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Section A (General Information)
Master Permit No.
Process No.
Contractors Name: V"I Is License #
Job Ad
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles
❑ Asphaltic Shingles !oetal 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) _ I l b q - 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.
Section D (Steep Slope Roof System)
Roof System Manufacturer:
Notice of Acceptance Number: IS11
Minimum Design Wind Pre s res, If Ap able (From S 127 or Cal I tions): i 'I
Zone 1one 2e:one Zone 2r Zone 3e:�Zone 3r: I
Deck Type:'
Type Underlayment:
Rao�Slope:
2 Insulation:
Fire Barrier:
Ridge Ventilation'? FastenerT e & Spacing:
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Adhesive Type:
Type Cap Sheet:
Mean Roof Height: Roof Covering:/]
Type & Size Drip
Edge:
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