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PERMIT WORKSH.EEI
page'i or z
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PERMIT NUMBER ® ❑
`THOMAS GRUNDEL New Home Used Horri:e-
Installer. License# .IH1025148 - '
_. t rer's Home installed o tFie Manufactu nstallation Manual
Address of hom ET
e 1408 NLE8 BLVD Home is installed in-accordance with'Rule 15-C
being rristalled
Single wide 0 Wind one IF Wind Zone
Manufactu-rer JACOBSEN Length xwidth 20X41 j Doufile wide ® Irisfallation Decaf# 'TBD
NOTE if home is a single wide fill out one half of fh4blocking plan Triple/Quad Serial# TBD
if home is a triple or quad wide sketch In remainder of home
1 understand Lateral Arm Systems cannot be used on any home(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 20" 22
Typical pier spacing (256)6 182"(342)$ 2(400) (484) 2(5 6)4' 2(676)61
bearing size
lateral' capacity (sq in)
72, 61 . . ps
-Show"locations of Longitudinal and Lateral-Systems' 1600 ps
,•.iongllua��ai: , (use dark lines to show these locations) � - ps
2500 ps81
3000 ps
3500 ps81
* interpolated from Rule 15C-1 pier spacing table.
_ ;
PIER PAD SIZES POPULAR PAD SIZES
eam pierpaa`size: 17X22.5 a Size q n
- x16
Li Perimeterpierpadsize 16X16 x18
--- - � Other pierpad sizes , X
1 4
{required bythemfg.) x22
er. i
_..� -
Draw the appro)dmate locations ofmarria x20
- : ;... 's
all openings 4 foot or great - Use th's- x
ynibol to show the piers x25
' � ---- - -- ma-riagewallpierswilhinTofend�o6homeper•'Rute15C -- -.., __ ,.. _ ,.. - - -` X
24
24
'Listall marriage wall openings greaterthan•4foo x
and their pier pad sizes below.
ANCHORS
Opening Pie(06d size
--r _.1 ri ,r-,I:-,-n-'1-T-r-f_r.-t_I--i-7-r-r-r,-1-_I_.l_T_:r_.r._I--1-�_l_T_r-.r._ - - .. . . _
1 1 1 , 1 1 1 1, i .1 1 1 1 1. ,. i i l '1. 1 1 1 1 1 1. I l t l l l l l l i l �'4ft X • 5 ft
-----
r-r �7-T-r r-r-, -,-�- 1 r-r-I 1 I 1 T-,Vr-r-� 1 �-z-r-,--r I-�-�- 1---r .. _.
�_� -L.-1-Ilj'I � 1 -5 17X225 ` .
J_J_1 1-_,L FRAMETI6 ....
1 t r(', L. 1• l t I i 1' l
L-L._I_L1-J ; L-L_L_:,_:.1_.� 1_4 ,L L_I_..I_.i. .�._.1_L_ -t-J_4-4-. 4-f--L 1 ..'
1 _:L
�_{� i 1I. .r,. I 1: 1 , 1 i 1 i t 1 1 t 1 , r t I 1 ,I 1 1 1 �Jwithin 2'of end of home X
_:LFL ` _r-r_,'''_,--t--I-.y-,r_I--r-1--1-*1-T:-�.-r-r-I--1--I. �'S- ,_�- -T-.r-r-i' 1 -. .. ... .. _ - i , .
t t t i 1 i 1 I 1 1 I I 1 1 , I I 1 1 I 1 .. spaced at 5 4' oc X .- -
r-r'r-1-n i-T-r-r-r-IT^-1-'i-T-r-r-1 ...1-7-r-r-i--1_1.r'I-.�_r_f_r.-1_4-'1-T-r-r-,- ,
1 I 1 11 1 1 1 1 1 1 1 1 t 1 1 1 I 1 ..
OTHERT,IES
_
L_,__ �_!_J_1___L J_ .1 J_1-_L--._L___-J._1 L-,-.---'--- 1.-L•-'--- �_ TIEDOWN COM PONBdTS
r t I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 er
L_L 1:�..J_1... _L_L_t,_I_J_J._1_L L,_,L_I-J_J,_1_1_.L_�_1_J'_J { �/ ♦ /, _ _ Nurrib..
.��i-4-L-I-1-J_J_3_i-{.-h-1_.J. !LOngI[UVInaI SLaIJIIIZIng DeVlCe(LSD) -- SIdP.WaII -
1 1 1 1t 1 1 1 1 1. i 1 1 1 1
.Manufacturer OLIVER Longitudinal
i 1 1 1 1 I 1 1 1 1. 1 Longitudinal Stabilizing Device w/Lateral Arms•Marriage wall
�-�-+-ram -I--r�-�-y:-*-r-r--I-'-1--i-�-.r-� 1
1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 .Manufacturer .._ SheafWal(
-:-I--r--r.-.r._r-�11- 1-T-r--r-r-r"1--1-T-r-Ir -r-1- -T-r-r-i--r.
PERMIT NUMBER
Site Preparation
POCKET PENMOOMETER TEST
1500 Debris and organic material removed YES
The pocket penetrometer tests are rounded down to psf Water drainage: Natural Swale Pad X Other
or check here to declare 1000 lb.soil without testing.
astening multi wide units
X 15t X 15tj X 15(h
Floor: Type Fastener: LAG Length: 6" Spacing: 24"
Walls: Type Fastener: LAG Length: 6, Spacing: 24"
POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: GALV Length: Spacing:
For used homes a min.30 gauge, 8"wide,galvanized metal strip
1. Test the perimeter of the home at 6 locations. 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.
2. Take the reading atthe depth ofthe footer.
Gasket(wonthorproofing roquiromont)
3. Using 500 lb.increments,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 buckled marriage walls are
a result of a poorly installed or no gasket being installed. I understand a strip
X 15(h X 15tj X 151b of tape will not serve as a gasket.
Installer's initials TG
TORQUE PROBE TEST
Type gasket FOAM Installed:
The results of the torque probe test is 285 inch pounds or check Pg. Between Floors Yes X
here if you are declaring 5'anchors without testing . Atest Between Walls Yes X
showing 275 inch pounds or less.will require 5 foot anchors. Bottom of ridgebeam Yes X
Note: Astate approved lateral arm system is being used and 4 ft.
anchors are allowed atthe sidewall locations. I understand 5 ft Weatherproofing
anchors are required at all centerline be points where the torque test
reading is 275 or less and where the mobile home manufacturer may The bottomboard will be repaired and/or taped. 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
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER Miscellaneous
Installer Name THOMAS GRUNDEL Skirting to be installed. Yes X No
Dryer vent installed outside of skirting. Yes Xr—NIA
Date Tested Range downflow vent installed outside of skirting. Yes X N/A
Drain lines supported at4 foot intervals. Yes X
Electrical crossovers protected. Yes X
Other:
Electrical
oarce!
electrical conductors between multi-wide units,but not to the main power
z) This includes the bonding wire between mutt-wide units. Pg.
Installer verifies all info ation given with this permit worksheet
1i,—�;) Plumbing is lC ra and true ased on the
onnnta( sewer drains to an wdsting sewer tap or,septictank. Pg. manufacturers in ation instru i s and or R le 15G1 & 2
onn g - Installer Signature—IA Date
ct.0LF`potable water supply piping to an ebsting water meter,water tap,or other
.rl n,nen ��i�fcr cunnht cucfcmc Pn -