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� �- PERMIT WORKSHEET page 2 of 2 <br /> PERMIT NUMBER <br /> Site Preparatlon <br /> Debris and organic material removed ��� <br /> The pocket penetrometer tests are rounded down to psf Water drainage: Natural Swale Pad�Other <br /> or check here to declare 1000 Ib. soii _,�without testing. , <br /> Fastening multt wlde units � <br /> X X X <br /> Floor: Type Fastener:_L 4G: Length: �.` Spacinq: �.G "�q� <br /> Walls: Type Fastener: �.��t,J Length: y " Spacing: ,�°�_� <br /> POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: �.�1J Length: °r Spacing: �� �• o:� <br /> For used homes a min. 30 gauqe, 8"wide, galvanized metal�strip <br /> 1. Test the perimeter of the home at 6 locations. will be centered over the peak of the roof and fastened with galv. <br /> roofing nails at 2"on center on both sides of the centerline. <br /> 2. Take the reading at the depth of the footer. . <br /> ,GaBket(weatherprooflng requlrement) <br /> 3. Using 500 Ib. increments,take the lowest <br /> readin�and round down to that increment. I understand a properly installed gasket is a requirement of all new and used <br /> homes and that condensation, mold, meldew and buckled marriage walls are <br /> a result of a poorly installed or no gasket being installed. I understand a strip <br /> X X X of tape will not serve as a gasket. <br /> � Installer's initials � � <br /> Type gasket�c���,!` �e�. 1 Installed: <br /> The results of the torque probe test is ��v inch pounds or check Pg. Between Floors Yes _t.� <br /> here if you are declaring 5'anchors without testing . A test Between.Walls Yes ,� <br /> showing 275 inch pounds or less vuill require 4 foot anchors. Bottom of_ridgebeam Yes �l _ _ <br /> Note: A state approved lateral arm system is being used and 4 ft. _ <br /> anc ors are a owe a e si ewa oca ions. un ers an ea erproo ng <br /> anchors are required at all centerline tie points where the torque test <br /> readit�g is 275 or less and where the mobile home manufacturer may The bottomboard uvill be repaired and/or taped. Yes � . Pg. <br /> requires anchors with 4000 Ib holding capacity, Siding on units.is installed to manufacturer's specifications. Yes +✓ <br /> C.k Installer's initials Fireplace chimney installed so as not to allow intrusion of rain water. Yes ✓' <br /> ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER M scellaneous <br /> Installer Name �If�.L�,f�c°� �- �Q�t �'� Skirtinq to be lnstailed. Yes �d' No <br /> Dryer vent installed outside of.skirting. Yes_�N/A - <br /> Date Tested Range downflow vent installed outside of skirting. Yes�_N/A � <br /> Drain lines supported at 4 foot intervals. Yes_�_ <br /> Electrical crossovers protect�d. Yes �` <br /> Other: <br /> ' Electrlcal <br /> Connect electrical conductors between multi-wide units, 6ut not to the main power <br /> source. This includes the bondinq wire between mult-wide units. P9• Installer verifies all information given with this permit worksheet <br /> Plumbing is accurate and true based on.the <br /> Connect all sewer drains to an existing sewer tap or septic tank. P�. manufacturer's installation instructio s and or Rule 15C-1 &2 <br /> Connect all potable water supply piping to an existing wate�meter,water tap,or other Installer Signature � _ Date /'- /5-/,� <br /> iindependent water supply systems, Pg. _ . , <br />