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HomeMy WebLinkAboutPermit Worksheets PERMIT WORKSHEET I page 1 of 2 PERMIT NUMBER Installer RONNIE BLAIN License# IH1101137 New Home Used Home Home installed to the Manufacturer's Installation Manual Address of home V vVCiG� Home is installed in accordance with Rule 15-C © ;:0 being installed rn Single wide W Wind Zone II 0 Wind Zone III n � m rl� Manufacturer P�t"v Length xwidth a� �(106) Double wide Installation Decal# TBD 1 j NOTE: if home is a single wide Fill out one half of the blocking plan Triple/Quad Serial# if home is a triple or quad wide sketch in remainder of home s I understand Lateral Arm Systems cannot be used on any home(new or used) o where the sidewall ties exceed 5 ft4 in. PIER SPACING TABLE FOR USED HOMES c.0 Installer's initials RB Load Footer I_' 16"x 16" 18 1/2"x 18 20"x 20" 22"x 22" 24"X 24' 26"x 26" o Typical pier spacing bearing size laces capacity (sq in) (256) 1/2"(342 ) (400) (484)" (576)' (676) 2' 6' ps Show locations of Longitudinal and Lateral Systems 1500 ps Iorgiludind (use dark lines to show these locations) 2000 ps 2500 ps 3000 ps JbuU ps i interpolated from Rule 15C-1 pier spacing table. PIER PAD SIZE POPULAR PAD SIZES I I-beam pier pad size Pad Size Sq In I X ILl Li Li Li Li Lj Li Li Perimeter pier pad size 16X16 16 x18 18.5 a X ------------------------- 18.5 -----------� 11 Other pier pad sizes x 222.5 i�..I (required by the mfg.) 17 x22 13 1/4 x Draw the approximate locations ofmarria x nwall openings 4 foot'orgreater. Use this x Irerriapewall piers wilh n 2'of and o1 hortte per Rule BC t '= symbol to show the piers. x x24 List all marriage wall openings greater than 4 fool x26 iand their pier pad sizes below. ANCHORS -T-r_r_r__ -r-r---I- I l-'t-T-r-r-r-1--1-1-I-r'r-r-i Yl-r-r-r-r-1-9-1-T -i-r- Opening Pier pad size 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 I 1 I 1 1 I 1 1 1 , 1 1 I 1 1 1 1 1 1 1 1 Oft 5ft r-r-r-,--1-;-T-r-r-r-,--,-�-;-r-r-,--,-;-;-�-;-r-r-,--,-�-T-r-,--r-1-�- J_J_S_S_L__J_J___IL- FRAME TIES ' within 2'of end of home_ r-1----t-�-T-r r�•^-�-+-r-r-r-1-�-�-T-*-r---1-�-�-T-r-r-r-1-'+-'+-T-r -r---1 spaced at5'4"OC r-r-r-r�-�-T-r OTHER TIES !_�_J_j_!_S_1_L_l___! TIEDOWN COMPONENTS Num ber ' Longitudinal Stabilizing Device(LSD) Sidewall Manufacturer IVIINU I t IVIAN Longitudinal 4-4 1 I 1 1 1 1 1 Longitudinal Stabilizing Device w/Lateral Arms Marriage wall •---�-1---1-+-r-r-"-r 'L.- 4r-r-r-r•�-•t-+-r-r-�-1-I-�-+-r-r-�--t-�-'t-t -r-1-_1 -'_I I- -� 1 1 1 1 I 1 1 I I I 1 I 1 1 1 1 Manufacturer Shearwall _ . -r--�-r' -••-+-r-r-r-,-- -�-*-r-r-r_,_�_�_Y-r -r_r-1 PERMIT WORKSHEET 0,9a� I page 2 of2 PERMIT NUMBER 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 YES Other or check here to declare 1000 lb.soil X-without testing. � X 10�;(, X 10� X 1� Fastening multi wide units Floor: Type Fastener: Length: Spacing: Walls: Type Fastener: Length: Spacing: POCKET PENIETROM ETER TESTING METHOD Roof: Type Fastener: 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 galv. roofing nails at 2"on center on both sides of the centerline. 2. Take the reading at the depth of the footer. Gasket(Weatherproofing ragulroment) 3. Using 500 lb. increments,take the lowest reading and round down to thatincrement. I understand a properly installed gasketis a requirernentofall new and used homes and that condensation,mold, meldew and buckled marriage walls art= a resultof a poorlyinstalled or no gasket being installed. I understand a strip- X 1 X 9 0ft X 10� , of tape will not serve as a gasket. I I; Installer's initials i O S Type gasket Installed: The results of the torque probe test is 289 inch pounds or check Pg. Between Floors Yes here if you are declaring 5'anchors without testing . Atest Between Walls Yes showing 275 inch pounds or less will require 5 foot anchors. Bottom of ridgebeam Yes Note: Astate approved lateral arm system is being used and 4 ft. anchors are allowed at the sidewall locations. I understand 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 bottomboard will be repaired and/or taped. Yes XX 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 not to allow intrusion of rain water. Yes X ALL TESTS MUST BE PERFORMED BY LICENSED INSTALLER Miscellaneous i Installer Na . RONNIE BLAIN Skirting to be installed. Yes X No Dryer vent installed outside of skirting. Yes X N/A Date Tested00 Range downflow vent installed outside of skirting. Yes N/A Drain fines supported at4 foot intervals. Yes h Electrical crossovers protected. Yes I411 ,. Other: ectrica Connect electrical con dtcRhN � tween multi-wide units,but not to the main power source. This includes the ing wire between mult wide units. Pg. Installer verifies all information given with this permit worksheet Plum bing isaccurate and true based on the manufacturer's installation instructions and or Rule 15C-1 & 2 Connect all sewer drains to an e)osting sewer tap or septic tank. Pg. Connect all potable water supplypiping to an e'Asting water meter,water tap,or other Installer Signature Date