HomeMy WebLinkAboutPermit Worksheetsa.
A
--'PERMIT NUMBER,
Installer
ANA
License # X MI117-V
Address of home J?L Od .S. T� S�/Ge7'
betnp Installed . `G �y987 _VV // B
Manufacturer A76e Of- A'I Y'iTT Lengthxwidth S{oy XR?/
NOM. •!f homa is a single wide fill out one half of the blocking plan
If hortla Is a triple or quad wide sketch in i-emalnder of home
I understand Lateral Ann Systems cannot be used on any home (new or used)
where the sidewall ties exceed 5 it 4 in.
Installer's Initials L
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PERMIT WORK -SHEET 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 ..
Single wide ❑ Wlnd Zone 11 Wind Zone III ❑
Double wide j� Installation Decal #
TrlplelOuad ' ❑ Seriallf ,cL HM6SPy/83/3i/
PIER SPACING TABLE FOR USED HOMES
Lead
4earing
capeol4'
Footar
size
(sq In)
16'X16'
(29S)
181/2'xte U2'
(342)
20'x20'
(40D)
22'x22+
(484)•
24'X24'
(676)•
A
2e-nzo-
(67e)
100D ost
3
--eV—
-1
00 s
e
g
00 DBI
6
5
2500 at
6
6
6
g
3000 DS
8
aouu P51
8'
8
m,erpuaim rrorn nine rani pier spacing amie.
PIER PAD SIZES 07 p
I-beam pier pad size / �LKkl
Perimeter pier pad size / ?.N7 2
Other pier pad sizes 12LZ
(required by the mfg.)
POPU AR PAD SIZES
i/iIY.rY�-ZIY��
ANCHORS
4it —V-8fl .
FRAME TIES
within Vol end of hom
spaced at 5' 4' o0
OTHER TIES
Number
b_
Longitudinal StabevJce (LSDJ Sidewall
Manufacturer Sys-Ae C Lonpitudlnal
Longitudinal Stabilizing Device w/Le rI @Arms Marriage we
ManufaeturerrNin✓i`G .f�e►►e. �T(.Ttt.,rm ' Shearwall
®Draw the approximate locations of marriage
wall openings 4 toot or greater. Use this
symbol to show the plers.
List all marriage wall openings greater than 4 foot
and.lheir pier pad sizes below.
Opening Plevad:slze
TIEDOWN COMPONENTS
2,06'2 -01-17
PERMIT NUMBER t�,4
POC PENETROMETER TES
The pbckst penetrometer tests are mundedAlbwn to pat
or check here•to`declare 1000 lb. soil without testing.
X— X-- . X__
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at 6 locations.
2. Take the reading at the depth of the.fcotsr.
S. Using Soo Ib. Inorements, take the lowest
reading and round down to that Increment
X—
TORO E PROB EST.
The results o(the torque probe test Is 2,9 _ Inch pounds ar check
here eyou are declaring 5' anchors without testing _ Atest
showing 275 Inch pounds or less will require 5 foot anchors,
Note: A state approved lateral arm system is being used and 4It.
.anchors are allowed atihe sidewall locations, t urderstand 5 it
anchors are required at all oenterline tie points where the torque test
reading Is 275or less and where the mobile home manufacturer may
requires anchors with 400 Ib holding capacity
_ installer's Initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name �!_!►C�lC.%J'me�
Date Tested h2-lcJ- 2oZo
' FJatrlcal
lonnect electrical conductors between multi -wide units, but not to the main power
ounce. Thls'inoiudes the bonding wire between mult-wide units. Pg.
Plgm na
onnect all sewer drains to an existing sewer tap or septic tank Pg.
onnee all potable water supply piping to an existing water meter, water tap, or other
(dependent Water supply syslems. Pg.
PERMIT WORKSHEET
I Page 2 of 2 I
Site Preparation
Debris and organic material removed J
Water drainage: Natural Swab Other
Floor. Type FastenerSm.
Langth: e� Spacing: r6 a
Walls: Type Fastener.Length:. Spacing; 1—
Roof: Type Fastener.Length: Spacing: 46
For.used homeo gauge, 8' Was, galvanized metal 'strip
will be centered'over the beak of theroof and fastened with Raly.
roofing nails at 2e on center an both sides of the centerline.
Gaske[fwulhem II rwul tl
I understand a property Installed paskst Is a requirement of all new and used
homes and that condensation, mold, meldew and buckled marriage wells 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
Type gasket 6oa,u✓l: Installed:
Pg. Between Floors Yes
Between Walls Yes A -
Bottom of ridgebeam Yes /111
Weatherproofing
The bottombcard will be repaired andlor taped. Yes,(l-/ - Pp.
Siding on units Is Installed to manufacturer's specifications. Yes
Fireplace chimney Installed so as not to allow intrusion of rain water. Yes _
Skirting to be Installed. Yes No —
Dryer vent installed outside cf skirtinp. Yes - WA
Range downflow vent installed'outside of akirting. Yes WA
Drain lines supported at 4 foot intervals. Yes e/
Electrical crossovers protected. Yes
Other:
Installer
is accurate and true based on the
Date l-0-0*