HomeMy WebLinkAboutPERMIT WORKSHEETPERMIT WORKSHEE— F
page -1 or �
PERMOT NUMBER
Installer "EDDIE GRUNDE License — 1�$4
Address'ofliome _A0701 SO
CEANDR
'being installed
Manufacturer , Jacobsen Length xwid'th 20 X 40
1110iE: if horse is a single uvide ;ill out one half of the blocking plan
if home is a &iple or g6ad rr�ide sketch in rer»airider' of home
I understardLateral Arm -Systems cannot be used on ariy home (new or used)
where the sidewall ties exceed 5 ft4 in.
Installer's initials 'EG
Typical pi'erspacing
2 6, ? I. lateral
New Home ® Used Home
Home'installed to the Manufacturer's Installation R
Home is -installed in accordance with Rule 15-C `
Igo
nual j
Single wide
Wind Zone II
Wind Zone III
Double wide
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Installation Decal #
TBD
Show locations of Longitudinal and Lateral Systems
iengnudinal (use dark lines, to show these locations)
Li
2
- 11
Li Li Li Li
---------- --
Ll
rnarriagewall
piers
within 2' of
end of home
p .r
Rule 15C
Lj Li Li L_j
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Triple/Quad Serial #' TBD
PIER SPACING TABLE FOR USED HOMES
Load
bearing
capacity
Fsizer
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)
ps
1500 ps
ps
2500 ps
ps
ps
unelNulateu rluln rule lot, i peer spacing iaQle.
PIER PAD SIZES POP L.AR PAD SIZES
I-beam pier pad size - 17X22.5
Perimeter pier pad s ize 16X16
Other pier pad sizes
saw
(required by the: mfg)
- Draw the appro>amate locations of marria
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. ---
ANCHORS
Opening Pier pad size
i Bpi IL'j'.Y�.' 3i IL!
Il�r`Ii►�.�rsrir��:�
�l:Z!i►l�
• u •
O ft •• 5 ft
1 &4
17X22.5
._J_J_1_L,_L _L�_J._J_.1_i_L_1__I ,/ FRAMETIES
1 1 I I 1 ,. 1 I I 1 , 1 I I 1 I I 1 I 1 I , 1 I , , , I I , I 1 I I 1 I I 1 2& 3 _23 A31.�. _
L_L _I_.J_ J_.+'-L_L _L _1_.{_., _ 1_ 4-L _L. _I-�-d-i-.L_F_L._I_ �_..1 _.i-L _L_1. _1_J_J_iFes{.-L _I
' ' i within 2' of end of home X
r_r-�--i-�-T-r-r-r-1-.,-,-�-r-r-r-1-•,-�-T-r-r-1--�-,--1-•r-�r-r-r-1-'±-�-.•r-r-r-r-�- � '
1 1 1 , I , 1 I 1 1 1 1 l I 1 1 1 1 I 1 I 1 I 1 1 1 1 I 1 , I , 1 I t 1 1 1 s paced at 5' 4" oc
r-r-r-1-,-1-T-',4-r-1-1-",-T-r-r-r--1--1-1-T-r-r1-'r-t-,-T-r-Ir4- -,-,- r-r-r-1
1 I 1 1 1 , 1 I I , j 1 1 1 1 I I f I 1 1 I I 1 1 I 1 1 I 1 I 1
� r-�-1--,-1-;-T-r-I--I--,-��-1-T-r-,--i-,-,-,-r-;-i-1--,-;-�;-r-r.-;-i �-,-;-,--;-�--1 TIEDOV4INCOMPONENTS OTHERTIES
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1 1 I 1 1 , 1 I 1 I 1 I 1 1 1 I 1 1 1 I 1 1 1 1 I I I 1 1 1 1 I 1 I 1 1 'I• .. .Number
1 I I 1 1 I I , 1 I 1 1 , 1 I 1 1 I I 1 1 . Longitudinal Stabilizing DeVlce-(LSD) Sidewall
-I - -1 - i - 1• - L _ F -I _ J - y _ i - 4 _ L _ L _ I -. J _ J _ 1 _ 1• - f- - h - I- J
t 1 I I 1 1 I 1 1 I I 1 I 1
Manufacfur&OLIVER Longitudinal
I i l 1 1 1 I I I I I I I I I I I I I I I Longitudinal Stabilizing Device w/Lateral Arms Marriage wall
_r-1--r-- -r-*--�--1-,-y-,-r-r-r-I-4-,-*-r-r-, -1-,-�-*-*-r-1 -:I--1-4-•r-r-r-r
1 1 1 1 1 , 1,
1 I 1 I I 1 I I 1 I 1 1 I I I I 1 1 I I I 1 I 1 I 1 1 ... .. ... .. _...... .-
r-r-1--1—,-7-r--r-1--t-,-,-r-r-1--I-,-,-r-1441-,-,-,-T-r-r-r-I-,-,--r-r-r-r-, Manufacturer Shearwall
PERMIT WORKSHEET
PERMIT NUMBER
POCKET PENETROMETER TEST
The pocket peneti6metertests are rounded down to 1500 psf
or check here to declare"I000 Ib. soil without testing.
X 150( . 1X' 150( X 150(
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at 6 locations.
2. Take the reading'at the depth 'ofthe foote'r.
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 withouttesting Atest
showing 275 inch pounds or less will require 5 foot anchors.
Note: .Astate approved lateral arm system is being used and 4 ff. "
anchors are allowed atthe 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 BYA LICENSED INSTALLER
Installer Name' EDDIE GRUNDEL
Date Tested
ectrica
page z or.
Debris aricl organic material removed 'YES
Water drainage: Natural Swale Pad X Other
Fastening multi wide units
Floor:. Type Fastener: LAG Length: V' Spacing: 24"
Walls: Type Fastener: LAG Length:' _ Spacing: 94"
Roof: Type Fastener: GALV Length: :Spacing:
For used homes a min. 30 gauge, 8" widegalvanized metal strip
will be centered'over the peak of the roof and fastened'witli' galy.
roofing nails at 2" on center on both sides of the centerline. "
Gasket (woothorproofinfl 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 of a 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 Installed:
Pg. Between Floors Yes X
Between Walls Yes X
Bottom of ridgebeam Yes X
eat erproo,ing
The bottoniboard will be repaired and/or taped. Yes X Pg.
Siding on units is installed to manufacturer's specifications. Yes Y
Fireplace chimney installed so,as not to allow intrusion of rain water. Yes X
esce a— eous
Skirting to be installed.' Yes X No
Dryerventinstalled outside ofskirting. Yes X NIA
Range downflow vent installed outside of skirting. Yes X—_ N/A
Drain lines supported at4 foot intervals. Yes X
Electrical crossovers protected. Yes X
'Other*:'
onnect electrical conductors between multi -wide units, but not to the main power.
:)urce. This includes'the'bonding wire between mult-wide units. "Pg.
Installer verifies all information givers with this permit worksheet
Purr' bing is accurate and true based on the
onnect all sewer drains to an e�astirig sewer tap or septic tank. Pg.
manufacturer's installation instruc ions and or Rule 15C-1 &� 2
onnect all potable water supply piping to an e)asting water meter, water tap, or other Installer Signatures ; .�' )_ Date
•rinnr�nrdon}ni�1•er ciinnly evc }emc Pn '