HomeMy WebLinkAboutPERMIT WORK SHEETPERMIT l41, ORKSHEET
I page -I or �
PERMIT NUMBER
-`EDDIE=GRUNDEL
New Home
® •Usem d Hoe
installer=== Lrc�_ae-#___IH11_18467_
- - _ orn-e ins•tailed-to_tlie-.Manufactur_er's_ Installation Manual
Address of home 18 NETTLES BLVD
Home is installed in accordance with Rule 15-C
0)
beirig'instafled
"�
Sirigle•wide
Wnd Zone ll 0' Wind'Zone_III
®C
Manufacturer Jacobsen Length x width 20 X 35
Double wide
® 'Installation becal # TBD
CD` >
'
®
NOTE: e
g wide fill out one half of the -'blocking plan
Triple/Quad
Serial # TBD
M
,, if home is a frl l9 or q uad wide sketch in remainder of home
u
I understand Lateral Arm Systems oannot be used on any home (new or used)
PIER SPACING TABLE FOR USED HOMES
where the sidewall ties exceed 5 It 4 lh'.
Installer's initials EG
Typical'pier spacing
lateral
2', .
61 ���///
Show locations of Longitudinal and Lateral Systems
longitudinal (use dark line's'to show these locations)
F-1
El
--I....s--------------^-------------i..�.~--
--- Gn�� i•
marriage
wall piers
within 2' of
and
of home p r Rule 15C
,
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Load
bearing
capacity
Fsiz er
size
(sq in)
16" x 16"
(256)
18 1 /2" x 18
1/2" (342)
20" x 20"
(400)
22" x 22"
(484)-
2411 X 24"
(576)"
26" x 26"
(676)
1000 ps
1500 ps
ps
2500 ps
ps
ps
x mterpolatea rrom Kule IbU- I pier spacing tame.
PIER PAD SIZES
1-beam pier pad size 17X22.5
Perimeter pier'pad size 16X16
Other pier pad sizes
(required bythe'rnfg.)
Draw the approximate locations ofmarriac
wall openings 4 foot or greater. Use this
symbol to show the piers.
List all marriage wall openings greater than 4 foo
and their pier pad .sizes below.
Opening
1&4
2.&3
POPULAR PAD SIZES
�IIIIIIIIIIIIIIIIIIIIIIP�:3'i���
�
ANCHORS
4ft X' 5ft
FRAM E TI ES
,within 2' ofend of home X
,spaI ed'at5'4"ocx —
TIEDOWN COMPONENTS OTHERTIES
11
Nuniber
(Longitudinal Stabilizing Device (LSD) Sidewall
Manufacturer OLIVER 'Longitudinal
Longitudinal Stabilizing Device w_ /Lateral Arms Marriage wall
Manufacturer Shearwall
Pier pad size.
17X22.5�
23 x31
PERMIT WORKSHF-F-T
PERMIT NUMBER '
page z o>i z
POCKET PENETROMETER TEST
The pocketpenetrorrietertests are rounded down to 1500 psf
or check here to declare 1000 lb. soil without testing.
X 150(X 150( " X 150(
POCKET PENETROMETER TESTING METHOD
1. Test the perimeterofthe home at 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 150(
X ;150( X 150(
TORQUE PROBE TEST
The results of the torque probe test is 289 inch pounds or'check
here'if you are declaring 5' anchors Without testing . Atest
,showing 275 inch pounds or less will require 5 foot anchors.
Note: Astate approved lateral arm system is being used and 4 ft.
ariohors 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 lb_ holding capacity':
EG Installer's initials
ALL TESTS MUST BE PERFORMED BY LICENSED INSTALLER
Installer Name EDQIE GRUNDEL
Date Tested
Electrical
onnect electrical conductors between multi -wide units, but notto' the main power
ource. This includes-the.'bonding wire between mutt -wide units. Pg.
Plumbing
onnect all sewer drains to an emsting sewer tap or septic tank. Pg.'
onnect all potable water supply piping to an e)asting water meter, water tap, or other
:aeno.+rie�}nroaorcnr+nlvevc+emc Pn
— --- - - — -- — — --Site-Pre paratiqn. - -- - -
De6ris and' ' nic material removed YES
Water drainage: Natural Swale Pad X Other
Fastening m u i wide units
Floor: ;Type` Fastener: ' Length: 6" Spacing: 24
.Walls: Type Fastener: LAG Length: 1' Spaciiig:24"
Roof Type Fastener: GALV Length: 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 galv.
roofing nails at 2" on center on both s ides of the centerline.
Gasket (woothorproofing roquiromont)
I understand a properly installed gasket is a requirement of all new and used
homes and that condensation, mold, meldew and buckled marriage walls are
a result ofa poorly installed or no gasket being installed. I understand a strip
of tape will not serve as a gasket.
Installer's initials EG
Type gasket FOAM
Pg.
Installed:
Between Floors Yes X
Between VValls Yes X
Bottom of ridgebeam Yes X
Weatherproofing
The bottomboard will be repaired and/or taped. Yes X Pg.
Siding on units is installed to manufaoturer's specifications. Yes X
Fireplace chimneyinstalled"so as nottoallow intrusion of rain water. Yes X
Miscellaneous
Skirting to be installed. Yes X No
Dryer vent install edoutsideofskirting. Yes X N/A
Range downflow vent installed outside of skirting. Yes .�— N/A_
Drain lines 'supported at 4 foot intervals. Yes x_
Electrical oross'overs 'protected. Yes X
Other
Installer verifies all information given with this permit worksheet
is accurate and true Lased on the
manufacturer's installation instructions and or,Ru a 15C-1 & 2
Installer Signature