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HomeMy WebLinkAboutPermit WorksheetsHERMIT N% MBEt Installer tiro bele+ e- r re License B rTv Address of home �_ CPW /U as-( (Lcv being installed Manufacturer Length x width CA'4%[-'�� NOTE. If home Is a single wide 1111 out one half of the blocking plan if home is a triple or quad wide sketch In remalnderbf home I understand Lateral Arm Systems cannot be used on any home (new u ) where the sidewall ties exceed 5 It 4 in. - Installer's initials - - Typical pior spacinlj -- - - - - - --- - - 2' I WOW I PERMIT WORICSHEET FILE C.O., New Home v-a" 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 r Installation Docal 11 �9 3 pl 0 TriplelQuad ❑ serial q L( 0G j 019Y/4 01 PIER SPACING TABLE FOR USED HOMES Load- Footer bearing - size -18` xi capacity (sq In) {268) PIER PA I-beam pier pad size Perimeter Piet pad size Other pier pad sizes (required by the mfg.) 2' x 18 172' 2V x 2D' 22' x 22' 24" X 24' 26' x 28' (342) (400) 1 (484)' (676)• (676) ES7 POP LA PAD SIZES 1; x 1z� Draw the approximate locations .of marriage Weill openings 4 foot or greater. Use this symbol to show the piers, List all marriage wall openings greater than 4 toot and their pier pad sizes below, Opening Pier pad size TIEDOWN COMPONENTS. Longitudinal Stab iing Device (LSD) Manufacturer �'vee Longitudinal Stab `� l,lzinq Device w1 Lateral Arms Manufacturer "fit ' ■wlii-m EM i[dares�s�.tii► .!lcilll�L/ >®�z�riwxr>ts■� � e ANCHOR 4 ft FRAME TIES within Vol bnd of home spaced at 5' 4" oc _>z OTHER TIES Sidewali Number Loniiit w Marrlane wall Shearwall r > �N FL-HMI1 VVURKSHEET I page 2 of 2 PERMIT NUMBER POCK PENETROMETER TEST The pocket penetrometer tests are rounded*wn to psi or chock here to declare 1000 Ib. soil _ .V without testing. POCKET PENETROMETER TESTING METHOD 1. Test the perimeter o1 the home at 6 locations. 2. Take the reading at the depth of the tooter. 3. Using 500 lb. increments, take the lowest reading and round down to that increment. here if you are declaring 5' anchors without testi A lest showing 275 Inch pounds or less will require 5 f n ors. Note: A state approved lateral arm system is being used and 4 ft. anchors are allowed at the sidewall locations. I understand 5 ft anchors are required at all centerline tie points where the torque test reading is 275 or less are the mobile home manufacturer may requires anchors with 0 Iding capacity. Installer's initials ALL TESTS MUST E P F RMED BY A LICENSED INSTALLER Installer Name D e r'f N gyre Dale Tested 1 ®2 0 Electrical Ionnect electrical conductors between multi -wide units, but not to the n power iourco. This includes the bonding wire between mull -wide units. Pg. Plumbina :onnect all sewer drains to an existing sewer tap or septic tank. Pg,_ :onnecl all potable water supply piping to an existing water meter, water tap, or other Idepnndent water supply systems. Pg. ...................Slte Prepavtati6h,.:::: Debris and organic materiaoved _ f Water drainage: Natural ✓ Swale Pad Other Fdstening multi wide units �it Floor: Type Fastener. L ! Length: Spacing: - Walls: Type Fastener. Length:'� 7t-- Spacing: Roof: Type Fastener: i .&J Length: „�Spacing; For used homes a Min. 30 gauge, © wide, galvanized metal scrip will be centered over the peak of the roof anti fastened with gaiv, roofing nails at 2" on center on bofh sides of the centerline. 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, understand a strip of tape will not serve as a gasket. ,j Installer's initia Typo gasket a I �T^ �I �� e Installed � .._... _._... e[waori Floors Yiis V Between Walls Yes Bottom of ridgebeam Yes Weatherproonng The boitomboard will be repaired and/or taped. Yes l�. Pg.�,_ Siding on units is installed to manufacturer's specifications. Yes Fireptace.chimney installed so as not to allow,intrtision.ot rain. water...,Y.es.�,/4... Miscellaneous Skirting to be installed. Yes I,/ No Dryer vent installed outside of skirting. Yes N/A ✓ Range downflow vent installed outside of skirting. Yps N/A a✓ Drain lines supported at 4 foot Intervals. Yes ✓ Electrical crossovers protected. Yes Other; Installer verifies all Information given with this permit worksheet Is accurate and true based on the Date __/+�lS /D 9