Z � ~ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT < 'Zi. DMSION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a- 771 Mobilehome Q Commercial Coach EDFloating Home 0 Truck Camper Decal (License) No.(s) I Trade Name AAX5450 1 Far West I/We, the undersigned, hereby state: Lost Certificat of Registration Serial No.(s) 2252A/B I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. IAVe certify under penalty of perjury that the foregoing is true and correct. Executed on at Maga I i a CA (Date) (City) (Statc) Printed name(s) Address PTO Box 649 _ City Maga I i a State CA HCD 476.6 (REV 9,91) • DEPARTMENT USE ONLY STATE OF CALIFORNIA.T '• ,' 3lJSINEsB, TRANSPORTATION AND HOUSING AGENCY U.�, c DEPARTMENT OF MOUSING AND COMMUNITY DEVELOPENT� M DEPARTMENT USE ONLY TRAIM COOS . NEW DECAL • DIVISION OF CODES AND STANDARDS REGISTRATION AND TTTLM PROGRAM $TICKER • APPLICATION FOR DUPLICATE REGISTRATION CARD Imm cc OLD DECAL 0 Mrw SCIAAW Tr.d. N.ro M.rr/.Q9ww Mood Naw+ or • JILT E"mpDon D.•s flnl ioid Nov DECALUCEMSE I MANUFACTURER SERIAL NUMBER(S) MUD LABEL OR NCO INSIGNIA DETARTMOFT USE OWT USE CODE EXPIRATION DATE TAX TYPE OHIO COST CODE ILT EXT lPT PPT Wk CLERK'S INITIALS PPF 1 KP RECEIPT NUMBER(S) RECFJPT DATES) ILT MRF Registered Ledit IIn1 MkN1N N I Want true nam(s)) L TRFDUPT S. DUPA Current Mailing ar..l Address \ J �1 i1.M N REPO Future Mailing Address (w RREG erlr+rr ere abo.ej Cly Co -Ay al.l. ZIP Situs (wo.eaa PLI Address of unit SIT Gy Cow sy sl.•. ap UTP IRT Legal Owner Prro+sM [PrM bw M CCP Mailing Address &4r— cry ego" 23P Fkst Junlor WIAL Llenholder I dr/.r ti» e. -.l Mailing Address w..r Cry Elw. .. 22p Second Junior Llenholder Mailing Address er.w CNIr al.r n► Mobllehonw Prr Nam" Park WVe certify under penalty of perjury under the laws of the State of California that the foregoing Is true and correct and that the registration card has been:bkl t, ❑ Stolen, ❑ Mutllated, ❑ Illegible, or U Not Received Executed on at Signature of Applicant MCO M1.2 (REV I I/eq `— Z j^IL VI• Li\ IPUKNtA BUSINESS. TRANSPORTAnON AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNrIY DEVELOPMENT �• . DIVISION OF CODES AND STANDARDS REGISTRATION AND TTILING PROGRAM POWER OF AMP14EY coal (License) Numbcr(s) ySD o the Department of Housing and C (print full name). Trade Name Serial Number(s) .A zZfj -,— 6 2- Z�Z and to whom it may (print full name). (print full name), v, c he updrrsigned do hereby duly appoint the following named person. z) act as my attorney in fact. only to sign papers and documents that may be necessary in order to secure California registration of ,r to transfer my interest in the above described unit. further agree to guarantee and save harmless the State of California and the Director of Housing and Community Development from Lll responsibility which might accrue from the issuance of California registration or transfer of such unit. MOTE: An attorpry in fact cannot mak�jan affidavit of acrtificatc of the truth of facts unknown to him >igned Signed �/7 '& " V /n ��%�l�"1� Date Date Signed Date HCD 475.4 (REV 5/92) 916 224.4817 OCT -20-1997 -15:31 916 224 4817 P.01i01 STATE 'OF CALIFORNIA 3DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT TITLE SEARCH - REQUESTED ON 10-2097 AT 14:49 BY CIDRED01 DECAL: AAX5450 MANUF:'FAR WEST TRADENAM: FAR WEST MODEL: UNKNOWN MANUFACTURED ON: 00-00-78 FIRST SOLD ON: 01-30-78 RATING YR: 78 ORIGINAL PRICE CLASS: AHB REG EXPIRATION DATE: 05-31-98 ILT EXEMPTION: NONE USE: MH SNGLE-FAMILY TAX TYPE: IN LIEU TAX SERIAL NUMBER(S) LABEL/INSIGNIA NUMBER(S) LENGTH WIDTH A2252 UNKNOWN 720 144 B2252 UNKNOWN 720 144 RECORD COND: 46 PPF EXEMPT -MUST REAPPLY FOR`STATUS IF R/O CHANGE REGISTERED OWNER: KEPKEY ROBERT EDWARD/ LAST REG CARD: 04-30-97 FLORENCE VIPOND .7TRS PO BX 649 ' MAGALIA CA 95954 LOCATION ADDRESS: 6569 VINE ST LAST TITLE: 02-17-88 MAGALIA CA 95954 BUTTE COUNTY LAST ILT FEE PAID: $ 79.00 ON: 04-25-97 ***** END OF TITLE SEARCH.*****, TnTAI P. Rl RESIDENTIAL 065-190-080 PERMIT#97-2336 KEPKEY, Robert & Florence PERMIT 6569 Vine St., Magalia Cont: Sierra Pacific MH Ser. PERMIT E EX MH on Perm Fnd _ 1 OWNER f/bI CONTR. ASSESSOR PARCEL LOCATION t.- oerz:lttli, .w:.::•eo,Ty�=iii . THE-HM-70—RM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWIT HAVE BEEN TURNED J'N., TO THE BLDG IV: (1) LICENSE PLATE(S�or AL (THE INSPECTOR MUST RETRIEVE INSPECTOR TO VERIFY SERIAL & LABEL V Temp. Power Pole t Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E Signature [� ✓ = OK O = Not OK - = Not Apl = Not Res RESIDENTIAL,(Single & Duplex) except #'s 2` ., Main; Soils-Elec. Gmd. / P Ftg. Depth Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth Stemwalls, Main;'Steel-Blockouts A(rapped e Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel G71 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor BoltsJoists-Vents-Crippies 15. Access & Ventilation Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 16. Insulation Data FRAMING (Continued) Date 46. Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. Carel B-1 Date Card B-1 Date Fireplace Ties or Type A Flue -Fireplace Throat clearance PLUMBING (Permit) OK except #'s 49. 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 22. Gas Pipe; Sure & Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 58. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 61. 25. Size Boxes & No. of Conductors Stapled 62. 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Ricer Conductors & Ground -Main Disconect Ext Steps -Door & Sidelight Protection -Landings 32. Equip. Clearances Panels-Motors-Mech. Epuip. . 64. 33. Clothes Closet Light -Shower Light -Spa Light 65. 34. Smoke Detector 66. Bedroom Exiting Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s Fireplace or Stove, Clearance -Hearth 35. A.C. Ducts Insulation & Support Elec. Outlets at Wood Panel, Int. & Ext. 36. Vent Fan, Exhaust above insulation Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 37. Condensate Drain & Overflow, Size & Grade Elec. Outlets & Recepticales at Kit. Counter 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Garage Fire Door; Swing -Landing -Closure 39. Attic Access & Platform if Furnace in Attic A.C. Duct in Garage -Damper 76. Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Data FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V=OK O = Not OK •=ttReadyylible NoMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Locabon•Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /`L'ft. / /Nat. or/ /"L tt./ /LPG 7. Well Clearance 8 Disconnect MISCELLANEOUS Date 8. Utility Clearance 1. Zoning RequirementsSetbacks-Easements 2. Footings; SoilsSize-DeplhSpacing-Connectors-Steel Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; SiaeSpacing-Maniage Line 3. Gas; MH Test-DemandVaMe-Connector 4. Electricity; MH Test-Crossowm-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Date 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 2. Soils; Compaction -Structure Stability Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning RequirementsSetbacks-Easements 2. Footings; SoilsSize-DeplhSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-Anchors•Studs-Rftrs-Trusses 9. Siding; NailingVeneerStucco-Mesh. 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distance•GFI 5. Elec.; Pod Lighting; 15 Volts -GA 6. Elec.; Enclosures; Conduit Entries -Terminals -{.fisted 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Cab B-1 'V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. 4 (Rev. 12/96) — APPLICATION AND PERMIT -��7 �3af ASSESSOR PARCELNUMBER 065-19-0-080 ZONING BUILDING PERMIT OWNER ROBERT AND FLORENCE KEPKEY TELEPHONE SO. Fr, OCC. BUILDING VALUATION 1440 77,760 OWNER'S MAILING ADDRESS P 0 BOX 649 MAGALIA CA 95954 CONTRACTOR'S NAME SIERRA PACIFIC MOBILEHOME SER TELEPHONE ' 223-1409 CONTRACTORS BOX 0 MAILING494999 REDDING CA 9604 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee 540/2 $ 270.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 aUIL611( V� 9RETINE STREET, MAGALIA CJ .L Energy Plan Checking Fee $ $ PERMIT FEE $ 313.00 LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome XX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK gg New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑" Describe Work: IMH EXIST SITE/PERM FDN Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.0 5.00 Mobile Home IS G W 920.00 PERMIT FEE S 65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoonORLE 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect. p q License Class Lic. No. f ` S ©� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the labor Code, for the performance of work for which this permit is issued. My workers' c mpensation in rance carrier and policy number are: Carrier ��j 67 4 /�V A/ ',> Main Service TO 1000A 46.00so WEE200A NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BIDS. SO 3.50FT. NEW CONST. MULTI.OUTLET NON-RESID. C C CU @7.50 9 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @''00 BAL @ .SO LNS Ex. Occup. ouT.Ers RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ _ Policy Number / 97 /lj (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Uhwithcomply wi hose provisions. Date 1/9 _ o pplicant - ❑ Ownerontractor ❑ gent An OSHA permit is required for excav tions over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL F $ 378.00 HAZ. 0. FEES IMP r .. FLO , CDF ARCEL r HD SU This permit is hereby issued under of the Butte County Code and/or indicate bove for hich fees have ` By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ai// Date q_ If // / e Date ReceiptNo. UU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENTOF DEVEL( ENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C j 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATIOV DATA SHEET OWNER: Db ,e-Xr + ASSESSOR PARCEL ER: .S`- f g - ('J 0 Proposed Auilding Use:Building Inspector: Date: 4� 5 �:2 At time of permit application, t was advised the following data must be su mitted prior to permit processing and/or issuance: Q�. / All items have been submitted.------------------------------------------------------------------------------------- Date Received By 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 08. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. -------- ------------------------------------------------- El 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. -------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ,❑ 19. Encroachment Peimit.for driveway (construction approval prior to occupancy). ---------------------------- r E120. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - E124. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------- 026. Letter of intent on building use. ---------------------------------------------- 1127. -------------------------------------------- ❑27. Manufactured Home utility clearance.---------------------------------------- 0 --------------------------------- ❑ Existing violations and/or expired ermits------,1Vj-4,_------------------------------- :a 9. 043 A, 9Prant Deed, ElM.H. Ti6e jl ec//k to H.0 _$� .--------------- f 9 i 0. Other: -____-- Wh you issue the ermit, p ocess as follo/ws ❑ Mail to own Mail to contractor. �J Telephone a -/Jog and hold for pickup at C G� office. ❑ Deli er with inspector. Apph Date: /� v2� T Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ollution Dater By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: ADA Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: ky bate: ' Yellow Copy - Department of Development Services, Building Division. RECGIOING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 97-042713 97-042713 X97-042713 97-049.713 1 Rec Fee .00 f I Total .00 Recorded I Offictttl Records I County of I Butte 1 Candace J. Grubbs I Recorder i 2:400.T.13 -Nov -97 1 COMS XX .2 ' SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ROBERT E. AND FLORENCE'V. KEPKEY MANUFACTURER'S NAME P O BOX 649 MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP 6569 VINE STREET INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COSTATE ZIP J02336/->--) (916)538-7541 r IT TELEPHONE NUMBER 11/13/97 OF 1.04AL AGENCY OFFICIAL DATE NAME (tf not a dealer sale, write "NONE") DEALER LICENSE NO. FAR WEST 1978 N/A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME'NUMBER 2252A/B 60'X 24' CAL 1066.42 , 106043 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) RRQLPROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 065-190-080 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. �r LEGAL DESCRIPTION A.P. #065-190-080 The following described real property in the County of Butte, State of California: The South half of Lot 478, as shown on that certain Map entitled "FIR HAVEN SUBDIVISION' which Map was recorded in the office of the recorder of the County of Butte, State of California, May 19, 1955, in Book 21 of Maps, at pages 31, 32, 33, 34, and 35 and as shown on that certain Record of Survey recorded March 12, 1962, in Map Book 27, at Pages 8, 9, and 10. EXCEPTING AND RESERVING THEREFROM all of the valuable minerals beneath the surface of the said lands, with right to mine and extract said minerals, it being agreed and understood that in all mining operations, the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in the Deed from Magalia Mining Company, a corporation, to E.D. Storts, et ux, recorded September 4, 1947, in Book 423, of Butte County Official Records; at Page 385. .- - _ -i �" z. - d� rte• d' _ r BUILDING PERMIT NUMBER: 97-2336 Address or location of unit: 6569 VINE STREET, MAGALIA t • Legal Description of Real Property: A.P. #065-190-080 SEE ATTACHED LEGAL DESCRIPTION. (x) Mobilehome/Manufactured Home O Commercial Coach' Has been affixed to the real property above by installation on a foundati6n sytem pursuant to Health and Safety Code Section 18551. Owner's name: -ROBERT E. AND FLORENCE V. KEPKEY -- Owner's address: P. O. BOX 649, MAGALIA CA 95954 _ INSIGNIA OR HUD°NUMBER: s T,CAL 106042 , 106043 SERIAL NUMBER OR V.I.N. 2252A/B .r MANUFACTURER'S NAME: FAR WEST - • AR: 1978 OFFICIAL APPROVING INSTALLATION: T DATE: 11/13/97 PH NE: (916) 538-7541 H.C.D. 513C I f INCIDENT NUMBER 6654! DATE 6/22/2006) EVENT NUMBE 7337 LOGGED B MDS REPORT TIME 4:10 LOCAL FIRE NUMBEi AAt i „rwi Fig, RO NEEDLES J' cc STATE FIRE NUMBER r 2751 iwwrsewtwFirw- flftirurc BI 82B CASE NUMBER I - iwAtowwwet. MEDICS LOCATION 6569 VINE ST PRA V2 ECC ❑ M RP JIM f PHONE NUMBER 873-2197 REPORT METHO 911 j WILDLAND FIRES ❑ ESTIMATED ACRES r=0 FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HO [EMAIL BY MDS TO STA 33 OTHER FIRE ` 7 -DAY LOGGED INITIALS GW MEDICAL AIDS �� INCIDENT NAM PSA/OTHER', I START DATE 6 /22/20061 START TIME 1:007 HAZ MAT DIAMOND # Billable Incident. ❑ CAUSE ELECTRICAL POWER COMMENTS LAND USE DOMESTIC FIRE IN ACRES 01 TYPE OF ACRE FLOOR - -- -- ---- -- DIAMOND 5 ONLY $ DAMAGE TYPE DOLLAR DAMAGE 7500.001 SAVE 75000.001 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES W # CIVILIAN FATALITIES 01 EMD El DES El Inte resting Event El# FF INJURIE IF -j # FF FATALITIES 0� FC -40 INFORMATION , FC -40 DATE OF FC -40 INC _ ! ♦ ♦ ncident;w E)New I AGENCY INC # INC P# FC -40 COMP DATE "T � FC -40 COMP BY County Notifications 0 EARS Hard Copy Recieved E]EARS Checked Agenst EARS Computer ❑ ' i k a .Y PERMIT NO. 288-78P,E PERMIT EXPIRES OWNER Robert Kepkey CONTR. T.ri-V Const., Paradise LOCATION (A.P mm 65-19-.80 .165 Vine Rd., lot 478,S2i Fir Haven Sub, 7 Magalia j; J( 7t r • T� • 1 Y Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E VV J"O B �_ L V FINALED f (Date) (Signature) Relnf. Steel --- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Fixtures BUILDING , BUILDING (Cont'd) PLUMBING Se Aback F ewaII S I Piping For Par ets 1 t Floor Ma Ilk Bldg. Rest om Flnish 2n Floor MECHANICAL Fo ins Windo 3rd Noor Stem all Siding To out Slab Roof Sheahing Water Pi i Piers Roofing Sewer Garage Fdn. • Vents Fixtures Footincls Jr Garage Vents Water Htr. Z- y�j • j 7 w n.. Stemwa l l Insulation Heaters - _. �' ` Slab Carport Footings Prov. for physical handica ed Conformance of ex. structure V Appliances Gas PIping Temp. as & Test Slab_ Final Sanitation Patio F EP ACE Final Footings Footing E ECTRIC L Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Bea IRE SPRINKLE Motors ' Framina Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. Fa It Prot. Scra h Heats Servi B n Coo ng T p. Pole F r Du is nder round i dor Lath ntllation Permanent + ooi Closer anal anal MO' ILEHOME UTILITIES ---•- ------------ Elec. Service E Z- y�j • j 7 w n.. OD A Elec. Pedestal L • $ t� S , Water Piping �, •).g Sewer - _. �' Gas Piping X2L6LUQME IN TA L TI2N9 Support Elec. Continuity ` Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 .00 /�_�%� ' d ~ Telephone: 534-4541 C_�/(JJ/ / APPLICATION AND PERMIT In , / BUILDING Owner ©B 4 SQ. FT. OCC. BUILDING VALUATION Mailing Address 4 /V �v Telephone No. Fireplace - Contractor . (/ Total Valuation Mai I i ng Address / 6—<e ,tom _. ,, Permit Fee PI an Checki ng Fee &/or Penalty Telephone No. _ y� 5 Permit Fee $ Building Address , p V PN PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,ea Each Trap 1.50 Repair drainage or vent piping 1,50 7 T+° v /41I 1 te^ManNg Verifica6on Qn1. Water piping -t ! o a e Each gas water heater or vent 1.50 A. P. No. S^ % ts�D �7- rel r ZO Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W.C. Sa i on Fire Dept. Fire Zone Use Permit Building sewer _5.QQ EQA Parking Plans Declaration I Parcel Map 1 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Re'd Parg2l At4roval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 360 00V OR Main service 100 AMP ORSLESS 5.00 r" Main service EA. ADD'L 100 AMP 2,50 X.s Q Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service 1100ER 600V AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 M 1 0 SQ. FT. MINIM11, I_ • N��/I NEW CONST. f DWELLING GOCCUP, &) 2¢sgft OR ADDNS, 1 NEW CONSTR. MULTI.OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea FOR MOBILES MOBILES NEW CONSTR. (POWER APPARATUS a 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 style of: p . / /�� / 1�" t--EJw stetic ,,oz l Ex. Occup(OUTLETS OR FIXTURES)50 @25Q BAL@1 Ex. OCCU FIXED APPLNS, OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 iS oD License No. Classification ¢ Misc. Wiring 6.25 .. 12= ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Zs—s-6 $ -7373-76 WORKMEN'S COMPENSATION INSURANCE 1 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. ❑ I have placed on file with the County of Butte a certificate of Wor men's Compensation Insurance. 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ A(g'"C I certify that I have read this application and state that the above informati is correct. I agree to comply to all County Ordinances Laws relating to building construction, and hereby and Alm authrepresentatives of the County of Butte to enter upon the ahnv tinnari nrnncrty fnr ,r e,.,,n, n ��� AAIVD a f'aiE- TOTAL PERMIT FEE This permit is hereby P y issued under the applicable provisions of X ��if_ a D to \IdSignature of PermAg, t Receipt No. G White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ule butte county coae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By C q Date -g B ' permit expires Date 3 l Owner COUNTY OF BUTTE Department-otf Public Works 7 County Center'Drive_. Oroville ----- 534`-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Location 16*S 1 11 Nf Mobilehome Installation Permit No. T "' FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width x Box Length x 3 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circuit ... _ —1,30.0 4. Ovens. ....'........ ................. = 3 z (A.) 5. Cook Stove'Top ................................ a .6. Hot Water Heater .............................. _ C4 -'s 6 D GC> 7:, Dishwasher & Disposal ..... _ / Z110-43 .8. . Clothes Dryer ............................. d. tcJ,a 9,•.0ther (specify, i.e., motors, exhaust fans, etc.) GGD uta { Sub -total - Watts0 First 10,000 /watts @ 100% 10,000 Remaining (p ( D watts @ 40% .......................... 10. Air Conditioner watts @100'/0.. _ ) ����.-� Largest Demand = Central Heat. System S" watts @ 65%... _ ) TOTAL DEMAND WATTS REQUIRED 0-%—/ "D nd Watts Required" + 230 ............. AMPS rate Mobilehome to .................... ................ % AMPS BUTTE COUNTY l/ BUILDING pE PARTMGN Al,,. �ti�� A pp O V ,- Eo: 4 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with.required separation from lot lines and buildings and generally conform to plot plan? Yes fNo 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes"No_ 3. Are footings and supportsproperly sized, spaced, and braced as pex�approved plans? (Note possible variation.at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes.✓ No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes ✓ No 6. Water A. Is fle�c-ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes r/ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No_ C. Backflow If coach is not.State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes /No_ B. Does it have minimum " per foot slope and is it properly supported? Yes'(/No C. Are any leaks detected in drainage system after running 3- llons of water -through each fixture including.washing machine standpipe? Yes_ No D. If coach is -not State of California approved, does station have required trap.and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Noie: All.piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procee ure? Ye _ No 1. Open all appliance connecto valve . 2. Shut off appliance burner an p' of valves. 3. Air test with manometer to .10" 14" water column or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrat d 'n tenth pound increments. Test for 10 min, without drop. w 4. Connect gas meter to mobi ehome 'th connector, turn on gas, test connections with soapy water. C. Are all appliance vents pr/6perly instal�ed?. Yes_ No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes C//No B. Is there proper clearances around panels? Yes 61� No_ C. Is power supply cord.or feeder assembly properly fused? Yes moo_ D. Is continuity test satisfactory as per the following procedure? Yes tiro 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 66 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle , Length �i 0 Width � y Vehicle Serial No. State Identification No. Additional Information or Comments: COUNTY 01;. BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize represe tatives of tnfb county of Butte to enter upon the above -mention roperty for pection purposes. XV_ Date Ap 4f - s' ature o Permitee or Agent Receipt No. J�� 3a White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee DIRECTO P BLIC WORKS BY Datev Z — a� ;�Ilding permit expires Date ZZ -7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor liex Mailing Address h Fireplace Total Valuation �' � Telepho leo/ �j Permit Fee Building Address S Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ( a, Repair drainage or vent piping 1.50 �� T A. P. No. (D U V Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Feo< Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvement Each additional outlet .30 Building sewer 5.00 111dg. ans Recd Parcel AfEroval Planpproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ t ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS ' 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR AODNST % ACCLBLOGS.LING CCUP. S) 20sgft 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 Stylesfl 1 Wit• C7 f�°t/ •� 1 T1-- NEW CONSTRES,., MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS Il NON-RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETs OR FIXTI1RES BAL@1 BAL N' 1 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 n C 1 L License No.�-b?'% (� � Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 2_��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 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 L $ c TOTAL PERMIT FEE $ authorize represe tatives of tnfb county of Butte to enter upon the above -mention roperty for pection purposes. XV_ Date Ap 4f - s' ature o Permitee or Agent Receipt No. J�� 3a White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee DIRECTO P BLIC WORKS BY Datev Z — a� ;�Ilding permit expires Date ZZ -7 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. l�J CT5 furnish Setup Model No.. `�54Year • Width(ft.) Box Lengt(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation, manual and structural setup sheets (if not on file with the County of Butte). All eenter supports measured from front of mobilehome unless otherwise specified. t , - - .. , .: � • € ;� Footings ,(check one) Single Cl -q. -Wood either pressure treated or foundation grade. ME (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) ems: Concrete block. 7- 1:12:.Other (specify) (ft.)(in.) (in.) (in.) '(ft.)(in.) (in.) (in.). � K v C�A (ft.)(in.) '' (in.) (in.) x d - (ft.l (in.) (in.) (in.) I. *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. Tagalong or Expando, show support'details. ,x3d -- Typical Support .) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft.)(in.) BUTTS COUNTY BUILDING DEPARTM-ENT - APPROVEp 1. Owner's name: 2. 3. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET C Installer's name: Is the site currently under permit? Yes No —� ( If yes, furnish permit number �7 L ) f OR Is the site an existing site? Yes / / No / / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear -of all setbacks and easements? Yes No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating?-----------------------� Amps 6. What is the mobilehome site service rating? ---------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be -served by the mobilehome site service? -----------------------------------------;--------- =• Yes / / - No (If -yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?----------------� 10. What -is the type of gas service? ----------------------------- Natural1PG(/L 11. What is the gas pipe length from meter or tank to the mobilehome? / (ft.) 12. What . is the mobilehome gas demand? ------------------------- "'-- \ (BTU) (This information not required if pipe length less than 6 ft. on natural gas' or less than 50 ft. on LPG.) COON , BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 2 for the following location: Owner Owner's Address Mobilehome Mfg. �� Model Year Insignia No.,",�" �' `' `� Serial No. , It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. ' ,.•r,,,r,..,.�... z�..�,..�ni+4';w.:;a ���+]cY�i+ 'r':3�'S`t:.. ��,v..�.—.>-�.. rr:��rs' .�. __ ,.�..p.��.,,h;.,,-..z�.,�..,.. ' 0657190-080 �';PERM.IT#95-19.74y t, j;:V'KEPKEY, Bob i 6569 Vine.St ;.Magalia ' 4 \ r_., �„_ • 'Cont; Tri=Flame 1f Gas Line/MH C Jt r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California .95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION'ANDPERMIT t,*7 Ll 95-19 7!q ASSESSOR PARCEL NUMBER� �� ..� O ZF _ /77 "G G PERMIT OWNER TELEPHONE " SO. FT. OCC. BUILDING VALUATION OWNER . lu AZ; V 10# OA CONTRACTOR'S NAME ,, w TELEPHONE L 1 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI016WN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS i } {� PERMITFEE $ /yL 9 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NOI SUBDN51ON5 NAME PARCEL MAP i Solar or heat pump water heater 23.00 w• USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )6 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 -`5 outlets 15.00;� Building sewer 15.00 TYPE OF WORK I New ❑ Addition ❑ ., Remodel ❑ Utilities P Installation ❑ Other ❑ Describe Work: ` Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICALPERMIT Filina Fee 20:00 s Main Service ( °Zeeon o mss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty. of perjury that I am licensed under provision's of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION r 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License for the following reason: 16W' as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. �J I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CI a. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q I.00 BAL 0 .3O EX. Occup. OUTLETS APPLN .OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mis,c Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' comperisation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier _ �_ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number ' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) ,or-)ess.) a ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /"' --_ X � `_L �`�'y Date ( J� Signature of Applicant ;~'Owner ❑GContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ I HAZ. D. FEES IM P FLOOD CDF PARCEL I PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and,�lor Resolutions to do work indicated above4or which fees have been paid. Bya _ ✓� �n ete fp,�✓%S �+( PERMITEXPIRESON �( r /fs/ 7 Y r / (Datef `over ReceiptNo. I� �� WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RN COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,. California 95965 - Telephone (916) 538-75 1 �s- PERMIT No. APPLICATION AND PERMIT i ASSESSOR PARCEL NUMBER - o z70—,,1 - BUI G PERMIT OWNER T Ho=E.v SO FT. OCC. BUILDING VALUATION OWNERI� AD SS w -Tvi CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOUOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADORE46Z9SS vPERMITFEE 'u� �p� $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NOf SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities gf Installation ❑ Other ❑ Describe Work: Mobile HomeS G W i- @20.00 i PERMITFEES 00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceOOOV OR LE ( 200A OR IFSSSS ) 23.00 Main Service ( 200A TO IooOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. - License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License for the following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. xI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) so. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIS. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 0. .50 EX. Occup. OUTLETS RES D.) APPLNS �EA ( )1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' comperisation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to theworkers' compensation provisions of section 3700 of the Labor Code, I shall forthwith Com ly with tho provisions. /J�%/sof X __ Date _�___ Sig lure of Applicant - ner ❑ Contractor ❑ Agent AnAn OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ 1 CONST. TYPE TOTAL FEE $ S , HA2. D. FEES IMP FLOOD CDF PARCEL PO Nvision, This permit is hereby issued under the applicable pr the Butte County Code an r Resolutions to d indicated abov for which fee ave been paid. e P MITEXPIR ON mat Receipt No. WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO.- 5909-78B 6 / / PERMIT EXPIRES ! o/zo&Gtr OWNER Robert Kepkey CONTR. owner 65-19-80• LOCATION (A.P. ) 165 Vine St., lot 478, Fir Haven'Sub, Maga. Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED J (Date) (Signature) % 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS es BUILDING INSPECTION RC -CORD BUILDING BUILDING (Cont'd) PLUMBING Setback j -�' 7 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings I Windows 3rd Floor Stemwall % -Siding To out Slab Roof SheatOing Water Piping Piers Roofing Sewer Garage Fdn. Ven Fixtures Footings Stemwal l Garage V nts Insulatlo6 Water Htr. Heaters Slab Carport Footings Provfor ph sically handica ed Conformnce of ex. structurtl i Appliances Gas Piping & Test Temp. Gas Slab Final / 3J*7?2 Sanitation Patio VOW FIREPLACE Final Footings Footing EiLECT ICAL - Masonry Walls I Throat Roucih Reinf. Steel Final Fixtures Bond Beam I IFIRE SPRINKLERS Motors Framing 2.3 17y,+ Test Water Htr. Stucco Final Subpanels Mesh ECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MgBl6EHOME INSTALLATION - - - - - - - - ...... Support Elec. Continuity Water Piping Drainage Gas Piping " 'DATE C REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ~~ COUNTY OF BUTTE` — DEPARTMENT OF PUBLIC WORKS ~- 7 :%unty Center Drive - Oroville, California 95965 Tel ephonj ; 534-41541 APPLICATION AND PERMIT M authorize representatives of the (;ounty of Butte to enter upon the above-mentioned property for insp ction purposes. X G% l Dated Iy7'r Signature of PermCite, Agent Receipt No. / ZZ 2 ,Z` / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have b in paid. DIRECTO 0 PUBLIC WORKS By ate wilding permit expires Date BUILDING Owner D �� SQ. FT. OCC. BUILDING VALUATI N /C U Mailing Address zad leehone No. Contractor Mailing Address Fireplace Total Valuation 1 714, 9o Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee d PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 .- - — L; g Repair drainage or vent piping 1.50 A. P. o. J �19-� - Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es I S ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ans Recd Parcel A oval Plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS too AMP LESS 5.00 Single Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ -L Main service EA. ADDL too AMP 2.50 Main service OVER P O 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST 1, ACCLBLDGS.LING CCUP. 4) 2¢sq ft 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 $t Y le of: TLET NEW RESID,CONSTBRANCHMULTI-OCIRCUITS) NO N•R ESID (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON RES D. `SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES BAL2j Ex. QCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 91 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 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. @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 Land Development Fee $ TOTAL PERMIT FEE $ G authorize representatives of the (;ounty of Butte to enter upon the above-mentioned property for insp ction purposes. X G% l Dated Iy7'r Signature of PermCite, Agent Receipt No. / ZZ 2 ,Z` / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have b in paid. DIRECTO 0 PUBLIC WORKS By ate wilding permit expires Date w PERMIT NO. 4828-78B.,E c ..1 PERMIT EXPIRES��� 'OWNER Robert Kepkey s CONTR. nuiner 65-19-80 .# LOCATION (A.P. ) 165 Vine St., lot 478, Fir Haven Sub, Maga. t;n ` f Q. i fS i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ' d: Called PG&E JOB ' ALED - i(Date) r' (Signatdrell n COUNTY OF BUTTE—�DEPA,RTMENT OF PUBLIC WORKS BUILDING INSPECTION .RECORD BUIL IN BUILDING (Cont'd) PLUMB Firewa I Soil Piping Parapet 1st Floor Restroo Finish 2nd Floor Windows N-1 3rd Floor Siding To out Roof Sheat in . C"ti Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physic ly handica e. Conformance of ex. struct re Appliances Gas Piping & •Te t Tem . Gas Final1. Sanitation FIREPLfACE Final Footing L CTR Throat Rouoh W -I. '7 G e FIRE SPRINKLERS T Mesh MECH4NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under roun Interior Lath Ventilation Permanent Door Closer Final Final —b- L >G� MOBILEHOME TILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M0016EUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS C//' 2, 91.2 7/1 . (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF°BUTTE — DEPARTMENT OF.PUBLIC WORKS 7 County Center Ditive — D Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X — DateGZ.-Zy' A, Signature of Permitee or Agenn,� 17 Receipt No. � 74,�?'ZI White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OE PUBLIC WORKS BYnate,?-.1/-2"P Bulding permit expires Date — d'';I-/ - 7 7 BUILDING Owner C SO. FT. OCC. BUILDING VALUATION QO Mailing Address �d Telephone No. Contract6/1 Mailing Address Fireplace Total Valuation ifs r p Q Telephone No. Permit Fee Building Address�� Plan Checking Fee&/or Penalty Permit Fee Q p PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. �� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s41 C. �� t do Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking P s Parcel Declaration Parcel Map "R/W Impro ents Each additional outlet .30 Building sewer 5.00 Bld. Plans Recd I P a r c e r al I Plans Approval Lawn sprinkler system 2.00 NEW IQ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 a, 600V OR LESS Main service 10000 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD•L 100 AMP 2.50 Main service OVER 1100 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADONS. ACCLBLDGO ,A 4) 20sgft 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 style of: NEW CONSTR.O L T NON-RESID � BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS a NON-RES,D. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES B L@; EX. DCCUp. FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 L11 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ZIS, WORKMEN'S COMPENSATION INSURANCE 1 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. ❑I have placed on file with the County of Butte a certificate of Workmen'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 N0.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X — DateGZ.-Zy' A, Signature of Permitee or Agenn,� 17 Receipt No. � 74,�?'ZI White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OE PUBLIC WORKS BYnate,?-.1/-2"P Bulding permit expires Date — d'';I-/ - 7 7 PERM TT APPLICAjION WORK SHEET OWNER `- f -QW Zoning Permit No. A. P. No. ��- Approved Not approved Permit fee based upon: 1. Complete contract price. ' 3.3. Partial contract price explai n DPW Valuation (show): S At time of permit application, the applicant was advised.the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. .Fees of $ -------------------- Letter of signature au hors ation-------------- 7. Sanitation approval.-r-�'�------------ % 7� 8. Planning -approval for / -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ----------------=------- 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16.' Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. Improvements - plans required & DPW approval. ---- ----- ' 19. er ------ _ By Da t e X-- 17-7,0 Bldg.'Inspector During plan checking process, the following data Before permit issuance, all of the following or information must be submitted prior to permit items must.be. signed or marked NA: issuance: 1. Zoning use 1. Index permit for items 2. Legal parcel above and in addition the following: 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent A. ,Street -.Imp. 2. Applicant advised by Telephone B. Drainage Mail- C. Permits & Fees Other D. Other 3. Plans checked b Date 5. Planning 4. Plans approved Aby Date A. Use Permit. B. Variance When p.enKt is issued, process as follows: C. Other 1. Mail to owner. 6. Other Agencies - Date Plans Sent 2. Mail to contractor. A. Fire Dept. 3. Deliver with inspection. B. Other 4. Telephone and hold for pickup @ office. 5. Other COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, C:hipa 'CA::: -'(916) 891-2751 7 County Center Dri e,ovi'lle, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE - I��pkey.. OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r Date �/ � Inspector REV 10/92 SPACINGS SHOWN APPLICABLE "If OUTLINE OF GHF-31 PIERS k PRECAST (Manuf. Hm.) UNIT CONCRETE PADS TYPICAL ONLY IF INTERMEDIATE PIERS POSITIVELY ATTACHED TO FRAME & PAD ` • (all frame sizes) I CANTIUVER MATTGUARD- MATTGUARO/RAIL MARRIAGE LINE SUPPORT PIER & PAD SPACING PER (Manuf. Hm.) 'INSTALLATION MANUAL' LJ Eli INTERMEDIATE PIERS k PADS SPACING PER (Manuf. Hm.) "INSTALLATION MANUAL' EXISTING (Manuf. Hm.) BEAMS SEE NOTE 13 (Page 2) �-- 7-1/2' F- 15. 15' t ---- 7-1/2' --- 45' (OVER 45', ADD t MATTGUARD PER RAIL EVERY 15') SEE NOTE 13 (Page 2) OUTLINE OF EXISTING (Manuf. Hm.) GHF-31 PIERS k PRECAST (Manuf. Hm.) UNIT � BEAMS � CONCRETE PADS TYPICAL INTERMEDIATE PIER k PADS SPACING PER (Manuf. Hm.) 'INSTALLATION MANUAL" SEE NOTE 13 (Page 2) I CANTIUVER MATTGUARD- MATTGUARO/RAIL T T T TT I I I I I i I I I 41 LJ Eli LP t T LP T �-- 7-1/2' F- 15. 15' t ---- 7-1/2' --- 45' (OVER 45', ADD t MATTGUARD PER RAIL EVERY 15') T T T T. T T T I I I I I I I I II I I I� 11, MAX—� P2' MAX . �. 22' MAX I t L' MAX 66' (OVER 66', ADD t MATTGUARD PER RAIL EVERY 22') OUTLINE OF EXISTING (Manuf. Hm.) GHF-31 PIERS k PRECAST (Manuf. Hm.) UNIT � BEAMS � CONCRETE PADS TYPICAL INTERMEDIATE PIER k PADS SPACING PER (Manuf. Hm.) 'INSTALLATION MANUAL" SEE NOTE 13 (Page 2) SINGLE TYPICAL (WHEN RECOMMENDED iY MANUFACTURER) FOUNDATION ELEVATION WF' OUNDATION SYSTEM IS SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF 2.3'. DOUB_LEWI_DE TYPICAL? L�RETROFITS BLE, TRIPLE OR MULTIPLE WIDE UNITS,SAME PLACEMENT PATTERN IN EACHAL MODULE. INDICATES MATTGUARO $PACING WNEN UTE PIERS ARE ATTACHED TO FRAME AND PAD. S MAY NOT REQUIRE THAT. MARRIAGE UNES OR INTERMEDIATE PIERS BE ATTACHED TO(see manuI urers specs.) yon: All Materials & Workmanship Shall Be In Accordance with Recognized Good Practices and of a Quality Prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Cedes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the -Department of Publid Works, County of Butte. THIS CHART IS ONLY APPLICABLE IF INTERMEDIATE PIERS ARE NOT POSITIVELY ATTATCHED FRAME LENGTH I -FRAME SIZE CANTIUVER MATTGUARD- MATTGUARO/RAIL T T T TT I I I I I i I I I 41 LP t t LP t T LP T �-- 7-1/2' F- 15. 15' t ---- 7-1/2' --- 45' (OVER 45', ADD t MATTGUARD PER RAIL EVERY 15') SINGLE TYPICAL (WHEN RECOMMENDED iY MANUFACTURER) FOUNDATION ELEVATION WF' OUNDATION SYSTEM IS SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF 2.3'. DOUB_LEWI_DE TYPICAL? L�RETROFITS BLE, TRIPLE OR MULTIPLE WIDE UNITS,SAME PLACEMENT PATTERN IN EACHAL MODULE. INDICATES MATTGUARO $PACING WNEN UTE PIERS ARE ATTACHED TO FRAME AND PAD. S MAY NOT REQUIRE THAT. MARRIAGE UNES OR INTERMEDIATE PIERS BE ATTACHED TO(see manuI urers specs.) yon: All Materials & Workmanship Shall Be In Accordance with Recognized Good Practices and of a Quality Prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Cedes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the -Department of Publid Works, County of Butte. THIS CHART IS ONLY APPLICABLE IF INTERMEDIATE PIERS ARE NOT POSITIVELY ATTATCHED FRAME LENGTH I -FRAME SIZE CANTIUVER MATTGUARD- MATTGUARO/RAIL 'TOTAL �MATTGUARO ��' --- SPACING—. SINGLE WIDE HOMES GHF-31 (Short) 13" 17' Measurements taken from grade to bottom of (Manuf. Hm.) frame" 0' TO 29' 7' or larger 7 feet 15 feet 2 per frame 4 29'-1" TO 44-0' I 7' or larger 7 feet 15 feel I 3 Der frame 6 44'-1" TO 59'-0• I 7' or larger 7 feet 15 feet 4 per frame 8 59'-1" TO 74'-0" 7' ar larger I 7 feet 15 feet 5 per frame 10 74'-1" TO 89'-0" I 7' or larger 7 feet 15 feet 5 per frame 12 0' TO 25' I under 7' 5 feet 15 feet 2 per frame 4 25'-1" TO 40'-0" under 7" 5 feet 15 feet 3 per frome 6 40'-1' TO 55'-0" under 7' 5 feet 15 feet 4 per frame 8 55'-1" TO 70'-0" under 7" 5 feet 15 feet 5 per frome 10 70'-1" TO 85'-0• under 7' 5 feet 15 feet 6 per frame 12 �lr If intermediate piers between end of home and first MaltGuard have positive attachment, Contiliver can extend to 7-1/2' (Singlewide homes only). DOUBLE, TRIPLE OR MULTIPLE WIDE HOMES 0' TO 40' 10 or larger 10 feet 20 feet 2 per frame 8 40'-1" TO 60-T 10• or larger _ 10 feet, _ 20 .feet 3 per�,frame 12 � 60'-1" TO 80'-0" 10 or larger 10 feet 20 feet 4 per frame 16 0 TO 30' I 7" 10 10' 7 feet 16 feet 2 per frome 8 30'-1" TO 46'-0" 7" to 10" 7 feet 16 feet 3 per frame 12 46'1" TO 60'0" 7' to 10" 7 feet 16 feet 4 per frame 16 60'-1' TO 74'-0• 7" to 10" 7 feet 16 feet 5 per frame 20 0 TO 26' under 7" 5 feet 16 feet 2 per frame 8 26'-1" TO 42'-0': under 7" 5 feet 16 feet 3 per frame 12 42'-1" TO 58'-0' under 7' 5 feet 16 feet 4 per frame 16 58'-1" TO 74'-0' under 7' 5 feet 16 feet 5 per frame 20 DEFINITIONS: Intermediate piers — Existing or—new piers between MattGuords Frome Length -Measured length of frame of home Cantilever -Measurement from end of frame to .first MattGuord MattGuard. Spacing - Measurement from MattGuard center to center z i ��t+E� H D. arc NATTGUARD PIER HEIGHTS Minimum Maximum HF -31 (Tall) 20' 31' s NO __4//ffp 3 n CHF -31 (Med) 15" 23' EA!3131/99 P t -S �IV1l .. rr1t.)dllI:L7A11� iQiAiOJ 1'4}. fnlf;R REALM AND SAFETY COO:. SECTION 18551 A PIP R O V E D GANG �, pr Su"JEC'1 To CORRECTIONS NOTED ro.�ro dory �.4o�rlwrize or a Wove ony omisswn or d!eviall �" r appGcoble Srore lo..s o.:C .epulalirrq _ State of Co6fomio - Aq�. rrnere of Mousing and Community Developnerp Dr%'ISI0r4 F CODES AND STANDARDS ey Dote Irvwn"r�, % 7-23310 SPA NO. .0 '--------------- 'LLE >,Iromot Expires . LEC0P'y1400A r--3 l� ") G G GHF-31 (Short) 13" 17' Measurements taken from grade to bottom of (Manuf. Hm.) frame" P t -S �IV1l .. rr1t.)dllI:L7A11� iQiAiOJ 1'4}. fnlf;R REALM AND SAFETY COO:. SECTION 18551 A PIP R O V E D GANG �, pr Su"JEC'1 To CORRECTIONS NOTED ro.�ro dory �.4o�rlwrize or a Wove ony omisswn or d!eviall �" r appGcoble Srore lo..s o.:C .epulalirrq _ State of Co6fomio - Aq�. rrnere of Mousing and Community Developnerp Dr%'ISI0r4 F CODES AND STANDARDS ey Dote Irvwn"r�, % 7-23310 SPA NO. .0 '--------------- 'LLE >,Iromot Expires . LEC0P'y1400A r--3 l� ") -, INSTALLATION INSTRUCTIONS: GENERAL NOTES: 1. DETERMINE AMOUNT OF MATTGUARD PIERS REQUIRED 1. REFERENCE: CALIFORNIA CODE OF REGULATIONS, TITLE 25 AND U.B.C. 1991 EDITION. .PER INSTALLATION SCHEDULE AND MARK BEAMS FOR • LOCATIONS. RELOCATE ANY INTERMEDIATE PIERS WHICH 2. DESIGN LOADS: OCCUR AT MATTGUARD LOCATIONS. VERTICAL: ROOF UVE LOAD - 30 PSF, FLOOR LIVE LOAD ,= 40 PSF LATERAL: WIND, LOAD - 80 MPH EXP. 'C', SEISMIC ZONE,; 2. LEVEL THE SOIL, PLACE MATTGUARD PAD AND INSTALL PADS PER PLAN. 3. THE DESIGN LOADS SHALL BE CONSISTENT WITH ROOF LIVE LOAD, WIND LOAD, AND SEISMIC ZONE AS ESTABLISHED FOR A PERMANENT BUILDING WITHIN A SPECIFIC LOCAL 3. ASSEMBLE GHF-31, BOLT TO CONCRETE PAD AND AREA POSITION PIER AT HIGHEST ROUGH ADJUSTMENT ? UNDER BEAM. 4. ALL FOOTINGS ARE TO BE SUPPORTED BY FIRM, UNDISTURBED. SOIL. FOOTINGS ARE , DESIGNED FOR 1000 PSF TOTAL LOAD SOIL PRESSURE AND SHALL BE COMPATIBLE 4. RAISE UPPER PORTION OF CHF -31 AND ATTACH TO WITH LOCAL SOIL CONDITIONS. BEAM. REFER TO TYPICAL BEAM CONNECTIONS PER SHEET 3 FOR SPECIFIC BEAM CONFIGURATION. 5. CONCRETE: 3000 PSI AT 28 DAYS AS TESTED. T, - 5• PADS MAY BE PLACED=WITH-A-MAX.=ELEVATION_DIFFERENCE OF 20". 6. STRUCTURAL STEEL: SHALL CONFORM TO ASTM A36 ' FABRICATE ACCORDING TO AISC SPECIFICATIONS, WELD ACCORDING ;TO AWS SPECIFICATION. ELECTRODES: E70 PLATES: ASTM A36 ' ANCHOR BOLTS: ASTM A307 r. BOLTS: 5/8" adjusting bolts SAE GR2. All others SAE GR5. MATTGUARD CERTIFICATION: THIS WILL CERTIFY THAT THE SUBJECT MATTGUARD CHF -31 IS CAPABLE OF WITHSTANDING ALL RATED DESIGN LOADS, REGARDLESS OF 7. THE GFH -31 AND RIDGE BEAM SUPPORT ASSEMBLIES SHALL BE•COATED WITH SHERMAN THE PIVOTAL CONFIGURATION OF THE UNIT BETWEEN THE HEAD AND BODY WILLIAMS E-61RC2 ENAMEL OR APPROVED EQUAL AND SHALL BE LISTED AND LABELED BYINDUSTRIAL OF THE STAND. THE GHF-31 IS SAFE,FOR ALL RELATED LOADS. THIS TESTING INTERNATIONAL OR CERTIFIED TESTING AND CONSULTING�iSEVICES FOR THE FOLLOWING LOADS; ` CERTIFICATION IS PREDICATED UPON THE PROPER INSTALLATION AND TIGHTENING MAJOR AXIS: 1350# MAX (IN PAIRS OF TWO PLACED OPPOSITE.) % OF THE UNIT. MINOR AXIS: 1450# MAX , VERTICAL: 6000# MAX 8. THIS FOUNDATION IS DESIGNED FOR INSTALLATION UNDER MANUFACTURED HOMES (Manuf Hm.) - CONSTRUCTED WITH LONGITUDINAL OR CROSS JOISTS. • �` �• 9. THIS FOUNDATION IS DESIGNED FOR PLACEMENT ON LEVEL UNDISTURBED SOIL, WITH NO EXISTING SOIL PROBLEMS. THE DEFINITION 01=LEVELOR MATTGUARD FOUNDATION PAD -IS; GRADE CAN VARY 3% IN EITHER �DIRECTION (1./2=-IN_20" DIRECTION, i-1/4" IN 44' DIRECTION) OF THE PAD. 10. PADS FOR THE INTERMEDIATE SUPPORT PIERS SHALL BE LOCATED AND SIZED FOR THE �, a LOAD AS SHOWN IN THE MANUFACTURED HOME INSTALLATION INSTRUCTIONS. TIEDOWN REQUIREMENTS: (This is for Singlewides only.) IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, THE FOUNDATION SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT Tiedowns required and may be one of the following: THE USE OF THE MANUFACTURED HOME. 12. RETROFITS: ,WHEN INSTALLING MG ON PREVIOUSLY INSTALLED HOMES, REFER TO :• -On Asphalt -Cut out asphalt 2-1/2" deep, set MattGuard MANUFACTURERS INSTALLATION INSTRUCTIONS, AND/OR RETROFIT(, INSTALLATION SCHEDULE. Pad in and backfill with asphalt. LOCK -TOP INTERMEDIATE PIERS, MARRIAGE CONNECTIONS/PIERS'MAY NOT BE REQUIRED. . *On Concrete-MottGuord Pod may be secured to existing, 13. IN ABSENCE OF MANUFACTURERS MANUAL, REFER TO'STATE OR'LOCAL INSPECTING AGENCY , U-TTE - .' cleaned concrete with 1/4' - 1/2' thin set mortar. REQUIREMENTS FOR INTERMEDIATE PIER SPACINGS.^ „sr. �ILL) ;J,� *On Earth -All Installations: Use 30"long,• double 4" helix disk,' nu #32 strap (7' long) with split bolt, auger (or other state approved tiedown system, with a working load of 1000# in `class 5. soil). Set one length wise on the centerline between MATTGUARD PAD ORIENTATION each set of MattGuard Head Plate clomps. SINGLE AND DOUBLE�U�EFERRED PAD ORIENTATION:•Retrofit Foundations: Where there is inadequate workingTHE LONG DIMENSIOPAD SHOULD'BE PERPENDICULAR TOsTHE BEAM, space for the above installations, place one ougerWHEREVER PRACTICA per MottGuard strapped to frame near outside edge of home in line with MattGuard. "f . Yc�i (H WHERE THE FOUNDATION PADS WOULD EXTEND PAST THE s �. SKIRTING, THEY MAY,BE ROTATED SO -THAT THE LONG h` , DIMENSION_IS-PARALLEL TO THE=BEAMS. ,Acrri ' No063 A / 4 - 11ULTIPLE'UNITS-ONLY:� _ ' JSE ' WHERE FIELD CONDITIONS MAY REOUIRE.PAD'ROTATION'NOtiMORE,3/31f99 THAN HALF_OF-THE PADS CAN :BE ROTATED SO•THAT,_, �' 1' J. FOUNDATION SYSTEM ONL • THE LONG DIMENSION'OF-THE PAD•IS�PARALLEL TO -THE -BEAM. T�� CIV II t F� f`o' MATTGUARD GHF-31' .. FCA:. MANUFACTURED HOME FOUNDATIOt' ORAM Ff.OATE: SCALE R.ANDERSON GHF31-F2 9/22/97 PAGE 2 of 3 1 DO NOT- SCAIEr'DRAW 1 .1 CONCRETE SLAB BACK \ MATTGUARD STAND / \ AND CONCRETE PAD / o X — 1 — 4 A Ili / 2 3/"X s PENN. — INSERTS OR \ BURKE (252) GV -308 111---I 3/4' X 1 1/YZINC COATED 1' FORRULEEQUIVALENTS \ — I" / FRONT \ COMPACTED SAND, EARTH, OR ASPHALT SLAB CANTILEVER APPLICATION NOTE: 1. FOR PARTIAL CANTILEVER OFF SLAB, PAD MAY BE SET ON ASPHALT, SAND, OR EARTH. SAND OR EARTH MUST BE WITHIN A 2x4 P.T. FORM. ASPHALT DOES NOT REQUIRE A FORM. 2. ASPHALT, SAND OR EARTH BURM MUST BE EQUAL IN SIZE TO THE PORTION OF THE PAD TO BE CANTILEVERED. CABANA PORCH ENCLOSURE 0 TYPICAL MAFRIFACTURED HOMi 0 2' A MATTGUARD FOUNDAT 4 10' OR 12' 8' 2 4x6 D.F. #2 SUPPORT BEAMS I 1'G 7' or 9 10' or 12' 2 3/4"X 3' PENN. INSERTS OR BURKE (252) GV -308 3/4' x 1I/Y ZINC COATED FERRULE INSERTS OR EQUIVALENT 4x4 - 44 WWF (#4 GAUC r /� BOX BEAM SCHEDULE NOTE: MattGuard marriage line spacing to le half the perimeter spacing, (example, perimeter spacing 20', marriage line SDocing 10') This is an example only. Refer to Installation Schedule per sheet 1 for . actual MattGuord spacings. SKIRTING, RETAINING WALL OR SIDING NOTE: 17 SO IN OVERSIZE FOR CHIPPING AND/OR CORNER BREAKAGE. PAD CAN 9E BURIED UP TO 2-1/2- F--F -1/Y F—r f RECAST;O-U-N-DIO-NP4D�7 PERIMETER FRAMED & SPECIAL APPLICATION CONNECTIONS ZLTC BEAM — 5/8' x 6' BOLTS. FIELD DRILL HOLES (2) MATTGUARD TO : BEAM CONNECTION 4 f I H4 HURRICANE ANCHORS DE AT 24' cc 4x6 D.F. #2 SUPPORT BEAMS x Y LAG SCREWS (2) ACH MATTGUARD STAND 0 MARRIAGE LINE —, FLOOR JOIST BOX BEAM n ANGLE MAY BE ATTACHED EITHER 112-24 X 1-1/4'(8) BY BOLTING OR CLAMPING H.W.H. TEK SCREWS #12-24 X 1-1/4' SELF DRILLING M.W.H. TEK SCREWS (8� Y x Jr x 3/16' PLATE SELF DRILUN ANGLE lY LONG 3' x s x 3/16' PLATE f6' EAD PLATE ANGLE IY LONG7 x 9-1/_n2) 0 0 * NOTE: FOR ALL OF ABOVE HEAD PLATES 6' X 6" HEAD PLATE 6- X 9 1/Y HEAD PLATE PER APPLICATION REQUIREMENT TYPICAL BEAM CONNECTIONS C BEAM = 1" BOLTS (2) .LD DRILL HOLES 3/16' PLATE GLE s LONG -117 _ 3' Max 5/8' x 6'BOLTS (4) o 1 o 5/8' BOLTS (4) J BEAM 3/8' X 1' BOLTS (2) FIELD DRILL HOLES °. I 'ZI izovdl �1 c i ) R� i� W470—CATSO AIRPORT BLVD. r�� / MattGuard (800) 34-1ILLE, CA 95076 - (800) 434-1444 i m I: Nd. 41 1 - ` f ( FOUNDATION SYSTEM ONLY V�� i�ss MATTGUARD GHF-31 /1 CIV it- e��P MANUFACTURED HOME FOUNDATION SYSTEM I F OF CAL1F� DRAWN BY: DATE: SCALE CFHF31 —F3F3 9/22/97 PAGE 3 of 3 DO NOT SCALE DRAWING PATENT # DES: 343,491 FHF3