HomeMy WebLinkAboutPermit Worksheeti' PERMIT NUMBER
41 IM I
350
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POCKET PENETROMETER TEST
The pbcket penetrometer tests are rounded wn to psf
or check hereto declare 1000 lb, soil without testing.
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POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home ate locations.
2. Take the reading at the depth of the.footer.
S. liking 500 lb. increments, take the lowest
reading and round down to that increment.
X_ X
X�
TORQUE PROBE TEST The results of the torque probe test is I t% 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 dome manufacturer may
requires anchors with 4000 lb holding capacity.
Installer's initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name
Date Tesfed 71 -? 1 9
- Electrical
lonneot electrical conductors between multi -wide units, but not to the ma power
ource. This•Ingludes the bonding wire between mutt -wide units. Pg.
plutaffia -
onnect all sewer drains to an existing sewer tap or septic tank ' Pg,
6�
onriect all potable wafer supply piping to an e ' 15" water meter, water tap, or other
ldependent water supply systems. P 3
PERMIT WORKSHEE [' 1 page 2 of 2 I
site Preparation
Debris and organic materlal removed
Water drainage: Natural ._,/Swale Pad _Other__T ,
FaMrsin multi wide units
Floor. Type Fastener, L AV • Length: 6 �' Spacing: of
Walls Type Fastener. — Length: � Spacing: - -� y
Roof: Type Fastener: (�f Length:. _ G 0 Spacing: _ 2y �r
For -used homes a min. 30 pauge,;8" wide, galvanized metal strip
will be centered over the peak of the •roof and fastened with gale
roofing nails at 2" on center on both sides of the centerline.
— 08Sliet(weatheroroelingre4ulremontf
i understand a prgperiy Installed gasket Is a requirement of all new and used
homes and that condensation, mold, meldsw 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,
Install'er's initials
Type gasket Installed:
Pg• Between Floors Yes
Between Walls Yes
Bottom -of ridgebeam Yes��
weatherpto6.11
The bottomboard will be repaired and/or taped, Yes
.Siding on units Is installed to manufacturer's speciflcations, Yes Fireplace chimney installed so as not to allow intrusion of rain water. Yes �Q
Mlsoeilanecus
Skirting to be.install6d. Yes r/ No
Dryer vent installed outside of skirting. Yd-s--Z71'� WA
Range downflow vent installed -outside of skirting, Y.es �CN/A
Drain tines supported at 4 foot intervals, Yew
Electrical crossovers protected, Yes
Other;
is accurate and true based en the
4
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Installer License # �•c
Address of home l GQS GA- 7-,
being Installed
Manufacturer f}ts 2_J C�-F l/LiQ�, Y'-f Length x width T 1 'X 7
NATO ' ff home is a single wide fill out one half of the blocking plan 0�k4e
if home to a triple or quad wide sketch In remainder of home
I understand Laierat Ann Systems cannot be used on any home (new or t pad)
where the sidewall ties exceed 5 ft 4 in.
Installer's initials_ •!�P/,
. I
Z�
PER -MIT WORK -SHEET � pagey ®f2 I
New Home ® Used Home
Home installed fo the Manufacturer's installation Manual E
Home is installed In accordance with Rule 15-0 13
Single wide ® Wind Zone It [(� Wind Zane 111
Double wide Installation Decal # cz) k
TriplelQuad ® Serial # Pl-14 to k)1 &A Z
PIER SPACING TABLE FOR USED ynMP.Q
Load
Poorer
bearing'
size
161'x'16°
41& x 18 112'
20' x 20°
22° x 22' 24° X 24' aS° R 26°
capacity
(sq in)
(256) .
(342)
(400)
(484)° (576)" (676)
tODD
s
S .41-
0.0
s
4 6
—7-6r—B
6
6
000
net I
8
2 00
e
6
S
8
8
3000
s
g
3 0�
s
g
g
PIER PAD SIZE$
I-beam pier pad size 1-7 x ?/T-
iY
Perimeter pier pad size
Other pier pad sizes
(required by the mfg.)
Draw the approximate locations of marriag
wall openings 4 foot or greater. Use this
symbol to show the piers,
List all marriage wall bpenfrigs greater than 4 foot
and.their pier pad sizes below.
• PO. •UL'AR PAl)'SIZES
ANcNORS
Opening Pier pad --size
4 it 5 ft
FRAME TIES
within 2' of end of home
spaced at 5' 4".00
TiEW.WN COMPONENTS-7bTHEt;
TiES
Longitudinal Stablllzln Device LSD
�
- Number
Sidewail.
Manufacturer t/k�p
Longitudinal stabilizing Device w Lai ra
Manufacturer
ion ' final
w
E
to