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. ,e-4 � y'' _ <br /> . ,� • <br /> PERMI�'WORICSHEET ' <br /> page 2 of 2 <br /> PERMIT NUMBER .' � <br /> . . <br /> OC R T S Slte pre aretlon <br /> The pocket panetrometer.tests are rounded down to�_ � Deb�fs and organic materia!removad <br /> or check here to declare 1000 Ib.soll w[thout esE 'ttng, p Watar drainaga:Natural Swale pad Ofher • <br /> X�� X� X� aston n mu w a un . <br /> Flooc Type F.astener. �►A. S Length: �� S�ac(ng; �� <br /> POCKET pENETROMEfER TESTINO METHOD w���� Type Fastener. Length; Spacing: � <br /> Roof. 7ypa Fastener. Length: 3pacing: 1 �� <br /> 1, Tsst the perimeter of fhe home at e locatlons, For used homea a 30 gauge,8 w de,gaivanlzed'metal a p ` <br /> wili be centered over the pe�k of fhe roof end fastened�wlth gafv. <br /> 2. Take the reading at the depth of the footer. roofing nai(s at 2"on center on both sldes of the centetUne. <br /> � ' 3. Using 600 Ib.Inorements,take the(owest Q�k.t w..tn. aofln � fnM�n . ' <br /> reading and round dourn to that Increment � I understam!e propariy Instelled gaeket Is a requirem�nt of atl new and used <br /> homes and thaE oohdensatbn,mqid,meldsw and buckled mariiage walls are <br /> x�� X i1R„�. X�� a result of a poorly Instaited•or nc gesket being ihstalted. t uhderstahd a sfrip <br /> •��V of teps wll!not serve as a gasket, <br /> O P oH S Ihsta(Isr's lnifials �_ <br /> The�esuits of the torque probe test ls,��_(nch pounds or check TYPB Aasket �ny���: , . <br /> here tf you are dedaring 6'anchors wlthout test(ng A test �'---- 8etween Floors Yes >f <br /> showtng 27b Inch pounds or less w111 requin C�'foo!an`Tors, •gBtween.Wal(s Yes <br /> Hottum of Ndgebeam Y,.,� •� <br /> Nofe: A atate approVed later�!atm sysfem Is betng used and 4 ft. v : • <br /> anchors are allowed at the s(dewall locatipns. I understand 6 ft weathe roof[n <br /> anchors are requlred at afl centetiins tle polnt�where the torque test � <br /> reading Is 276 or leas ancl where the moblie home manufaclurer may The bottomboard wlp be repafrecl and/or feped. Yes X p , <br /> re�uires anchors wfth 4000 Iding capacfty. Siding on uNte Is tnstalled to manufacEurer's spectflca ions.� es�_ � <br /> Installer's tnlE(als Ffreplace chknney�tnstalfe�So es not to aitow infrus(on of rafn water, Y e s <br /> A L L T E S T S M U S T B E P E R P O R M ED BY A LICENSED INSTALL�R <br /> Mlscel atl�oua <br /> Installer Name Skirttng to ii�instaUed. Ye�_)� � No " <br /> Dete Tested • Dryer vent Inst�lled outstde of s g, Y""3{'-- WA• � <br /> � Ra�,ga aownnow�er,t inst�iea o�t8iae oi 8kirnr,e:Yes�wq <br /> Dtain(tpes sUp�O�{�at�4 foot itttervals. Ye§�_ <br /> Ele�hica�cnossovers protected. Yes,�� � <br /> • eatrlca Qthe1': , <br /> . Connect elecWcal oonducfors be�ween muttl-wids ut�it�,but not to the ma(n power ' "' <br /> Y source. Thls 4ncludes the bonding wire between mult-w(de un(#s. Pg,_ �"'- <br /> • Installer verliles all Informatton•given�wtth this perm[t worksheet <br /> • umb ntl Is-accurate:and=�rue=based=on=the <br /> ------- -- -- - -—- <br /> _ Connect all sewer drains to an exisqng sewer tap orseptic fank Pg. manufacttnsr's tnstallation instructtans and�r Rule 15C•1'&2 <br /> Connect all potable wafer supply plptng to an exis�ng water meter,water tap,or other �nstaller 8(gnat Dafe �l/�� <br /> . Inilepandenf wate�suppfy systems, pg. / / <br />