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O Z (D (D CD n 00 n N sv � Z � 0 .(] ill - 3 a C� Da o -, 3 � Z Qv cr 3 � c (Q D c D n � 0- a a m G) Z m 3 -- Z � 3 D O < m (n 3 CD � D o CD Q -0 Z CD = ( m m �. c0i -a � Ce p � x oa v 5 p (Fr OL) D (Q ili 0 = 0 CD Q m n CD in CD O � CS°. c) 0 D - Q o0 a0 D � 0 00 CD (D 0- Z (7 0 O co TOQ- 0 � c Om � .. 3 l< p v < o � a� OQ - ZY 0 0 a < w _� o 0 CD CD so � � CD vCD ---. 3 (Q cr fn cn CD N' cn "0 a m 0 CDCD ° CD m 3 E (Q CD p a -" O :zy- lD MASON COUNTY COMMUNITY SERVICES DEPART ENT gLD20 - 0021 Mason County Bldg.8, RECEIVED 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 APR 13 2017 I,YSd NON STRUCTURAL RE-ROOF APP (CATION ***Not for Manufactured Homes or CommercialBuildings*** 615 W. Alder Street 1) APPLICANT INF RMATION: I _ Owner vi )�lU%t Mailing Addre s y L /e, rd Cin State Zip Code S—e�j Primary Phone �L� 5 Alt. Phone `?>(dJ- `j-U` 7�% Email ^ c,r tiqn 2) CONTRACTOR INFORMATION: Company Name Mailing Addre s City State Zip Code Primary Phone Alt. Phone Contractor Reg. # Exp. 3) PARCEL INFORMATION: // 1 i Site Address ,T k !� City �r /611 Tax Parcel Number(twelve digit number) -C 3 4) STRUCTURE INFORMATION: Type of Structure: [Stick Built [❑Manufactured /Home and I Permit m d or M H ] ❑OTHER: Use of Structure(s)- (i.e.garage, dwellin& etc.): H e Cl�n 4Fsr�� Roof Slope: (roof pitchi W12 Old Roof Material: f7"Comp. ❑ Metal ❑Shingles ❑Tile ❑Hot Mop sCaz New Roof Material: R'Comp. ❑ Metal []Shingles ❑Tile ❑Hot Mop Sheathing: ❑ New(Size f'U' sing Existing ❑Sk Sheathing '`t Insulation: ❑ New(Rating ) R"Using Existing New Insulation or Vaulted Ceiling: See Below IECC 101.4.3 a+rz Roof Slope:IRC section R904.1 10112 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'lor 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 fbr roofs where neither the sheathing nor the insulation is manufacturer's specifications and IRC requirements.A drip edge exposed. �RorenceIECC/WSECR101.4.3) shall be provided at eaves and gables of shinVle 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. 5) OATH: OWNER / BUILDER acknowledges submission of inaccurate inform tion may result in a stop work order or permit revocation.Acknowledgement of such is by signature below. I declare that I am the O ner, Owner's 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 INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDAT=THE APPLICATION. X r 7 ZZ Slgn ure pf Applicant Date X � �✓\ OWNER/ RE.PRESENTATIVE/CONTRACTOR Print Name (CIRCLE NE)