HomeMy WebLinkAboutPermit WorksheetMobile Home Permit Worksheet
Application Number:
Installer: EDDIEGRUNDEL
License # IH 1118467
Address of home I nr v w p `yv
being Installed /
Manufacturer JACOBSEN Lengthxwidth ,�e5)(50
NOTE. if home is a single wide fill out one half of the blocking plan
if home is a triple or quad wide sketch in remainder of home
I understand Lateral Arm Systems cannot be used on any home (new or used)
where the sidewall ties exceed 5 ft 4 in.
Installer's initials EG
Typical pier spacing 7
ZI 6r / lateral
r LLL���
�� Show locations of Longitudinal and Lateral Systems
longitudinal (use dark lines to show these locations)
(..
------------------- -------------
mn
----------------
Q---------
2' of end of home
New Home ❑✓ Used Home ❑
Home installed to the Manufacturers Installation Manual
Home is installed in accordance with Rule 15-C
Single wide ❑ Wind Zone II ❑ Wind Zone III
Double wide ❑✓ Installation Decal # TBD
Triple/Quad ❑ Serial # TBD
PIER SPACING TABLE FOR USED HOMES
e
Load
bearing
capacity
Footer
size
(sq in)
16" x 16"
(256)
18 1/2" x 18
1/2'(342)
20" x 20"
(400)
22" x 22"
(484)'
24" X 24"
(576)'
26" x 26"
(676)
1000
Dsf
3'
4'
1 V
6'
7
8'
1500
s
4' 6
6
7
8
8
8'
2000
at
6'
8
8
8'
8
8
2500
s
7' 6'
8'
1 8
8'
8
8'
3000
psf
8'
6
8'
8
8
8'
3500 Pat
I 8
8'1
8'
1 8 I8
6
' interpolated from Rule tot» pier spacing ladle.
PIER PAD SIZES
I-beam pier pad size 17X22.5
Perimeter pier pad size 16X16
Other pier pad sizes
(required by the mfg.)
Draw the approximate locations of marriage
I wall openings 4 fool or greater. Use this .
.r symbol to show the piers.
List all marriage wall openings greater than 4 foot
and their pier pad sizes below.
Opening Pier pad size
23X31 17X22.5
2-3
23X31
TIEDOWNCOMPONENTS
Longitudinal Stabilizing Device (LSD)
Manufacturer OLIVER
Longitudinal Stabilizing Device w/ Lateral Arms
Manufacturer
ANCHORS
4ft ✓ 5ft
FRAME TIES
within 2' of end of hc--
spaced at 5' 4" oc ✓
OTHER TIES
Number
Sidewall
Longitudinal
Marriage wall
Shearwall
E
Mobile Home Permit Worksheet Application Number: Date:
POCKET PENETROMETER TEST
The pocket penetrometer tests are rounded down to 1500 . _ psf
or check hereto declare 1000 lb. soil _._ without testing.
X 1_500 X 1,500 X 1,500
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at 6 locations.
2. Take the reading at the depth of the Tooter.
3. Using 500 lb. increments, take the lowest
reading and round down to that increment.
X 1,500 X 1,500 X 1,500
TORQUE PROBE TEST
The results of the torque probe test is 295 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 at the sidewall 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 mobile home manufacturer may
requires anchors with 4000 lb holding rapacity.
Installer's initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name EDDIEGRUNDEL
;trical conductors between multi -wide units, but not to the main power
includes the bonding wire between mull -wide units. Pg.
sewer drains to an existing sewer tap or septic tank. Pg.
Site Preparation
Debris and organic material removed YEs
Water drainage: Natural __. ,. Swale _ Pad X _ _ _ . Other
Fastening multi wide units
Floor: Type Fastener: LAGLength: s Spacing: 24"_
Walls: Type Fastener: LAG Length: 6" _ _ _ Spacing: 24"____.____._.
Roof: Type Fastener..)_AG_ ..._ . Length. CON'T_ Spacing: 24 _
S" For used homes a min. 30 gauge, wide, galvanized metal strip
will be centered over the peak of the roof and fastened with galy.
roofing nails at 2" on center on both sides of the centerline.
Gasket (n'eatherprooflng requirement)
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
Type gasket FACTORY Installed:
Pg. _ _ _ Between Floors Yes X
Between Walls Yes X _
Bottom of ridgebeam Yes
Weatherproofing
The bottomboard will be repaired and/or taped. Yes X , Pg.
Siding on units is installed to manufacturer's specifications. Yes X
Fireplace chimney installed so as not to allow intrusion of rain water. Yes X
Miscellaneous '
Skirting to be installed. Yes X __ No
Dryer vent installed outside of skirting. Yes xN/A
Range downflow vent installed outside of skirting. Yes .X._____ N/A
Drain lines supported at 4 foot intervals. Yes X
Electrical crossovers protected. Yes X_
Other:
Installer verifies all information given with this permit worksheet
is accurate and true based on the
manufacturer's installation instructions and or Rule 15C-1 $ 2
Connect all potable water supply piping to an existing water meter, water tap, or other Installer Signature/A // ^„ Yam. /1 /1 Date
independent water supply systems. Pg. lJ/OJ(%U,{�/ 4!//`ifjr`G�`/ // /�/