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PERMIT WORKSHEt I -
PERMIT NUMBER
Installer THOMAS GRUNDEL License# 'IH1025148'
New Home Used Home
_;. :.. t
_... .. ._-� ` rer's In Honfe install'eiI o the Manufactu stallatron Manual
Address of home '10701 S OCEAN DR LOT 755 Home is installed in accordance with Rule 15-CEl
being _stalled
_- --- .. ._.JENSEN BCH : . __. - S n - d ® _.. ..
I le wide Wind Zorle'll -wind zone Ili
9. 0_ -
--JACOBSEN
Manufacturer Length xwidth 24X37" Double wide Installation Decal ff `TBD
IUOTE if home is a single wide fill out o_ne half of the blocking plan _ Triple/Quad Serial# TBD
rf home is a•triple or quad wide sketch in remainder of home
understand Lateral Arm`Systems cannot be used on any home(new orused) LL
_ PIER SPACING TABLE FOR USED HOMES
where the'sidewall ties exceed 5'ft4 in''"
Installer's initials TG Load Footer,
6"x 1 8 1 i2"x 1 0"x 2 22"x 22 24"X 24 2
Typical pier spacing. _. .._ 1 (256)6 1112"(342)8 2(400) I. (484)* (576)* 26(676)6..
bearing size
lateral' capacity (sq in)
.
'Show Ibcaboris of Longltudlna1 and'L f6r;41_9y9 i6 rh s W ps'
- longlludinal
•(use a�klih6s fo"show these locations) ps d
2500 ps8.
ps
_ 3500 ps
* interpolated from Rule 15C-1 pier_spacing table.
_ r PIER PAD SIZES
' POPULAR PAD SIZES. '
1=be`am p'ierpad s,ize::- 17X22:5'' a Size q n
_ J 16X16
'Perimeter pier pad size- 16X16 x
18.5 x 4
-- --- -- --_ - --- . .... er i er a ds
s xfzeOg--- - ---- --- n _ " t . x(retiired bythemfg.)
13
4 x26 114 348
- _' -
_.. _ _ . .
raw the approximate Jocations of marria x 4DT
marriagewall piers within2'of end of:home per Rule 15c -.. _
wall openings 4 foot or greater Use this ' x
`sym6of to show the piers, x
24 x24
Ei
Lis taII marriage wall openings greaterthah4 fool x26
-; n d a _
�. their pier pad sizes below
' 'Pier
r -
_ ANCHORS
© Opening: 'Pier`pad size
-r--r-i�- ---T�-r-r-c-i-l-�-T-r-r-r-1-1 1'-T-r-r-r-I--1-'l-T._.r-_I"-c-ri-l-T-r-r- _ .. ..
I I _, 1 �' 1 1 I �- 1 1 I i 1. I 1 1 I I 1 1 1 1 1 1 1 1 1 1 4 1 1 1 1 I I -4'ft- X 5-ft
r-r r- 1-- T=r-1 1 -1-1-I -
�. � '�•�L _1_,._:._1 _ 1-5 `17X22.5 .. _
�I 1 f 1 , , ' ..
J_�1-.L._L._L I -_. ... .. _ _ .... _ FRAMETIF�- ...
1 1 .1, 1 1 1' I 1 1- 1 1 1 1. I 1 - i.
L._L_I-..�'-J_ _ `L.�I,.:(_./,_1_>._L�.F._I-..1_.1_.i.-L_:}-L.-I_-1_./ 1._L_.L_1__I_J ,J_.;._,.4 ,.,./_
1 1 I' I 1 I I 1 I I I I, I .I 1 1 1 I 1 1 I I I 1: I' 1 , 1 I 1 1 1 1 1 1 r " ""2'o e X
r_1.._,_.T,_.,_ r'_,_'7_.. -..._.r_ '._r_I_.-7_1._T.•_I-_f_r_,_-a-'1-T-r._1-_r.-,_.y_.y_T_r-.,"_r'-, �.. ..
/L _ within. fenld of`h�om
1 I 1 1 1 fl _L. 1 1 1. 1' 1 I 1 _ 'a paced at 5'"t"oc"/�
r-r-a,-i-1-'
I I I i I I 1 I 1 1 _I
----11.�rI r i'-,- r-,:-r-r;-;-;-r-r-,--i-I 1-7- _1 r-1 ` OTHERTIES
L_IT"_IS -,!_J_1-!_L-I-J_!_J-.1_"L 1 :.)_.J_J_.J_,1_.L_!_I__I_a_J- I_1_L,_I 1:-'- ' .... ..' TI®OWN COM PONQ s
1 ll I, 1 1 1 1 N .
LJI r_J,_J_'11�"L_l.._I-J J.-1_�L_L-1L_I_.J,_J_.1-1..-.L_L I_J--.J 1 L:_L_L�_J:_J_S._-L_L_L I .. .. _.- - .'-_ .. .... 1�1Um ber
__ -
I ' I I I �lI ' '' i L; I I '' _' I I I I r ,. '. 1 '. ' 1- 1 -'- 1 i. �LongifudinaYStabilizing.Deyice(L:SD)...'- .Sidewall
L_1_.J,_..[-.1-�.-L_L-1_J._.�'_;._L�I._L-I--1=-I_.i_I.-L._j.�I_J_.I-_i L L_L-I-J_J._1,-a.'.-{.-h-I_J _,_..., _. . - -
I" 1 , ' r 1 1 1 ' 1 I I I ' :Manufacturer OLIVER - Longitudinal- -
_a-f-F-1-• 1__I�y_?._4_1._hL�_.y_T_p F_r_I_J_y_? h h._F--I_,_I--1-{_..P-l- 1-•.-1-.� -
I 1 1 1 1 I, I I i I 1 1 I 1 1 I , 1 1 1 'Longitudinal"Stabilizing El a w/L.aferal Arms:Marriage wall*
, T-*'-r-r-1--i-�_.�._.r._r-,r-r•T �-'y-*-r-'--I--+-i-r-r-�-I -- -- .. .. _.__ --_
I 1 1 1 1 1 I I 1 or
1 1 1 1 1 1 I 1 r Manufacturer - .Shearwall
r-r.-r1-�-7-r-r-r-1_ 1-1-r-r-1-r-1-1--1--If r-r-r1--1 Ir r-r 1-r-r-r_IL --
Page PERMIT WORKSHEET
PERMIT NUMBER
Site. reparation.
POCKET PENETROMETER TEST
eb'ris and o�anic material removed YES"
The pocket penetrometer tests are rounded down to 1500 -psf- Mbter drainage:Natural Swale Pa-d_X Other
or check here to declare 1, 00 lb.soil withouttesting.
._...
eu
15QS'
._: . ... _.... .. ._.. .._ .. ; ... ., .., _ _ .. t 6„ nit 24„
asten�ng mu t�w s
Floor: Type Fastener 'LAG' Length: .Spacing:
Walls: Type Fastener: LAG 'Length: 6, Spacing: 24"
POCKET PENETROMETER TESTING METHOD Roof" Type Fastener: GALV Length: Spacing:
.. 8"w
_. _ .
For used homes a min.30 gauge, wide,galvanized metal strip_
1 Test the penmefer of tFie home at 6 locations will be'cenfered over the peak of the roof and:fastened with gaI'
v.
2.Take the reading,atthe depth of the footer. s o terline.
roofing nails at 2'onoenter on both ides fthe oen
.. ._
Gaske
t(wonthorproofing roquiromont),
3."Using 500 Ib. increments.,take the lowest
reading and round down to that increment 'I understand a_,prop arly installed gasket is a requirement of all rievv and used
homes and that con ensation,mold,meldew and buckled marriage walls are
a esult of a poorly installed.o no ga r r � sket being installed. I understand a strip
X 15Q�" Y,x 15Qj X 15QS ;of tape willl.notserve as a gasket:
Installer's iiniitials TG
TORQUE PROBE TEST
Type gasket FOAM Installed:
The results of the,torque probe testis 285 _ . _inch pounds or check Fg. Between Floors Yes X
here if you are declaring 5"a, nchors without testing Atest Between W61Is' Yes, X
showing 275 inch pounds'or less will require 5 foot anchors. . lboftorn of ridge'beam Yes X
Nofe: Astate approved late alarm system-is.being used and 4 ft.;
anchors are allowed at the sidewell locations. I understand 5 ft eat erproo mg
":anchors are required at all centerline tie points"where the torque test, _
reading )s 275 or less and where themobile home rri nufacturer'rnay The bottom:board will be repaired.and/ortaped: Yes X - Pg.
requires anchors with 4000 lb Holding capacity." ,, Siding on units is installed to manufacturer's specifications Yes X
' TG Installer's initials Fireplace chimney installed so as not to allow intrusion of rain water. Yes X
"ALLTESTSMUST'BEPERFORMEDBYi' LICENSED'INSTALLER' 7 Miscellaneous
:Installer Name. .,"TWQMAS"GRUNDEL .. es X.;
Skirting to be installed. Y _
Dry erventinstalledoutsideofski'tm . Yes N/A
Date Tested Range downtlow vent installed outside of skirting. Yes X N/A
-- .__
Drain lines supported at footintervals. Yes X
Electrical crossovers protected. Yes X
Ld Oth er
Electrical
onnect elec rt i aA conductors between multi-wide units, but not.to the main power
curce. Thissincl des the bonding wire between"hiult-Mae units. Pg.
_ r - ' Installer verifies all inf ation given with this permit worksheet
T. Plum bing is ac r and true ased on the
-- .• manufacturer's in lation instru i sand or Rule 15C-1 & 2
s _ , ,"'e3asting sewer tap or;septic tank Pg,onnect all sewer drams to an
0nnecfaII potable water supply piping to an exsting water meter,water tap, or other Installer Signature Date
n aJeno .Jcntaio#cr