HomeMy WebLinkAboutHOME PERMIT WORKSHEETr a. as .� .. , + ••
Installer:
Address of home
being installed
Manufacturer NOBILITY HOMES
Mobile Home Permit Worksheet
License #_ -Tn fic) �� 3 3<
Length x width
NOTE. if home Is a single wide fill out one half of the blocking plan
if home is a triple or quad wide sketch in remainder of home
I understand Lateral Arm Systems cannot be used on any home (new or used)
where the sidewall ties exceed 5 ft 4 in.
Typical pier spaInstaller's initials
spacing2' lateral
r
Show locations of Longitudinal and Lateral Systems
1M9ftUdkW (use dark lines to show these locations)
marriage wall piers within T of end of home per Rule 15C
Permit Number:} Date:
New Home 171 NIX Home ❑
Home installed tb ii ' f n(aGOOstallation Manual
Home is installed in. accordance with Rule 15-C
Single wide ❑ Wind Zone II ❑x Wind Zone III ❑
Double wide Installation Decal #
Triple/Quad J Serial #
PIER SPACING TABLE FOR IISEn Nnmlcc
Load
Footer
gearing
sae
16' x 16"
18 1/2" x 18
20" x 20"
22" x 22'
24" X 24"
26" x 26'
capacity
(sq in)
(266)
112" (342)
(400)
(484)'
(576)'
(676)
1000 sf
3'
4
5'
7�
'
1500 s
4
6'
T
2000 sf
6
8'
8'
8
8,
8,
250
71 W
8'
8
8,
8,
300
5006
8
8'
8
8'
8,
' int3emnlatedfmmR„181Sr_1..
8'
PIER PAD SIZES
I-beam pier pad size 17.5 X 25.5
Perimeter pier pad size 16 X 16
Other pier pad sizes
(required by the mfg.)
Draw the approximate locations of marriage
symbol to show the piers.
List all marriage wall openings greater than 4 foot
and their pier pad sizes below.
Opening Pier pad size
OP LAR AD SIZ S
Pad Size
5a In
16 x 15
16 x 8
255
288
18. x 18.
342
1 x-No-
17 x 22
3
31 x
8
Ox
0
- - - 6-x 2 - 6-
- - -
7 2x
6
2 x 24
576
2 x 26
676.
ANCHORS
Oft XX 5 ft xx
FRAME TIES
:.... —.-5-1 -4-._.. -
within end of home
a
spaced
i i ;
:-•.i-i... ;_... '
i i i ; ^.— •�--7--i—_-i..._•
t t_...:.m..._
COMPONENTS OaTHER TIES
`.. a _ +--+-..; _..:......... : ..._... -
,.—.;....._.i_ F._:.._'__* _ �_;_; -._�
- - -• t -
Number
on
Longitudinal Stabilizing Device (LSD)
i i i i--•;- .
i • : ,-..�..;.._.._:______
Sidewall
Manufacturer
.
- -i -t--
i:i
�.._..�.... ........... :_
Longitudinal Stably' - Device 1 Manage-
Man`ufactUrer ER TECH Shearwalt
Department of Growth Management
Building Division
Page 1 of 2 BF27 MH Permit Worksheet
Revised November 04. 2010
,.�^"^� :. OFF Mobile Home Permit Worksheet
... . N: Permit Number:
rs.
POCKET PENETROMETER TEST
The pocket penetrometer tests are rounded down to 1500 psf
or check here to declare 1000 lb. soil without testing,
X 1500 X 1500 X 1500
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at 6 locations.
2. Take the reading at the depth of the footer.
3. Using 500 lb. increments, take the lowest
reading and round down to that increment.
X 1500• X 1500 X 1500
TORQUE PROBE TEST
The results of the torque probe, test is —1-26, inch pounds or check
here if you are declaring 5- anchors without testing . A test /
showing 275 inch pounds or less will require 5 foot anchors. /�JerT(,� . [
e-,, ri of
Note: A state approved lateral arm system is being used and 4 ft.
anchor; are allowed at the sidewall locations. I understand 5 ft
anchors are required at all centerline tie points where the torque test - reading is 275 or less and where the mobile home manufacturer -may requires anchors with 4000 Iding capacity.
Installer's initials
L
TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
e ��c1c� �
Electrical
Connect electrical conductors between multi -wide units, but not to the main power
source. This includes the bonding wire between muff -wide units. Pg: 5u 48
Plumbin
Connect all sewer drains to an existing sewer tap or septic tank. Pg. Su-51
Connect all potable water supply piping to an existing water meter, water tap, or other
independent water supply systems. Pg. SU49
Department of Growth Management
Building Division Paae
Date:
Site Pre aration
Debris and organic material removed
Water drainage: Natural Swale : Pad r
Other
Fastenin multi wide units
Floor: Type Fastener: 318 LAG Length: 4" Spacing: 10' OC
Walls: Type Fastener: NA Length:
Roof: Type Fastener: #10SCRE1 Spacing:
For used homes a min. 30 gauge, wide, ga van led metal strip
will be centered over the peak of the roof and fastened with gale•
roofing nails at 2" on center on both sides of the centerline.
---------------
I understand a properly installedgasket is a requirement of all new and used
homes and that condensation, mold, meldew and buckled marriage walls are
a result of a poorly installed or no gasket being: installed. I unde
Of tape will not serve as a gasket" rstand a strip
Installer's initials
Type gasket MMATE LINE GASK Installed:
Pg. 14
Between Floors Yes X
Between Walls Yes X -
Bottom of ridgebeam Yes X
Weathe roofln
The bottomboard will, be repaired and/or taped. Yes
Siding on units is installed to man.ufactureY_s-s Pg.
es-
-Fireplace chimney installed so as not to allow intrusion of rain water- Yes
Skirting to be installed. Yes X No
Dryer vent installed outside of skirting. Yes X N/A Range downflow vent installed outside of skirting. Yes
Drain' lines supported at 4 foot intervals. Yes X — N/A X
Electrical crossovers protected. Yes X
Other:
Installer verifies all information given with this Permit worksheet
based on the
manufacturer's inst to
IS ur accurate
Ins ors and or R.t�►e 15C-1 & 2
Installer Signature
Date r ��
Revised September 9A -?'(11 n