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PERMIT WORKSHEET Page 2 of 2 <br /> PERMIT NUMBER <br /> ,e repuatron <br /> R C ZIT <br /> --- - - --------------— ------ �_._—---- - --,- -- -- - - - -----.Debris and a- rclantc rnatenal wmoved- <br /> The pocket penetrometer tests are rounded down to psf Water drainage:Natural Swale Pad Other <br /> or check here 1b declare 1000 lb.soil without testing <br /> X G OYI) x C&aV X Leo FasteninN mu ti wide units <br /> —� �'r'L Floor: Type Fastener. ' I i r ;'Length: ,p Spacing: j., <br /> Watts: Type Fastener:f!)-rr�rrr Length: .?Y" Spacing: J Y ' <br /> POCKET PENETROMETER TESTING METHOD Roof: Type Fastener:;���+'ICJ Length: ?" Spacing: IS <br /> For used homes a min.30 garage,8"wide,galvanized metal strip <br /> f. Test the perimeter of the home at lecations, VAI be centered over the peak of the roof and fastened wits►gale_ <br /> 2. Take the reading at the depth of the tooter. <br /> roofing rails at 20 on center an both sides of the centerlina. <br /> • 3. Using 5001b.increments,take that lowest Gasket&ffidl ommorinn rcauiromontl <br /> reading and round down to that increment. I understand a property installed gasket is a requirement of all new and used <br /> homes and that condensation,mold.meldaw,and buelded mwdaga walls.are <br /> X�� �^I X 21 � a result of a poorly installed or no gasket being installed. I understand a strip <br /> V S of tape will not serve as a gasket. <br /> ° Installer's initials <br /> d�a� � <br /> Type gasket ��' Installed <br /> The results of the torque probe test is .70J—inch pounds at check Pg. Between Floors Yes here 8l-11, <br /> if you are declaring 5'anehars without testing . A test Between Walls Yes t-**' <br /> showing 2751nch pounds or less will require 5 foot anchors. Bottom of ridgebeam Yes <br /> Nate: A state approved lateral arm system Is being used.and 4 fL <br /> anchors are allowed at the skiewall locations._I understand 5 ft Weatherproofing <br /> anchors are required stall eentorfine tie points where the torque test <br /> reading is 275 or less and where the mobile home manufacturer may The bcttomhoard will be,repaired andior taped. Yes W", . Pg. Z Z <br /> requires anchors with 4000 I Yang capacity. Siding on units is ins glad to manufactuWa specifications, Yes, <br /> tnstallefs inilials Fireplace chimney installed so as not to allow tntmaion of rain water. Yes <br /> ALL TESTS MUST B6 PE t?RME/D LICENSED INSTALLER M s eous <br /> Installer Name /C7� / / ri��� $kitting to be Insbiled. Yes V1111 No <br /> Dryer vent installed outside of skirting. Yes✓ N1A <br /> __-----.-_.--_-_-.— --Data-Tested-.-------.--_ /`j�e_- _____�.._____ __ ___ -_._.Rangedownflow vent instatledoutsideafskirtfig'Y=Z---NiA_._._._.___-- <br /> Drain lines supported at 4 foot intervals. yes 1✓ <br /> Electrical crossovers protected. Yes V <br /> Other; <br /> tstearle� <br /> Connect electrical conductors befteen multi-wide units,butnotto the main power <br /> sour. This includes the lsondng who between mWbvvide ututa Pg. ,�91, Installer verifies all Information given with this pertrtitwarkshest. <br /> Plumbing Is accurate and true based on the <br /> Connect all sewer drains to an existing sewer tap or Salado tank Pg. ,�`� qI manufacturer's Installation Ins Lions a d o ft <br /> Connect all le 1SC-1�&2> <br /> potable water supply / G 2 <br /> p ppiy piping to an existing water meter,water tap,or other InstailerSignature Date <br /> Independent water supply systems. Pg. SUP02-04/23fl2 <br />