HomeMy WebLinkAboutPERMIT WORKSHEETL
PERMIT NUMBER
Installer "` -E! -,R(JNDEl.21---
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.L.Address of -home !-
being installed 1 1
Manufacturer f,-,-rJdcdbsen--
7-WOTE_, iff o �t is q �iglte �
le or
; 7;1 understandyLateral
14 ere fi-_1
1 tli—esid&WEill ties exceec
_17 =
Typical _pier _spacing 1___j
1 latera
1 ACT
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10 ng
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PERMIT WORKSHEET page OT 4
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New
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iHome F a e t acturer 6 t inn Main t
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;Home isj in - _5' jf' stailled in accordance With Rule 1
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Single wide 0
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LeRbt x"id-ifi--F-,-20'X-38-l—'-f-----I 1
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7e Vshid_&�h_-iin`y'ti6ffi e (fi"��v_� or use,
PIER SP ACING TABLE FOR USED HOMES
Installer's initials ? EG
Load Footer
16" x 16" 18 1/2" x 18 20" x 20" 22" x 22" 24�'X 24" 26" x 26"
bearing size
(256) 112"(342) (400) (484)- (576)- (676)
capacity (sq in)
1000 psf 4'
Ri6`fii`s_of litu j and Laterall-S97stems I bUO PSt
dark Imes to show these locations) ^ i T2000 psf
4 1
2500 psf 7-6"
3000 psf 8'
81 3500 psf
1 interpolated from Rule 15G-1 pier spacing table. j
--- si7es --------
r r �i�i d 16 x22.5 360
required by
the m
117 x22
L 1 -L--1
114 x26 1/4 -ST9-
_Lj
_166_�itions of marrie Draw the appro)amaf6 1 Fg 20 x20 4
4-fo-ot-or _gre_ate_FUi�etfil�_ 17 3/16 x25 -4-41-
all'o enin s
1/2 x25
_._ marnagewall•pferswithin2 c P
fer I -f-h- I Rule 15Cow the piers.i1 24 x24
it -j St. openings greater than 4 26 x26 67U
F-1 F-1 i—I—F-1
a marriage wall
pier ,and their r ad sizes below _j M-77, I T
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ANCHORS
r- i'0) ning Pier pad size i
r-r-r-i -i-r-f 7 r
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j i i FRA ETIES
12' 123 x3l i 1 i
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{spaced 4
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LLL -OTHER TIESr I I -r ni I a I 1TIEDOWN COMPONENTS -i
-liffi h e r
k k it all
. Stabiizing DeviaeL$D
all
till )
litil(lit 1t i I ?Longitudinal i Longitudih6l Stabilizin _qDevice 17-1 wlLateralA�msq QRrriage wall;
i ilV9n __,_Jf6c_fu_rer
1 71 .
PERMIT WORKSHEET page z oy z
PERMIT NUMBER
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site reparation
POCKET PENETROMETER TEST -LILL, I
is and T6nic material remove r _�Lqr� 101
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`-50—__f
-6i-fii6at6ralwaIPad
Otherhe pocket penetrometer tests are rounded psNX
TWiti&itte6fing. 1 T
_4or check here to declare 1000 IrL%so'il�� T Fastening multi wide units
77 T
t L 1
15 0 1:, H-t —XI-1.500- -1-50C
Li
-L-&- ':'-6" �-8W6ffig: 24
n 6f fi
-gtti: fill
Fastener.LAG;LengthiSVP61fid: 24L
J_i_ 1 .1
POCKET PENETKOMETMTESTING METH
`Roof ;Type astener: GALVf IT_ n 8 wide, galvanized e s
F_-use homes Ef ifi-. a -
with gal-v"),-
__f6-Fe_d7&�e_r ffi_e_p_ea_k_of`tfi_e' roof and stenpd
ipYl
i,_1._Te_ sf 66 a 1will-be c6n
F F j �q� on c FrQ_ofi___iI�i_af' e n t-e-
j
i
_qai s a
Zt on both sides ofthe centerline
Take the reading at the depth ofthd o6r.
Gasket (woathorproofing roq uiromant)
3. Using 500 lb. increments, take the lowest
-"n '&ii6fi8-6 properly i _ns"t-a-I'l-e, d g_as`Re_t_,i_sa`_r_e__q__ui�re m,__e,nif`6`f all new and
-----�e—adin—g-an—d-ro—un-d'-a&, Wn-'- _f 6 thatf_--
""'; ' { j , ; ? , ! t ;homes and that condensation, mold, meldew and buckled marriage _Wa_Ili are
a Feg-Liff-df-a poorly install
ed or no gasket being ins
I of tape will not serve
x ;X`1-50F s a-
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Insia: e s initials EG
T 0 R Q U E PROBEFTE S 'T
IV[
gasket
d i
Installed j
-robe testis s orcheck_�_F 1 g. Between Floors Yes_X_
p
f_F ify&u a
re d6c_IaiFg5'_an6 wihouttest—ing A-t-e-s t1_7
T
5Fet�e�Walls" X
?� showing 275 inch pounds or less II I i eoff6 gebeam es'X
i Note: Astate approved lateral arm system is being used and 4 ft I ! a' i � �;"�� •�
weatnerp-ro-offffing-
e manufacturer may 1 Ye- s x Pg.
capacity,,specificationsi. _Y__
units is installed to manufacturers T 3 fc ffg,. es.
-;Fireplace- — allow -
so not to I uii'&ff&f Fain water. Yes.
t Insta ler s initials i
-EG —I!
---Miscellaneous
I -A ILL LJ T E. 8 Tli'_Mi U_ S TjB t P ERFO R M ED 1; Y' W 1: 1 C EN iffS TA L CE W ' - - I �
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7
i --EDDIE'G NDE1:1.__ i7i,7�711- L I Skirting installed Yes 0
Anstaller Name 11, 7
Dryer e- I niiai ia-6-uc6 a-e-co3ifsaftifing- e-s X N A
1'IJiit&_T6sted
Range downflow vent.installedoufifd Yes WA
.Drain lines supported at 4 foot intervals. Yes x t
[T
lectrica crossovers protected. es x
Electrical
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onnect electrical"8666_&t6ii betW666 ffildl i�_6nifs_',' 15*'u-t"-�n-o'-t-ti-D-tfi-'e-�'m-a'i"n-'-p-�ol-we
5GFc—e.
verifies all information given with this permit
77-7 1 1 This includes the bondrng wire between mult wide units:'Pg "- Installer v worksheet
15ing- is accurate and true based on the
manufacturer's ii-nsall Faiti
-1 ILL-111 _j6-n- -iirmstruct��=&�rRule=l 5G_-11=&=2�
qin—nect�ill sewer drains to an eAsiffig s'6it&r tap 6r septic ta-nk. Pg
Installer SignatureDate
.
i5rinect all potable water supply piping to an eAsting water meter, water tap, or ot en 1
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