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HomeMy WebLinkAboutMobile home worksheet �,rlY4.)�UC , 4IC 7 of 2 r � �6`��u'6'9�,96lflG9 1b 644- D P_2.8 ` ��_I New Horne [� ' Used Nome [� Installer � t.L16� (�JC�l,l_�;�l:� � License P. ��-(- 1 t-):'���(,��� I "�� Home installed to the Manufacturer's Installation Manual [ ' Address ofhome J_S5 IV bL6 'i ItiUt- toeing installed t-tome is installed in accordancewilh Rule'15-C [] 1 ` 01 L�_ j_ `"� Single wide j`Y� end Zone II Wind-Gone III Manufacturer �-�;!J iv Length orwidih �•`� oZ �r' O Double wide [f Installation Decal r'1 �'� I �� 1 f110 E: ifi;orae is a wide all out osie hail of the Ibroclring plan Triple/Quad El :erial'1 i lzorae is a e4j.-lc- or eleaacJ wide stretch k7 MRIainder or Glorae • 1 understand Lateral Arrsn S;rslernscannotbe used on any home (new orused) (✓IG? HOMES where(lie sidewall ties exceed 5 it^in. ``11 � Installer's initials ;,JrJ Load Footer 16";1 G" '1 a 1/2"z'l l3 ZD" (20"F24"A 24" 26"x 26" JTypical ier spacing bearing size F ) ( ) ) ) (676)p jp g capacity (sq in) (2'0 •112' W (t00 (576 "l- � lO[Cfal2' f /// --UU�1 ps ��:Y lr '�J lr—8 Show locations of Longitudinal and Lateral Sys —f 5�U sr/,;,F-� r—h-`EtT ld�- e g� Y p I I � I I -LJlronpnudm,, (use dark lines to show these locations) 2000 S, 6' 1t'—d`13 �3` U Rr— T—__r-_.�_ J 5U ps r f i o I Ei t; ( t3� 8' a Psr 1 ,!� n� n ❑ _n_ li-L interpolated from Pule'I5G•I pier spacing table. Jr�I=J twat=vur?t:,,tv�Q 1 PISS[SAD SIZC� I r I-beam pier pad size "f) t�aadd3rze Sc7 n —' — V Perimeterpierpadsie �G r� ��Zd� _ 6- 18 �3 i.,.,�,••.r - ----------- -- - -------- ----------- ---------------_ � l -'- Other pier pad sizes --lb_122-5 3Ki (required by thern(g.) -I x22 -Tf4- 354 X2 '114 348 _ �-- I_ _ ►,�_/ __ - I Drawtheapprairnate locations ofmarrias 2_(O 20 0 Er-' is �'= - L) + wall openings 4 root'orgrealer. Use flris V-1 37T(i x2v� q �� �,`U.• synit�ol to show the piers. wall pkrc a+llhin 2'or end or hwrn pc,Rula r5C Lh~-,,n � Lislall rnarriagewall openings greater than � foo 26 x2Li 6/6 J -��I J I and their pier pads izes below. �._.. AWC1-TORS Opening Pier pad size ..v.-r-r-1-1--1-r-r-r-r-1--,.. 1- 7-r-r-r-1-'1-'1-r-r-r-r-1--1--1-'t-r-,_r_I-n-i-T-r_r' (a} 1 1 1 1 1 1 I 1 I 1 , 1 1 1 1 I 1 1 1 1 1 I -1 1 1 I 1 I 1 1 I 1 1 1 1 1 I 1 �y( 51L r-r-r-1--I-i-T-r-r-r-,--,- �- 7-r-r-�-, -,-;-i-I r-r---1-1-T-r-,--r-r-I-1-;-;-r-1 /j ? 117 1 J_ _L_I 1 _1_!_ '- J.- _L-1._+_J_J_!_L_!_'_ J-!_!_L_'__'-!_J_1_1 _L_' �! (i-, / �• 1 -r�•( 1--�- 1 1 1 r_ I I I I .. L.L._+_J_J_1_L_L..L_I_J_J_.l_ L_L _I_J_J_.5_L_L_1_-'_J_J_J_L_L_L!-J_J_1_L_L_ _I FfPf-1rJIC�lC 1 1 1 1 1 1 1 I 1 1 I_L 1 1 1 1 I I I 1 I 1 I 1 1 1 1 1 t 1 1 I 1L 1 L_L_'L_I_..1__I_1- _L_L--1_-1_.1-:_L-r_L_1_-1_.t--1-•L_L_,__I_J_J_.;-1._1-_L-1 within 2'of end of home r-1-r-1-�-•r-r-r-r-+--1-� -'/- r-r-r-r-r-��•c-r-r-1--1--1-'I-'i-+'^r-r-t--+-•+�7-r-r-r-1 r 1 , 1 ' r 1 1 1 1 , 1 1 1 ' 1 1 1 1 , 1 , I 1 I 1 r 1 1 , I I 1 1 1 1 I I spaced at 5'-1I' oc � r r-1- - -r-r-r-r-I-1- '1- T-r-r-r-1--r^-1-T-r-r-r-I-l''1- -;-r-r-r-^I^",-T-r-r-, r r-r-, - 1-5-r-r r-I--,-; -v-;-r-r-1--,'i 7^r-,--i-r}-;-;-r-r-r-r 1- 7-; ,--r-r-1 CDICfE—h�If 1 1 1 J_!_A_L_1__I_J J_J _L_L-I__I_J_J_J_L_L_L_'_J J...A_1-L-'.._I_!_!_!_L_L_l._'_J flhJi7W6�1 rit)�ttJ�.1t�t'l l�r7 1 1 ) 1 1 1 1- I I I I 1 I I 1 1 I I I I I- 1 1 1 1 I , , 1 1 1 1 I 1 1 Number L_'�_;_;-J_%..;_L_i_;_J_J _A- L_L_L_I_J_J_1_L_L_I__I-J_J_.4_L_L_L_I_J_J_1_L_L_L_1 P_onc+iteoolinaJStafoifszirar V-vQ'ce 1�t� SiCle6vall L-1-J_.1-.1_:_L-L-J-J_ _4 _L- L_I-4-4-4-<._L_I-.-I_J_.I-.>_4_L_L_I_J_J-:_4-1--h_1-J �/ =/ - 1 A Manufacturer r1! I OLOIII Longitudina 4 I Longi9edrlldriol Stabilizing Device w/Lateral ll rrm.s Marriage Wall r''"-I--1--t`�-r-r-''-'--r�--''- T-t'-r-r-1-•7-1-'+-r-1•-1--r --1--r- Manufacturer Shearwall • 2 PERMIT WORKSHEET ( e t PERMIT NUM135R "� �;� «�• :,�����: � � .�. site Preparation ' POCKET PENETROMETER TEST Debris and organic material removed The�bcket penetrometer tests are rounded down to 1 SV U psf Water drainage:Natural Swale pad Othef�;,;____„-, or check hereto declare 1 DOD lb, soil without testing. ""• _y X.�_O X 1 COo ._C x 1 O Fastening multi wide units F .1�G __G _y= Floor; Type Fastener: Length: Spacing: Wails: Type Fastener. Length: Spacing: POCKET PENETROMETER TESTING METHOD Roof: Type Fastener. L.enpth: Spacing: • For used homes a min. 30. qe,8"wide, galvanized metal strip 1. Test the perimeter of the home at 6 locations, will be centered over the peal<of the roof and fastened with galy. roofing halls at 2"on center on both sides of the centerline. 2. Take the reading at the depth of the.footer. Gasket(wmthe rcolrnq roquhemnnlin •, 31 Usinq SOD lb,increments,take the lowest reading and round down to that increment. I understand a property 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, 1 understand a strip X X jj o y, fJ of tape will not serve as a gasket. Installer's Iniifais TORQUE PROBE TEST Type gasket r '�`� installed: The results of the torque probe test Is 2$ b .inch pounds or check Pg. Between Floors Yes here if you are declaring 5'anchors without testing . A test Between Walls Yes showing 275 lnch pounds or less will require 5 foot anchors, Bottom of ridgebeam Yes Note: A state approved lateral arm system is being used and 4 ft. .anchors are allowed atRhe sidewall locations. I understand 5 ft weath©rproofing anchors are required at all centerline tie points where the torque test reading is 275 or less and where the rQobile home manufacturer may The bottomboard will be repaired and/or taped, Yes Pp. requiros anchors with 4000 lb h9lding capacity. Siding on units Is installed to manufacturer's speeificatlons. Yes,_, ' • 13 Installer's Initials Fireplace chimney Installed so as not to allow intrusion of rain water, Yes ALL TESTS MUST BE PERFORMED 6Y A LICENSED INSTALLER Mi:co lanoous Installer Name i h cat, Q S Skirting to be installed. Yes No / Dryer vent installed outside of skirting, s _N/A Date Tested a j-C j1 b� 2 J 5 Range downflow vent installed'outside of skirting. Y WA Drain Drain lines supported at 4 foot intervals, Yes Electrical crossovers protected. Yes Other: Electrical tbnn-ol electrieai conductors between muiti-vide units,but not to the main power ource. This•inrludes the banding wire between mult-wide units. Pg. Installer verifies all information given with this permit W,orksheet Plumbing �sedon the ' gnneot all sewer drains to an existing sewer tap or septic tank Pp• manufacturer's in . ilatl ciionti •Rule'15C- &2 • onn6ct a{1 potable water supply piping 4o an existing ureter meter,water Tap,or other Installer Signet}rre Da !dependent water supply systems. Pg.