HomeMy WebLinkAboutPermit Worksheet (Corrected)c ecAe erm d Q nni RECEIVED
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PERMIT WORKSHEET FELT -' 3 1011 page 1 of 2
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PERMIT NUMBER 014WOV16
permitting Department
1 0� New Home. Used Home St. IIJ County
installer License # 1 ,J
Home installed to the Manufacturer's installation Manual
Address of home / (A
being installed
Manufacturer 0 Length x width '� x 1�
NOTE. if home is a single wide rill 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
where the sidewall ties exceed 5 ft-4 in. -
Installer's initials
Typical pier spacing
I lateral
9'
Show locations of Longitudinal and Lateral Systems
---Dlonglludinal (use dark lines to show these locations)
- I...0...----------------------------------------------------------------
---------------------------..,1---
marriage
wall
piers
within 7 of
end
of home per
Rule
ISC
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Home
PIER SPACING TABLE FOR USED HOMES µ
Load
bearing
capacity
Footer
size
(sq In)
16" x 16"
(256)
18 1/2" x 18 1/2"
(342)
20" x 20"
(400)
22" x 22"
(484)'
24" X 24"
(576)'
26" x 26"
(676)
00 ps
315,8
00 osf
6
7
8
000 s
6
8
8
8
2500 s
6
8--
8
8
3000 Pst
8-
81
8
3500 pst
8
8 •
•8
interpolated from Rule 15C-1 pier spacing table.
PIER PAD SIZES e
I-beam pier pad size
Perimeter pier pad size
Other pier pad sizes -
(required by the mfg. )
PUPUEAR PAD SIZE
4.,
Draw the approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol, o, show the piers.
List all marriage wall openings greater than 4 foot
and their pier pad sizes below.
x
ANCHORS
4ft 5ft
[- FRAME TIES
within 2' of end of home
spaced at 5' 4" oc
TIEDOWN COMPONENTS OTHER TIES
Number
Longitudinal Sabi izi device LSD Sidewall
Manufacturer ��ngitudinal —
Lonaitudinal Saril izina Device w L eral Arms rriRae wall
Opening Pier pad size
AI' RECEIVED
PERMIT NUMBER
JAN 0 7 2020
St. LuLLntPOCKET PE ETROMETER TEST
The pocket penetrometer tests are rounded down to - psf
or check here to 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. - -
3. Using 500 lb. increments, take the lowest
reading and round down to that increment.
X
X
TORQ E PROBE TEST
The results of the torque probe test is 2�. inch pounds or check
here if you are declaring 5' anchors without testing . . A test.
showing 275 Inch pounds or less will require 4 foot anchors.
PERMIT WORKSHEET
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 and where the mobile hpme manufacturer may
requires anchors with 400h ing capacity.
CC�� �` installer's initials
ALL TESTS MUST BE PERF IVIED BY tLIC1ENSED INSTALLER
Installer Name
Date Tested
Electrical
Connect electrical conductors between multi -wide units, but not to the ma' ower
source. This includes the bonding wire between mutt -wide units. Pg.
page 2 of 2
Site Preparation
Debris and organic material removed
Water drainage: Natural Swale Pad Other C i
Fastening multi wide units
Floor: Type Fastener. Le gth: .S in
Walls: Type Fastener: p in
Roof: Type Fastener
FV���
For used homes a m"3gae, a" wide, galvanized metal strip
will be centered over the roof and fastened with gals.
roofing nails at 2" on center on both sides of the centerline.
Gasket iwealherproollnq requirement)
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
of tape will not serve as a gasket.
ataller
Type gasket ta".
Pg. 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
Miscellaneous
Skirting to be installed. Yes _le!� No
Dryer vent installed outside of skirting. Yes t/ N/A
Range downflow vent Installed outside of skirting. Yes L.-I —N/A
Drain lines supported at 4 foot intervals. Y
Electrical crossovers protected. Yes
Other:
Installer verifies all information given with this permit worksheet
Is accurate and true based on the
Connect all sewer drains to an existing sewer tap or septic tank. Pg.
f�,,.... + .11 .,. MWa Minfor -zi innly nininn to an existino water meter, water tap, or other Installer
Date .= 1'� /