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Home My WebLink AboutPERMIT WORKSHEETAddress of home `® 7 0 1' J ` -Oc C'4m !/ r �� S2'/ being installed Manufacturer ka Length xwidth el 2�y NOTE 'It home Is a single wide fill out one half of the blocking plan If home Is a triple or quad wide sketch In remainder of home I understand Lateral Arm Systems cannot be used on any home (new or u ) where the sidewall ties exceed 5 ft 4 in; Installer's, initials Typical pier spacing -� r 2' I lateral PERMIT _WORK -SHEET L page 1 of 2 1 r10me lnsiatiea to in PAUFI JltiUlUftdf 5 1115LWICILIUfl MC11IUGI !=J Home is installed in accordance with Rule 15-0 ❑ Single wide ❑ Wind Zone II ❑ Wind Zone III Double wide ❑ Installation Decal 4 Triple/Quad ❑ Serial # 8� Footer PIER SPACING TABLE FOR USED HOMES { Load ari 16 x 16 18 112 x 18112 20 x 20 22 x 22 24 X 24 26 x 2t capacity (sq in) bearing size (256) (342) (400) (484)` (576)` (676) 100DiDst81 1 00 pst 4 6 6 8 000 s 6 8 8 2500 s 6 8 B 8 3000 0s 8 8 8 8 3500 pst 1 8 interpolated troln Rule 15U-1 pier spacing table, PIER PAD SIZES POPULAR PAD SIZES I-beam pier pad size o�i �� aSize S In. 16 X 16 Perimeter pier pad size on Calodel-e— 16 x 1 Other pier pad sizes �� D� x7 22.6 (required by the mfg.) 1 x 224 13 1/4 x ®Draw the approximate locations of marriage x - wall openings 4 foot or greater. Use this x i _ _. symbol to show the piers, x I 4X 241. List all marriage wall openings greater than 4 foot 26 x 266 and.their pier pad sizes below, ANCHORS Opening Ppad:size 4 ft -5 ft I FRAME TIES within 2' of end of hom. e / spaced at 5' 4e oc TIEDOWN COMPONENTS OTHER TIES Number L.onglfudlnal Sfab111zing Device (LSD) Sidewali Manufacturer Longitudinal Longlfudlnal.Stablllzing Device w/Laferal Arms Marrlage wall Manufacturer Sheanvall interpolated troln Rule 15U-1 pier spacing table, PIER PAD SIZES POPULAR PAD SIZES I-beam pier pad size o�i �� aSize S In. 16 X 16 Perimeter pier pad size on Calodel-e— 16 x 1 Other pier pad sizes �� D� x7 22.6 (required by the mfg.) 1 x 224 13 1/4 x ®Draw the approximate locations of marriage x - wall openings 4 foot or greater. Use this x i _ _. symbol to show the piers, x I 4X 241. List all marriage wall openings greater than 4 foot 26 x 266 and.their pier pad sizes below, ANCHORS Opening Ppad:size 4 ft -5 ft I FRAME TIES within 2' of end of hom. e / spaced at 5' 4e oc TIEDOWN COMPONENTS OTHER TIES Number L.onglfudlnal Sfab111zing Device (LSD) Sidewali Manufacturer Longitudinal Longlfudlnal.Stablllzing Device w/Laferal Arms Marrlage wall Manufacturer Sheanvall I; :::::.• PERMIT WORKSHEET POCKET PENETROMETER TEST The pocket penetrometer tests are rounded down to psf or check hereto declare 1000 lb. soil without testing. X X X ® t/f POCKET PENETROMETER TESTING METHOD 1. Test the perimeter of the home at fi locations. 2. Take the reading at the depth of the,footer. S. Using 500 lb. increments, take the lowest reading and round down to that increment. X, X X TORQUE PROBE TEST The results of the torque probe test is Inch pounds or check here if you are declaring 5' anchors without testing . A test 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 sidewail 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. Installer's initials ALL TESTS MUST !/PS4 PERFO�RMjF,p SY A LICENSED, INSTALLER Installer Name Date Tested �10�j lD,/ 7- '94-� Electrical lbnnect electrical conductors between multi -wide units, but not to the main power ource. This -includes the bonding wire between mult-wide units. Pg. Plumbina flnneot all sewer drains to an existing sewer tap or septic tank. Pg. onnect all potable water supply piping to an existing water meter, water tap, or other (dependent water supply systems. Pg. page 2 of 2 I Site Preparation Debris and organic material removed L Water drainage: Natural Swale Pad Other Floor. Type Fastener. cit h: s a qp Walls: Type Fastener 14b�/ mq�1 Roof: Type Fastener. ength: Spacing: For.used homes �aRmin. gauge, 8" wide, galvanized metal 'strip Will be centered over the peak of the -roof and fastened with gals. roofing nails at 2" on center on both sides of the centerline. Gasket (wmtherproefing requlrermnt) 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, der tand a strip of tape will not serve as a gasket. Installer's initials Type gasket { Installed: Pg. Between Floors Yes Between Walls Yes Bottom of ridgebeam Yes Weatherproofing The bottomboard will be repaired and/or taped. Yes . Pg. Siding on units is installed to manufacturer's specifications. Yes Fireplace chimney installed so as not to allow intrusion of rain water. Yes Miscellaneous Skirting to be installed. Yes fe�MNo Dryer vent installed outside of skirting. Yes N/A Range downflow vent installed' outside of skirting. s WA Drain tines supported at 4 foot intervals. Yeses ' Electrical crossovers protected. Yes t/ Other: verifies all information given with this permit Worksheet is accurate and true based on the cturer's instalLagon Instructiops and or Rule 15C-1 & 2 Installer Signature