HomeMy WebLinkAboutPERMIT WORKSHEETPER -MIT W013ffSHEET
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FILE Cnpt�--
I page 1 of 2 I
New Home ❑ Used Home [�
Home installed to the Manufacturer's Installation Man (�
Home is Installed in accordance with Rule 15-0 4j
Singip wide n ❑ Wind Zone II ❑-----V4-nd Zone III
Double.wide ' Inetallation Decal n
TriplelQuad ❑ Sodal
PIER SPACING TABLE FOR USED HOMES
Lead
gearing
capaolty
Foote'
size
(sq in)
16' x 16'
(250
18 112' x 18112'
(342)
20' x2p'
(40D)
22' x 22'
(484)'
24' X 24'
(576)'
26' x 2E' ',
(676) ,
100D s
37.
00.
4 6
6
8
D00 s
6
8
'200 s
6
8
8
8
3000
8
8
8
8.
mwpuiatw uum r-�uro � v�r � pw� spactnp ut�iv,
PiER PAD SIZES
I-beam pier pad size 17 ` X 22 ri
Perimeter pier pad size / ` r % 2
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 openlrigs greater than 4 foot
and.their pier pad sizes below;
OpenlnO Pier pad:size
12 lie
)2 ff
TIEDOWN COMPONENTS
Longitudinal Stabilizing Device (LS0
Manufacturer n+--c`H-� �•� /%409C
Longitudinal SfabTllzing De Loa W/Lateral A75 s
Manufacturer Yi'L r hKY cp Wt44 a -
POPULAR PAD SIZES
ANCHORS
4 ft5 ft
FRAME TiES
within 2' of end of home
spaced at 5144 o0
OTHER tES
Number
Sidewall e-E'
Longitudinal
Marrlage wall
ShearwaI
1
y`J -
d' PERMIT NUM65R
.............. .. ..... _•. ..r . !i
- - ---PO - - - - TER TEST- - - I -
The pbcket penetrometer tests are rounded down to psf
or check hereto declare 10130 lb. soil _._Lmahout testing.
X X X
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, Uping Boo lb, increments,'take the lowest
reading and round down to that Increment.
TORQ E ROBE TEST
The results of the torque probe test is a 5% 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 atdhe 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 anchors with 400Q4bb2IdIng capacity.
Installers initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTTALLFER
Installer Name / ::�,/,2 c // s-- A`er-1`6 2�pok��
Date Tested . f Q
Electrical
Ibnngot electrical conductors between multi -wide units, but not to the main power
ource. This•lnriudes the bonding wire between mult-wide units. Pg.
Plumbing_/4
-onneot 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
idependerlt water supply systems. Pg.
PERMIT WORKSHEET page 2 of 2 I
Site Preparation
Debris and organic materlai rerpued ,
Water drainage: Natural '- Swale Pad Other._,_,
Fastening multi wide units
Floor. Type Fastener _��_� ._ Length: 'V'eC ' Spacing: 1-2
Walls: Type Fastener Length: —�� Spaoing: 42
Root: Type Fastener, Length: r Spacing: � ,
For.used homes a fnin. 30 gauge, 8" wide, galvanized metal strip
will be centered over the peak of the -root and fastened with galy,
roofing nails at 2" on center on both sides of the centerline,
Gasket (wmtherpiooting mgulrmy- +nt)
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. 1 understand a strip
of tape will not serve as, a gasket,. . .: - . - ,- -
Installses Initials
Type gasket Fe Pt- Installed:
pg. Between Floors Yes c�
Between Wails Yes
Bottom of rldgebeam Yes
weatherproofing
The bottomboard will be repalred and/or taped. Yes C/; Pg,
Siding on units is installed to manufacturers specifications. Yes 4--
Fireplace chimney Installed so as not to allow Intrusion of rain water. Yes A!�e9
Skirting to be installed. Yes t/ No
Dryer vent installed outside of skirting. Yes —c--'N/A
Range downflow vent installed•outside of skirting. Yes WA
Drain lines supported at 4 foot Intervals. Yes
Electrical crossovers protected. Yes,____.
Other:
Installer verifies all information given with this permit Warksheet
Is accurate and true based'on the
manufacturer's Installation true ' ' s and or Rule 150-1 & 2
Installer Signature Date ��