PERMIT WOFiKSHEET '" " � page 1 of 2 � �
<br /> PERMIT NUMBER , �
<br /> . � O�I ('�,� „-/ �/ New Home � Used Home ❑ - .,,
<br /> Installer ( I�C.f' License# �fl�����o -
<br /> � Home instafled to the Manufacturer's Installation Manual � ,
<br /> Address of home 7c5 t'l��1 l.L� d�0�0 Home is installed in accordance with Rule 15-C ❑
<br /> being installed �
<br /> S Sin�le wide � Wind Zone II � Wind Zone III ❑
<br /> ►,,G `,�
<br /> Manufacturer �� (�i,,��l Length x width ,�-1 K�J�� Double wide 0 Installatlon Decal#
<br /> NOTE: !f home Is a single wlde flll out one half o!the blockln'g plan Triple/Quad ❑ Serial# p�i v�a
<br /> If home Is a driple or quad wlde sketch In remalnder of home /
<br /> Roof System: V Typical Hinged
<br /> I understand Lateral.Arm Systems cannot be used on-any home(new or u PIER SPACItdG TABLE.FOR USED HOMES
<br /> where the sidewall tie§exceed 5 ft 4 in.
<br /> ' � Installer's initials _a�� l.oad Footer
<br /> ` 16"x 16" 18 1/2"x 1 B 1!2" 20"x 204 22"x 22" 24"X 24" 26"x 26"
<br /> bearing size „ ,
<br /> Typical.pier spacing capacity (sq In) (256) (342) (400) (484) (576) (676)
<br /> I I( � laterel
<br /> 2� �,� �� � � � �
<br /> I Show locations of Longitudinal and Lateral Systems � �� � � � '
<br /> longlludinat (use dark lines to show these locations) � � � '
<br /> . i n � r �
<br /> 1 1 � �
<br /> , 1 1 1 �
<br /> � interpolated from Rule 15C-1 pier.spacing table.
<br /> PIER PAD SIZES
<br /> ��
<br /> I-beam pier pad size �1�° ��Zi a ze n
<br /> Perimeter pier pad size �+\Y1 ��011 X��0�� x
<br /> . x .
<br /> ��� �� Other pier pad sizes x
<br /> _ ------------------•---------------• ----•-----•----------------------........._.. ..,� (required by the mfp.) � x
<br /> � � x
<br /> Draw the approximate locations of marriage x .
<br /> �,�,.� wall openings 4 foot or greater. Use this x
<br /> aMeaaw ipiarewi ioz�oreo olhom �raoi �sc symbol to show the piers. x
<br /> � x
<br /> List all marriage wall openings�reater than 4 foot x
<br /> and their pier pad sizes below.
<br /> ' ANCHORS
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<br /> PFRMIT NI IMRFFt
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