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" - ' Site Preaaratlon <br /> - POCKET PENETROMETER TEST - <br /> Debris and organic material rer�ved ' ' <br /> � � The pocket penetromete�tests are rounded down to�Q psf Water drainage:Naturai ✓ Swale Pad Other <br /> or check here to declare 10001b.sofl without testing. <br /> X,�,�� X�(� X�d Fasten ng multl de units __ <br /> Floor: Type r: Length: ' <br /> Walls: Type Fastener: Length: Spacing: <br />� POCKET PENE7'ROMETER TESTING METHOD Roof: Type Fastener: • Spacing: <br /> For used homes a min. aupe,8 , anized metal strip <br /> 1. Test the perimeter of the home at 6 locations. wfil be centered ov�t peak of the roof and fasten�d-aait#.�aLv. <br /> roofing nails at�on center on both sides of the centerline. <br /> . "2. Take the reading at the depth of the footer. ' <br /> (388ket(areathemmatlno reaulremenil <br /> 3. Using 5001b.increments;take the lowest <br /> reading and round down to that increment. 1 understand a p erly installed gasket is a requirement of all ne sed <br /> - � homes and that con tion,mold,meldeuu and buckl arriage walls are <br /> � - a result of a poorly install gasket being in ed. I understand a strip <br /> � X�(pUD X �rol� , X,{��D of tape will not seroe as a gasket. <br /> I ler's in <br /> TORQUE PRO�E.TEST � <br /> Type pasket Installed: <br /> � The results of the torque probe test Is��inch pouniis or check- - - Pg: - - Between Floors Yes <br /> , here if you are declaring 5'anchors without testing . A test Between Walls Yes <br /> . showing-275 inch pounds or less will require�5 foot anchors: � Bottom of ridgebeam Yes I <br /> Note: A state approved lateral arm system is being used and 4 ft. , <br /> , anchors are allowed at the sldewall locations. I understand 5 ft Weatherprooting, <br /> anchors are required at all centerline tie points where the torque test � <br /> - reading is 275 or less and where the mobile home manufacturer may The bottomboard will be repaired.and/or taped. Yes ✓ . Pg. <br /> , requires anchors with 4000 Ib holding capacity. Siding on units is Installed to manufacturer's specifications. Yes � <br /> Installer's initials Fireplace chimney installed so as not to allow intrusfon of raln water. aFerN� <br /> " ALL TESTS MU T BE PERFO MED Y A LICENSED INSTALLER - iscellaneous <br /> Installer Name Skirting,.to be installed. Yes No � <br /> ' `/ Dryer vent installed outside of skirting. Yes N/A � ✓ ' <br /> Date Tested 'Y s � Range.downflow vent installeci outside of skirting. Yes N/A <br /> Draln lines supported at 4 foot intervals. Yes ✓ <br /> Electrlcal crossovers protected.afgs�_ 1�R <br /> Other: <br /> Etectrical <br /> Connect electrical conductors between multi-wide units,but not to the main power <br /> source. This includes the bonding wire between mult-wide units. Pg.,�_ Installer verif➢es all informatlon glven with thls permit worksheet <br /> um na ls accurate and true based on the <br /> - - manufactarer's installation instructions and or Rule 15C-1 &2 <br /> Connect all sewer drains to an existing sewer tap or septic tank. Pg. <br /> � Instailer Signature , Date � �al�'Jr <br /> Connect ail potable water suppiy piping to an exlsting water meter,water tap,or other <br /> independent water supply systems. Pg. <br />