HomeMy WebLinkAboutPERMIT WORKSHEET.4
-PERMIT NUMBER „• •,• v•; /.
installer WY,t;J2 9w1J,n!C Cx P License#
Address of home _ _ � �dgStrVr reo-e. .
being installed '
104- Li
Manufaclurer OwtS t9C-W&2e Length xWidth i
NOM, '!f home Is a single wide fill out one half of the blocking plan
IF home Is a triple or quad wide sketch In remainder of home
r- I understand Lateral Arm Systems cannot be used on any home (new or sed)
where the sidawall ties exceed 5 ft 4In.
Installer's initials =J�
Tvnlcal oler aT.ar.Inn._
"SCANNED
PERMIT Nt/dFlKSHEET
St. Luc le COUI)ty L page 7 of 2
New Home. [] Used Home
Home installed to the Manufacturer's installation Manual ❑
•Home is installed in accordance with Rule 15-0 {�
Single wide ❑ Wind Zone II ❑ Wiind\Zone III l❑
Double wide ' tmf Installation Decal #
TdplarQuad ' ❑ Serial &�t4 ,Z (A
PIER SPACING TABLE FOR USED HOMES
Load Footer
kWring size
16'%16'
181/2'xtei/2'
'}
20'X20' 22'x22, 24'XZ4'
capacity (aq In)
(fie!,
(400) (484)• (a7si
1000
8
00 s
45
6
' Oo0
5
6
' 8
00
.ac0o
6
• Inln.nnhle.l f...- Cnl- vn _
...
PIER PADS] v ti
I-beam pier pad size f (X Z Z
rr
Perimeter pier pad size f7 r•)e Z 2-
Other pier pad sizes
(required by the mfg.)
,otr
FRAMETIES
within 2' of end of home
spaced at 5' 40 oo
OTHER ES
Longltud/nal s�ablllzing Device (LSD) Sidewall . Number
NenufaoturerJt9 d— gSf+.3 Longitudinal
Longitudinal StabIllzing Device'W/Lat ra! rms Marriage wall
Aanufaeturer__4i'tra�•1-�4uo.. fy:fPf� • Shsarwall
®Draw the approximate locations of maniax
well openings 4 toot or greater. Use this
symbol to show the piers,
List all marr Tape wall openings greater than 4 foot
and.their pier pad sizes below.
Opening Pier pad:sfze
d -(Z*4 17tr lr2ke,
TIEIx) WN COMPONt?JTs
L ..
:PERMIT NUMBER
POCKET PENETROMETER TEST I
The pbcket penetrometer tests are rounded down to pat
or check hereto declare I000 lb. sell Whhout testing.
X X X__
POCKET PENETROMETER TESTING METHOD
f. Test the perimeter of the home at 6 Locations.
2 Take the reading at the depth of the• cocter.
S. Using 500 lb. increments, take the lowest
readlnp and round down to that Increment.
X_ X
TORQUE PROBE TEST '
The results of the torque probe test is 30 0 Inch pounds or check
here if you are declaring 5' anchors without tasting A test
showing 275 Inch pounds or less will require 5 foot anthers,
Note: A state approved lateral arm system Is being used and 4 it.
.anchors are allowed at1he sidewall locations. I understand 5 it
anchors are required at all centerline tie poinig where the torque test
reading Is 276or less and where the mobile home manufacturer may
requires anchors with 40DO lb holding capacity.
Installar's initials
ALL TESTS MUST BE PERFORMED BY LICENSED INSTALLERInstaller Name 0_AOAOXN
Date Tested
' Eleetrleal
lbnnect electrical conductors between multi -wide units, but not to the main power
Durce. This -Includes the bonding wire between mult-wide units. Pg.
_... Plambino tA&1# ? ,
onneot all sewer drains to an adsting sower tap or septic tank
onnect all potable water supply piping to an ie> al�water meter, water tap, or other
idependent water supply systems. Pg.
PERMIT WORKSHEET I page 2 of 2
Site Preparation
Debris and organic materlal r%eyR1dd�ad
Water drainage: Natural_(/' Swala Pad__Other�,
Rdnnlnn .„ubt..dJ-.._u_
Floor. Type Fastener 66 _ . Length: Spacing: 2Y
Walls: Type Fastener. Length: ! Spacing:
Roof; Type Fastener. Length: —rr_ Spacings!
For. sod homes amin. 30 gaugs,Z wide, galvanized metal strip
will be centered over the peak of theToof and fastened With gals.
roofing halls at 2" on center on both sides of the centerline,
Oesket rwmlhercroellnd maul 11 '
I understand a properly Installed gasket Is a requirement of all new and used
homes and that condensation, mold, meidew and buckled marr ge walls are
a result of a poorly installed or no gasket being Installed, I u erstand a strip
of tape will not serve as a gasket,
Installers initials
Type gasket Installed:
Pg. Between Floors Yes t/
Between Walls Yes —�—
Bottom of ridgebeam Yes
' Weetharproonnc
The bottomboard will be repaired and/or taped. Yes c Pg.
Siding on units Is installed to manufacturer's specifications. Yes 4----
Fireplace chimney Installed so as not to allow intrusion of rain water. Yes-4
Skirting to be.installed. Yesy No
Dryer vent Installed outside of skirting. Yes _GG N/A
Range downflow vent Installed'outside of skirting. Y.es
Drain lines supported at 4 foot intervals. Yes —
Electrical crossovers protected. Yes l/ IEW
vE® FOR
Other;19
is accurate and true based'on
Installer signature