HomeMy WebLinkAboutPERMIT WORKSHEET:r
MOBILE HOME PERMIT WORKSHEET
page 2 of 2
PERMIT NUMBER
P KTPN
The pocket penetrometer tests are rounded down to psi
or check here to declare 1000 lb soil without testing,
XIT-0 D x 1Soa X 1 o
POCKET PENETROMETER TESTING METHOD
t Test the perimeter of the come ale locations
2 Take the rr ad!nq at the depth of the footer
3 Usinq 500 I6 mciernents take the lowest
reading and round down to that increment
X —Is-oo X ?i )a'o 0
L TORQUE PROSE TEST
f•t,r*r• MIMIC- IC- pirjbor t:•St !s J K inch pounds or check
huge if you aw ,;i• :.faring ' can;a=ors without testing A test
.,hcovorlq ?.'Jfy -Tirh t)ounds of if;SS ,rift {t',•ryUtff; A foot an:]hars
Note: A st;ate.• VV-fi:ved latirral arm 5vrtern is being used and -t it
,1i1c'w1,.d at the si:iewali locations i understana 5 ft
;rsoJired a, all "' !rtterline tic point., Where the torq:)f: test
less and wt,e,,e ItIe rnohile homemanufa tuner may
r t. ct,;ttt e,'rifilC,f7,af-S r�iti�•SU(��`ii�';ic]Idiat�-Cap:iCriy.,.;. t"�s:�.:rsr-a,- _.`7:::,:
ALL TESTS MUST BE PERFORMER BY A LICENSED iNSTALLER
Installer Name
i)ate t esteo! ' to
Electrical
Connect electrical conductors betAeeri multi -wade units, but not to the main power
source This includes the bonding wire between mutt -wide units, Pg.
Plumbina
Connect att s"er drains to an existing sewer tap or septic tank Pg.
Connect all fiatatrte water supply p,ptny to an existing water meter, water tap, or other
independent water supply systems Pq
Debris and organic material removed
{Hater drainage Natural Swale Pad Other
Floor- Type Fastener Length Spacing �^t
Yvafis Type Fastener Length Spacing
Roof Type Fastener Length Spacing
For used homes a rain 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 Moth sides of the centerline, .
Gasket (MealherproOhrrg requtrcenenta '-'
I understand a properly installed gasket is a requirement of all new and used
homes and that condensation mold, nieldev� and buckled marriage walls are
a result of a poorly installed ar no gasket 1)e;nq installed I understand a strip
of tape will not serve as a gasket
Type gasket Installed
Between Roofs Yes
Between Walls Yes
Butiom o! ndilebeam Yes
__ ___ � if�eath4rproafing """""•`_.__�_��._.__
The bottomboard will be repaired and/or gape Yes _ _ _Pq�_)�
-Sic a�q r n units rs installi,� to manufacturers sp` a aca,r ions Yes `
Fireplace Chimney installed so as not to allow intrusion of rain veater Yes
Miscellaneous
Sktrtmq to be installs Ye No
Dryer vent installed outside of skirting es NIA
Range; downflow vent installed outside o rtinq Yes Nlri
Drain lines supported at 4 foot mter/als Ye •
Electrical crossovers protected Yes /Jf1
Other
installer verifies all information given with this permit worksheet
is accurate and true based on the