HomeMy WebLinkAboutWorksheet PERMIT WORKSHEET I page tort
PERMIT NUMBER ���� _ a::;6-
Site Preparation
POCKET ER TEST
1500 Debris and organic material removed YES
The pocket penetrometer tests are rounded down to psf Water drainage: Natural Swale Pad X Other
or check here to declare 1000 lb. soil without testing.
Fastening multi wide units
x15tj x15tj X15(h
Floor: Type Fastener: LAG Length: 6" Spacing: 24"
Walls: Type Fastener LAG Length: 6„ Spacing: 24"
POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: GALV Length: Spacing:
For used homes a min. 30 gauge, 8"wide, galvanized metal strip
1. Testthe perimeter of the home at 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(woathorproofing roquiromont)
3. Using 500 lb. increments, take the lowest IRW
reading and round down to that increment. 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. tand a strip
x 15QS x 15b X 15b of tape will not serve as a gasket.
Installer's initials
TORQUE PROBE TEST
Type gasket FOAM Installed:
The results of the torque probe test is 285 inch pounds or check Pg. Between Floors Yes X
here if you are declaring 5'anchors without testing . Atest Between Walls Yes X
showing 275 inch pounds or less will require 5 foot anchors. Bottom ofridgebeam Yes X
Note: Astate approved lateral arm system is being used and 4 ft.
anchors are allowed at the sidewall locations. I understand 5 ft eat erproo ing
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 bottom board will be repaired and/or taped. Yes X Pg.
requires anchors with 4000 lb holding capacity. Siding on units is installed to manufacturer's specifications. Yes X
TG Installer's initials Fireplace chimney installed so as not to allow intrusion of rain water. Yes X
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER Miscellaneous
Installer Name THOMAS GRUNDEL Skirting to be installed. Yes X No
Dryer vent installed outside of skirting. Yes X N/A
Date Tested Range downflow vent installed outside of skirting. Yes X N/A
Drain lines supported at4 foot intervals. Yes X
Electrical crossovers protected. Yes X
Other
ectrica
onnect electrical conductors between multi-wide units, but not to the main power
:)urce. This includes the bonding wire between mult-wide units. Pg.
Installer verifies all info ation given with this permit worksheet
Plumbing is acc a and true ba don the
onnect all sewer drains to an existing sewer tap or septic tank. Pg. manufacturer's in Jon instructio and or I 5C-1 8� 2
onnect all potable water supply piping to an existing water meter, water tap, or other
Installer Signature `^' � "LG�? G to
PERMIT NUMBER PERMIT WORKSHEET page c or c
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Site reparation
POCKET METER TEST
1500 Debris and organic material removed YES
The pocket penetrometer tests are rounded down to psf Water drainage: Natural Swale Pad X Other
or check here to declare 1000 lb. soil without testing.
Fastening multi wide units
X15ti X15tj X15(d
Floor: Type Fastener: LAG Length: 6" Spacing: 24"
Walls: Type Fastener: LAG Length: 6„ Spacing: 24"
POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: GALV 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(woathorproofing roquiromont)
3. Using 500 lb. increments,take the lowest
reading and round down to that increment. 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 erstand a strip
X 15(d X 15d X 151d of tape will not serve as a gasket.
Installer's initials
TORQUE PROBE TEST
Type gasket FOAM Installed:
The results of the torque probe test is 285 inch pounds or check Pg. Between Floors Yes X
here if you are declaring 5'anchors without testing . Atest Between Walls Yes X
showing 275 inch pounds or less will require 5 foot anchors. Bottom of ridgebeam Yes X
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 X Pg.
requires anchors with 4000 lb holding capacity. Siding on units is installed to manufacturer's specifications. Yes X
TG Installer's initials Fireplace chimney installed so as notto allow intrusion of rain water. Yes X
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER Miscellaneous S
Installer Name THOMAS GRUNDEL Skirting to be installed. Yes X No
Dryer vent installed outside ofskirting. Yes X N/A
Date Tested Range downflow vent installed outside of skirting. Yes X N/A
Drain lines supported at foot intervals. Yes X
Electrical crossovers protected. Yes X
Other
ectnca
onnect electrical conductors between multi-wide units, but not to the main power
:)urce. This includes the bonding wire between mult-wide units. Pg.
Installer verifies Aintfo ,,natiion given with this permit worksheeum mg isand true ba on thonnect all sewer drains to an existing sewer tap or septic tank. Pg. manufacturer'so instruction d or ul 15C-1 8� 2
onnect all potable water supply piping to an existing water meter, water tap, or other Installer Signature Date