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PERMIT WORKSHEET page 2 of 2 <br /> PERMIT NUMBER <br /> Site Preparation <br /> POCKET PENETROMETER TNT Debris and organic material removed eollo� <br /> The pocket penetrometer tests are round/down to—psf Water drainage: Natural—Swale—Pad j�Other <br /> or check here to declare 1000 lb.soil without testing. Fastening—multi Vildo units <br /> Floor Type Fastener: Length: 'Spacing: <br /> Walls: Type Fastener: Length: Spacing: <br /> POCKET PENETROMETER TESTING METHOD Roof: Type Fastener. Length: Spacing: <br /> W For used homes a min.30 gauge,V'wide,galvanized metal strip <br /> >- LLJ U <br /> 1. Test the perimeter of the home at 6 locations. 0- will be centered over the peak of the roof and fastened with gaiv. <br /> LU roofing nails at 2"on center on both sides of the centerline. <br /> F- Lu <br /> 2. Take the reading at the depth of the looter. < W 2 3 0 CQ <br /> N ¢ 0 Gasket(wntherproaft requirermni) <br /> 3. Using 500 lb. Increments,take the lowest LL 0 <br /> reading and round down to that increment. wow > (79,1N!Toderstand a property installed gasket is a requirement of all new and used <br /> z a names and that condensation, mold, meldew and buckled marriage walls are <br /> Lij =J(jiALL gult of a poorly installed or no gasket being installed. I understand a strip <br /> x x x 0� 0 101- C :m:�iio pe will not serve as a gasket. <br /> I.- <br /> < 0 0 <br /> 0 Installer's initials)>PkrV <br /> TORQUE PROBE.TEST 0 W - <br /> I- W <br /> , _j asket Installed: <br /> The results of the torque probe test is inch,pounds or check 5 LL Between Floors Yes <br /> here if you are declaring 6 anchors without testing A test C (0 Between Walls Yes------ <br /> z W 0 1,- <br /> showing 275 inch pounds or less will require 4 foot anchors. H 0 0 Q Bottom of ddgebeam Yes <br /> ZIX <br /> Note: A state approved lateral arm system is being used and 4 ft. Z.0Z<0 <br /> anchors are allowed at the sidewall locations. I understand 5 ft Weatherproofing <br /> anchors are required at all centerline tie points where the torque test 4000' <br /> reading is 275 or less and where.1he mobile Home manufacturer may The boffornboard will be repaired and/or taped. Yes_. P <br /> requires anchors with 010,W ding capacity. Siding on units is installed to manufacturers specifications. Y j <br /> Installer's initials Fireplace chimney installed so as not to allow intrusion of rain AdVes 4 <br /> ALL TESTS MST B FORM; D VBICENSED INSTALLER Miscellaneous <br /> 0 <br /> /or <br /> Installer Name Skirting to be installed. Yes—No Range downflow vent installed outside of skirting. N/A <br /> Yes <br /> Date Tested Dryer vent installed outside of skirting. Yes /—N/A <br /> Drain lines supported at 4 foot intervals. Yes—f <br /> Electrical crossovers protected. Yes <br /> Other <br /> Electrical <br /> Connect electrical conductors between multi-wide units,but not to the in power <br /> source. This Includes the bonding wire between milt wide units. P9. <br /> Installer verifies all information given with this permit vv;orksheet <br /> Plumbing Is accurate and true based on the <br /> 4 <br /> manufacturer's lnsOlatiQn instructions and or Rule 11604 &A <br /> Connect all sewer drains to an existing s septic tank. PA.tap <br /> D <br /> Installer Signature 10i� a <br /> sewer <br /> Connect all potable water supply piping to an )astino water meter,water tap,or other <br /> independent water supply systems. Pg, <br />