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O C O Z O c r C m V d C N d C ; 0.O m � ma 00 p 'a � € co .aca>i � mmrn> > Z c o o I= 0 Em �� �` x $_ $ m � ,cmdNO O O c cc j U 2 r N rn:° O dpp m > W O 0 N Q N E N O F p L c 0 0 C c p p Go..i 3 J M 0 � .} W Z D U ... Q a d toil 2 0 .d0 and CL Nf G y d p, 0 L = N m - U O m s 0 N .O. 0 Q d O -• :n o X Um I- 3 sX Qo � X Q m .cX m d s- � O F. °' co W O N ° 2 ? O z m ^ C o N 0) 0 O^ C W 0- O a, r O 'N3 o mc� a a ii� m MASON COUNTY BLD204-_m :3:� l DEPARTMENT OF COMMUNITY DEVELOPMENT Mason County Bldg. III, 426 West Cedar Street PO Box 279, Shelton,WA 98584 a www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 NON STRUCTURAL RE-ROOF APPLICATION APPLICANT INFORMATION: Owner 6 f d l e( `I e v1 e r I c h Mailing Address / Nc M o�hn r) j a D r I a C City 6 6 to'k C state w` Zip Code '3 S'5--? V pheffe E C E I V E D Cell 3u0--801- U60J Email K� U 82 I Pcif hook, cam APR 2 0 2016 CONTRACTOR INFORMATION: Company Name Tr r` S+a+e_ Roo Mailing Address �q0/ C'e t) e►- S+r—eet-.1 A Alder Stree City Tag-tuna State A Zip Code 9 SW 0`i Phone 153 -3 - Ug d Other Ph. Contractor Reg.# �rl S�"1 ` 931 fiExp.II l l 7 PARCEL INFORMAT1I`O : Site Address d a�>l n� rX q h O VI 1 a r I v e, City Q2 I r tt Tax Parcel Number(twelve digit number) /2 R i Ueych I l D 1 u STRUCTURE INFORMATION: Roof Slope:(pitch) g/ 12 yu Old Roof Mate .. omp. Meta ingles ❑ Tile El Hot Mop ❑ y�= New Roof Materi :Comp. Meta'pMingles ❑ Tile ❑ Hot Mop ❑ yu Sheathing: New❑(Size ) Existing Skip Sheathing❑ Existing Insulation: Yes QZ No ❑ - yn New Insulation or Vaulted Ceiline:See Below IECC 101.4.3 yn Use of Structure(s)-(i.e.garage,dwelling,etc.): d VJ C I I I yi two Roof Slope:IRC section R904.1 Roof slope must be indicated to ensure selected roof covering is Insulation:IECC 101.4.3 exception#5 allowed on designed pitch. Roofs without insulation in the cavity and where the sheathing or insulation is exposed during re-roofing shall be Roof Covering:I RC section R905&907 insulated either above or below the sheathing.Insulation is not Selected roof covering must be installed in accordance with required for roofs where neither the sheathing nor the insulation is manufacturer's specifications and IRC requirements.A driped exposed.(Refea=IECC/WSEC R101.4.3) shall be provided at eaves and sables of shingk roofs. Attic Ventilation:IRC section R806 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 the space to be ventilated,then 1/300 is allowed. OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null 8 void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF WSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. ---)D - /C Signature li X _OWNER)/REPRESENTATIVE/CONTRACTOR Print Name (CIRCLE TO INDICATE)