HomeMy WebLinkAboutHOME PERMIT WORKSHEETMOBILE HOME PERMIT WORKSHEET
PERMIT NIJIRIIBER 12
�o 63-" Oa9
t_ , New Home Used Home
Installer rat, m V"}� ❑
11110
Address of home
being installed
MnufaTurer C M 1'( 0t)
LU C
if home is a single wide fill out
M AL L if home is a triple or quad edict
Length x width
e
one half of the
stretch in rem;
` Home installed to the Manufacturers Installation Manual
_ a Ome is installed in ac ordance with Rule 15-C
bi
a wide Wind Zone II ❑ Wind Zone III
Q 1�V
page 1 of 2
tpble wide ❑ Installation Decal # �oQIe/Quad
Serial # F261-000���t = QOp
�yc'
%—FundeYtand Lateral Arm Systems cannot be used on any hokrbe a is -used) tQ 4
pia her�tle sidewall ties exceed 5 ft 4 in. � : w a o a" s.- PIER SPACING TABLE FOR USED HOMES
W 4 A- Installer's:initrt6l&'' Z;_u��_ M
55yy 7�N 4
t c
�ypical pier spacing 1 �� _.__
lateral
2.�
i Show locations of Longitudinal and Lateral Systems
longtudma, (usy dark lines to show these locations)
Ll....---------------------------------------------------- _-_---------------------------- -
marriage wall piers wrth:n 2' of end of home per We tsc
......:....
ir
.� -
..
i �.
r' 1
....w.,..y....:....t....5.....:....:.....:._...j
j +Y
�nr
� C
l'L"
.............
I�-d��•�1
.2...
:.....:...........
.... ................ ........"..... ....:
. ............
..._ ......_. :.....j..... .....1..._
....:...:....:......
,.
• • . . • . .
POPULAR PAD S Z S
I
Err,Y
'
,■'�
WNHA•
.:
NNNR
'i► A.
c(j�.
i licz
rc lcs�z.� rr Ili
IIIIIIIon
KfaltKIM1111111
1 0 9
goad
Footer
bearing
size 16" x 16" 181/2" x 18 1/2"
20" x 20"
22" x 22"
24" X 24"
26" x 26"
capacity
(256
(sq in) ) (342)
(400)
(484)"
(576)-
(676)
° s
s
1500 s 4'
7
8
O O s 8
8'
2 s
3000 Rsft3'
s
PIER PAD SIZES
I-beam pier pad size
Perimeter pier pad size
Other pier pad sizes[
(required by the mfg.)
Draw the approximate locations of marriage
n wall openings 4 foot or greater. Use this
ill symbol to show the piers. M/[
er
List all marriage wall openings greater than 4 foot
and their pier pad sizes below.
ANCHORS
.ry
:_.............. .................................
....................a..
t
Opening r Pie pad size
5 ft
.._...j...... ............�.... ....}. _
_
Q J14
FRAME TIES
�/•JJ..i .... �....� ....j ..
At
within 2' of end of home
:.... ........:.....:.........i.....;....i....
1.
spaced at 5' 4" oc
-.... + ....... ...... ..........._. .....
TIEDOWN COMPONENTS
OTH ER TIES
..... ......... ..... ...........
....... . ..................s'.........
Longitudinal Stabilizing Device (LSD,
u er
Sddewall
_.._ ... .:........s.....i.........
...... ...........................
Manufact
o g udinal Stabbilfzing Device W Lateral Arrmn
Longitudinal
Marriage wall
........_ •.......:.................:
Manufacturer
Shearwall
MOBILE -HOME PERMIT WORKSHEET
page 2 of 2
PERMIT NUMBER
PlOdRETPId
The pocket penetrometer tests are rounded down to psi
or check hereto declare 1000 lb sod without testing.
X15M X 600 X �o
POCKET PEMETROIYIETER TESTING METHOD
t Test the pis: irvetei of the hUnie at 6 locations
2 Take the read•nq at the depth of the footer
3 Using 500 tL increments take, the lowest
reading and round down to that increment
x t7 x C� x)Q�
I -- ---- +TORQUE PROBE TEST
1 r.• �cttt� r"t ri:,. MIQUe is in is r)ol.,ndS rrr check
here if you aft d-J'annq 5, tan::P;or� without testing A iN5{
:Ihcj- w:; 27r; mr•!! ;sounds or if:5s unit rerryutre 4 ront anchors
Note: A ati ?• - ,ippfcved laterp! arm 5YSterrt is being Used and 4 ft
;3n�a ,r• •, tins 31IC1'Jgld at tht' st;:ewdli fnc�tions I understarla 5 tt
at all :'. lif runt? N@ points where rile torque test
ri .cv!",cl Is I%° r;r lessand where Itic motile homemanufacturer may
i
•�•l'tiv.tii C:�i iii lr.rr.J{ti :Jttt -0�1 r _r _cagae,lt/h'�yj-y5"�i,Cp"`�'e%'Y+,�x�.
^� lraslall@5r,t�(lttls
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name
Dale t'estec - 18
Electrical
Connect electrical conductors between mititt-wide units, but not to the main power
source This includes the bonding wire between mull -wide units. Pg.
Plumbing
connect all sewer drains to an existfnq sewer tap or septic tank Pg.
Site Preparation
Debris and organic material removed PP
Water drainage Natural Swale Pad Other
Floor Type Fastener Length Spacing
Walls Type Fastener Length Spacing A.
Roof Type Fastener Length Spacing 11!
For used homes a min 30 gauge. 8" wide galvanized metal strip
will be centered over Ilia peak of the roof and fastened with galy
roofing nails at 2" on center on both sides of the centerline. .
Gasket iMzatherpraurrnq r�gmrementi
i understand a properly installed gasket is a requirement of all new and used
homes and that condensation mold, nieldevf and truckled marriage walls are
a result of a poorly installed or no gasket be:nq installed 1 understand a strip
of tape will not serve as a gasket
snstallc:r's :niti.�l; ��
iyc a gasket¢ htstaliwd
Between Floors Yes
Between 'Walls Yes
Sutiom (A rudoet)eam YES
V____- ��� Ydeath4rproofinn ���•-�-v�~ '•`�'
The t;ottomboara will be repaired artdror tape Yes Pq )�
Simnq-on units is installed to ►manufacturer's spi: a italic ns - Yes �<
F!replace chimney installed so as not to allow intrusion of rain Yyater Yeses//
Miscellaneous
Skirting to be in5tafle Ye No
Dryer vent installed outside of skirting es N!A
Range :downflow vent installed Outsides of skirting Yes N(A
Drain lines supported at 4 foot intervals Ye
Electrical crossovers protected Yes
Other
Installer verifies all information given with this permit worksheet
is accurate and true based on the
Connect all potable water supply pip!n;l to an existmq rooter meter, water tap. Oro other `lresta06er Ds�tt!
independent water supply systems Pg:��`.; s,