HomeMy WebLinkAbout028-410-085-
28-V3-8
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A. G.•Slaybaugh
W/S Mission Olive Rd., 4 mi.S.of
unstone Dr., Oroville
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Permit #73. 78P,E(util.,l
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SUPPORT STRUCTURE REQ .moi/ e2
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COMPACTION TEST REQ. i11rn
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Contt :Mc 11 an MH Ser, Paradise
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Permit #2843-7 MHI
Issued
B07-1372 028-410-085
RESIDENTIAL SFD-Mobile Home RET
EX MH ON PERM FND
592 MISSION OLIVE RD & ,2(,
SLAYBAUGH AIDEN G & FRIEDEL H
1307-2759 028-410-085
--'-141S CELLANEOUS Ag Exemp
r AG EXEMPT BLDG 50X60 (3000) TRA
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,592 MISSION OLIVE RD
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t:;EDWARDS, RYAN
,sit
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BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 1
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-1372 Issued: 06/25/2007
Address: 592 MISSION OLIVE RD Area: BANGOR
Owner: SLAYBAUGH AIDEN G 6APN: 028-410-085
Applicant: SIERRA MOBILE SERVIMap Page:
Permit Type: SFD-Mobile Home RET
Description: EX MH ON PERM FND
Flood ne: None SRA Area: Yes
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
III
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Finals
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
1 802
Mobile Home Final
1 802
Ins ection Type I
NR I INSP DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia: A L.
Public Works Fina
538-7681
Fire Department/CDF
538-6837 txt 169
Env. Health Final
538-7281
Sewer District Final
**PROJECT FINAL
801
-rruleci ruiai is a %-eruucace ui vccupancy iorfiesmennai vniy)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
L
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
FEE INFORMATION
DBF MH Plan Check $233.56
DBMSC Mobile Home Permit Fee. $350.34
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect. _
X K r 06/25/2007
Contractor's Signature Date
WORKERS' COMPENSATION DECLARATION
II 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.
�3700
MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
SeLabor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier. State Fund Policy Number.046-0004257 Exp. Date:01/01/2008
(This section need not be completed if the permit is oris or one dollars ($100) or less.
❑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 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
06/25/2007
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address City State Zip
ees Paid: $583.90
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑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 (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.), r
❑ I AM EXEMPT under Section B. 8 P.C. for this
Owner's Signature
06/25/2007
Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorizeejto act on the property owners behalf.
&,i ; At: I C, 06/25/2007
❑ Owner El Contractor OR. Agent for Owner Agent for Contractor
FILE COPY
PROJECT INFORMATION
Site Address: 592 MISSION OLIVE RD
Owner:
Permit NO: B07-1372
APN: 028-410-085
SLAYBAUGH AIDEN G & FRIE
Permit type: RESIDENTIAL
592 MISSION OLIVE RD
Issued Date: 06/25/2007 By KCG
Subtype: SFD-Mobile Home RET
OROVILLE, CA 95966
Expiration Date: 06/24/2008
Description: EX MH ON PERM FND
Occupancy: Zoning: ARMB
Contractor
Applicant:
Square Footage:
SIERRA MOBILE SERVICE & SUPPLY
SIERRA MOBILE SERVICE &
Building Garage Remdl/Addn
466 CIRCLE DRIVE
466 CIRCLE DRIVE
OROVILLE, CA 95966
OROVILLE, CA 95966
Other Porch/Patio Total
(530) 534-0599
(530) 534-0599
FEE INFORMATION
DBF MH Plan Check $233.56
DBMSC Mobile Home Permit Fee. $350.34
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect. _
X K r 06/25/2007
Contractor's Signature Date
WORKERS' COMPENSATION DECLARATION
II 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.
�3700
MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
SeLabor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier. State Fund Policy Number.046-0004257 Exp. Date:01/01/2008
(This section need not be completed if the permit is oris or one dollars ($100) or less.
❑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 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
06/25/2007
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address City State Zip
ees Paid: $583.90
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑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 (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.), r
❑ I AM EXEMPT under Section B. 8 P.C. for this
Owner's Signature
06/25/2007
Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorizeejto act on the property owners behalf.
&,i ; At: I C, 06/25/2007
❑ Owner El Contractor OR. Agent for Owner Agent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
**PLEASE PRINT CLEARLY**
OWNER
Last Name
First Name
Address j;` �sN O! h J L 1
s 1isC?-e1�
CityStale
CJ4vtlrll,[ C Zp 2s`j�G
Phone Fax
E-mail
Name CONTRACTOR
Address
City State
�Zip 9Sf'E E
Phone Shy pS9 9 Fax
E-mail Lic. #
y7�3 �E Class �
ARCHITECT/ENGINEER
Name
Address
City State Zp
Phone Fax
E-mailState license Number
A PPL I CA N T NAME
Name -
Address y6 �
c.-�cC'�• 1L��2e.
City
I State
C 2� gee Zp
Phone Fax
S3 q o S-6 6
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning Flood Zone SRA Yes - No
.
Type Const.
Iuuc
ivision Name Map Book Page Lot #
Planner
Dale Approved:
OVER FOR SUBMITTAI RFni IIRI`nnr=KrTc
PERMIT
NO.
B��7-�37z
BIN #
LOCATION
AP#
Property Address city
-��l.t /te1S5leti GG s:rCc O/pcu;/.l.f
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
5;�"
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance,
LENDING AGENCY
Address
Description or Scope of Work:
Sq. Footage
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application ager expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plar, cbccked and other department costs are not
refundable.
Received by: . C/ Amount 53-� p(o
Bldg
Receipt #:
�hj jo3y
Date: 6.50,
SRA
Sheriff
SMIP
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Xi2,Toundation Sys'ie'm
Installation Instructions fOr Califomia-z
Pfor' Ground & Concrete Sykettn's
H UD Wind Zone 1,,
.115,PSF Wind Load Seismic 4
!By. ,Tie Down Engineering
B07I'K2-
13ME COUNTY
BUILDING WISION
APPROVED
C0 -2W
Xi2 Concrete System
Engineer Approval
State Approval
MANUFACTURED HOME/MOBILE HOME
FOUNDATION SYSTEM
RMTH AND SAFETY CODE, sEcnoN is-gst
APPROVED
9U8nWT TO CORRECTIONS NOTED
APPROVAL DOES
NOT AUTHORIZE OR APPROVE ANY
ONWONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
stm of Ceti& =is
OF. ES AND STANDARDS
DATR.L-ji le,
Ive- Atlanta
0 o FAX (404)
Page 1 of 8
1 o Xi2 Foundation System
Installation Instructions for California
a for Ground & Concrete Systems
HUD Wind Zone 1, 15 PSF Wind Load Seismic 4
By Tie Down Engineering
REQUIREMENTS
• These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A
and 97 UBC Seismic Requirements, CBC 2001 addition.
• Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are
adjusted accordingly and approved by HUD.
• Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum
• Additional vertical anchor ties that are unique to a home's design may be required by the home
manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim
plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers
set-up requirements.
• Maximum pier height is 48" pier. *Except for single sections 36".
• Steel piers must be fastened to the I-beam with clamps provided with steel pier.
• Systems must be placed as evenly as possible, no more than 10' from end of home.
• Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch).
Additional Requirements for Concrete Systems
• Poured concrete must be 2,500 PSI minimum at 28 days.
• Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by
14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. ®VY�11&1
* Xi2 components exceed HUD code 3280.3068 "Anchoring equipment exposed to weath;r ng sha�IhaWa(16
resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not
less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0
0
TIE DOWN ENGINEERING # 5901 Wheaton Drive -, Atlanta GA.. 3033
0
Installation of XR.Ground:Systems
1. Identify the number of systems tribe used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Clear all organic matter and 'debris'from the pad site.
4. Place U -bolts through holesin pari provided.
5. Place pad centered under beam with the lateral strut bracket towards the inside of the home.
6. Press or drive pan into ground until level and flush with prepared surface. ..
7. Build pier according to State`, Local or Home Manufacturers guidelines.(Fieure 1)
8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam
with the nut & washer provided. (Figure 2)
10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so
that the two tubes are connected together. (Figure 1)
Figure 1
1-3/4" Tube
Lateral Struts
-1/2" Tube
4-#12x1"
Tek Screws
U -Bolt & mounting
Bracket v'
J -Bolt Nut. & Washer
1'.Beam
Figure 2
end)
of Nome f
end 11. Install frame bracket clamps to I-beam on in
side of block/pier. Do notaighten nuts at this time.
•''' £, 12. Attach long itudinal'strut to U -bolt in pan using
nuts provided.
13. Insert strut in the frame bracket clamp, attach with
" 1 e nut and bolt. Do n6 tighten at this time.
14. Pull the frame bracket clamp with the fastened
® strut outward to remove any slack.
`z'` `'=' 15. Tighten all nuts and bolts'on the struts and
beam clamps.
j Page 3 of 8
s �
f I I 5901MheatonDriveI lf�
O
lwww.tiedown.com(404),344-0000 o FAX.I I .I
O -
Xi2 Ground Parts Detail
Xi2 Ground Lateral System
Part Number 59306
Includes: 5' Strut, pad & hardware kit
(#59329-1 includes all nuts and bolts).
Longitudinal Hardware Kit
Part Number 59331
Includes: 2 I-beam brackets &
2 U -bolts with all nuts and bolts.
Lateral and Longitudinal Combination
Part Number 59333
Includes: 5' Strut, Pad, Longitudinal Strut
(#59329), Lateral and Longitudinal Hardware
Kit with all nuts and bolts.
Struts for Longitudinal Systems
Part
Strut
Pier Height
No.
Length
Up To:
59330-44
44"
4 Blocks or 32"
59330-65
65"
6 Blocks or 48"
Ground Longitudinal
Hardware Kit
Xi2 Oround
Longitudinal Strut
& Hardware Kit
Ground Longitudinal
Strut
Xi2 Stabilization Pier Placement for Ground or Concrete
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Xi2 Pier Placement
Double Section Home
0 -62' 3 Xi2 Systems*
63' - 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
511 z. ti�r/va`
Page 4 of 8
Installation..of Xi2 Concrete Systems
1. Identify the number of systems to be used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Build pier according -to State, Local or Home Manufacturers guidelines.
4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as
a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors
provided. Place nut & washerion anchor, leave enough room for 1 to 2 threads
showing on top of bolt. Using a hammer, tap the wedge bolts into hole through �M,
bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench,
tighten wedge/anchor bolt, securing bracket to the concrete. 1
5. Attach the end of the smaller tube to the bracket mounted on the pad, using the
grade 5,1/2" x 2-1/2" bolt/nut provided.
6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over��
the top of the I-beam with the nut & washer provided. (Fleure 1 next page)-
7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes
provided in the lateral strut so that the two tubes are connected together
8. Install frame bracket clamps; on I-beam on the inside of block/pier.
9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite en . ete brack t.
10. Pull the frame bracket clamp with fastened strut outward to remove any slac !�
11. Tighten all nuts and bolts on system. P -Ts 1 jY 2
Page 5 of 8
ENGINEERING
0
0
LO
0
0
O
Xi2 Lateral Concrete Systems
Part #59307
Includes: 5' Strut, Bracket, & Hardware Kit
#59315-1 with all nuts and bolt.
Longitudinal Struts for
"Concrete Systems"
Part No. Length Pier Height
#59013 44" up to 4 Blocks
#59015 65" up to 6 Blocks
Longitudinal Hardware Kit
Part #59263
(Includes 2 sets per kit: I-beam bracket, nuts,
bolts and washers)
Lateral and Longitudinal Combination
Part#59332
Includes: 5' Strut, Longitudinal Strut (#59364),
Lateral and Longitudinal Hardware
Kit with all nuts and bolts.
Nut &Washer
Figure 1 Beam Clamp
Bracket
J -Bolt
Longitudinal
Strut Concrete Longitudinal
Hardware Kit
End °
rte;.
"l
Lateral
Longitudinal
r.
M��
Xi2 Installation Placement t /1/6�
Page 6of8
D.O.WNf
'ENGINEERING f"
..Offset Placement
Diagrams represent examples of double and triple section offsets. Total size is,determined by the
length of unit plus offset.
Xi2 Stabilization Pier Placement for. Ground or Concrete
Xi2 Pier Placement
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Double Section Home
0 -62' 3 Xi2 Systems*
63' - 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
z.
Page 7 of 8
m
0
�i
0
0
0
Hardware Breakdown
#59329-1 Hardware for 59306 Lateral System
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
Beam Clamp Base
1-3/4 zinc
4 10556
Tek Screw #12 x 1 "
1 10631Z
J Bolt 1/2 x 5-1/2 grade 5 zinc
2 10640
Push Nut 1/2
1 12107
Flat Washer 1 x2" SS
1 10646Y
Hex Nut 1/2-13 grade 5 zinc
2 10519
Hex Nut 1/2" w/ Serr flange
#59331 Longitudinal Hardware for 59306
2
59272-1
Beam Clamp Base
4
59272-2
Beam Clamp Top Flange
8
10926
Carriage Bolt 1/2-12 x 1-1/4
Carriage Bolt 1/2-12 x 1-1/4
4 10801
Full Thread
10
10646Y
Hex Nut 1/2-13 grade 5 zinc
2
10801
Carriage Bolt 1/2-12 x 2-1/2
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
Grade 5
2
84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
2 10519
Hex Nut 1/2" w/Serr Flange
1-3/4 zinc
4
10640
Push Nut 1/2
4
10519
Hex Nut 1/2" w/ Serr flange
# 59329 Hardware for 59333 Lateral and
Longitudinal
combination
1 59329-1
Hardware Kit
1 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange
4 10926
Carriage Bolt 1/2-12 x 1-1/4
4 10801
full thread
5 10646Y
Hex Nut 1/2-13 Grade 5 zinc
1 10801
Carriage Bolt 1/2-12 x 2-1/2
2 10801
Grade 5 zinc
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
6 10646Y
1-3/4 zinc
2 10640
Push Nut 1/2
2 10519
Hex Nut 1/2" w/Serr Flange
#59315-1 Hardware for Lateral System
1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc
1 12107 Flat Washer 1/2" SS
4 10556 Tek Screw #12 x 1 "
2 10646Y Hex Nut 1/2x-13 Grade 5 zinc
1 10826 Carriage Bolt 1/2-12 x 3
Grade 5 zinc
#59027 Hardware Kit for 59307 Lateral System
"2 59264 3 Way Concrete Bracket
4 10530 Wedge Anchor 3/8 x 3.50
1 59315-1 Hardware Kit
#59263 Longitudinal Hardware for 59307
2 59272-1
Beam Clamp Base
4 59272-2
Beam Clamp Top Flange
8 10926
Carriage Bolt 1/2-13 x 1-1/4
1 59315-1
Full Thread zinc
12 10646Y
Hex Nut 1/2-13 Grade 5 zinc
4 10801
Carriage Bolt 1/2-13 x 2-1/2
4 10926
Grade 5 zinc
#59364 Hardware for 59332 Lateral and
Longitudinal
combination
1 59264
3 Way Concrete Bracket
2 10530
Wedge Anchor 3/8 x 3.50
1 59315-1
Lateral Hardware Kit
1 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange
4 10926
Carriage Bolt 1/2-13 x 1-1/4
Full Thread zinc
2 10801
Carriage Bolt 1/2-13 x 2-1/2
Grade 5 zinc
6 10646Y
Hex Nut 1/2-13 Grade 5 zinc
tlY 2.
Page 8 of 8
TIE`
DOWN
ENGINEERING
STATE OF GALIFOi tii , t6U NVCSS<'f NAijspo?Y'rAYlOM11 AND HOUSING AGENCY ___ _ ARNOLD SChWARLENEGOOt, GOO
_ STING
DEIoART I -NT OF HOUSING AND COMMUNITY DEVELOPMENT o0 9�•
Divlti®n aTCOdcs and Ste ndsto
i Title Search
i Bute Ntiured : 06/20/2007
Decal #: 51{2656
Mgaufaciur r
Tradenal110: H tI-M,
Model: i
Mantifactuc d t mtc: 0t1;0oq9?8
Registration Lr:l+:. 06/30/ZU07
First Sold Oft: 06105/1518
Seiiil Number
031700205k
use Code:
tJNK
priganal Price Cade:
ABZ
Rating Year:
1978
Tax Type:
ILT
Last ILT Anow:
$8.00
Date ILT Fee Paid:
^60/2006
ILT Eyempti.on:
NONE,
MUD Label / Insigni Length
Width
L tftotiuti Uealown
Unknown
Record Cor_divans: PH k:xatipt
i
Regislered Qwner:
i AIT. EN SLAY.BOUGH
FRI1EDEL SL YBOUGH (Tenan[e it, Common Or)
I 592 MISSION OLIVE
i OROVILLL, CA 959156-9326
i
I Lwit Title Mute: NO TITLE 1SSUIED
Last .Reg Card, 06/12/2006
SidefTransier 16fo: Unknown
r9tti2S iAdCiYvtiS:
i 59<. "�4ISS10I OLIVE.
I
t;JRO iLLE, CA 95966-9326
situs Cotm±y. &lYJ"1"1E
Opc� Escrow:
j viDELITY NATIONAL TITLE
455 QR.0 DAM DLVD SUITE A
j O.ROV1LLL-, CA 95965
i
?.06 ZOE'Ord
Lscs; ow Elle No: 1495 1
Pending Buyu, RYAN J LrJIV DS
)realer Name. None Reported
Escrow Opened On: 0612012307 Expitts on: 10/1802007
Scarehrs:
FJAELITY NATIONAL TITLE
»55 ORO :DANS BLVD SUITE A bay cTE
OkOVILLF:, CA 95965 C®YJivTY
Title fiie N0: None
:Wal [`cos: 5 2�a�
$19,00 TDZ, VIuLOPIVLENT
-**FST) OF'TITUS SEARCH'SERVICES
60L7b25 E 37-IIA060 3-IlI1 Ai I -37:0T [,0 ,ZL/0" i9Ci
FOUNDATION SYSTEM
CERTIFICATE OF OCCUPANCY- =.
BUILDING PERMIT NUMBER: B07-1372
Address or location of unit: 592 MISSION OLIVE RD BANGOR CA 95914
Legal Description of Real Property: 028-410-085
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: SLAYBAUGH AIDEN G & FRIEDEL H
Owner's address: 592 MISSION OLIVE RD OROVILLE CA 95966
INSIGNIA OR HUD NUMBER: CAL073124/5 ,
SERIAL NUMBER OR V.I.N.: 03700205BL
MANUFACTURER'S NAME: N/A YEAR: 1978
OFFICIAL APPROVING INSTALLATION:
DATE: 6/26/2007
PHONE: (530) 538-7541
H.C.D. 513
• � PERMIT N0. 273-78P,E -
PERMIT EXPIRES
OWNER. A.G. Slaybaugh
CONTR. owner
LOCATION (A.P. 28-19-85
W/S Mission Olive Rd., 3/4 mi.S.of Dunstone
Dr., Oroville
6ti
w . 0; -
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. Z.
Called PG&E
Temp. Gas Serv. —
JCalled PG&E
B
O
FINALED iA,17 17
(D
ik —i�.
gna ur
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - -
BUILDINGANSPECTION RECORD
BUILDING A BUILDING (Cont'd) PLUMBING
selpack
F ewall
Jr SaLl Piping
Forks
Par ets
1 t Floor
Maht Bldg.
Rest om Finish
2n Floor
Fo tins
Windo
3rd Noor
Stemall
Siding
To out
Slab
Roof Shea)blng
Water Pi i
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings V
Prov. for physical
handicappedy
Conformance of ex.
structure V
Appliances
Gas Piping & Test
Temp. Gas
Slab A
Final A
Sanitation
Patio
EP ACE
Final
Footings
Footing
ECTRIC L
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Bea
IRE SPRINKLE
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanel/
Mesh
t MECHANICAL
Grd. F It Prot.
Scralth
I HeatirA
Servialf
Brg&n Coo g T p. Pole
F hash D is nder round
I rior Lath ntllation Permanent
oor Closer Inal Final
MOBILEHOME UTILITIES ----------------•- Elec. Service Elec. Pedestal
Water Piping -7 Sewer ,4 .-� 9 _7gk�Gas Piping Sp ltJ' szC)_7 "CA
MOBILEHOME INSTALLATION - - - - - - • - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECT�IIONS
Wz
(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 DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with thereqquirements
of the California Administrative Code, Title 25, Chapter 5,_under permit
number !' for the following location:
Owner ,
Owner's Address
Mobilehome Mfg ModelYear
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.
COUNTY OF BUTTE • — DEPARTMENT OF PUBLIC WORKS
ti. 7 County Center Drive — ' UroviIle, California 95965
" Telephone: 534-4541
APPLICATION AND PERMIT
c>�Z&;�r
X Date
Sign 4r or Per tee or Age
Receipt Nd.
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIR� BLIC WORKS
V
BY ` Date
permit expires Date
T
BUILDING
O r S
SQ. FT. OCC. BUILDING VALUT79TION
IF
Mailing Address 0
(?C, —92 Z2 K
Telepho e
7SO
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
A
Permit Fee $
Building Address 5 �s O
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3, OV
Each Trap 1.50
U
Repair drainage or vent piping 1.50
Water piping 1.50 D. OC)
Z,grtfttg Verifieafion Only
Each gas water heater or vent 1.50
�✓
A. P. No. e�
.r
Gas piping system 1 - 5 outlets 1.5U 16,
Each additional outlet .30
Fees
W. Sa t' n Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 1.01.6
EQA
Parking
Plans
Parcel
Declarati
rcel
60' R/W
Improvements
P
Lawn sprinkler system 2.00
1t��
Bldg. Plans Recd �rParcel pproval
Plans Approval
Permit Fee $ ,
C__
NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 -5,6�
Main service 600 AMP 00V OR LESS 5.00 BOOT
Main service EA. ADD'L 100 AMP 2.50OVER , V
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 00 AMP oR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
�:iv
NEW CONST. I DWELLING OCCUP. &
OR DCONST A/ CC. ) 22sq ft
LLD
NEW R. LET
NON•RESID. ( BRANCH CIRCUITS) 2.50ea
FOR MOBILES
NEW CONSTR POWER APPARATUS &
NON -REST D. (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:
50
Ex. Occup(OUTLETS OR FIXTURES) @@1
BAL@1
Ex. Occup.FIXED APPLNS. OR
(OUTLETS (RESIO.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ,
License No.Classification
Misc. Wiring 6.25
A21 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.
Elhave placed on file with the County of Butte a certificate of
'workmen's Compensation Insurance.
j�j I certify that in the performance of the work for which this
lApermit 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.1 @ I FEEPERMIT
FILING FEE J$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
authorize representatives of the County of Butte to enter upon the
abnvP-mentinnPri nrnnorty fnr inen—tine n„r ^n
Z)ZU -e
2,j CJ2
TOTAL PERMIT FEE
$ 3
This permit is hereby
P y issued under the applicable provisions
of
X Date
Sign 4r or Per tee or Age
Receipt Nd.
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIR� BLIC WORKS
V
BY ` Date
permit expires Date
T
_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 Cobnty Center Drive . —' OroviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
i
auinurize representatives of the County of t3utte to enter upon the
above-mentioned property for inspection purposes.
XpL,,, e, Date _AQ
LSipf,ature of Permi�roe or Agent
!�
Receipt No. / CSk
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.
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
•a y� �'
_IgV
Mailing Address
Fireplace
Total Valuation
Tele hone o.
lS
Permit Fee
Building Address W S 1 V
Plan Checking Fee &/orPenalty
Permit Fee
vi e D r •
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
C)YbV 1 I I
Repair drainage or vent piping 1.50
A. P. No.Water
Zonin 8 Planning
piping 1.50
Each gas water heater or vent 1.50
F
W.
Sanitatf6fi Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plari -<ed
Parcel A royal I
royal
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
At R/
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 e00V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.( OR ADDNS. ACCLBLDGS•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
style of: /
M G M i I'i0N (n Alf- f-1 aMC. ,5e ryj'cC_
NEW CONSTRES'.. MULT LOUT LET
NON-RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS 9
NON-RESID. SINGLE OUTLET CIR,
Ex. Occui)(OUTLETS OR FIXTURES * L ,�
FIXED APPLNS. OR
EX. OCCup.(OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 311 7 CI Classificatio G
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
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.
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 Noj @ 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
T$
U . 1.
$
TOTAL PERMIT FEE
$
auinurize representatives of the County of t3utte to enter upon the
above-mentioned property for inspection purposes.
XpL,,, e, Date _AQ
LSipf,ature of Permi�roe or Agent
!�
Receipt No. / CSk
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.
sr..,r:-• _-..- _...y...i.-..i.u,..+..............—'-__._.a...:+..:..-..+......-.-__-....tem,,. ____-._._—._.. _......—.,:.,. �- _. -_ ...�_� _�_�__� � _-.____. _.._...—.�.:..w.Jwra+..r _
�s c �* p N`, R
^« • GA G/'> 1. N
18 .R. E.
0
3 1.271 AG
42 122 9.7J 11201138.9
•O
O
30.58 AC 5S) 2 6.95 AC
., 11 AC. 3 2259 AC.. r 1434.55 t220
1652.87
�.
3or �o �� 74 20.73E AC 0 C-3 10.354C.
27 O _- -
t826.7 `� -1000
15.22AC. 26.13AC - _ _ - _ =;90' - - o
67
zi 11.45.10 v RIS 51.68 21.48 AC
920 i 1899.61
127AC 69 `fJ 25.774 AC C14
�. 80
i ►�>; X17 22 39794 - - -1494.19-
717.7599.91
1494.19-17.79. 1 01.56
21 151.0
�2 C b8
CJ 9.I AC 0, 1323 AC 10047AC
953 AC I 14.45 AC J1
600 r, 51. r
E9 ° 21
m(160
77 7AG. 52
1320 O
i• . m -ee.94 a.
14.45 AC 79 �' 78 a 'o19
OAC MAI
Piu 149-63
I SJG. E3 32G1� LU
2?S �
I 11.45 AC 230 19 s v
�I 1810 Q a�.9
r 7.3 AC 63
2425.20 'Z
c O 7
• ti 6,n
1642.54
z 73-- 7
9: Electrical _
A. Is service large enough to provi adequate amperage -to mobilehome-(must equal rating of
mobilehome with a minimum ofXO amp) and other facilitie -on lot, i.e., water pumps,
garage, cabana, etc.? Yes No
B. Is there proper clearances around panels? Yes No_
C. Is power supply cord•or feeder assembly properly fused? Yet,"- No_
D. Is continuity test satisfactory as per the following procedure? Yes_ No
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.
S. 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.
i
10. Is job card signed by Health Department for water and sanitation?
I
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length Width �G
Vehicle Serial No.
State Identification No.
J
Additional Information or Comments:
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located 4t,4/required separation from lot lines and buildings and generally
conform to plot plan? Yes_ No /
2. Does the mobilehome have.required clearances above ground? (Sec.5085) YesA No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (,Sec. 5082 & 5083) Yes �No
4. Is the mobilehome level? (Sec. 5088) Yesv No
5. If morV than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes_ No_
6. Water
A. Is flex'ble connector of adequate size and properly installed (1/2" ID mjin.)? (Sec. 5566)
Yes (/ No
B. Test — Does water piping withstand working pressure or 50 lbs. air test? Yes�Z`No
C. Backflow - If coach is not State of 1'fornia approved, does station have backflow device
and pressure -relief valve? Yes
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes611- 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-gans of water through each
fixture including washing machine standpipe? Yes No
D. If c a 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 of more than 6 ft. long? Note: All piping is to be at least as
large as the mobil ome gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure? Ye _ No
- 1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yest-' No
- �1 dea►� S ICIL
5
NOW
NOTE:— II Materials & Workmanship Shat! Be i
Accordant with Rec^ari,ed Gond Practices an
of a quali . prescri6pFor tha Specified use in th
Uniform B ilding, Plumbing & Machanical Codes an
the Natio al Electrical Code.
this setof plans and specifications MUST bo
cept on th job at all times and it is unlawful to
rake any 1 hanges or alterations on same without
written permisson from the Department of Public.
Works, County of Butte.
otic system and location chhedid,
to be as per
iutte County Health --Dept. Re-
juirements.
�o-epTG
SST i3a�a� a v
N
A
V
Rill IN
The W Setback shall be 5 ft. from the
side property line and 50 ft. from the '
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely
out of all easements.
/�I1IQTIlity connections SII be
locate ;7'thir1-4#t. o.6#tside the rear
mtl;ird section of the mobile home
on the left (road) side of thepobile
homL-. -
el`
)MSI- ;Z73-7 8
BUTTE COU
BUILDING DE
APPROVED
MOB ILEHO14E , SUI PORT DATA
" If other than single wide,
Mobilehome Mfr. A/C) .11 -Z � furnish Setup Model No. �% � < Year ;7
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 center supports measured from front of 7, MAI
mobilehome unless otherwise s e�cified.
Footings (check one)
Single �(//JJ
�� Wood either
pressure treated o
r—T—� foundation grade.
121-1 x30
Isuort
(in.) (in.)
CenCenter support
lfooting sizes
(in.)
36 x 3p
(in.) (in.)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
E] 2. Other (specify)
Supports (check one)
l: Concrete block.
2. Other (specify)
Tagalong or Expando,
show support details.
x30 -- Typical Support
in.) (in.) Footing Size
(ft.)(in.)
-- Max. Pier Spacing
-- Max. Overhang
(Et.)(in.)
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
1. Owner's name:
2. Installer's name:
MOBILEHOME INSTALLATION SHEET
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3. Is the site currently under permit? Yes /(// No
(If yes, furnish permit number .2D3 %! ) OR
Is the site an existing site? Yes
(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
8. Is there any other electric load to be served by the mobilehome
site service? --------------------------------------------------- Yes / / No / y
( If
no, clarify
)
9.
What
is the mobilehome site gas pipe size? ----------------------
5. What
is
the mobilehome electrical rating? -----------------------
fj� Amps
6. What
is
the mobilehome site service rating? ------------------=--
�% Amps
7. What
is
the mobilehome site circuit breaker rating? -------------
D7rAmps-
8. Is there any other electric load to be served by the mobilehome
site service? --------------------------------------------------- Yes / / No / y
i
(If yes, identify the load and size:
(Load) (Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
(in.)
10.
What
is the type of gas service? -----------------------------
Natural / / LPG
11.
What
is the gas pipe length from meter or tank to
the mobilehome? O -P+ (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.)
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