HomeMy WebLinkAboutPERMIT WORKSHEETPERMIT W0RK5HEET -- r- -- i page -i or.&
PERMIT NUMBER I-
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`NOTE if home is a single wide fill out one half of the h/o /aT, I
if home is a tri le or uad wide sketch in remainder o home —
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I understand Lateral Arm Systems cannot be used on any home (new or used) V I
whee thersidewall ties exceed 5+ft4 n i TI I L
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Typical pier spacing.
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New Home t e JUsed Home ❑ J-� �;
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Home installed to the Nlanuf cturees Installation Manual �� j
Home is installed in accordance wltn Rule 15 C t I-1 I Q
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Single wide ��-jWmd Zone II Q ••^IWind Z neit T
Double wide?_0 Installation Decal # 'TBD ' '
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PIER SPACING TABLE FOR USED HOMES --
Load Footer m 16 x 16" 18 1/2" x 18 20" x 20" 22" x 22'�I �J.4" X_ `26R126" `
capacity (sq in) (256)
bearing size 1/2" (342) (400) (484)' R(576)' (676)
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iasize r16X16 x
I 18.5 x
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erpad sizes below
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ig_I _; _4 r Pi_ re pad size # _
I 4ft X -5ft
,I 17X22.151' , LJ�-1 1 —,- � •
j I _� I_! FRAMETIES
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PERMITWORKSHEET
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PERMIT NUMBER } —�
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YES
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tests down o�to_t 1500
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d�o�ga icm tenal�rem moved
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ural Swal
stardrainage:l_Nat77
TThe pocket enetrom star _. ill__ I-�
or lieck herpe to declare 9000FIb rsoounded
testing. psf i 1 -�
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_ Fastening multi wI a units ti i
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Floor Type Fastener LAG Length 6" Spacrtg; 24'-
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Walls Type Fastener LAG Length R Spac r _
METHOD- _L
POCKETPENETROMEfERTESTING METHOD j_
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JRoof�- Type Fastener GA�_Length ISpac -
For used homes a min 30 gauge 8 wide galva ed metal str p
� �^jwkllbecenteredovertl%peakofthe roofendfast vi l
(roofing nails at2'on center on both side`s ofthe centerline
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1. Test theperr!meterofthe home at6locations
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2 Take tiie reading at the depth of the' Tooter
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Gasket
Iwoaehorproonn6 rogiu!romuetl,..-.
i i 3 Using 500 1b Increments, take the lowest
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l a Installed gasket Is a requirement of all new and used
reeding and round down to tatincrement
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understand properly
j, homes and thatcondensabon mold meldewand buckled marriage walls ere
aresultofa ono !n`stalled l understand a sVip
X_- { �XIT50C` + i �'�- AX 1500
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Dori installed gasketbeing
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; Installers I.nitials-EG
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1Th results of the torque probe test is 269 inch pounds or check
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Type gasket FOAM installed i
�Pg i j ! I , 06 eeen Floors Yes X ,
�'] Walls Yes X
M-ih`ere if you are declaring 5 anchors w1 houttestkrig Atest ' j-,
- showing 275 inch pounds or less will require 5 footanchors z
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{ 1 (Bottom ofridgebeam Yes X�,
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I Note Astate approved lateral arm s stem is bean used and 4 ft�
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anchors apre allowed --I 8ew�
"" I locations f understand 5 ft, j_
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anchors are required at all centerline tie points where the torque tests
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Yes X P`
reading is 275 or less and where the mobile home manufacturer ma
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bottom board will be repaired and/or taped
_ _ _ _ _ — • _ 9.
� i requires anchors with 4000 ILSholdinng capacityl I , _! r I, i_'
�� 'Installer's -I
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Siding on units is Installed to manufacturers specifications as 1
Fireplace chimney installed so as notto allow intrusion of rain water. Yes X
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' `I ALL TESTS MUST BE PERFORMED BY_ A LICENSED INSTALLER
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Installer Name NpEL I �� '
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Skirting to be installed Yes X` No
_N/A
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jDryerventmstalledouts!deofskirting
Yes X
X N/A
- ! ( i I'��(Rangedownflowventinstalledoutsideofskirtng
j_DateTested t i t
•Yes
_
TEleotrical
brain lines supported at fcotinterva-- Yes X
crossovers protected Yes X—
ectrica'-1
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onnect electrical conductors betweeh multi -wide units, but not to the main power
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ource. This Includes the bonding wire between mutt -wide units. Pg.
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Installer verifies all information given with this permit worksheet
is accurate and true based on the
manufacturer's i lation i uction or Rule 15C-1 8 2
Plumbing
sewer drams to an ewsting sewer tap or septic tank Pg.
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onn_ectall
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nrinPct all notable water SUDDIV DIDino tO an eXlStl nq water meter,, water tap, Of
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.` Installer Signature Date
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