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<br /> PEFii1Al7'WOf�KSHEET I page 1 of 2 I ^
<br /> PERMI'T iVUf1��ER
<br /> Installer •
<br /> Y '� - S �iconse# I�I�Z�Z 1 l� New Home [�Used Home ❑ "
<br /> Home Installed to the Manufacturer's Installation Manual ��
<br /> Address of home � , � I�� �"`�f� Home Is installed(n accordance with Rule 15-C []
<br /> being installed , ,� -
<br /> Sinqle wide [�/Wind Zone II ❑ Wind Zone III Q,
<br /> �
<br /> Manufacturer (� Length x wldth _'��-(X,S,'?j.7. . � Double wide ❑ Installation Decal#
<br /> NOTE: If home Is a single wlde flll ou!one half of th�blacking p/an Triple/Quad ❑ Serial# � �
<br /> Jf home!s a irlple or quac0 w/de sketch In pemAlnder of home —"'
<br /> I understand Lateral Arm Sysiems cannot be used on any home(new or used) Rooi System:_✓ypfcai._._..__�__Hinged
<br /> where the sidewall tles exceed 5 ft 4 in. PIER SPACPidG T�►BL�FOR USED HOMES
<br /> Installer's initlals Load Footer
<br /> 16"x 16" 18 112"x 181/2" 20"x 20" 22"x 22" 24"X 24" 26"x 28"
<br /> Typical pier spacinq bearing s�ze (g56) (342) (400) (484)' (578)` (676)
<br /> � � iacami capacity (sq in)
<br /> 2' �`
<br /> � � � �
<br /> I Show locatlans af Lonpltudinal and Lateral Systems � �� � � �
<br /> . IongNudlnal (use dark Iinos to show these locations) � � � ,
<br /> � n � i �
<br /> � 1 � �
<br /> 1 1 1 1
<br /> ` interpolated from Rule 15C-1 pier spacing teble.
<br /> PIBFI PAD SIZES
<br /> I-beam pier pad size �� � 2.2�� a ze n
<br /> Perimeter pier pad size (1111Y1��4,� X��o�� ' x'
<br /> ..�,.�,.1. ......................._........-----..._.............. ...,. ................. _ - .�,J� Other pier pad sizes xx
<br /> (requlred by the mfp.) x
<br /> " x :
<br /> Draw the approximate locations of marriape x
<br /> �p,�.� wall openings 4 foot or greater. Use thls x
<br /> merriagew piorew�i 2'ofendolhom parRulol C � symboltoshowtheplers. x
<br /> X
<br /> Lis II marrlage wall openings�reater than 4 foot x
<br /> .
<br /> and t sizes below.
<br /> ............................�......... .........�....,.................... .................................,.,,....,,,.,...... z�1"e
<br /> �.... .... p nt g oR
<br /> CN S
<br /> .'�.. . 0 e n Pier
<br /> �:�:��:�:: -.I.. ..._ r.... ��.:��. n
<br /> ..�.. ..{.. .�....�....�...........�...... ..�.... 4 ft 5
<br /> i ..T.....
<br /> ..I. ..�.....�..... .�{...... .:�....�. ,.�.... ..I...... '.�.....�.....�.... ..�.....
<br /> i�...�.. ..1.. ..�.. ..,: ..�. ......;.... � � ' FRAMETIES
<br /> �...;. .;.. . .. .... :.i....., ..�........�._..., �:.:
<br /> ..r::�:::_...::� .�.
<br /> �.....f....�....�....}.. '�::_�:: ...�.... �...... ... ... ... .., .,i,..... ..I...� ..f.... . within 2 of end of home
<br /> ..f:�::�_..1.:��:� ..�.....f......::�:....: � i i ::�::�:�:::::�::.... ::�::��I , „
<br /> 1 _l.. � ..1..:�.....1.. ..1...�...�...... ..�... . _ ..�....T..... ..1 spaced at 5 4 oc
<br /> . . ........_...... . ........ .. . . ...;.... .. ..
<br /> , . M ,..
<br /> ........ ..... ..... ............ .. ....... � _
<br /> „ ....
<br /> _.. ,... ..... .
<br /> _.....
<br /> � l...._... . ._�:..�„ ..... ._.1... ....�..............
<br /> ... ...:............._.
<br /> .......... �.................... .
<br /> �.........I..... �............... ... ..................._..:.... .....1............... . ,..,, .... .. ...1...._ ...� TIEDOWN COMPONEPITS OTHER TIES
<br /> � � �.......... �.............. �...�.......
<br /> .._.... � � �..._ ... ...�..........j....... ...... N ber
<br /> (.....�......... ... .... �..:. � ........._......... .,... 1
<br /> .........�....�....�--...._�i.... -t.... .....�...�...._... . . ' .....fi.....3.. �.i Longltudlna!Stablllzin Device LSD
<br /> r.... �. �.........�....... . . . ....�.....,.,.�....,....�.. ?...;..:. .�....... ...Y 9 ! 1 Sidewall
<br /> ...
<br /> .. .........�.._. ... ...._..�...�._.:............. 4 } �'....... ...;.....„ ! �..... ... Manufaciurer
<br /> { i-• �.. ..�.....,. �
<br /> ;� �� } , ,• � -�-,••-�,- -.r..... ..�.. ..�.... -!.. .�..... Longitudinal
<br /> ....�
<br /> �.....�..........:...................�....._j..__:._.........._.�...•....t_...�..�....�..........._.........,...........,..... _..;_........_.._'....,.....i.........:....�........ Lonqltudlnal StablUaln D v e /Lat af Ar s M ri '
<br /> .._.�....I....�....I.._..��...fi t ..�.._...... ! �....!:....! ...._...... ....... � ..�. ,...!......,.,...... � { i � � � ar aq a�� �_
<br /> . .. .. .. .......
<br /> 1 �
<br /> 7 ••• , r• �• • T.. �..... _ ...�..... ....
<br /> . 9
<br /> �..... Manufacturer_Q h � Shearwail
<br /> [.._�....I.....�...T.... 1.....,.�..�.....1.._.. �..._......r_.._i... �.....[..........�._..►.....Z...,1... . i....1._..� [.� [.. i�...l...:.. � �... ...�
<br /> . ,.... . �........I:�. � . . ...
<br /> PERMIT WORKSFlEET a e 2 0 2
<br /> PFRMIT 61111MRFR
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