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III, 426 West Cedar Street = PO Box 186, Shelton, WA 98584 www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269 NON-STRUCTURAL RE-ROOF APPLICATION Roof Slope: L' L Old Roof Material �o��asi�lc't/ New Roofing Material: �4'W'F«'' Sheathing: 1�J'klan Underlayment Z'TD Existing Insulation: New Insulation: Use of Structure(s) - (i.e. garage, dwelling, etc.): Roof Slope: IRC section R904.1 Roof slope must be indicated to ensure selected roof covering is allowed on designed pitch. Roof Covering. IRC section R905 Selected roof covering must be installed in accordance with manufacturer's specifications and IRC requirements. Insulation:WSEC 101.3.2.5 exception 2a& 2b Existing roofs shall be insulated to the requirements of this Code if: a) The roof is not insulated or insulation is removed to the level of the sheathing or, b) All insulation in the roof/ceiling was previously installed exterior to the sheathing or non-existent. Attic Ventilation: IRC section 806 Enclosed attic and rafter area shall be supplied with cross-ventilation. The net area shall not be less than 1/150 of the area of the space to be ventilated. If 50% and not more than 80% of the ventilating area is provided from the upper portion of thee/space to be ventilated, then 1/300 is allowed. he/ Applicant/Owner: Vr �G G"�.GYMaZC- Contractor: J/�T/C�oT �O�iil� LGC Parcel No. Permit No.: =1'`�''-� 50 — Signature Date: DCDBuilding re-roof application (revised 7.2012) Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name PATRIOT ROOFING LLC UBI No. 603170228 Phone 2532656868 Status Active Address Po Box 1967 License No. PATRIRL884BL Suite/Apt. License Type Construction Contractor City Gig Harbor Effective Date 1/13/2012 State WA Expiration Date 1/13/2014 Zip 98335 Suspend Date County Pierce Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty Specialty Effective Expiration Status 1 2 Date Date CAMPBF'091 P8 CAMPBELL Construction General Unused 10/28/1991 10/26/1994 Archived FENCE Contractor Business Owner Information Name Role Effective Date Expiration Date CAMPBELL, STEPHEN THOMAS Partner/Member 01/13/2012 Bond Information BondrDevelopers nd Company�8: Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 Sure2C 01/12/2012 Until Cancelled $12,000.00 01/13/2012 em Co Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 1 Houston TEN10697 01/12/2012 01/13/2013 $1,000,000.00 01/13/2012 Specialty Ins Co Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https:Hfortress.wa.govAni/bbip/Print.aspx 7/19/2012