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Home My WebLink AboutPermit Worksheets10 HERMIT NUMBER '.•.,,::{.,:. ,�,.. r r }; ,,. Installer 4%License # b:Scd vee-Y AV ,� mevl� h e Address of home being installed Manufacturer 14-A e Length x width NOTE: 'it home is a single wide fill out one half of the blocking plan if home Is a triple or quad wide sketch In remainder of home I understand Lateral Arm Systems cannot be used on any home (new or used) where the sidewall ties exceed 5 it 4 In. Installer's initials Typical pier spa:�_in 2' _ V 51ktoral PERMIT WORK -SHEET I page'1 of 2 I New Home ❑ Used Hama Home installed to the Manufacturer's Installation Manual ❑ ' Home is Installed in accordance with Rule 15-C Single wide Wind Zone II ❑ Wind Zone III Double wide ❑ installation Decal # J Triple/Quad ❑ Serial # PIER SPACING TABLE FOR USED HOMES Load bearing —capacity- Fcoter size -(sq-in)- 16' x 16' (26s)_ 18 1/2' x 18 1/2' (342) 20' x 20' _(400) 22' x 22' (484)' 24' X 24' (676)' -26' x 26' (676) — 1000 Dst 1500 s 0 0 s 2500 psf, 8.. 8 3000 PST 8 s tnterpoiateo from mule loll-1 pier spacing tame. PIER PAD SIZES POPULAR PAD SIZES I-beam pier pad size ;2_ Perimeter pier pad size )(Aa Other pier pad sizes%<4 (required by the Mfg.) Draw the approximate locations of marriage wall openings 4 foot or greater. Use this symbol to show the piers. / V 1 List all marriage wall openings greater fhan 4 foot and.their pier pad sizes below. ANCORS Opening Pier pad size 4 ft 5 It ° FRAME TIES within 2' of end of home spaced at 5' 4" oc , TIEDOWN COMPONENTS OTHER TIES Number Longitudinal Stabilizing Device (LSD) Manufacturer Sidewall A Longitudinal Longitudinal Stabilizing Device w/Lateral Arms Marriage wall Manufacturer 1- c)&cIZI 1Z Sheanvall PI M4MIT NUMBER, dnstaller ��>wl::. Address of home 6einpirestalied Manutaclurer lkt?m tf haire tea tf f�erxta is a understand tatem[.Am' sfrtgfe wide flif ut one haf of Me bf6dWng plan. trlpf� uaCf Wlda aketafi to pemaIndar of heme Svrat &ca Fan(uSu n,anv hom-a t'r}ew or us'edl PERM IT,WORK-SHEET EPage 1. 092 1, New tome 0 Used Home -- H4frts lnstallesl to the Maaufargurel's Installatlan.Manual . 0 Horne is lnsUltod in aowi danoe w1th Rule 15-0 Sinille wicts Wind Zone wind Zone.iii , 0 _. .. -.. 1 ��,Double wide Installatian Decal V 'fit'7 Soda[ L `�/ � ' TrEptett�uad ❑.. .: rrtgUlRED " • l��t�lr�w��" -" �ru.�L►�.:=_ _ toad __ Fca - - - - f - - MAY 9Y IELDIN$P TIONS - - - -- faaart� Tsfz Typical pier vaclnp .0 MP Y WI T ESSARY I N ORDER TS THAT ' r H ALL APP��r.,, 0 • SFiaw loaat2ons of`�Nt ' LakeraE £ayak�ns � s 100 (we dark Ifaes to show Iacations) kdl s u L-2 LJ mue��¢�'+r�Y0lits vMJ[hSn d amf c1 rmaio �N'RW i EG PIER ASPACING TABLE FOR USED HOMES . 22* x:iz-_ -74' X Z4' - 26" x_2B' i.hearn pieCpadsCxe — + _ . rnu Ji.40 - I �••.. Perimeter pier pad alas , ,_ 'fa. b• '' x Other ,pierpad sizes JI�'ir x (required by the rnfil:} x x Draw 1heapproximatia.lacatlona of mwrlaaa WWI openln9g 4 foot or, photer, Us t Is x symbol to show the piers.. Usl aiI mardago wall openfn#Is greater halt 4 toot x and.their pier pad sizes below. Opening Flarpadslze 4 tt 5 ft 2 wllhfrl 2' of and at howlV spaced at S4" oc i #IEDE)WN COMPc] Qi H EH Tl�8 NLImber i ot�gkuctlraalStab%'lttltr 0,9006 (LSD) Sided W1 Longitudinal Manufaalurer udinalstabflwag Do wliatarafArma Sh an ewall Man i �— l10 Lo on N N PERMIT WORKSHEET PERMIT NUMBER . � Off-D/.:'� .:69"i9" , 53.�. �\ ��.: \.. V �•.:'$,:1. }ti )1:} • 1i POCKET PENETROMETER TES The pocket penetrometer tests are round own to psf or check hereto declare 1000 lb. soil without testing. X X X POCKET PENETROMETER TESTING METHOD 1. Test the perimeter of the home at 6 locations. 2. Take the reading at the depth of the footer. S. Using 500 lb. increments, take the lowest --reading and-round-downtothat increment:- X X X TORQUE PROBE TES The results of the torque probe test is l( inch pounds or check EEIEgzan here if you are declaring 5' anchors without testing . A test showing 275 inch pounds or less will require 5 foot anchors. Note: A state approved lateral arm system is being used and 4 ft. .anchors are allowed at the sidewall locations. I understand 5 It '~Y anchors are required at all centerline tie points where the torque test reading Is 275 or less and where the mobile home manufacturer may requires anchors with 4000 lb capacity. Installer's initials ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER Installer Name -�-e� ate Tested ,64wt electrical conductors between multi -wide units, but not to the main 09v�r/� ource. This -include' the bonding wire between mult-wide units. Pg. Ov / Plumbing onneot all sewer drains to an existing sewer tap or septic tank. Pg. onneot all potable water supply piping to a kv-water meter, water tap, or other (dependent water supply systems. Pg. Site Preparation I page 2 of 2 ' I Debris and organic material removed --5 = Water drainage: Natural V Swale Pad Other Floor: Type Fastener. enqth Spacing: Walls: Type Fastener. Len Spacing: Roof: Type Fastener. L the Spacing: For used homes a min. 30 q ge, 8 wide, galvanized metal strip will be centered over the p of the roof and fastened with galy. roofing nails at 2" on center on both sides of the centerline. Gasket (wenlherproaffna reaulrenwnt) I -understand a properly installed gasket is -a requirement of all new and used f 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 of tape will not serve as a gasket. Type gasket Pg. Installer's initials Installed: Between Floors Yes Between Walls Yes • Bottom of ridgebeam Yes Weatherproofing The bottomboard will be repaired and/or taped. Yes ✓ Pg. Siding on units is installed to manufacturer's specifications. Yes Fireplace chimney installed so as not to allow intrusion of rain water. Yes Skirting to be installed. YesJ--o Dryer vent installed outsideoin0. Yes WA V Range downflow vent installed, outside of skirting. Yes N/A Drain lines supported at 4 foot intervals. Yes Electrical crossovers protected. Yes Other: Installer verifies all information given with this permit Is accurate and true based on the Installer Signature Date /"U ?