HomeMy WebLinkAboutPermit Worksheet2c�t�z'-ol�l
•.PERMITNUMBER
Installer Ci/�r� „ f S %i%n cli /% License
Address of home d 00 . r't 6.cG4 -IT-
being Installed
Manufacturer Za ji/I Length xwidth
NOTE: ' ll home is a single wide fill out one hall of the blocking plan
If horde Ise triple or quad wide sketch In remainder of home
I understand lateral Ann Systems cannot be used an any home (new or used)
where the sldswall ties exceed 5 ff 4 in.
Installer's Initials
Typical pier Waring
2' • / I Iaiey
PERMIT WORKSHEET
I page 1 of 2
New Home . ❑ Used Home
Home Installed to the Manufacturer's Installation Manual
❑
Home Is installed in accordance with Rule 16.0
Sinpie wide ❑ Wind Zona II [� Wind Zone III
❑
Double wide Installation Decal #
TrlpleiQuad ' ❑ serial # Tt32111
PIER SPACING TABLE FOR USED HOMES
lead
Foote
bearing
size
16'X 16
181/2'X181/2'
20'X20'
22'x22'
24'X24'
26'X26'
capacity (sq In)
(26S)
(342)
(400)
(464)•
(676)•
(676)
1000
s
3
11
D
s
46
6
B
OD
6
B
8
2 00
s
6
3000
s
8
6
300
psi8'
8
• � PIER PAD —SIDE-9-1
I-beam pier pad size /17 21 Z 7-
Perimeter pier pad size / 7Av 2Z"
Other pier pad sizes
(required by the mig.)
®Draw the approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol to show the piers.
List all marriage wall cpsnlnps greater than 4 foot
and.theIr pier pad sizes below.
POPULAR PAD S ZES
Relim
RL•�il�Is'a:it
ilctilCTY.t:il[
�(c�C�
i►flY.i•Y].ZIYaE.''`�
ANCHORS
4It 5it
FRAME TIES
within 2' of end of home
spaced at 5' 4° oo
OTHER ES
Longiludlnal Stabilizing povice, (LSD) Sidewall N ber
ManufacturerAl - rL :6 -Z Lonpitudinal
Longitudinal StabliWngg Devlee w/Le era/fiqrms Marriage wall
Manufacturer - I 7r�nr Shearwall
Opening Pier pad:size
XZ7.'t
TIEDOWN COMPONENTS
wo-2 " to to r
PERMIT NUMBER F.
POC ET PE ETROMETER TES _
The pocket penetrometer tests are rounded ddNwn to pat
or check hereto declare loco lb. soil tt// without testing.
X_ X_ X_
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at S locations.
2. Take the reading at the depth of the •fcoter;
S. Using Boo lb. lhorements,'take the lowest
reading and round down to that Increment.
TORQUE PROBE TEST
The results of the torque probe test is 47 Inch pounds or check
here If you are declaring 5' anchors without tasting 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 atlhe sidawall locations. I understand 5 ft
anchors are required at all centerline tie points where the torque test
reading Is 275 or less and where the rrlobile home manufacturer may
requires anchors with 40 IIbbbZhoiding capacity.
Installer's initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name _jj _ gsl at..i
J
Date Tested oe 1,6
Eieatrlca -
Ibnnect electrical conductors between multi -wide units, but not to the main power
ouroe. This•Ingludes the bonding wire between mull -wide units. Pg.
Plumb na
onneot all sewer drains to an exlsting sewer tap or septic tank Pg.
onnect all potable water supply piping loan existing water meter, water tap, or other
idependent water supply systems. Pp.
PERMIT WORKSHEET
page 2 of 2
Site Prepatatlon
Debris and organic material removed
Water drainage: Natural Swale Pad Other
Floor. Type Fastener... _1'O Length: , 1t
Walls: Type Fastener. Spacing:
_ Length: Spacing: C
Roof: Type Fastener. I A Length: �_ Spacing: I IC'"
For.used homes a 30 paupe, 8° wide, galvanized metal 'strip
Will be centered over the peak of thsToof and fastened with pale.
roofing halls at 2' on center on both sides of the centerline.
Basket rwmlheroroMinenwl tl
I understand a properly 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.
Installer's initials ` Z
Type gasket Installed:. ✓
eq. Between Floors Yes
Between Walls Yes
Bottom of tidpebeam Yes
The bottomboard will be repaired and/or taped. Yes L� Pg.
Siding on units Is Installed to manufacturer's specifications. Yes
Fireplace chimney Installed so as not to allow intrusion of rain water. Yes _
_- Mlsce lnneous
Skirting to be installed Yes ►/ No
Dryer vent Installed outside of skirting. Y9; V WA
Range downflow vent installed -outside of skktinp. Yes WA
Drain lines supported at 4 foot intervals. Yes L_
Electrical crossovers protected. Yes v
Other:
Installer
Is accurate and true based on the
Date"'=/ &-ZOL,