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Installer: EDDIE GRUNDEL License # IH1118467
Address of home 204 NETTLES BLVD
being installed
Manufacturer JACOBSEN Length x width
NOTE. if home is a single wide fill out one half of the b/o ' g R
if home is a triple or quad wide sketch in remainder o
I understand Lateral Arm Systems cannot be used on any home (ne us
where the sidewall ties exceed 5 ft 4 in.
Installer's initials EG
Typical pier spacing
6f I lateral
� 1 i'
Show locations of Longitudinal and Lateral Systems
longitudinal (use dark lines to show these locations)
---s
i------
--------
---
Q-------------------------------
------------------------
----
Li
L-i
Li
Li
Li
marriage
wall
Li
piers
within 2' of
Li
end
Li
of home per Rule 15C
Li
Li Lj Li Li L_j Li Li Li
Application Number:
Date:
New Home ❑✓ Used Home ❑
Home installed to the Manufacturer's Installation Manual H
Home is installed in accordance with Rule 15-C ;
Single wide ❑ Wind Zone II ❑ Wind Zone III ❑✓
Double wide ✓❑ installation Decal # TBD
Triple/Quad ❑ Serial # TBD
PIER SPACING TABLE FOR USED HOMES
Load
bearing
capacity
Footer
size
(sq in)
16" x 16"
256
( )
18 1/2" x 18
1/2" 342
( )
20" x 20"
(400)
22" x 22"
(484)*
24" X 24"
(576)*
26" x 26"
(676)
000 psf3
4
5
7
8'
500 sf
4 6'
6
7
8'
2000 f
6
8
8
8'
50 s
7 6
Ti4
3000 s
8'
8
8
8'
3500 s
8'
8
8
8'
- Interpolatea Trom rwie i ou-i pier spacing taole.
PIER PAD SIZES
I-beam pier pad size 17X22.5
Perimeter pier pad size 16X16
Other pier pad sizes
(required by the mfq.)
Draw the approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol to show the piers.
POPULAR PAD SIZES
Pad ize
Sa In
16 x 16
296
16 x 1828
18.5x18.5
2
16 x 22.5
—3-60-
17 x 22
374
13 1/4 x 26 4
348
20 x 0
40
17 6x 253
7 x 25 T 2
446
4 x 24
576
26 x 26
676
ANCHORS
4ft 5ft_
FRAME TIES
within 2' of end of hc---
spaced at 5' 4" oc _ _
TIEDOWN COMPONENTS OTHER -11ES7771
Number
Longitudinal Stabilizing Device (LSD) Sidewall
Manufacturer OLIVER Longitudinal
Longitudinal Stabilizing Device w/ Lateral Arms Marriage wall
Manufacturer Shearwall
Listallmarriage wall openings greater than 4 foot
and their pier pad sizes below.
1-4
2-3,
Opening
Pier pad size
17X22.5
23X31