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Section A (General Information)
Master Permit No. Process NoO'DuTAg
Contractors Name: �icnovd � � ��� � License #
Job Address 1A avirAl AV6
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles
❑ Asphaltic Shingles Metal Panel/Shingles ❑Wood Shingles/Shakes
Prescriptive BUR-RAS 150
ROOF ROOF TYPE_
❑ New roof ❑ Repair ❑ Maintenance Reroofing ❑ Recovering
-ROOF SYSTEM INFORMATION B—T
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains.
Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets.
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Section D (Steep Slope Roof System)
Roof System Manufacturer:
Notice of Acceptance Number:
Minimum Design Wind P estures, If:.?cable (FromM"'Zor
127 or CVzonse
ion):
Zone 1: one 2Zone 2n:e 2r:3e; cl Zone 3r:
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Deck Type:
Type Underiayment: .
R Siope:
12 Insulation:
Fire Barrier:
Ridge Ventilation? Fastener Type & Spacing:._t 1 p 1
Adhesive Type:
Mean Roof Height: 25 _ I
Type Cap Sheet:
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Roof Covering: i✓ c Paw I I
Type & Size Drip 2 2-
Edge:—
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