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NOZsw 'lf home is a slrtgls ulde flll aUt one half Ets TngPlan
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It horva lea frVe or quad wide sketch .. _ e� ni`hotrre
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U I understand Lateral Atm Systems cannot be used on arty horse (new or used)
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c where the stdewail ties exceed 5 ft 4 in:
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lnstailet'.s,irsitiats"
U (sypical pier spacing-
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r� txi �.ci P•r
(use ark tines to
and Lateral Systems
PER -MIT WORKSHEE S• page 1 of 2
New Home • ❑ Used Home®
Home installed to the tJ;anutacturer's lns1Wlatlon MML44, j ❑
Home is installed in accordancs with We 1t i��Wlnd
G
Singie wide ❑ od Zone 11 Zone lli ❑
Doubt,Wids (t talla6onbecal#
TdplerQuad - ❑ Sepal�;`�����`�' ��� ���5—p�
PIER SPACING TABLE FOR USED HOMES
Load Foomr iu*xts'
bang ' a>ze WS)
�hr (sa in)2WX2d'
181l2'Xisfir
(sq (4W)
22 x22'
(484r
24'X24'
(676)`
26`X26'
(676)
l S
-
oa s
s
s
2500
s
00. s
8
1.
B.. t3
IN
....�..t..vc.w nwu-c,u.v ever• Ww of+Ktma wuu�.
—PJEi�-PAD stZE$- - — - -- — -
-beam plea pacl size
Perimeter pier pad size
Otherplerpad-saes
(required by the mfg.) `
®Draw the approArnate locations of mardas
wall openings 4 toot or preaier. Use this
symbol to showths piers;
List all marriage wall openlrigs greater than 4 foot
andtheir pier pad sizes below.
Openlr q Pier pad -size
71EMwH COMPONENTS
LortgltrdlnalsManufacturer sr �aspi Longlt rflndl Siabll ingD vlca ssdLateralArms
MantJfacittrer_ �` 11 i}�
ANCH�
4ft Sti
' i=FtAMET1E5
whhln V of end of hovw,,--
spaced at J.
on�ER rrEs
—3�-- •--
LQn�g3tudinat
bumbSheaiw ll
O ENETRO TES
The pcoket Aenetrometsrtests are ro�fo psf
or check here4b dadam t OW lb.. or7 without testing.
X X X
POCKET PEI EMOMMM 7EMM13 MwWD I
1. Test the perimeter of the home at 6 locations. -
2 Take the reading at the depth of the footer.
9 Mina SW lb. rncremera% take the lowest -
reaft and round down to that inoremer t.
X }� - X
TQRGRJE
The results of the tontine probe test !s o rh potmds or check
here It you are dec}aft 5 anchors VM5W iestint! - A test .
— - — dmwlnA 275-inch-pom4s or_less tvllll equine S foot anchors --
NoW A state approved lateral arm system la being used and 4 iL
=whom ate allowed aiilne sidewall locations: i widenstand 5 n
;k d are requited at all cwtWUhe tie points where the torque test
rea;lop is 275 or less and where the rrtobrle home mandkict rer may
requlros anchors with 4086F tII{tgcaparrty
y µ t u �Yltsstaller'sniti2ils
ALL TPS1 S MUST BE PERFOR ED BY A UMISFD IINSTALLER
Installer Name -
*nneot electlical =nductom betweers Mudd --wide units. but not to the main power
omm This bOudes the bondng wu a baween mutt -wide unnm Pg. _,_
:omect all sewer drains to bn Odstbg sewer tap orseptic tank Pg. J
bnmod all potable water supply piping to an e4stina water meter. wafer tap, cr other
idependent water supply syawns, Pg
PERMIT WORKSHEET - - page 2of
Debris and organic nrateti I7a
Waterdrafnagw Natruai V Snrala Pad
Other______••,,,_,
Fast n multi w[rie units '
Floor. Type Fastener.Alh; �aoing: tt .
Walls Type Fastener Spadng:
Boot; Type Fastener. Len
Far used homes a - 3Q gauge, W gamnized xi:;i
will be centered" the beak of the•mof and fastened WM galv.
roofing nails at V on center on both sides of tba oenteduna
Ga-gkei
i understand a properly installed gasimt b a.saquirmnent df aQ nowmd used
homes and that condensation. mold; meldew and budded marriage walls are
a result of a poorly Installed or no gasket being installed t understand a strip
of tape wilt not isms as a gasket.
Type gasket_NflDin ltastalled: ✓ .
g• 'Between Floors Yes
Between Wails Yes
-- _-- -- - -- -Bottom of rldglabeam
the bottomboard will be rgmh'edwWhrtepDa Yes
S'rdu��, -
tg on units is installed to mant�ad�uet's sper�iOatlons Yes -
Fueplace cWtnney Installed so as not to atiow k1trusion of rain water: Yes��.
Sldttlnp is be installed: Yes,_ No
Dryervent installed outside at skkting. Yes W,
Rance downtiow vent instaiied'outslde of ski -
Dtain trues supported ai 4• foot kntervais
Elcrossovers protected Yes � Y
,[,Y -
Other;
14 accuraft and true based'o.B fire