HomeMy WebLinkAboutPermit Worksheets 3.
............... ., PER-MIT WO F BEER page t of 2
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_fir= rrt NUMBER - W
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Installer e, ucensa� �, 0 � r�.�rZ Q �- = a n.o � I"
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1 .I 1= &me installed t oturer's Installation Manual
cc � �"lome Is instatlax � os with Role i5��WlndZanqlil
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Address of:ho `' S� -� --- _
Beira;;installed a� *. az W a
' •.�, � aSngle wide n� > d Zon;3 it
a width���� ® � —
o 'b h7 7y `¢=Double wide w lation Decal \�
r' tylanutaclaru �`�1. uth _ _
—4i a -' - -
�, .� dpfdouad -
c :i, rr ;�• No72w 'if home is a s1�t41e wide fill out one half of the blockingplan - o x uj
n !f homle is a triple or quad w1de sketch Tn imudader of home aas t— o rz-a iz col
Q
b a n I understand Lateral Arm Systems cannot be used an airy home(new or PIER SPACING TABLE FOR USM HOMES
W Oil where the sidewall•tias exceed 5 ft 4 4 a -
CC Insfia et's iru�iaTti V Lead Footer 15'x 1ti 1S IW x i8 U2' 2W x2V 2r x2z- ZV X W 2t;x 2v
j ® Typical pier spadingg- - . capacity (� Crss1 (saz) (�) (49r (876r (676)
� � ttdi fc 1 --Sr—
r- r 'udinal and lateral Systems t)t) 4 ti 8
fi k (use rtnes to shfl locations) s
a s 8 8
oss
* kdmpatated Imm Rule iSGi ptrr table-
`� P1H3 PAD SlZE� POPULAFt PAB 5 5
•y Lr '. - I-beam pier pact slue i'ti� r') a s n
u Li
Perimeter pler pad sIze \`I �"L, x
i \t
c t Otherplerpaddims \� , r�%� X
. (required by the mfg.) x22
r x
ri - 13 Fn 4OU
Draw the approximate locatlons of marriage x
MIwall openings 4 toot or preater. Use this 17 WitiX25871(i
,�a�xr��aaowtassc symbol to show the piers; JY IMX25172—
x
List all marriage wall openings S7reeer than 4 toot 1 03 x
' W andthelr pier pad sizes below.
a ANCHDRS
OPRI-A-V Pier pad-size
�.M Oft s ft
H` i�t\xt FRAMETIES
vsrlao tat 4 oc
of end of
TIEDOWAICOMFOMWrS 67HMMES
b V y y Lort4ltudlnal Stabl p�.Q ce(LsDJ sidewatl.
rn• Manurach rer i�\iA 14?iyIO^ LongRudlnal
w ? - Lonomifflnal sta6l W/Lateral Arrits Marna ®wall li
E ' Manufacturer �`t v�FY,VWiN - Shy
.z F- PERMIT WORKSHEET page 2of 2
PERMIT NUMBi __. .._.... .. . .. -
site Pr amHon
_ A ENED•RQ _ •
�.
Debris and organic material- W oved _
The pbcw pene[rometwiests are round wn to psf Water drainage:Natural V Svmro Pad Other 'Cr
or check hers4b declare 10W lb,soil �w;3horii testing.
Fastawni multi wide until '
— X X X
_ - —- - - floor:- -Type Fastener.- = Lengfh:ta�
Walls Type Fastener. Length:POCKET PENETROMEI TEMMG METHOD Roof; Type Fastener. Length: 5paran� i{Far usad homesa - SD gauge;aalvanized In strip
1. Test the perimeter of the hothe at 6 locatlons: - will be centered bverthe beak of theToof and fastened With vak.
rooting nails at r on center or both sides of the centedme.
2 Take the reading at the depth of the looter.
S. Urrng SW lb.fncremeni5 take the lowest -
reading and round down to that increment. I understand a properly Installed gasket Is a requirement of all newend used
homes and that condensetlan,mold;meldew and budded marriage walls are
a result of a poorly Installed or no gasket being Installed !understand a strip
X X _X of laps will not serve as a gasket.
TORM. - �itutaller's.IniiTais��
E PROF3E•
Typs gasket �OO�tl�1 Installed:
_ The results of the torque probe test is 35 I=h poumis or check• - Pg. Between Floors Yes
here If you are declaring V anchors YMout testing - A test - Between Walls Yes_:]2
showing 275 incib pounds or less will require 5 foot anc hors Bottum of ridgebeam Yes
Now A slats approved lateral arm system Is bdM used and 4 fL
anchors are allowed at$he ddewall locations I understand 5 ft Weatherpr—ftar
andhors are required at all centerline tie poles Vibare the torque test _
reading Is 275 or lass and where the rgobile dome manufachuer may The bottomboard will be repaired and/or tape$ Yes pg
requires anchors with g.capeut). Siding on runts Is installed to mandr%cfurm!s specificatfons Yes-
- tttsialles's:lnft{ais Fireplace chimney installed so as not to allow inkuslon of rain water. Yes
ALL TE=MUST BE PERF77,
BY A UCENSED INSTALLER - taneous
tnstailer Name Skirting to be installed Yes No
Llate Tasf+3d Dryer vent installed outside of slitting. Yes W
Range downflow vend bnstalWoutslde of skidir
_ N!A
Drain fares supported at 4 fod Intervals Y
Electrical crossovers protected Yes
• - Other: - .
lbnned electrical candt dors between rhulti--wide units,but not to the main power
otuea This Wudes the botrdfng wua between rr,utt-wide unam Psi Installer verifies a[[informafion givers with thus perndt Worksheet
Pig-bins - is acaurste and true Ott the
1.
anned all sewer drains to tin adsting sewer tap orseptic tank Ro. rrrantrfactu s I t[atDoa D chi of Rule 150- &2
onned all potable water suppiv piping to an existing water meter,water tap,or ocher lnstallsr SlgnBiure_ Dale ��
;dependent water supply systems, Pg.