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Home My WebLink About040-110-067, f2w'a)1r4d/ J. Berger SIS Mesa Rd.,app.900'E.of Esqu—)e n Rd., Durham Permit # 255-77P,E(UTIL.�MH) ELEC. ?iW 77 a -O . GAS y `IiLes-rte— / SUPPORT 'STRUCTURE REQ. -z?.c� COMPACTION TEST REQ.-�yc.(7 _\� 40-11 W, Contr: Shast�`a Trailer Sale�.� Permit #k3821-77MHI ( ®® ` Issued ��23�7 /d -- l 141-2164 c t mci PERMIT NO. 4255-77P,E i E gill PERMIT EXPIRES OWNER Edward J. Berger CONTR. owner LOCATION (A.P. 40-11-60 S/S Mesa Rd.,app.900'E.of Esquon Rd., Durham 'r r t I Temp. Power Pole C fgled PG&E 08 Serv. Called PG&E b — T mp. Gas Serv. :6 G ,- /7 <o 77 IElec. Called PG&E FINALED 1i"(— 0;7 d (Date) �� x� (Signature) INS'LALLATION INSPECTION CHECK L, IST i. 1 . Is ,the mobilehomt '1oc lteii �ai.i_1! r lred separation from lot lines and buildings and generall.y con{otZr! to plot plan? Yc :� o 2. Does the inr,bilehome have require cl clearances above ground? (Sec.5085) Yes —leo 3. Are footin{s and sul5ports properly sized, spaced, and braced as per roved plans? (Note possible variation at spring shackles.) ��(Sec. 5082 & 5083) Yes_ _ No_ 4. Is the mobilehome level.? (Sec. 5088) Yew No 5. If more n a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5: Water. A. is flexi connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes C. Backflow - If coach/9? to of California approved, does station have backflow device and pressure -relic les— No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 4--o B. Does it have minimum 1;" per foot slope and is it properly supported? Yes`' No C. Are any leaks detected in drainage system after running 3-ga s of water through each fixture includin" washing machine standpipe? Yes— No— D. If coach i. to of California approved, does station have required trap and vent? Yes 'No 8. Gas Piping and Gas Vents A. Connector - s mobilehome connected to the gas sup with an approved 3/4" minimum mobilehome con ctor not more than 6 ft. long? te: .All piping is to be at least as large as the mobi ome gas line,inlet withou reductions1. other than the mobilehome connector. Yes No B. Test OK as per following p cedure? YQ No 1. Open all appliance conne or valy 's. 2. Shut off appliance burner,an ilot, valves.- 3. Air test with manometer t 10"-14 water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) cal' rated in to th pound increments. Test for 10 min. without drop. 4. Connect: gas meter o mobilehome with connec>or, turn, on gas, test connections with soapy water. C. Are'all applianc vents properly installed? Yes No i 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 to=;r_ shall then be n.ade between the ;rounding electrode and the chassis of the vlobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment- may be approved for energizing. Is job card sined by Health Department for water and sanitation? 1.1.. If everything okay, sign off card and t.a; services. MOBJ-LE;'1Oi^L•' DATA Manufacturer and/or Namest:yle Length Z l�'iciti Vehicle Serial No. 010— State Identif icat.E.on Igo. °.d< i_Lional Infor:nar.,i:.n or Coriunents: 3 ! I- - - � �O �o � - � -Z Lo - 9. Electrical A. Is service Large eno;;glt to provide :adoquare anipetrage to mobilehome (must equal rating of mobilelrorle c-jith a :::inu:wm of 10 amp) and oLher faciliti_as on lot, i.e., water pumps, ,ara,,e, cabana, etc.? Yes No_ ii, Is ther--� proper cicara)-ices around panels? Yt4No_ -s C. Is power supply cord or feeder assembly properly fused? Ye D. Is continuity test satisfactory as per the following procedure? Yes_�No__ 1. De -energize electrical-u-i.ring syste:ir of the mobilehome at the pedestal. 2. V. �akere that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. &5wirch all breakers and switches in the mobilehome to the "on" position. 4. �nne one L..ad of a test instrument to the mobilehome grounding conductor and ,. apply llie Gi. U.@L .l, 1. d.la t. i1 calal rllov L.LC1LUIIle S'll )1 l'.GC1UUc tor, llli.: ll CL lag Y1C L1Lrd1. Pi y k 5. All nor. -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 to=;r_ shall then be n.ade between the ;rounding electrode and the chassis of the vlobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment- may be approved for energizing. Is job card sined by Health Department for water and sanitation? 1.1.. If everything okay, sign off card and t.a; services. MOBJ-LE;'1Oi^L•' DATA Manufacturer and/or Namest:yle Length Z l�'iciti Vehicle Serial No. 010— State Identif icat.E.on Igo. °.d< i_Lional Infor:nar.,i:.n or Coriunents: 3 ! I- - - � �O �o � - � -Z Lo - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Se ack Irewall Soil PLUMBING r -or s P a ets 1st loor Ma Bldg. Re room Finish 2nd FXpor F tins Windlws 3rd Flo r Ste all Sidina To out Slab Roof Shl@thing Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaII Garage Vents Insulation Water Htr. Heaters Slab Carport po Footings Prov. for physic y handica ed Conformance of ex. structure V Appliances Gas Piping &Test Temp. Gas Slab Final A Sanitation Patio E ACE rFinal Masonry Walls I Throat I Rou h Reinf. Stee I Final Fixtures Bond Bed–__V_— - I /FIRE SPRINKLE Motors Fr ming _Test Water Htr. Mesh MECHANICAL X Grd. Fal0t Prot. N- Scra,rch Heatlob Servi Brg&n Coo ng T96p. Pole nish D is nder round In rior Lath entilation Permanent oor Closer N anal(Final MOBILEHOME UTILITIES ------------------ Elec. Service f—.` 2-5 7 Elec. Pedestal Water Piping — Z2. -- 7 Sewer i Gas Piping MOBILEH2MEINST LLA. N -------------- Support 7 Elec. Continuity 8 Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS n .� ef, 0/7/7 7 /0//40/77 (NOTE: An entry must be made on this form each time you visit the job site.) BJILDING DEPA-11,.'P.71=�,T- . EN-V'IRONXENTAL F _kILTH Se -,age and/or Nater ai-or A..1.ito- JD '-' 4i I Clearance(s) 1/0 . A LOC 110," 1 t5f 4 IM. approved for: Se -,;a -e Disposal Water Supply -'�D Id u? nater Supply final for: Final Clearance ok for: Water Supply is for a bedroom Chore or molbiie.j_gge). Other azle-ition(s) will be