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r <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 <br />