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HomeMy WebLinkAbout058-530-026a Mark McQuillan ��c7g6 y'44'* T'^ NE corner f Yana Trail & Ishi Trail, Concow Permit-79P,E(util. MH) ELEC . A S SUPPORT STRUCTURE REQ. COMPACTION TEST REQ._ 58-36-89 �ontr: Hilton s MH, Magalia 0 Permit #4524-79MHI issued "a . i. r_ � Mark McQuillan ��c7g6 y'44'* T'^ NE corner f Yana Trail & Ishi Trail, Concow Permit-79P,E(util. MH) ELEC . A S SUPPORT STRUCTURE REQ. COMPACTION TEST REQ._ 58-36-89 �ontr: Hilton s MH, Magalia 0 Permit #4524-79MHI issued "a . .� i f� 54-S3o'a° GoIMURUIMEMIJ INCIDENT NUMBER 15354 DATE 12118/2004 EVENT NUMBE 15485' LOGGED B REPORT TIM 21:44 LOCAL FIRE NUMBE �� AA+ ��A� F��� RO PICKARD STATE FIRE NUMBER BI CASE NUMBER 139 i aA+rARps MEDICS LOCATION 12990 YANA TRAIL PRA E5 ECC ❑ RP MRS.HIRSCHY PHONE NUMBER 532-6472 REPORT METHO 1911 WILDLAND FIRES ❑ ESTIMATED ACRES =2FIRE INFORMATION STRUCTURE FIRE OTHER (OUTBUILDINGS EC I FIRE INFO SENT HO EMAIL BY TMJ TO FS36 OTHER FIRE 7 -DAY LOGGED INITIALS TB MEDICAL AIDS INCIDENT NAM ISHI PSA/OTHER r START DATE 12/18/20041 START TIME r 20:30 HAZ MAT DIAMOND # 1.1-1.8 COMMENTS CAUSE ELECTRICAL POWER W/EXTENSION TO LAND USE DOMESTIC VEGETATION ACRES r 21 TYPE OF ACRE TIMBER DIAMOND 5 ONLY $ DAMAGE TYPE DOLLAR DAMAGE 31000.001 SAVE 70000.00 INJURIESIFATALITIE ❑ # CIVILIAN INJURIES 01 #CIVILIAN FATALITI;77O i 01 EMD ❑ DES ❑ # FF INJURIE �^ 0' # FF FATALITIES � FC -40 INFORMATION ♦� New Incident FC -4O ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY County Notifications n EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ G �hS_._�c��'y��Cl4_nas/�amAcY(p 40 fo N� t Owner COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION C l.�u%def vl A.P. No. ing Address 996 ` Qn'� % r Applicant Mailing Address Building Location i Tele Tele( I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) Q2. Apartment House (if only a portion, specify) Q3. Commercial (specify .present occupancy) 4. Other (specify) QA a n C( RIO M a I am requesting a special inspection for the purpose of: 1. Moving the building. 2. Financing (specify agency) Case No. 3. Change of occupancy to 4. Other (specify) AU; 1 � GcJ /0 �(� f'�VI � tS No. D jC9 No. I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. Date Signature of Owner Fee Paid $ Receipt No. 1st-DPW/2nd-Inspector/3rd-Applicant �.G�=ri�� •;ju ,� � lc'i-i'. rL: �s� �arl.c'+S :rpt _}.•*S'��;c.i�. �;. yy.. �-��.�„�?"!.� ,7�,''i'. �',�p _�; .T'�i �_�C"w' ,.T, :'� ^'`+moi=3.:i—.,. �'iriY��_:��. ui: _— f – — --ice _.�-. .i. t X�. r ,_ - t a.':. re.. —:iF�• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.,California 95965 ; Telephones 538-7541 Owner Mailing Address d APPLICATION FOR SPECIAL INSPECTION yQn� l ✓'a; A. P. No. Tel Os 8-,il16 _Or 6 No. 530 -0,3,3-4/ V Applicant 50M Q Telephone No. Mailing Address Building Location 90'n�a n G n I hereby request a special inspection of•the following building: 1. Dwelling (if only a portion, specify) Q 2. Apartment House (if only a portion, specify) Q 3. Commercial (specify present occupancy) 4. Other (specify) I am requesting a special inspection for the purpose of: 0 1. Moving the building. Q2. Financing (specify agency) Case No. Q•3. Change of occupancy to 4. Other (specify) u.; 1 f GU/D A1-'01 ► tS I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- t'io'n,," to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. Signature of Owner Fee Paid $ •N1 1st-DPW/2nd-Inspector/3rd-Applicant Date Receipt No. .t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION Owner Mailing Addres VK ///C UU � 996 Yon A. P. No. r-& / Te No.cJa V Applicant 50AI 2 Telephone No. Mailing Address Building Location I hereby request a special inspection of -the following building: 1. Dwelling (if only a portion, specify) Q2. Apartment House (if only a portion, specify) Q3. Commercial (specify present occupancy) 4. Other (specify) a A6 h 0 P I am requesting a special inspection for the purpose of: 0 1. Moving the building. Q2. Financing (specify agency) Case No. Q3. Change of occupancy to l // 4. Other (specify) q i! t Lc�/D �P ir S „ It hereby certify that I will obtain the necessary permits and make any necessary correc- tions,, alterations, or repairs required by the County of Butte, as a result of this inspec- tion,, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. Date Signature of Owner Fee Paid $ Receipt No. lst-DPW/2nd-Inspector/3rd-Applicant I PERMIT NO. 2044-79P,E Y PERMIT EXPIRES���+ OWNER Mark McQuillan CONTR. nwn Pr- 58-36-89 LOCATION (A.P. ) 9.1J NE cor.KXN Yana Trail & Ishi Trail Concow y� if .r ty 1 .qr I; r t A� c FI f F Temp. Power Pole I Called PG&E p }°� L ,+ Elec. Serv. r �- Called PG&E ����CJ.� { Temp. Gas Serv. Called PG&E rl JOB f FINALED / (Date (Sig e) N � , 3� I PERMIT NO. 2044-79P,E Y PERMIT EXPIRES���+ OWNER Mark McQuillan CONTR. nwn Pr- 58-36-89 LOCATION (A.P. ) 9.1J NE cor.KXN Yana Trail & Ishi Trail Concow y� if .r ty 1 .qr I; r t A� c FI f F Temp. Power Pole I Called PG&E p }°� L ,+ Elec. Serv. r �- Called PG&E ����CJ.� { Temp. Gas Serv. Called PG&E rl JOB f FINALED / (Date (Sig e) N � , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING tback rewall So Pipin F `ms P •a ets 1s Floor In Bldg. Res oom Finish 2nd loor Jr otin s Windo s 3rd F or St wall Sliding ' To out Slak Roof She thing Water PI in Piers Roofing Sewer Garage Fdn. Vents `• Fixtures FootingsV Garage Vents \ Water Htr. Stemwa l l Insulation Heaters Slab r• handicar pehysica y Appliances Carport Conformance of ex. Gas Piping & Test Footings structure . Temp. as Slab V Final Sanitation Patio A FIRE , ACE Final Footings Footing LECTRICA `, Masonry Walls Throat Rough Reinf. Steel Final Fixtures \\ Bond Beam FIRE SPRINKLEFk Motors Framing Test Water Htr Stucco Final Sub ane Mesh MECHANICAL Grd. F It Prot. Scraf,Ah Heatl Servi Brq4n Co ng T mp. Pole F nish D is inderground 1 erior Lath entilation Permanent oor Closer anal inal MOBILEHOME UTILITIES ------------------ Elec. Service Water Piping �p — 1 [P % Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity 7/9 217 Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 0/ k,, (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to provide -adequate amperage-�to•mobireaome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities or; 1•ot,• i.e., water pumps, garage, cabana; etc.`? Yes_zlo_ B. Is there proper clearances around panels? Yes .4-N-0-, ` C. Is power supply cord or feeder assembly properly fused? Yest No— D. D. Is continuity test satisfactory as per the following procedure? Yes•v 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. )Ia.. 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 the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA /D r a� � Manufacturer and/or Namestyle C yoWiy Length 6 �/ -Width 12 /Z %/p Pv% Vehicle Serial No. (' X r/IL�2 22L State Identification No. Oa Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST y , 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes i/No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yeq�.� No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yeses No 4. Is the mobilehome level? (Sec. 5088) Yes2/No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No /t/ ib 6. Water A. Is flexib a connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 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? Yes4ei o_ I/ A 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes B. Does it have minimum 4' per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes ' NoLLI_� D. If coach is not ate of California approved, does station have required trap and vent? Yes No A 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? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes_ No A11JF'- B. Test OK as per following procedure? Yes_ 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? Yes_ No. 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 the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number_;22W Z for the following location: Owner J:r.ei/�..� r , Owner's Address !Z2 � Mobilehome Mfg. rt/._ -- �. � �.>{. Model �_ �•-• �,�T A. -• tYear .2a Insignia No. .� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. / Director �of Pu .'Iic Works Date % 7 B f, 7 -0-4 THIS CERTIFICATE IS VOID WHEN MOBILEHAME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. A' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT o?DS�S� 7, AA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. / fW% 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. DIREC OF PIJBLIC WORKS By Date �—/ f permit expires Date fl Q O0 ` BUILDING Owner ��j% v�� SQ. FT. OCC. BUILDING VALUATION Mailing Address��j%� 7 (�%��� � `;1-' �One No. / ZA AlU �S� Contractor O Mailing Address r Fireplace Total Valuation Telephone No. Permit Fee Building Address -� ,, �� Plan Checking Fee&/or Penalty Permit Fee 1-51Y ,64 4. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,may ach Trap 1.50 D CPQ epairdrainage or vent piping 1.50 Gam/� A. P. No. calf ' iii —06;1f2 mIing & Pg5n Ing Water piping 1.50 Each gas water heater or vent 1.50 S on Fire Dept. Fire Zone Use P rmit Gas piping system 1 -5 outlets 1.50 /0.00 EQA Parking arcel Plans Declaration S �'2 P�r�el Ma 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 1006 Bldg. Plans Recd Pa e rovalIons Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 3 iL 33 ' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (% 600V OR LESS ,�.• Main service 100 AMP OR LESS 5.00 ✓�D Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 -50 Main service OVER OV 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLOGS.CCUP. 9) 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. MULTI.OUTL T % BRANCH CIRCUITS) 12.50ea ..NON.RESID NEW CONSTR. (POWER APPARATUS 8 NON•RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 5 LPj FI XED Ex. Occup. OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /5&,90. License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 26 L52 MECHANICAL No. @ 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. PERMIT 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 relatinq to buildinq construction, and hereby Land Development Fee $ sQZ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. / fW% 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. DIREC OF PIJBLIC WORKS By Date �—/ f permit expires Date fl Q O0 ` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ''7 Culunty Center Drive — 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 Date 1'7-2 S Signa re of Permit e r Agent Receipt No. 7�� �- 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 Khick fees have been paid. D EC 0 OF PUBLIC WORKS Building permit expires Date �'" O BUILDING Owner f(� SQ. FT. OCC. BUILDING VAL TION Mailing AddressAJV0f��, c.-!_/&) aleml Contractor L'Dti� Mailing Address J11G . -;�7 Fireplace Total Valuation on o. Permit Fee Building Address �� % Plan Checking Fee&/or Penalty Permit Fee ��,� (_0AeJ � PLUMBING No. @ FEE ME�r & ,Ek ©F Y/,+A),4 � I /S i/ f n/ G lV T �T PERMIT FILING FEE $3.00 Each Traq 1.50 MA Repair drainage or vent piping 1.50 A. P.,Wo. oU q Zani g 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F s Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel eclaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel royal Plans Arovol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No.1 @ FEE �$ nE-P-� /' IQ ni., • l✓2QT ¢ PERMIT FILING FEE J$3.00 Main service soov 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 100 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. N) 22 sq ft OR ADDNS. % ACC, BLDGS. CONTRACTORS LICENSE LAW 1 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. /MULTI.OUTLET NON.RESID \ BRANCH CIRCUITS) 12.50ea NEW CONSTR. /POWER APPARATUS 9 NON•RESID. ,SINGLE OUTLET CIR, Ex. Occur){OUTLETS OR FIXTtIRES g L�; FIXED A Ex. Occup. ( OUTLETS PLNS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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 orkmen'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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit-ftlE $ $ 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 L $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 1'7-2 S Signa re of Permit e r Agent Receipt No. 7�� �- 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 Khick fees have been paid. D EC 0 OF PUBLIC WORKS Building permit expires Date �'" O MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. J furnish Setup Model No. Year r Width (ft.) Box Length_ 2 4 (ft.) Tagalong or Expando Size l� 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 mobilehome unless otherwise specified. Footings (check one) Single A _n. x (ft.) in.) (in.) (in.) Center sup ort Center su or location * footing izes (in.) (ft.)(in.� I (in.f) (in.) �(ft.)(in.) (in.) (in.) (ft.)UA-) I (in.) (in.) I - x I (in.)I (in.) 0 1. Wood .either i pressure treated or foundation grade. 2.. Other ( specify) Supports (check one) 1: Concrete block. 2. Other (specify) Tagalong or Expando, show support'details'. Z -- Typical Support .) (in.) Footing Size Max. Pier Spacing -- Max. Overhang I V (ft.)(in.) 6UTTE COUN I Y SUILDING DEPARTMENT APPROVED *If canter piers are other than drawn above, draw in—locations, spacing, and dimensions. %b- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name : 2. Installer's name:lG%d/lf 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) 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? ----------------------- %J� 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 siteservice? --------------------------------------;------------ Yes / / No g, (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? (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,L'PG.) ,�i ■MrAtayl«.„✓►.. r.•I:raM K.«at•r<.wr ws �< . « -..,. a r.w►G',+ ........ w ., . r •..++.r<.w 014 l.1i �l IPA Awl Aft ufllify corsna.tions shOIr-mrz-r locts ed tri;hin 4 ft. outside +he1�e . Setback shnli'be r Tf. ;rcr, The ihird sec�inl of the mobile h, t. ' tide p�cperiy lire and E0 f'. f,o:: the on tha lefi,(rocd) side of the mol ile r «•„xr� z=_ cents~'� of i„e � c'.,, rm,,i,;ir,c a. maxi- harr�e.• �, . ,�K+� � : 1�,.,i Unum e. a r i.:f+ r, . �r�;or,, bu1, tMirely out of o I e,:L-1 ---. is. '•rldu r the per• _ 34 i1 ;1)Mo. ins{al3ci - w o: 1 '!� Sopt"m sys�cm Qnd'ic�:OtiOn �+- � :1E �1' 5� �•Gl « r ( � . Butts- County Hq'clth hep; . 749 611. i ! <.-. I •, � it ��” - . , + ��`� '{ � � ! tc •Irk , � , •• `i ; •"� :.�., a, . I t•S f f .4 '1 4 This Set of -lams andspecification s�i -l;T +,�. " �`OiF; A� N4ateriais V!�o; �s;trn ip Shall Be in kept on the jou at all times and if is 1! ri6w, Accordance with Recognized Ga��z. Pracfices and t make any chart}-s or' el:eratipns on to tl� of c qu;y1,,y �,rescrib3c► for the c-e. f:. L'r .. ?i- t , f « • "d�u'°e in the written permission ;ram 'rhe CieparfmElrti o�. ru Cf,.� - •�: ;:c. �! blectri o: Cade cie_ c�:�c' ;c Works, County of $!ittc , airy TAGG ^ l_. S. 284 -TA. • t'• 'y i s '�. ! 4 g • `. •4j y OUiT� C-OUNTlt ' WILDING DEPART1�1�i� , P k) O D� � .'y'.eN •rhe. "- .� - rY�'r _ i I 'r 4' �',� •i r. '` 1' �`: i'��`1+{�Jtflij` 1 �' •'t�'�'��'N; �i�7 !� �r,�Nf�`•y�'�' !'►�/A �-��'! • ��' � � r y� t L Q