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PERMIT WORKSHEET page-2 of 2 PERMIT NUMBER R ation IDGE Debris and organic material removed I* The pocket Venstrometer.testa.pre rounded dowh to Qaop psf Water drainage;Natural_swais_Pad. other or check here to declare 1000 lb.soll _without tasting. putening midd wide units. x 20co xa= x1&0 Floor Type Fastener. ILA'q 5 1 Length: I It 'Spacing: �0 Walls: Type Fastener S Length: Spacing: W/l/v"',� POCKET PENETROMETER TESTING METHOD Roof Type Fastener. W Length: Sp I Spacing: I For used homes a m .3 gauge,8*wlde"og.vent dmet at p 1. Test the perimeter of the home at 0 locations. will be centered over thepeak of the roof and fastened,with galv. roofing nails at 2"on center on both sides of the centerline. 2. Take the reading at the depth of the footer. GG*k*t(w"than"ofIng raaulrwarte 3. Using 600 lb.Increments,take the lowest reading and round down to that Increment I understand a property Installed gasket Is a requiremplit of all now and used homes and that condensation,mid,meldew,and buckled marilagb walls are 8,result of a poorly Installed-or no gasket being In6talled. I understand a strip XA0b x6mo of tape will not serve as a gasket. TURQUE PROBE TEST I Installers lnitlals,-� Type gasket r.'Aj4 1(6 Installed: The results of the torque probe test Is A?14 Inch pounds or check Pg. Between Floors Yes k' here if you are declaring 61 anchors without testing A test Between.walls Yes ;h- showing 278 Inch pounds or lass will requin L,(fbot anchors. Bottom of ridgebeam Yes Note: A state approved lateral arm system is being used and 4 ft. anchors am allowed at the sklawall locations. I understand 6 ft Weatherproofing anchors are required at all centerline tie polntp where the torque test reading Is 276 or less and where the mobile hpme manufacturer may Jhe bottomboard will be repaired and/or taped. Yes X Pg,_ requires anchors with 4000 capacity. Siding on units Is installed to specifics ions.' as A installer's Initials Fireplace dhlmney Installed so as not to allow Intrusion of rain water. Yes ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER Miscallane6us Installer Name I&r r L, fRg:)ag-C Skirting to be.Installed, Yetj NO Dryer vent Installed outside of skirting. Yes WA Date Tasted Range downflow'vent Installed outside of skTrdt51n0 Yes —. —N/A_ Drain flow supported at-4 foot Intervals. Yes Elettrioall crossovers protected. Yes Other: Connect electrical bonductors between mu&wIde units,but not to the main power source. this Includes the bonding wire between mutt-wide units. Pg. Installer 4edfies all InforrhatIon.gWen*w1th this pernilt worksheet Plumbing Is accurate and true liased on the Connect all sewer drains to an existing sewer tap or septic link. Pg. manufacturer's Installation Instructions and or Rule 15C-It&2 Connect all potable water supply piping to an existing water meter,water tap,or other Installer Slgnatug;:::::��= Da lndeper!dpnt water supply systems. Pg.