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PERMIT WORKSHEET I page 1 of 2 I �,, <br /> PERMIT iVUMBER <br /> Installer �b�'�t ( Q l License# ��-� � b o��.��� New Home � Used Home [] � <br /> , Home installed to the Manufacturer's Installation Manual � <br /> Address of home g r f <br /> being instailed <br /> ` ���' L� �� 1 I �1�� �C� ,S�Z Home Is installed in accordance with Rule 15-C � <br /> ����`-�� • � Sinqle wide � Wind Zone II' ❑ Wind Zone III �] <br /> Manufacturer ��bb�jPy'� Length x width � �x � Double wide [] installation Decal# ��'��5 <br /> NOTE: !f home!s�singfe w/de f111 out one ha/f of the b/xking plan Triple/Quad ❑ Serial# <br /> !f home!s s tr/p/a or quad wlde sk�fch!�remalndar of home / <br /> I understand Lateral Arm Systems cannot be used on a�r home(new or used) �oof System: `✓ Typical Hinged <br /> where the sidewaif ties exceed 5 ft 4 in. ��� PIER SPACING TABLE FOR USED HOMES - <br /> Installer's inftials �� t,oad Footer. <br /> 18"x 16" 181/2"x 181/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26" <br /> Typical pier spac(nq bearing size �268) (342) (400) (484)• (578)• (676) <br /> + ` ( � lataral CeP�nY �SQ�) <br /> 2' �_ /l <br /> � � � � <br /> I Show locations of Lon�itudinal and Latera!Systems � „ � � � <br /> , • IonglWdlnel (use dark lines to show these locations) � � � � <br /> � n � � � <br /> � � � � <br /> • tnterpolated trom Rule 15C•1 pier spacing table. 1 ' <br /> PIER PAD SRES� <br /> I-beam pfer pad size ]7`� � 2.2�� a ze n <br /> Perimeter pier pad size �'Yll{rl ��n��X��a�� x <br /> --�..Ll..�� -------------------------------------------------•-----...-------•--------------•--- �.� Other pler pad sizes x <br /> (required by the mf�.) x <br /> x <br /> � • Draw the approxlmate locations of mar' ge x a <br /> , II openin�s 4 foot or yreater. Us is x <br /> meM gewa pieraWilhin2�oi ndoi omeperR e16C ' sY I to show the pisl's. x <br /> X <br /> List ali marriape w peninp eater than 4 foot x • <br /> and thelr pier pad siz • ANCHORS <br /> •••• - r....�.°.-.- - . ..r Opening Pi ad size <br /> . . <br /> ........ .... ... ... ._..._.................... ..................._........... .............;...._.... ........................ <br /> .....�.....�.....�....�.._. _.....�_..�..7...�.... ...�....�. ! 1 � ( � r � � !._.. 4 <br /> . . . ...............�.. <br /> ..._.....�.......... ...�:_..... :....:_..�.._..............�. ..;._ _..�._..�_._I.....s� � ...T_......J.......... � ���..:_.... <br /> , , . .. ....�.:.. ..._...:�:. .._. �. . � �. <br /> ...._......._...+.. <br /> f � �....: , ::.._. .::: �....:�:�:::� <br /> � , . f_:.. .� , . ::; .�_... �.....��:::;::.. k..�.. <br /> .._.............. <br /> �.... { . .�.........T.... ._ . .........�.............. _..�....�. i �.._..........-� <br /> :..�._....................._..............._...i.....�.. <br /> �::: T...�....� � 1 ; ....�..... ...;._.....�:::......_..� �.._�.._�.........., � �' � � <br /> ,.....r.... . ....'......... . ._........... .. ._......'...: �. .... ....E._.�...... � ' i � i....i. � <br /> _�...._'•._I..._�...1:..r....._., 1. � �.....�........ , , . . 1 # � withln 2 of eMd of hom <br /> �. T : � �.t...� ; i.�...�...... � � �....i..._�.. � t ; ::;�::.:: "::�:�:�: � � <br /> ....... . :.... .. _....• .....y_..�._°...._.._ ...i_.�..._f_..�--••�...�__1_...i....!.......�_.,...�....�._.j.....t. ._� paced at 5 4 oc <br /> 1:::�1_:::i....�:�.1:::::�__�-::1::::� �..... 1� �... ._4....�.:::�::.w....�.._I.._.i..._;.....:.....�... ....L::I_�_�:...�... <br /> , �..._ , t : : ...,...:�::.:j:��l::.; .�' <br /> *..... � a <br /> I.....�.....�.....f.....�....�._.�..._�....:......_�.........�._.�.........�.._.f.....�.... ._..........' .. i � ...�..:. . ' OTHER'7'IES <br /> t , �� � � {....._. �_.._......:..__. ...�.....�.......... <br /> � �.... .. �....._......_;..._....!.... .... .........�.....,.....3.._. � ' s.... ......_� � • � ...1.-- ...... r <br /> • �t.... � , �............. � ..... .•. ' �.. ..`.....j..._ EDOWId OMPONENTS Numbe <br /> �....�....i.._�....�_..}._.±....�_..�.........:..._�.....;.....�.._.�_...j.........;....r. ...;....... ..�__�.._.�.........._..�....�.. ; � tongitudlnalT'ablllzingDevlce(LSD Sidewall <br /> : : : : . � , , ..........I._....._ ) <br /> . . . . ... !.....1....:.. • , i , , ...�....`-- ... ...�... _ ..�.. .... . ... ....�._.. :...; <br /> I....�....�....f....�.. �-�� i :...r... { .............._.�.. � ...i._......�._..�.. �...i._..� ...j.....�.....�....�..��.. Manufacturer� 1 LQ.. Lon itudinal <br /> ' ...:� <br /> j.....�..._..... . � _, _..r_...�.._i:: , .:�::..,. r....:: ::�:...a � � g <br /> 1 �-°- � E-° -°~�°•'°•°�°-;-•-• �, -...�. � � � • ' ' ' • Longitudlnal Stab111zing Devlce w/Late�I Arms Marriage walt <br /> ¢ f j � ..g...._....:._.._._. ,. ...i._.:...._.._;_.-�-..._..;..._ • ; <br /> {._..i.._�..... �_..'•--'i I ; � i_..:._..i....:... i..._k : . 1.....{..._I..._;.....�...._.....,-° <br /> � ...._... � Manuf <br /> ...... ! _ .i_.�...�.._. . �....�_.;.....�....I_...:_...._i � � • acturer <br /> .�..... i '( . , :r••_:•—�_...�•_-:••—' � � �Shearwail <br /> . <br /> . � � . , <br /> .....{._...._:..._� <br /> �i I i..........._....__;__.,.... , � ........:.....:.....:.._..... � T.._: i <br /> --.._..._._._. <br /> ....._...._._............�..... ....l....:,.....�....�....1....�....�....1.....�.....;._..�....;.....�....�....�.....�_. �.. � � ; :. r��....�_---. � ......,.--��--- <br /> ..............� . <br /> PERMIT WORKSHEET a e 2 of 2 <br /> PFRMIT NIIMRFR <br />