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HomeMy WebLinkAboutPERMIT WORKSHEET-PEHMIT NUMBER . installer , :� �`+ F ^c_r��1Q Llcc�se41 ? '✓ t` Addrass'cfhome' L'�i!_i1�0 &elite fis'tailed ' ,r j - 5 M�Ttrtfacttttei' i..etigih xwFdth°�. �� �� NOTE W home is a single wide fllk out one half of the blocking plan kf home is a hWv or quad w1de sketch In temafnder of borne I understand Lateral Attu Systems cannot be used on any home {now or Mere the ddewafl ties exceed 5 ft 4 in: Instailer's�ih%alfs' Tarnir�r nicr c�T»ninn _� ® 1 Co A PERMIT WO f KSKEET page 1 of 2 New Home . I] Used biome Home installed to the Manufacturaes Installation Manual [] Home Is installed in accordance with Reis 15-0 5ingie wideZone Ii WidZ� ill] [} Doublewide Decal 4? Tdple!Quad [j >;SeFial'�. PIER SPACING TABLE FOR USED HOMES �P�tY (sR 16' x 1B' (250 181W x'i8112' (342) 2W;C20' (400) ?2 x22' (4134)• 24' X24' R6)` 2W ' (fi,,r_� low n s DU 6 g ' 6 $ ti 8 w6d) s .-8 - - -- i u Npomuu3 uwn rsu" Zo i pw upaqwQ can+m PtEii PAD SIZ I-beam pier pad size x�� Perimeter pier pad.size N-7 -,4 r- Other pier pad sites l-?` (required by the rnfg.) Draw the approximate locatlorry of rnarrI4 wall openings 4 toot or primer_ Usa tits symbol to show the piers. List all marriage Wall openings greater than 4 foot andiheir pier pad sizes below. Open);v Pier pad -size 4 ft 5 ft I FRAME Ties atin 2' of end of horl spat OTHER TIES -nEDOWN COMPOtJFNTS Longltudlnal Ma61U7I, Device (LSo) Sidswan -- Manufactwer 119'\`t•ti'�tT%eAxMN Longitudinal z Longlfudlndl Stablllz, g vice w/Lateral Arms Marriage wall Vanufacturer V i z Jtt�VW i N r PERMIT NUME3M . . . . . . . . . . . . . . . . . . . . N! O PENETROMETEk TES _ The pocket penetrbmetertests are round wn to psf or check here lb declare 1 OM lb. soli !! without tes+inp. X X X Pacl¢f PENEMOME1 IEZIZNO IVEMOD i. Test the peritnater of the home at 6 locations. 2. Take the reading at the depth of the tooter. S. Using 500 lb, kjcremerris, take the lowest readmg and round down to that increment X X _X - {2 E MOBE TEST The results of the torque probe test Is �15 _ inch pounds or check - hem if You are declaring 5 anchors wijh6tA- testing A test - dmWing 275 inch pounds or low will require 5 foot anchor Note: A state approved Wetaf arm syslern Is being used and 4 IL' anchors era allowed atl)a sidewall locaflum F understand 5: _ anchors are t•equlrsd at ail centetllne tie points ubere tho torque test reacting is 275 or less and where the mobile Florae manufacturer may requires andrors with -0OQO.t„ dung capacity . .tnsiallet's:iiiitiais ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER Installer Name LLB] mate:Tas�et Electi cal - tonnect electrical conductors between mdti-wide unNs: but not to the maul power ou nxx This-Wudes the bond na wire behveen mutt -wide unl s. Pg_ CN Ir[abinc� brined all sewer drams to tui a dsling sewer tap orseptic tank Pg: cmact all potable water supply piping to an e4sUng water meter, water tap, or other idependent water supply systems. Pg. PERMIT WORKSHEET page 2 of a site PrepiiratIon Debris and organic rnaterlal r WUved Water drainage. Nafvial V SWafs Pad Meer j Fasta�tna mutts write craft, - Floor, Type Fastener: L tax- KIWIL Spachr 1.14Walls: Type Fastener:Length:Roof: Type Fastener.LenQlIr bpa6hg:Fnr_used homee gauge, 8' wide; gAd m'Strip ``— will be centered bverthe Reakof the-mof and fastened with galy. rooting nails at V on center on both sides of the renier�e: • 6nsket (��. , I understand a property Installed gasket is a Mqulretrtent of all new and used homes and that condeasenon. mold, meldew and budded marriage walls are a result of a poorly installed or no gasket being hastened 1 understand a strip of taps wRl not serve as a gasket C indauees iraials . Type gasket 1 � tJ OPf n. Installed: Pg. Between Floors Yes Between Yes-=� - Bo#tom of ridg ridgebeam The bottomboard will be repaired andfor taped, Yes- E�Z� Sid ng on units Is Eistalled to manufacttA"speciUlvatlor YFreptsce chirmay installed so as not to ailovi► urtrtrslon of rain Skirting to be installed Yes_ No Dryervent installed outside of sklttirig. Yes AU Flange downflow vent installed'otdside of ski � � WA Drain Goes supported at 4 foot intervals. Y ©ectrtcal crossovers proteded, Yes _ 2 Other: au inforrnation given with this permit Is accurate and true based on the Da , MAI-A