HomeMy WebLinkAboutPermit Worksheetpage -i
RMIT WORKSHEET ors
T
_7
PERMIT NUMBER
'-Home I ,Used -Nome ome I N'e�v d-H
1IH;1
'lh er QR D ILicense I J_ 1-J-1, J_ L L!
j I H o Fri e'installed lo—the M a n u f� a c t u r a r I` n - -.; fgtllatoonl\Aanuali
17-
I , I i 1 1 1 1 ! 1 __ - 1 i ! L J
L__ J —1—L IJ --l- Lj , -i_f_ I'--- �,___�__ _-, ,
in accorcianciYWith Rule
Pedfdss ofhorhe '1429 INETTLES BI 15-C
'15-diii-giHstalled j jEIN18ENBEACH
x
T __4 F Wific -Z6ne_III_F_j_ Wind Zone 11
Double wide nsta _'T
uengt xw1d e 1 1�2 X681 I nition D�ec6lg B
facturer I ,CHARIOT '
J.-
(fnftF7eb16ck'_4----Triple/Quad
WOTE. Whome, T-19i P/�H�LJLJLLL
li_5_iii.Ibh� or T-.
!irnome C._j
El -6hy home (new or use -
.,'I understand Lateralm Systems cannot be used on It PIER SPACING TABLE FOR USED HOMES
si ewall ties exceed
;where ff-e-i d—
'Ins-taller's initials
Footer Load
16" x 16" 18 1/2" x 18 20" x 20" 22" x 22" 24" X 24!' 26" x 26"
7",
----- -- bearing size
(256) 1/2"(342) (400) (484)* (576)* (676)
[Typical --ier spacing
capacity (sq in)
I UUU PST
6.
—7, -1
7 Show Io6ations of Lofigitudinal and Lateral'Systems 1500 psf 4'6
I - — - .
psf
!udi� !-J',-_--- --S—
lRngh pai+ 2500 psf
3000 psf
L I
35uu PST 81
interpolated from Rule 15C-1 pier spacing table.
F-V
r 1 r 7 I I F-1 M
LJ SIZES
I J F POPULAR 15RD
PAD SIZ - =_J PIER
!isW
-1 7X22' Pad Sim Scl In
-I- earn pier pad size i-' 5
F-1 FVT F-T-1 J1_L;V._.i
F-1 -XIF 17 16 X16
'6Xl'6' 16 x18
L erimeter pier pad _j
18.5 x 18.5
XZ2
Other pier pad sizes j j
-17-
❑... { i 1 i _, �� I _ k } ❑••_ 3 _ l i-(Fe-qGi'Fe-d_b_ythe mtg.) f i i I:
7-1 T
T 13 1/4 x26 1/4 348
_f F-1 1 F 7
I -o-p-e—ni-n-g-s--4-fo-olf-o�yrda--t&r-CJ�e-ttii-!i-- 17 3/1 Iwall 6 x25 3/16
-j- _!_J __.. _j__!__L_J__J_j .,_ -
37(S7-7-f- 7 -T7 172 x
_lsym6ol to fo�Wfl; the piers -4TG-
L. J
marriagiewallp !2-'ot -of-homeper-Rule-
iw� wit hn f en 1 d 15 1 G 24 x24
L i-
_j r ater an 4 a 26 x26
T F-1 F-1 F-F Fl-i F stall marriage wall '6l5drii s r
i and their pier pad Sizes Dell
+
ANCHORS
_l47_1; _j
Opening Pier pad S1
7 7 -17
1. N J�
14 lt A
-1 -5
1 17' 1 f 1 1 a 1 a METIM FF;A
L _j _j _4_ L_
_9'of end of'ho_6i-e'X
L
mithin
-r 17
T 7- oc x
_r r_r
J
9
7
than
`size
TIEDOWNCOMPONMTS
J _J_ L
a I OTHER TIES
r _-1-1. L j._L _A- -
j 7___�! ---- -- INumber
`
j_J. •_LJ• -L J
S-rabuizing Device vi&e (LSD) Side tall
L L6-n-6itudinal
Or -OLIVE R_
-Lateral
L ngfiudiiial e
I._:,_ 4_1 _4_.. - k -
I : Stabilking Devic W1 Arms i Maftiid&�Wal
4 0
4 4- -r - n'--t -,r - i -v r
'T r
'PERMIT WORKSHEET page z or z
PERMIT NUMBER TT��7`
L
POCKET PENETROMETER TEST
bite Preparation
L
--T—TEFe6-ri��-�j-n—doFg—a -Fjj—ati�r-i al- ove 'YE
idown to 5
,T4 pocket penetrometer tes s are roundedpsf''
p J-
organic
f9fer drainage: Natural Swale Pad X Other
or ccheck here to declare 1000 ---6bj withoutteMih 9. 1
T T
5
L
Fastening multi wide units
.50
Ty�p& Fastener: j Length! pacing: Floor: L 14
1 i
Walls: ',Type Fastener: pacing:
--F1*6tKET'PENEn:bPAETEK-TESTING METHOD
Type Fastener, pacing.
T
i---- K- s -a�in`-.-50----- 8"wide,d- metal trip
F6FUs6a es gauge, ga vanize m
—ffi—eOea
1-.Tes't-the perim6t&r*ofth6 home at6 locati6n's.
e centere wj& roof and fastened
o t e
1 nai i iff 2�'on center on iidii�'6f e &iiriti&rlf
;roofing -fi n c I-
;-2.-'T�ike--fhi�7-f6ading at the depth of the fo&fiiF—,
Y
Gasket (wonthorp roofing requiromont)
3. Using 500 115. fficRiments, take the I& �-t 7---:7
rea ing and -r&-6-ii-d-d-6iW-n'-f(5-flia-t'fii-c-rement.
properly installed t of all new and di�e
understand &F�f� e gas etisarequiremen
and that condensation, ari a C66de 6tibn -- -ld- d6ii- and buckled marriage --'- walls -s -are-
h6-m mold, a 6kl6dI
-ii -iiig a a strip
f 6�t6iwd c5i gasket be stiiii6a.—u.n- ersta,n
ia result o a rly'Y
x T51-6tj
poorly
-I
io tape will not E isagasik6fll
Ansta
TORQUE PROBE TEST
-1 -tlnsfall&d:
T-C-
ype gask4
+The results offfielo-r-q-ue-probe -t---t
testis n s or check;—
9. T- T-I- tBeff-w--een oors es
ing--
here if you- Ales
B 6.W91 s es
showing ---:�7 5-in-c-h'p-o-u-n, -d-s-o-r-less wia 6cho- rs-.
J j 5ottom of ridge earn Yes
-
Note state approvedlateral ra arm system is being used and 4
o- approve ate
-�&th— -irl�6&iiti-67n'�i--I-Li-n-d-6rstand5ft�
6116;W&d e sid&Wa L
proofing
anchors are required at all centerline tie points where the torque es
reading less
i
be
!The b6ft8i6E6a-rd' will repair-e.4an- )o'r aped. Yes. Pg.
-1-s
-bires anchors With 40"0 hol ing capacity.
;requires -11:5-
-66fic-t6fer's specifications; i'ffital 1�id fcFffi-6 Y&i�
i ing on uni s isx
Installers initials
6 rain water. f Yes
!Fireplace c Wiiiffiu-si intrusion - - t
- T
ri CLE� 4-4
1 ;ALL TESTS MUST RYkLIOEN9ED INSTALLER
Miscellaneous
_7 -------
�- �--i -j- LJ-------
'GRUNDEL-�-• -77 ;
!EbDIE
8kirting Yes
Fsta(I r ame , i � , I
;
to be
0-ir-ye-r V-ent Tn-s-t-a-1 1-e---d-outside--6f s- ki-r.ti-n-jY es
Date Tesf&d i
&fi�kirtffig.
ange down ow vent insta N/A
'brain ines supported at4 botintervals. es
crossovers protected. es X
Offi 6r
'0
Electrical
how%
ri s, utnottothemal n pow
o�n electrical cond' between unit`---67j'--'--' ert
-7
nu--r-c-e.-Th--i"s-i"n--c'l-dd-6s-tfi -5nding wire etween mu t-wi e units Pg-
information this
7-
Installer verifies all given with permit worksheet
Plumbing
is accurate and true based on the
c tan g
6'6nectan rains to an e)dsting sewer tap or ti--ii-C 0
--kin5;taltation inpr ructions 5ndgr Rule 15 -1 & 2
manufacturer, C
-- -fo- "an' -n`gw`at-e-r
Installer S Date
�66ii�dtLa�ll" 0-0-f�151-e,w-a-t'e--r"'s'-u--p ply'pipi n-'g63'a"s-'fi e'-te r, water tap or other:
page 7 or z
PERMIT NUMBER
Installer RONNIE BLAINE
PERMIT WORKSHEE.1.
License* IH1101137
Address of home 429 NETTLES BLVD
being installed JENSEN BEACH
Manufacturer �{�r'C�Q Length xwidth 12X38
.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 sidewail ties exceed 5 ft4 in.
Installer's initials RB
Typical pier spacing
2'
6' 1 lateral
fII
Show locations of Longitudinal and Lateral Systems
longitudinal (use dark lines to show these locations)
I
ZI
-
Li Li Li Li Li Li
-------------------------------------------------------
11
--
tnsrriagewall pierswithin Tofen
erRule
5C
1--1"7-r-r-r-.--t-l-7-i-r-
r-r-r-{--1-
1_S-L-I__1_J_J _!.._L_! _1_J_J_J-.1-!.-L-L t.. J_J_1-L-! J
L -L 1 _ J _ J - 1 _ L _ L _ L -1- J - J - 1 _ L - L - L _ I- J - J _ 1. _ L -. L _ I- I - J - J _ 1 - L _ L - L _ I- _I _ J _ 1 _ L _ L
, I 1 I f�, 1 1 I I 1 1 1 t
•v-r-r-,--1-'1-n-+-i-r^r-1-Y•t-�-r-r-r'-,-^I-�-7-*-r^r-I--'-ti-•f-r-r-r-t
I
r-r-r^,--I--t-T-r-r-r-,--I-1^7-r-r-rY-I--i-t-1•-r-r-i -I-�-•r-r-r-r-rr-t-7-T-r-1
f 1 -,--,-;-;-t-; 1 1
L �_!-J-1-1_!-L-1-!-J-1-1 _.L-1-J-J_J_.1_L-L _I_ t J J_1_1-! -I- 1-J-1-1-L-1L-t_I-!.
� 1- 1 1 t 1
L-1_J�.I-1-L-L-L-I_J-�-.♦,-L-,--L-I--1--1-.�-L-L.-/--I-J-.,-i-L-L_L-1-J-J-1_Y-t--1--I_J
1 1 1 1 1 1 1 1 1 1 1 1
r-r-�-•-r-�--t-*-*-~`1-^e--I-�-T-r-r-r-r�--1-r-r-r-r-1--•1--1-t-a-r-I--I_y.-�-T-r_r-I
t I 1 1 1 1 I I 1 1 1 1 r 1 1 I 1 I I I 1 1 1 1 1 1 1/ 1 1 1 1 1 t 1 1 1
r-r-r�-�-�-r-r-r-r-I^�--r-r�r-r -1--1-'1-7-r-r-r -1--1-�-7-r -r-i -r�-�-�-r-f
New Home ® Used Home ❑
Home installed to the Manufacturer's Installation Manual
Home is installed in accordance with Rule 15-C
Single wide
19
Double wide
Triple/Quad
Wind Zone 11 Wind Zone III
Installation Decal # TBD
Serial #
PIER SPACINGTABLE FOR USED HOMES
Load
bearing
capacity
Footer
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)
1 ps
1600 ps
b
ps
ps
3000 ps
ps
- inierpoiatea Trom route ioLr i pier spacing saute.
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 ofmarriac
wall openings 4 foot or greater. Use this
symbol to show the piers.
List all marriage wall openings greater than 4 foo
and their pier pad sizes below.
1=5
Opening Pier pad size
17X22.5
POPULAR. PAD SIZES
�X�).ii>♦
'rtc7firs�►.b-ic7itr.9t`�j�
� w
ti
1111=0
ANCHORS
Oft X 5ft
FRAMETIES
within 2'ofend of home X
spaced at 5' 4" oc X
TImOWN COMPONENTS OTHER TIES
Number
Longitudinal Stabilizing Device (LSD) Sidewall
Manufacturer OLIVER Longitudinal
Longitudinal Stabilizing Device w/Lateral Arms Marriage wall
Manufacturer Shearwall
PERMIT WORKSHEET
PERMIT NUMBER I� 1t bt%,
POCKET PENETROMETER TEST
The pocket penetrometer tests are rounded down to 1500 psf
or check here to declare 1000 lb. soi► without testing.
XX15%jj X151h
POCKET PENI=t ROMETER TESTING METHOD
1. Test the perimeter of the home at locations.
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 15(h
X 15tj
TORQUE PROBE TEST
X 15(h
The results of the torque probe test is 285 inch pounds or check
here if you are declaring 5' anchors without testing . Atest
showing 275 inch pounds or less will require 5 foot anchors.
Note: Astate approved lateral arm system is being used and Oft.
anchors are allowed atthe sidewall locations. I understand 5 ft
anchors are required at all centerline tie points where the torque test
reading is 275 or less and where the mobile home manufacturer may
requires anchors with 4000 lb holding capacity.
RB Installer's initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer'Name RONNIE BLAINE
Date Tested
Electrical
onnect electrical conductors between multi -wide units, but not to the main power
ource.-This includes the bonding•wire between mutt -wide units. Pg.
um bins
onnect all sewer drains to an e)asting sewer tap or septic tank. Pg.
onnect all potable water supply piping to an e)asting water meter, water tap, or other
,.J.+..c--Iv cH-femc Pn
page z oT c
Site Preparation
Debris and organic material removed YES
Water. drainage: Natural Swale Pad X Other
astening multi wide units
Floor: Type Fastener: Length: Spacing:
Walls: Type Fastener: Length: Spacing:
Roof: Type Fastener: Length: Spacing:
For used homes a min. 30 gauge, 8" wide, galvanized metal strip
will be centered over the peak of the roof and fastened with gaiv.
roofing nails at2" on'center on both sides of the centerline.
Gasket (woathorproofing roquiromont)
I 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 Installed:
Pg. Between Floors Yes
Between Walls Yes
Bottom of ridgebeam Yes
eatherproo ing
The bottom board will be repaired and/or taped. Yes X Pg.
Siding on units is installed to manufacturer's specifications. Yes X
Fireplace chimney installed so as not to allow intrusion of rain water- Yes X
Miscellaneous
Skirting to be installed. Yes X No
Dryer vent installed outside of skirting. Yes jam^ N/A
Range downflow vent installed outside of skirting. Yes X N/A
Drain lines supported at4 foot intervals. Yes X_
Electrical crossovers protected. Yes,x
Other :
Installer verifiies all information given with this permit worksheet
is accurate and true based on the
manufacturer's installation instructiopA and or Rule 15C-1 & 2
Installer Signature �` Date Ik1 5�1