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PERMIT WORKSHEET page 1 of 2 • "
<br /> PERMIT NUMBER
<br /> L � �)�_� ���� License# ���b2� 2�b New Home [� Used Home ❑ .
<br /> Installer �
<br /> Home instafled to the Manufacturer's Installation Manual
<br /> Address of home ��Vo� �Q,r��.�1 �..G�A �`7 Home is installed in accordance with Rule 15-C ❑
<br /> being installed
<br /> Singie wide [e�� Wind Zone II [� Wind Zone III ❑
<br /> �
<br /> Manufacturer Length x width � � X��� Double wide ❑ Installation Decal#
<br /> NOTE: If home is a single wlde flll out one half of the blocking plan Triple/Quad ❑ Serial# �
<br /> if home is a'trlple or quad wlde sketch!n remalnder of home
<br /> Roof System: �✓Typical Hinged
<br /> I understand Lateral Arm Systems cannot be used on any home(new or used) PIER SPACING TABLE FOR USED HOMES
<br /> where the sidewall ties exceed 5 ft 4 in. ��
<br /> Installer's initials Load Footer
<br /> 16"x 16" 1 S 1/2"x 1 S 1/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26"
<br /> bearing size
<br /> Typical pier spacing (256) (342) (400) (484)" (576)' (676)
<br /> , � � � iete�ei capacfty (sq in)
<br /> �
<br /> 2� � �� � , � �
<br /> I Show locations of Longitudinal and Lateral Systems � ^ � � 8 '
<br /> longitudinal
<br /> (use dark lines to show these locations) � � � '
<br /> r � i
<br /> i � r �
<br /> i � r �
<br /> • interpolated from Rule 15C-1 pier spacing table.
<br /> PIER PAD SIZES
<br /> I-beam pier pad size ,,,,���� �Z7,�� a ize n
<br /> x
<br /> Perimeter pier pad size rl�t��l ltD�� `�(�D4 x.
<br /> . x
<br /> i" ;" "'i Other pier pad sizes x
<br /> � ----------------------------------------------------------------------------------� t---- '
<br /> ---� .-----
<br /> ,... ...} � . ...; (required by the mfq.) x
<br /> 3 x
<br /> � Draw the approximate locations of marriage x
<br /> �..�,.� II openings 4 foot or greater. Us his x
<br /> martiag wall plers withl z�oi a of home per Rul �sc sy I to show the piers. x
<br /> X
<br /> List all marriape w openings great than 4 foot 2 x 2
<br /> and their pier pad size elow.
<br /> ANCHORS
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<br /> � � � � � � � � � � � � � , � � � � � � � ; � ' � � � � � Number
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<br /> � � :.--��----'-----��---:----:---'------ ,---a----;�---�----;----r----G-�-'- � ! � � � ----+-----:--�--;��---_--�-��-----�----�-----�--= ongitudlnal Stabilizing Device(LSD) . Sidewall
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<br /> PERMIT WORKSHEET a e 2 of 2 I
<br /> PFRMIT NIIMRFR I
<br />
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