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�, <br /> �PERMIT WORKSHE�ET page 2 of2 �" <br /> �?ERMIT NUMBER I <br /> POCKET PENETROMETER TEST " Site Pre aration <br /> --- —4�@=-- _ -�-_--- T-- - <br /> - - -- ----_� <br /> The pocket penetrometer tests are rounded down to .��� Sf Debris and organic material removed � - <br /> or check here to declare 1000 Ib.soil without testing. p �Nater drainage: Natural ' Swale Pad L/pther. <br /> X�� X f�'�� X C� Fastening multi wide units <br /> .�.�i <br /> � Floor: T tener: Length: .. Spacing: <br /> PO.CKET PENETROMETER TESTING METHOD Walls: Type Fasten . Length: Spaci � <br /> Roof: Type Fastener.. Length: pacing: <br /> 1. Test the.perimeter of the home at 6 locations. �� �For used homes a min.30 wide,�g�lvanized metal strip <br /> will.be centered ove eak of t and fastened with galv. <br /> 2. Take the reading at the depth of the footer. roofing n ' ' on center on`both sides o line. <br /> 3. Using 500 Ib. increments,take the lowest Gasket(weatherproofln9 requiremant) <br /> reading and round down to that increment. I uriderstand a.p erly installed gasket is a requirement of all new used <br /> homes.and ttiat con sation, mold, meldew and buckled ma ' e walls are <br /> X�U X�� X (�'1� a result of a.poorly insta or no gasket being installe nderstand a strip <br /> �__L_ . of tape wifl.not serve as a gas <br /> TORQUE RROBE TEST � 's iriitials z <br /> The results of the torque probe test is�inch pounds or check PYpe gasket - Installed: <br /> here if you are declaring 5'�anchors without testing . A#est 9' ' � Between Floors Ye <br /> showing 275 inch�pounds or less�will require 5 foot anchors. Between Walls Yes <br /> , Bottom of ridgebeam Yes <br /> Note:. A state approved lateral arm system is being used and 4 ft. <br /> anchors are all.owed at the sidewall locations. I understand 5 ft <br /> anchors are required at all centerline tie points where the torque test Weatherproofin9 , <br /> reading is 275 or less and where the niobile horrie manufacturer may The bottomboard�will be repaired and/or taped. Yes p , <br /> requires anchors with 4000 Iding capacity. Siding on.units is installed to manufacturer's specifications. Yes 9�— <br /> Installer's initials Fireplace cfiiriiney installed so as not to allow intrusion of rain water.��- <br /> ALL TESTS MUST BE PERFORMED Y A LICENSED INSTALLER • Miscellaneous <br /> nsfaller Name S� ' <br /> Skirting,to be installed. Yes �,p� <br /> D er vent installed.outside of skirting. Ye�N/A <br /> �ate?ested � • , ry <br /> Range�downflow vent�installed outside of skirting. Y N/� <br /> . • Drain�lines supported at 4 foot intetvals. Yes,� <br /> Electrical crossovers protected.�Xes� _ <br /> Electrical <br /> Other: <br /> nnect electrical conductors befween multi=wide units,but not to the main power <br /> �rce. This�includes the bonding wire between mult-wide units. Pg. . � <br /> Installerverifies all information given with this permit worksheet �� <br /> . Pt�mb�ny is accurate and true based on the I <br /> nnect all sewer drains to an existing sewer tap or se.ptic tank: Pg. manufacturer's installati instructi ns a d or Rule 15C-1 &2 <br /> nnect all potable water supply piping to an existing water meter,water tap, or other installer Signature /// Date� �� �(,D <br /> ependent water supply systems. Pg. <br /> - =---- ----- - =— --- <br /> ---- � —----- - - ---- — <br />