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F7 PERMIT WORKSHEET
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PERMIT NUMBER
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17717 s Home
License V1H1-1
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NIE' Oil i7-
IBLAINE
Manufacturers Instal Manual _Home insta e t t an
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H s fifiif9lied in accordiincd with Rul
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Address of home 12149NETTLERIRIA/h'l
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Wanu acture Len 51 1 SKYLINE N I r i�'�t aa-1 I a t i 6�_6 1
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'NOTE- tffhometsasingewir-61,116- a
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71-1-Cj— _h6fiie i�i a triple or quad wide sketch remainder
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undbrstand Lateral _Ar_ffiSys_f&_m-s --cannot be used on any lior PIER SPACING TABLE FOR USED HOMES
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iTsta e s initi6k;_1 RB_',
Load Foote
16" x 16" 18 1/2" x 18 20" x 20" 22" x 22" 24" X 24!' 26" x 26"
bearing size
r 1/2"(342) (400) (484)* (576)- (676_YP)
I l5ier spacing (256)
capacity (sq in)
T
lateral j
16" 7'
f no psf
6.
locations
Lateral_�ys ems 1500 psf
!Show i� 5f n-8 8'
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2000 psf
c;ng it udinalJ---,j -1-1--,
2500 psF P 6'
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8' 3uuu psT
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3500 psf
interpolated!from Rule pier spacing table. I
F POPULAR PAD SIZES
PIER PAD SIZES
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_7 Pad Size Sq In
i.ier ad sizes
-T 16 x 16
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'16 161- 16 x 18
LJ Perimeter pierX
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5 x 18.5
-4- 16 x 22.15
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l I I i : J] 1 ther pier pa i
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77 x 22 374
(required bytti --- I -A I l
13 1/4 x26
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ui Draw the approximate -iiiaFi�_ 20 x20
-F-v- locations 44
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17 3/16 x25
11 6penings 4 clot
f-home perA
piers{
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lag3wall r.1 within 2-of-er d�ol i Zj� ibol to show e pi rs. _j 17 112 x25
_4 24 x24
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-Li marriagewall openings g 26 x26
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their pier a sizes below
T' ANCHORS
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Pier pad size p
-T 5 ft
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FRAM E TIES A-
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fthin 2 en 5f _i_n_66f 1�6rfi e
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spacedat5 "66
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Longitudinal and
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-pad size'
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F OTHERIIES
T EDOWN COMPONENTS
Number,
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4ita ai stabuizing E Sidewa
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M67n6f�i6f6i6e OLIVER
Longitudinal Stabilizing Device W t6 i j TalArrips 96irriage wall
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page z or z
PERMIT WORKSHEET I i
J
PERMIT NUMBER
E I � 4 � ate reparation
POCKET PENETROMETER TEST j t •
___ _� l € I �._'_ i._ b ._.a :.___ins. I €..Mf i_ L� :Debris and organ€c material removed YES I_ _
`The pocket penetrometer tests are rounded down to 1500 psf `s `Water dramageNatural Swale �: Pad X Other
to w
or check here to declare 10001b. so€I- �Withou't testmg_
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€ i ' € I _ Fastening multi wide units
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. € TypeG jLength F61r Spacing `2'4��
I or Fastener
_� _'._ V1lailsw. Type, Fastener LAG zLen9th 6' _,Spacing 24
-" POCKET PENETROMETER'TESTING METHOD _ I i Roof
i Type Fastener GALV Length Spacing s C ! i 3 c _�.....-
r r^' , _m. € _. 7 w vFor used homes a in. 30 gauge; 8 wide, galvanized metal strip
I 1 Test the perimeter of the home at6 locations 4� j F „L , swill be centered overt e peak of the roofand fastened :with gale
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l r ? k r rig nails at2" on cenferon both sides of the centerline {
2 Take the reading atthe depth of the footer. € }
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Fv.�l __i_
f ," 1 i _._. Gasket (woathorproofing requiromont)
3. Using 500 Ib. increments, take the lowest
rn 4.._ i'- LL i readin and round doviin'to that increment. understand a properly installed gasket is a requirement of all new and used
homes and thatcondensationµmold meldew and buckledµmarnage walls are
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a resultofa poorly installed or no gasket being installed I understand a`strin
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°X:1bQS" X1.1.5�_ 15QS oftapewill not serve as a gasket;
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TORQ EPROBETEST
I- € TYpe gasket
FOAM Installed I i
_ �� .r_ .
`- The results ofthetorque probe testis85 inch pounds or jPg iBefiween Floors Yes X
_ —_� .. ._ __ _ -_ _... �._ _ _ �,.. N.. _ .r.._ _
;here ifyou are declaring 5' anchors withoutte- Atest �; ?Befirveen WaIIs� Yes X
9 _
showing 275 inch pounds or less will require 5 foot anchors.`} - , 1 € G ' Bottom,of riiai beam Yes X
_.. �..._€ } � � r # � .� � i !
€ INote: Astate approved lateral arm system is being used and 4 ff '.-
"`! anchors are allowed at the sidewall locations I undeistantl 5 fty - w eat erproo mg
r �anchors are re�7ured�at all centerline tie points where the torque test; _
I�- <reading is 275 or less and where the mobile home manufacturer may 1 ; ` The bottomboard will be repaired and/ortaped Yes X ��Pg
re uires anchors with�4000 Iti�holding capacity, i E w Siding on units is installed to manufacturers specifications Yes X
q_I-!Iristaller'sinitials jFireplace chimney installed so asnotto allow intrusion ofrain water Yes X
ALL TESTS IN€UST€BE PERFORMED BYA-LICENSED INSTALLER , i 7 � ' miscellaneous
"" r RONNIE'-BLAINE "� s _." Skirtin to be installed.�Yes No
Installer Name ) 9 i
i i E D erventinstalled outside ofskirtin Yes N/A
!Date Tested j�, € i 4 t j t j _I =Range downflow vent`nstalled outside�ofskirting. Yes X N/A
lines supported at4�footintenrals.Yes X f r;
,
Electrical crossovers protected YeS ' rt
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Other } ( t �l ,� �" �.,�..,.�, _I.. _ •..f ! �� € _ �
ectrica ! i i 1
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onnect electrical conductors between multi wide units, but not to the main power, I i I I i_
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Installer verifies all information given with this permit worksheet
1� y
um ing , ,( is accurate and true based on the
I .E ..r L,._L_i_ k_, ! !_ i.._ �._I € j._ € ... ._ ' l _r manufacturer's insta ion instructs and or Rule 15C 1 & 2
onnect all sewer drains to an ewsting sewer tap or septic tank Pg
,Date
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onnect all otable water supply i in to an ewstin water meter water to or other. ! nst
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�eder.enrlen4fuotorcnnnl�i evcfcmc Pn P C- ..-' .