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HomeMy WebLinkAboutPermit Worksheet4. , &.i - v F. ::r .. PERMIT NUMBER x,K. Installer OIAJP?- RudlQ;�X C010 License# bT 14 — lO / 6 I Z ei Address of home being Installed Manufacturer HtrA -S OF /KPPfi Length x width O NOTE ' ll home is a single wide fill out one half of the blocking plan 1f home Is a triple or quad wide sketch in remainder of home I understand Lateral Ann Systems 'cannot be used on any home (new or tis where the sidawall ties exceed 5 ft 41n. I t Installer's initialsy PERMIT WORKSHEET I page i of 2 New Homa . ❑ Used Home 0� Home installed to the Manufacturer's Installation Manual ❑ Home Is Installed In accordance with Rule 15-0 Single wide ❑ Wind Zone II ©-� Wind Zone III ❑ RECEIVS[Ile wide ❑ Installation Decal # FEB 2 $ j�[aQuad ' ❑ serial # I—LFEIMf�T(.�1 ��0— z-Gq_ Q qf8 c-ie County,(Permittina PIER SPACING TABLE FOR USED HOMES Typical pier spaci'ng , W ' _ 2W I IC SFiow locations of Longitudinal and Lateral Systems ra�pnu9N1 (use dark lines to show these locations) manias. Wall Plow Within of and W Iwma Load I FSotar capacity (sq In) 76'X16' (266) 181/2'%t81/2' 42) 1 (3'I 20'x20' (40D) 22'x22' (484)• 24'X24 (576)' 26'x26 (676)laBaring t OOo lost 9 DO 6 6 g ' DOD s 6 8 8 2 00 s 6 8 8 g 3000 s 8 8 3 0 8' 8MR .u..ny..m,w uwu num icv-. yam syaumN ...e, PIER PAD SIZES I-beam pier pad size 1-(?o ZZ Perimeter pier pad size I'l')a ZZ, Other pier pad sizes l 7'X Va r' (required by the mfg.) ®Draw the approximate locations of marrlagi wall openings 4 foot or greater. Use this symbol io show ..-piers, List all marriage wall openings greater than 4 foot and.their pier pad sizes below, Opening' �Pierpad:size lot ! l )c TIEDOWN COMPONENTS Longitudinal Stfblllz/gDevice (LSD] Manufacturer rfievxLongltudlnal Stat�/(zIn Device w/Lateral Am s Manufacturer__ r"`-1�}Q�R"t..- POPULAR PAD SIZES ANCHORS 4 ft �tt FRAME TIES within 2' of end of home spaced at 5' 4a oo Z>� OTHER IE6 Number Sidewall Longitudinal Marriage wait Shsarwall I •� PERMITNUMBEIi c��ys� POCKET PENETROMETER TEST The pbcket penetrometer tests are round own to pat or check hereto declare 1000 lb. soil V without testing. X X_ X_ POCKET PENETROMETER TESTING METHOD t. Test the perimeter of the home at 6 locations. 2. Take the reading at the depth of the,fcotsr. S. Using 500 lb. increments, take the lowest reading and round down to that Increment. TORQUE PROBE TEST The results of the torque probe test is . 3o O Inch pounds or check here If you are declaring 5' anchors without testing A test showing 275 inch pounds or less will require 5 foot anchors, Note: A state approved lateral arm system Is being used and 4 ft. ,anchors are allowed at4he sldewall locations. I understand 5 It anchors are required at all centerline tie points where the torque test reading Is 275or less and where the mobile home manufacturer may requires anchors with 4000 lb ho pactty. j, r Installer's Initiate ALL TESTS MUST BE PERFORMED SYnA LICENSED INSTALLER Installer Name � )p2 Du t) W '3 Dale Tested . Electrical Ibnneot electrical conductors between multi -wide units, but not to the main power Durce. This•Includes the bonding wire between mult-wide units. Pg. Plumbin y as cnnect all sewer drains to an existing sewer tap or septic tank Pg. ' onnect all potable water supply piping to an existing water meter, water tap, or other dependent water supply systems. Pg, PERMIT WORKSHEET I Peg e 2 of 2 Site Preparation Debris and organic mate rlal removed Water drainage: Natural _jLSwale Pad Other ' _ Fastanlnq multi wide units Floor Type Fastener. LAB' Length: �i Spacing: ZY r� Walls: Type Fastener. 14a Length: 6— Spacing: — YT— Roof: Type Fastener._ Length: a Spacing: 2y & For -used homes a min. 30 gauge,'8" Wide, galvanized metal strip will be centered'over the peak of the -roof and fastened with gaiv. roofing nails at 2" on center on both sides of the centerline. Gasket twmih n' n-drwul n I understand a property Installed gasket Is a requirement of all new and used homes and that condensation, mold, meldew and buckled marriage walls are a result of a poorly installed or no gasket being installed, I understand a strip of tape will not serve as a gasket Installers initials Type gasket Installed: Pg. Between Floors Yes Between Walls Yes Bottom of ridgebeam The bottomboard will be repaired and/or taped. Yes SidinrI on units Is installed to manufacturer's specifications. Yes g Fireplace �— chimney Installed so as not to allow intrusion of rain water. Yes d&4 Miscellaneous Skirting to be installed. Yes _� No � � Dryer vent installed outside of skirting. Yes. WA Range downfiowvent installed'outside of skirting. Y�WA Drain lines supported at 4 foot intervals. Y Electrical crossovers protected. Yes Other: is accurate and true based'on the Installer signature 3U