HomeMy WebLinkAboutPERMIT WORKSHEETPERMIT NUMBER
j —t �I
X 150(-1-r -ix,
POCKET PENETROMI
"F 1 Test the penmelfer0'
2. Take the reading aft
. I _ 3 Using 500 Ib increrr
i reading and round c
TO i I
Q EI
,
Note:Astate approved lateral'arm isystem'
lanchors are allowed'at3he sidewall
lanchors are required atall centerlin(
.reading is 275 or less and where th(
'requires_anchors wltti-4000-lb holdii
{. ) 1.
ALL TESTS MUST BE PERFORMED BY
ilnstaller Name ,EDDIE GRUNDEL ,
Date Tested
_
onne`ct all sewer drains to an
an
PERMIT WORKSHEET SCANNED t- I-p
I ag e z ors
-r-
'/j� St -Luele County. J+-
--;--{--7"- ! (—f--f--I--r-
EST I
iI Debris and organic material removed `1YES-``-
-Lt50 I I-`IWate�drainage Natural— Swale Pad X Other
unto psfl i-, { _I_I f
yr {fete ting. 1,' i -f _I 1 T 17-r- r-i k i i 1 i{ I T( I i I r+ ,
g , astenmgmulti wide umts
ploor ' Type LFas'tene�: LAG— L',L IL- rSpacing:! 24 "'
y i r f walls iType 175-stefi-er LAG Length $_iSpaang ?d"
TING METHOD� fi { (*'Roof ITOeFastener GALV `Length coNT Spacing.
For use8'homes amid 30 gauge,8 wide galvanised metal strip
af6 locat on's- " �_ _� _! I�]N!III be centered over the peak of the roof and fastened with galy_
r—r - roofin nails at2' on centeron tioth sides of the centerline.-
9
of the footer i I - -
j'I 'i`° _1 ' i—I Gasket (wont horproofIng requlromonn
the lowest �_� .I ,, j j-, I I J J I I �_ a-t increment. ! _ i II understand a properly installed gas
kefis a requrrementofall new and uses:
IhomiR aKd thatcondensaUon_mold meldewand buckled marriage walls a.-
la resultofa poorlyinstalled or no g-askatbeing installed I understand a strip
tXE•150C 1 _loftape will noTserve as a gasket! _
�- - - -
Installers instals EG
Type asket FOAM Installed:
1_._ _
Inch pounds or check _Pg g� 1 + ' I iBetween Floors Yes X
__
P I F" "' iB_etween --Walls Yes X
ing Atest I i
footanchors 1 , - itom ofndgebeam Yes X
'• 7i , i I Bo
i i ,
reing used and 4 fLi i -' f !+ I-t 1 I �- - t i
ruons. I understand 5 ft _l eat erproo rng
points where the torque testy ,� , it- + k
obile home man_ufacturer_may ( The bottomboard will be repaired andlortaped Ye`s X` ` "I Pg.
apacity? .,_..�.� l�`L i-, `-I r - I 'Siding on units is installed to manufacturer's specifications- Yes X
staller's initials -�--, _� Y_ -I ')Fireplace chimney installed so i s notto allow intrusion ofrain water Yes X
i r.._.....1, f_...,� I�T.'...T.�._ '- .. _.. —
I--_
ICENSEDINSTALLER+ -1 Isce aneous
f I I_ I! _3 J_L
I Skirting to be installed Yes X No
L I 1 I- Dryervinntinstalledoutsideofskirting. bs X N/A -
, t "+ j f { I `; { 1 ' ` 7 Range downflow vent installed outside of skirting_ Yes X N/A
I I _1 `, { _ `(_ Drain lines supported at4 fo`otinteivals. Yes X ;
-,�- i , �j , I ,Electrical crossovers protected. Yes
.� t.r) ...ain power] 1 .1 ;_.1, - d -I 1-1-1-t-t
Installer verifies all information given with this permit worksheet
is accurate and true based on the
u.-I_ manufacturer's installation in uctions and or Rule 15C-11 Z
P9.1 I-:_[ ---
Ij ; ;Installer Signature Date
er, water tap, or other,