HomeMy WebLinkAboutPERMIT WORKSHEETMOBILE HOME PERMIT WORKSHEET
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PERMIT NUMBER �� �`�j 6q U-7
,-" New Home Used Home El' installer �rYLt,l�}Y1 �'%)�tl ( License # r H 1162.6G •fj, � � w
jj ,, '^� ! i=XL_ Home installed to the Manufacturer's Installation Manual
Address of home �L��� U.S- �flri- rl er-C , F► �4 If � &me is installed' ac ordance with Rule 15-C ❑
being installed Q � c2
- LZ+ l2 o m Ingle wide Wind Zone If ❑ Wind Zone III
Manufacturer-L'�1111 f� (3l1 Length x width AS X G? Co rouble wide ❑ Installation Decal #
w Q a_ •�
MOTE: if home is a single wide rill out one half of the blocking pla► v~i IW riple/Quad ❑ Serial # El 261-0062 - fi 9201 i�6�
if home is a triple or quad wide sketch in remainder of home � W � n
1 understand Lateral Arm Systems cannot be used on any home (new or•used)
where the sidewall ties exceed 5 ft 4 in. w e PIER SPACING TABLE FOR USED HOMES
pica] pier spacing
lateral
• �ky 2a ddd���
I ( Show locations of Longitudinal and Lateral Systems
rvj I l,,lu0na1 (u7 dark lines to show these locations)
1
Load
bearing
Footer
size
16" x 16"
181/2" x 18 1/2' 20" x 20"
22" x 22"
24" X 24"
26" x 26"
capacity
(sq in)
(256 )
(342) (400)
(484)-
(576)'
(676)
1 0'a
4
7
ti
8'
sf p
6
8
8
3 Q'•Swg
r';
%n Rule 15C-1 pier spacing tablr
a - a PIER PAD SIZES
t 591 -ad size — —�
or pad size
�
id sizes
)�
L�
the mfg.)
DrbW the approximate locations of marriage
wall openings 4 foot or greater. Use this
i symbol to show the piers. M0
List all marriage wall openings greater than 4 foot
and their pier pad sizes below.
Opening Pier pad size
1 __ A d
�c ,j
Inv/ A
TIEDOWN COMPONEAlYS
POPULAR PADS Z
iKi/L�•i�.L`i/Ll��
�.hrititi)•
1�cTi[3'i►�:Yc
f[:i��i
ANCHORS
Oft 5ft
FRAME TIES
within 2' of end of home
spaced at 5' 4" oc
OTHER TIES
Nu er
Longitudinal Stabilizing Device (LSD, Sidewall
Manufacturer Longitudinal
T-67fg-Itudinal Stabilizing Device vv/ Lateral Arm: Marriage wall
Manufacturer
Shearwall
MOBILE'HOME PERMIT WORKSHEET page z of 2
PERMIT NUMBER
POCKET PENETRUINOW
The pocket penetrometer tests are rounded down to pst
or check here to declare IWO lb soil without testing.
X150D X ISdd X �o
POCKET PENETROMETER TESTING METHOD
t Test the penwelet of the home at 6 locations
2 Take the read!nq at the depth of tits tooter
3 Using 500 It, increments take, the lowest
reading and round down to that increment
?Gtc) XN�. X)a'o-0
L 'yTORQUE PR BE TES
t r.. • •.•c:!�c=•( !ice.. �•ulT7i1P rQt3< t?F � :S .i 0 25 Inch r5ound5 of
F!erf= if you ail? {t-;'aring 5' without testing A tes
howirti,t ?. T?'-) -ni7n mound, or irtst wilt rf.,wre 4 foot anc_hor5
Note: A S!a,t - apvroved lateral limit Sys-tem is being used and 4 tt
a+i:t_,;r•, ors- allowed at ttie sisewall locations l understanu 5 tt
a±1'f`•;;r , :Ve.:i c)Jired at all ..:riterlina lip points where the torque test
rc iii+ ::it is '(.'� r :t less and where the mobilehome manufacturer may
f
iiilC.f l:;f5."J:tt� dJt70 i,iding capitcity'`'�3
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer .Narne
Date t esto �� 6
Electrical
Connect electoral conductors between multi -wide units, but not to the maim power
source This includes the bonding wire between mutt -wide units. Pg.
Plumbing
Connect all sewer drains to an exisunq sever tap or septic tank Pg.
Connect all potable grater supply piping to an existing water meter, water tap, or other
independent water supply systems Pg
site Preparation
Debris and organic material removed
Water drainage, Natural Swale
Floor' Type Fastener Length Spacing
VJails Type Fastener Length Spacing
Roof Type Fastener Length Spacing
For used homes a min 30 gauge. S" 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.
Casket tMYalt:rrpro�tni9 iaqu�rcrtmnU
Iunderstand a properly installed gasket is a requirement of all new and used
homes and that condensation mold. meldew and buckled marriage walls art,
a result of a poorly installed or no qasket bt;inq installed I understand a strip
of tape will not serve as a gasket
instalin:'s :utc.it; 0
Type gasket Installed �< /
I'•; Between Floors Yes
Eietv�rril�ratls-1"es
Buttom r01 rry.tetx2arn Yes
The Lottomboafa wall be repaired aridror tape Yes Pq� )�
Sia!nq on units is installed to manufacturer's spr c;i ications Yes `
Fireplace chimnev installed so as not to allow intrusion of rain water Yesl>f
Miscellaneous
Skirting to be installe< Ye No
Dryer vent installed outside of skirting es NIA
Range downfiow vent installed cutscde a !riinq Yes N!ri
Drain lines supported at 4 foot intervals Ye
Electrical crossovers protected Yes
Other
installer verifies all information given with thIs permit worktsheet
Is accurate and true based an the
Date ff