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Section A (General Information)
Master Permit No. Process No.
Contractors Name: License #
Job Address L o quo Is
ROOF CATEGORY
❑ Low Slope Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles
❑Asphaltic Shingles CVletal Panel/Shingles ❑Wood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE_
❑ New roof ❑ Repair ❑ Maintenance [ Reroofing ❑ Recovering
-ROOF SYSTEM INFORMATION
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 Pres$qreS, If Appi le (From M5127 or Ca lations):
Zone 1:one 2e:�Z�one 2n:ItLZone 2r: �` Zone 3e:J ` Zone 3r: y -7
Deck Type:
Type Underlayment: )
Roof Slope:
121 Insulation:
Fire Barrier:
Ridge Ventilation? Fastener Type & Spacing: ' (!2
Adhesive Type:
Type Cap Sheet:
Mean Roof Height: Roof Covering: V
Type &Size Drip
Edge:
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