HomeMy WebLinkAboutPERMIT WORKSHEET(PERMIT WORICO)•MEET paps 9 of 2
PERMIT NUMBER --elv/�o?z
a Inalaller `I'�' vcar �7 am+: s Now Home. Used Homo
13
la(�• "� LlcormoYl _ Sl4op0oJA.1
Flome Installed to Iho Manulacturer's Installation Manual
Address of home b'� 93 �`' 3&WeP� jr Home le Installed In aocordanoo with Auls 1B•C
being Igalelled - n—
14• St L"C e Wide aln f p [J Wind Zone II 0 "no Zono III
/ Msnufaclurar Balon j-6ApV- lengthxwidth /{O'O'X --Y•' Double wide Me InslellalianDecelio ^' �2,3lyy�-,39..
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MOTE: 11horneIs* Giants wideliltdalono'hall?ofthe @loe/dagpren TdpistQund 0 Seda1�
YhohreIsatriple orduadwldallovkhinramalndaroYhomo THFSFp
I undoreland Lateral ArM Systotns cannot be used an any home (newer used) AyESU9 �NSAtyp
whore lila•eldswaii Sea oxcaad B It 4 in. H,tQjl E'CTTa A(�gP1ER SPADINtl TABLE FOR U$ED HOMES
Installer's fnitlols �4 MAype
Typloal literopeolne •'•••77777 , oMpCY,
rl� bloom
Ahow locations of Lottgitudinal end Lateral Systems
v (use doric lidev to show than loosllono)
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y
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w 0ffElm-1��LS�I
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�.IYtiTS�
1! $ FtE a sizes
I..� �•..� I•hosm plat patl site J7%au 2� J/g
Pednroter, pier pad size 1 )1166 "
;.y .�
. _ .._..r� .. (�....p......n n�....�....p ..{,(... Other pier pad sizes w� .
_ (roqufred by the Mfg.)
prow the approximate locations of inwago
Lei Lei "81 U wall apenln994 foot ar. grealer. IJso lhle
j1 ,f1 • mndaoo.riA phneMMZNondHmm�e aubtfi0 symbol to 611aw 111e pier&.
v List :dl martlm9a well openings greater than 4 foot
and lhalr pier pad sizes below.
But H'
Luli m
/ 0r0f,
m M pLAlkB Lt,:r��..
V Ni1 PrdTry DE t{r'F7+Qtd jx117 � ,
Wo EOYd�.C2, 4'utLL 08 DR
BE PJIADE
Opening Pier pad ske '
r NCOMPA ENT9
1vivV7a7e-:2 a
ANC DfiB
4fl I-' tif1
F T18
within 2' of end of home
spaced al S 4" oc _
.4TNER ?iEa
Number
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5ldewdl
Lonngglludinal '
Mmglege well
;ihoenvell
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• I Palm J&Aor 1409C
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9
PERMIT NUMBER
PERMIT WORKSHEET I page 2 of 2
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POCKET PENETROM
The poclel penetrometer tests are roursip i down to psf
or check here to declare 10M lb. sot wllhout lasing:
x_ x_ x�
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at a locations.
2. Take the reading at the depth of the footer.
3. Using 600lb. irraenente, take the lowest
reading and round down to that increment
X— X_
The results of the torque probe testis 30 o Inch pounds at check AAF SFpG
here Byou hie declaring V anchorewl u1�oTtes Ngg No A lest RF S�e✓E
showing 275i Inch pounds or lose wa require 4 foot ate. Mqy� /AFt)6
Note: A elate approved lateral arm system la being used wW 4 it �oMp FNFCE
anchors are allowed at the a dowall locations. I understand 6 R �YK/Py
anehore are requiried at ail rontudine tie polntp where the torque test
reading is 275 or less and whare the mobile home mamdasturer may
requir6o anchors with 4000 b holding capacity.
Inalder's Initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name M17TO
v'c,d,oDate Tested ' J
ee
i
Connect eleetriealleonductora between mrdt-wide units, but not to the mgln purer
source, This Includes the bonding wire between mut4wrkte unite. Pg. Z' "3
G1e sLer
a b n an
Debris and organic material removed yes T
Water drainage: Natural _tofS a Pad aher
Floor. Type Fastener.vani.63to
LenglK d„ Spacing: A'( O.0 S."
Walls: Type Fastener;Langlix Sparing:
Roof. Type Fastener.Le tir; S aeprg, ova •�
For used homegauge, a`w�de, galvapnlzed meta) strip
will be centered over the peak of the roof and fastened with gely.
rooting naffs at 2' on center on both sides of the cenlariine.
er I.r1M,aoedNvnwYxrnt♦
I understand a property installed gasket Is a mqulmment of all new end used
homes and that co_ndensallon, mold, meldew and budded marriage wells are
a result of a poorly Installed or no gasket being Insisted. I understand a strip
of tape will not serve as a gasket.
Typegasket Ce"Mr. s...L
Pg. Fe+r..r.11.J
7 �N o pftp
�eLn , QAa, �SFD u, _
Installer's Inluals
Instetled:
Between Floors Yes v
Betweenwalls Yea — pe
Bottom ofridgebeam ems '✓
bppp eri WII be to alred and/or toped. Yes
Siding QpI{y [s Installed io manufacturer a speciaca tons Yfes g
Fkap oce ehinYtyjy Installed ao as not to allow ntruaIan of rain w r. es _
MtWC—Gymeua
SktUng to be installed. Yes W_� No
Dryer vent instated oulside of krg. Yes — wA
Range downftowvenl Instated outside of sk ri ling Yas
Drain Imes supported at 4 foot intervals. Yes��
17ectdosl crossovers protected. Yes
Other:
In accurate and true based on the
Connect all aswrar drains loan existng sewer tap or septb tank Pg. i x' I manufacturer's Installation InMetions and or Rule 15C 1 A 2
Conned all potable water supply piping to an aWalitg water meter, water top, or other InoLlar slgntlurs I Dsto;
Independent water Supply systems, pg.— tt
FILE (C