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Fail Date to Date Done By Comments CA to 0 S _0 (D 0 0 0 3 (D 0 r Cr?U MASON COUNTY ` BLMA - O®��f DEPARTMENT OF COMMUNITY DEVELOPMENT Mason County Bldg. III,426 West Cedar Street PO Box 279, Shelton, WA 98584 rr«f www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269 NON STRUCTURAL RE-ROOF APPLICATION APPLICA11JT INFORMAT ON: La Owner I J t© iA I.'[ Mailing Address Ci tY ---State Zip Code ' Phone 'Zo27'7 `S� Cell 30` Z l Email ' l �Lal -el— CONTRACTOR INFORMATION: Company Name Mailing Address Citv State4 Code one Other Ph. Contractor Reg. # Exp. PARCEL INFORMATION: Site Address ,) E j� �d Tax Parcel Number(twelve digit number) _` Z O 2+ �a STRUCTURE INFORMATION: Roof Slope: (pitch 4 41rz Old Roof Material: Comp. ``Metal❑ Shingles❑ Tile❑ Hot Mop❑ ,f72 New Roof Material:Comp.,, etal❑ Shingles❑ Tile❑ Hot Mop❑ @t*z Sheathing: New❑(Size ) Existing❑ Ship Sheathing❑ 7112 Existing Insulation: Yes No❑ et7z New Insulation or Vaulted Ceiling:See Below IECC 101.4.3 9112 Use of Structure(s)-(i.e.garage,dwelling,etc): '0112 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 vithout insulation in the cavity and where the cheat g 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 requir J for roofs where neither the sheathing nor the insulation is manufacturer's specifications and IRC requirements.n djjP edge expos d. (Reference IECC/WSEC R101.4.3) shall be providcd at eaves and gables of shingle roofs. Attic Ventilation:IRC section R806 Enclosed attic and rafter area shall be supplied with cross-ventilation.The net area shall of 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,'i 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 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTI N.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. 01 1 t e of Applicant D X ,�« ,�oif i�"i'C VVN /REPRESENTATIVE/CONTRACTOR Print Name (CIRCLE TO INDICATE)