HomeMy WebLinkAboutPermit Worksheet:PEFtXu1lFt.Cr r,z•
NUMBER,
Installer ha `� �� License i1 T 14 11 o i t 3 %
Address of home too?)
being Installed
Manufaciuer E30PJ✓1D% Length xwidth
NOTE: 'If home Is a single wide fill out one half of the blocking plan
If horde is a triple or quad wide sketch In remalnder'of home
I understand lateral Arm Systems cannot be used on any home (new orMseca
where the sidewall ties exceed 5 ft 4 In:
Installer's initials
Typical pier spacing
lateral
I�
Show locations of Longitudinal and Lateral Systems
lerelr��t (use dark lines to show these locations)
CA
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mevinLe wall Planr wlL4n 2' cf end of hcm.
PERMIT WORKSHEET
Pagel DY2
- --
New Home Z/ ❑ Used Home
Home installed to the Manufacturer's Installation Manual
[
Home Is Installed In ac ordance with Rule 15-0
❑
Single wide Wind Zone II ❑ Wind Zone
III
Double wide ' ❑ Installation Decal k
Triple/Quad ❑ Serial n
PIER SPACING TABLE FOR USED HOMES
Load
gearing
capacity
Foo[er
size
(sq In)
16'x16'
(255)
18 iJ�'Xis 11T
(342)
20'X20'
(40D)
22'x22'
(464)e
24'X24'
(576)e
25'x26'
(676) '
100D s
3
DO s
4 6
6
g
D00 s
6
8
8
g
-20D s
6
a
a
g
3DD0 Ds
8
8
a
g
3 00 QSI I
d. I
d
8
e uopviu.w uwu num �u�.-i pin[ spac�nA Warne.
PPAD SRES
I-beam pier pad sizeze f IL CAL
Perimeter pier pad size � �1 G
Other pier pad sizes W hrr
(required by the mfg.)
®Draw the approximate locations of marriage
wall openingi 4 foot or greater. Use this
symbol to show the piers,
List all marriage wall openings greater than 4 foot
and.their pier pad sizes below.
POPULAR PAD SIZES
ter.-szvau��rr��
fYfIY.iFYbfIY���
ANCHORS
4ft Sft
FRAMEMS /
within 2' of end of home/
spaced at 5' 4n oc
TIEDOWN COMPONENTS OTHER TIES
Number
Lnng)tudlnal Stt�pb11Wnp —Device ((L�SD) Sidewall
Manufacturer 71.P (,l�d✓1 C.f'IgtYl ngitudinal
Longltudlna! $gtablllzlrr��gg Device w L rat Arms nlapa wall
Manufacturer't t� 01PJt n..!. r a �a wail
Opening Pier p d:size
(�Jl�e .
J M L
PERMIT NUMBER
:..
x �..•x�"i ?.COa:<e".<,) 'R 'tea tc,•.7�„`.•
.POCKET PENETROMETER TEST
The pbcket penetrometer tests are rounded down to psi
or check here to declare t00D lb, soil without testing.
X X X
C P NETROMETER TESTING METHOD
est the perimeter of the home at 8 locations.
2. Take the reading at the depth of thafooter.
S. Using 500 lb. lhorements, take the lowest
reading and round down to that increment
X` X X_
TORQUE PROBE TEST
The results of the torque probe test Is inch pounds or check
here if you are declaring 5' anchors without testing A test
showln 75 inch pounds or less will require 5 foot anchors,
�o�ate approved lateral arm system is being used and 4 ft.
Ck/� anchors are allowed at the sidewall locations, I understand 5 ft
anchors are required at all hcenterlinetie points where the torque test reading Is 275 or less and er hhe triobile fjomo manufacturer may
requires anchors with 40 Idinp capacity.
Installer's Initials
C 0 ALL TESTS MUSTg PERFO�R DD�Y A LICNS�EDJNSTALLER
• a20Nam,
rn
y� fig
�d �wa— � — � ElecVlcal
0 066WAwIrloal conductors between multi -wide units, but not to the main power
Outce. is -Includes the bonding wire between mult-wide units. Pg.
0..m' Plumbing.
rdnrt�'ta I sewer drains to an existing sewer tap or septic tank Pg.
orMot all potable water supply piping to an existing water meter, water tap, or other
idepandont water supply systems, Pg.
PERMIT WORKSHEET
Debris and organic material removed
Water drainage: Natural Swa,
f Page. 2 of 2
Other
Floor. Type Fastener lo?
Sp cq Inch.; J1 Q
Walls: Type Fastener. Sp c'
Roof: Type Fastener. Spa ing'
For. used homes a min. 30 "wide, galvanizedmetal 'strip
will be centered over the peroof and fastened With paly.
roofing nails at 2" on center on both sides of the centerline.
Gasket (wmlhm�roeflng regutmmanq
I understand a properly installed gasket Is a requirement of all new and used
homes and that condensation, mold, meldew and buckled rri pe walls are
a result of a poorly installed or no gasket being lnstall_ed� I d st nd a strip
of tape will not serve as a gasket. 1IVV�.``'�77
1 1 s " initials
Type gasket ` Metalled:
Pq. Between Floors Yes
Between Walls Yes
Bottom of ridgebeam Yes
The bDttombDard will be repaired and/or taped. Yes V",, Pg, L
Siding on units Is installed to manufacturer's speciflcations. Yes V �( �
Fireplace chimney Installed so as not to allow Intrusion of rain water. Yes j_(Ar
Skirting to be installed. Yes V No
Dryer vent installed outside of skirting. Yes —� WA
Range downflow vent installedoutside df skirtlnq. Yes_ WA
Drain lines supported at 4 foot intervals. Yes
Electrical crossovers protected Yes h�
Other:
Installer
is accurate and true based gp the