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�r�rYPy1 <br /> ' � ���'R PERMiT INORMCSHEET �page 2 of 2 � <br /> PERMIT N!lMBER <br /> Site Praparatton <br /> ��t"/ Debcis and organic materiat remaved � II <br /> The pocicet penetrometer tests are rounded dawn to psf Water drainage.Natural Swale Pad Other C4n���� <br /> or check here ta declare 10001b.saii without testin,q. �.7�����.� <br /> X K X �'�- 1�r5'��� asteningmutHwi untts <br /> �,� Flaor. Type Fastener:_�a'�r Length:�Q.+� Spacing: O� i� <br /> Walts: Type Fastener: Q Length: �� Spacing: <br /> POCKET PENE'TROMETER TE5'fING METHOD ��',� Roof: i'ype Fastenec: ta L.enc�th: +t Spacing: '' <br /> For usec!homes a �n.30 qauqe,8"wide,gaivanized►netal strip <br /> '{. Test the perimeter of fhe hame at 6locations. wiil be centered over the peak of the roof and fastened with galv. <br /> raofinq naiis a#2°an aer�er on bath sides of the cenferline. <br /> 2. Take the r+eadinq at the depth ot the foater. <br /> Gasket(weatnerpror+MO�squinment) <br /> 3. Usfng 500 tb.increments,take the lowest <br /> readinq ar�d rouc►d down ta that inccement. 1 understand a proper{y�nstalled gasket is a requirement of ali neuu and used <br /> homes and that condensation,mold,meldew and buckled marriage walls are <br /> a resu�af a pooriY instatied or no gasket being installed. 1 understand a strip <br /> X X X af tape wi11 nat senre as a gasket. <br /> � � Installer's initials <br /> -�-�} �YPe gaske�.l�a��,�j�, Instalted: <br /> The resuits of the torque probe test is inch pou�ds or Pq. Between Floors Yes ✓ <br /> here i#yau are dedaring 5'arichors without testinq . A test��- Beiween Wails Yes ✓'�� <br /> shQwing 275 inch pounds or less will require 4#aot anchors.��.�l��, ��- Battom af rid�ebeam Yes✓ <br /> Note: A state approved laferai arm sysfem is being used and 4 ft. ��r� <br /> anchors are ai{owed a#the sidewall laca#ions. t understand 5 ft w er�►mofln� <br /> anchors are required at all cent+�line#�e points where the tarque tes# <br /> reading is 275 or less and where the moblte F�ome manufacturer may The bottamboard will be repaired anrd/or taped. Yes '� Pg. <br /> requices anchors with 4000 tb ttoiding capaa�r. S`rdng on units is instaiied to manufacturer"s specifications. Yes ✓� <br /> lnsta4ler's initiats Fireptace chimr�eY insEailed so as nat to allow�nttusi�n of rain water. Yes� <br /> ALL TESTS MUST BE PERFORMED BY A LICENSED iNSTALI.ER scet�►eous <br /> Installer Name [ �,',�„f f t.� Ia,�� 'L)CIC�G�� SkirttnA to be installed. Yes No��, <br /> Dryer vent installed oukside of skirtinq. Yes WA <br /> Dats Tes#ed C���_._S, /S ' Ran�e dawnflow vent instaiied outside afi sk`rrting. Yes �^NIA <br /> Dra�n Stnes supported at 4#oot inie,rvals. Yes f <br /> Elect�ical crossQVers proteded. Yes ✓ <br /> Other: <br /> Electrlca! <br /> Connect etectrical conductars between muiti-wide units,but not to the main power <br /> soucce, This includes the bandinq wire between muit wide units. P�. InstaUer verifies alt infarmation given with this permit wrorkshe�# <br /> F umbing is accurate and true based on the <br /> Connect a!!se�nrer dra4ns to an e�tistinq sewer tap or septic tank. Pg. <br /> manufacture�'s installation instructions and or Rule 15C-1 S 2 <br /> Connec#ail pptabte water supply piping to a[r e�asting water meter,water tap,or afher ��+��ler Signatu Date�!S <br /> indepertdent water supply sYstetns. Pg. . . . <br />