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<br />L <br /> <br />,--I <br /> <br />PERMIT WORKSHEI: I <br /> <br />PERMIT NUMBER <br /> <br />I POOK\:l PENE1ROMETER TJ. <br />The pocket penetrometer tests are rounded down to ;p- 00 psf <br />or check here to declare 1000 lb. soli ~ without teing. <br />xLlcJ-=> x-17':)::::> X (10 ~ <br /> <br />POCKET PENETROMETER TESTING ~ETHOD <br />1. Test the perlmeter of the home at \lltons. <br />2. Take the reading at the depth of the fo ter. <br />3. Using 500 lb. Increments, take the low <br />readIng and round down to that lnor ent. <br /> <br />-.J <br /> <br />xJ2c)':> <br /> <br />x..l..Lo ~ <br /> <br /> <br />x I reJu <br /> <br />- <br />The results of the torque probe test Is Y? ~ Inch ounds or check <br />here If you are declaring 5' anchOrs without testing , . A test . <br />showing 275 Inch pounds .or less will require 4 foot anch . rs. <br />Note: A state approved lateral ann eystem Is being use and 4 ft. <br />anchors are allowed at the sld6'MIlllobatlons. I nderstand 5 ft <br />anchors are reqUIred at all centerline tie points ere the tOrque test <br />readIng Is 275 or less and where e mobile ~om menufacturer may <br />requires ,anchors with 4000 Ib ctty. <br />Initall s InlUals <br />ALL TESTS MUST BE PERFORMED BY A UCEN ED INSTALLER <br />Installer Name ~P"<.J/1 tJvv( \. <br />Date Tested S. ) D f?/O I \. <br />( . <br /> <br />i <br /> <br /> <br />\ <br /> <br />Connect electrical conductors betWeen multi-wide units, but ot to the main power <br />source. This Includes the bonding wire between mult-wlde un ts; PO. ' <br />Plumbing I . 1 -= <br />I Ii I <br />Connect all sewer drains to an existing sewer tap or septlo ta~k. Pg. ~ <br />Connect all potable water supplY piping to an EjJIstlOliJfater nlatar, water tap, or other <br />kldependent water supplY systems. Pg. ",{_6 ~ \ ' . <br />I <br /> <br />= <br /> <br />~~~m_~fl/ . <br />Water drainage: Natural SWale _ Pad _ Other <br />f..l8I1lng muJU w1cJa unltll /l <br /> <br />= <br /> <br />Floor: <br />Wells: <br />Roof: <br /> <br /> <br />=- <br /> <br />Typa Fastener. <br />Type Fastener: <br />Type Fastener: lith: _ Speclng: <br />For used homes a . gaUll8, 8" wide, galvanized metal strip <br />will be centered over the peek of the roof and fastened with galv. <br />rooflngnalls at 2" oncentar on both sides of the centerline. <br /> <br />.0........--*-'0 <br /> <br />-= <br /> <br />I underStand a properlY Installed gasket Is a reQuIrement of all new and used <br />homes and that condensation, .mold, meldew and buckled mantage wells are <br />a result of a poorlY Installed or no gesket belnn In led. I understand a strip <br />of tape will not serve a8 a gasket. <br /> <br />Type gasket <br />Pg. <br /> <br /> <br />I lied: <br />Between Floora Yes <br />Between Walls Yea <br />Bottom of rldgebeam Yes <br /> <br />The bottomboard will be repaired and/or taped. es~' Pg.- <br />Siding on unlt8 18 Installed to manufacturer'8 f1catlons. Yes_ <br />FIreplace chimney Installed so as not to all Intrusion of rain water. Yes_ <br /> <br /> <br />~ua <br />SkirtIng to be Installed. Yes ' . No . / / - / . <br />Drverventlnstalled outside of 8k1rtlna. Yes~NJA~ /1 / <br />Range doWl1f\OW vent Installed outside of skIrting. "881_ N/A ~ <br />Drain lines supported at 4 foot Intervals. as t../ <br />Electrical croll8OVers protected. Yes <br />Other: <br /> <br />-.: <br /> <br />.-: <br />= <br /> <br />=- <br /> <br />Inetaller verifies alllnfonnatlon glveli with this pennlt worksheet <br />Ie accurate and true based on the <br />manufacturer'elnetalla n n ne and or Rule 15C-1 & 2 <br /> <br />Installer stgnature Date 1jQ:i/'d"7 <br />