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Home My WebLink AboutPERMIT WORKSHEETPERMIT NUMBER �, :,:::...... .... ><;:.: �:.. ,� Installer -Tkomas �- S�ytvtih9s License# 2%}00�01�.) New Home [� Used Home El Home installed to the Manufacturer's Installation Manual Address of home ��%%� ��rf�-� ��, Home is installed In accordance with Rule _1.5-C being installed _ _ _ _ Single wide [] Wind Zone II Manufacturer Sky Lr N e Length x width tic x KT' r Double wide [] I NOTE., If 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 canr�flbe�u�sed on any home (new or used) where the sidewall ties exceed 5 it 4 ire, 9Z�80 Eye Typical pier spacing lateral FCFSS 2' S-O r,�� q,�y(M °Fcr. r71 Show locatlo 9tiof��ofit�1.udi'n i��n''`� Lateral Systems , onglludlna-----(use-darie-lln$s}tD�soirp ids�jlocatlons)-- -- - --- -- — G' n C U marriage wall ploys wlthln T of and of home per Rule 1 sc 0 nsfallatlon Decal Il Triple/Quad r Seri 111 Wind Zone III El . a PIER SPACING TABLE FOR USED HU&BI. Load Footer bearing size 16" x 16' 18 1/2' x 18 1/2' 20' x, 20' 22' x 22' 24' X 24" 6' x 26' capacity (sq In) (256) (342) (400) (484)` (576)` (676) Interpolated from Rule 1SC- 1 pier spacing table. PIER PADS 1-beam pier pad size 1-7% x zS%2 Perimeter pier pad size dGx�s Other pier pad sizes (required by the mfg.) Draw the approximate locations of marriage wall openings 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. POPULAR PAD SIZES ANCHORS Opening Pier pad size 4� 4 It 5 It ln17x2S' 1------> 1-7 FRAME TIES -7 = 17x 25 "" 17xz� within 2' of end of home spaced at 5' 4" oc TIEDOWN COMPONENTS OTHER TIES Longitudinal Stabilizing Device LSD Number S Ky t-► h e brei MG, PERMIT WORKSHEET gage 2 of 2 PERMIT NUMBER. ........ POCKET PENETROMETER TEST Site Preparation The pocket penetrometer tests are rounded down to 150t) or check -here to dedlare 1000 Ib. soil without testing. x o x Ldo x :06 POCKET PENETROMETER TESTING METHOD 1. Test the perimeter of the home at 6 locations. 2. Take the reading at the depth of the Tooter. 3. Using 500 lb. increments, take the lowest reading and round down to that increment. X_t TORQUE PROBE TEST The results of the torque probe test is 30 0 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 an 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 b holding capacity. Installer's initials ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER Installer Name Date Testedoil Connect electrical conductors between mu►I#i-wi, source. This includes the bonding wire between Connect all sewer drains to an existing sewer tap or septic tank. Pg. IYE? Connect all potable water supply piping to an existing water meter, water tap, or other independent water supply systems. Pq. Debris and organic material removed t/e5 - -Water--drainage: Natural-- Swat- —Pad Othery Fastening multi wide units Floor: Type Fastener: B/9 Length: y*. Spacing: a G" o•C Walls: Type Fastener: Length: Spacing:Y' Roof: Type Fastener: 3L8 Length: Li Spacing: .2 Y" 6. c- For used homes a min. 30 gauge, 8" wide, galvanized metal strip will be centered over the peak of the roof and fastened with qalv. roofing nails at 2" on center on both sides of the centerline. GaskCtsweatherproofing requlrer entl 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. I understand a strip ofitape will -not -serve as a Bask_eT Installer's initials 7 Type gasket Cen-�ev' Sed-L Installed: pg., ad Between Floors Yes Between Walls Yes tel Bottom of ridgebeam Yes _ Weatherproofing The bottomboard will be repaired and/or taped. Yes pg. � 9 Siding on units is installed to manufacturer's specifications. Yesy Fireplace chimney installed so as not to allow intrusion of rain water. Yes i-' Miscellaneous Skirting to be installed. Yes No Dryer vent installed outside of skirting. Yes � N/A Range downflow vent installed outside of skirting. Yes ✓ N/A Drain lines supported at 4 foot intervals. Yes Electrical crossovers protected. Yes Other: Installer verifies all information given with this permit worksheet is accurate and true based on the P9 e 15C-1 & 2 Installer Signature 277e%,y 7�� Date -17 Off,