HomeMy WebLinkAboutMOBILE HOME PERMIT WORKSHEETInstaller:
Address of home
being installed
Manufacturer
NOTE: if home is a single wide fill out one half of the blocking plan c2
If home is a triple or quad wide sketch in remainder of home o
I understand Lateral Arm Systems cannot be used on any ew or
where the sidewall ties exceed 5 fL4 in.
Installers initials o
Typical pier spacing5.
lateral y
Show locations of Longitudinal and Lateral
longitudinal (use dark lines to show these locatio
m
I
�a
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I--------------------------------
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e
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marriage
wall
piers
within 2' of
end
of home per
Rule
15C
Permit.Number: /bV-1 — v -J 50 Date: VI I ` U
New Home ❑ Used Home [A
Home installed to the Manufacturer's Installation Manual Y ❑
Home is installed in accordance with Rule 15-Cf 0
Single wide
Double wide
Triple/Quad
�] Wind Zone II ❑ nd Zone III v
/❑ installation Decal #
❑ Serial # ,
PIER SPACING TABLE FOR USED HOMES SCANNED
�v
Load
bearing
capacity
a -4
RD 16"
�( 6)
�
18.1 /2" x 18
1/2"(342)
20" x 20"
(400)
22" x 22"
(484)-
24" X 2 '�
(576)'�
" x 6
ad6)e
0. ' ig
4
5
8
500 4* 6
6
7
8
2 0 w At
8
8
8
a, 18
ifawPUILEF raxu!w= ion-i pierspaetngravie.
R PAD SIZES
' I-bearreaf e e
43?Perimoer q r"i9 size .
Other pier pad sizes
(required by the mfg.)
-wahe approximate locations of marriage
ll 4 foot or greater. Use this
symbol to show the piers.
List all marriage wall openings greater than 4 foot
and their pier pad sizes below.
Opening Pier pad size
-_. -
Sin
� iG3'isY.�.'�t
jc •.�i]
i B)fi IL•!<'is%'1fi IL!
(cam,
M
4ft
'ANNCCHORS
v 5ft
.40u ty
FRAME.TIES /
within 2' of end of homy
spaced at 5' 4" oc "IVVV
TIEDOWN COMPONENTS OTHER TIES
Number
Longitudinal Stabilizing Device (LSD) Sidewall
Manufacturer Longitudinal
Lc)ngitudinaLStabilizina_De_vic�wL-L-aterakArms�Vlarriacre=wall==
Manufactu�e� // ��� Shearwall
771v
Mobile Home Permit Worksheet i'()q - 7JV 61 a Permit Number: Date:
POCKET PENETROMETER TEST
The pocket penetrometer tests are rounded down to ez,50 psf
or check here to declare 1000 lb. soil withou testing.
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at 6 locations.
2. Take the reading at the depth of the footer.
3. Using 500 lb. increments, take the lowest
reading and round down to that increment.
TORQUEp,
The results of the torque probe test is G 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 sidewall 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 anchor Ong capacity.
-fit i Installer's initials
ALL TESTtMUST$E PE FORMED B'AA LICENSED INSTALLER
Installer Name
a!?•-�'!�r•
Date Testedy
Electrical
Connect electrical conductors between multi -wide units, but not to them power
source. This includes the bonding wire between mutt -wide units. Pg. ,.�—
Connect all sewer drains to an existing sewer tap or septic tank. Pg.
independent water supply systems. Pg.
Debris and organic material removed
Water drainage: Natural Swale Pad Other
Fastening multi wide units
Floor: Type Fastener: Length: Spacin
Walls: Type Fastener: Len pacing:
Roof: Type Fastener: ength: Spacing:
For use es a min, 30 gauge, 8" wide, galvanized metal strip
centered over the peak of the roof and fastened with galv.
roofing nails at 2" on center on both sides of the centerline.
Gasket (weatherproofing requirement)
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 nd gasket being in d a strip
of tape will not serve as a gasket.
Installer's initials
Type gasket Installed:
Rg. Between Floors Yes
Between Wafls Yes
Bottom of ridgebeam Yes
The bottomboard will be repaired'and/or taped. Yes e✓ Pg.
Siding on units is installed to manufacturer's specifications. Yes �—
Fireplace chimney installed so as not to allow intrusion of rain water. Yes
ti
Mlscell
-Skirting to be installed. Yes No
Dryer vent installed outside of skirting. Yes �N`/A
Range downflow vent installed outside of skirting. s N/A •
Drain lines supported at 4 foot intervals. Yes
Electrical crossovers protected. Ye
Other
Installer verifies all information given with this permit worksheet
is accurate and true based on the
manufacUuees install insttuctions and or Rule 15C-1 & 2
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