Frm-1143 Used Mobile Home Inspection Report Form printable pdf download

505 - 6th Street, Suite 200,

New Westminster, BC, V3L 0E1

Local Phone: 778-396-2000

Fax: 778-396-2174

SED

OBILE

OME

NSPECTION

EPORT

Toll Free: 1-866-566-SAFE (7233)

Fax: 1-888-660-3508

www. safetyauthority.ca

The information on this form is collected to administer the provisions of the BC Safety Standards Act. If you have questions about the collection, use, or

disclosure of this information, contacts the Records, Information & Privacy Analyst at 1-866-566-SAFE (7233).

A. Installation

Date:

(please PRINT clearly):

Name of Job/

Permit

Installation: __________________________________________________________________

Number: ____________________

Civic Address: ______________

_____________ ________________________________________________

______________

Suite, if applicable

Civic number

Street name

NSEW, if required

Notes for Work

City: ______________________________________

Site Location: ________________________________________________

Manufacturer: ___________________________________________________________

Model: ___________________________

Serial No.: ___________________________

Size/Description.: ____________________________________________________

B. Support Information

Yes

*Note

Yes

*Note

a) The unit has an approved disconnect and overcurrent

Each bathroom, or washroom, shall have at least one

receptacle within 1m of any wash basin in accordance

protection located in accordance with Rule 70-112;

with Rules 26-710(f), 26-710(g), and 26-700(11);

b) An approved distribution panel board is provided (if

k) Switches in bathrooms are located in accordance with

the panel board is located in a closet, then it must have a

Rule 30-320;

barrier installed to meet the intent of Rule 26-402);

l) Electrical heating equipment, including heat lamps, in

c) Plug fuses, if used, are of a type that are non-

bathrooms conforms to Rule 62-110 and Rule 62-202.

interchangeable with fuses of a higher rating in

(For the purposes of rule 62-110(1)(b), bathroom areas

accordance with Rule 14-204;

covered by the swing of doors and areas within 300mm of

shower rods are considered to be locations where

d) The vehicle chassis, any continuous conductive

combustible material are likely to be placed.)

piping, and the exterior metal sheathing are bonded to

ground at the panel board with a copper conductor sized

m) Dryer circuits are supplied with an approved

in accordance with Rule 70-126 (Table 41);

receptacle in accordance with Rule 26-744(3);

e) All outlet boxes and receptacles are bonded to

n) Range circuits are supplied with an approved

ground in accordance with Section 10 or protected with

receptacle in accordance with Rule 26-744(6);

GFCI in accordance with Rule 26-700(8);

o) A 120 volt smoke alarm is installed in accordance with

f) Receptacles rated at 15 amperes are on circuits

the BC building Code, and wired in conformance with

having overcurrent protection set at not more than 15

Rule 30-110;

amperes in accordance with Rule 14-600;

p) The wiring in the unit has passed an insulation test in

g) Any exterior receptacles are GFCI protected in

accordance with Rule 70-130 (Table 24) (see Appendix B

accordance with Rule 26-710(o);

note for Rule 70-130); and

h) Heating cable sets shall be protected by a GFCI

q) All wiring and equipment is in good condition

receptacle or breaker accessible for testing. Receptacles

according to rule 2-300.

located beneath the home are not considered accessible;

i) All receptacles within 1.5m of a sink are GFCI

protected in accordance with Rule 26-700(11), except for

existing split-receptacles in a kitchen;

*Note(s): (examples: o) new smoke detector installed in hallway; q) includes existing 4mx6m addition.)

____________________________________________________________________________

FRM-1143-01 (2009-05-04)

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Frm-1143 Used Mobile Home Inspection Report Form

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