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Pi=RM'WORKSHEET 1 page 2of 2
a .PERIUIlT NUMB ? __. .._..... .. . ..
Site Prephratron
• - - podicg PERETRoMOTENT _ I - .
Dabris and organic material VAoved
The pocket penetrometerteds are ro wn to psf Water drainage:Natural V Smie Pad Other
or check heredb declare 1D001b,sot�u� withorit testi+r9. w4
'Fastening multi w[de Uraft ti^
X X X if - --- �c--- —
_ Floor: Type Fastener: LOU* Spaoln�
-- ---- -- Walls. Type 1=astenw. Lengft Spaclnw.
POCKET PENECROMETER 1 ESitNC�METHOD Roof. Type Fastener. Length Spacing: 4
Forused homes a 30 gauge;Er a,galvanized meat strip
1. Test the perimeter of the home at 6 locations, - will be centered aver the beak of the-roof and fastened With gale
roofing narks at V on center on both sides of the centert m
2 Take the reading at the depth of the footer.
S. Urkiq 5001b.kwrernems,take the lowest t
resdrng and round down to that increment. 1 understand a property installed gasket Is a mquirernent of all newand used
homes and that conder s lor4 mold,meldew and buckled marriage walls are
a result of a poorly installed or no gasket being Installed. I understand a strip
X X _X of tape will not salve as a gasket.
InstallTORQUE PROBE TEW er's irsiilals
- Type gasket YOO-9) Installed:
The results of the torque probe test!s' h pounds or check - Pg. 'Between Floors Yes
here If vou are dwAaring 6 anchors wfthotit'j - ;; A test Between Walks Yes
awwlnll 275 inch potmds or less will requkre 5 foot anchors. Bottom of ridgebearn Yes
Note: A state approved lateral arm system Is being used and 4 fL
anchors are aflowed at'the sidewall locallons: I uridersland 51t tA►euth
_ a xhm are Muir ed at all centeAne tie pokrds where the torque test -
rwdiiip Js 275 or less and where the rgobllle Rome mandi icturer may the botiomboard will be repairedanNor taped Yes Pg.
requlr®s anc}mrs with d0caRac+tY skiing on units is installed in tnar►ufacttpar's s>secsfioatlons Yes ,.
.: ttssiaifet's tnitiats Fireplace ch'unnay installed so as not to allow intrusion of rain water, Yes
i
ALLTFSj S MUST BE t'$dFOfi ED BY A LiOH1SED INSTALLIER laneaus
Installer tame •� Stdrting to be installed. Yes No
Dryervent installed outside of sktttkng. Yes 1C�.safe Tasted Range downtlow vent k4alled•outside of ski " 9. NfA
' Drain area supported at 4 fob!intervals. Y
• Electrical crossovers protected'yes
Other: .
ftnod electrical conductors between rhul i-wide wL%but not to the main power
outm ihia tnvtudes the bonding wire,between snot!-wide cantts Pg. Installer verifies all information given with this permit v Q*Sheet
leg . �a ,n Is ac cun3 a and true based on the
i, anned all sewer drains to M adsling sewer tap or-septic tank Pg. rrranufa° s Batton and o: Rule 75�y 2
onnect all potable wafer supply piping to an existing wafer meter,venter tap,or other tnstaller Signature:'< Bete"I
xlependent water supply syslasn Pg.