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-PERMIT NUMBER
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Acfciiess cf home \Aef t osa Ume
being: htst�llec� - -
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Nlatzufaclttrel' ' ��,.�t� f:.englP,xwJditt ��� ��
Nom- 'lf home is a aide wide fill out one half of the blocking plan
if hagie is a frlple ar quad Wde sketch In I'emalnder of home
1 understand Lateral Atm Systems cannot be used on any horse (new or used)
where the sJdewall ties w=ad 5lt 4 in:
Installer's " "
Typical pier spa
-v k4i cing
and Lateral Systmns
PERMIT WORKSHEET p� of 2
New Home . used Home
Home installed to the IVlamtsfacturer's Installation Maival _
Home Is installed in aocordanca wfth Rule 15-G
Single wide tnd Zone lI Wind RZ
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Double Wide �nslalkNonDecal4
Tdplerouad Ej Seriat j r,—�iASG I ''A1
PIEF-i SPACING TABLE FOOL USED HOMES
Lnzd
F°ow
76'Xt6'
18Y12 X181t2`
2o'X2A'
22x22'
24X24'
2WX2V
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Inrerpo�area Isom i tuts 7Si : 7 p[er s wo�a
PIER PAD SIZES
5
I-beam pier pact size
Perimeler pier pad size
01herplerpad dies
(required by the mtg.)
Draw the approArnate locations of manM5
wall openings 4 toot or greater Use this
symbol toshow the piers.
list aU marriage y+ratt openings greater than 41c of
- -and-iheir pier pad srzies tietow. .
Opent-W Pier pad• -size
-nEDowM COMPDXefM
Longliudlrtal
Stable
ManLtfactenrer Stab1Ay pg a5D)
P tAR P D 5 ESQ
FRA ll5 T E-.
wHhin 2' of end of hor
ed spacat 6 4' oo
PERMIT NUMB> A
POLRU=1 Ft:NhTHOMETM TES
The pocket penetrometertests era rotand wn to psf -
archeek hate to dedare 1 DOa lb. so$ w faoUii tu-e—T ng. .
+ X X X
POCKET PaMMOMMER TESTING, MEMOD
1. Test the Perimeter of the home at 6 iocaiionr, -
2- Take the reading at the depth of the footer.
fj4mg Sm lb. frm mem-% take the lowest .
madhV and round down to that increment
X X _ _X
Q E BE TEST
The results of the torque probe test is _ inch pounds or check
here it you are declaring 5' anchors wahoiA t6S*iq - A test .
showing 275 indb pognds or joss will require 5 foot anchors:
Note; A state approved lateral arm systern is bdTng used and 4 IL
anchors are allowed atlhe sidewatl loc-.allons i midessiand 5 It
ztndrots are Mulred at all rentEdine tie pomfs where the torque test
reading is 275.or less and where the mobile I' Pmemanu'acturermay
anchors
requires with ldinA lY-
-.: 'itisiallee. Pt ttals
ALL TESTS MUST 13E PERFF013 ED BY A L C 4SED INSTALLI=RR
Installer -Name
- _ ._.
CW _
tonneot electrical conductors between multi -wide udiis; but not to the main power
outae. ThiwkTludesthe bonding wire between mult-wide ul ts. Pa
- t;mUin4
finned all sewer drains to tus eDdsling sewer tap orseplk tank. Pg:
unned.all potable water supply piping to an eDdsturg water meter, water tap. orother
;dependent water supply systems, Pg
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Site Pmphratron
Debris and organic Material refloved
Waterdjalnage: Natural V Shale pad C*ler
Fastenin a+uiti wide t2a}Ls
Floor. Type Fastener, pac,lng; i}15
5
Walls Type Fastener; L�f _
b
Roof Type Fastener. Lenggfh-_
Fnr used homes a ' So gauge. a' wrde, mahzntzedWill be centered bver the peak of the•raof and fastened Qh gaIv.
roofing naffs at 0 on center on both sides of the centerrme,
l understand a Property installed gasket is recorernent of ail newand used
homes and that condensation, mold, meldew and buc3ded mattlage wails are
a result of a pDorl y installed or no gasW bsbng installed. 1 understand a ship
of tape will not serve as a gasket.
• "�]i}el.'s 3ti$ials_x. � � .
Typegasket VOOc14P1 Installed:
Pg. Between Floors Yes ✓
Between Walls Yes
Bottom of ridgebeam yes _
The bottomboard will be aePairedandJortapeci: Yes
Siding on Units is kstalled to manufacturer's sPecff7oaf(orm. Yes
Fireplace chlrmeY Installed so as not to allow intrusions of rain water. Yes�Zx.
Sklttirta to be installed. Yes No
Dryerve nt ih-Aded outside at skktkig. Y& W
F3arrge downtlow vent installed outside of ski U. N/A -
Dmin fines supported at 4 fobi ion-,
Elecblcal ==we= protected Yes
other; - -
3 aid mlorrnatjon given With 'thJs P-E
9s ac=rats and trite based •o;t the
tiis3.ailer Slgnaiun-e
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