Checkoff Sheet MS-2014-01736_0001.tif 2009 INTE,RNATIO'NAL, RES1UE,NT1AL CODE
CITY OP 't
Return to B a t y � a[1 prior Pena[ I 6spe tian
218 S 16 Street, Bla NE 88008
Because of limitations caused by the Infeasibility to perform detailed I nspections which would
not interfere with reroofing work, please indicate compliance with the following requirements
following this. reroofing ,lob.
2."
Property Address» -
Contractor or Homeowner (if self) : - D rs ° U L
Permit #: MS- (o
Installation Date. 0 0 ` -;
YR NQ
The,materials and methods of application used for recovering or replacing the existing
roof covering comply with the requirements of the building code. (8907:1)
i� ICE PROTECTION INSTALLED An ice barrier that consists of at least two layers of
undedayment or of a self-adhering polymer modified bitumen sheet was Installed and
extends at least, from the eave's edge to ,a point at least 24 inches inside the exterior
wall line of the building, (R905.2.7;1)
STRUCTURAL COMPONENTS ,ARE -SQUND The structural* roof components are
capable of supporting the roof cowering, system and the material and equipment loads
that will be encountered during Installation of the roof covering system. (RR907.2)
EXISTING COVERING WAS REMOVED: Existing roof covering was removed for one
of the reasons required by section 8907.3
DID NOT USE RUSTED METAL OR FLASHING: E istithg went flashing, metal edges,
drain outlets, collars or metal' couhter4lashing`were• riot reinstalled If rusted. (g907.5)
FLASHING INSTALLED PROPERLY. F'lashlnig shall be reconstructed in accordance
with approved manufacturer's installation instructions. Metal flashing to which
bituminous materials are to be adhered shall be primed prior to installation. (8907.6)
Signature of Primary Installer Date
1, 2
Sig ature of Permit Holder Date
I