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By sc 1 Slab insulation Floors FINAL.I NPECTIt Date By Date By Date By FRAMING walls FIRE DEPARTMENT Date By Efate By Ewe By PLUMBING Attic OTHER Gate By faro undwk Date By WALLBOARD NAILING Date By D.W.V Date By Water Line FINAL INSPECTION Bate By late /- LG-C6ey77T Date By Type of insp. Pass/Fail Request [late ,Inspect. Date done By Comments ._.. ..rt_ .... g f .� O O E: X ........... _..0 _ , ..�M C.) a: rt� o m s o cn c:3 n to n } v v m z v cc m 41 0 NORTHWEST CASCADE, INC. PROJECT BuL�T JOB NO.: PAGE P.O.Box 73399 L.FIk1� Spy moo. NW 16207 E. Meridian Puyallup,WA 98373 CALCULATED BY: CHECKED BY: DATE: OF: �4$ � (253)848-2371 -Telephone (252)848-2545-Fax Ndi E : SEE ,11'trAcKEi� S,o.L tND�STt21�s �. JO411A, et tikc-i tNmeREp TIE DowN sYSrENA6 w° w` ' worzr�� e.eiPA.e.�-r� 315CD O .1 $�W. 1 ' �0 gy�pp,,,,�21000 �Tt�QAC,�E ?e_ NAL rO RES: s- t Zoo(o v.tEwa ro #->- FoR. ST"' ? e'TAe:-IL- - X Paws Ai14to0.S. (o a a CA. 51 oe ilk 04 4SE i►.1STAt.;.ATon� EµD �t�� 1►-►ST�c�-ioKs AN-Tr^4AeD Zoe c_oaAtEX :z>Tbaavh i= ZboK D¢Iv e AMC FRS oF- c o Nam J j% IL �-�lil u SE 1p4sTpu�.Tto�1 I r4sIV-0c--Hass y J 0 T o -c r f Maa It) 04 00 : 39aNS P . I TIE DOS !r SYSTEM ,a ! Or. ��s/0!�_K ~,�•^. /!. ENGiNEEFtED 'rIE �d ✓� OR�GOtI ,�� j • f C�ter`;• F v�� C` ' GENE —N-0 E8 �y I L.''7 s,�cT�N AD k �•• _. 17.4 P5>= (75 f�iPH EXpO5URlr " ) C" ,Ie WIND - _-- -k (85 MPH CXPOSLRE -_ 23,6 PS. WIND SUR: . _35.35PSF (100d FXPO _ _w_ 'C"C) ) �S C~��,1.�>• �. ' r` r, �\r �y �• ` ! r• * SEISMIC ZONE 4 _-' UM SOIL PRESSURE --- i o00 PSI NO T.E: MAXIM UT A 501L REPORT , F * SOIL EEARlh'G _ ~^ IS loon PSI WITHO r- _r__�_ 47501 MIN. TOTAL LOAD CAPACITY *1AEtTH AUGERS �15U WORDING LOAD CAPACITY ✓� '!a4,' :• i' .r MIN. 'TOTAL LOAD CAPACITY. * STABIL-X DFIVE ANC1jgRS-- 4750# WORKING LOAQ CAPACITY 3150# ,e,PACITY 4750� ?SIN. TOTAL LOAD ��IF_'S• •, -� + ' �•.��, ,. * CorICRZ,E SLAB ANCIRoRS--- 315N WORKING LOAD CAPAGITt . LAIN. TOTAL LOAD CAPACITY ��• �`'• � � �}c III' ACJWrt STRp:'g 47501 140RKING LCA0 CAPACITY �. 150 781H FOR TYPE 1, CLASS 81 I� q x .035 F`6DzRAL SPEC!f1CAT14N ZINC PLATED.OO—S- TlE GOWN STRAPS MEETS r RACE I STRAPPING AND eE AT LEAST t I f C, .,;; a� IN T LLArION INSTRUCTION w N CHECK FIRST FOa UNDEaC'RGUND UTIUTIE5, 80d2 _ 1 2- DRIVE STAWUZER PLATE INTO GROUND. 1 'TO SOIL AS SHC'AN- SEE NOTE d7 3, DRIVf CROSS ROCS THROUGH HEAD Tv9ES ! A. ATTACH STRAPS TO CHASSIS BEAR( IN MAENE bO'NR S STYRAP LCN!�EC7;ON CAry o � UT ^!" 5 IF ANGLE O SIDE STRAP IS GREJ,TI:R TH MACE FROM ANCHCR TO OPPOSITE CHASSIS BEA)J- t E, INSERT S?aA.P THROUGH SPLIT BOLT, CUT CFF EXCESS STRAP Ah'Q TIGHTEN HOST UNTIL STRAP IS SNUG. ROCKY SAIL OR J, �Ib003 ANCHOR CAN 2E USED WHERE HARD OR RCCKY SOIL OCCURS. IF THE cvRE o Co p / GROUND SJRFACE 15 OTHER TNAIi Ai1NIMUM ASPHALT, frJl ? $LiBIL�k ANCHOR OR ENCASE ANCHOR WITH 12�x12"x12� r+cRETE, 1'I�A �ISNCT ROAD _ 1~ :i A. r SAC INt's'r=5 STATE APPROVAL -�p � w ! APPROVES SU3j:CT TO CORR-+:"IONS NC;TE3 Vn L �• Aa,t(r;n.'s%� ( n fCVC dR OiT{551on Gr 1 A.,pravai dais z1ot altthanz. or s�D f - - f �I ;,cable Sta`e Izws and c_viabgn from requiremens dpP' State of CaGfom.a �; L1Ppariment of E4ousi �gAND STANCA" . , C q / CA , A ,a i /y ,� If", IDel �sst id t 50 ALY CIn• E- SUITE @ELL / I A 45 �SCS=' kCR�Q ENT5SA E02ga59 r a k�f '7!: s ,�`%,+�'-�'n� fir. >•'-x •F ;� � 4 � w1 �/y 'qs ���'j��t �i / r mod"iy f r •;Caq•. J` •y Zy Y"Y Fz x` Lr3�y '� s� h �c. f,� k�c •w 'y�?Ly�'�#�_ s ski '�'" 3� f i r -M AM • 5 i S. yi�x�` 3��xy {'. E .�f�E Z,���I i�.�:�� � '+-: vi i � i Ins I n s 'Uk•. F i.t -41Q' . P 1 'ate - §� F tom, 305 West King St. x ppxxbb�. r - _, rI _t M I. AI,- "L. !'N—- I, .. nO- 0 anchors, In r- LIMITED WARRANTY Minute Man Anchors, Inc. warrants its product is free from defects in materials and workmanship at the time of installation when properly installed in accordance with the installation instructions. THE FOREGOING WARRANTY IS IN LIEU OF ANY OTHER WARRANTY, WHETHER EXPRESS OR IMPLIED, WRITTEN OR ORAL, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, ANY LIABILITY IS EXPRESSLY LIMITED TO AN AMOUNT EQUAL TO THE PURCHASE PRICE PAID, AND ALL CLAIMS FOR SPECIAL, INCIDENTAL i' AND CONSEQUENTIAL DAMAGES ARE HEREBY EXCLUDED. Minute Man does not assume any other liability or obligation in connection with the sale or use of this product, If the product is defective at the time of delivery or installation and you give prompt notice to Minute Man no later than thirty (30) days of attempted installation of the defect, Minute Man, at its option, will replace the product at no cost or refund the full amount of the purchase price, provided the defective product is returned to Minute Man with proof of REFUND IS YOUR SOLE purchase at the address set forth below. PRODUCT REPLACEMENT OR f (I 'J AND EXCLUSIVE REMEDY l This warranty extends only to the distributor and original installer of the product and does i not cover a defect resulting from abuse, misuse, neglect, repairs, any use not in conformity I with the printed instructions or installation by unauthorized personnel, I (+', This warranty gives you specific legal rights, and you may also have other legal rights which vary from state to state. Some states do not allow limitations on implied warranties or special, incidental or consequential damages, so the foregoing limitations may not apply to i l you. l If you have a claim under this warranty, please contact our CUSTOMER SERVICE I f; department (have model and type numbers available); r I! CUSTOMER SERVICE Toll Free In the U,S. 1 -800-438-7277 ! 1 -828-692-0256 I' 1 i, OR WRITE TO: II i Minute Man- Customer Service Ei 305 West King Street East Flat Rock, NC 28726 To our knowledge, the information provided in and by the independent, professional engineers' reports and certifications and obtained from other independent sources contained in the installation instructions and product manuals is accurate. However, Minute Man Anchors, Inc. cannot assume any liability whatsoever for the accuracy or completeness thereof. Final determination of the suitability of any information or material for the use contemplated is the sole responsibility of the user. Specifications are subject to change without notice. The load ratings established in the report are not valid in any application where the use of the product would overload any structural member of the home or foundation, or would invalidate the written limited warranty, orwhere the use would violate any applicable building code orthese installation standard or instructions. To Our Customers: These Installation Instructions are provided as a source of reference and installation information. Minute-Man Anchors, Inc., Having pioneered anchoring for the manufactured home industry, continues in our efforts to provide new and innovative products. In so doing, we are committed to the highest quality materials, workmanship and total customer satisfaction. If you are a longtime Minute-Man customer, "thank you" for your continued trust and patronage. If you are a new customer, "welcome!" We look forward to serving you in this ever growing industry. Questions? Regardless of your level of association with the Manufactured Housing market, if you have questions or we may be of service, please contact our office. 1-800-438-7277 FAX: (828) 692-0258 You can also find further information at our website: Www.minutemanproducts.com ----------------- Table of Contents Installation ......................... ........... ................................................................................. ....... 1 Strap Tensioning. 1 Stabilizer.. _ .. .......... .. ...._..... ._ . . .. . .... ... ... .... . 2 CrossDrive....... ....... .. . . . ......... . ... ................. . ... . .. ...... .......... ..... ......... .. . ... . ..... 2 Properly Installed Anchor and Connection .. ............................................... 3 Locking Frame Clamp IL .... . ...... . ..... .. _ ... .._ ... ... .. .. _ ... 3 Frame Tie to Anchor . . _. .. ...__...._.._ _ 4 ................................................. . Frame Tie Instructions _... ..... .. .. ..... _ 4 E-Z Anchor Installation . .. _ _ _ . _ _. 5 NU-Concept Anchor Installation . .......... ............. ....... 6 Mobile Home Pier Installation Instructions- - - - - - 7 Concrete Anchor Installation Instructions ....._... .. __ .. ............. ... .. . .. .... 8- 9 EZVDH Diagram _ _. _ . _ . _ .. .. 10 Wind Zone Chart. _ _. _ _ 10 Soil Classification _ _ _ _ _ 11 ..................... Product Description _ 12 -13 Approval Letter __ __ _ __ _ _ 14 West Coast Approval _ __ _ _ _ 15 -16 Note. Prior tc installation, refer to any local, state and federal regulations, to assure proper compliance. Soil testprobe the anchorlocation in orderto match the soil classification with the properanchor. Note: Prior to installation, refer to any local, state and federal regulations, to assure proper comp//Once. Soil test probe the anchor location in order to match the soil classification with the proper anchor. Af 6M e Af" anchors' lnc Warning: Before ground anchor installation, ANCHOR INSTALLATION determine that the anchor locations around home will There are two basic methods of installing not be close to any underground electrical cables, anchors, each equally effective in properly water lines or sewer piping. Failure to determine the securing manufactured homes to the ground. location of electrical cables may result in serious CAUTION: The installation of anchors with a personal injury. drive machine is a two person operation. MACHINE INSTALLATION MANUAL INSTALLATION In this method, the anchor is turned to A hole is dug to a depth full depth into the ground by an anchor of approximately '/2 the length of the anchor, in drive machine. the proper position as explained under machine 1. j Attach anchor to installation. Jai machine. to i After the hole is dug to the length of the anchor, I- I then the anchor is turned 2.� Placed anchor in proper I into the ground by hand, position in line with strap using a rod or length of and machine. pipe for leverage or by machine. 3. a— — Anchor should be installed at a slight angle as shown After anchor is installed to assure head being full depth, earth is repacked, six inches at a positioned behind future time. - -- ! skirting. PROPER TENSIONING OF STRAP TO ANCHOR HEAD Insert bolt into head; attach nut Bend strap 900 and take at least loosely. Insert strap in slot of three complete turns on bolt until 5/8" bolt until strap is flush with CJ strap is taut. far side of bolt. 1 . 2. Bolt is turned with 15/16" socket wrench, or adjustable wrench, on hex head. With square hole in anchor head, hold bolt under tension while repositioning wrench: Place open-end wrench on 5/8" square shoulders of bolt. Align square shoulders of bolt with square hole in 3. anchor head. IHolding hex head of bolt in position, tighten nut to draw square shoulders into square -- �� hole. Shoulders are now in locking position; continue to tighten nut. Tensioning device is now in locked, secure position. Note. The tensioning bolt can be inserted in the head from either side. Notice. in areas of severe cold weather, where possible damage could occur from frost heave. 4 the homeowner should be prepared to adjust tension on the straps to take up slack. 1. MINUTE MAN ANCHORS, INC. INSTRUCTION FOR USING MINUTE MAN STABILIZING DEVICE Minute Man stabilizing devices are designed for use with Minute Man anchors and intended to laterally restrict movement of the anchor through the soil. Before Pretensioning After Pretensioning 4" 2" for 4" disk anchor Strap 4" for 6" to larger disk anchor Stabilizer Plat Stabilizer Plat Ground Anch Ground Anchor —► 10, 4. Place a stabilizer plate to the inside of the anchor shaft(side of 1. Place the anchors approximately four inches to the inside shaft toward center of house)and the distance indicated from the of the exterior wall line of the home or a sufficient distance shaft. to avoid interference with the skirting (see above) 5. Drive the stabilizer plate into the ground until the top of the plate is 2.Hold the anchor at an angle of approximately 10 degrees 1" below the surface of the ground. off of vertical so that the head of the anchor is just outside the sidewall (see above) 6. Install the anchor to its full depth. 3.Install the anchor to a depth of approximately one-third 7. Pretension the anchor by pulling it up to the stabilizer plate. Pull (1/3) the anchor length. the anchor approximately''/z inch more while it is in contact with the plate using the strap and take-up bolt to move the anchor head. Note; Stabilizers must be used unless anchors are installed in line with strap. /Vertical Tension �r Horizontal Tension INSTALLATION INSTRUCTIONS c� Drill 5/8" diameter hole 5 1/2" deep, in center of anchor location, for pilot stud. Insert pilot stud into hole. Drill two - 3/4" diameter holes in rock at 45 degree angles, using anchor head as a locating guide. Place rod through top of(1) square tube and into hole. Drive rod to desired depth. (Rod must be �\ driven into rock at least 80% of its length in order to achieve minimum allowable pullout resistance.) h' Place second rod through top of remaining tube. Drive rod to desired depth to lock. Installation Maximum pullout resistance is developed when Instructions anchor head is low as possible and ground for surface is solid rock. Distance from square tubing Cross Drive to rock surface should not exceed 1". Rock Anchor 2. IN LINE INSTALLED AND CONNECTED GROUND ANCHOR AND FRAME CONNECTION Anchors less than 48" in length Home should not be installed in line with,the pull. I Beam_tflMain Frame Beam Diagonal frame F Anchor and strap/ tie-straping Figure u re 1 MAX 45�, in straight line o Ground Install anchor to full depth (i.e., completely to head) stad r He g For those homes which are designed to Head MAX 45' require only diagonal frame ties, the ♦ MAX 45' anchor can be installed in line with the ties. Figure 1. Another accepted way to limit lateral x deflection is by use of a tested and Figure 3 approved Metal Stabilizing Device. Figure Figure 2 2 and 3. In Figure 2, the Stabilizer is a part of the anchor. In Figure 3, the plate is driven in front of the anchor's direction of pull and will act to minimize the anchor rod deflection. See Top of Page 2. LOCKING FRAME CLAMP II MMA-33 ASSEMBLED UNIT INSTRUCTIONS Y2 x 1" Grade 5 Bolt&Nut The tie and pivot clip must not Torque to 1,020 inch Lbs. exceed 45 3 from the level Home Frame ground plane, The Locking Locking Clip Frame Clamp II must NOT be used as a longitudinal tie on an end wall of a manufacture Pivot Clip must not home' vary more than 10 +/-Deg. Systems installed within 1500 from Perpendicular to Beam. Minute Man Strap w/Radius Clip feet O! the COOSti�lne must be T _ designed by a professional englneer, 3. FRAME TIE TO ANCHOR Manufactured Home Frame Clamp with Strap * I Beam ? ? Frame Ground Level 00 If this angle exceeds 45°, frame clamp with strap must be attached to the opposite beam as indicated by the dotted lines. Proper earth anchor with stabilizer for soil condition (or approved alternate i.e. E-Z Anchor) FRAME TIE INSTALLATION INSTRUCTIONS Frame Tie With Buckle Single Slot Buckle With Strap Frame Tie With Hook Floor Floor I Bea JIBea 1 2. Thread sufficient length of frame tie strap through buckle as shown.Next, thread long end of strap between o To Anchor frame and floor of home. Bring strap Enlarged View of AL around frame and back through buckle as Enlarged View of Frame Beam shown in diagram and fasten to anchor Frame Beam Attach Frame Clamp(Hook) head. Place buckle at top of anchor side of inside top flange of home Diagram showing strap in position around beam. pass strap around beam and frame. Bring strap around frame and through buckle. It is Important to through buckle Pass strap back frame. Place strap between remove all slack from system. around beam and through buckle to frame and home as shown in 3. anchor. Strap will wrap beam twice. sketch. Pull strap tight and Note. Use cf a single buckle is an Remove all slack from system attach to anchor tension head. appropriate a:ternate. 4. E-Z ANCHOR INSTALLATION METHOD IJote: With machine installation, a Minute-Man adapter designed to fit both the anchor head and drive machine shaft is available. Installers do not need additional or special equipment for E-Z Anchor Installation. E-Z Anchors are a patented item. 1 . MACHINE INSTALLATION The drive machine is started and the anchor MAX 101 is turned into the ground to a point where the stabilizer Compacting top (stabilizer head plate) is flush with or Head Disc slightly below ground level. This assures that the E-Z Anchor Stabilizer will be at its required installation position. See Figure A. 1.4# .i Ar ✓.ram J1A K, Kp"� To achieve full potential install the E-Z Anchor vertically. A 100 deviation from F � � � 4f 44. vertical is acceptable. See Figure A. . * , .;K Note: A slightly greater angle may be used to start 0,;° anchor to avoid contact with the home and straightened as anchor is ground set. The splitbolt is inserted, strap is fastened, and tightening adjustment made. E-Z Anchor carries U.S. Patents and manufacture is exclusive to Minute-Man Anchors, Inc. / 6 Figure A ` 2. STANDARDS FOR INSTALLATION • E-Z Anchors and all components are to be installed per manufacturer's instructions. • E-Z Anchor working load capacity is 3,150 pounds for a single tie or the load of (2) ties combined.. See Figure B. • Consult manufactured home set up instructions for number of frame tie downs, over the roof tie downs and tie down spacing. MAX 45� Stabilizer Head • Proper site preparation requires removal K ° x, Y , of grass and sod prior to installation. , . ,�• ',r#, = y ` K SKY t a i`s r Figure B For additional information. copies of engineering test(s) and report. Contact Minute-Man Anchors. Inc. (Revised: November 1998) 5. i Anchors, hiX. INSTALLATION NU-CONCEPT ANCHOR CLASS 3&4 -- ---- --- -- Patent Pending The Nu-Concept Anchor combines a patented elongated hole in the tension head with a stabilizing and compaction cap. When combined with a grade 5 bolt, the anchorwill rotate in all directions allowing adjustment to uneven terrain, Under load conditions the cap, rotates down ward in the direction of the pull, causing a double compaction of the soil and laterally restricts movement of anchor through the soil, Attach stabilizer/compaction cap to the tension head of the anchor. This is done by sliding the cap over the top of the tension head, aligning 9/32" holes in cap with 1/4" elongated hole in tension head, Insert 1/4"x 2-1/4", grade 5 bolt (included), Hand tighten, Cap must be installed at anytime prior to ground contact, l Figure A Figure B See Cap Figure and Tension Head Figure 8. (TOP) �) [�7CD Class 3 - 4430 NU 3/4 L (BOTTOM) Class 4 - 4636 NU 7/8 The Drive Machine is started and the I anchor is turned into the ground to a point where the bottom of the tension head is at or slightly below ground level. This insures Stabilizer/Compacting i Head maximum soil compression by the cap. See Figure C. Engineered to allow ground Figure C anchor to be installed at a slight back angle ;i of 15° L rl Class 3 - 4430 NU 3/4 Class 4 4636 NU 7/8 i Stabilizer/Compacting I __—...__. Head Anchor is pre-loaded, Pre-load causes the cap to rotate downward in the Figure D direction of pull, further compacting the soil and presenting a larger surf ace area, resisting both horizontal and I{ vertical movement. See Figure D. `J ,en used with rgid support tubes, rather than strap systems, pre-loading Is not required, - e .;r l ,-Y —C r S C"',C/ico�e7s 're n,C +ergs rn he—_C ar c bc!r dcn-, ce. Q g For tie down strap and anchor spacing, See the Mobile Horne Manufacturers Installation Manual, Each state, county or municipality may require a specific anchor from the groups shown for each soil classification. Check local regulations before installation, Note: • Soil test probe the anchor location in order to match the proper anchor with the soil classification. • Stabilizer plates must be used with anchors when anchors are used to resist horizontal forces. • The distance from the end of the home to the first anchor must not exceed 2'- 0". • All homes located in Wind Zones 11 and 111 must have a vertical tie installed at each diagonal tie location. SOIL CLASSIFICATION CHART ProbeSoil Blow Count Test Recommended Description (ASTM D1586) Value Minute Man Anchor 191A—Sound hard rock NA NA Cross Drive or Rock Anchor 2 Very dense Wor 40-up 551 lb. in. 4430DH cemented sands, Up 650DH coarse gravel 4430 EZDH and cobbles, 636 EZDH caliche, GW-2 preloaded silts, 12" Stabilizer Plate and clays. Nu-Concept Stabilizer Plate 3 Medium dense 24-39 351 to 550 636 DH 4430 EZDH coarse sands, lb in. 650DH 636 EZDH sandy gravels, GW 2 4636 EZDH very stiff silts, 4636 DH 650 EZDH and clays. 12" Stabilizer Plate Nu-Concept Stabilizer Plate 4(a) Loose to medium 18-23,3 276 to 350 4636 DH dense sands, firm lb. in. 4450DH to stiff clays and 65ODH silts alluvial fill. 6650 EZVDH (FL). 4636 NU Concept 12" Stabilizer Plate 4(b) VERY loose to 12-17 175 to 275 760DH medium dense lbs. in 860DH sands, firm to stiff 8860 EZVDH (FL) clays and silts, 1060DH alluvial fill. 17" Stabilizer Plate Remember: Each state, county or municipality may require a specific anchor from the groups shown for each soil classification. Check local regulations first. Soils less than 413, see home manufacturer's instructions. Note. Many anchors are designed for particular soil condition(s) and are unacceptable for use in other type soils. We have listed the soils for which each anchor is designed and approved. Soil classifications are taken from the (.standard for the installation on mobile homes '. Part 3280 each anchor model listed has been tested by an ndeoendent professional engineer to meet ANSI A225.1 and ASTM D3953.91 codes. 11 Following is a list of Minute-Man Anchors with a minimum holding power of 4,725 pounds (2143 kg.). Stabilizer plates must be used with anchors when anchors are used to resist horizontal forces. MODELMARK - • SOIL TYPE 111071 MMA-2 650-DH 5/8' 6" DISC, 50" ANCHOR 2,3,4 1101 MMA-4 650-DH 3/4 6" DISC, 50" ANCHOR 2,3,4 1131 MMA-28 636-DH 3/4 6" DISC, 36" ANCHOR 2,3 1241 MMA-30 4430-DH 5/8 DOUBLE 4" DISC, 30" ANCHOR 2 1271 MMA-6 4430-DH 3/4 DOUBLE 4" DISC, 30" ANCHOR 2 1349 MMA-35 36-XDH 36" CROSS DRIVE ANCHOR 1 1350 MMA-8 48-XDH 48" CROSS DRIVE ANCHOR 1 1287 MMA-86 860-DH 3 /4 8" DISC, 60" ANCHOR 4B (Fla.) 1288 MMA-71 1060-DH 3/4 10" DISC, 60" ANCHOR 4B 1291 MMA-75 760-DH 3/4 7" DISC, 60" ANCHOR 2,3,4A,4B 1346 MMA-52 4636-DH 3/4 4" & 6" DISC, 36" ANCHOR 2,3,4 1284 MMA-55 4450-DH 3/4 DOUBLE 4" DISC, 50" ANCHOR 2,3,4 1312 MMA-57 4636 NU 7/8 4" & 6" DISC, NU CONCEPT CAP 2,3,4 1592 MMA-92 4430-EZDH 3/4 DOUBLE 4" DISC, 30" EZ ANCHOR 2,3 1593 MMA-93 4636-EZDH 3/4 4" DISC, 6" DISC, 36" EZ ANCHOR 2,3 1594 MMA-94 636-EZDH 3/4 6" DISC, 36" EZ ANCHOR 2,3 1596 MMA-96 650-EZDH 3/4 6" DISC, 50" EZ ANCHOR 2,3 1598 MMA-98 6650 EZVDH 3/4 DOUBLE 6" DISC, VERT. STABILIZER 2,3,4A(Fla.) 1599 MMA-99 8860 EZVDH 3 /4 DOUBLE 8" DISC, VERT. STABILIZER 4B(Fla.) 2390 MMA-18 THDH DOUBLE HEAD TENSION DEVICE SLAB 2391 MMA-18 THDHLS DH TENSION DEVICE W/LAG SLAB 1420 MMA-12 210-DH CONCRETE ANCHOR SLAB 1450 MMA-14 210-PDH WET CONCRETE ANCHOR SLAB 1445 MMA-42 210-JDH SWIVEL HEAD WET CONCRETE SLAB ANCHOR 1390 MMA-BR 24 BA BARB ROCK ANCHOR 1 2200 MMA-SD2A STABILIZER- 12" 2, 3, 4 2202 MMA-SD2 STABILIZER- 17" FLA. 2, 3, 4 2211 N C1 NU CONCEPT STABILIZER CAP 2, 3 2691 MMA-29 FCIIW/S FRAME CLAMP 11 W/STRAP 2820 MMA-31 FRAME TIE LONGITUDINAL FRAME TIE-8 BOLT FLA, 2822 MMA-31 FRAME TIE LONGITUDINAL FRAME TIE-4 BOLT I i 12. MODELMARK • SOIL TYPE 2700 MMA-32 BUCIWS BUCKLE W/STRAP 2801 MMA-33 FCII (LOCKING) LOCKING FRAME CLAMP II FLA. 2704 MMA-71 CT/WS CORNER TIE W/STRAP 2706 MMA-71-C CT/WS CORNER TIE II W/STRAP FLA. 2010 MMA SBN STRAP BOLT & NUT 2510 MMA-25 22 BUCKLE DOUBLE SLOT BUCKLE 2530 MMA-32 SS BUCKLE SINGLE SLOT BUCKLE 2491 44 RB 4X4" ROOF BRACKET 2492 66 RB 6X6" ROOF BRACKET 2150 POCKET PENETROMETER POCKET PENETROMETER 2100 SOIL TEST PROBE SOIL TEST PROBE 2250 JACKING PLATE I BEAM JACKING PLATE 3006 MMP-6 6" PIER STANDARD MOBILE HOME PIER 3008 MMP-8 8" PIER STANDARD MOBILE HOME PIER 3010 MMP-10 10" PIER STANDARD MOBILE HOME PIER 3012 MMP-12 12" PIER STANDARD MOBILE HOME PIER 3014 MMP-14 14" PIER STANDARD MOBILE HOME PIER 3016 MMP-16 16" PIER STANDARD MOBILE HOME PIER 3018 MMP-18 18" PIER STANDARD MOBILE HOME PIER 3020 MMP-20 20" PIER STANDARD MOBILE HOME PIER 3022 MMP-22 22" PIER STANDARD MOBILE HOME PIER 3024 MMP-24 24" PIER STANDARD MOBILE HOME PIER 3026 MMP-26 26" PIER STANDARD MOBILE HOME PIER 3028 MMP-28 28" PIER STANDARD MOBILE HOME PIER 3030 MMP-30 30" PIER STANDARD MOBILE HOME PIER 3522 MMSD3 20" STEEL PIER PAD LONGITUDINAL AND LATERAL BRACING SYSTEM 3530 MMAST 60" LATERAL TUBE LONGITUDINAL AND LATERAL BRACING SYSTEM 3539 MMLBT 39" BRACE TUBE LONGITUDINAL AND LATERAL BRACING SYSTEM 3544 MMLBT 44" BRACE TUBE LONGITUDINAL AND LATERAL BRACING SYSTEM 3553 MMLBT 53" BRACE TUBE LONGITUDINAL AND LATERAL BRACING SYSTEM 3510 MMLBC BEAM CLIP W/B&N LONGITUDINAL AND LATERAL BRACING SYSTEM 3534 CAF CONCRETE DRY SET LONGITUDINAL AND LATERAL BRACING SYSTEM 3436 CFW CONCRETE WET SET LONGITUDINAL AND LATERAL BRACING SYSTEM I II ROD M. HUDGINS, JR. P.E. P.O. BOX 5070 ASHEVILLE, H.C.28813-5070 Phone(828)274-9244 Fax(828)274-9525 FEBRUARY 14, 2001 MINUTE MAN ANCHORS, INC. 305 WEST KING STREET EAST FLAT ROCK, N.C. 28726 DEAR SIR: I HAVE ANALYZED DESIGN DRAWING, PHYSICAL TESTING REPORTS AND INSTALLATION INSTRUCTIONS FOR THE MINUTE MAN PRODUCTS LISTED AS FOLLOWS: 650 DH 5/8 4430 DH 5/8 36 XDH THDH 650 DH 11/16 4430 DH 11/16 48 XDH THDHLS 650 DH 3/4 4430 DH 3/4 36 DH 760 DH3/4 24 BA FCI W/S 636 DH 5/8 4442 DH 5/8 210 DH FCII W/S 636 DH 3/4 210 PDH BUC W/S 4450 DH 11/16 210 JDH SBN 4636 DH 3/4 4450 DH 3/4 100 DH MMASD2 4636 NCI 7/8 MMASDA2 4430 EZDH CT/WS CORNER TIE 636 EZDH 3/4 650 EZDH 3/4 MMA 31 LONGITUDINAL FRAME TIE 660 EZDH 3/4 MMA 33 LOCKING FRAME CLAMP 11 6650 EZVDH 3/4 W/ VERT.STABILIZER MMSPP LONG STAB SYSTEM 8860 EZVDH 3/4 W/VERT,STABLIZER E-Z ASTS SUPPORT TUBS SYSTEM MY ANALYSIS OF THE PHYSICAL TEST REPORTS DEFINE THE BREAKING STRENGTH OF EACH OF THESE ANCHORS AND THEIR COMPONENTS TO BE IN EXCESS OF 5,000 POUNDS. THE STRAPPING MEETS FEDERAL SPECIFICATION QQS-781 H FOR TYPE 1,CLASS B,GRADE I STRAPPING. THE STRAPPING ALSO MEETS WITH ANSI 225.1 STANDARDS AND ASTM D3953-91 STANDARDS. THE STRAPPING IS 1 1/4 X.035 MINIMUM, HOT UP GALVANIZED STEEL. ON FILE ARE TESTING REPORTS OF THE DIRECT WITHDRAWAL STRENGTH OF THESE ANCHORS. THESE TEST EVALUATE THE ANCHORAGE STRENGTH OF MINUTE MEN ANCHORS INSTALLED RESISTING AN AXIAL AND 45 DEGREE ANGLE APPLIED WITHDRAWAL LOAD, FOR THE ANCHORS LISTED ON PAGES 10 AND 11.THE AVERAGE HOLDING POWER MEETS AND/OR EXCEEDS THE REQUIRED MINIMUM OF 4,725 POUNDS,WHEN INSTALLED IN ACCORDANCE WITH MANUFACTURER INSTRUCTIONS IN THE SOIL TYPES AND CLASS SHOWN. REAP 1�7, s D, O .� E. All anchors are"1131-1"type for use with either one or two tension boltS. r, M04 AftAnchors priced without tension bolt and nut-they must be ordered separatelY. Tensit, bolts and nutswill be packed separatelyfrom anchors. Anchor Drive Anchors Anchor Kits Anchor Drive Machines Strapping Mobile Home Piers EZDH Anchor ��� �r 4430, 4636, Eye�(- or �� y 636, & 650 Available 36" & 48" ENDH Anchor Cross Drive 6650 & 8860 Available 9 4636 DH 3/4 4430 DH 5/8, 1 1 /16, &3/4 Strap Stabilizer Plate NU Concept Anch, Buckle �� -•� and Cap Strap Bolt and Nut Galvanized Strapping Wet Concrete � Dry Concrete Anchor Flange THDHLS Anchor Flange 210JDH 210PDH 210DH Lateral Brace lube Standard Per \ Roof Bracket /� �uCkle � , ,^J;Strap �.s FC II LNiStrap L�CII Crimp'��g Tool Minute Man Anchors L�✓;Strap Drive 'vlac- re 305 West King St • East Flat Rock. North Carolina 28726 • Telephone (828)692-0256 I • Design & Genereal Notes SIDE TIE DOWN - SEE CHART 6, - •� I, DESIGN LOADS: dp :1\il`t M E:P.-c'226 PSF ENO HE NT 110 -- -----80 PH. pOW NS 85 MPH. EXP.'C 25.6 PSF J / SOIL B - 1000 PSF G TIE DOWNWN STRAPS PS- 5 2 WORNINL LOAD SEISMIC ZONE------- -! /✓A 2'1-Ea3At EQUAL EO uA To-Eouat 2 11E DOWN STRAPS TO BE MIN. 1 1/I-WIDE 0.035 rHICNHESS ZINC PLATED S H I.- N MEET FEDERAL SPEC OO-S-IBIH FOR TYPE 1, CUSS B.GRADE I,STRAPPING. SINGLE WIDE EARTH AUGERS--------2962 ((TESTED TO 47501 MIN) "I1�11,1 CROSS ORNES ------ 1727 (CALC1F iM a y CONCRETE SLAB ANCHORS- 139 AL n CCULATED)) - 90C TIC DOWN-SEC C,Wtr GENERAL NOTES: T'C 1. THE CWtS SHOWN HEREIN ARE FOR THE REWRED NUMBER OF TIE DOWNS `)H� �/ D NS ON THE SIDES OF THE MANUFACTURED HOuE W/ 15'WIDE MODELS A+D A:12 PITCHED ROOFS. y� 2. TIE DOWNS ARE RE AT EACH CHASSIS BUM,EACH END OF EACH [D TIE SECTION OF THE MANUFACTURED HOME AND CAN BE C� </ ❑WN1 My Or THE TYPES SIgWN HEREIN. li J. COMBINATgNS OF THE DIFFERENT TYPES OF 71E DOWNS CAN BC USED. A. NT THE EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN .,/G/� 4 ` ♦1 J` OBSTRUCTION,USE Or CROSS DRIVE ANCHORS 5 PERMITTED.PROVIDED ��\A L.) 2'CDu•1.resat CDUAL EOUAI 01.e0VA0 2' (2) CROSS DRIVES ARE INSTALLED FOR EACH MAIN AUGER 1HAT CARROT '' I]n"� ` LENGTH vuI[5 BE INS TAILED. 5. FOR ALL TIE DOWN INSTALLATIONS.THE MFG'D.HOME CHASSIS ME4BERS E DOUBLE WIDE ARE SHOWN AS'I* BEAMS FOR ILLUSTRATION PURPOSES ONLY CHASSIS __ BEAUS CAN ALSO BE"C-SHAPED OR RFC WPEO. ca\ 6. END HE DOWNS CAN BE LOCATED WITHIN 24'OF EITHER SIDE OF CHASSIS WE T7E DOWN-SEE UWRt BEAM AXIS AS SHOWN. CHASSIS BEAM 4 D V I D A. -� - n D 111A Ell o ' NwNZE V• IVIL `,C -18YIN---)ry 44= 7. THE SIZES.TYPES.LENGTHS,ETC. Of MATERIAL SHOWN HEREIN ARE 0 E. MINIMUM. LARGER,LONGER,HEAVIER MATERIALS 511F'PLIED BT ACINU7E- - 3015�� ~/� </' ODWHSE MMI PRODUCTS.MAY BE USED AT THE SAYE SPACING r LOCATION SHOWN. 1 8. ALL PARTS ARE STAMPED MMA-WITH THE APPROPRIATE PART NUMBER. 9, THIS TIE DOWN SYSTEM CAN BE USED WITH 10 WIDE MANUFACTURED HOME \- �� ENO n[ SECTIONS W11H f00"CHASSIS CENTERS YRONOEO THEE HEIGHT FROM GRADE TO IH Downs 7 H E BOTTOM OF 15HE CHASSIS BEAM DOES NOT C%GEED I9 10. 71C DOWN STRAPS IN ME LONCIIUONUL OR TRANSVERSE DIRECTION CAN BE BOLTED TO THE HITCH ATTACHMENT PLATE THAI IS WELDED TO THE CHASSIS BEAM. �1' � i' 7[ouN EouA rouu.EDIM Ea rowL i 11. ICE DOWN STRAPS Al THE CHASSIS BFAv ENDS(END HE DOWNS)CAN BE i�a LLENDTM vAmrs W ATTACHED TO A CMSIS SUPPORT PIER WTH A PIER BOLT ON TOP. SEE THE SKETCH r0 THE RIGHT. ;' !E TRIPLE WIDE NOTES Installation Instructions IF OBSTRUCTIONS PRECLUDE THE PLACEMENT OF THE SIDE FIRST CHECK FOR UNDERGROUND UTILITY LOCATIONS: AT 2' FROM OWNS AT ACH END HAVEATION A TOLERANCE OIFE OIEDOWNS EZDH EARTH AUGERS 1. SEE DETAIL THIS SHFET FOR MSTAIUTION INSTRUCTIONS 80 MPH, EXP'C'WIND(22.6 PSF) 85 MPH, EXP'C'WIND(25.6 PSF) EARTH AUGERS EARTH AUGERS EARTH AUGERS 1. RISIALL AUGERS INTO SOIL WITH CONSTANT DOWIIWARO PRESSURE TO MAX.LINGTII Di MAT.IfNLIN OF MINIMISE SOIL DISTURBANCE,LEAVING MPROR. 12"OF SHAFT LAPOSED. ER RS' SA' 63' 72' 12' AB' S6' 6A' ]2' YFG'U.HOME MfG'U HOME CAN, N0.Of SIDE YW.110.K SOZ , S 6 ] 8 9 2' MISTALL STABILIZER PLATE -DRIVE r7U5H WITH CROUNO SURFACE. TIE D(IWIr 5 6 7 8 TIE 3. COMPLETE TURNING AUGER HMO GROUND UNTIL AUGER HEAD IS FLUSH WITH GROUNO SURFACE AND TOP Of STABIIl2ER PLATE. CROSS DRIVE ANCHORS CROSS DRIVE ANCHORS YAX.I.ENDt"O1 16' /5' SI' 61' 12' MAT,LENGTH Of 12 ,D. .B' S6' 64. 7r CROSS DRIVE ANCHORS Yf G.D.HOME MFL'D.HOME MIN. YW.N0.OF 90C 4W.HD.OF SNf 1. CROSS DINES ARE-1.WHERE HARD OR ROCKY SOIL OCCURS. IF THE TIC GOWNS 7 9 11 13 IS TIC UOWIK 7 9 11 13 I5 1] GROUND SURFACE IS OTHER T+4V+ROCK OR MINIMUM 2-ASPHALT,INSTALL NMA-SD2 S1ABIl12ER PLATE.OR PUCE 12 Al2-Al2-DEEP CONCRETE. P CONCRETE SLAB ANCHORS CONCRETE SLAB ANCHORS CONCRETE SLAB ANCHORS MAX.LENLIN Of 16 45' SA' 61' 72' ICNGTH OF 32 AO' AB' S6' 6A' 72' NfL'0.IOME MfC U.IgMF 1. COIICREIE SLAB TO BE MINIMUM 1 1/2 THICK MD IN DDND11gN YVN.H0.OF SIDE 8 10 13 15 17 NO OF SOF 9 11 IJ 15 1] 19 - - 1IE DOWNS HE DOWNS 2. M1111MUM SLAB AREA RCOUIRED FOR EACH ANCHOR IS 28 SO.FEET. I TIE DOWN 3. DRILL PROPER SIZE HOLE I.'SLQ MINIMUM IZ-FROM ANY EDGE Tie Down Location ALL APPLICATIONS 1. ATTACH STRAPS 10 CIMSSIS BEN,W MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT NOT. CUT OFF EXCESS STRAP AND TIGHTEN UNTIL SNUG. STABILIZATION PLA7E WELDED 10 Roo GUIDE Y STRAP MEAD REVISED 4 1 5 03 CPAM MINUTE MAN ANCHORS, INC. MM 32 51EEL ENGINEERED TIE DOWNS 5TRAP W/130'111 MMA-11 STEEL STRAP W/CORNER TIE MMA-3A BOTTOM 34 10P PLATE ENGINEER APPROVAL STATE APPROVAL DIVE AZTEX ANCHOR ]IL ANCHOR CROSS DRIVE ANCHOR w/ vX'aa2`Roos O0 DO F 00ENGINEERED TIEDOWN SYSTEM APPROVED �OOp O0 SLIBIECT TO COMECTONS FITTED (r,[IArsl o[IOL[s rrra rlr vL.rE EH,zzls KAN y j �.. ! dmab o does IwI rMgrd or aPCLM S d I- o' / / Lk.iation firm rtCu.enw'h d IOOf cabb Slata lays and USE 1N5 DC DUES FUR 2' 3'rLAIGEi State of Cafdomis NCHOfl ` •.Y'.K LRApE 6 7 )I. '11 � en( II'!E RO-D -CNIH, ao'_TS S '�' DewbrCHInt of Housing and C11711"tY D"`e DM OD_S TWO STFN � u aS 10110N ILA1E r �,� _ j2.'I �,_. I DI e r �, LONCrtUGHNAt IAA HE �cAN CN P , ZONE .. SPA NO (FOR D H� / QL L3 Oj 71 C�R 11( ♦ TI HIS TIE 00WN STSIEM MEETS THE RCOlIIREMENTS n10 P%r Aorml ExPlfes OMA-31 alai LLB° OF SECTION 1336.1.SJBSEC1101: (o) Ck055 DR1vC ANCHOR cawrr7 to o� a ar : w,' 23/32-A Tie Do`vns �A IfiC11� c°"'`IL; E1 "ELRS MINUTE M!�2!NCHORS, INC. (9�6i J6•-603e Jay r.' 16. $RDwN. SEE INSTALLATION NOTES C"S RFL S.OWN.5 END LIE DOWN CONIIECTIGNS-, MACHINE INSTALLATION -I-BEAU SHOWN',SEE THE DRIVE MACHINE IS STARTED AND THE ANCHOR 'E"D TIE CO FOR PIER BOLT-ON 70P END E 00'.vrJ COr+NEC`IONS IS TURNED INTO THE GROUND TO A POINT WHERE / THE TOP (STABILIZER HEAD PLATE) IS FLUSH OR PIER BOLT-ON TOP- . SLIGHTLY BELOW GROUND LEVEL. THIS INSURES SIDE FIE Do.H THAT THE E-Z ANCHOR STABILIZER WILL BE AT ITS I \ REQUIRED INSTALLATION POSITION ,H S, r \ FOR THE E-Z ANCHOR/STA.BIUZER TO ACHIEVE FULL �oep o \• POTENTIAL. INSTALL THE ANCHOR VERTICALLY 'KITH %( NO DEVIATION GREATER THAN 10 DEGREES. NOTE: A wJ i � SLIGHTLY GREATER ANGLE MAY 6E USED TO START SPLIT EI THE ANCHOR TO AVOID CONTACT WITH THE HOME do AND Nut STRAIGHTENED AS THE ANCHOR IS GROUND SET. SPLIT BOLT ' THE SPLIT BOLT IS INSERTED. STRAP FASTENED, AND AND Nur TIGHTENING ADJUSTMENT MADE. -- NOTE- WITH MACHINE INSTALLATION, A MINUTE-MAN ADAPTER DESIGNED TO FIT BOTH THE ANCHOR HEAD AND DRIVE MACHINE SHAFT IS AVAILABLE. INSTALLERS _Ion" DO NOT NEED ADDITIONAL OR SPECIAL EQUIPMENT FOR E-Z ANCHOR INSTALLATION. NOTE: AN ADDITIONAL STABILZER PLATE IS NOT REQUIRED WITH THE EZDH EARTH AUGER TIE DOWN. NC4636, EZDH & MMA 6 Earth Auger Tie Down Concrete Tie T I'BEI.LI SHOWN. SCE I END EC- 5 FOR END TIE DOWNOWN CONNECTIONS '1_EI SHOWN,SEE / STEEL -C"k"RFC'C14ASSIS FOR PIER BOLT-ON TOP .. STRAP SPt IT END TIE DOWN CONNECTIONS � I BOLT h NUT CR D 510E TIE DOWN RrvE STABLIZER PIER BOLT-ON OR PUTE )V� ' SIDE TIE DOWN ,� io 4,ry GROUND LINE-� N STABILIZER p PLATE SPLIT BOLT — AND NOT CROSS DRIVE W/ STAE PLATE DETAIL h-yl C I!'1 f 1 ;. clussls Buu t)AVIO A. 1 �i STRAP t)nll%rn,JJ�1 � I!0.3913 ;�:. =c I 10 TO 6D' e / STgT UA`J'` 7� !I Earth Auger f of „ I I $< ANCHOR Tie Down Cross Drive Tie Down O 0 ❑❑ C, O - �Fgil r, 4NA-210JOH U -210P01 H u L "Orlil r.n I``tj,� usn2 STABILIZER PIAIE y CI.sI.)n.NCp 1p DRILL 9/16"HOLE DRILL 9/16-f+CI[ MREr[ C [Av- T u10 NEIGHT OF LOfJCRE TE SUB p BEAN, INSTALL A7 uID HE1GH1 DF AIJC NOR R ILA nJ0] 601i. BUN. NSIALL uuA SPLIT NCa 676 ]AB Du G 1/2'AJO]BOLT( 8011 6 IJUT .7B"AUGLR NCHOR C u STABILIZER 11C CAP C \ 0 0 H H COUPACTING 1/2H L DISK p C C / \ Si CEI STRAP I \ I �/< STEEL Si Rr.P SEE 1- 'BCAu CF115515 EO4 11E l -y CHASSis G'J T7 DOwIJ ANCI'.OR FOR "E 00'rvN AIJCIfIN IV.. ��� "C" BEAM CHASSIS 11RFC' BEAM CHASSIS S/B Gte u1Jc_92 ; . Dm A-9. ]/' Ou OI, 3-u�IGEP ,C1.OH } ". CN cr+..H P 36 AUGER.I JC'Op SC AB„, n�H C? SC' Il:rc•. �.. "C"Beam Chassis fiTFC"Beam Chassis 'Minute N1 15. COPY co Rocb- C)OCCACA Documents attachel."A to approved plans: Plans include Aq--pages of Site PI nNt engineering documents that must Pages remain attached to approved plans 45 � Engineering:(a) IN Lateral Vertical Number of pages LJ MASON BUILDING INSPECTOR CHANGES SUB-I'LCT TO APPROVAL D =N,-I �'ITEC�A�Y-W:� t C�Request. To Revise An Approved Plan Permit Num1-1 Name Parcel Numb -""1 - one Number da me _ �a � In � ZfO Project Address Wailing Address C fV..v. ,fir,k 7 9 q cl , 7 3 Pleas provide a co lete,detailed desk ' tion of the proposed revisio to the approved pl ar* ------------------ r , ON COUNTY Are two sets of the revised plans or addendum indicating the changes included? V--YSS Are the approved site plans included? ❑ No Are the.revisions clearly and accurately identified on the plans or addendum? Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical al ❑ No analysis? Yes 4tNo If Yes,Has the engineer or architect approved this revision? Is a stamped and signed ❑ Yes ❑ No gn approval included with this request? ❑ Yes ❑ No Note:No structural chan¢e�+o a"designed"elan will be mm without ihs�+++ en t Of thr rntttneer aOd/or =1 of nomd i Does the proposed revision mo dify the footprint or location of the structure? 'Yes ❑ No If Yes,Is a revised site plan,.with all new setback dimensions included with this request? . Yes �INo Additional Information: Applicant's signature Date. l! © D Oriioe Use onh, Recet"d by: Date Soft Assigned To AWoved By Date B. _# Original Valuation: $ Lg, Additional Valuation: $ P. / 2� S%Ft x$ $ Sq.Ft x$ $ •H. 1 36 Ci✓W 4tal New Valuation $ P.W. Additional Fees: Additional Planning Dept, $ New Setbacks•• Front / Additional Plan Review $ Rear / Additional Building Permit $ Side1 / S1de2 / Additional Plumbing $ Additional Conditions/Comments: Additional Mechanical $ Additional E.H.Dept. $_ Other S Total Amount Due: $ j,57— Amount To Be Paid Up-Front$ Tak RsNseE SIKi YVY?/2003 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. rn� PLEASE PRESS HARD BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton,WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467• Elma (360) 482-5269 Al On the web www.co.mason.wa.us APPLICANT I FORM O CONTRACTOR INF RM TION Owner TI Company Name w£ '� Mailing Address MailingAddress O Box 3 City tate Zip Code City /1 Stater,✓t�� Zip Code ? Phone _ Other Ph.2S3-goS-1.fo2-k Phone Z -2I Other Ph. 6 Lien/Title Holder Contractor Reg.iNpoM C-1149C G Exp 141e40 E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Fxisting Septic $ Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 DigiPrc el No. Fire District Legal DescriptionA r6ru 10PE of 146 y 7-0 S E /�v{�cT w rap Z3,4 Rog. ta) >-F 1W b/irq MA co• I.tJ Site Address (Please include street name, str et number and city) rec Di ions to site��1 (s-0.0r L d 6 Miwa 3 So-WEsf Witz RD. P ALMN e-e. Wi I timber be cut and sbib in parcel preparation?Yes/69 Is property within 200'of Saltwater _&Q Lake &Q River/Creek NQ Pond ND Wetland__:_�Seasonal Runoff_.A42_Stream__&0 _Slopes or Bluffs > 15% / Q Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yesmo TYPE OF JOB - Newer_Add Alt Repair Other PRI �NCE Q EAONALUse of Building Describe Work No.of Bedro ms No.of B throoms� quare Footage- 1 st FI 2nd Floor 3rd Floor asement- r 4 Deck Covered Deck Other 1�Sq.ft. ' Garage Attached Detached Carport Attached Detached MANUFA YURED H ME INFORMATION - Make Model Year A&_ Length Width Serial No. —h44- - No.of Bedrooms o.of Bathrooms Type of Hea Purchase Pace$ N_�- Replacement Unit? Yes/ o /(lo' Installer Name T7 Certification No. OWNER/BULDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from the to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accura, and nts employees of M n County access to the above described property and structure for review and inspection. PROOF OF O N N WOR NS OF A PROGRESS INSPECTIO . x Date O her/Owners Aepresentative/Contractor indicate which one FOR dFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department l�lf1 Planning Department Environmental Health Department �•C�,(,k� (� Ode Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing &Base Fee Planninq Review Fee Mechanical &Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES t MA ON COUNTY C :r PERMIT NO. BU1tf)tNG PERMIT APPLICATION C .aca 426 W.Cedar• P.O.Box 186, Shelton,WA"98584 Shelton(660) 427-9670+ Belfair(360)275-4467• Elma (360)482-5269 On the web www.co.mason.wa.us APPLIC FO T CON RACTOR INF R TIO Owner Company Name • Maili g Add ess Maili Addre s Ur �X City! ..State Zip Code City 4 State& - Zip Code Phone "` ZX71 Other Ph. " " 4j;iT-"2 a Phone" Other Ph Lien/Title Holder Contractor Reg'. Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION Connect to New Septic Existing Septic Affif Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION-12 Digit Parcel No Fire District Legal Description $ • Site Address(Please include street name, strg�t number and ci ) Direc ions to sited f 4sT Ie1,u� j iur�r '�" F ir. �' w Wi I umber a cut and ablb in parcel preparation?Yes/49 p P P Is prop erty wi hin 200'of Saltwater Lake River/Creek Pond_AtO Wetland Seasonal Runoff- Stream' lild_Slopes or Bluffs > 15°k �1Vta Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement Yeemo TYPE OF JOB - N w�Add Alf Repair Other PRIMA E DENC 8 SONAL. Use of Building ��' _Describe Work No.of Bed m No.of B t rooms_ uare Footage-1st Fl 2nd Floor 3rd Floor asement Deck Covered Deck Other Sq.ft. ' Oa. a Attached Detached Carport Attached Detac , MANUFA URED ME INFORMATI N - Make Model - YearAW Length Width Serial No. No.of Bedrooms o.of Bathrooms Type of Heat Purchase Pr e$ Replacement Unit? Yes/No Nrt Installer Name Certification No. Al 1A OVMER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or pemtit revocation.Acknowledgment of; such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If perrrissipn is required from any easement holder or any other party in interest regarding this application or the work proposed in the appIkAition,I have obtained permission from,the to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is aceura nts employees of Mapon County access to the above described property and structure for review and inspection. PROOF OP AAWOR NS OF A PROGRESS INSPECTI X Date- 3 er/Owners a presentative/Contractor indicate which one FOR FFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 7 l r Planning Department Environmental Health Departmen Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planninq Review Fee Mechanical&Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES MASON COUNTY PERMIT NO. x: BUILDING PERMIT APPLICATION 426 W.Cedar• P.O. Box 186, Shelton,WA 98584 Shelton (360) 427-9670•Belfair (360) 275-4467•Elma (360)482-5269 ,. On the web www.co.mason.wa.us �--' APPLIC NIT F TI N CONTRACTOR INF R TION Owner Com Name H/ " 4(4s64 t ` Maili g Add ess Mails g Addre s Ot pX 733941 City r State Zip Code City ""TT 4 Statet Ztp Code Phone Other Ph= -'�f�`j" 2k Phone 2 S`2 � �-Z 7 Other Ph 1 Lien/Title Holder Contractor Reg. Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION- 12 Di it Parce No. Fire District Legal Descriptio if A • Site Address(Ple a include street name, street number and c' ) Direr ions to site lrr.�tS1"t�t/t+ 3 53 5el 7 � .YJ U*Ab tC4 Tra4e " a C • +✓ lWill timber be cut and dofd in parcel preparation?Yes/ Is property within 200'of Saltwater_A69 Lake River/Creek JV0 Pond ?VQ Wetland-LA(O Seasonal Runoff Stream Slopes or Bluffs > 15% loyD Is this permit submittal the result of a Stop Work Notice,Correction Notice or other acdorcer mit ?WsOft TYPE OF JOB New Add Alt Repair Other PRIMARY REqIDENCE SEASONAL ❑ Use of Building Describe Work .. No.of Bed m No.of B throoms�Square Footage- 1 st F nd Floor 3rd Floor Basement Deck AM Covered Deck AJIPP Other Sq.ft. Garage Attached Detached Carport Attached DetachMA41L_ MANUFAC,fURED H ME INFORMMN -Make --Model Year Length # Width Serial No. , No.of Bedrooms o.of Bathrooms � Type of Hea Purchase P ce$ � Replacement Unit? Yes/ o N rl Installer Name Certification No. OdVNER/BOLDER AduwMedges submission of inaccurate information may result in a stop work osier or permit revocation.AclaxWedgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the pemnission from all the necessary parties.If pern*mon is required from any easement holler or any other party in interest regarding this application or the work proposed in the application,I have obtained perrnission from to apply for this pemrt and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accu and employees of County access to the above described property and structure for review and inspection. PROOF OF WOR OF A PROGRESS INSPECTION. x , Dater w /Owners resentative/Con ctor Ondicate which one FOR dFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DEFIED NOTES Building Department l Planning Department Environmental Health Departmen Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee 4tsrJ Plumbing&Base Fee Planning Review Fee Mechanical&Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES MASON COUNTY PERMIT N0: C BUILDING PERMIT APPLICATION o0oC1 426 W.Cedar• P.O. Box 186, Shelton,WA 98584 Shelton (360) 427-9670• Belfair (360) 275-4467• Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICA T I FOR TIO CONTRACTOR INF R TI OwnO Company Name t:.• Mailing Address Mailin Addre s O " City _,State U&Z ip Code City; Stater_ Zip Code Phone 21 Other Ph.M 3 S ? Phone -Zjj1 Other Ph. Lien/Title Holder Contractor Reg.iA6AAC,1 e Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic—Q 4 Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No. i Fire District Legal Description •Wkit Site Address (Please include street name, street number and ci Dir ion to site ec s I 1WiAtimber be cut and 9616 in parcel preparation?Yes/ Is property within 200'of Saltwater 440 Lake River/Creek Pond Wetiand-L-41io_Seasonal Runoff - Stream=-'Ato_$,lopeit or Bluffs s > 15%Q /Y© Is this permit submittal the result of a Stop Work Notice,Correction Notico or other enforcement acti ?Yes/No TYPE OF JOB - New.j Add Alt Repair Other PRI AR ES DENCE SEASONAL ❑ Use of Building Describe Work No.of Bedro ins o.of B t rooms_ uareFoota ARA ge- 1st FI d Floor 3rd Floor asement Deck Covered Deck Other Sq.ft. K Gara a Attached Detached Carport Attached Detached MANUFAQY URED H ME INFORMATION - Make Model Year Length Width Serial No. No.of Bedrooms k o.of Bath ooms Type of Heat Purchase Pr e$ Replacement Unit? Yes/ o Klit Installer Name Al Certification No. OVVNER/BOLDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to recenra this permit and to do the work as prog in the application.I declare that I have obtained the permission from all the riecessary parties.If permission is required from any easement holdbr ordany other party irfinterest regarding this application or the work proposed in the application,I have obtained permission from the to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information providedwer Wnd 5ntsemployees of M n County access to the above described property and structure for review and inspection. PROOFWOrAd"_ANS OF A PROGRESS INSPECTIO . x Date• Z ners Aepresentative/Con factor indicate which one FOR dFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department p Planning Department �. Environmental Health Departmen Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing& Base Fee Planninq Review Fee Mechanical& Base fee % Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ . - TOTAL FEES Mason County Permit Assistance Center Planning Intake Checklist A Owners Nam Lj, c ��,C Date: '" V-S Project: 1 ,. q _ Reviewed By: Commercial Development- __Y-ES-) NO Comments: Planner: GBM TSC M M SNG BJR Site Plan: North Arrow Property Dimensions: C� X Cl Streets and Driveways Shown. Road name: ��� �� r Cf ❑ All Existing Structures shown with setbacks ❑ Well Location, Septic and Drain-field Shown with setbacks ❑ Identify all surface water(streams,ponds, shoreline,wetlands, etc.) o Topography(slopes) Proposed Structure Setbacks (Direction/Setback): F: '(.J l_A�k R: r / _��_ S 1: ✓V / /S J- S2: _S ' o Utility and Drainage Easements: Yes No (if yes enter condition#5022) ❑ Other Easements ❑ Accessory Appurtenances ❑ County Access Permit Needed(add condition#0010) ❑ State.Access Permit Needed(add condition#0020) Standard Conditions to be added to all Building permits that planning reviews: #5019 and#0700 Are there any impediments that may restrict access to your site? (dogs/gates) Shoreline and Planning Info Setbacks: Shoreline: Slope: Shoreline Designation: Comprehensive Plan: Rural Zo � g: ❑ Not Applicable ❑ Agricultural ❑ RR 2.5 ; 'd`, 20 ❑ Urban ❑ In-holding ❑ RMF ❑ Rural ❑ LTCFL ❑ RC 1 2 3 ❑ Conservancy ❑ Rural ❑ RI .❑ Natural ❑ RAC ❑ RNR ❑ Unknown ❑ RCC-Hamlet ❑ RT Urban Growth Area ❑ MPR ❑ Unknown ❑ Unknown Water B ype of water if unnamed): SE .Yes— Unknown Flood Plain: YES NO Unknown Map# Aquifer Recharge: YES NO Unknown Map# Tags/Cases: RLC/SPI Case: 6-Year Dev. Moratorium: YES NO Eagle Nest Tag: YES NO Other YES NO Addressing: Check box if needed ❑ Reviewed by: Revised:07-12-2005 [:\PLANNING\CHARELL&RENEE\PLANNING INTAKE