HomeMy WebLinkAboutPermit Worksheets - ' - PERMIT WORKSHEIEI page •i or L
PERMIT NUMBER
New Home ® Used Home-
tnstalle� `THOMAS GRUNDEL License# IH1025148
_ t n ct r s to•Home installed to he Ma ufa' ure ' lns IationManual
Address of home 'gg NETTLES BLVD ;Home is installed in accordance with Rule 15-CEl
being installed JENSEN BCH .
- ..Single wide Wind Zone 11 1Nind Zone 111
JAC.OBSEN
Manufacturer Length xwidth 20X35/36 Double wide ® .Installation Decal-#
NOTE_ : if home is a. single wide fill out one half of the blocking plan ; Triple/Qua_ d Serial# TBD
if home is a fripl'e or quad wide sketch in remaind6 '6f home _
I understand Lateral Arm Systemscan not be used on anyhorrie(new or used)
—
where the sidewall ties exceed 5 ft 4_in. • • PIER SPACING TABLE FOR USED HOMES
Installer's initials 'TG
_ .. _. . Load Footer 16"x 16" 18 1/2"x 18 20"x 20" 22"x 22" 24"X 24" 26"x 26"
Typical ier s acin bearing size (256 1/2" 342 400 484 576 ` 676
YP P P- g capacity (sq in) ) ( ) ( ) ( ) ( ) ( )
lateral
Show locations of Longitudinal and Lateral Systems ps.
longitudinal (use dark lines toshow these'locations) 2000 ps
zbuu PST 7
3000 ps
3500 ps
* 'interpolated from Rule 15C-1 pier spacing table.
.._ . _ PIER PAD SIZES
_ POPULAR PAD.SIZES
1 ie Pad Size Sq In
16X16
P.erimeterpierpadsize 16X16 x
. x 18.54
to s22.5
-- ------.- -- - ------ --
O h r pier pad izes x
...---- .---- ,--. --J . Y'• - . .. uiredh e m X
(req
-- ---- by t fg.) 4 x 4
348
13 f Draw the ap roommate locations om
anna x20 x.wall openings 4 foofor&6krllsethis
._
o s
,. .. marriagewali piers within Tof end of•home per Rule 15C SymbOlt ho'wthepiers. x25
24 x24
List'all marriage wall openings greater than 4 foolx
. -.;andtfieir.pier pad s izes_.. ._ -
ANCHORS
_ Opening 'Pier pad size
-r--r-1- --7-7-r-r-i - n-n-T-r-r T-r-r-1--i-.-•r-r--f—r-I-�-'1-7-t-r- 4 ft. X. .5
ft
I 1 1 1 I 1 1 1 I 1 I 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 I I 1 1_ I-1 '
-7-7-r-i_�__'1._�-t-�_�._�_�_ -.T-.�-r_i_�-,_�._T_t_r-i-i 1._i I
_r--J_1_.J_ _I I i 1 i ' 1 '_L._L._I_.J_J,_S_L_L_'_!_J J_S_i_L_1__I_J_J,_1-1 �._' 1-5 - .
17X22.5
1 1' 1 I 1 1 1 1 1 1 I 1: 1 I 1 1 ' ' ; ; 1 1 1 -I. 1 ,. 1 1 1 1 f 1 r r .,. '' -. .. FRAMETIES
L_1 1 J.. L_.L 1-1-.J J._1_L L_L._1_J_,J_1_L_L.---_J-J 1_L-L_L._-J_J.-A_L-L_L. 1 .. .. .._ ,.._.
1 1 1 1 I 1 1 I 1' I 1 1 1 I 1' I 1. j 1 I 1 1 1 1 I I -
I _I _I_,.�_ _q L_I _L_I_.., .1,-1 L L_L._1=J-a.- _L_{__L_1-..I J-i, L._L- _I J_.J_.;_4-F-L.. 1 i� j
i I 1. 4��1'1 I I r 1 1 1 1 i. I I 1 i 1 1 1 I 1 I 1 1' I 1 , 1 1 i I 1 i i I :within""'"bf end'of home X
!'-1--�_ =.�fir, r_1--r-1-�_.�-+ r-!--r-1- - --r-r-r-'--1- _-1:_.�._r._r_r_I_.-i_y_•r-r-r_�'_I ,::1
I I 1 �' 1 1 I I 1 1, 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 I 1 1 1 j 1 ( 1 1 1 1 1 1 - spaced at 5'4' oc.�_
r-r-r-jip- I-r-r-r-1--I-4-T-r-r-f—i-1-l-T-r-r-r-I-'1-"1--r-r-r-r-r-1-"1-7-r-r-r ..
t 1 1 S 1 1-
,rrr-r OTHER TIES
TIEOOWNCOMPONENTS .._ .
Number
L _J_1._-L_-L,-.L._I_J_J_1_L_ _
1 I ' 1 'I I' 1, 1 I I ' 1 LongitudinalStabilizingDevice(LSDjSidewall
Manufacturer i\/rM Longitudinal
-1- - LO/} .y{{.'I'{^- �6.�.no-De-vice_w/LateralArms Marriage wall
1 1 1' 1 I 1 1 1 I 1 f I 1 I 1 I 1 1 1 I ' ' {(Sloe url erg— _
r-1--'-•-1-� '1- -r-r-'-•-1-. -ti-T_.r-.r-r-i--�^�-+--r-r-r-r---1--i-+-r-r-1--1--+-�-?.= r-I rvlCi -
1 1 I , I I 1 1 L 1 1 1 1 1 1 I 1 1 I I I 1 1 I I . • , • �� S�eafwail
r-r-r-1�•yC9 r-r-r-I- 'I-Y-T-r-i
PERMITWORKSHEET _I page zorc
.PERMIT NUMBER
Site Preparation
ROCKET PENETROMETER TEST
Debris and or anic matetial'removed YES
The pockei penetrometer tests are rounded down to 1500 psf Water drainage :Natural Swale Pad X Other
`or check here to declare 1.000 lb.soil Vi ithouttesting.
_. . _._
• Fastening multi wide units
X 15�.. 15� X 16Q�
3.< 6,� 4"
_
- :Floor •''Type�Fastener.-'L`AG -;Length: - Spacing 2
"Walls:- Type Fastener: LAG ,Length:�_ Spacing ?4"
POCKET RENETROMETER TESTING METHOD Roof ''Type Fastener: GALV Length: . Spacing:
_ . . 8"wi
.'.._. -.v ,.. For - -
used homes a min 30 au e, de alvanized metal strip
1. Test the perimeter of the home at 6 locations. will lie:centered over the peak ofthe roof and fastened with gay.:
_. t 2''on d
. . _ _
,roofin nails a center on both sides of the cente ine. . ,
2 Take the reading atthe depth:ofthe footer.
x
w
Gasket(mathorproof.ing requir.ement).
3 Using"500 Ib increments take the lowest
reading and round dovrn to that increment: 1 understand`a properly installed gasket is"a requirement of all new and used
' -
,homes and that condensation, mold, meldew and buckled marriage.walls are
a r'esultofa poorlylnstalled ofno gasket being installed. I understand a strip
I'nstaller`s initials TG'
TORQUE PROBE TEST
The results ofthe torque probe test is 285 . inch pounds orcheck P9.TyOe "gasket OA :Betwsen Floors Yes X
here if you are declaring,5''ancho�s without testing Atest` Between Walls' Yes,X
showing 275 inch pounds.or less will require 5 foot anchors. Bottornof ndgebea_rn Yes X
Note: Astate approved lateral arm system is;being used and 4 ft i
anchors are allowed a'tfhe sidewall locations. I - _derstand.5 ft eat ,erproo mg
anchors are required at all centerline tie points where the torque test,
reading:is 275 or less and where the mobile.horne manufaeturerrnay The bottom board will be repaired and/ortaped Yes"X` Pg.
requires anchorswith 4000 lb.holding capacity. ;. '. Siding on units is installed`to manufacturer's specifications Yes 'Y
7G I'staller's initials Fi"replace chimney installedso as notto allow intrusion of rainwater. Yes X
ALL TESTS MWTBE PERFORMED BYALICENSED INSTALLER isce aneous
.-. . "..,
;'Installer Name THOMAS GRUNDEC, 7 kirtng to be installed. Yes X " No
t
Dryer+vent installed outside ofskirtin� Yes Nh
Date Tested ,. Range downi ow vent installed outside of skirti� rig. Yes X N/A
Drain lines supported at foot intervals. Yes x _
Electrical crossovers protected Yes X
Electrical. ..
�. .
o nect1'electr'ical conductors between multi wide units,
?' c T `but nof.to the main power
his includes the bonding wire between mu,lt wideiunits' Pg'.
Ins9aller verifies all info ation given with this permit worksheet
�APlumbing is ace ra and true b sQd on the
. ....:... . ....... .. .. .: manufacturer's in 1 on instruc nand or Rule`1'SC
onnez all sewer drains to an e�asting sewer tap or septic tank Pg
_ Installer Signature
onnectall potable water supply piping to an e)asting water meter,water tap,or other'
rlenenJ. en4ni�4dr cnnl�i etic tome Pn _ '