HomeMy WebLinkAboutPERMIT WORKSHEETR L E CV
Uj
4
��. IF
x• ,eM.
„.,.. ,
Installer 21-o&a2 4oza- s p 'Uoense �
Address of hone _ �.SiZB Roe/ T tll6 e
being installed
Manufacturer �A/.vr ry� 2l�ar1' Lsagth x width 30'lti' ��•.3
NOM, 'If home is a slants wide fill out ono half of the blooking plan
It ho>tle is a triple.or'quad wide sketch In remainclar of home
i understand Lateral Arm 'Svalems cannot be used.on any home (now or used)
where the sidewall ties exceed 5 ft 4 ln: 7
instailees initials
"Typical pier spacing �•, 7� n _
7 � WSW
2'
(� Sttcty locatibris of Lonk>Jdinal and Lateral S1+stems
1 Lf (use dark lines to show these locations)
1
PERMIT W()FIKSHEET L page 7 of 2�
Now Home • Used Horn® ❑ ,
Home Installed to the Manuiacturar'sfnswilatlon Manual [ ''
Home is installed In accordance with Rule is-0 ❑
Singlp wide ❑ Wind Zone 11 [' Wind Zone IIi ❑
Double wide installation Decal
TriplelQuad ❑ Serial #
PIER SPAAOINQ TABLE FOR USED HOMES
Load tooter
4eadng size
capaaily (sq-ln)
16• X 16`
(256
'i 8 f/2' X 18 1/2` 2t)' X 20'
(342) (40D)
2X X W .
(484)•
24' X 241 26` X a6'
(676)`. (676)
1000.DW
0 Dst
46
6.
0-00' Ds
6
8
2 s
/8
S
B000 231
tr
a
FFkc1'a.y I�c�.;,,g Interpolated from Rule ISC-1pier tpacirrgtable.
05 I PIER PAD SiZES
- `A9 r�M - I I-beam pier pad�dze /7X.25
r-r t-1 r� . • -- - - -
L_j3 X . - Perimeter Pier pad size .26
e-
., Other pier pad'sizes �.. (required by the mig.).
Draw the approxirnate locations of marriage
WWI op'enln s4loot or greater. We-this
rnerdaasWallplansWHla2'brandofhonteperF14aISD f�''� sVmboltoa owthe'piers.
List all marrlage wall openings greater than 4 foot
and -their pier pad sizes below.
.e; 4 j
Openiho Pier pad slze
POP L R PAD Sl
(7®X2s)—�5X35)
Oft ►/ 611
t(er'g' C2Sx35 zs
�.._
FR�IM1ItETIES
-
within 2' of -end of hom11
spaced at,V 4' oc
-nEDOVM CCMtONENTs
�ERAIES
Longltudlnal Stabilizing Device (LSD)
Manufacturer ' McAr"re
Number'
Sidewall --iry
-- `
Longitudinal Nip
Longltudlnal &dblllzlrig Device WI Lateral Aims
Manufacturer.
MarrlapB wall
Shearwali 3
C,
•' PERMIT NUMELR �� . •� s--u
N-WROMETER TEIT
The pbcket penetrometer testa are rounded down to paf
or chsok hereto declare 1000 lb, soil ✓ without testing.
a • yyr x
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at 6 locations,
2. Take the reading at the depth of the,tcater,
3. Uriing 6Do lb. ihorements, take the lowest
reading and round down to that increment.
X....._.
TORQUE O TOT
The results of the torque probe test Is , a-` 6 Inch pounds or check
hers It you are declaring 8' anchors without testing A test
showing 275 lncp pounds or less will require 5 foot, anchors.
Nuts: A state approved lateral arm system is being used and 4 ft.
anchors ate allowed at•the sldewall location% i uridersiand 5 ft .
anchors are required at all centerline tie points where the torque test
reading Is 276or toss and where the rgobile dome manufacturer may
requires anchors with 4000 lb holding capacity.
7-4-4- installer's Initials
ALL TESTS MUST i3E PERFORMED 8Y A UOENSEC iNSTALLSR
Installer Name e3 a. e4i
Date Tested
actr
ronnaot electrical 0011ductors between multi.wida :rule$, but not to the main power
oures.Thj*-Inolud" the bonding wire between mull -wide units. Pq
plumbina
o�eot eft e+
orrnedt ell tx
r to on existing sower tap or
septic :rank. Pp:
q water motor, water top, or other
PERMIT WORKSHEET page 2 of 2
f
Site Preperatlan
Debris and organic material removed ,• ides
Water drainage: Natural V_ Swale Pad, Other t
er
Floor. Type Fastener. 3 Length: Spacing:yr_____^
Walls: Type Fastener. Length: Spacing:. x" _
Roof; Typ® Fastener. Length: Spacing:. - zV _
For. used homes a min. 30 gauge, 8" wide, galvanized metal strip
will be centered 'over the peak of the -roof and fastened with galy.
roofing nails at 2" on center on both sides of the centerline
Gasket (wesamp&.11na muinvent)
I understand a properly installed gasket Is a requirement of all now and used
homes and that condensation, mold, mellow and buckled marriage walls are
a result of a poorly Installed or no gasket being Installed. 1 understand a strip
of tape will not serve as a gasket.
Installer's initials 7'f 7y
Type gasket Fv Installed:
Pg. Between Floors Yes -
Between Walls Yes ✓
Bottom of ridgeboarn Yes __✓,_-
WeatherprooRg
The bottornboard will be repaired and/or taped, Yes _ -1 Pq _
Siding on units Is installed to manufacturer's specifications. Yes //
Fireplace chimney installed so as not to allow Intrusion of rain water. Yes 0/1-4
M! laneous _
Skirting to be Installed. Yes No
Dryer vent installed outside of skirting. Yes ems. WA
Range downflow vent Installed -outside of skirtln . Yes
Drain fines supported at 4 foot intervals. Yes,.
Electrical crossovers protected. Yes Y---_
Other;
Installer verities au Information given with 'this permit
14 accurate and true based'on the
Installer Signature,
L)06 .•,lJ Ira