HomeMy WebLinkAboutMobile Home Permit WorksheetIMobile Home Permit Workshi�et
Installer: EDDIE GRUNDEL
Address of home 13 nettles bivd
being installed
License # IH,I 118467
Manufacturer JACOBSEN Length xwidth 20x21/48
NOTE. if home is a single wide fill out one half of the blocking plan
if home is a triple or quad wide sketch in remainder of home
I understand Lateral Arm Systems cannot be used on any home (new or used)
where the sidewall ties exceed 5 ft 4 in.
Installer's initials EG
Typical pier spacing
i' 61 I lateral
77 Show locations of Longitudinal and Lateral Systems
longitudinal (use dark lines to show these locations)
---� i ----- - ----- ----- - --- ---- - - - -- ------------- --- ----- ------------
El
marriage wall piers within 2' of end of home per Rule 15C
4=
Li
L_J
L_j
L_J
=H
,
Application Number:
Date:
New Home ✓❑
Used Home:
Home installed to the Manufacturer's Installation Manual
Home is installed in accordance with Rule 15-C
e✓
Single vide
Wind Zone II Wind Zone III 0✓
Double wide
Installation Decal # TBD
Triple/Quad
Serial # TBD
PIER SPACING TABLE FOR USED HOMES
Load
bearing
capacity
Foote:r
size
(sq in)
16" x 16"
(256)
18 1 /2" x 18
1/2" (342)
20" x 20"
(400 )
22" x 22"
(484)*
24" X 24"
(576)*
26" x 26"
(676)
100 s
3'
4
__5T
6T
7
8'
1500 psf
4' 6"
6
7
8'
2000 s
6
8
8
8
8
8'
5 s
76
8
81
3000 s
8'
8'
8'
8
8'
3500 s
8'
8
8
8
8'
mterpolateu nwn rcwe I of - i pier spacing tame.
PIER PAD SIZES
I-beam pier pad size 17X22.5
Perimeter pier pad size 16X16
Other pier pad sizes
(required by the mfg.)
Draw the approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol to show the piers.
POPIILAR PAD SIZES
Pad Size
Sq in
Tljxitj
6 x 18
288
18.5)x 18.5
42
x 22.5
60
7 x 22
74
13 ff,4 x 26 1/4
348
0 x 2
400
G x 2 3/
441
17 17. 2-72-5
446
7.4 x 24
576
_21Sx2
6
ANCHORS
4ft �� 5ft
FRAME TIES
within 2' of end of he --
spaced at 5' 4" oc _ ✓ _
C TIEDOWN COMPONENT. OTHER TIES
Number
Longitudinal Stabilizing Device (LSD) Sidewal I
Manufacturer OLIVER Longitudinal
Longitudinal Stabilizing Device w/ Lateral Anus Marriage wall
Manufacturer Shearwall
List all marriage wall openings greater than 4 foot
and their pier pad sizes below.
Opening
1-4
2-3,
Pier pad size
17X22.5
23X31
Page 1 of 2
IMobile Home Permit Worksheei-1
POCKET PENETROMETER TES1
The pocket penetrometer tests are rounded down to 1500 psf
or check here to declare 1000 lb. soil without testing.
X 1,500 X 1,500 X 1,500
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at 6 locatons.
2. Take the reading at the depth of the footer.
3. Using 500 lb. increments, take the lowest
reading and round down to that increment.
X 1,500 X 1,500 X 1,500
TORQUE PROBE TEST
The results of the torque probe test is 290 inch pounds or check
here if you are declaring 5' anchors without testing . A test
showing 275 inch pounds or less will require 5 foot anchors.
Note: A state approved lateral arm system is being used and 4 ft.
anchors are allowed at the sidewall locations. I understand 5 ft
anchors are required at all centerline tie points where the torque test
reading is 275 or less and N ere the mobile home manufacturer may
requires anchors with QO holding capacity.
k Installer's nitials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name EDDIE GRUNDEL
Date Tested
Electrical
Connect electrical conductors between multi -wide units, but not to the main power
source. This includes the bonding wire between mult-wide units. Pg.
Plumbing
Connect all seNler drains to an existing sewer tap or septic tank. Pg.
Application Number: Date:
Site Preparation
Debris and organic material removed X
Water drainage: Natural Swale Pad X Other
Fastening multi wide units
Floor: Type Fastener: LAG Length: 6" Spacing: 24"
Walls: Type Fastener: LAG Length: 6" Spacing: 24"
Roof: Type Fastener: GALv Length: CONT Spacing: 24"
For used homes a min. 30 gauge, 8" wide, galvanized metal strip
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.
Gasket (weatherproofing requirement)
I understand a properly installed gasket is a requirement of all new and used
homes and that: condensation, mold, moldew and buckled marriage walls are
a result of a poorly installed or no gasket being installed. I and rstand a strip
of tape will not :serve as a gasket.
Installer's initials
Type gasket FACTORY FOAM
Pg.
I istalled:
Between Floors Yes X
Between Walls Yes X
Bottom of ridgebeam Yes X
Weatherproofing
The bottomboard will be repaired and/o- taped. Yes X . Rg.
Siding on units is installed to manufactt, rer's specifications. Yes X
Fireplace chimney installed so as not to allow intrusion of rain water. Yes X
Miscellaneous
Skirting to be irstalled. Yes X No
Dryer vent installed outside of skirting. Yes X N/A _
Range downflow vent installed outside of skirting. Yes X N/A
Drain lines supported at 4 foot intervals. Yes X
Electrical crossovers protected. Yes X
Other :
Installer verifies all information given with this perrnit worksheet
is accurate and true based on the
manufacturees installation instructions and or Rule 15C-1 & 2
Connect all potable water supply piping to an existing water meter, water tap, or other Installer Signature
independent water supply systems. Pg.
Date
Page 2 of 2
16'-51/2"
PROPOSED PLAN
ALL DIMENSIONS
ARE AP'PROXMWE
LIVING AREA
6.&a 50 FT