HomeMy WebLinkAboutPermit Worksheet16
.RMIT NUMBER
.' .', *,.. rx,
04
installer YN d t- Z Q • License # 'bl t4 " 1 u 1 `t
Address of home bq2-
being Installed
Manufac#urer _ 0444tWtennth Y. width "2-q
NOTE: ' if home Is a single w1de fill aut one hall of the blocklrfg plan
If hotfie is a triple PT quad wide sketch In rernaInder of home
I understand Lateral Arm Systems cannot be used on any home (new or ud)
where the sid®wall ties exceed 5 ft 4 in.
Instailer'e initials JV
Typical pier spaoing • -
21 dil relater
5fiow locations of Longitudinal and Lateral Systems
:�qrenprlud- (use dark lines to show these locations)
PER -MIT WC)FII HEET
I page I ®f
New Home . ® Used Home
Home installed to the Manufacturer's Installatlon Manual 13
Home is installed in accordance with Rule 15-0 13
Single wide ® Wind Zone II ,R Wind Zone Ili
Double wide installation Decal #
TriplelQuad ® Serial #
PIER SPACING TABLE FOR USED HOMES
Load
ad
size r
16" X'1 SH
18142, X 9S 1/2•
20° X 20°
22" X 22' 24° X 24° •a6° X 20-
(sq In)
(ass) .
(342)
(4oD)
(484)" (576)e (676)
W26
s
S
s
4 6
6
8
s
s
s
fi
S
g
s
•s•
g
g
! •-• size
f• !] ■
• - (required by the mfg.)
- -
MP wall openinvi 4 foot or greater. Usethis
sVmb61 to show the piers.
�iList all —�marriagewall"_nln'gi; greater than
and.their pier •-• sizes
It■/fli■/f/■■/■■�///■■■� - - - -- - ---- - .--- --
/ ,
IS/■■f�/r/lfiiMENN//MENNEN
fi■■■■■
lie/■■■/I�i■e®■/■■ONon NUNN
MEMO us M �■■■■■
Ma
■■■f�f/f•■if/fffi■Iffflqlt IMlfeff/lflfr/■■■■f/ _No 111110 _
0
• POPUL�4R PAD'SIZES
ANCHORS
4 ft 5 ft
FRARAE TIES_
within 2' of end of home
spaced at 5' 060
OiFtEt Y1E5
Sfdewall Number
.
Longitudinal.
Marriage wall
Shearwall ,
PERMIT NUMBER
POCKET PENETROMETER TE5T
The pocket penetrometer tests are roundpds n to pet
or cheok hereto declare 1000 lb. soil t0 Without testing.
J . •
X_ X
POCKET PENETROMETER TESTiN13 METHOD
I. Test the perimeter of the home at 6 locations.
2. Take the.reading at the depth of the,footer
S. usl q 600 lb, increments, tak®the lowest '
reading and round down to that increment.
x�� X
TOR(!UE .PROBE TEST
The results of.fhe torque probe test is nch pounds or check
here if you are deolaring V anchors without testing A test
showing 275 inch pounds or less will require 5 foot anchors.
Mote: •A state approved lateral arm system is being used and 4 ft.
e`nch0rs'arG allowed at the sidewall locations. I understand SA
anchors are required at all centerline tie points where the torque test
reading Is 276 or less and where the mobile Kome manufacturer may
requires anchors with 400o lb holding capacity
Installer's Initials
ALL VESTS MUST BE PERFORMED BY A LICENSED II�ISTr41_[_ER
Installer Nam® Nn9� ti,n• cote'.
Date Tesfed I
• •Electrical -
lbrineot eleotrical.conductors between multi wide units, but not to the main power
curds. This -Includes the bonding wire between mult-wide units. Pg.
Plumbing
:onneot all sewer drains to tan existing sewer tap or septic tank 1'g.
onriect all -potable water supply piping to an existing water meter, water tap, or other
`•idependent water supply systems, Pa.
PERMIT WO.RKSHEET [ . peg® 2 of 2 f
Site Preparation
Debris and organic material r oved
Water drainage. Natural Swala Pad Other
Fastonla tnultf wide units -
Floor, Type Fastener; Ll�% Length: 6 Spacing: ��
Walls Type Fastener: Length: _ Spacing: _ V yam"'"
Roof: Type Fastener. Length '� Spacinq: _'vf�•
For. used homes a min. 30 gauge,'8" wide, galvanized metal`strip .
will be centered over the peak of the -roof and fastetied with gale.
roofing hails at 2" on center on both sides of the centerline,
Gasket (wealherpeae1lh67egulremtntf
1 understand a properly installed gasket Is a requirement of all new and used
homes and that condensation, mold, meldsw arid buckled marriage walls are
a result of a poorly installed or no gasket being installed. I nderstand a strip
of tape will not serve as a gasket,
_ installer's initials
Type gasket r�q,,,,� installed:
Pg• Between Floors Yes _ (/
Between Walls Yes_ ./
Bottom -of ridq®beats Yes v
weatherproo?Inc
The bottomboard will be repaired andlortaped. Yes k_ , Pa. '
Siding on units is installed to manufacturer's specifications, Yes _ L
Fireplace chimney Installed so as not to allow intrusion of rain water, Yes
Mlstellanaoi►s
Skirting to be1nstalled. Yes t� No. .
Dryer vent installed oalside otskirting. Ys._
Range downflow vent installed'outside of skiaing. Yes- [� WA
brain lines supported at 4 foot intervals,, Y
Electrical crossovers protected. Yes
Other: ,
5 Sid-AnT®rtnation givan:with this. p€
is acourate and true based'on the
installer Signature
Date 2wrlJ- 0