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■ e..�ao��• ��v��r��a " Site Preparation POCKE7 PENE7ROME7ER TES7 x . Debris and organic material removed The pocket penetrometer tests are rounded down to��psf Water drainage: Natural Swale Pad Other V - - -- --or check_here_to_deciar.e t00.0_lb._soii withaut.testing. X 1� X �lU� X 1 rJ� Fastening multl wl e un ts --- -_ - Floor: Type Fastener:_________. Lenqth:_____—. Spacinq: __._ ,_______ Walls: Type Fastener: Lenqth: Spacinq: POCKET P�NETROeV1ETER TESTIldG METHOD I�oof: Yype Fastener: Length: Spacing: For used homes a min.30 qauqe,8"wide,palvanized metai strip 1. Test the perimeter of the home at 6 locations, will be centered over the peak of the roof and fastened with qalv. roofinq nails at 2"on center on both sides of the centerline. 2. Take the readinq at the depth of the footer. C.ti83k01 hveatharoroofina raaulremantl 3. Using 500 Ib.increments,take the lowest reading and round down to that increment. I understand a properly installed gasket is a requirement of all new and used homes and that condensation,mold, meldew and buckled marriage walis are a result of a poorly installed or no gasket being installed. I understand a strip X��b� X�S�� X�� of tape will not serve as a gasket. Installer's initials TOR�UE PROB�7ES7 Type qasket Installed: The results of the torque probe test is,��inch pounds or check Pg. Between Floors Yes here if you are declaring 5'anchors without testfng . A test Between Walls Yes showing 275 inch pounds or less will require 5 foot anchors. Bottom of ridgebeam Yes Note: A state approved lateral arm system is being used and 4 ft. anchors are allowed at the sidewall locations. I understand 5 ft Weatherprooting anchors are required at all centerline tie points where the torque test reading is 275 or less and where the mobile home manufacturer may The bottomboard will be repaired and/or taped, Yes X . Pg. requires anchors with 4000 I holding capacity. Siding on units is installed to manufacturer's specifications. Yes X Installer's initials �ireplace chimney installed so as not to�Ilow intrusian of rain water. Yes x ALL TES7S MUST BE PERFORMED BY A LICENSED IN5TALLER Mlscellaneous Installer Name Llonel Easler Skirting to be installed. Yes x No bryer vent installed outside of skirting, Yes x N/A Date 7ested e/3/2016 Range downflow vent installed outside of skirting. Yes X N/A Drain Ifnes supported at 4 foot fntervals. Yes X Electrfcal crossovers protected, Yes NA Other: �lectrlcal Connect electrical conductors between multi-wide units, but not to the main power source. Thfs inciudes the bonding wire between mult-wide units. Pg. NA Installer verifies all Informatlon given with thls permlt worksheet um na fs accurate and true based on the manufacturer's installation instructions and or Rule 15C�1 &2 Connect all sewer drafns to an existing sewer tap or septic tank. Pg. Connect all potable water supply piping to an existing water meter,water tap, or ather �nstaller Slgnature Date_ 8/4/2016 independent water supply systems. Pg.