455 County Center, 2nd Floor,Redwood City, CA 94063 | https://planning.smcgov.org

I hereby certify that the work completed under permit number BLD__________________________________is a,

Class “A” Assembly _____

Class “B” Assembly _____

The roofing material installed was manufactured by ________________________________________________

The product name is ______________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________Property Address

_________________________________________ ______________________Contractor License Number

_________________________________________ ______________________Signature and Title Date

Class “A” or “B” Roofing Certification

San Mateo County Planning & Building Department