HomeMy WebLinkAboutPermit Worksheets Pp4 �, e Y ~ PERMIT WORK"5HEEr p ge`1 of 2
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p 50 - -'HERMIT"NUMBER mtu_ � ®
Mal
.- CcLM New Home. ❑ Used Name
Installer :: r� _ Li Er -
'0o Mo Home installed to the Manufacturer's tnst0lation Manual
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Y A Address of me` ® `'Dtco¢ ¢ Home is installed in aocordanoe with Rule 16-0
U aea zw a y S1e wide [] rnd Zone I I Wind Zone II I'
A a a►a, .I&MUfacuurel' '�\-fir Lsngfh,Xwldth = W Double wide Installation Decal0' 3 \\3
B-- USNoM 'If home is a sl ee Wde fill outone halfof the blocldr+ �wifhomle is a triple or quad wide sketch lit tie udnder of hornt " m a
I"' H uU ram+mn or�
ar,u,a
I understand iaietal Azm Systems cannot be used on any home{ne�cr — a W2 PI>=R SPACING TA6I_E 1=0R USFD HOMES
� Oa. w where ttte sidewall lies exceed 5 ft 4 in: toast Poorer U A Ga P )nstallet'siru'tlals sY£e 15'xiw iali2x�i81f2` 2wx2ir 22 x22- 24'X24• 2Wx2s'_
�- —I'eara'9=— — (SS) (34� =( J (�)' (676)6 (676)
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c� Typical Pier spacing
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® 'urinal and Lateral Systems tl0 a ti s
{use lines to slrfl - locations)
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k1taTpobud imm Ruts 15G1 oar spaolap table
plEfi PAb 3lZE$ POP13LAFZ P i2 5 S
1-bEem pier pact size i1 ` �cZ,4 a s SFn
X
Perimeter pier pad stm b`f � _ x
I other pier pad sizes
(required by the mfg.) x
• 13 174 x
Draw the approximate locations of manians ZUX20
wall openings 4 toot or greater Use this x
marwwelrvwnnu►z�r�rarm�wrraaesae SYmlml to show the piers x
24 x 24
Z7List all marriage wall openuigs greater than 4 foot 26x,26
andthelr pier pad sizes below
ANCHORS
- Openls7tq Pier padsize -
kyxA�
4ft Sft
• i- aMeZ7�s)k1-tI 1-yx within V of end of h
spaced at 5 `
nEnowt3CDMPONEN'rs I-O HMiiEs
LvrtgliudlnalStabll�ln9l7�vlcell-SDl Sfdewa[I .
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Manufacturer inn Longitudinal
LongltaWral5 e w1Laferal Arni5 Mantage waft
Mant�fadurer �r��1_�`FY x� Sheartivall
I I
PERMIT WORKSHEEC p8 of z
PERMIT NUMBER
ONO I-- -
O PENETROMETERTES — site preparalion
Debris and organic matetfa[moved
The pocket penstrometertests we round wn to psi Water drainage:Natural V Swale Pad
or check here;o declare IOW lb.so�7 without fading.
• Fastening multi wide units F.
- ---- —Floor—Type-Fastener. - --t.enpfh:— -—Spaotng:—- —
Walts: Type Fastenner. Lo AftSp
acIng:POCKEr PENEMOME-TER TEM3 M1=T1 iOD Hoof: Type Fastener. Length: 5pagn� 4
For used homes a SO gauge,a' e, itranIzed Mn di S
1. Test the perimeter of the home at 6 locailons - wUl be centered aver the beak of the-roof and fastened With gate.
root"mg naffs at r on enter on both sides of the centarrrne.
2- Take the reading at the depth of the footer.
---,- - ----- - _, - •- - fie+
' 9 U�rng St]0 Ib.Grcremerris,take the lowest Gnsi�t '� --•—"---_
reading and round down to that increment. i u ndamtond a property Installed gasket Is a raquIrernent of all new qnd used
homes and that condensation,mold,mekdew and budded marriage waifs are
a result of a poorly installed or no gasket being Installed. I understand a strip
X X __ _X of tape will not salve as a gasket.
- - �insiallai's initials:;��
TMWEP OBE- C
TYpe slasket ` 0 0�1P�1 installed:
'Me results of the torque Probe test Inch pounds or check - Pg. Between Floors Yes ✓
here If you are declaring V anchors w8hout testing _ • A test - Between Waifs Yes
showing 275 incur pounds or less will require 5 foot anchors, Bottom of ridgebearn Yes
Note: A stale approved lateral arm system is being used and 4 ft.
anchors are allowed at'the sidewall locations` I understand 5 it wan Too
zncnors are requireed at all centerline tie points where the torque test
reading Is 276 or less and where the rgobde home manufacturer may The bottomboard ursll be repaired and/or tepecl. Yes pg,
requires anchors with g capacity Srd'mg on units is installed to tnanufacftrret's specdioaiions. Yes•�—
Itnsisiler's:Initiais Fi eplace chimney Installed so as not to alloui►[nfrusion of raln water. Yes
ALL TESTS MUST BE PERFO ED BY A LICENSED IN. taneous
Installer Name 1,1.IJ Skirting to be installed. Yes No
Us 1Dryer v�rt ir>staUed otztsida cif skirtJng. Yes= v —
DafeTasfed.. Flange down1bw vent Installed•oMside of ski WA
Drain&nes supported at 4 foil Intervals Y _ W
Electrical crossovers protected Yes
other;
-
:bnneot electrical conductors between multi-wide tills,but not to the main power
orrtoa Thin Irteludas the bonding wua between mutt-wide omits Pa Installer verifies a[[information given with this pettnit vriotksheet
si Z "K 14 accurate aril tree based on the
pruned all sewer drains to ivt erdsting sewer thP or septic tank Pg. mantrfaatu I[at3aa ttd of Rule 75C-'1 2
onnect all potable water supply piping to an Boosting water teeter,water tap,or other installer Slgn82ure= Date`-.
`dependent water supply systems. Pg-