HomeMy WebLinkAboutPERMIT WORKSHEETbUANNtU
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PERMIT NU I PERMIT WORKSHEET " - BY , � . � page St, LOG O Q unty
MBER ..
New Home Used Home
Installer EDWARD GRUNDEL License # 'IH1118467
Homeins
talled to the Manufacturers Ihstallatibn Manual
Address ofhome 404,NETTLES BLVD Home is installed in accordancewith Rule 15-C
being installed` _ -- -
Manufacturer JACOBSON Lengthzwidtn 20X39/40,
Smgle;wide _ � Wind Zone II" 0 wind Zon
Double wide ` 0 ` Installation Decal #0
.'TBD n
0
NOTE. if home is a single wide fill out one half of the blocking plant F Triple/Quad �96ria_l # TBD
if home is a triple or quad wide sketch in remainder of home
" ._ Y - - PIERS
`I understand Lateral Arm'S terns cannot be used on an home (new or used) pACINGTABLE'WR USED HOMES
where tfie sidewaltfies exceed 5 It 4 in.
'Installer'sinitials 'EG
Typical pier spacing
2'
Show locations of Longitudinal and Lateral Systems
u e c�a (use dark lines to show these locations)
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interpoiatea Trom mie roar-i pier spacing tarns.
_- PIER PAD. SIZES -
I-beai-h pieipad sizeF 17X22.5`
Perimeter pier pad size'; '" "16X16
_ Otherpierpadsizes' ;
_(required bythe mfgJ`
° 'Draw the approximate locations of m
wall openings 4 footorgreater. Use
s bol to show the pie rs.
List all m arnage- wal l openings,greater than
and their pier pad sizes below.
',O enm . _Pier pad size
-4ft..X _5ft
1 &4 17X22:5 `
-:2&3. '. .._._ /�/'r ` ._.:. FRAMETIES
1 1 11 1 I /x61
..
`within 2' of end of hom1.e X
spaced of 5` 4" oc x_
OTHFR TIES
Manufactinal
ure Ot®iD7lliz�n WN COMPONENTS
eHLSD Longttudm�Number
J 1. l._L 1 J J y L L l Num
Longitudinal Stabilizing Device w/Lateral Arms Nlarnage wall
, i I I, 1 1 1,, 1 1 ,ManUfadUfef Sheafwall •
POPULAR PAD'SIZES
d
PERMIT WORKSHEET
PERMIT NUMBER
POCKEFFENETROMETER TEST-
The pocket penetrometer tests are rounded down to 1500 ' psf
or check here to declare 1000 lb: soil withouttesting.
X 150C ' X 150C X 150C
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home atlocations.
2. Take the reading at the depth of the Tooter.
3. Using 500 lb. increments, take the lowest
reading and round down to thatincrement
X 150C I X 150C
X 150C
TORQUE B TEST
The results of the torque probe test is 289 inch pounds or check
here if you are declaring V anchors withouttesting . Atest
showing 275 inch pounds or less will require 5 foot anchors.
Note: Astate approved lateral arm system is being used and 4 ft.
anchors are allowed at the 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 4000 lb holding capacity.
EG Installer's initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name EDWARD GRUNDEL
Date Tested I -
onnectelectrical conductors between multi -wide units-, but notto the main power;
:)urce. This includes the bonding wire between mull=wide units. Pg.
Plumbing
onnedall sewer drains to an ebsting sewer tap or septic tank. Pg.
onnect all potable water supply piping to an ebsting water meter, water tap, or other
.denn A--+urolcr cnnn h.cac lcmc Pi
fn
Debris and organic material removed YES
Water drainage: Natural Swale Pad X Ot ®
Floor: Type ,Fastener LAG Length: 6" Spacing:
Walls: Type Fastener LAG .Length: 6" Spacing: '
Roof. Type Fastener GALV ,Length: . Spacing:
For used homes a min. 30 gauge, 8" wide, galvanized metal strip
will be centered over the peak of the roof and fastened with gals.
roofing_nails at 2" on center on both sides of the centerline.
Gasket (woathorp roofing roquiromont)
I unoerstand.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 ofa poorly installed or no gasket being installed. I understand a strip
of tape will notserve as a gasket
Installer's initials EG
Type gasket FOAM Installed:
Pg, Between Floors_ Yes X
Between Walls Yes X
Bottom of ridgebeam Yes X
Weatherproofing
The bottomboard will be repaired and/or taped. Yes X Pg.
Siding on units is installed to manufacturer's specifications. Yes
Fireplace'chimneyinstalled so as'notto allow intrusion of rainwater. Yes"X
Miscellaneous
Skirting to be installed. Yes X No
Dryerventinstalled outside ofskirting. Yes.X._-. N/A
Range downflow vent installed outside of skirting. Yes X N/A
Drain lines supported at4 footintervals. Yes X
Electrical crossovers protected. Yes X
Other
Installer verifies all information given with this permit worksheet
is accurate and true based on the
manufacturer's instaLlation i ructio ajW or Rule 15C-1 & 2
Installer Signature Date 9/26/19