HomeMy WebLinkAboutHOME PERMIT WORKSHEETMOBILE HOME PERMIT WORKSHEET
PERMIT NUMBER
Installer 5 ar in Ma1 1 License #
�/ LU
Address of home �I � lf-A U,5- 1 '_r�t_N i- R ecc F/ SL16M6 C, ►L-
being installed
Manufacturer m1?( on Length x width17
MOTE: if home is a single wide fill out one half of the blocking plat
N home is a triple or quad wide sketch in remainder of homc
I understand Lateral Arm Systems cannot be used on any home (new or -used) W i where the sidewall ties exceed 5 ft 4 in. _ .: W
n Installer's"initials or=
pical pier spacingo
lateral U
f a Show locations of Longitudinal and Lateral Systems
fong,t,mal (us dark lines -to show these locations)L
marriage wall piers w,thm ?& end of home per R,de 15C
page 1 of 2
New Home ( Used Home ❑
Home installed to the Manufacturer's Installation Manual [Y,
Home is installed7WindZonell
rdance with Rule 15-C ❑
Single wide ❑ Wind Zone III
Double wide ❑ Installation Decal #
Triple/Quad ❑ Serial # F1261--- H Blol g l F
PIER SPACING TABLE FOR USED HOMES
Load Footer
bearing size
16" x 16"
18 1/2" 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)
1000 s
1 s
4'
6'
7
g
0 0 s
6
8'
0
-mgmEsm
g
_ .-
a.
Q ¢ w ¢ Sa PIER PAD SIZES j
f '
o az ®— /
J Y V PiR pad size �0
Zl §mot.
W:jkr pad size
� " rA
gt !@ ad sizes
m Wj the Mfg.)
a
7 s 124V the approximate locations of marriage
Ky openings 4 foot or greater. Use this
'rt- '= Symbol to show the piers. A
List all marriage wall openings greater than 4 foot
and their pier pad sizes below.
ANCHORS
_. .......... ...................I Opening Pier pad size
' � 1� nr�� Oft 5ft
• FRARIIE TIES
............; ........44
14
........... i..........i....
n_ %a,` within 2' of end of home
..
spaced at 6 4" oc
..i••.......................... TIED01Wtd COMPONENTS OTHER TIES
....;............ Number
Longitudinal Stabilising Device (LSD, Sidewall
.... .c.....; Manuaa r n itudinal
.. ;.....i... ?..... o gr udfnal Stabilizing Device w/ Laeera/Arms Mar9age wall
...._..... ................ Manufacturer Shearwall
POPULAR PADS S V
�'�' . w
�' *4 r_.
.: �.912A
iKti/L•L'i%LYllLlt��
ItllltliFx�t�s►!•tl_
• 61
i►l�1i
[:;'i�ItYc]i [:�
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MOBILE HOME PERMIT WORKSHEET tia
page 2 of 2
PERMIT NUMBER
P dRET PENETROMETER TES
The pocket penetrometer tests are rounded down to psi
or check here to declare 1000 lb soil without testing.
X X ISdd X C�
POCKET PENETROMETER TESTING METHOD
t Test the perimeter of tf e home at 6 locations.
2 Take the reeid!nq at the depth of the fcater
3 Using 500 It) increments. take, the lowest
readinq and round down to that increment
X 1-5 vio X X )W
(' TORQUE -PRO —BE TEST
1,•„ `c}�ittr� (ti'! !Or(Jt,� ?fly!?C tf'st t5 J "� inch pounds of ch?Ck
aerie if voki afte _ke,laring 5, anchors without testing A test
s`;uwtn i 27j, :ticir pounds ,r ioss welt rrmuire 4 foot anchors
Note: A s!a!t:-.:ippfcvied lateral arm system is being used and 4 ft
imi ailowi�o at the srfeslall locaations i understana 5 ft
111't' ;. ire zeouired at all cfi:niterline tie points where the torque: test
rE<i- "iAl as 1 `i Gr less aild where the mobile home manufacturer r lay
rt �iJii e:`.s <`inC,17c)! $ '.•ntt� 4000 ib haldinq cap 3irtj!.r, � ilrN '
-- Ir �faliec.s, trufi'ats
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Instiller Name
Dale t'e steo ?=3- I
Eloctrical
Connect electrical conductors between multi -wide units, but not to the main power
source This includes the bonding ware between mutt -wide units. Pg.
Plumbing
Connect all sewer drains to an existrnq sewer tap or septic tank Pg.
Site Preparation
Debris and organic material removed t1W ��
Water drainage Natural Swale
Floor Type Fastener. Length Spacing ��"
Walls Type Fastener Lenqth Spacing
Roof Type Fastener Length Spacing
For used homes a min 30 gajge, 8" wide galvanized metal strip
will be centered over the peak of the roof and fastened with gaiv
roofing nails at 2" on center on both Sides of the centerline.
Gasket tweatherprootmq ruquirementi
I understand a properly installed gasket is a requirement of all flew and used
homes and that condensation mold, nieldew and buckled marriage walls are
a result of a poorly installed or no gasket beinq installed t understand a strip
of tape will not serve as a gasket
, �/
V
irtstz!ler's tnu;ah�
Type rjasket Instaliod
eetwe�e n Fioors Yes -
Between hails Yes
Fiattom r;t rid::,ebeam Yes
Weatherproofing��-
The bottomboafct will be repaired and/or tape Yes n Pq� )9
Sidtnq ounits is installed to manufacturer's sP-M tcaIions Yes !
Fireplace chimney installed so as not tc allow intrusion of (ain water Yes��
Miscellaneous
Skirting to be installedYe Nei
Dryer vent installed outside of skirting es N!A
Range downflov. vent installed cirlside o ktrtinq Yes N�a
Drain lines supported at 4 fool intervals Ye
Electrical crossovers protected Yes /V 1
Other
Installer verifies all information given with this permit worksheet
is accurate and true based on the
Installer4Signatuc� on� L�—LD�� Date
Connect all pomble water supply piping to an existing water meter, water tap, or other
- independent water supply systems Pg