HomeMy WebLinkAboutPermit Worksheeti
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" aIPERMrT- NUMBER
Installer uoense o
Address of home
being howled
Marturadurar LmMh xwidth
Nam • !f a !s a sr le tvlde fIli orlt arts half of the blo plan
It hop9e to a irl a or gtmd wide sketch In remainder 01 !toms
t understand Lateral Ann Systems cm*t be used on any home (new or
where ti)e sidewall ties exceed 5 It 4 ht:
InstaUer's Initials
1yploal plerspaclnp ••� ^
Show locations of Lonaudlnal and Lateral Systems
(use dark Imes to show these locations)
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PERMIT WORK -SHEET page 10.12
Now Home . Used Home ❑ ,
Home Installed to the MWwfacturse's IWSll Won Manual
Horne is Installed In accordance witty Rule is-o
slnplp wide ❑ VVind Zone ll E3. Wind Zone tll
Double wide ' ( Installation Decat #��
TriptelDuad ' ❑ serial # _ 1.
PIER SPACINQ TABLE FOR USED HOMES
_
Ladd
treating
■peony
Fim
size
(� "
�6.x1t3'
{
181l2'X181tE'
(849
2WXW
(aop)
•22'xW
(gggp
24'X24'
(a`7e)•
2Wx26'
(e70
e
8
Infavnwfd�.i 1.w...
C.. •fcn_�
�t.....�_�__ ._
PIER] 81ZES
P
I-beam pier pact size C LZ .S
a ze
Perimeter pier pad size Ap x 4o
x
Other pler pad sizes
x
x
(required W the mtg.)
x
rmDraw the approximate locations of marriage
waft openInpp' 4 toot or greater. Use this
symbol to show the piers.
x
x
`?
ILLJJ
Zt all marriage wall opentrigs greater than 4 toot
d.thelr pier pad alzes below.
x
arao»oas
Opening Pier pad:size
411
within 2' of end of home
spaced at b" 4' o0
nWOwN COMPONENTS
I OTt9EFi t o
LQngltadlnal Stsb!llrlraD 8
Manufacturer.. ��
Number
Long! una� St�bll rtq Device y�►/Lateral Arms
Manuf
Longitudinal
Ape�wall
PERMIT NUMBER Alp A.
The pbboket penetrometartests are rounded down to AOD Pat
or check here•tb declare 1 o00 Ib, •soll without testing.
x-LW x� x JS�
POCKET POWROMETSR TB$ i'!NQ METHOD
1. Ted the perimeter of the horhe at 6 IccatiorgL
2. Take the readtng at the depth of the footer.
a. UnIng 500 lb, !'norernents, take the lowest
reading and round down to that increment.
. ' x ,X
The results of the torqua probe test fa 19�� Inch pounds or check
here If you are declaeng 5' anchors wRhout testing A test .
showing 275 lnab pounds or Tess will require 5 foot anchors,
Note: A state approved lateral arm system is being used and 4 ft.
.anchors are allow4d at'thae sidewall locatlons, I understand 5 it
re are required at all cr4orline tie pofntg where the torque test
R' m r !ng Is 27Sor less and a tttobile erne menufaoturer may
r"krirw anchors with ng cap .
I let's infttafs
�ALl
JM
@ MU E PEO:It=ORMED UCBNSF.D 1 STALLF.R
r st&W Nam=g
connect eleateual conductors between multi -wide units, but not to the main power
curca Th1e•Include6 the bonding wire between muff-wWe units ft
. urn o .
:carnet all sewer drains to an Misting sewer tap or septic tank Fg.
annect all potable water supply piping to an Mdsting water mote4 water tap, or other
idependerlt water amply syetems, Pg. �_..
PERMIT WORKSHEET
P89e 2 of 2
s to Pragerettoh
Debris and organic material removed
Water dralmags Natural _ Swale = Pad Other
Floor. Type Fastener.
at Length;6paoing:
Wells: Type Fastener. Length: [� Spacing:
Roof. Type Fastener. Length; Spacing:
For.used horn a min. SO gauge, as wide, palvantzsd met
will be center over the beak of the tool and fastened With gaiv.
roe
ofing nulls r on center on both sides of the centedins,
Gas(lot ftwo ara�oortnp `7
I upderstand a property installed gasket Is a requirement of all new and used
homes and that condensation, mold. meldaw and buckled marriage wafts are
a result of a poorly installed or no gasket being Installed. 1 understand a step
of, tape will not 6erve as a gasket.
Installer's Initials
7We gasket JAnf 0-'-)a41L Install4l
0. Between Floors Yes
Between Wails Yes
Bottom of ridgebeam Yes
in
The bottombcard will be repaired ancVor taped. Yes /. Pa.
Siding on units Is Installed to nmuiaotureft speoilfoat afro Yesl"
Flrepiac* chimney installed so as not to allow intrusion of rain water. as
skirting to be Inetalidd. Yes
Dryer vent Installed outside of s ng. Yam` WAlc
F?ango downflow vent Instelied•outside of Wrong, es l�/A
Draln Ones supported at 4loot intervals, Y
Electrical crossovers protected. Yes
Other;
14 accurateprd true based'on the
Installer signature
0�14
1 it