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HomeMy WebLinkAbout17-18343 CITY O.F ZEPHYRHILLS - '- 5335-8TH STREEf ` �sis)�sa-oa2a 8343 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18343 Address: 5631 5TH ST Permit Type: RE-ROOF ZEPHYRHIL.LS, FL. Class of Work: R�OF REPLACEMENT Township: Range. Boak. Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est.Value: Parcet Number: '11-26-21-0010-03000-0030 Improv. Cost: 5,000.00 OWNER INFORMATIQN Date Issued: 4110/2017 Name: DUNKLE, SUSAN Total Fees: 90.00 Address: 5631 5TH ST Amount Paid: 94.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4I10/2017 Phone: (813 713-8584 Work Desc: REROQF 6 SQ SHlNGLE! 7 SQ TORCH CONTRACTOR S APPLICATICIN FEES A MANOS SERVICES REROOF RESIDENTIAL 90.0� � � i"� Ins ections Re uir DFt IN R F lN TAPE JOINTS OF 1 SP� FINAL -.� REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the loca! government sha!! impase a fee of four times the amount of the fee imposed for the initia! inspectiart or first reinspection,whichever is grea#er,far each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additiona! restrictions applicable ta this property fihat may be faund in the public recards of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "V!►arning to awner: Your failure to record a natice of commencement may result in yaur paying twice far improvements to your property. If you intend to abtain financing,consult with your lender or an attorney before recording yoar natice of commencement," Complete Plans,Specifications Must Accampany Application.AII wark shall be pertormed in accardance with City Cacles and Ordinances. NO OCCUPANCY BEPORE C.O. NO OCCUPANCY BEFORE C.O. � � C..� , ' 'r � It�� CONTRACTOR 51GNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MC?NTH� INITHflUT APPRUVEp INSPECTION CALL. 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Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS �p �I �1� �� �� S T L 3�5��t�Z LOT# � SUBDIVISION PARCEL ID# I F'�6' a�C I— �n l0—O 300p- � �3� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONS7R� ADD/ALT 0 SIGN 0 0 DEMOLISH INSTALL REPAIR PROPOSED USE SFR � COMM � OTHER TYPE OFCONSTRUCTION 0 BLOCK Q FRAME 0 STEEL � DESCRIPTION OF WORK I'1� Ic.�.a. (�O� t S� �!Y�C� BUILDING SIZE SQ FOOTAGE HEIGHT �BUILDING $�—Q J ,l VALUATION OF TOTAL CONSTRUCTION V �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. �PLUMBING $ � � y'}�3 ;,—'—�-1^ Vn��,,�p� � / ��^p'.' G"�" OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� � �i �6 1!���� f�i + � u �GAS � ROOFING Q SPECIALTY � GTHER Q- %�y�Gfi FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO ���� .4�. % . . . . . . . . . . G�/���J, BUILDER I � � COMPANY / /e/W�• • •�/C���J • SIGNATURE REGISTERED Y/ N FEE CURRE� � Y/N Address �1 Ll7 /��� t7 ) �l��. r 4ice se# li Q �(7 � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License i/,�— � PLUMBER � COMPANY I SIGNATURE RE�ISTERcD Y/ N FEE CURRE� Y/N —7 Address � License# � MECHANICAL � COMPANY SIGNATURE I REGISTERED Y I N FFE CURft'c� Y/N Address LicenceS � � �OTHER COMPANY �� SIGNATURE � _ REGiS1EREC LY.+ �J j FGcr,iaFtEr. Y/� Address � �icense� �� 1 1 1 1 1 1 1 I 1 1 1 1 C 1 1 I 1 I 1 1 i 1 I 1 1 P 7 ! C 1 E 1 9 1 7 1 I ! 1 [ i t Y i 1 i ! 6 Y ! ! 1 1 9 1 1 1 i Y 1 1 1 ! i 0 1 7 � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E�er�y�orms:R-O-W Permii fcr new ccns!ruction, Minimum len(10)working days after submittai da[e. Required onsi?e Conscuchon Plans,Slormwater Plans wi Silt Fence installed, Sanitary Facilities&1 dumps[er,Site Work Permit for subd?�isions;iarge projects COMMERCIAL Attach(2)complete sels of 8uilding Plans plus a Life Safety Page;(t)set of Energy Forms.R-O-W Permit for rew consVuc,ion. Minimum ten(10)working days after submittal date. Required onsit=,Ccnstruction PI2ns.Stormwater Plans w!Silt Fenr.e installed, Sanitary Faciliti2s&1 dumpster Site Work Permit for all nrev projacts.All cominercial r�quiremen;s must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW conslruction. Directio�s:, Fill ou;application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITT7NG (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Nol over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES� If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or finai power release. If the project does not involve a certificate of occupancy or flnal power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. COMSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT i certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibiiity to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill. - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any,area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) � acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel, alter,or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM NCEMENT MAY RESUL T IN YOUR PAYING TWICE FOR IMPROVEMEIVTS TO YOUR PROPERTY. IF YOU INT�TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N- E OF OMMENCEMENT. FLORIDA JURAT(F.S.117.03) / OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed swor to( affirmed)be re e t( �0 by �-7—��by Who is/are personally known to me or has/have produced Who' re p son�ally knoy�n to me or has/h e produced as identification. �1�:S UG�/�S'.�—a identification. Notary Public � � �"" Notary Public Commission No. Com issi �= .°r�• JACQUELI BOGES o, ,4c� Name of Notary lyped,printed or stamped Name of N - :ly inte '�o: xpires ecember 12,2C18 �'•.;pF e�°Q�� Bonded Thru Troy Fein Inaurence 800385-7019 iiiiiiiiiiiiiiiiii�iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii�iiiiiiii �� , • 2017051415 tcpt:1852683 ITeO0.00•00 � )S: 0.00 p t Clerk - Pertnit No. Parcel ID No �4/06/2017 K. A. , P Y NOTICE OF COMMENCEMENT State of County of THE UNDERSIGNED hereby gives notice thal improvement will be made[o ceRain real property,and in accordance with Chapter 713,Florida Statutes, Ihe following informaGon is provided in this Notice of CommencemenL �. Descrip6on of Property: Parcel Identification No.�� �6 0�'�-���-0�40� L��� Street Address: 5631 S}�" S�c�� 2�pb..�,�1�,\�s �L 335�a Z. General Description of Improvemen[�n��a� �OO� RULR S 0'NEIL,Ph D PRSCO CiERKo f �1MPTROLLER I n4/06/201�02�;�m P� 22� � OR BK �L -- 3. Owner Information or Lessee information if the Lessee contrac[ed for the improvement: _ _ -- Su ��� �L SG3� �t4.NameS�c-�_� — �-o��-�n:��s C�ry State Address Interestin Property� + Name of Fee Simple Titleholder (If different from Owner listed above) City State Address 1 , ,�S �r` 4. Contractor �. �'`aw°$ ` !� �`I Name C�� (�l� �)O.�s � �"� Y1.C.�� r� S�jVg L'�!\� ��- �ih, state Address ContradorsTelephoneNo. �3Sz���{o2�5��� 5. Surety: Name �ih, State Address Amount of Bond: $ Telephone No. 6. Lender Name �i� Sta[e Address � Lendei's TEiephone Nu. �s�. _� 7 Persons within the Sfale of Floridd aesignated by the own=r upon whom noticas or other documents may b��erved as provide y Section 713.13(1)(a)(7),Florida Statutes: Name ' ��h, State � Address � Telephone Number of Designated Person: - of g, In addition to himself,the owner designates Ito receive a copy of lhe Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner g. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,bul will be one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT Under penalty of perjury,I declare lhat I have read[he foregoing notice of commencement and that lhe facts stated[herein are true to the best - of my knowledge and belief. �J � STATE OF FLORIDA /A ,A�'�� ,�/2� . � COUNTY OF PASCO ��� -�-�d��� - Signature of Owner or Lessee,or Owne s or Lessee s Authonzed Offi cedD irecto rlPartner/Ma n ag er , , .Signatory'STitle/O ice I/ Ck1 ,20�,b S V SG.✓1 Q ��J Y��L.�� The foregoing instrument was acknowledged before me this 30 day of Mor 1 y , as ' (type of authority,e.g.,officer,trus[ee,attomey in fact)fo� (name pa on behal of whom instrument was executed). I Notary Signature �v V� _ Pers�nally Kno� OR Produced Identification❑ I- I �� I Type of Identifcation Produced Name(Prinl) �e bo�-a Y� w O� ,. t�r DEBORAH WONG NOTARY PUBLIC � � STA7E OF FLORIDA Canm#FF157028 � '�ti9�� Expires 10/17/2018 ` wpd atalbcs/noti cecom m encement�c053048 �������` �TATE OF FLORIDA, COU�TY OF PA��O o • o ��- �-� ' �� THIS IS 70�CEFtTIFY 7HAT THE FOREGOING IS A � • � r �� TRUE AND CORRECT COPY OF THE DOCUMENT `�' o � ON FILE OR OF PUBLIC RECORD IN THIS OFFICE � � lnG�(')ye7rrest . � WITf�ESS MY HANQAND FFICIA SEALTHIS � � :.�e...-; m �l� DAY OF : 2 ��� � , � r ��, � , � PAULA S.O'NEIL, CLERK CO�PTROLLER ad8y � BY � '� F D�PUTY CLE�K ������������ . ...,. _ - - -.._,_ - _- _ _,.�,. " _. . _... _. . --�. _>_�. _- �..E.._�_._�. _._ _� _�___�._ ��._ '-' . � EXTERIOR RESEARCH&DESIG ,LLC. Certiftcote of Authorizat7on N95Q3 TRINITX ERD 353 CHRISTIAN STREET,UN T#13 OXFORD,CT 64�8 PHONE:(2U3a 26 -9245 �AX:{Z03)26 -9243 EVAlUATtON RfPORT CertainTeed Corporatidn Evaluation Repart 11610.09A -R14 II, 18 Maores Road F13128 -R13 Malvern,Pa 19355 Date af issuance:09j03 ZU09 Revision 14:03/12 2Q15 ScaPE: This Evaluation Report is issued nder Rule 61f20-3 and the applicable rules and regutations governing the se of construdion materials in the Sta of Fiorida.The documentation submitted has been reviewed by Robert Nie inen, P.E. for use of the product und r the Florida Buildir�g Code and Florida Building Cads, Residential Volume. The praducts described herein have been evaluated for campliance with the Sth Editian (2014) Flarida Buitding Code sections noted herein. DEsuurr�as�: CercainTeed Roof U derlayments LABELIN6: Labeling s�all be in accar ance with the requirements Ehe Accredited Quatity Assurence Agency noted herein. CONTiNUED COMPLIANtE; This Evaiu ion Report is valid until such time as the named product(s) changes, the refer nced Quality Assurance documentation anges,or provisions o#the Cade that relate to the product change. Acceptance f this Evaluation tteport by the named di nt constitutes agreement to notify Robert Nieminen,P.E.if the product changes r the refe�enced Quality Assurance doc entation changes. Trinity�ERD requires a complete review of this Evaluation eport relative to updated Code requirem ts with each Code Cycle. ADVERTISENFEfUS: The Evaluatian Re ort namber preceded by the words '"Trinity�ERD Evaluated" may be displa d in advertising literature. Ef any portio of the Evatuation Report is displayed,then it sha0 be done in its entirety. � 1NSPECTION: Upon request, a copy o this entire Evaluation Report shall be provided to the user by ths rnanufacturer or its distributors and shafl be available f r 9nspection at the jab site at the request af the 8uilding Officiai. • This Evaluation Report cansists of ages 1 through 7. R����� � Prepared by: ������ittrrtyy � �����,Z�� � ��" ,.�,�;,.`'.�::;..,,. �.�,q Hf� , �,�� -.�'C� ,,•4. '�,GEZ ;.!_;; �y '���O.�st�'s-3'C��S'='�":; � tt.. ' - .. �«�: .�. " ?W: ��...g-�.�c'� tu %�•s p ,p!'�.'� The fa�t`1i e at appearing was authoriztd RobertJ,M.Nieminen,P.E. t'•,;ks��°+��'�'"',-,�c' �vR�� E�j �ono�n2na�s . „�����ONAL«��`� 7h�y a R, ��IVzlgneddocument.5 ned. Florida Registrotion IVa.59366,Fiorida CAANEI983 Aa�� ����p����in��o�ai CEItT1F�CATION OF INDEPENDENCE; �a��O/V��� (,��J�G�+� T 1. TrinityJERD does not have, no�d it inLend to acquire or wit) it acquire, a financiai int�r�j�t ��qy`t�'ufacturng or distributing psoducts it eva�uates. ��l/�( C����q�D 2. Trirtity�ERD is noE owned,aperated or cantrotied by any company manufacturing or distributing products it evalu'a`�E9Rp�Nq 3. Rabert Nieminen,P.E.does not ha e nor wilt acquire,a financial interest in any company manufacturing or distributing pro or which the evaluation reports are be ng issued. 4. Robert Nieminen,P.E.does not ha e,nor will acquire,a financiat interest in any ather entity tnvoived in the approvai pracess f the product. S. This is a buifding cade evaluation. Piei#her Trinity�ERD nor Robert Nieminen, P.E. are,in any way,the Qesigner of Record f r any project on which this Evaivation R ort,or previous versians thereof,isJwas used for permitking o�design guidance unless re ained specifically for that purpose. I i '__ __ - _ - ' _ _._ _�.-. _:l..'_ ' ' ' TRINITY ' R� RQOFING COMPONENT EVAWATIQN: 1. SCOPE: ProdudCategory: Roofing Sub-Category: Underlayment Compieaece Statemen#: Roof nderlayments,as produced by CertainTeed Corparation,heve demonstrated compliance Iith the fotlowing sections of the Florid euilding Code through testing in accorclance with the foilowing Standards. Compfiance is 5ubject to the tnstallation Requiremen s and Limitations j Conditions of Use set forth herein. Z. STANpAR05: Section Pro e Standard Year 1504.3.1 Wlnd Uplift FM 4d�d 260� 150�.23 Physfcal Properties A5TM D226 20p6 1507.2.3 Physical P�opertles A57M D4869 2005 3547.2.3 PhysicalProperties ASTM D5757 Z�Q7 150Z2,4,1567.2.9.2,1507.5.3 Physiwl Properties A5TM D2970 20p9 1507.10.2 Physfcai Properties ASTM D4601 2004 1507.11.2 Physical Properties ASTM D6163 2000 1507.11.2 Physicai Praperties ASTM D6164 2005 150J.iIZ Physical Properties A5TM 05222 2608 1523.6.51.1 PhysicalPropeRies TAS 1d3 1995 TA5130 Accelerated WeatheNng TAS I70 2000 FRSA(TRI Apri!2012(OG-12) Undertayment instaltation References 2012 3. REFERENCES: E���C Examination Reference pate ERD{TST6Q44) Physicel Properttes C7280.01.Q8 OS/i6i2008 ERD(TST6009j Physical Propercies C8444.04.08 Q4/28/2Q68 ERD rT5T6049) PhYsical FropeRies C9560.OS.dB OSJ25j2008 ERD(TST6049� Physicai Properties C30080.09.08-R1 , 04/17(2Q09 ERD(TSTfiQ49j Physica�Properties C12960.06.44 05/02(2009 ERD(TST6049j PhysicalProperties 3530.12.05-1-R1 10jO5j2�D9 EflD(75T6049) Wind Uplift C83�O.d&0$-Ri idj05/2009 ERD(T5T6049) PhysicalProperties 3523.03.p5-R2 p3Ji2/2030 ERD{TST6044) PhysicatProperties C30890.03.10-1 03/17/2030 ERD(FS76D4g} Physical Proper[ies C3500.Q4.10 04(Okj241Q ERD(tS76049j Physicdl Properties C31840.05.26 05/1OJ2020 ERD�T5T6049J Phystca!Properties C3I$64A5.10 OSji$j2010 ERD(T5T6049� PhysicaiProperties C31850.06.10 06/25J2010 ERD(T5T6�44) Physicaiproperties C35460.Q5.11 U6/16/2011 ERD(TST6049} PhysicalProperties C34940.09.11-R2 SO(Q4J2012 ERD(TST6049) Acceletated Weathering C4Q8405C O6/21j2012 ERO(T5T6049) Physical Properttes Gi0050.09.12-2 09/28J2012 ERD(TST6049J FhYsicai Properiies C3141Q.10.10-R3 11J02/2012 � ERD(TST6444) Physi�alProperties C45240.01.14-1 O1/15(2014 I ERD(TST6QA9) Physical Properties t32934.01.i1•R2 OS(20/2414 ERD{TST6049) PhysicalProperties C45246.41.1A-2 01/241Z014 MTi(TST25d8j PhysicalPrapertfes � DXO$C4A 03j22/20D4 MTI(TST 2508) Physicai Properties TX14B6A-001 02 j27/20D6 MTI(TST 2548} Physical Properties TX14868-002 03/13/2QD6 M7f(TST 2508) Physlcal Properties TX1486FQ06 03(13/2Q06 MT�����8) Phy5(ca!Properties TX1A66E-005 03j13j2006 PR�1T575g78� PhysicafPropertics CTG034-02-D1 11/24/2008 PR�('fST5g78! Physical Properties CI'C-075-02-01 02/15/2011 PFiI(TST5878t Pfiy5icai Properties CI'G067-U2-01 48/08/ZlJ1i PR!(TSi'S878} Wind Uplik CfG112-02-41 12f12/2012 PRi(i5T5$7$} Physiw!Propertles CiGi63-02-01{x3) 05j30j2013 PRi tTST587$� Pb�sical Properties tTG189-Q2-di 11/18/2013 UL,LLC.{qUA9625) quality Gonhot Service Conflrmatlon Exp.q7J03/2017 EMerior Research and Qesign,LLC. EvaEuation Report 11610.09.68-R1A Certifiwte ofAuthar(zation/lg5Q3 FLll�-R33 i Revision 24:03/12J2015 Page i of 7 r � ' � � � � TRIt�l6TX �RQ 4. PRODUCT DESCRIP710N: � I 4.1 Self-Adherine Unde'hlavments: 4.1.1 WinterGuard""HT iS a glass scrim reinforced,self-adhering,film-surfated waterproofing underlayment. c 4.L2 Winter6uard'"'San�!is a glass mat reinforced,seif-adhering,sa�d-surfaced waterproofing undertayment. 4.1.3 Wi�ter6uard""Gra�i�ular is a glass mat reinforced,self-adhering,granule-surfaced waterproofing underlayment 4.1.4 Metatayment""is a�seif-adhering,film-surfaced,waterproofing underlayment. 4.1.5 81ack piamond 8a�se Sheet is a self-adhering, gtass mat reinforced, fine-minera! surfaced, SBS modifie roof unde�layment meeting ASTM 0197Q requirements. 4.1.6 Flintlastic SA PIyBa�e is a self-adhering,glass mat reinforced,fiim-surfaced,5BS modiFed roof underiayment eeting ASTM D1470 requirements for use as a base-layer in multi-ply underiayment systems. n 4.1.? Flirttlastic SA Mid P y is a seff-adhering,poiyester reinforced,film-surfaced,SBS modified roof underlayment eeCing ASTNi D1970 end �STM D6164, Type 1, Grade S requirements for use as a base-layer in muiti-piy underia�yment systems. 4.1.8 Fli»tlasxic Ultra G��ass SA is a seff-adhering, glass mat reinforced, fine-minerat surfaced, SBS modifier� roof underiayment mee �ng ASTM D6163,Type t,Grade S requiremenis for use as a base-tayer in muiti-piy underiayment systems. �. � 4.1.9 Flintlastic SA Cap FR is a self-adhering, g(ass mat reinforced, granule-mineral surfaced, SBS modifie roof underlayment meet�g ASTM D5153,6rade 6,Type E requirements. 4.2.10 Flintlastic SA Cap i 'a self-adhering,polyester reinforced,granuie-minerai surfaced,SB5 modified roof underiayment meeting TAS 203 an ASTM D6164,Grad G,Type I requirements. I 4.2 Torch A tied Unde la ments: � 4.2.1 Flintlastic 6TA is a orch-applied, potyester reinforced, granule-surfaced,APP modified roof underlayment m�eting ASTM D6222,Grad G,Type!requiremenYs. I 4.3 Asphalt Ao lied Un rla ments: 4.3.1 Flintlastic GM5 or F ntlastic Premium GMS is an asphalt-applied,pa{yester reinforced,granule-surfaced,565 m dified roaf underlayment eeting ASTM D6164,Grade G,Type I and tl requirements,respectively. 4.4 Mechanical! Attac ed Underi ments: 4.4.1 Flintlastic SA NatIB e is a glass mat reinforced,fitm-surFaced,SBS modified raof undertayment meeting ASTM 4601, Type ii requiremen for use as a rnechanically attached base-layer in muiti-ply undertayment systems. 4.4.2 Roafers`Selert is a asphalt-impregnated,organic felt reinforced with gfass fibers raof underiayment meeting STM D6757 requirement�. 5. LIMITATIONS: � i 4 S.I This is a huilding c�de eveluatfion. {Veither TrinityEERD nor Robert BVieminen, P.E. are,in any wey,the pesig�er of Record for any prdject on which this Eveluation Report,or previous versions thereaf,isJwas used for permitt�ng ar design guidance un��ess retained specificaily far that purpose. 5.2 This Evaluation Re ort 3s nat for use in the HVNZ. 5.3 Fire Classification i not part of this labaratary Repart;refer to current Approved Roofing Materials Direc#ory�r test repart fram accred�ed testing agency for flre�atings of this product. SA CectainTeed Roof nderlayments may be used with any prepared roof cover where the product is speci�ically referenced within BC approval documents. If nat fisted,a request anay be made to the AH1 for approvai bas d on ', this evatuation co bined with supporting data for the prepared roof covering. , ; i , � i EMerior Research and Qesign,LLC. q Evaluation Report 11614.09.0 i R14 CertFfrcoteefRuthoN:atfonJ19503 � FL112�R13 ` Revision i4:03j12 015 Page 3,of 7 I - - - - _ - -- =� _ , , , , �, � , 1 � TRINITY ERa 5.5 Ailavitabfe roaf co�ers apptied atop CertainTeed underlaymen#s are as follows: I TAe�1:RaoF Cw�a OPnoNs • Wood � Asphalt Faam-On Martar5et Meta! Shakes& late UnderiaymeM 1 Nail-On Tile � Shingtes Tiie Tite Shingtes Roofer5 Seled Yes No No No No No No WinterGuard HT Yes No No No Yes Yes Yes WinterGuard Sand o� Yes No No No Na Yes e� 6renular etack Olamond Base Yes No No No No Yes es F1intlastic SA Cap 1 Nv Yes Ye5 Ye5 No Yes es See 5.5.1 � Flintlastic SA Cap FR No Yes No No No Yes es Metatayment Yes No No No Yes Yes es Fiintiastic GTA � No Yes Ye� Yes No Yes es i See 5.5.1 Flintiastic GMS or Yes Premium GMS No Yes See S.S.1 Yes fVa Yes e� 5.5.1 "Foam-On Tile"is imited to use of the fallowing Approved tite adhesives untess tensile adhesion J tang ter ' aging data from an accr��ited testing laboratory is provided. 3M 2-Com onent oam Roof Tlfe Adhesive AH-160 F16332: Fitntiasiic SA Cap, Fiintfastic C�TA, FlinNastic GMS or Fi ntiastfc Premium GMS. Dow TILE SONOTM opf 7i1e Adhesive(FU17►: Flintlastic SA Cap,Flintlastic GMS or Flintlastic Premium GMS 5.6 Ailowable substret�s are noted below: � 5.6.Z Dired-Bond to Dec�k: � Winter6uard HT, interGuard Sand,Winter6uard 6ranular or Metalayment self-adhered to: � D New or existing p ywoad ➢ ASTM Ddi prime new or existing plywood. � Biack Diamand Ba e, Flintlastic SA PlyBase, Flintlastic SA Mid Ply, Flintlastic Ultra Glass SA, Flintlastic SA �ap or Flintlastic SA Cap F self-adhered to: � ➢ New or exist,ing p ywood; � ASTM 041 or Flin Ptime SA primed new ot existtng piywood; ➢ ASTM D41 or Hin Prfine SA primed structurat concrete. Flintlastic GMS ar linttastic Premium GMS in fiot asphalt#o: ➢ ASTM D41 prime structura�concrete. Flintlestic GTA torc -applied to: ➢ ASTM D41 primefl structural concrete. 5.5.2 Wind Resistance fd�r Underla ment S sYems in Foam-Cfn Tile A (ication : FRSAiTRI Aprii 2012 (04-12) da s not address wind upii resistance of ati underiayment systems beneath foam-on or rnortar-set tile systems,whe e the undertayment fo s part of the load-path. 7he fa#lowing wind upiift limitations appiy to underiayment syste s that are not addressed n FRSAJTRI April 2012(04-12�and are used En foam-on or martar-set tile applications. Ma imum Design Pressure is the resu{t of#esiing far wind taad resistance based on altowable wind (oads, and refiec s the uFtimate passing p ssure divided by 2(the 2 to 1 margin of safety per f8C 2504.9 has already been applied}.R fer to FSC 1509 for deter ination of design wind toads. � 5.6.2.1 Maximum Desi n P essure=-240 sf: Deck: Structural contreYe to meet project requirements to sattsfaction of AH7. Primer: ,ASTM D41. ease 5heet: 61ack Diarnond Base Sheet or Flintiastic Ultra Giass SA,seff-adhered. Underlayment: Ftintiastic GTA,tarch-applied or Fiin#iastic GMS or Fiintiastic Premium GMS,applied in hat asphait. 5.6.2.2 Maximum Desi=n P essure=-555 psf: Deck: � Structurel concrete to meet project requirements to satisfaction of AHJ. Primer: ASTM D41 or FlintFrtme SA. Base: {Optional)Fllntlastic SA PlyBase or Fiintlastit SA Mid Ply,self-adhered. Underlayment: Flintiastic SA Cap,self-adhered. I E�Rerior Research and Design,LLC. � EvatuaHon Report 11fi10.09.0$•Rid Certy'icateo/Autlierimeton#9sd3 FL112 R33 � Revision 14:03/22�015 � Page 1 of 7 � - ,.-- ,.--.: - - - _- - - - -_ . . ._ >� _-------P-.-_ __-��_�-_ - - _�-�, - - ___--- -..__ . ._ F ; � I : : `TRI�JIT�( � RD 5.6.23 Maximum Desisn F?ressure=-1p5.0 Ds#: Deck: � Mln.15f32-inch plywood to meet project requiresnents to saEtsfaction of RNI. Primer, f FtirttPrime SA or RSTM DA1 ' Base Ply: (Qptionai)Flinttastic SA PlyBase or Plintlastic SA Mid Pty,self-adfiered. llnderiayment: Flinttastic SA Cep,self-adhered. 5.6.2.4 Maximum Desi n ressura=-iZ7.5 sf: peck: � NIin.19J32-inch piywood to meet project requirements to satisfaction of AH1. Primer_ FliniPrime SA loints: Min.4-inch wide strips of Ftint�astic SA PlyBase,self-adhered over all plywood jpints. Base Aiy: (Optionat}F�intiastic SA PlyBase or Flintlastic SA Mid Ply,self-adhered. Underlayment: FlintlasUc SA Cap,self-adhered. 5.6.2,5 All other direct-de�k,adhered CertainTeed underlayment systems beneath foam-on or mortar-set tile systems carry a Maximum Design ressure of-45 ps#. 5.6.3 Bond to Base La e' Underlavment: A Winter6uatd HT,WlnterGuard Sand,WinterGuard Granular or MetaLayment self-adhered to� ASTM D226,Type!or!I fe�t. D Black Diamond B se Sheet,Flintlastic SA PlyBase,Flintlastic SA Mid Ply,Flintlastic Ultra Gless SA,Flintlastic SA Cap,Fli�tl�SLiC SA Cap FR self-adhe� d to:Flintlastic SA NailBase or ASTM D226,Type I or U felt. ➢ Flintlastic SA Cap or Flintlastic SA Cap FR self-adhered ta: Flintlastic SA PlyBase or Fifntlastic SA MidPly. A Flintlastic GMS o FtintJastic Premium GMS in hot asphalt to: ASTM D226,Type!or!!felt;ASTM p2525 felt,ASTM D45 1,Type II base sfieet,81a k Diamond Base Sheet or Flindastic Ultra Glass SA. D Fiintlastic GTA to ch-applied to: ASTM D226,Type I or 11 felt;ASTM Q2626 felt,ASTM 046Q3,Type ti base sheet,Black D amond Base Sheet or Fii tlastic Uitra Glass SA. For insta8atians u der mechanicaliy attached prepared roof coverings, base layer shall be attached per mirimum codifled requirem nts. For instatlations under foam-on or mortarvset tile systems, base layer shall 6e attached per minimum require ents of FRSAJTRI April 2012 (04-12a, but not less than that detailed below. Maximum�esign Pressure is tfie re ult of testing for wind load resistance bassd on allowable wind laads,and ref}ects the u�ticnate passing pressure d vided by 2(the 2 to 1 margin of safety per�BC i504.9 has already been applied}. Refar�o FBC 1609 for determin tion of design wind loads. 5.5.3.1 Maximum pesi n ressure=-37.5 sf: Deck: in.15J32-inch plywood to meet project requirements to satisfaction of AHJ. Base Sheet: TM 0226,Type II felt or Flintlastic 5A NailBase mechanlcally attached with 12 ga., 1Y-inch(ong gal anized ng shank nails through 32 ga.,15/8-inch diameter tin caps spaced 6-+nch o.c.at the 4-inch faps and 22-inch .c.at two(2}staggered rows in the field of the sheet. Base Ply: { ptional)Ftintiastic SA PlyBase or Flintiastic SA Mid Piy,setf-adhered. Underlayment: mtlastic SA Cap,seff-adhered. 5.6.3.2 Maximum Desi n �:�essure=-52.5 sf: ' � Deck: 1�(Ilin.15l32-inch plywood to meet project requiremenEs to satisfaction of AHJ. 9ase Sheet: �intlastic SA NailBase mechanicaily attached with min.1-inch long,12 ga.Simplex Metat Cap Nails sp ced 6- i ch o.c_at the mfn.2-incb leps a�d 6-inch o.c.at four{4j staggered rows in the fietd af the sheet. 9ase Pfy: { p=iona!{f tap layer is Fifitlastit SA Cap}Flintlastic SA PtyBase or Plinttastic SA Mid Piy,seff-adhered. Underlayment: F�intlastic SA Cap,seff-adhered. 5.6.3.3 Maximum Desi�n essure=-60.0 nsf: Deck: �in.19/32-inch plywood to meeL project requirements to satisfaction of AHJ_ Base Sheet: F intlastic SA NallBase rnechanically attached with 12 ga.,2'l,-i�ch long gaivanized ring shank naiis thr lagh 32 .,15/8-inch diameter Y!n caps spaced 8-inch a.c.at the min.2-inch laps and 8-inch o.c.at three(3)st ggered r wa In the fle{d of the sheet. 9ase Ply: ( pYionat if tap layer is fiintlastic SA Capj Ffinttastic SA PlyBase or Flintiastic SA Mid Pty,self-adhered. Underlayment: F inttastic SA Cap,setf-adhered. 5.6.3.4 Maximum Oesi n P essure=-75.0 sf: peck: �in.19J3Z-inch plywood to meet praject requirements to satisfaction of AHJ. 8ase Sheet: F intiastic SA NaiiBase mechanicaily attached with 12 ga.,1'/.-inch Iong gatvanized ring shank naiis thro gh 32 g,.,15J8-inch diameter tin caps spaced 6-inch o.c.at the min.2-incfi iaps and 6-inch o.c.at four i4j sta� gered r'�ws in the fietd of the sheet. �a�P�Y= ( ptianai if top tayer is Ftintlastic SA Capj Flintlastic SA Plyease or Fiint�astic SA Mid Piy,seif-adhered. Underiayment: F!intEastic SA Cap,self-adhered. .I a E�erior Research and Design,LLC. � Evatuation Report 11620.89A�RIA Cert'ficote ofAuthorizaHon 119503 � FL1128$•R13 i Revision 14:o3112y2d15 Page�of 7 �Y'.._-=u.�.'�'"' �_.e ..'+"�`"".r'_ � " `-" —�--- " _� _ - _ :.'��.0��� - -tl , . I � • � I t I i { l I � TRii�111� �Ra � 5.6.3.5 MaximumDesi�n ressure=-lOS.O sf: Deck: in.19/32-inch plywood to meet project requirements to satisfaction of AH1. Base Sheet: iintiastic SA NailBase mechanically attached with 12 ga.,1'/.-inch lang galvanized ring shank nails thr ugh 32 a.,i 5J&inch diameter tin caps spaced 4-incfi o.c.at the min.2-3nch iaps and 4-inch a.c.at four(4)st ggered � ws in the field of the sheet. Base Piy: ( ptional if top layer is Flintlastic SA Cap)Flintlastic SA PlyBase or Flintlastic SA Mid Ply,self-adhered. Undetlayment: Iirrtlastfic SA Cap,self-adhered. 5.? Exposure limitatio s: 5.7.1 Roofefs'Select sh 1!nat be teR exposed for longer tfian 30-days after installation. Refer to instaltation instr ctians ; specific to anticipa ed exposure in Section 6. , 5.7.2 elack Diamond Ba e,WinterGuard HT,WinterGuard Sand,WinterGuard C�ranular or MetaLayment shaE#not e left exposed for longerthan 180-days after installatian. 5.7.3 Flintlastic SA Cap,; lintlastic SA Cap FR, Flintlastic GTA, Flintlastic GMS or Flintlastic Premium GMS do not h ve an exposure timitaGo ,unless the prepared roaf cavering is to be adhesive-set tile atap Flintlastic SA Cap,GTA, MS or Premium GMS,in hich case the maximum exposure is 180 days. 5.7.4 Flintiastic SA Nai{8 se, Flintlastic SA PlyBase, Flintlastic SA Mid Ply and Flintiastic Ultra Glass SA,for use as base- layer in a multi-ply under{ayrnent system,shali not be(eft expased far(onger then 30-days after installation, riar ta placement of subs quent underlayment(ayer. 6. INSTAlLAT10N: I - 6.1 CertainTeed Roof Under{ayments shal! be installed in accorda�ce with CertairsTeed published i�est �latian requirements subj ct to the Limitations set forth in Section 5 herein and the specifics noted belouv. 6•2 Re-fasten any loas decking panels,and check for protruding nail heads. Sweep the substrate thoroughly to r move any dust and debri prior to application,and primed the substrate(if applicable). 6.3 Flin#lastic SA HaitB se Flintiastic SA PI 8ase Flintlastic SA Mid PI or Flintlastic Uitra Glass SA: 6.3.1 FEintiastic SA NaiIB se, Ftintiastic SA PlyBase and Flintlastic SA Mid Ply are limited to use as a base or mid-I�yer in muiti-piy underlay� ent systems beneath F3in#lastic SA Cap,fiiint(astic SA Cap FR. ; 6•3.2 HinYtastic Ultra G! s SA is limiteti#a use as a base-layer in multi-piy underlayrnent systems beneath Ftintlastic GTA, , Flintlastic GMS or i�tlastic Premium GMS._ i 6.3.3 Install the base-la�er underlayment to the substrates detailed in Sectian 5_6 in accordance with Certa nTeed : published installat on instructions, fo!lowed by the fina! underlayment layer in accordance with the instr�ctions � outtined below for he particular top-layer underlayment. � ' 6.3.4 Roof cover iimitati ns are those are those associated with the top-layer underlayment,set forth in Table 1. � 6•4 Biack Diamond Ba Flintlastic SA Ca or SA Ce FR WinterGuard or MetaLa ment: I 6.4.1 Sfiai)be instaited i compliance with current CertainTeed published installation requirements and FBC Sectiori 1507 for the type of pre ared roof covering to be insteiled. � 5.4.2 For non-tile appiica ions: 5.4.2.1 Shali be fully self-a hered to the substrates noted in 5ection 5.6. Side laps shal) be minimum 4-inch and e d-laps minimum 6-inch wi e,pressed firmty with a seam-rolier,and affset end-leps minimum 2 feet from caurse ta co rse. � 6.4•2.2 Consult CertainTee instructions for use af FlintBond SBS Nlodified Bitumen Adhesive,trawe!grade,on the b-inch 1 end laps end T-sea detailing. � 6.4.2.3 Consult CerteinTee instructions regarding back-nailing requirements. i 6.43 For tile application (Flintlostic SA Cap,SA Cap FR onlyJ: 6.43.1 Reference is made a FRSA/TRI April 2012(Q4-12}lnstallation Manual and Table 1 herein. 6.4.3.2 Tile shall be loaded�and staged in a manner that prevents tile slippage and/or damage to the underlayment. 6.5 Flintlastic GTA: 6.5.1 Flintlastic GTA shall be installed in compliance with current CertainTeed published installation requirements. F r use in tite apptications,,reference is made to FRSA/TRI April 2012 (04-12) Installation Manual, 5th Edition and T ble 1 herei�. � EMerior Researth and Design,llC. Evalua#ion Report 11610.09.Q8-R24 Certifrcate ojAuthorlratlon i19503 FLi128$-R13 Revision 14:03/12 2015 Page( af 7 — — — --�-., .. — .... -..:. -- :-- � � s � , � ! i �RINITY' �RD 6.5.2 Flintlastic GTA shall be fully torch applEed to the substrates noted in Sectlan 5.5. Side (horizantaly laps shail be minimum 3-inch a�d end(vertical)laps minimum b-inch wide,and aft3et end-laps minimum 3 feet from course to course. Side and�nd-laps shaH be fuliy heat-welded and inspected#o ensure minimum 3j8-inch fiow of m dified campo�nd beyandjthe iap edge. , 6.5.3 Tile shall be loade and staged in a manner xhat prevents tile slippage andJor damage to the underiayment. ' 6.5.4 Cansuit CertainTe d instructions regarding back-nailing requirements. 6.6 Flintlastic GMS ar lintlastic Premium GfVIS: 6.6.1 Flintiastic GMS or Flinttastic Premium 6M5 shal� be installed in compliance with current CertainTesd pu lished instaitation requir,ments. for use in tile applications,reference is made to FRSA/TRI April 2012(Q4-12) Inst Ilation Manual,Sth Editio and Table 1 herein. 6.6.2 FNntlastic GMS or�fintlastic Prernium GNi5 shal)be fully asphalt-appiied to the substrates noted in Section 5. . Side (horizontal)laps s aii be minimum 3-inch and end(vertical}iaps minimum 6-inch wide,and offset end-laps mi imum 3 feet fram cours�to course, Side and end-iaps shalt be fu�ty adhered in a complete mopping of hot aspha t with asphait extending�pproximatety 3/8-inch beyond the lap edge. 6.6.3 Tile shall be loaded and staged in a manner that prevenLs tile slippage and/or damage to the underlayment. � 6.5.4 Consuit CertainTe mstructions regarding back-naiting requirements. I �•7 Roofers'Select: � 6.7.1 Standard-510 e A lication 4:12 and reater: Starting at the lower edge of the roof,apply a single layer of Roofers' Select parallei to t e eaves,averhanging drip edge by Y:-inch. Overlap ends{vertical laps)at least 4-inch an�sides (horizontat laps)a least 2-inch. Qffset end laps fram course to course at least 6-feet.Apply flat and unwr nkted, fastening as requir d to hold in place. - 6-7•2 Law Siooe Aoplica�on 2:12 u to 4:12 : Starting at the lower edge of the roof,cover the entire deck by app ying a daubfe(ayer of Ro-fers'Select parallel to the eaves. Begin by applying a 19-inch wide starter strEp of Roofers'Select I along the eaves,o erlapping the drip edge by%:-inch.Place a ful!-width sheet over the starter,with lower edg flush to the starter's lo er edge_ Apply succeed3ng 36-inch wide caurses up the roof slope, averlapping the pr�vious ' course by 19-inch i "shingle-fashion". Qverlap ends at least 12-inch.Offset end iaps from course ta murse a�t ieast 6-feet. Apply flat a d unwrinkled,fastening as required to hotd in piace. 6.7.3 Eaves Flashin� fa Ice Dam Protection (all sloaes): Eaves flashing rnay be canstructed from self-ad ering waterproofing un rlayment holding Fforida Product Approvat, or by applying a double laysr of Roofers' Select cernented togethe with asphalt roofing cement{ASTM D 4586,Type!!}. Eaves ffashing shauid be instailed to�levei of at least 24-inch inside the interiar waii line, ar in areas of severe icing, at teast up to the highest wate levef expected to occur am ice dams to the satisfaction of the Autfiority Naving lurisdiction. 7• BUILpING PERMIT REQUlREME��S: As required 6y the euiiding Offi�ial or Authority Having Jurisdiction in o�der to properly evaluate the installation of this prod ct. i $. MANUFACi'URIN6 PlANTS: � Contact the manufacturer or th�named Ct/�entity for information on ptants covered under Rute 61G20-3 QA requirements. b. QUALITYASSURANCE ENTITY: j3 Ul,L.IC.—QUA4625;{424}248-$409;karen.buchmann@ul.com r i � -END OF EVALUATION FiEPOR7- f � � I � i , � . 1 I i E�enor Research and Design,LlC, � Evaluation Report 11610.49.0�8�-R24 Certifrcate ofAuthorhation#9503 ' FL112B8-R13 ; Revision 14:03J32J1t015 � Page�of 7 . ' • /\y� �111Ufl e� .,\"/ g��y5';s'_�. �. . � '+� . ': Cit `of Ze�h J hills � y p Yr BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �- �ly(,(� � �l��� Date Received: �— �` � site: ��2�3/ �5��--�� Permit Type: , Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sh�et sh 1 b � t ' h the permit and/or plans. '� i � Kalvin S 'aer— Examiner Date Contractor and/or Homeowner (Required when comments are present)