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+ - . r�u.... .v...vr.. Slte Preparation POCKET PENETROMETER TEST � ,�, Debris and organic material removed X - The pocket penetrometer tests are rounded down to 1500 psf Water drainage:Natural X Swale Pad Other or check here to declare 1000 Ib.soil without testing. � Fastenins�multi wlde units X 1700 X 1600 X 1600 Floor: Type Fastener: Length: Spacing: Walls: Type Fastener: Length: Spacing: POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: Length: Spacing: For used homes a min.30 gauge,8"wide,galvanized metal strip 1. Test the perimeter of the home at 6 locations. will be centered over the peak 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. , • ' ' G0Sk8t(weatherorootlna reaulreinentl 3. Using 500 Ib. increments,take the lowest� - - � ; � ' reading and round down to that increment. I understand a properly installed gasket is a requirement of all new and used homes and that condensation;mold, meldew and buckled marriage walls are a result of a poorly installed or no gasket being installed. I understand a strip X 1600 X 1500 X 1700 of tape will not serve as a gasket. Installer's initials TORQUE PROBE TEST Type qasket Installed: The results of the torque probe test is 277 inch pounds or check Pg. Between Floors Yes here if you are declaring 5'anchors without testing . A test Between Walls Yes showing 275 inch pounds or less will require 5 foot anchors. ,_ . Bottom of ridgebeam Yes Note: A state approved lateral arm system is being used and 4 ft. anchors are allowed at tfie sidewall locations. I understand 5 ft . - °-�°Weatherproot�ng anchors are required at all centerline�tie points where the torque test _ � reading is 275 or less and where the mobile�home manufacturer may The bottomboard will be repaired and/or taped. Yes X . Pg. requires anchors with 4000 Ib holding capacity. Siding on units is installed to manufacturer's specifications. Yes_) '. Installer's initials Fireplace chimney installed so as not to allow intrusion of rain water. Yes�g ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER � Miscellaneous Installer Name Lionel Easler Skirting to be installed. Yes No Dryer vent installed outside of skirting. Yes N/A X � Date Tested 7/30/2014 Range downflow vent installed outside of skirting. Yes N/A�_ _ - -� Drain lines supported at 4 foot intervals. Yes X � _ � Electrical crossovers protected. Yes NA Other: Electrlcal , Connect electrical conductors between multi-wide.units, but not to the.main power ' - � �� - ' source. This includes the bonding wire�between.mult-wide units. 'Pg. NA - Installer verifies all information glven with this permlt worksheet _ � um na is accurate and true based on the ,. --, �- � �•. manufacturer's Installation instructions and or Rule 15C-1 &2 Connect all sewer drains to an existing sewer tap or septic tank. Pg, Connect all potable water supply piping to an existing water meter,water tap, or other Installer Signatur�� C��'� Date i/1/2�14 independent water supply systems. Pg.