HomeMy WebLinkAboutPermit Worksheet14.
` OER•MIT W011K.SHEET (-EMI of 2
-'OtRMIT NUMBER,
installer •e ,00 2—e License ljgll�elz
Address of home uld 114 . s Ow /IV/, • ��!✓
being Installed
Manufacturer GL s4 Length x width 6,9
NOTE: 'it home is a single wide fill out one half of the blocking plan
if honis lsa triple or quad wide sketch In remainder'of home
understand Lateral Arm Systems cannot be used on any home (now or used)
where the sidewali ties exceed 6 ft 4 in,
lnstailees Initials
Typical pier spacing
&
Show locations:of.L-onphudinal and Lateral Systems
(use dark lines to show these locations)
New Home ❑ Used Home [(]/
Home installed to the Manufacturees Installation Manual
❑ '
Home is installed In acoprdance with Rule 16-0
[+ .•
Singlp wide [ Wind Zone 11 ❑ Wind Zone III
Double wide ' ❑ Installation Decal TO
Triple/Quad ' ❑ _ Serial #
PIER SPACING TABLE FOR USED HOME'S
Load
gearing
capacity
Footer
size
(sq In).
16' x i S'
(26S)
181/2' x 981/2'
(342)
20' x 20'
(400)
22' x W-
(484)•
24' X 24'
(576r
26' x 26'
(676) '
OOD sl
S
000 ost6
8
8b,
.
1 8
2,500 pst
7' 6
81
B
8
'8000 0
8
8
abuo PST8-
.'
8
- interpoiatea rrom muss iota-i par spacing taoae,
PIER PAD SiZE9
f-beam pier pad size /7 "X �1 •r
Perimeter pier pad size 1 % `0,I< _ >'�
Other pier pad sizes / -)
(required by the mfg.) '
MIDraw the approximate locatlons of marriage
wall openings 4 foot or greater. Use this
symbol to show thdplers,
List all marriage wall openlri s greater than 4 foot
POPULAR PAD SIZES
tIF�-S�
i1iC 3L']lmIl
EIM
NK
tit'&ri[--VPq;VTiPs
mtAF? .W-MFraitttti�,'.•L-
and.their pierpad sizes below.
ANCHORS
Opening Pier pad,.size
4 ft �.
j 7 1, 4- y2 ''
I FRAMETIES
within 2' of and of home
spaced at 6141 oo
TIEDOWN COMPONENTS
OTHER TIES
N riber
Longliudlnal Stabliking Device (LSD)
Sldewall
Manufacturer Q^" H —7^le kPlw" '
Longitudinal
Longitudinal Stabilizing Device WILaferal Arn7s
Marriage wall
Manufacturer — F-e
ShsgiwWl
FILE COPY
kR T NUMSSR
POCKET RO ER TES :
The pboket.penstrometer fasts are rounded ddc %4cr`,_, psi
or check hate -to declare I000 lb. soil without testing.
X_ . ..._.. X_....
POOKEI' PENEI•ROMETER TESTING METHOD
1. Test the perimeter of the horhe at a locations.
2 Take the reading at the depth of thefooter.
M Ualnq 500 ib.-Increments, take the lowest
reading and round down to that Increment.
X. x.._.. , , x,_,,,;.
TORQUE 0
The results of the torque probe test Is '-'I- , Inch pounds or check
here If you are declaring b' 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 atlowgd atihe sldewalt locations. i uriderstand 5 ft
anchors are required at all centerline tie point¢ where the torque led,
reading Is 276 or less and where the mobile (tome manufacturer may
requires anchors with 400aldtnp oapaolty.
Inswees Initials
ALL TESTS MUST BE PERFORMED BY A UGENSED INSTALLER
Installer Name l� t ; .74-�'dY� ,
Date Tested / ' ' Vea a /
• aatr
tcnnect electrical conductors between multi -wide units, but not to the main,power
ourom This•Ingludes the bonding wire between muitrwide units.. Pp:
- — - F um na
bnnect all sewer drains to an existing sewer tap or septic tank -Pa.
• ' onnect all potable water supply piping to an existing water meter, water tap, or other
idependent water supply sydtons, Pp.
PERMIT WORKSHEET page 2 of 2 1
81a Prepay on
Debris and organic material removed
Water drainage: Natural ,� ._,Swale Pad,,:,__ Other
Fatten ng multi wide units
Floor, Type Fastener. • Length: Spacing:
Walls: Type Fastener. Length: Spacing:
Roof: Type Fastener. Length: Spaoing:
For -used homes a min. 90 gauge, wide, galvanized al strip
willbe oentered'over thepeak of thevoof and fastened VvIth aaly.
roofing nails at 2" on center on both sides of the centerline
1 understand a property Installed gasket Is a requirement of all new and used
homes and that condensatlon. mold, meldew and buckled marriage wails 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= Z
Type gasket Installed:
Pg. _ Between Floors Yes `-g
Between Walls Yes
Bottom of ftebeern Yes
ea proofing
The bottomboard will be repaired�andfor taped. Yes Pa,
Skiingp on units is installed to manufacturers speoif last o—n Yes ✓
Fireplace chimney installed so as not to -allow intrusion of rain water. Yes IW
Skirting to be Installed. Yes, 1-1 No
Dryer vent Installed outsldofe skIrtha Yes�,� WA
Range downftow vent tns#elled outslda of skirting., so
N/A �-
Drain fines supported at 4 fobt WQM&, Y
Eleotrical crossovers protected Yes
other:
'
is accurate and true based !on the
Installer signature