HomeMy WebLinkAboutPERMIT WORSHEETd; V
PtRAMT NUMBER ....... ...... �:::,• .
Installer a-5 L9r'L^"_ License # _Z4-10 S7 LP ?
Address of home I V (� beinginstalled
Manufacturer LenA x width D.
NOTE ' It icift
e Is a single wide fill out one halfof the blocking planIt is a tdPle or quad wide sketch in remainder of home
I understand Lateral Atm Systems cannot be used on any home (new oru!!9
where the ddewatl ties exceed 5 ft 41n;�—
Installer's Initials
Typical pier spacing •' � �� w 'A
r�r.nu Jx-e..
1 Show locations of ngitudinal and scat Systems
(use dark lines to show these I cations)
mu"vo. waB P1M wMM„ 2* Cfww of bww
PERMIT WC114KEHEET
page Y of 2
New Home . bir Used Home ❑
,
Home installed to the Manufacturer's Installation
Manual (.
Home is installed in accordance with Rule 16-C
zn
Singie wid❑ e Wind Zone It la
CD
wind 2�- -1
Double wide ' installation Decal
Triple/Quad 13 Serial #�
PIER SPACING TABLE FOR USED HoMEs
Load
bearing
ooter
abw
size
16' X 16'
t e il2' x ie 1l2'
2w x2w
22' ><22!
24• X 24'
2V X 2fi•
�P-
( q in)
(256)
(
(40D)
(48V
(876)t
(675)
s
D
48
8
8
D osts
s
8
s
s
8D s
g
0 Ihternelal /n,m
Cnln iGl'L�
w,e......._t_� ��.�_
8 .
PIER171 PAD SIZES T
I-beam pier pad size
Perimeter pier pad size
Other plot pad sizes
IIT (required by th a mfg.)
Draw t ie approximate locations of marriage
wall•o Ings 4 foot or greater. Use this
am 0 to s)row the plem.
Ust all mama a wall apenlrigs greater than 4 foot
and.their pier ad sizes below.
Opening Pier pad --size
POPULAR D s g
ANCHDR8
4 ft 5 ft
FRAi�r: ttes
_within 0 of end of hor
spaced at V 40 oo e
OTHER E.,
Sidexall Number
Longitudinal
:Mterrlaaa_wafr
Y
Y
� J
PERMIT NUMBER
POCKET PENETR TES
The bbaket penetrometer tests are rounded down to psf
or cheek hereto declare 1000 Ib.,soil without testing.
XX X--- �11
POCKET PENETROMETER TESTING METHOD
i. Test the perimeter of the horhe at 6 locations.
2. Take the reading at the depth of the faoter.
S. tJ.rdnq SW Ib. increments, take the lowest
reading and round down to that increment.
TO Q E OBE TEST
The results of the torque probe test is Inch pounds or Check
here if you are declaring V anchors without testing __ Ated
showing 275 Itch pounds or lass win require 5 foot anchors.-
Note: A state approved lateral am system Is being used and 4 ft,
,anchors are allowed at the sidswall locations i understand 5 ft
anchors are required at all coftrilhe tie polnfs where the torque test
reading Is 275or lass !f!!f1n
6 rrtobite Ipme manufacturer may
requires anchors with g capaCiIy.
installer's tnftials
ALL TESTS MUST BE PERF014MED BY A UCEpNSED INSTALLFER
' lnstallerName 1 �ann�i,5
Date TWed
. ocir
iffroMn.ot electrical conductors between multi -wide units, but not to the main power
a This•includas the bonding wire between rnult-wide units. Pa.
.� Wnbrna
PERMIT WORKSHEET
F89B 2 of 2
Debris and organic material removed
Water drainage Natural Swale Pad —. Other
Fastenin rr,ulti wide un -
Floor . Type Fastener. Length: Spaoinsr
Walls.' Type Fastener.._ Length'.
Root: Type Fastener. ^� Length: ,_,,,__ Spacing:
For. used homes a min. 30 gauge, 8' wide, gahranized metal st—` np —"
will be centered over the beak of the -roof and fastened with gaiv.
roofing nabs at 2' on center on both sides of the centerline,
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 derstand a strip
of tape will not serve as it gasket.
'' ++ Installer's initials
Type gasket ro ( installed:
Pa. Between Floors Yes
Between Wails Yes
Bottom of ridgebeam Y'es�
• eatho roc n
The bottornboard will be repaired and/or taped Yes �pq
Siding on units Is installed to manufacturer's specifications. Yes_
Fireplace chimney Installed so as not to allow intrusion of rain water, Yes
Skirting to be installed. Yes, / No
Dtyervent installed outside of skiitJng. Y� 7� WA
Range downflow vent instalted•outsida of skirting. Yes � WA
Drain tines supported at 4 foot intervals. s
Electrical crossovers protected.
Other: .
Il4 9!c0*tgA(nd tr i"uetd on
all potable water supply piping to an existing water meter, water tap, or other Installer Signature Data
lent water supply systems. Pa.