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Fail Date Date Done By Comments s 55 *//&1(. J;� 0 E v — — m m m 8 3 a 0 w O_ N N 0 m ,4 co ,., MASON COUNTY COMMUNITY SERVICES DEPARTMENT gLD20 - / y Mason County Bldg. 8, 615 W. Alder Street, Shelton, WA 98584 www.co.mason.wa.us (360)427-9670 x352 fax#(360)427-7798 _ - Belfair(360)275-4467 x352 Elma (360)482-5269 x352 IN54 NON STRUCTURAL RE-ROOF APPLICATION APPLIC FORMAT ON: Owner gG Mailing Address 6603/ City ON Lo A State WET- Zip Code C� &5 ( 2 Phone Cell Email CONTRACTOR I ORMATION: 95 Company Name( V S 00� Mailing Address CitAzftCa State Zip Code Phone(:�_53,)555` � Alt. Phon(,,2 5,j,4,015�&Aontractor Reg. # n2ntrr5b-jS f3a Exp. 12 q / 017 ✓ PARCEL INFORMATION: / p Site Address / n �� 1 1`r (J(D City `_ I o Tax Parcel Number(twelve digit number) 3 Z 60 (--),3 STRUCTURE INFORMAe22- Roof Slope: (pitch) �f Old Roof Material: Comp.❑ Metal❑ Shingles H Tile ❑ Hot Mop❑ i� New Roof Material:Comp.V" Metal❑ Shingles❑ Tile❑ Hot Mop❑ Sheathing. New❑ (Size ) Existing IB' Skip Sheathing❑ Emsting Insulation: Yes /No❑ (Manuf. Homes Require Le:l Permits sfk A New Insulation or Vaulted Ceiling- See Below IECC 101.4.3 -112 Use of Structures)- (i.e.garage,dwelling,etc.): M/iz- 'JUL 262016 Roof Slope:IRC section R904.1 615 W.Aider Street Roof slope must be indicated to ensure selected roof covering is Insulation:IECC 101.43 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.IRC 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 sheath ripedge ing n e insula manufacturer's specifications and IRC requirements.A d exposed.(Reference lECCI VSEC R101.4.3) shall be provided at eaves and gables of shingle roofs. ( —7 (� Attic Ventilation:IRC section R806 (/ G 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 ce t 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 &void if work or authorized construction is not commenced within AO days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY M ANS OF INS TION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X va" © 6 SignatuCe,of Ap fiC t Date X Or6 -4- OWNER REPRESENTATIVE ONTRACT Print Name (C/RCLQNFI