Loading...
HomeMy WebLinkAboutPermit WorksheetRECEIVED L I MAR 19 2021 • HERMIT NUMBER _Permittin D� . eminent Installer !Qj11Zr,;r License r ; / 1���.���s`� i Address of home�,7�Z 0i"4C� being installed Manufaciurer %%'i�.�T c Y >� Length x widih a el Y NOTE: ' 11 home is a single wide fill out one half of the blocking plan if home Is a triple or quad wide sketch In remalnder'of home I understand Lateral Arm Systems cannot be used on any home (new or used) where the sidewall ties exoeed 5 ft 41nr � p (nsfaller's initials Typical pier spacing S I , loloral Wrw�- ­- , - Show locations of Longitudinal and Lateral Systems .""Duse dark lines ti;show these locations) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■C!lr1•IL!'�-'■f:'lufiltlVw®■■■■■�■■■■■■■■■■■ ■■■■■E+ift�tlSl!l!12LSJl�i"�iiit■©■■■■■■■■■■■■■■ PERMiT WORKSHEET I page l of 2 I New Home ❑ Used Home Home installed to the Manufacturer's installation Manual ❑ Home is Installed in accordance with Rule 15-0 0— Singlp wide ❑ Wind Zone IIWind Zone III ❑ Double wide ' M_-1--Installatlon Decal IV'�-r1`.� Triple/Quad ❑ S.H.In V PIER SPACING TABLE FOR USED HOMi_S Load bearing capaolty Foots size (sq In) 16' X 16' (26S(342OD ) 181/1' x 181/2'j2020'.. 22' x 22' (484j' 24' X W (676)` 26' X 26' (676) 34.6,- :: 6 ,:8 6 8 82 00 s 6 8 g 3000 DST B.8 nwNua,w num r,uio cv- i pink spaurw wuio, PIER PAD SIZES I-beam pier pad size / .? .2.2 Perimeter pier pad size X Other pier pad sizes l7 "}(2 (required by the mfg.) ®Drawthe.approArnate locations of marriage wall cpsnings 4 foot or greater. Use this symbol to show the piers. List all marriage wall openings greater than 4 foot and.their plerpad sizes below; Opening Pier pad:size !i x ., /2.r X TIEDOWN COMPONENTS Longitudinal Stablllzing device (LSD) Manufacturer M i w wtY 0,1o4-4 Longitudinal Stdb11Wng Device w/Lateral Arne s Manufacturer P14 a o,., r.1 ✓Hw o,> POP U LAR PAD SIZES ANCHORS 4 ft FRAMETIES within 2' of end of home spaced at 5' 4" oo72Ltf: OTHER TIES Number ---- SldewaU Longitudinal Marriage wall Shearwall :W 1 V Y PERMIT NUMB99 The pboket penetrometer tests are rounded dawn to pat or cheek hereto declare logo lb. soli �Fiithout tes n�. XX� X„__ POCKET PENETROMETER TESTING METHOD 1. Test the perimeter of the home at a locations. 2. Take the reading at the depth of the•footer; .. a. Upinq, 600 lb, Increments, take the lowest reading end round down to That increment. tome yr Inv w ue prone nest Is .,�„! coon pounds or oneox p 2766 Inam ab poundds or Ion A require 5 i of anal= a t�l . Note: A slate approved lateral an system is being used and 4 ft. :anchors are allowed atZhe ddewall locations. I understand 5 ft ' anchors are requked at ail contorting Ile PC* where the torque test. reading Is 276 or less and where the rgobtle home manufacturer may requires anchors with 40W ,lb h q capacity. Installefs initials ALL TESTS MUt3�T BE PERFONMEMBY A LICENSED INSTALLWR , InstatierName ��'.-j-< "'77".4G-��- Date Tested I-ely ibnneot eteoldoal conductors between multl•wide units, but not to the matn,power curce. This-lmludes the bonding wire between mult-wide units., Pg. brined all sewer drains to an existing sewer tap or septic tank -Pa. anneal all potable water supply piping to an existing water meter, water tap, or other idependegI water supply systems. Pa. PERM T WORKSHEET page 2 of 2 I 8 rapers on Debris and oroanlo material rived' , Water drainage: Natural SVW9 Pad Other eo en no mul wrote na es Floor. Type Jr. !1,44f • Length: �6 Spacing: Walk Type Fastener. � Length: " spaoin�: 7 Root. type Fastener. Length: �apacin . A For.used homes' a M-C so gauge 8rWgatvanized mqtai 'strip win be centered'over thebeak of t�istoof and fastened wI gaiv. rcoffng nails at 2" on center an both sides of the centedina a rw.�n.�ane..aa�► .... I understand a property Installed gasket is a requirement of all new end used homes and chat candensatlo;4 mold. meldew and buckled marriage wens are a result of a poorly Installed or no gasket being Installed. I understand a strip of taps will not serve as a gasket. Installer's Inmate � 14,19 . V'4sr 0- Between Va Yes _ t!; Bottom of ridgebma Yes -_- es erproo nrr The bottombbard Wit be repaired andlor taped. Yes �-� Pa,—• Siding on units Is Installed to manufacturees speoffloat Firepleop chimney installed so as not to -allow intrusion of rain water. Yes -W'. necuo . Skirting to be installed. Yes Drier vent Installed outside of skf . Yas'�' TWA Range dowrdlow vent instalWoutstde of its ik� Una. WA_ !�• Drain lines supported at 4 foot Intervals. Yes Electrical crossovers protected Yes Other fa accurate and true based'on the Installer signature Dat� �'/