HomeMy WebLinkAbout073-130-035Dennils Oates 71AJrJj7
WJS pr.i.rd. , app ..250'S of Foiiestown Rd..,.,
app.180.0'E.of Black Bart Rd., Forbestowc
Permit #291-77P,E(utij, MH) &JW
ELEC. ^ an �P ,
GAS p6L 3fod
SUPP RT STRUCTURE REQ. ,U O
COMPACTIN TEST Hp. yp
;
73-13—
Permit #3529-77MHI 7®5177
IssuEzd
Permit #3915-77B(re ins,tq.11. awn/i�ng/MH)
0
35
n
I
0
35
n
9,PERMIT NO. 3915-77B'*'-.''
'r
PERMIT EXPIRES
tOWNER Dennis Oates
1
. CONTR. owner
LOCATION (A.P. 73-13-8
W/S pri.rd.,250'S.of Forbestown Rd.,app.1800'E.
of Black Bart Rd., Forbestown
}
r
s
x
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. t
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB_ fj
FINALED O
(Da e
( i nature)
1
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a .a
9,PERMIT NO. 3915-77B'*'-.''
'r
PERMIT EXPIRES
tOWNER Dennis Oates
1
. CONTR. owner
LOCATION (A.P. 73-13-8
W/S pri.rd.,250'S.of Forbestown Rd.,app.1800'E.
of Black Bart Rd., Forbestown
}
r
s
x
i
. t
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB_ fj
FINALED O
(Da e
( i nature)
1
t'
Framing 3-- -I-fr-"i 4 J I Test / k1100" 1 Water Htr.k
FI
Mesh
L
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Grd. Fault P t.
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback .3
�8-� .fie
Firewall
Soil Piping
Forms
U er round
Parapets
1st Floor
Main Bldg.
Door Closer
Restroom Finish
2nd Floor
Footings
Elec- Se ice
Windows I v
3rd Floor
StemwaII
Gas Piping
Siding
To out
Slab
Water Piping
Roof Sheathing
Water Pi in
Piers
Roofing —
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI I
A
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicapped
Conformance of ex
structure
Appliances
Gas Piping & fell
Temp. Gas
Slab j
Final
Sanitation
Patio
F REP ACE
Final
Footin s
,,Z ,.
Footing
ELE TRICAL
Masonry Walls
Throat !
Rou h
Reinf. Steel
Final
Fixtures
Framing 3-- -I-fr-"i 4 J I Test / k1100" 1 Water Htr.k
FI
Mesh
' MIRCHANICAL
Grd. Fault P t.
Scratch
Heating
Service
Brown
Cooling
Tem Pole
Finish v
Ducts A X
U er round
Interior Lath
Ventilation
ennanent
Door Closer
Final
nal
MOBILEHOME UTILITIES --------------
Elec- Se ice
FEIec. Pedestal
Water Piping
Sewer
Gas Piping
1 E ME INSTALLATI N - - - - - - - - - - - - - -
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.)
J 16 " I .-
COUNTY' 1JTTE` — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
• Telephone: 534-4541
APPLICATION AND PERMIT
Receipt No.
� u 7� .. � BY ' Date
�
p
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ding permit expires Date D
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
it O J- 0, ca4
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
--�'
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
FD�
Each Trap 1.50
/
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
_—
A. P. No
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
Sa on
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
1.Parking Parcel
Plans Declar n
Parce a P
60' R/W
Im rovem nts
P
Lawn sprinkler system 2.00
Bldg. Plans Recd
9
Parcel A ro
PP
plans pproval
Permit Fee
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 1000V OR 0 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home R Others ❑
OVER Main service 00 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
fiLL,,
-V I
NEW
OR ADDNSCONST. ACCLBLDGLING S.00CUR. &) 2¢syft
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH -CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUSIJ &
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:
Ex. Occup(OUTLETS OR FIXTURES)@2'a
BAL�1
Ex. Occu FIXED APP LNS. OR
P• ( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
y 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.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
o 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
�X Date 177
Sionature of Permitee or Anent
TOTAL PERMIT FEE
s �3
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 OF LIC WORKS
�i�./' —
Receipt No.
� u 7� .. � BY ' Date
�
p
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ding permit expires Date D
=r PERMIT NO. "29`11 77P,E
`e—
r PERMIT EXPIRES
OWNER Dennis Oates
CONTR. owner
LOCATION (A.P. 73-13-8
W/S pri.rd.,app.250'S.of Forbestown Rd.,app.
1800'E.of Black Bart Rd., Forbestown
.T I
i�
i
7
L
r
5
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
' Temp. Gas Serv. ]�
e 9 L Called SQ6rE ?-'az3-7% w!i
S
s
4 • FINALED
(Date)
(Si nature)
Reinf. Steel / \ I Final / \ I Fixtures /
T
Stucco
M+sh MECHANICAL X Gird. Faul Prot.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD '
Scra HeatlA Service
BUILDING BUILDING (Cont'd)
PLUMBING
Se ck
FI wall
Ski Piping
FoAw
PAPets
1 Floor
Ma Bldg.
Rest om Finish
2nQVloor
Fo tins
Windo s
3rd k0or
Ste all
Siding
To out
Slab
Roof Shhthing
Water Pipixg
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vent
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph si Ily
handica ed
Conformance of e
structure N
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final X
Sanitation
Patio
ftELACE
Final
Footings
Footing X
ELE RI L
Reinf. Steel / \ I Final / \ I Fixtures /
T
Stucco
M+sh MECHANICAL X Gird. Faul Prot.
Scra HeatlA Service
Bro n Coo ng Te . Pole
F ish D is Uofierground
In rior Lath ntllation ennanent
or Closer Inal JKnaI
MOBILEHOME UTILITIES ------------------Elec. Service %I !.t/ ;2v I/D",C�Elec. Pedestal
Water Piping , Sewer Gas Piping Q�.
L
MOBIL HIOME I�LA� - - - - - - - - - - - - - - Support Elec. Continuity
Water PipingDrainage Gas Piping
DATE REMARKS OR CORRECTIONS
31e SUP
`t/Z�di�c CpAIDIJl7' j=62
Nn 0-04100
A/E) p ti �+� 6,45
/4/ sk4�W !cam
S��n1T i"II/l U7 -1J, /r/ TD oko
I Af
PAES54111.E `TlZkVED
�oiiN�S
(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, California 95965
•� Telephone: 534-4541
APPLICATION AND PERMIT AA
,5cf2 . 2? -7 7
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 3 7
Signature, of Permitee�e or Agent
Receipt No. / �6 �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
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BV Date 7 /.f 7,L
Building permit expires Date7 �� '70-
BUILDING
Owner -4 A, As,
SQ. FT.
OCC. BUILDING VALUATION
Mailing Address S' •y An
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address �i
PLUMBING No. @ FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. _ _
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
L,a< Plans Recd
Parcel A val
PI s Approval
Permit Fee $
NEW ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
lvt�L a:&.,77e_
Main service 610000'A OR LESS 5.00
100 MP OR LESS
Main service EA. ADD•L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V100 AMP OR LESS 25•00
Main service EA. ADO'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 22sgft
NEW CONST R. (MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &)
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:
Ex. Occup(OUTLETS OR FIXTURES)50 @25T
109
Ex. Occup.FIXED APPLNS. OR
(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 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.
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 No. @ FEE
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 relating to building construction, and hereby
TOTAL PERMIT FEE
$ /1
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 3 7
Signature, of Permitee�e or Agent
Receipt No. / �6 �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
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BV Date 7 /.f 7,L
Building permit expires Date7 �� '70-
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
,numbgr ;<'�7-}'*- -77 for the following location: 1z-1s 7'�e Z1�
Owner %iX—$V V1<
Owner's Address ���� ����_� �/� J,5:
Mobilehome Mfg. T Model Year
Insignia NoA Serial No. -S (:;'
r
It is hereby certified for occupancy at the above described location and
may be occupied.
Director off Public Works `
Date By %//6 � t .✓��,
_/ ,_—)
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY 6 BUTTE- — DEPARTMENT OF PUBLIC WORKS
7 County'Cenfer'Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
61irJ7
auinui 1cv IG)JICJCIIIaU VGJ UI UIC VUUIIty UI Duttc N V11MU UPU[I InC
above-mentioned property for inspection purposes.IF
/
X �—�Date [�
Signature of Permitee or Agent
Receipt No. 1-4�T�
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 0 PUBLIC WORKS
ByDate -7 7
(ui riding permit expires Date 6. —tip -7
BUILDING
Owner1° �S-
SQ. FT. OCC. BUILDING VALUATION
Mailing Address e ell F
o
Telephone No. g ,
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address `
°
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00'r5-
s
46g;ljal. Q /=
Each Trap 1.50
/
O'
Repair drainage or vent piping 1.50
Water piping .1.be
.Each gas water heater or vent 1.50
���J j e»—'Z._
A. P. o. Zoni
Gas piping system 1 - 5 outlets .fid 144,0(2
Each additional outlet .30
es
h tion FireDept.
FireZone Use Permit
Building sewer 05.86 O0
EQA
Parking Parcel
Plans Declaration
Parcel Ma P
6 R/W
Im r
p ove ents
Lawn sprinkler system 2.00
/�Q _A -.ns Recd
Por roV
Plans pproval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 SOO
Main service ;0000 AMP ORSLESS 5.00 r, Q
Main service EA. ADD'L too AMP 2.50
;
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Main service OVER 600V100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00NEW
CONST. DWELING
OR ADDNS. ( ACCLBLDGOC'CUP. &) 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
N N-RESID, (SINGLE O TLET 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:
£ o v
if
Ex. Occ Up(OUTLETS OR FIXTURES)@21Q
BALN�1
FIXED APP LNS, OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
• I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEEPERMIT
WORKMEN'S COMPENSATION INSURANCE
I 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.
permit is issued I shall not employ any person in any manner
KoI certify that in the performance of the work for which this
as to become subject to the Workmen's Compensation Laws of
California.
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
.7 04
TOTAL PER IT FEE
$ i
auinui 1cv IG)JICJCIIIaU VGJ UI UIC VUUIIty UI Duttc N V11MU UPU[I InC
above-mentioned property for inspection purposes.IF
/
X �—�Date [�
Signature of Permitee or Agent
Receipt No. 1-4�T�
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 0 PUBLIC WORKS
ByDate -7 7
(ui riding permit expires Date 6. —tip -7
am
L�
NOTE:—All Materials & Workmanship $half Be in
Accordance with Recognized Good .Practices and
of a il�aal'cFyprescribedrthe & lv9echankalCouse in the
des and
Uniform Building, Plumbing
the Nct'.l3al Elecrrical Code. t.
ast44xN7
AII/ utility connections shall be
located within 4 ft. outside the rear
third section of the mobile home
on the left (road) side of the mobile
home.
BUTTE COUNTY
BUILDING DEPARTMEN
APPROVED
0
Septic system -anil location of build -
Ing drain stub -out to be as per
aufte County HeaM rept. Rc-
����ts
ins allation c fbe required for
Mel mobiteho�
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of
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1. Owner's name:,,
2. Installer's na
-BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
3. Is the site currently under permit? Yes // No
(If yes, furnish permit number 14P
Is the site an existing site? Yes No
(If yes, furnish two (2) plot plans.)
OR PCM'"r- .24% �' - X .
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 Nr/
No
( If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- IT Amps
6. What is the mobilehome site service rating? --------------------- J a Amps
7. What is the mobilehome site circuit breaker rating? ------------- ,sem Amps
8. Is there any other electric load to be served by the mobilehome
site
service? ---------------------------------------------------
Yes / / No /V /
(If yes, identify the load and size:
(Load) (Amps)
!I
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? ------------------------------
(�)_
(This information `not required if pipe jength
less than 6 ft. on natural gas
or less than 50,ft.,on LPG.)
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. SetuD Model No. �"`Year 61
Width ft.)' Length .. �� (ft.) Expando Size—ft.x--""""'"f't:
(Draw support details below)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on .£ile-with .the County of Butte).
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Footia s -(check. one)
1. Wood.. either .
pressure treated or
fdn. grade.
2. Concrete pad.
3. Other,:specify
Supports check one)
/ Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
0-1
Typical Support
- - -.2-illFooting Size
in4 in.
r......_.__.___._ Max. Pier
�.' Spacing
ft.jln.)
Overhang
BUTTE C0UNiY
BUILDING I)EPARTM!NT
,APPROVED
I11S`1.'ALLAT*[0N INSPECTION CHECK LIST
1. Is the rnobilehome located wi.tli eg6ired separation from lot lines and buildings and generally
conform to plot plan? Yes No
2. Does the mobile -home have required clearances above ground? (Sec.5085) Yes No_
C3.J Are foot:Ln-;s and supports properly sized, spaced, and braced as pe�approved plans? (Note
possible variation at spring shackles.) (Sec. 082 & 5083) Yes A— No_
4. Is the rnobilehome le .? Ye v
vel (,,ec. 5088) s_ No�
5�1j*' more than a single unit, are crossover connections properly installed? (Sec. 5088)
VV1 Yes No
5. Water.
A. Is fle le 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 I No
ABackflow - 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 41No_
B. Does i.t have minimum k," per foot slope and is it properly supported? Yes, No
C. Are any leaks detected in drainage system after running 3 dons of water through each
fixture including washing machine standpipe? Yes_ No_
Rky`esNo coach is not State of Californiaapproved, does station have required trap and vent?'
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. ;eof OK as per following procedure? Yes t",Pdo_
1; Open all appliance connector valves.'
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.
S✓/ Connect: gas meter to mobilehome with connector, turn. on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
9. Electrical
A. Is seivice large enaugli to provide adequate amperage to mobileliome (must equal rating; of
mobil.ehome cdith a .::irr.u-:um of Jr00 arnp) an:l other faciliti.c s on lot, i.e., water pumps,
arat,e, cabana, erc.7 Yes k!/ No /
B. Is ther� rproper. clearances around panels? Yes_ No____ i
C. Is power supply cord or feeder assembly properly fused? Yes,_//No_
D. Is continuity test satisfactory as per: tIJie following procedure? Yes '! No
De-energize electrical wiring*, system of the mobilehome at the pedestal.
Z/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 In. . -id of a test instrument to the mobilehome grounding conductor and
apply"
i ' ti:e Giii.0 'lead, to eScir TIIVULICLLoyfle supply conu:icto , includlTrg r�eutrdi.
1' 3
All nor. -current, carryl_ng 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.
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;L shall then be made between L -.he grounding electrode and the chassis of the
111obilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
Ts job card signed by health Departmeat for,c,iater and sanitation?
'rd
0j t
l.l.. Lf everything okay, sign off card and to services.
MOBILLirUML DATA I
Manufacturer and/or Namestyle
i
Lengths_ Width /O
Vehicle Serial No.
State Identification No.
,.dd�.ti.onal Infor-nar..ion or Comments: