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PERMIT WORKSHEET page 'I
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PERMIT NUMBER ( 76
New Home
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'Installer 0h &ih§t4II6d to the Man&66fdr6r% Installation Manual
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;Home is installed in accordance w
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if h6hi e d half of the blocking plan ..
:MOTE is a single wide Y/out one
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ome is a triple or qua wide sketch in remainder o home
on or used)
1 understand Lateral Arm Systems cannot be used any nome knew
PIER SP TABLE FOR
�where t e si eWall ties e USED HOMES
RB Load Footer ACING
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ers initials jns a--
16"x 16" 18 1/2"x 18 20"x 20" 22"x 22" 24"X 24" 26 x 26"
bearing size
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Typical (400) (484)- (576)- (676)
pier spacing (256) 1/2"(342)
capacity (sq in)
51 lateral
1 —Ps-f-----a— 4"
Show 1666ti6fiii"o-f"Grigituainal and Lateral-8y§-tems 1500 psf
use, 2000 pst
T 8'
lon il�udina_' U-1 81 8' 81
2500 psf 8
3000 PST— 8.
3500 psf
interpolated from Rule 15C-1 pier spacing table.j
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POPULA PAD
F PIER PAD SIZES
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I-beam pier pad,s ize! Pad Size Sq In I
16 x 16 256
—788
07-77 _-ElLj_ _ - 16X1 6; 16xP&ihet&r5ie pad-size
18
18.5 x 18.5
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pie pa Other
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17 x22
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i 13 1/4 x26 1/4 348
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--Ijft 7 3/16 x25 3/16
maul L
F-1 Draii� ale locations of 20 x20
L wall openings 4 foot or -:P81
symbol to show e pi&s 17 1/2 x25 1/2
of erid-of home per -15C-
--marriagew�ll pier:iiwithinT RuleC.
:13 24 x24
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riage wall openings greater th F_6TC I'
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26 x26
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their pier pa sbelow
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OTHERTIES
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TI EDOWN COMPONENT
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at Stabilizh7g Device [dewall
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nufacturer iv i UYE MAN
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'Longitudinal Stabilizing Device w/Lateral Arras Marriage wall _
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-PERMIT WORKSHEET _ I page zorL_ /
PERMIT NUMBER v
Site Preparation
POCKET PENETROMETER TEST
-'- 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 1000 without testing.
- - Fastening multi wide units
- - 10 - -
X lob X.1016
X 0 -
- - - Floor: Type Fastener: LAG Length: 6" Spacing: 24"
Walls: Type Fastener: LAG Length: Spacing: 24"
POCKET PENETROMETER TESTING METHOD Roof. Type Fastener: LAG Length: 611 Spacing: 24"
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 galv.
roofing nails at 2"on center on both sides of the,centerline.
2. Take_ the reading at the depth_ of the footer.
Gasket(woathorprooTing roq.1romont)ILI
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 lob- - X 10b X lod oftape will not serve as a gasket.
Installer's initials RB
TORQUE PROBE TES
Type gasket FOAM Installed:
The results of the torque probe test is 289 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 at the sidewall locations. I und e rstand 5 ft Weatherproofing
anchors are required at all centerline tie points where the torque test
reading is 275 or less and where the mobile home manufacturer may The bottom board 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_
RB Installer's initials Fireplace chimney installed so as notto allow intrusion of rain water. Yes X_
ALL TESTS MUST BE PERFORMED BY_ A LICENSED INSTALLER Miscellaneous
Installer Name RONNIE BLAINE Skirting to be installed. Yes X No
- Dryer vent installed outside of skirting. Yes X N/A
Date Tested Range downflow vent installed outside of skirting. Yes X N/A
Drain lines supported at-4 foot intervals. Yes X
i� Electrical crossovers protected. Yes X
,Other:
aElectrical
onnect electrical\ ontors between multi-wide units, butnotto the main power
:)urce. This include riding wire between mult-wide units. Pg.
Installer verifies all information given with this permit worksheet
Plum bing is accurate and true based on the
manufacturer's installation instructions and or Rule 15C-1 & 2
onnect all sewer drains to e)asting sewer tap or septic tank. Pg. -�
potable water supply g water meter,water to Installer Signature
onnect all > Date
p pp y piping to an e>astin p, or other
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