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Date By Ribbons Footings I Setbacks Ribbons m T Gas Piping Date By X CD IntenorDate By Interior.Date By Date ay 0 C) 00 0 4 Exterior Date By Exterior-Date Set-up z Bv P INSULA'nON Date Point Load I Isolated Footings C_ BG I SLAB INSULATION 0 Date By Date By FIRE DEPARTMENT m Foundation Walls Floors Date By Date By Data By DECKS FRAMING Walls Date By Date BY Data By PROPANE TANKS Vault Date By PLUMBING Date By a OTHER Groundvmrk Attic Type, Date :By Date By Date By DRYWALL D.W.V Type-, Int Brace Wall Date By Date By Date By CD FINAL INSPECTION 2) 7_�on (n Water Line Fire Sepe ration (D By @ Data BY Date By Date (D Pass or Request Inspect. 6C) co Type of Insp. Fall Date Date Done By Comments 4 (D (D (n 0 0 o U) 0 3 ............... . . ................ (C) (D 0 10/12/2015 08: 04 3604267154 THE ROOF DOCTOR PAGE 01 0 MASON COUNTY BL020 15 L� 81q DEPARTMENT OF COMMUNITY DEVELOP M NT Mason County Bldg. 111, 428 West Cedar Street PO Sox 279, Shelton, WA 98584 www.co.mason.wa_us (360)427-9670 Elelfair(360)275-4467 Elena (380)482-5269 NON STRUCTURAL RE-ROOF APPLICATION A.PPLICANT)INFORMATION: ONvnct Jop AndprsQn Mailing Address 71 E Park Rd City Shelton State__WA Zip Code 98584 Phoric 360-490-3056 Cell Email CONTRACTOR INFORMATION: Company Name_ The-Roof ncirtnr In- Mailing Address PO Box 851 City Shelton —Statc__YVA Zip Code 98584 —Phone 360-427-8611 Other Ph. 360-239-6873 —Contractor Rcg. # RQOFDI*168N$ Exp. 0 01 2016 PARCEL INFORMATION: SitcAddress_Zl : Park Rd city Shelton Tax Parcel Number(rwck-e digit.ptunber) "'I2D I;Z - 5 00�) STRUCTURE INFORMATION; Roof slope: (Pitcla) 5/12 Old,Roof Matcrial: Comp.[YMctal 11 Shingles M Tile 0 Hot Mop 0 Ncw Roof Material:Comp.IX metal D Shingles 0 Tile 0 Hot Mop o Sheathi.qg: New M(Size---) Existing)( SidpSiheatiling-E E3dstinghisuUtilon. Yes NoO New Jnsulatiori or Ylulted-Ce-lia See Below IECC 1013.3 Use of Structurc(s) - (i.e.garagoc,dwelling,etc.):_Dwelling Thu Roof Slope.IRC Nection R904,1 Raofslopc must be indicated to ensure selected roof covrQtig is Insulation:1FCC 101.4.3 exception#5 allowed on clegigned pitch. hoofs without insulation.in the cavity and,where the sheathing or iniiul;idon is cxposcd during fc-roofing shall,he Roof Covering.IRC section R905&907 insulated cidrief above or hdow the sheathing. lnrui-.irion is not Selected roof covering mu8r be instalJod in accordance with "L3'rcd fat fOOfq wlicro ncirlicr the sheathing nor the insuIo6OT,1 is rnRn0fi1Ctufc,f'5 specifications and IRC,requircments,A cxposcd-(Re forenrp JECCI WISEC R 101,43) Attic Ventilation,IRC section R806 E"ncTOqCd attic and raftama shall be supplied with cross-vcntiIatioti, rhc net arca shall not be less tliari 1/130 of the area.of the Brace to)be vontilarcd, I F50'/n and not more r4an 80%of the Ventilating area is provided from the UPPcr POfdc)fl Of the SP'Lft to be venrilited,flicti 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 pates of Interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grant$employees of Mason County access to the above d@scribed 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 P BK MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPl[,ICA - _ROOF 0F!;oNTINIJAJ[oN QP7 WORK IS TLQNQF190QAY,-LWILLINVALIDATE THEAP- X 6l0t-/a llbpn� 1011 2/2QJ 5 LICAT�ON. Signature of Applicant Date X Gloria Morris OWNER I REPRUENTATiVEA' 9CONTRACTOR Print—Name (CIRCLE TO INDICATE) O ` A I I AM work to be completed in a workmanship manner according to standard roatYtg praoeoas,Any replacemenr or aamagea aneavung,sumr uuwu,u<auuwwd ua,wy,o,.,,..a.00...R.... „• All work to be completed in a workmanship manner according to standard roofing practices.Any replacement of damaged sheathing,soffit board,or structural damage,or necessity counter-flash chimney and vents will constitute extra charge over and above the stated contract sum.Down payments are non-refundable.Contractor is authorized t substitute rofing materials as long as the substitute meets or exceeds the specfi t ns of th 4tuoted materials.Time of peAorrnance of work will be in accordance with contractor's availability.Owner to carry standard peril insurance on the Lnt ntractor shall n be responsible f r a land or driveway caused b weight of loaded trucks.Payment in full to be made upon completion.Service charge of 1.5%per month for tomer a reel to yyg g p9 , onale a o ey a and costs in the event of collection for non-payment. past due d Signature `1Note:Thi roposal maybe withdrawn by us if not accepted within da s. Yto of ro�po�a[ The above prices, specificationst` ,itions are satisfactory and are hereby accepted. You are authorized �6lgnatureaQ work as specified.Pay ent will be made as outlined above. `ceptance: "� �� Signature