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� PERMIT VlIORKSHEET I page 1 of 2 I `�%
<br /> PERMIT NUMBER
<br /> New Home � Used Home ❑ . `' '
<br /> Installer _ E��1�� �.�� `'�� �icense# _I� {I���o�) L
<br /> r� Home installed to the Manufacturer's Installation Manual [t,]�
<br /> Address of home ,� 1�..`Q,S�,��J ��(..�� � tC('� Home is installed in accordance with Rule 15-C � -�
<br /> being installed
<br /> �-��-�� �'9 j n'(��� P�}{�-�. � Sinpie wide �`°� Wind Zone II [�-"'� Wind Zone III �
<br /> Manufacturer � [ �l -�(���jE� Length x width � %�� x,�� Double wide ❑ Installation Decal#
<br /> NOTE: If home!s a single wlde flll out one half of the blacking p/an Triple/Quad � Serial# i�-P�/V�.�.�n.
<br /> If home Is a f�/ple or quad wlde skefch/n remalnder of home
<br /> I understand Lateral Arm Systems cannot be used on any home(new or used) Rooi System: �f''+Typical Hinped
<br /> where the sidewall ties exceed 5 ft 4 in. � PIER SPACIN�TABLE FOR USED HOMES
<br /> Installer's initials ��'��- l.oad Footer
<br /> i 6"x 16" 18 1/2"x 18 1/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26"
<br /> Typical p�spaCln� bearing size �256) (342) (400) (484)' (576)" (676)
<br /> ( ie�erei capacity (sq in)
<br /> 2� � � � ,
<br /> IShow locations of Longitudinal and Lateral Systems � �� � � �
<br /> , longitudinal
<br /> (use dark lines to show these locations) � � � �
<br /> i n � � �
<br /> � � �
<br /> - � interpolated from Rule 15C-1 pier spacing table.
<br /> PIER PAD S12ES •
<br /> I-beam pler pad slze ' y��" � �7�� ' a ze n
<br /> i� �1 X ,
<br /> Perimeter pier pad size I�(Il�(1 ��.Q x ��C x
<br /> ��..�..�- ---•--------------------•---------•-------•--------••-----------------•---------•--• .�..J� Other pler pad sizes x
<br /> (required by the mfg.) x
<br /> � x ,
<br /> '' `, Draw the approximate locations of marriage x
<br /> r wall openinps 4 foot or preater. Use this x
<br /> � f` martiege ellplerswlthln2'otend IhomeparRu� 75C ' �°��°�symbol to show the plers. x
<br /> � £ , X
<br /> � List all ma�iriage wall openings preater than.4�foot x
<br /> ., "^ " _ +,� � and their pier pad sizes below. _ ANCHORS
<br /> �
<br /> �--� - - '( --'.... . - -,- ..._...... ,.....�..._ . ........ •----.. ni Pier' ad size
<br /> , �..... �................ ..._ . Ope ng P
<br /> .
<br /> i l....�......... #
<br /> a.....�::�.�:�::.(:::.::_::(:�:�....�:.:::::::]::�.:.::: . :.....�.....�........ ..._............,..........�.....;.....(..�:�:::"i::-��--..�...�...................................�.....�.
<br /> i � i t � • , 1.... � . .;. . .� _ ...I.............._..... 4ft �5ft
<br /> �
<br /> ...�.....�.........�.._..}.....�.... }.........�..... � �..... �••-• i ._� i i � i....�.. . '....� �`,
<br /> , , ...
<br /> . . ;..... � .... � I } � � _..�:::�::::........ �..............:.
<br /> . -, - j....��-::.t_.._....�.....�:::....... �::�:..........::.......... � � .�:.ti:.....
<br /> ...
<br /> .....
<br /> ....•-••- r • - � ...i....�.... ,.. .. T ...a---•• 3 FRAME TIES
<br /> }:�...� {....�...� � � � , � �...1. E , �:�::.�::::..:............ ;::::; ...f....... 1.....i.._..;..._.; /�-
<br /> ,....__----.........�._ ....._................... �.... :._ ..... � �
<br /> . .......... . ..
<br /> ..... ....��.._..........Y...
<br /> : ; � 1 , ; , � _f' r•': '" 1 j f 7.........:...............j.....1..._t.....�.....r..�--•r---.i__......'.....;..._.; \
<br /> �....�....�.....�..... ....�--...i._..:.....E....�....�....i.........:.....�_....__.�.....�.........1.....�....�....s...............;....:.....i.....i..._+....�__.}__s : ; -- �.., within 2'of end of home
<br /> � � � i 1 � � � � t i i � � 1 � i j....r....�.._.}.._.i , �,
<br /> ;.......... � • � � j ...... .... ............. ....�.... !--. ...;...._ � � ..., spaced at 5 4 oc�,L
<br /> ....
<br /> ;...1�...i....�.....I...�.{.:..�I.....1.:..;....5.....�....�....;:...,.....I...�j:....j....;.....�.....�:....1..�.I..:�.1_�....1....j.....�._..!._.�..._�..�..�.._i,�..i....(...:.a.......... ....:... i
<br /> ....t..... i... ...!.._t....�. �. ' �-•-. ... ....±....� ... ....'....' .l .. � � � � �.......-.. 1 TIEDOWN COMPONENTS OTHER TIES
<br /> f_..�....�. �...... ;.....�. 1.... ._.}.....�.....t . _- •.._..................�...............
<br /> � ! ; t....�.....�.. �. �. E._.� r � . , � I
<br /> � ° 1 ;.....�.....�.....�....�...1....... � _....�...,_...._��.._...........�._..�.....�....�...............:.....j.........�....� I---....-..i.._,..._` Number
<br /> � ' .._.. �
<br /> .._..�.....�.... j.-�-- , -- { : i i } �
<br /> ` ' I -....�-...r....-....•-��-�---...-�....�-...�....4.....�..-. .. � � : �..�................ , LongifudinalS�ablNzing Devlce(LSD) Sidewall
<br /> r'._....'-:'......... . . � �."'a..... � i '
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<br /> : , i t .�..... ; � � �i f : ; �--�••? T � i .._..f..--�-----r--•�----�-- j..._�._._�
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<br /> {�--..i.._.�.----i.....1....:...................1...•-;•-•-.�....-i.__;.....�_.-;•-••;--_-...:...._ ` � � • �_•-j•- �...r-...�.....f._...r.._f_. _ Longltud/nal Stab!!lzing Dev/ce w/Latera/Arms Margage wall
<br /> , � t . , ; '•._..�..._�....;--...+_..{...._....�....• _ ;.. ,
<br /> :.._.�_..:.... :..._:...._... � ....s....�-•-•---�- +---�:._..•.... � . , Sh I
<br /> �-�--�:.....� . . l-�---'--...�_...i---�-�.....�.....j..-�'--�� _ � i � �- �---�t�- j Manufacturer
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<br /> PERMIT WORKSHEET a e 2 of'2
<br /> PFRIIAIT NI IMR�R
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