HomeMy WebLinkAboutPermit worksheet-O£RMYr NUMBER
11 FD71—: 'Jf home Is a _.tee wide fill out one haff of the blocM_q Plan
lrha rl a Is a irJple or quad Wde sketch In tenuzWer of home
[ tmdw4arW Lgeraf Atm Sysfetns cannot be used on arty home (new or used) Y
them the sldmdl ties Mmaed 5 if 4 in:
1n5taile['•s:IIA}trdfli c
Typical p� spacing--)
2` _
[!J
a
and Laleral Systems ¢
ST. LL — OL. BUILDLNC DPMION
REVIEWED FOR CWUL'SCE
PERMB- *MMMEY fW&J page 1 of 2
DATE / .U.
New Home
PTA s A\D PERMIT MUSMXE KEPT ON JOB
fill j� I1SI�'IL MADE.
Home Installed to tiler Manufacturer's InsWatlon Manual ❑ -
Horns is installed in accordance WRh Rule 15-0
Single wide ❑ and Zvne 11 Wind Zonee 111 ❑
Double wide [�frista]!n• becai 3 �� I`° J
Tdplefouad ❑ SerlaF '�QcMAIETa\$30�i`t�6 F�
PIER SPACING TABLE FOR USED HOMES
d , -
I,`vj.w3M- MaME �l♦ so .."MMUM
from Hula 1sG1 pt rapackv ud*L
m pier pad size
later pier pad size 1 16 24'
•plerpad sizes 1�`i ►����
led by the mfss)
Draw the apyro>arnate locations of marrk
gall vperimsii 4loot or precder_ Usa thls
=yrnbol to stww tho pleas,
0
age wan op ;*i p greatert mrl 4 foc
Mr err pad sizes below.
� oc
'krg Pler pad -size
n -
U
R ' C.>
nEoowH cowsponrexrs
P R - Q 5 LES
fl�e�
ii� 1'i°i�.� •rv�
I�IEC7iF?3'YwY.rFF:t�_
iy�Irs��Ir��►,;�
MMM
ANCHORS
4ft S#f -
MAMEl7PS /
miRrin 2' of end of b=
spaced of 3' 4' oa ?�//
OTHEi371ES
Number
Longdudlnat—
Marrlage V.0D
Sheaiwaii
from Hula 1sG1 pt rapackv ud*L
m pier pad size
later pier pad size 1 16 24'
•plerpad sizes 1�`i ►����
led by the mfss)
Draw the apyro>arnate locations of marrk
gall vperimsii 4loot or precder_ Usa thls
=yrnbol to stww tho pleas,
0
age wan op ;*i p greatert mrl 4 foc
Mr err pad sizes below.
� oc
'krg Pler pad -size
n -
U
R ' C.>
nEoowH cowsponrexrs
P R - Q 5 LES
fl�e�
ii� 1'i°i�.� •rv�
I�IEC7iF?3'YwY.rFF:t�_
iy�Irs��Ir��►,;�
MMM
ANCHORS
4ft S#f -
MAMEl7PS /
miRrin 2' of end of b=
spaced of 3' 4' oa ?�//
OTHEi371ES
Number
Longdudlnat—
Marrlage V.0D
Sheaiwaii
ANCHORS
4ft S#f -
MAMEl7PS /
miRrin 2' of end of b=
spaced of 3' 4' oa ?�//
OTHEi371ES
Number
Longdudlnat—
Marrlage V.0D
Sheaiwaii
PBtEiRO TES
The pofloet penefromatertests are ro "to ) t m psf
or check herolb dedare 10M lb, soil withorit tesirhg_
X X X
POCKET PENETROMETER TES71NG NtMMD
1. Test the perimeter of the horhe at 6 loca#fons:
2 Take the reading at the depth of Ste iaoter_.
9, Using SQO Ib, fitcrametris„ take the bWest
reading and round down to that increment.
X - X _ _X
_ - E O H• _
The results of the torwe probe test Is: :.,.: ^Inds pounds or check -
here if you are deflating 5' anchors w A test
simwing 275 incPounds or less will regtnra 5 foot anchors:
Nola: A state approved Waral arm syster n Is being used and 4 fL
-rtflhors are allowed at the sidemll locaf = I trrkbm and 5 it
_ anchors are required at all centedUhe tie points whew the torque test
teaclh is275ortensand Bmthe, niobrlehomemanuti attuermay
' - regirlres anchors with 4W�'
j-ay! Frrfttats
ALL S MUST >3E PERFOFt t� BY A ticarts>=D INSTALLS
InstatlerName -
'
BectricW
:onneot electdcat conductors between multi -wide units, but not to the mach power
cures. T'his-Wudes the bonding wire between tnutt-wide =,R& F9-
onned all sewer drains to trt Edsling sewer tap or septic tank Pg.
onnect all potable water supply pJping to an ex?sting water meter, water taps or other
edependent Water -Vpiy sustains, Pg
PERMT WORKSHEET I page 2 of 2 •
site Preparatton
Debds and organic matetta[ rpfoved
WaterdtaInagm MUM V other .
Fastcntn mthr6 wrrie,untts '
Floor. Type Fastener.17Ih: ' tt
Walls: Type Fastener: ttgth; �r�
Root; Type Fastener-. I_enwic --` yr;
Focused houses a 3Q gauge, 8' ej valm-dzed
wig be centered the peak of the -roof and fastened Wn ZWV.
rooting trails at 2- on center on bosh sides of the cwtedine,
I urtderstefnd a property htstalled gasket is a r�irdretnent of art neweihd
homes and that condensallom mold; meldew and budded mart?age w dZ rya
a rest* of a pooNy installed or no gasket bdrig instaUed. I tuide d�p
of tape will not serve as a gasket, AV
hype �011o�l� \ fIM71O110U. - / _
g. 'Between Floors Yes V/
Between Wails Yes
BoU to of ridgebeam Yes
w� rao
The bottomboani win be repairs$ and/or tepee Yes
SUbg on units is installed to manufacture's specifications, Yes
Fireplace chimney installed so as not to aUoW kitrusfag of rain water. Yes
oous -
Sldrttng to be ireiled. Yes Na
Dtyervent itrsiaffed atWde of a ttJng. Yes LXYeV—
Eloc!rIcaI==veCvprotode& Rangedowntlowvent_Drautffnessupportedat4fobtintervals. Y Yes
Other;
s aU inforrnation given with this ph
Is accurate and true based'on the
SA