HomeMy WebLinkAboutPERMIT WORKSHEETi
y • ptRMIT NUMBER ���..... �
Installer License #
Address of home
being installed
Manufacturer Lennth x Width
NOTE; • if home Is a single wide fill out one half of the blocking plan
Nhome Is a triple or quad wide sketch in lemalader of home
I understand Lateral Arm Systems cannot be used on any home (new or used)
where the sldewall ties exceed 5 ft 4 In;
installer's initials �-
Typical pie; spacing • 4L;
21
• Show locations of Longitudinal and Lateral Systems
te,s a lines to show these locations)
n
'"enlace Wall piers wlthln 2 of end of ham veraWe ISO
- -•_ n •1`i � n n n n n
PERMIT WOFIKSHEET & LUC►e Co page t of 2
New Home • ❑ Used Home
Home installed to the Manufacturer's installation Manual ❑ -
Home Is installed in ac ance with Rule 15-0 ❑
Single wide 1 Wind Zonell Wind Zone lIi Cj
Double wide ❑ installation Decal # �,�
TriplelOuad [j
PIER SPACING TABLE FOR USED HoMES
I-beam pier pad size
Perimeter pier pad size
Other pier pad sizes
(required by the rnfp.)
Draw the approximate locations of marriage
WWI openings,4loot or greater. Use this
symbol to showthepiers.
List all marriage Wall openings greater than 4 foot
and -their pier pad sizes below.
Opening Pier pad=size
7lEDOWN CO_ PONENTS
— _ Lrorlclltudinal_siah►u�.r.,.,-r1....,___..-.....-- _ _
PQPULAi"i PAD SIZES
AN oRS
4it Sft
FRAMEwithin TIES
Spaced
2' t end c hgmp/
. spaced at 6' .4" oo
- Marriage wall
' Shea4li
U
J
PERMIT NUMBER
POCKET PENETROMETER TES
The pbcket penetrometer tests are rounds own to psf
or check here•tc declare l oo0 Ib,.soil without testing,
POCKET PENETROMETER TESTING METHOD
i. Test the perimeter of the home at 6 locations.
2. Take the reading at the depth of the .fcotet
S. Using 500 lb, increments, take the lowest
reading and round down to that increment.
X • X
ORQUE PROBE EST
The results of the torque probe test Is inch pounds cr check
here # you are declaring 5' anchors without testing _ A last
showing 275 Inch pounds or less will require 5 foot anchors,
Note: A state approved lateral arm system Is being used and 4 ft.
.anchors are allowed at•the sidewall locations, i understand 5 ft
anchors are required at all centerline tie pointp where the torque test
reading Is 275• or less 5E�
manufacturer may
requires anchors with Initials
ALL TESTS MUST BE PER F ED BY A LICENSED INSTALLIER
Installer Name
ruh-
Date Tested ci
Electrica
IbnnQot electrical conductors between multi -wide units, but not to the main power
ounce. This -Includes the bonding wire between mult-wide units.
onnect all -potable water supply piping to an existing water rnster, water tap, or other
idependent water supply systems, pg.
PERMIT WORKSHEET page z of z
Debris and organic material rplGved
Water drainage: Natural Swale p Other
Fastenin tntrlti wide units '
Floor, Type Fastener: Length: l�� Spacing: ,
Walls: Type Fastener, Length:`� Spacing:
Roof: Type Fastener. Length; N� Spacing:
For.irsed homes a n. 3{) gauge, 8" r] de,''galvanized metal strip
will be centered 'over the peak of the•roof and fastened With gaiv,
roofing nails at 2" on center on both sides of tha centerline,
888keL W=1he eoefrn utrsmbnt
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 installer], 1 understand a strip
Of. tape will not serve as a gasket.
installer's initials
Type gasket A Installed: /
pg• ---- Between Floors Yes V
Between Walls Yes
Bottom of ridgebeam Yes
The bottomboard will be repaired and/or taped. Yes pg, '
Siding on units is Installed to manufacturers specifications. Yes Fireplace chimney Installed so as not to allow intrusion of rain water• Yes �nn —
Skirting to be Installed. Yes_'✓ No
Dryer vent installed outside, of skirting. Yes N)
Range downfiow vent installed outside of ski 'GAGA
Drain lines supported at 4 foot intgrvals, Y
Electrical crossovers protected. Yes
other;
is accurate and true based orj the
Installer Signature
Date
1'6