HomeMy WebLinkAboutPERMIT WORKSHEET_F_-._Ji-__. PERMIT WORKSHEET -�- - -._: -- k._-I page i orZ
PERMIT NUMBER -- - - -
--} I : I I _ F_ J__.. ,New Home ® Used Home ❑
Installe7��`�€EDDIE'GRUNDEL "'_ r ; ;License#-;1H11"18467"" f"
._=1_ ! ! I ;_, ! ? t {�, i Home installed fo the Manufacturer's I`risfallation ManualJ, i
_ �...-=_v..i._. _-.! ....` ! i �--_ I ---� k._. (- j-_.-t-_'�A _.�..: _ '_ _? _,I _� __-_ f • ._ -• ' S...,...i �`� ._ ' Y , -� J._ . _. ' _•.-. ' '_ _�_ I ' '
Address of home 1804 OCEAN RESORT LOT 344 ! i i I 's S '' Home is installed In'accordancewit h Rule 15-C
❑ i
being Installed �_I i i { 1 y i
WEN ; - {_ __1�,� ,_ ___;._— .__� _w l_ �_f t ;
_ I I i I `Sin le wide ! Wind`Zone-II Wind III
g _ _ I
-. __.i.._i_. , i ._.! i I ! r I , i i f I � ' + t f f I I l r!_ I --�_-� �•-__. I_--- E ❑
Manufacturer r�iJACOBSEN - f ;L`ength xwrdth 22X46%54 ; -?- - Double wide-j ®y_ Installation Decal'#T'TBD - -!
I i"
TEif home is a single wide fill out one half of flie blocking plan ',`�J _, 4, Triple/Quad—❑�Se�ial # TBD
home`is a triple or quad~wide sketch in remar`nder of home ! i i_ i
I- understand Lateral Arm Systems cannot be used on -any home (new or used) i r ( y� µ- PIER SPACING TABLE FOR USED HOMES
- where the srdewall ties exceed 5 ft4 rn !_
l I i 3� Installers initlals� +TG i 1
�_ t -� _ _._ _ _ Load Footer
i " r " I I I__. 16" x 16" 18 1/21' x 18 20" x 20" 22" x 22" 24" X 24" 26" x 26"
_;- bearingsize
;Typical peer spacing -'- �� i (256) 1/2" (342) (400) (484)* (576)* (676)
r _ capacity (sq in)
+61i
:Show locations of Longitudinal and Lateral'Systems ps
--4- ` l--'- lo'ngitudinali(use-Clark lines to showthes@ IOCatI0Y1S-------------
) pS
ps
ps
ps _
_ i�1 * ;interpolated from Rule 15G1 pier spacing table. s I -
,� t ! I 1 POPULAR PAD SIZES
--t--' i-' -I PIER PAD SIZES
eam'pierpadsize� �17;X22:5� -- a Size q n
+
X
i I Penmeter pier pad size Y16X16; I �i T x
_ i__
! ' ..._, ' ; ,�.__ I I , I I--'t i "`}_ l h....� « r , i ! i ..I_ i_ .i X
_! Other pier X
r f ,(req`uirecJ bythe Mfg:) j I x22
tf
Dal open ngs 4 f ottor grealte_r�S llse-tti sa x
I - r•• symbol to `show the piers— r ` x
I + i • I 24 x24
i_, marriagewall-plerswifhin2-of� o(homeper-of-I J__t._ �_� ..I�I.�}. __�—__.•_......_. :L j _�._,_... _.,_
'' t " {" } ! iListall' 'marriagewall openings greater than 4 foo x
and their pier pad sizes below i
Ji ..1, i-"-{ 1 ' 1 -� ; I 7 ' -"4 I 7 +- ANCHORS
.... 1_ J_. L J
t� - -y -_f_ _ __` _ - - _. _ ; i_ - D enrn - Pi`er pa size,
.r'-r--I_.�: •7�-T--r--r I-'1--1-T-r-r-r-1--1-.i_.T-r-r-r-i '1-1-'(-r-r-r-l-•�'•7-T-r^.r-. -.__.. _ �.. __-
1, 1 1 1. 1, 11_ 1 _1 `�ft_.X
I
r-r--r-,-� �_r-r-r-1--,--;-r-,--,---,-T-_.-r.-r-; r-r-,--r-r-1 1 1 r 1 r,
1 1 1 _i_.'-L_1 -'- -J_1. .1 -rJ2L.5T
1 I 1 1 1 1 f 1 1 1 1 I 1 1 1 1 I 1 1 I' 1 I 1 1
J._..1,_.l.-L._L.,i FRAMETIES
1 I i 1,��j i � 1 I 1 I 1 1. i 1 , 1 I 1 1 I 1 1 1 ( I I
L ^L.-I_ J_._ L._,L-L. _II':L�} -1 - 1 -.J. - L,_ i. 1-.�- -I - �+ L _ 1--L._I_.-1-.J -,� - L _ L,_ 1-._I_ J-.J i. 4 .F.-L I � ^�•.-�.-.• _ I_ i 1 t i f _, { i7
l l j1' I. I I I I �ejj.R �f' 1 i 1!; I i i i• 11 I 1 1 I Y I i! I i 1 1 I!' _..i-,..' __� �. I-,� ' I l I l I �l. •! I �`wlthin G'of end of hom e'"X
1"!`-1-•l-'1:-T-'P^.t••-''.`I'1-^r-r-r-1-`i-_;-T"C-'f•-r-I.'1-R-'T'^*-^!�-r -!-•'i --�-'T--r^r-!- 1 - I` -I-1`f-_. .,.-.Y `l 1-
11. 1 .. t -} l j i`"""'� _.ispaced at5 4" oc X_-'-_—
r - r-i-'-I-'1- R- t- r- r-C -I--1 - � --T•- r - r-r -i '1 ^"1 -- r-.1..-.r - r -i -1 --1 --,r -•r^r-r-1- 7 --1r-rrl
i-^--
r--r-1- , '1 ;--1'- r-r-� 1-•;-T-;-..r-,--,--,-•;.-;.-Y r I-•-, ,--, r r ,--1-..1.-.q_� _r r-I -> ._l.._-'--I- OTHERTIES
i_1-t_i TI MOWN COMPONENTS
L _t J_J;_J,_i._L. L_!t.: �J•_J_.1_i_.L,. L-1_.J_J_1 _L. �._t •.I_.J_-J .i _.L. L_L,J_J_-J._1. _.i_L_L i •-1-_I_.. .,.L_.._ii,._..-- I .L �_ _ _
1 1, 1 I' I I ! 1 ! I, 1 ! 1 I 1 '. I i' I 1 L ! ' 1• ' ( ' ' ' '. ' i " ! Lon4iii dinai Stabilizrn Device LSD) I I Sldewall �� .`_..��.. ,..'
L_I_.J_..j-1.-.}_.L._L 4'-.;-1.-~-'--!- 1,---1�i.-i._L.-1:.-I_J_..,-..r..-}._-L-L.-1-.J _.J; .1-}_.{.-1;.._I_J I,. , _— - _._._ _ \� g ._ _�___.._._ ..,. _._,__L,,,. '
I 1 1 1 1, 1' I i i 1 I 1, 1 1 1 1 1 1• I I 1, I 1, 1 1 ! 1, 1 1. 1 ! 1 1 1 1 1 ( ' Manufacturer OLI V ER _ Longitudinal
-..^I-.�-.y - i -.r�-} 4.-1-.-(- y -'•i F - 1' _ ~.-I--1- y._.� - h - f-._ r• i .-1-.y -.y. _-t _ F 1- _ . -
1 I ! i 1+ 1 + 1 1 ! ,Longitudinal Stabilizing Device w/Lateral Arms; Marriage wall
r_l _ 1 — _-
1 l ,Manufacturer ;SheanNalf _ ..
i--r'1-Y'i^T-r-r-r-1-i"1•'•r'Y'r-i -i.'l-.l._T-r-r-r-i-;^'l,-T-r^r•-r-i-�-1-7-r-f-r-i - ,-- - _ _ .t.-_` t
7
PERMIT WORKSHEET page z oT z
_
PERMIT NUMBER
site Preparation
POCKET PENETROMETER TEST
----i-ii�---
----.--i�--- '----�-----'-_---
k-'�-CF''------i uebris and organicmate_raI re'mevd_YES
7TeP�6kefi�r�fr6iei&stsare rounded donf-l5OO--psf!�-!-�I Water draiage:Natura1____ald
_p6d, X.
Other6F&6&&hEFEtbaedi�rcioon5-soil without besting. k
Fastening muTti wide units
A 7
Floor I l
e_Fasten_er:
' -6_ngf : 1
Spacingyp
-I J. Walls:TypeFastenerLAG Ce6d1K61 Spacing 24"
PUCKErPENErRoMETERTtgTINGMErHOD i Rocf: T�56Fi§t6&_GALV 1be66ff: pacing,
ffii6_._3_O_`ga_u_g_e, 811 W id_e_g a_Min_ii&d metal strip
T6s�t th6 perimeter of 66"home at 6 lac-ifib-ni 1w fe_red_over _tF&_Ve4k_i5f 66--r&6f V.
ill be_centered
_j_ I nai s at"
7 center on both sides-of_the'centerline
f66fl n g 2�" 6n
12. Take the reading afthe depth of the footer.T_��
Gasket (woathorproofing roquiromont)
L
3. Using 50-0"115.-increments , take.the lowest
nf 6f dli66w and used
erst6r�d a proper y installed gas etisarequir&ffiii
round down to t
'afi-d 66-k16 niiiri iige walls are
7hat buckled i'
a ria s &ir
-4- -4-
Feidlt eing installed. I un ersta
_fape_',Mll serve as a gasKet.;
1XI
�71
i- Instal
lers initiaiS-TG-
TORQUE PROBE TEST
FOAM L J ;Typegask&t Installed
J.- YesX1
_7 i Between Floors Yes
of the torque jThe resu ts pro etes is_i s or chec
C-77-
h ere if you are d ecl 'an anchors_ng5`__With_66t't6s ti rig Ates Between
J_
Y_
-F-6f6o-tanc ors.
-6- will -7iln-ch6r_.-
showing-!-__275 _E8 h ufiai r'16�s require-5 e I ;56tt&ffi76f ridge earn es X
I used and 4 ft. 1
Note: 'Astate approved l4i&ril arm system is
anchors -a--r'e--a-11--o'-w--e��d�-at-tti-d!iia�walf-l�ca�tid-hi'--I-LTria�irstand 5 ft. I
Weatherproofing
anchors t
re require at a points w ere the torque, es j
y
"r- e-, a' -a i - in g- i s 7 5 or less and d -w hi d r-e-t he mobile home manufacturer _f F6 T 6-bottomboard will be repairedand/or taped. es g.
st - a . e to manufacturer's - . - specifications. Y&i_9
_400CFlb_liol'din-_g`c__-_ ___iV- 11
irequires anchors with capacity t Siding on units L
Installer's initials 1 ireplace chimney m n-e-y-
--fto -6tF--F-
l&_di�Y9i_fio Eillb��i intrusion of ra[6water. Yes
ji -,-I
TG
F T
J LEW—
miscellaneous
11-1-ALL-TESTS Mill ST BE PERFORMED BY A LICENSMOON'
Yes N
1-77-
7H, 0,M;k9-6RQNDEL:--- Skirting to 6611hifzifidd.
nstaller ame
X --,f,i-n-s;-t,a--li-e-a--o-u-t-si-a-e---�6f skirting Yes Dryervent
-J,
Date Tested I Rangeown ow ven
t inst�O Wd--6ts outside e-o-f ri n q. Yes X
N/A
1Cr�in_lines
suppore aAf&&f i 6fTe x
;Ele-trical-rossoves pr-f65f&d.Yes x
�Qt er:T
iz
dectrical
jffl` E�f_'_6ifd_th�i_ffi�aain power!
-i-6-r--ductors between multi-wia-eu units, n j
o C&lj�8fr a con 41
6r66._This-includes ---tK'e'-b-'o'-"n--d i -n-g%w wire - between a&-6-ri of6- P67-
_M_771_17 -, ___i � Installer verifies all information given with this permit worksheet
7 ---7--,
-Plumbing is accurate and true based on the
manufacturer's installation instructi2ris and or Rule 15C-1 & 2
o_'n_n__e_ct �01_66�v&_r 6-q--'sewer tap -'-c'i r septic ta n k. P�19'_-
Date
1 Installer Signature
ng -brother:
on'nect all potable water supply piping to an exti water meter, water tap,
i L
page L
revision 6107
OLIYER TECHNOLOGIES, 'NC-
FLORIDA INSTALLATION INSTRUt: ONS FOR THE
C A ins SERIES 'r� ass=`�L�tiDATiON 8Y$TEM
MODEL 114i--f (STEPS
LONGMJDINAL ONLY. FOLLO, WSTEPS �9
FOR ADDING LATERAL ARM: Fo<tow' SreP— 5
FOR CONCRETE QppL/CATIONS. follow Sbeps 16ENGINEERS srAMP
ENGINEERS STAMP
1. SPECIAL CIRCUMSTANCES: If the followingome exceeds 76' c) Roofitions occur - exceed 16" d) S dewall height exceed 96'
a) Pier height exceeds 48 b) Length of fi
e) Location is within 1500 feel of coast faTaI I ATIQN FQ GRQyhD PAR
2ot square to Press or drive
expose firm soil for each ground pan r b .
_ Remove weeds and debris in an approximate two fo
3. Place ground pan (C) directlybelow
� brace system selves as a pier undeirtthe homeland should be loaded as any
SPECIAL NOTE. The longitudinal
other pier. it is recommended that after leveling piers, and one-third inch (113") before home is lowered completely on
to piers, complete steps 4 through 9 below then remove jacks.
OR j ��I+TAI wTION OF LOt�OI-il I3iGdA `-`!/•' $ ACE S7,�TEI$
NOTE: wHEN INsTALUD HE LONGITUDINALCORRECT TYPE OF AN��PERMSOIL CLASSIFIICCA-TION IF PROBE TEST READN IS PER
DETERMINEARAREOBETWFFN
PROBE SHOULD BE USE
175 & 275 A 5 FOOT AN DIAGONAL TIES AND TASILU ER LATFREADINGS
.S REV R �E B CAI. TIES ARE ALSO REQUIRED ON 14OMANCHOR MAY EES 3UPPUS
GROUND ANCHORS vffH VERTICAL TIE CONNECTION POINTS (PER FLORIDA RM) -
4. Select the correct square tube brace (E) length for set - up (pier) height at support location. (The 1 a" tube is always
used as the bottom part of the longitudinal arm). Note: Either tube can be used by itself, cut and drilled to length as long as a
40 to 45 degree angle is maintained.
1.25" ADJUSTABLE 1.50" ADJUSTABLE
PIER HEIGHT Tube Length Tube Length
(Approx. 45 degrees Max.)
�" 18"
7 AW to25" 18"
24 3!40 to 32 114" 32'
18"
) into the "U' bracket M. insert carriage bolt and leave nut loose for final
5. install (2) of the 1.50" square tubes (E {18" tube}
adjustment.
nector (. loosely . the bottom flange of the I-beam.
6. Place I-bg4M con
7. Slide the selected .1.25" tube (E) into a 1.50" tube (E) and attach to I-beam connectors (F) and fasten loosely with bolt and nut_
8. Repeat steps 6 through 7 to create the "V' pattern of the square tubes loosely in place. The angle is not to exceed 45
degree and not below 40 degrees. self -tapping screws in pre -drilled holes.
9. After all bolts are tightened, secure 1.25" and 1.50' tubes using four(4) 1/4 "-14 x 3/4"
ETA, nTrnrti NG Ti?�OPIS1t?ER$'F ARM SYSTEM
THE MODEL 11t11 "V" (LONGITUDINAL & LATERAL PROTEC"ON) ELIMINATES THE NEED FOR MOST STA91LlZER PLATES $FRAME TIES.
NOTE: THE USE OF THIS SYSTEM REQUIRES VER 1ICAL TIES SPACED AT S'4".
FOUR FOOT (4') GROUND ANCHOR MAY BE USED EXCEPT WHERE THE HOME MANUFACTURER SPECIFIES DIFFERENT
10. Install remaining vertical tie -down straps and 4' ground anchors per home manufacturer's instructions. NOTE: Centerline
anchors to be sized according to soil torque condition. Any manufacturer's specifications for sidewall anchor toads in excess of
4,000 lbs. require a 5' anchor per Florida Code.
11- NOTE: Each system is required to have a frame tie and stabilizer attached at each lateral arm stabilizing location. This frame tie &
stabilizer plate needs to be located within 18' from of center ground pan-
12. Select the correct square tube brace (H) length for set-up lateral transverse at support location. The lengths come in either 60"
or 72" lengths. (With the 1.50" tube as the bottom tube, and the 125" tube as the inserted tube.)
13. Install the 1.50 transverse brace (H) to the ground pan connector (D) with bolt and nut.
14. Slide 1.25' transverse brace into the 1.50" brace and attach to adjacent I-beam connector ( I ) with bolt arid nut
15. Secure 1.50` transverse arm to 1.25- transverse arm usin four 4 1W - 14 x3Wseff-tappin sere sin re-dril ed holes.
OLIVER TECHNOLOGIES, INC- Telephone: 931-7964555
1W -1-800-284-7437 Fax 931-796-8811
file, U ertechnologies.com
a
page 2
envision 6/07
16, A concrete runner, foster or slab may be used in dace of the Steel ground pan.
nches
a) The concrete shall be minimum 2500- psi mix
b) A concrete runner may be either
longitudinal ow proper distance ce between the concrete bolt and the tedge of the concrete (5ee' below).
longitudinally or 18 Inches transversein. a 21- square), and must be a minimum of 8"
deep -Footers must have m dui surface
m�b a 4 f �f
d) If a full stab is used, depth
bracket installation is not required.. Footers must allow for at least 4" from the concrete bolt to the edge
Special inspection of the system
of the concrete. d5, slabs and runners Must be Per local jurisdiction.
NOTE: The bottom of all footings Fa in runnerlfooter OR
rt
LONGffUlDiNAL. (Model' LC"A (wetset�. simply install the braGcet
9T_ "wn ^Part# 1141--W-CPC 2 518'x3' concrete wedge tit sins a 5/87 diimpson ameter
101 fdryGetl. Tfie 1101 (uN et^; Pb theCA desired location. Mark bolt hole locations, then 9 �tLS into drilled
S162300H 518' )( 3' or Po�svecs eq-•• • • e bolts
CA bracket onto wedge bolts and start wedge bolt nuts. Take a hammer and lightly drive the uvedg
masonry bit. drill a hole to a minimum depth of 3'. Make sure all dust and concrete is blown out of the hales. Place wedge
holes, then place 1101 (dry )sure not to hit the top of threads on bolt). The
down by tutting the nut (making
of concxet_Co►nplete by tightening nuts. rt# 1101-D-TACA)
LATERAL: (Ff e" 1101 TC ••V")
is. For wet set (part b drill a hole to a minimum depth of Y. Make sure all dust and concrete is
# 1101=W-TACA) installation simply install the anchor bolt into runnerlfooter. For dry set installation pa
part i�30pt i 518' X 3' or P-owers equivalent) into (D) concrete City tf M
mark bolt trots locations. then irsingbo� (S mpson pa my bolts down by hitting the nut (making sure not to hit
blown out of the hole. Place wedge drive the wedge
connector and into drilled hole.if
remove the nut ded take a hammer and rightly
it $18
the top of threads on bolt)• set Install per steps
19. When using part# 1101 CVW (wetset) or 1101 CVD (dry )•
Notes:
1. LENGTH OF HOUSE lS THE ACTUAL BOX SIZE
2_ ® = FLATEANp q AW--nE LOCAT[ON_ (needs tD
bead 1OFlDCNCITl -8RAC1NG � )
3. LocoMN�
Tp p N�1/ERSE & LONG1T1jDlNAI-LDCATIONS
4.
ALL WIDTHS; AND LENGTHS UP TO 5Z
A,r
ALL WIDTHS; AND LENGTHS OVER 52' TO 80'
e
0
HOMES WITH 5112 ROOF PITCH REQUIRE: PER FLORIDA REGULATIONS
6 systerns for home lengths up to 52' and 8 systems for hor-nes over 52' and up 80'_ One stwft—er
plats and- frame fie required at each lateral OWN SYS10M.
Florida 0pprdved 4' ground
arryhors may be used in all
locations except where
home manufacturers sp-a-
fications for sidewA straps h
I -Transvarm
are in excess of 4.000 lbs. erse t-beam
These locations require a 5' connector
anchor. Per Florida Code �H� Transverse am
Top (IMI
bottom (1.5' )
/ D GroPa and /
E-'V Bracetu�� tJ
Top (1.25�
Bottom (1.5�
i-Ground Pan
Longitude dry
Concrete bracket
part # 1101 D-CPGA
Wet bracket part #
1101 W CPCA not
shown '
Florida approved 4' ground
enr hors may be used in all
bcations except where home
manufacturers specifications
for sidewall straps are in
excess of 4.000 lbs. These
locations require a 5' anchor.
Per Florida Code.
�D-ConcrE
U bracket
-transverse
vd
page 3
revision 6107
lit ar ki
^;
C = GROUND PAN
D = GROUND PAN CONNECTOR
h
_
=
U BRACKETS TRANSVERSE
F-:'1►' brace 1-beam h ==
E_ rLESCOPING V BRACE
cannekxors
TUBE ASSEMBLY W11.5 BOT,
TOM TUBE AND 1.25 TUBE
J -ground Pan
V Bracket INSERT
F = "V" BRACE 1=BEAM C
TORS ASSEMBLY :�!'".(
H = TELESCOPING TE N _
ARM ASSEMBLYp :1`l0: 1�S3JG
1=TRANSVERSI=M _
d'
CONNECTOR •� - �' ^ _
J= V PAN BRACICET?:� -
SFY� Orr -
Model # 1101 "V"
.-_Altemat'e�tiole•for
1 PerAs'setoti
()
mGarliage
EFy.R-it--
_
:..
••
:.............. . .......----....-
_=7I-13FAM-'60NNECT0R'BFTAdkET
Model 1101 CVD
Model 1101 CVW
not shown
C = CONCRETE FOOTERIRUNNER
-- D = CONCRETE U BRACKET -TRANSVERSE
m CONNECTOR (connects with grade 5 -12 x 2
1r-- carriage bolt &nut)
- T2nsvers2 arm 1-beam i_ J� r n.r t r kur 'r E = TELESCOPING V BRACE
connector .
<H�* Transverse arm TUBE ASSEMBLY W/ 1.5 BOT-
Top (1-257 TOM TUBE AND 125 TUBE
bottom (1.5') INSERT
RA,_ Ylj
��rgoo ci+per
Tubb/
= Concrete
jFooterl Runner
s --` F = "V BRACE I -BEAM CONNECTOR ASSEMBLY
F :'lr brace t-beam , (connects with grade 5 -112" x 47 carriage bolt
connectors nut)
H =TELESCOPING TRANSVERSE ARM
.t - Concrete ASSEMBLY
�r 'W Bracket I = TRANSVERSE ARM I -BEAM CONNECTOR
(connects with grade 5 -1127 x 212 carriage Molt
& nut)
J= CONCRETE `V' BRACKET (connects with
grade 5 -112" x 4°. carriage Molt & nut)
Model #'1101 C "V"
QLMR TFCHHQL.00IES' INC.
1,800 284 7437
Telephone: 931 796-4555
Faze 931 798-8811
www.olivertechnologtes.corn