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<br /> PERMIT WORKSHEET page 1 of 2 I
<br /> PERMIT NUMBER .
<br /> L��V �.1 ��� � License# ��1-�� (� �j���_ New Home ❑ Used Home �
<br /> Installer . �
<br /> Home installed to the Manufacturer's Installation Manual ❑ �
<br /> Address of.home ���n'1 ?31�'� �. ����ln� 1�� Home is installed in accordance with Rule 15-C [� I
<br /> being Installed �
<br /> � fJ-4' ���i� Single wide 'Q^ Wind Zone II [� Wind Zone III ❑ I
<br /> Manufacturer l_rl Y S i�l C�.� Length x width �`-1, X ��� Double wide ❑ Installation Decal#
<br /> NOTE: il home ls a single wlde flll out one half of the.b/ocking plan Triple/Quad ❑ Serial# ''
<br /> !f home ls a trlple or quad wlde skefch!n remalnder of home L
<br /> Roof System:�/Typlcal Hin�ed
<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 ,�y,�� Load Footer
<br /> 16"x i6" 18 1/2"x 181/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26"
<br /> Typical pler spacinp bearing size �256) (342) (400) (484)• (576)` (676)
<br /> capacity (sq in)
<br /> 2� � taterel � �
<br /> I Show locatlons of Longitudinal and Lateral Systems ' " ' ' '
<br /> (use dark Ilnes to show these locations) ' ` ' '
<br /> Iongltudinel , „ , , �
<br /> i � i �
<br /> ' r i i � -
<br /> " interpolated fram Rule 15C-1 pier spacing table.
<br /> " PIER PAD SI2ES
<br /> �� ��
<br /> �� ze n __
<br />� x
<br /> Perlmeter pier pad size Mw� ,1�" X 11n`� x
<br /> x
<br /> --- ...............................................•------•-----------••-•----•------•---- -•• Other pler pad slzes x .
<br /> '�M�.,J' .��,�� (required 6y the mfg.) r X
<br /> x
<br /> ; Draw the approx(mate locatfons of marriage x �
<br /> �„�,� wall openings 4 foot or greater. Use this x
<br /> r�ieMag wallplerawllhlnx�yrendor�homeperRulel5C symbol to show the plers. X
<br /> X
<br /> � List all marriage wall openinps greater than 4 foot x
<br /> i � and their pier pad sizes below.
<br /> `�,,,- ANCHORS
<br /> _...._..........._...._.. ....i... . .�. ......._ i ..1. P ni g Pie p d size 4 ft 5 ft
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<br /> �""'���� ��'7 � � FRAME TIES
<br /> ............
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<br /> , t � ; i , ' t OTNER TIES
<br /> � .J. � ,-._....,.... I.....1..... � � .� i � (......._.k_..�....� TIEDOWN COMPONENTS
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<br /> ...•••••-
<br /> .....:...........................'........_'....1.........' ` � �. i ' � z ' 1..._J 1 • Number
<br /> ..........
<br /> .... ._..�. f„ , fi�� ������������ ` � , ���� ��� j � f � j����� Longltudlnal Stablllzing Devlce(LSD� � Sldewall
<br /> ..... .......... .........
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<br /> �--.�...�.....�....�.....{. �. ,...; .. ....�.....�.....,.....�.....,....�.:::...::}....�.....�.....,.....�..........:.....��:.::_�....�...._....a.....�_::;:::�:::a..._.}�::::.;::�:�:-:::.�....�
<br /> � --�. i.... 1-----.....�....1....,....�_........ ....J._... . . � �....� �....�....1....+.....�..........�....._....�..._'.....�.... Manufacturer���!(?X rtechYlO 0�ll�S Longitudinal
<br /> _. :_.. 1.....{ I , � : � �- � r_..._.-���--{....T....;....�_......�.....;...., r._..f._.; : � � : I I f � f �
<br /> ••-•••_--••.•..•••••--_--••- ,•••-- 1•••Y••••,_•••••_• •F • f , • _•k_••j-••••'•••_i-•_-i-•••••--••F•••••+-•••.•••••i-•••,} Longltudlna! tablllzing Devlce w/Later Arms Marriape wall
<br /> i f � fi....�....�._..;.....i 1.....�-....._.s-••, ( � j ' : s � � : Manufacturer Shearwall
<br /> 1� � . a.....��:::.�..._:..._;....a--... : ,..........i..............1�:�::::—��---��-�a--1:::�::�.�....: �....�-�-----�---�..... , �
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<br /> PERMIT WORKSHEET a e 2 of 2
<br /> PFI�MIT NI IMRFFi
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