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Section A (General Information)
Master Permit No.
Process No.
Contractors Name: =�e�� CI.C'\ -� License # _ (� CC I _�aV 1 � q V
Job Address-0 I O S � U9.,'%' Aa. FT Pj e lu � t �3t ! S 1
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles
1WAsphaltic Shingles ❑ Metal Panel/Shingles Mood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE.
❑ New roof ❑ Repair ❑ Maintenance Ff Reroofing ❑ Recovering
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) 5-� Ll Steep Sloped Roof Area (SF) :22GS Total (SF) 3,2NO
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: (; A
Notice of Acceptance Number:
FL 101 A -R-kQ
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
:Zone 1: ►L1C Zone 2e: �Zone 2nf b- Zone 2r: Zone 3e: Zone 3r:
Deck Type: J G�
Roof Slope:
Type Underiaymenti
12 insulation: t
Fire Barrier:
Ridge Ventilation? Fastener Type & Spacing: F N A
P&A t Ark
Adhesive Type: 00 ft7j'
Type Cap Sheet:FSP
���
Mean Root Height: Roof Covering:
Type & Size Drip
Edge:
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Section C (Low Slope Roof)
Fill in specific roof assembly components and identify
manufacturer
(If a component is not used, identify as "NA")
System Manufacturer: G K F
Product Approval No.: t I^ `� 68D-kl3
N0A 1b-11,Db.DL
Design Wind Pressures, From RAS 128 Or Calculations:
Zone 1': Y— Zone 1: Zone 2: Zone 3:
Max. Design Pressure, from the specific product approval
system:
Deck: j
Type:_ �1�11")Vo
Gauge Thickness:
Slope: ► ! ) )-
Anchor/Base Sheet & No. df Ply(s):
Anchor/Base Sheet Fastener/Bonding Material:
0] Ik -13/k 6A,,--C 1;kee,+ ;�J�. r2-L
Insulation Base Layer:
Base Insultation Size and Thickness:
Base Insulation Fastener/Bonding Material:
Top Insulation Layer:
Top Insulation Size and Thickness:
Top Insulation Fastener/Bonding Material:
Base Sheet(s) & No. of Ply(s):
Base Sheet Fastener/Bonding Material:
Ply Sheet(s)' & No. of Ply(s):
Ply Sheet Fastener/Bonding Material:
Top Ply: m l4 SA -AI,2P Skec+ L *,-L � gc('rL[.
Top Ply Fastener/Bonding Material:
reC'l + .51, c. Ic
Surfacing:
Fastener Spacing for Anchor/Base Sheet Attachment:
Zone 1':_....."
oc @ Lap, # Rows_ ® ° oo
Zone 1:—"
oc @ Lap, # Rows @ "oo
Zone 2:—"
oc @ Lap, # Rows @ moo
Zone 3:—"
oc @ Lap, # Rows— @ "oo
Number of Fasteners Per Insulation Board:
Zone 1': Zone 1: Zone 2: Zone 3:
Illustrate Components Noted and Details as Applicable:
Woodblocking, Gutter, Edge Termination, Stripping,
Flashing, Continuous Cleat, Cant Strip, Base Flashing,
Counterf lashing, Coping, Etc.,
Indicate: Mean Roof Height, Parapet Height, Height of Base
Flashing, Component Material, Material' Thickness, Fastener
Type, Fastener Spacing or Submit Manufacturers Details that
Comply with RAS 111 and Chapter 16..