HomeMy WebLinkAboutPERMIT WORKSHEETPERMIT NUMBER
Installer Thomas Grundel
Address of home 505 Nettles Dr
being installed
Manufacturer Jacobsen
s �
HESE PLANS AND ALL PROP0550 WORK
PERMIT WORKSHE;Wr SUBJECT TO ANi( OI R YIONS I Page 9 of 2
1EQ ,RED BY FIELD INVECTORS THAY
New %#ffd3E I bEFAIF *H iAl
License # IH1025148 '
Hldrnarill�t t�S��dv`i�Q{on Manual
Home is installed in accordance with Rule 15-C
Length x width 24X55
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 (ne o y
where the sidewall ties exceed 5 ft 4 in.
Installer's initials
Typical pier spacing
-2 1 tat eras
—show locations of Longitudinal and Lateral Systems
longitudinal (use -dark Iines_to show these locations)
-- 1
_
1-------------
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;
marriage
wall piers
within T of
end
of home
per
Rule 15C
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Single wide
Wind Zone II ❑
/III
Wind Zone
Double wide
®
Installation Decal *
/ 1
Triple/Quad
Serial #
:252
PIER SPACING TABLE FOR USED HOMES
Load
bearing
capacity
Footer
size
(sq in)
16" x 16"
(256)
18 1/2" x 18
1/2" (342)
20" x 20"
(400)
22" x 22"
(484)`
24" X 24'
(576)-
26" x 26"
(676)
1000 ps
1500 ps
2000 ps
2500 ps
— -ps _
_
Ps
--
__
Interpoiateo rrom route -ioUi pier spacing taoie.
PIER PAD SIZES
-beam pier pad size 17.5X22.5
Perimeter pier pad size 16X16
Other pier pad sizes
(required by the mfg.)
Draw the approximate locations of m
wall openings 4 foot'or greater. Use
symbol to show the piers.
Listall marriage wall openings greater than
and their pier pad sizes below.
1-5
Opening Pier pad size
17X22
POPULAR PAD SIZES-
17 1/2 x25 112
4
ton
XZ4
-I
n
Vii X
ANCHORS
rri
4ft X 5ft
C
�
FRAME TIES
within 2' of end of home
spaced at5' 4" oc X
4
TIEDOWN COMPONENTS OTHER TIES a
Number
Longitudinal Stabilizing Device (LSD) Sidewall
Manufacturer Oliver Longitudinal
Longitudinal Stabilizing Device w/Lateral Arms Marriage wall
Manufacturer Shearwall
a
PERMIT NUMBER
7.77•'.Wilra Mrz—a •7��laf c7-ii �i
PERMIT WORKSHEET
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
The results of the torque probe test is 285 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.
Note: Astate approved lateral arm system is being used and 4 ft.
anchors are allowed at the sidewall locations. I understand 5 ft
anchors are required at all terli a tie points where the torque test
reading is 275 or less an a mobile home manufacturer may
requires anchors with 40 1 olding capacity.
Installer's initials
ALL TESTS MUST BE PERFORMED BY LICENSED INSTALLER
Installer Name Thomas Grundel
Date
Connect electrical Eoc uctors between multi -wide units, but not to the main power
source. Thisei_h " des)fNe*bonding wire between mult-wide units. Pg.
Connect all sewer draiff to an e)asting sewer tap or septic tank. Pg.
page 2 of 2
16.
Site reparation
Debris and organic material removed Yes
Water drainage: Natural Swale Pad Yes Other
astening multi wi a units
Floor: Type Fastener: Lag . Length: 6" Spacing: 24"
Walls: Type Fastener: aq Length: _ff� Spacing: 24'r
Roof: Type Fastener: GOV Length: on )nt Spacing:
For used homes a min. 30 gauge, 8" wide, galvanized 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.
Gasket (weatherproofing requirement)
I understand a properly installed gasket is a requirement of all new and used
homes and that condensation, mold, meldew and buckled ma iage walls arc
-
a result of a poorly installed or no gasket being installed. I rstand a strip -
of tape will not,serve as a gasket.
Installer's initials 6_,�e
Type gasket Foam Gasket Installed:
Pg. Between Floors Yes X
Between Walls Yes 1_
Bottom of ridgebeam Yes
Weatherproofing
The bottomboard will be repaired and/or taped. Yes X Pg.
Siding on units is installed to manufacturer's specifications. Yes X_
Fireplace chimney installed so as not to allow intrusion of rain water. Yes X
Miscellaneous
Skirting to be installed', Yes X No r
Dryer vent installed outside of skirting. Yeses— N/A rT
Range downflow vent installed outside of skirting. Yes X__N/A -
Drain tines supported at4 foot intervals. Yes X
Electrical crossovers protected. Yes X
Other:
Installer verifies all i or ation given with this permit worksheel
isa u to and true l a 2,Rd on the Z.
manufacturer' ' ation instruct "and orula 15C-1 8 2
Connect all potable water supplypiping to an e)asting water meter, water tap, or other Installer Sign