HomeMy WebLinkAboutMOBILE HOME PERMIT WORKSHEETSPERMIT DUMBER
Installer -6 f YCA
Address of home
being installed
Manufacturer
MOTE: if home is a singly
if home is a triple
MOBILE HOME PERMIT WORKSHEET
License # T 14
j?v v ?—=
ru
_ Length x wilop ¢ 1Z
ret one half of EOM ^ ltq plat
it-e sketch in re ii waf home
I understand Lateral Arm Sys%Oslc n t be used on an A � w or used)
where the sidewall ties exceegV@ia tz
1i5'staller
I � to � in a
}J;ypical pier spacingeJ W ICY } CIA "Cc
FLU =
�lcy 2' cis
Show locations of Longitudinal and Lateral Systems
I Fong,n,ainal (usg dark lines to show these locations)
-- _.IJ.... ---------------------------------------•-------------------------
marriage well. piers within 2' of end of home per Rule 15C
�—---- - - -
..
............................. -
s......_....:.....:....:....................s ..'.... _ i.. ...1 ....i.....1 ..........�
New Home IYJ t ELtJs@jLHjn
Home installed to the Manufacturer's Installation Manual
Home is installed in ac ordance with Rule 15-C
Single wide Wind Zone If ❑ Wind Zone III
Double wide ❑ Installation Decal #
Triple/Quad ❑ Serial # F! 261-0of -- H - �201
49
PIER SPACING TABLE FOR USED..—...--
Load
bearing
capacity
Footer
size i
(sq in)
" tt 16"
16(x )
181/2" x 18 1/2"
(342)
20" x 20"
(400)
22" x 22"
(484)•
24" X 24"
(576)-
26" x 26"
(676)
0 s
8
1500
4
7
8
2000 Dst
- s
--
—
8
—
3000 pst
3500 psf
...._. ............ w...,- • j—, .1—u "U [cult
PIER PAD SIZES
1-beam pier pad size
Perimeter pier pad size �J K
Other pier pad sizes
(required by the mfg.)
POPULAR PADS Z
x
Draw the approximate locations of marriage 20 x 20
wall openings 4 foot or greater. Use this t x
symbol to show the piers. ^A /4 x
List all marriage wall openings greater than 4 foot x 26
and their pier pad sizes below.
AtdCHORS
Opening Piet pad size
A114 II-)J
Oft 5ft
..1O — =y
V
FRAIMETIES
/t'!
within 2' of end of home N
�-1
_��
spaced at 5' 4" oc
TIEDUW—N CO -po- NEN
I OTHER TIES
Longitudinal Stabilizing Device (LSD
Manufact r
Number
Sidewall Nu r
Longitudinal
o g udina�Slabfii�zing vice w/ Laferal Arm:
Marriage wall
Manufacturer
Shearwall
MOBiLE HOMl1E PERMIT WORKSHEET �"
rpage 2 of 2
PERMIT NUMBER
POCKET P R T
The pocket penetrometer tests are rounded down to psi
or check here to declare 1000 lb soil without testing.
X 15M X 600 X �o
POCKET PENETROMETER TESTING METHOD
t Test the perimemr of the home at r foialions
1 Take the read:nq at the depth of the footer
3 Lisinq 00 tb increments take the lowest
reading and round down to that increment
X15' oo XVS63 X)a'o-0
- TORQUE PHol_i` T_E9T_
I �. •ur;'ity; rA ir.• tcrqc.,e prat,, t?s! is 3 K inch r)ounds or chNch
fletre if v,ac, ail? i -- .Jartnq 5' ant.hor� Withput teSIMQ A test
r:h rmnq 27fi ,firli pcivrids cr it;SS .viit rV-(iutre 4 foot anchors
Note: 4 s.1n c- apr,(cved latera; arm +ystern is being used and 4 ft
an,:h,,+ , ari ail�.w.�c: at ;nt s+'.ev✓a!t locations 1 understana S ft
an bars ;;r(. r,ytiuired at 35 :"cnterline lie_ point, where the torque test
it 7%`, r':r less tin d vihHre the njobile home rn3nUfacturer may
ii'ijJ++e:y ii71(.t?;;i$'.V7th •lJD. Irrld+ng Gap9Uty,,
44 s ,4sj�
Ir:stallpr"s nit
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALL&
Installer Name
Date t estec — O
Electrical
Connect electrical conductors betweeri muiti-wide units, but not to the main power
source This includes the bonding wire between mult-wide units. Pg.
Plumbic
Connect all sewer drains to an existrnq sewer tap or septic tank Pg.
- Connect all potable ,neater supply piping to an existing water meter, water tap, or other
independent water supply systems Pg
site Preparation
Debris and organic material removed 'YW
Water drainage, Natural Swale Pad) Other
Floor Type Fastener Length Spacing
Walls Type Fastener Length Spacing
Roof Type Fastener Length Spacing
For used homes a min 30 gauge, 8" wide gatvanr2ed metal strip
will be centered over the peak of the root and fastened with galv
roofing nails at 2" on center on both sides of the Centerline. -
Gaskel (weamerproo4uo teQuircommi
I understand a properly installed gasket is a requirement of all new and used
homes and that condensation mold, meldevr and buckled marnaqe walls are
is result of a poorly installed or no gasket bring installed I understand a strip
of tape will not serve as a gasket
Tyi'e (p3Sket
__ IrtstHli:�:�s_+siili:if,
e
Installed
-
Between floors Yes
Between t,%' ails Yes
Bottom car rid,.jet)eam Yes
Weatherproofing
The t:vttOnil}[7arit will be repsi!ed andror lapex Yes Pq ) �
Simnq on units is installed to manufaclurer s spi ! eC-cations Yes �°�<
Fireplace Chimney installed so as not to allow intrusion of rain WatCf Yes
T Miscellaneous
Skirting to be installed<�O No
Dryer vent installed outside of skirting es N:A
Range downflow vent installed outside o irtinq Yes NL4
Drain lines supported at 4 foot intervals Ye. �1
Electrical crossovers protected Yes
Other
installer verifies all information given with this permit worksheet
Is accurate and true based on the