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HomeMy WebLinkAboutPermit Worksheet4• k' sy v - PtRMIT NUMBER Installeran Dense # Address of home Z being Installed Manufacturer s ACl Gl Lenpthxwidth NOTE: ' if home to a single We flll out one half of the blocking plan If home Is a triple or quad w1de sketch In remainder of home I understand Lateral Arm Systems cannot be used on any home (new o used) where the sidewall ties exceed 5 ft 41n: Installer's initials Typical pierspacing - .• PERVI[T WORK -SHEET page l of 2 New Home Used Home ❑ , Home Installed to the Manufacturer's Installation Manual ❑ , Home is Installed 1� rdance with Rule 15-0 Sinple wide Wind Zone It Wind Zane III Double wide ' ❑ Installation Decal # J Tdple(Quad ❑ Serial #/� ' PIER SPACING TABLE FOR USED HOMES d toad, Footar 76'x!6' l81/2'x�8!!2' 2o'x20' 22'x22' 24'X24' 26'X26' beadnq `size capacity (SQ6) (2) (40) (�' (�6�r (76 . POP R P g_ ES�I aNcHDRs Ott Sfl FRAMETIES Within Vol and of ho�n- -------� spaded at 5' 4' oc TIEDOWN GoMpo,4 S 1-0THEA'r7Es Longitudinal sibIl g Devi D Sidewall Number Manufacturer fiec �ivrtiyo Longitudinal Longitudinal $j;bllb Devlre�v/Lateral Arms Marriage wall Manufacturer _ t ovn �7►�Il �_ I-beam pier pad size Perimeter pier pad size Other pier pad sizes (remilred by the mf !?raw the show the locations of marriage wall op�nrugs 4 foot or greater. Use this symb12 he plers, List all marriage watt openings greater than 4 toot and.thelr pier pad sizes below. Opening Pier pad -size ' � I v •S .4 L PERMIT NUMBS? The pbcket penetrometer tests are rounded orcheokhereto declare 1090lb.,soil n� r 'Without testing, psi X TESTING METHOD 1. Test the ' star of the hoMs at 6 locatlons. 2 tnoa!-500 e reading -bike depth of the.faoter. lb, increments, . rawest reading and round down to that increment. X X 'Re TnT MUM Mra The results of the torque probe test is Inch ds or check here if you are declaring V anchors without testing •n q test Showing 275 Inch pounds or less will require 5 foot anchors. NOW A state approved lateral arm system is being used and 4 ft. anchars are allowed stills sldewall locations I understand 5 ft anchors are required at all oenterllne tie points where the torque test reading Is 276 or less and where the mobile home manufacturer may requires anchors W444 oo lb holding capaotty. --- / ,�L 5 Installer's Initials ALL TESTS MUST BE PERFORMED BY A UOENSED IN STAU.Fa Installer Name r14 v r s Date Tesfed ibnneot electrical conductors between multi -wide units, but not to the main power ourom This•inOudes the bonding wire between nruit-wide units. pg. P Um o ennW all sewer drains to an erdsfing sewer tap or septic tank pg. A / �yn�' onnect all -potable water supply piping to an existing water meter. water tap, or of er ' !dependent water supply systems, pg. PERMIT WORKSHEET 2012 Debrls and organic material removed Water drainage: Natural Swale Pad ✓ Other Floor Type Fastener, Length: pacing: Walls: Type Fastener. _ _ Spacing: Roof; Type Fastener. Length: Spacing: For.used homes a min. 30 gauge, 8" wide, .gWvaNzed metal stdP will be centered over the peak of the -roof and fastened With gWv. roofing halls at 2° on center an both sides of the centerline. • dasket�ivalherpranfingteWlranent� 1 understand a properly installed siasket Is a requirement of all new and used aresult of a poorly Installed omes and that r noogaskett beinInstalled. I ud budded nderstand ers and a sts walls rip Of tape will not serve as a gasket. Installer's initials _ Type gasket Installed: pg. Between Floors Yes Between Walls Yes Bottom of ridgsbeam Yes t ottomboard wiII be repaired and/or taped. Yes _ pA, rC/ irePIace chImney in�illeded �ro as notallowintrusionvol off min water. yes.V\'K Mr eous Skirting to be installed. Yes No Dryer vent installed outsideot sldrting. Y;e- WA Range downflow vent Instalied•outsids of skirting, Yes NIA Drain lines supported at 4 foot intarvals. Yes - �/ Electrical cro�ov�r�prbtec d. Yes Other s�ao 0 14 accurate and true based'on the Installer Signature Date ���