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, i <br /> Site PreparaUon ' <br /> POCKET PENETROMETER TEST I <br /> Debris and organic materiaf re oved ✓ ' <br /> The pocket penetrometer tests are rounded down to 3�,D psf Water drainage:Natural �Swale Pad Other � <br /> or check here to declare 10001b.soil without testing. I <br /> Fasteninp multi wide unit� f�1 e4 <br /> x Z� x�.,p x ��GC� <br /> Floor: Type F�a te�ler: Length: Spacfnq:" <br /> Walis: Type Fastener:� Lenpth: .--�'Spacing: <br /> POCKET PENETROME'fER TESTING METHOD Roof: Type Fastener: '�� Len�t�i�-= Spacing: <br /> For used homes a min.30 pa�e,-S"wide,Aalvanized metal strip <br /> 1. Test the perimeter of the home at 6 locations. wlll be centered oveyihe'p"eak of the roof�and.fastened with galv. <br /> roofing nails at�2"'on center on hoth sides of the centerline. <br /> 2. Take the readinq at the depth of the footer. <br /> G89k8t(wenthernrooflno reaulrementl � <br /> 3. Using 500 Ib.increments,take the lowest <br /> reading and round down to that increment. I understand a prope�ly installed gasket is a requirement of all new and used <br /> homes and tltat�eoCdensation,mold, meldew and buckled mar;riage wails are <br /> a result of a poorly Instalied or no gasket being installed..,l.uriderstand a strip <br /> X i�� X (� X t�pC�3 of tape will not serve as a gasket. <br /> Ins It�r's in" itials <br /> TORQUE PROBE TEST � <br /> ' Tvpe pasket Installed: <br /> The results of the torque probe test is�_,inch pounds or check Pg. Between Floors Yes <br /> here if you are declaring 5'anchors wlthout testing . A test , Between Walls Yes <br /> showing 275 inch pounds or less will require 5 foot anchors: Bottom af ridgebeam Yes <br /> Note: A state approved lateral arm system is being used and 4 ft. , <br /> anchors are allowed at the sidewall locat(ons. I understand 5 ft Weatherprooting . <br /> anchors are required at all centerline tie points where the torque test <br /> reading is 275 or less and where the mobile home manufacturer may The bottomboarci will be repalred and/or taped. Yes ✓. Pg. . <br /> requfres anchors with 4000 Ib holding capacity. Slding on units Is installed to manufacturer's speciflcations. Yes � <br /> Installer's initials Flreplace chimney Installed so as not to a8ow intrusfon of rain water. Yes�� <br /> ALL TESTS UST BE PERFg RMED BY A LICENSED INSTALLER Mlscelianeous <br /> Installer Name � � 4��(. Z'�5�� Skirting to be installed. Yes 1� No <br /> Dryer vent installed outside of skirting. Yes N/A / <br /> Date Tested � �'� �o�-�� �� Range downflow vent lnstalled outside of skirtfng. Yes N/A ✓ <br /> Drain lines supported at 4 foot interoals. Yes__y,�_ <br /> Electrical crossovers protected. Yes� <br /> Other: <br /> ElectHcal <br /> Connect electrical conductors between multi-wide units,but not to the main ower <br /> source. This includes the bonding wire between mult-wide units. Pg.� <br /> Installer verifies all information given with thls permlt worksheet <br /> um no is accurate and true based on the <br /> manufacturer's Installatfon instructions and or Rule 15C-1 &2 <br /> Connect all sewer drains to an existing sewer tap or septic tank. Pg. <br /> Connect all potable water supply piping to an existing water meter,water tap,or ather <br /> installer Signature "�ir,___._-/ L�-'�_._ Date '�'Z �� (� <br /> �_.._. <br /> independent water supply systems. Pg. <br /> � <br />