HomeMy WebLinkAboutPermit Worksheet'PERMIT NUMBER
Installer`'"
Address of home
Flo :lam f�ow'- License 9
being Installed
Manufacturer _ �o"o"i` 27 Length x width r2 !- yC e
NOTE: ' 11 home Ise single wide fill out one half of the blocking plan
if hogie Ise triple or quad wide sketch in I emainder'of home
i understand Lateral Ann Systems cannot be used on any home (new or used)
More the sidewall ties exceed 5 It 4 In,-
installer's initials 1 ^
Typical pier spacing
.o S! I lateral
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PERMIT WORKSHEET
page t of 2
New Home ❑ Used Home
Home Installed to the Manufacturer's Installation Manual []
Home is Installed In aceordanoe with Rule 15-0
Singip wide ❑ Wind Zone Il Wind Zone Ill ❑
Double wide ' � installatlon Deoal lur �
TriplalQuad ' ❑ Serlal o QZ (Y3./ Aso d vLed
PIER SPADING TABLE FOR USED HOMES
Load
fearing
capadty
F er
siziz e
(sq In).
1W X 16'
(2"6)
i8 l/1' x 981/2'
(�
20' X 20-
(40D)
22' x 22'
(484)'
24' X 24'
(576r
26' X 26'
(676) '
00
. 3
2500 st
71 8
8
8
g
•3000 Day
a,8
8
` 5500 psi8'
8
111WIFUavu uvmrmu 10v-1 plorapa irw Davie, -
POPULAR PAD SIZES
PIER PADS
�r r
I-beam plat pad size
Perim star pier pad size /?
Other pier pad sizes
(required by the mfg.)
®Drawthe.approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol to show the piers.
Ust all marriage wall openings greater than 4 foot
=
E1Il�
1�
�I�Lirl��3l�
tEtr_�rs�3�.�C
S�
-MILri[yWim
r a
IEell■
and.their pier pad sizes below,
ANCHORS
Opening Pier pad*Ize
e
Ott s tt
f % c' x � 2 "i'
FtiANIE TIES
X X 2- `"
spaced at 51411 end ofhome
7IEDOWN COMPONENTS
OTHER ES
Number
LongitudinalStabilizing Device (LSD)
Sidewall,,-
Manufacturer
Longitudinal
Longltudlnal Stablllzing Device xi/Lateral
Manlage wall
Manufacturer
Shearwall
!M '.1t t
Mi .F,� 101 ..
°' PERMIT NUMBER
OCPENffR_0MfftER TM
The pboket.penetrometer tests are rounded down to pet
or check hereto declare 100D lb. soil —!= without testing.
X_ X,
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the horho at 6 locations,
2.• Take the reading at the depth of thRfooter.
S. Ueiriq WO lb. increments, take the lowest
reading and round down to that increment.
X.__. X......... • . X-•---•.
TORQUE ROBE TEW
The results of the to ue probe test is Inds pounds or check
here N You are declaring b' anchors without testing . A test '
showing 276 Inch pounds or less will require 6 foot anchors,
Note: A state approved lateral arm system is being used and 4 ft.
.anchors are allowed at the sidewall locations. I understand 6 ft
• anohors are required at all centerline tie pointy where the torque test .
reading Is 275 or less and where the mobile f ome manufacturer may
requires anchors with 401IMb Pep
capacity.
Installer's Initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Named Try` C� l� �� •�' �`''•-
Date Tested
• aI�
ibnnect eleddoal conductors between multi -wide units, but not to the main, power
ourca This•ingtudes the bonding wire between mull -wide units.. Pg:
plurnbing
nnneot all sewer drains to to existing sewer tap or septio tank. -Pg.
PERMIT WORKSHEET ' page 2 of 2 I
site PrepSrn on
!
Debde and organic material removed
Water drainage: Natural ,._ -Male Pad Other
astan ny enuftl wads units
Floor. Type Fastener. Length' �'� Spacing: _ i-
Walis: Type Fastener, Lengthi 'r Spaoing.
Root: Type Fastener. Length: r' Spaoin .. iA-
For.used homes a n. SD gauge, S. wee, galvanized mr:tai 'strip
will be cantered'over the peak of thetoof and fastened with gals.
rooiing nails at 2" on center on both sides of the centerline
1 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,
Installer's initials
Type gasket �Op9�'- Installed:
Pg, Between Floors Yes
Between We Yes Bottom of ridgebeam Yes -=
_ eatherprooftng
The bottomboard will be repaired andlor taped Yes 1Pg.
Siding on units Is installed to manulacturGes specifloattons, Yes
Fireplace chimney Installed so as not to -allow intrusion of rain water. Yes ,42
scelanoous '
Skirting to be installed. Yes �.,..,_
Dryer vent installed outside of skirting. YWA f
Range downflow vent installed•outskde of skirting. WA
Drain lines supported at 4 fo6t intervals, Yes
Electrical crossovers protected.
Other ;
Iq accurate and true based'on the
onned all potable water supply piping to an existing water meter, water tap, or other
idependerit water supply systems, Pg.
Installer signature