HomeMy WebLinkAboutPERMIT WORKSHEETv��yP
- ) �y � IT NUMBER
Installer Ucutse i s n i k
Addiess cf.hame
lanufaG{urer n IA
NOTE W home is a single wide fill out w7e haff of the blocking plan
1f holrle is a triple or quad wide sketch 72 remainder of home
I tmdetstand Lateral Arm Systems cannot be used on any home (new or used)
where the sidewWI ties exceed 5 ft 4 is
llzstailet� iru�lals
Typ%cal pler.spacin9"
�C udrnai and oral Systems
> {usa t Mines to sho - locations)
n n nr�- n n n n
SCANNED
-
BY.
PER -MIT Z'VOR..KSHEET8- t Lucie C®Uil j/L page 1
2`
New Home . Used l latzte
Home installed to the Manufactvrar's lnstallatlon Manual
;
Home is installed in aocordance with Rule 15-0
=
single wide ❑ inrl Zvna II W/lnd Zone Ill �]
Double 'Aida �nstalliAlon Decal 4
Tripl.rQuad
PE^n SPACING TABLE FOR USED HOMES
�w1T1T1ii��
INNUM�
- ¢ueipo,area rrom rtuta za,.r a wer spacatq rar»a
Pi! ii PAD SrZF
I-beam pier pad size R\
Perimeter pier pad slm
i
Outer pier pad sues -_ \7�,
Ouquired by the mfg.)
Draw the approximate locations of marrlar
Walt openings 4 toot or der_ tJsa this
symbol to show the piers,
)Ust all marriage wall openings greater than 4 toot
and -their pier pad sizes below.
openlnn Pier pad size
71EDOWN COMPONENTS
LnnglfUdlnal Slabflj.�3nQ D�trlce (LSD)
. Manufaciwer ''il��+\`i C��T`a'P tlr\t%l� -
E [ARE D s s
a 1
ANCHORS
4it Sft
FRAME TIES
within 2' of end of
spaoed at 5
oTt�t zrEs
SldawaR
---
Lflrig�L'dfnai
Adarrlac}e waD - -
5hmarvral - —
SEP
S-r, L�ele t:oUnty, Permitting
f
POCKETENEMO TES
The pocket penetmmetertests are round wa to - pst
or cheek hereto dsdare 1DOD Ib..sor7 �ZwX-out testing.
X X X
POCKET PU EMOMEI TE5'T NG MEMOD
1. Test the perimeter of the horhe at 6 iocatlons:
2_ Take the reading at the depth of the foster.
S. Uping Soo lb. iiicremenis take the lowest
reading and round down to that increment.
X X X
TMQUE PROBE TESF
The results of the torque probe test Is inch pom ds or check - -
here it you are declaring 5 anchors wiihoiirf- _q _ _ A test .
showing 275 i ncii potmtds or less will require 5 foot anchor
Notes A state approved lateral arm system is being used and 4 ft.
andiors are allowed at'the sidewall locatiom i understand 5 ft
- andioxs are required at all centerithe tie points where the torque test
reading Is 275 or Isss and 4Viiere the mobile hone Manufacturer may
requires anchom with -009'. tcrmg capac+t5=
itistalleez initials
ALL TESTS MUST l9E PMFOii ED 8Y A IJL'ENSEDJNSTALLFR
Installer Name V &L1�]
•i�afe�Tas€ed:�: �
'ElecWcW
Ann9d electrical condudors between multi-wkie tmits: but not to the maim power
owcea This Wudes the bonding wire between mutt -wide units.
vnned all sewer drains to tin
armed all potable water supply piping to an existing water meter, water tap, or other
3dept3 ulent water supply systems. Pg_
PERMIT WORKSHMT
Site Preparaffan
- pate 2 of 2 -
Debris and organic material rvaMoved _
Waterdrainage- Natural V e Padother _T
Fast multi wide units
Floor. Type Fastener. Length: king: ---
Moot: Type pe Fastener. LLanulkr-Qth: spacing _
For_used homes a 3Q gauge, 8' wtdq gaIirariized m will be centered aver the peak of the -roof and fastened *6 gaivv..
rooting hails at Lr on center on both sides of the centerrrnm
I understand a property installed gasket Is a tacgrement of all newand used
homes and that condensattor4 motel, meldswand btrcMed marriage watts are
a result of a poorly installed or no gasket bring installed_ I understand a strip
of taps will not satve as a gasket
• 'IstaUer'sirrifia]s,+- .
Type gasket V006M installed:
Pg Between Roors Yes ✓
Between Walls Yes
Bottom of ridgebeam Yes
The bottornboard wit] be tepaired,,w rtepea Yes
S"tdmg on Units is installed to ca nufacturer's specifioatlorrs Yes
Ftrepkwp c l mrtey installed so to W10intrusion �
as not 1 rafnWBIM YIEI
Skltting to baTutsta 161 Yes No
E
UrVar vent installed outside of skirting. ye 5
}�
I3arti#e downfiow vent Irisialted outside of slo_�! N!A -. ' $o
E
Dtairr rotes supported at 4 fobt inigtvat� Y c�
a
Elecfrfcsl crossovers proteded. Yes LU
Otliea :
c
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o
v
Installer v+erMes aU information given with this perm t warksheet
is accurate and true based on the 1
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Installer
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