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HomeMy WebLinkAboutPermit Worksheets r 4EiFWKU14GAMR PERMIT WO1IK`aHEET °vn. C,t." 11'` UIYIBER �' ... . .w. Page 7 of 2 ' Y Jnstatler b' ��, � tt�, ) 1 c er New Home• Used Home [� ..,.., _ License#_ �.�.-, r G07 Home installed to the Manufacturer's installation Manual �' r Address of horns �" ��' t v ` ' Horne is Installed in aocordanos with Rule 18.0 . C being installed o Single wide ❑ Wind Zone 11 2foo' Wind Ions Ili [] d Marwfactuter �� i.elrpftr x width Double wide ' •� Installation Decat# NOTE 'g home is a slr le wide fill out one hag of the blocking plan ;riple(puad [� Serial# �, A !_ ®� if hotlle is a trlp�le or quad wide sketch!h remainder of home I understand Lateral Ann Systems cannot be used on wrl home{new or used) 1 r where the sldawall Iles exceed S ft 4 In: PIER SPAL TABLE FOR USED Hows r., Installer's Initials Lead ' Poorer �" cn 1Gxt6' 18 t/2'xttt t/2' 2o'xzo' 22'x�2' WXW Wx2G' t" ►� A*J�pjcal ize pier spacing 4001rg s Show(use locations arrkk Ones Ito show theial ocafeions)ystems s e wwpofsted from Rule ISC-1 pier Waft table. PIER PAD 31ZE$ .0 Cp- �'�_1 I-beam pier pea size /7 : x3'x„� a n U Li Li a n�A y Perimeter pier pad size �' L ti� X d 141 au. �d X a Otherpierped sizes x m � (required by the mfg.) x m m nr. Draw the approxitnate locations of tnardege x v rn r� � watt op to 4 toot or greater. Use this X i!i . + DEW p7�sRltNn 7 of Kur of hmne v�rAu1�t50 ! ® sVtr>bof tc show the pierce. �7 �C �' 4. List all marriage waft openings greater than 4 toot x o rn in and their pier pad sizes below m rn 9 CO i x ANCHOfiS -- .zr o n o pp - - rv, Opening Pler padufts �, o c suet ��m a F7fAME17E3. a within Z'of end of home x: spaced at 5'4"oo S z WE-BURN COMPONENT-S b7MiEH 8s Longitudinal slablUng Device aso Went( Manufacturer Longitudinal ti Longltuo7rral Stabll Pg evl�p WlLateralArms. Marriage wadi Manufacturer_ ! r i/[�i» �,_;, 9haanvall • .�. .� 1 RED r� � EE � MAR 'j. 2O � PERNICC WORKSHEET Nege 2 of 2 .•P1 � t 1Nt9 ... ..::..... ho r wsm�i.. Si.Lucie �" ' __ Site Preparatlon ""'"— FOCRU PENETORETERTEST- Debris and organic material removed The pboket penetrometer tests are rounded down to l o v a psi Water drainage:Natural Swale Pad Other-: or check hereto declare 1000 Ib•.solt ✓ without testing. ast n9 multi wide un is •, Floor: Type Fastener. /�' Length: Spacing: Al Walls: Type Fastener - Length:, Spacing: POCKET PENETROMETER TESTING MMOD Roof: Type Fastener •' Length: L Spacing: For-used homes a m 30 gauge,8'wide,galvanized m al stop 1. Test the perimeter of the horns at 6 locations. will be centered'over the beak of the-root and fastened Wf gam roofing halls at 2"on center on both skies of the centeriina 2 Take the reading at the depth of thkfootsr. 9. Uring 500 lb.lhorements,take the lowest reading and round down to that increment. I understand a properly Installed gasket Is a requirement of all new and used homes and that condensation,mold,meldew and budded marriage waifs are a result of a poorly Installed or no gasket being Installed. I understand a strip X ®sm X46LO X of tape will not serve as a gasket. Installers Initials The results of the torque probe test is Type g ket z� rr, = Installed: �- �_.,inch pounds or check � Pg. _ Between Floors Yes here if You are dedadnp 9 anchors without testing _ ' - A test BottomBetween e oWrld$ s Yes_. showing 276 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 4he sidewall locations. I understand 5 ft eaUa roonn anchors are requited at all centerline tie poWp where the torque test reading Is 276.or less and where the Mobile home manufacturer may The bottomboard will be repaired and/or toped, Yes Pg• requires anchors with 400019 b holding c apac1W - Siding on units Is installed to manufacturer's,specifications. Yes of Installer's initials Fireplace chimney installed so as not to allow intrusion of rain water. Yes✓ ALL TESTS-MUST BE PERFORMED BY A LiCENSED INSTALLIER ,,,,�,"r• eouo Installer Name Skirting to be installed. Yes No Date Tested .3 �� i Dryer vent Installed outride of skirting. Y� WA Range downflow vent instelfed'outsfde of sldi fnp, s "t�llp_ Drdln Ones supported at 4 foot Intervals. ./ Electrical crossovers protected. Yes Other: ibnnod electrical conductors between multi-wide units,but not to the m in power MOM This•inoludes the bonding wire between mult-wide units Pg. Installer verlfles all infomration given with this permit Workshest _ .HUMbInF, is accurate and true based on the connect all sewer drains to.mar edalin sewer `/ rna ufactu is installation Instruotfvns and of Rule 60-1 &2 r A tap or septic tank. PA• � _ / onnect all potable water supply piping to an tine water meter,water tap,or other Installer Signature � Date r 1l r idependegt water supply systems. Pp. BLOCKING LOCATIONS SHOWN ARE CONSIDERED TYPICAL.BLOCKS MAY BE MOVED FROM LOCATION SHOWN(WITH THE EXCEPTION OF SHEARWALL OR COLUMN LOCATIONS)AS LONG AS THE MAXIMUM NG IS NQLEXCEEDEO, gg UNLESS OTHERWISED SPECIFIED IN THE NOTES BELOW.THE DISTANCE BETWEEN ANY ADJACENT PIERS MAY DEVIATE FROM THE LISTED SPACING BY 10%,SO LONG AS THE OVERALL AVERAGE DISTAN=EENOS IS=UAU A 8 ca TO OR LESS THAN THE LISTED SPACING,SEE SECTION 31N THE PALM HARBOR HOMES INSTALLATION MANUAL FOR MORE SPECIFICS ON BLOCKING THE HOME. C^d $m a le ix COLUMN LOADS 1� ) q $ aR�i a to to S 1O =3286 LBS. Q t ?ti t t q X m 9 �S u Q =3286 LBS. t ( ¢ fix' Q3 =4900 LBS -� CL m a y PEPaeE,FA . ® =6300 LB S ,w aPPa 1 F .avo-72 � L� a r� 05 =1576 LBS 1 > .nF+ PEoo a ----- - ---- --- N PLaorsPsa,samxa�a o a L(10 . 1 n tL $ CL u m N wFA6RL0G,{9R >< 24 1r o �1 o eo 2a �' �o� o oa�cPAmwoelvAu _ _ ~ g 19 Z ^ E z 3 0 a co _ (1 Z m 1km .0 O --_--------- 5 a u Li 3 2 OwwuLwnau e 24 11' 10-0 101.0' lout nowuon seusw _ m. u,u O Q y- NTRAZTOR INFORMATION i C )� � � Z C1NRlF8 P.RDOER9 wF..uLou,aR uer.w-Baaoaa? 140 oG Q ____-_-__ N pEpa pEppa��aLp=1gp pj � � PHOIE:BtY7b7-17SE pp N • • • • • • nFlcAtnaaavxala:o0 Da. p z pptn1 C q 111 O Q y � NOMELOGTtON �J • -0 KAV uV. aQd 2 PARIG u.c a•.oa 5'�' - 24 W PPtN.61EP ncmnre m 1a o srREEr: a'4 m o arr: z w DRAMOO MIORMAnON N . a WE. 07/15114 INSTALLING A HOME CAN BE VERY DANGEROUS,ONLY QUALIFIED PERSONNEL SHOULD EVER ATTEMPT TO INSTALL HOME Q SouE: Ror PwxleuTDawaE NOTES: g RUA.VAN0z0NE ,4, BLOCKING SPACING BASED ON 20PSF LIVE LOAD ON ROOF AND 1000 PSF SOIL BEARING CAPACITY. T. STABILIZER SYSTEM PER PALM HARBOR INSTALLATION MANUAL,AND ALL SIDEWALL ANCHORS ARE SPACED AT Z or w 3 2. CONCRETE BLOCKS ARE ONLY RATED AT 6000 POUNDS,6000 POUND PIERS OR HIGHER MUST BE S•4'MAXIMUM.FOUR FOOT GROUND ANCHOR MAY BE USED EXCEPT WHERE PALM HARBOR INSTALLATION MANUAL W DOUBLE BLOCKED. -SPECIFlESDIFFERENT. 0 sEt'I>PuvFORMAtwR 3. 13LOCIONG REQUIRED AT OPENING LESS THAN 48'--IN WIDTH ONLY TO MAKE NONOPERATIONAL 8. IT IS THE RESPONSIBILITY OF THE DEALER AND/OR INSTALLER TO CERTIFY THAT ANY BLOCKING ANDIOR } BLOCKING DIAGRAM DOORS OPERATIONAL PERIMETER SUPPORTS ARE REQUIRED—ON EACH STOE OF ALL OPENINGS GREATER FOUNDATION PRINT(S),OR ANY OTHER DIAGRAM SUPPLIED FOR ANY SITE INSTALLATION,CORRELATE h THAN 48'(IE.SLIDING GLASS DOORS,BOX BAY WINDOWS,RECESSED ENTRIES,ETC...)REFER TO THE WITH THE UNIT ORDERED AND BEING SET AS WELL AS THE CONDITIONS OF THE SITE.THE MANUFACTURER 'w DESIGNED FOR 20 V INSTALLATION MANUAL FOR MORE SPECIFICS. - WILL NOT BE LIABLE FOR DAMAGES ARISING FROM FAILURE OF THE DEALER ANDIOR INSTALLER TO y PSF ROOF LNE LOAD ' 4. MARRIAGE LINE BLOCKING ONLY REQUIRED UNDER WALL MARRIAGE LINE WALL AREAS. MAKE CERTAIN THATTHE CONTRACTOR9NSTALLER HAS THE CORRECT DIAGRAMS,REGARDLESS OF WHAT WAS AND 1Doo PSF 906 5. FOR WIND ZONE 0 AND III INSTALLATIONS,A PIER IS REQUIRED UNDER THE'SHEARWALLSWHERE SUPPLIED BY THE MAUFACTURER.THE MANUFACTURER ASSUMES NO RESPONSIBILITY OR LIABILITY FOR THE BEa+INacAPACIrr THEY ATTACH TO THE SIDEWALL THESE SHEARWALLS ARE INDICATED AS DARKENE04N WALLS ON THE DESIGN OF THE BLOCKING ANDIOR FOUNDATION, O• 'Ca' y �_q FLOOR PLAN. 9. FOR MORE SPECIFIC INFORMATION REFER TO THE INSTALLATION MANUAL 1 6. ASS PIER PAD SIZES AND CAPACITIES BASED ON INFORMATION PROVIDED BY'MANUFACTURED HOUSING 10.ALL SETUP MUST COMPLYWTTH THE PALM HARBOR HOMES INSTALLATION MANUAL. 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