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HomeMy WebLinkAboutPermit D11-305 - LUMBER LIQUIDATORS - REROOFLUMBER LIQUIDATORS 120 ANDOVER PK E Di 1-305 Parcel No.: Address: Suite No: Project Name: City oikukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206- 431 -2451 Web site: http://www.TukwilaWA.gov 0223000062 120 ANDOVER PK E TUKW LUMBER LIQUIDATORS DEVELOPMENT PERMIT Permit Number: Issue Date: Permit Expires On: D11 -305 09/09/2011 03/07/2012 Owner: Name: Address: HOME ELECTRIC COMPANY 3414 NE 55TH , SEATTLE WA 98105 Contact Person: Name: PEARLLA KAESTNER Address: PO BOX 82894 , KENMORE WA 98028 Contractor: Name: ASSOCIATED ROOFING INC Address: PO BOX 82894 , KENMORE, WA 98028 Contractor License No: ASSOCRI16206 Phone: 206 - 364 -4445 Phone: Expiration Date: 05/06/2012 DESCRIPTION OF WORK: REMOVE ALL DIRT & DEBRIS FROM ROOF SURFACE. REPAIR BLISTERS AND DEFECTS IN ROOF. INSTALL VERSICO TPO ROOF SYSTEM. Value of Construction: $58,450.00 Type of Fire Protection: Type of Construction: Electrical Service Provided by: PUGET SOUND ENERGY Fees Collected: International Building Code Edition: Occupancy per IBC: $1,737.17 2009 0008 * *continued on next page ** doc: IBC -7/10 D11 -305 Printed: 09 -09 -2011 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Storm Drainage: Street Use: Profit: N Water Main Extension: Private: Water Meter: Permit Center Authorized Signature: N Date: Public: Non - Profit: N Public: I hereby certify that I have read and e ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied whether specified herein or not. The granting of this permit does not pre construction or the performance of work. to this permit. Signature: Print Name: e to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this development permit and agree to the conditions attached aA«A. 1,1zuAh/L, Date: qlg/ f! This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: Manufacturers installation instructions shall be available on the job site at the time of inspection. 6: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. doc: IBC -7/10 D11 -305 Printed: 09 -09 -2011 7: Prior to final inspection for this building pet, a copy of the roof membrane manufacturitivarranty certificate shall be provided to the building inspector. 8: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. doc: IBC -7/10 D11 -305 Printed: 09 -09 -2011 CITY OF TUK ILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.qov Building Permit No: (� 305 Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION Site Address: Tenant Name: 1.90 /61/1-067/ Lk 5T Lwn ,ra to (.6 11-7732s King Co Assessor's Tax No.: C) 2 2.3DD - 006 Z Suite Number: Property Owners Name: HOME ^&✓Cc /C- C OM/9,9-Al V Mailing Address: 99" , / VE 55 Floor: New Tenant: ❑ Yes K..No C?8i0 Zip City State CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Mailing Address: r Cam/( E.2-S ! 7 E -Mail Address: E /9RLt/3 A 5 3 c /A -7-L=1:3 e46j(,g ibIugi f'oSt 3k1 8 �-2 263 ti:/13/4y Telephone: If / 4q5 GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: Contact Person: N• / at1 L Gi g.-7t ,dead Al6 Migax Number: 2g* 3bg " 236-3 &g iL D • 66X i 23c1 K; enin 986 2 ' City State^ new-- Day Telephone: 36 E -Mail Address: /3 Contractor Registration Number: J - < 6 Expiration Date: /19igy 26/ / ARCHITECT OF RECORD = All plans must be stamped by Architect of Record Company Name: A/ / A-- Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\Applications\Porms- Applications On Line ‘2010 Applications \7 -2010 - Pennit Application.doc Revised: 7 -2010 bh Page 1 of 6 BUILDING PERMIT INFORMATI -- 206 -431 -3670 Valuation of Project (contractor's bid price): $ 515 q 5-0 . 00 Existing Building Valuation: $ 2/ //7 j v '.�rAC Scope of Work (please provide detailed information): �d 1/V /a A/M I` V ebR/S -P1/7/-71/ /204 et A C4. . L IP ;/ :Jr.:s. 2Nsfig -l/ /25 1( Re,ore Will there be new rack storage? ❑ Yes . No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If "yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a cturrent septic design approved by King County Health Department. H:\ApplicationsWortns- Applications On line \2010 Applications \7.2010 - Permit Application.doc Revised: 7 -2010 bh Page 2of6 Existing Interior Remodel Addition to Existing Structure New Type of Constniction per IBC Type of Occupancy per IBC__ 1' Floor 2°d Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck • PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If "yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a cturrent septic design approved by King County Health Department. H:\ApplicationsWortns- Applications On line \2010 Applications \7.2010 - Permit Application.doc Revised: 7 -2010 bh Page 2of6 PERMIT APPLICATION NOTES — Applicable to all permits in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0WpER 0 U AGENT: Signature: _ .0 I f Print Name: Mailing Address: v Date: Day Telephone: 2,66 3 - 9 «< C- Afrtt/Ze GJ19- airozr City State Zip Date Application Accepted: Q Q /o, / / I Date Application Expires: 03/06,(/)._ Staff Initials: l H:Upplications\Ponas- Applications On llne12010 Applications \7 -2010 - Permit Applieation.doc Revised: 7 -2010 bh Page 6 of 6 9 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 0223000062 Address: 120 ANDOVER PK E TUKW Suite No: Applicant: LUMBER LIQUIDATORS RECEIPT Permit Number: D11 -305 Status: APPROVED Applied Date: 09/06/2011 Issue Date: Receipt No.: R11 -01970 Initials: User ID: JEM 1165 Payment Amount: $1,054.60 Payment Date: 09/09/2011 12:19 PM Balance: $0.00 Payee: ASSOCIATED ROOFING INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 92697 1,054.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES 000.322.100 STATE BUILDING SURCHARGE 640.237.114 Total: $1,054.60 1,050.10 4.50 doc: Receiot -06 Printed: 09 -09 -2011 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 0223000062 Address: 120 ANDOVER PK E TUKW Suite No: Applicant: LUMBER LIQUIDATORS RECEIPT Permit Number: D11 -305 Status: PENDING Applied Date: 09/06/2011 Issue Date: Receipt No.: R11 -01944 Initials: User ID: LAW 1632 Payment Amount: $682.57 Payment Date: 09/06/2011 01:52 PM Balance: $1,054.60 Payee: ASSOCIATED ROOFING INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 92673 682.57 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 682.57 Total: $682.57 doc: Receiot -06 Printed: 09 -06 -2011 'INSPECTION NO INSPECTION RECORD Retain a copy with permit 0 / /-ADS PERMIT NO. .CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: - L2 //77,4° //zgvfi refiS Type of Inspection: 6aA/4e. Address: . /RCS d7a1,640t/E/2 Pig E Date Called: ,U4re Q;.. Special Instructions: • /9 /% 411/r4 v . • c VA4 3-0/ Date Wanted:. /0-,a0-// any m. Requester: Phone No: oc, -3 6 '— 4/1/4/ 5 . Approved per applicable codes. El Corrections required prior to approval. • COMMENTS: Sri' A49,,z, A6- -), - -- s <,cJ/t se/ %„, -//- hiesieD ,U4re Q;.. /6 -// pr� �M / /r / /V /L , At. ns Date: €4+.-470 / li'�, / b — [7 — // INSPECTION FE REQUIRED. P for to next inspection. fee must st be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection: ROOFING SYSTEMS VersiWeld® TP'O /VersiFleece® 'Pty /Versi', mgA BRANE MATERIAL WARRANTY 2011 Subject to the following terms and conditions,. Versico, a division of Carlisle Construction Materials Incorporated, warrants to the Buyer that the Versico membrane Material (MEMBRAND) will not prematurely deteriorate to the point k'dilltitillaibief weathering for a period of ten (10) or fifteen (15) years; for 45 ,-mil membrane or greater or. twenty (20) years yeart WEttlialfiiTASEINT or greater from the date Of sales if properly installeed, maintained and used for the purpose for which Versico intended. Ifwuprin inspection by Versico, the Membrane shows, premature deterioration because of weathering within the designated warranty period stated herein, Versico'';liability and Buyer's remedies are limited at Versieots option to the providing of repair material for the original Membrane or credit to be applied towards the purchase of a new Membrane; the value of these remedies being determined by Versico based upon the number of remaining 'months of the unexpired warranty used to pro -rate . at the current prices for the Membrane. The maximum ,pro -rated value allowed by Versico for repair or credit shall not exceed the original Membrane purchase. price. To validate this warranty, the registration information must be completed by the owner and mailed along with the copy of the invoice clearly indicating the material purchased within 10 days after the date of sale. Buyer shall give Versico notice of a claim under this warranty within thirty (30) days of discovering any premature deterioration of the membrane. Any claim under this warranty must be made in wilting within the designated warranty period from the date of sale and must include a sample of the membrane' for evaluation and response it the owner's expense. This warranty refers to the deck membrane material only.. Flashings, adhesive system are not covered by this'or any' other warranty, express or implied. and other accessories contained in a membrane Versico shall not be responsible for the cleanliness or discoloration of the membrane material cause i by environmental conditions including, but not limited to, dirt, pollutants lit biological agents. Versico shall have no liability under any theory of law for any claims, repairs, restoration, or other damages including, but not limited to, consequential or incidental (latrines relating directly or indirectly, to the presence of any irritants, contaminants, vapors, fumes, molds, fungi, „ . , t -_ -_ ---- ._ the ,LL_ the building or in the air, land' or water serving the building. NO REPRESENTATIVE OF VERSICO HAS AIJTIiORITY TO MAINE ANY REPRESENTATIONS OR PROMISES EXCEPT AS STATED HEREIN VERSICO DOES NOT WARRANT PRODUCT`S 1 LIZED IN AN INSTALLATION, WHICH IT. HAS NOT FURNISHED; AND SPECIFICALLY DISCLAIMS LIABILITY, UNDER ANY THEORY OF LAW ARISING our OE THE INSTALLATIONAND PERFORMANCE OP, OR DAMAGES SUSTAINED BY OR CAUSED BY, PRODUCTS NOT FURNISHED BY VERSICO. THERE. ARE NO WARRANTIES EITHER EXPRESSED OR IMPLIED, INCLUDING '1HE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE; WHICH EXTEND BEYOND THE WARRANTIES CONTAINED IN THIS DOCUMENT VERSICO SHALL NOT BE LIABLE FOR ANY INCIDENTAL, CONSEQUENTIAL. OR OTI R DAMAGE, INCLUDING BUT NOT LIMITED TO, LOSS, OF PROFITS OR DAMAGES TO A STRUCTURE OR Tf S' CONTENTS UNDER ANY THEORY OF LAW. THIS WARRANTY IS NOT TRANSFERABLE OR ASSIGNABLE. 3059531 VERSICO VERSIWELD TPO /VERSIFLEECE TPO /VERSIFLEX PVC MEMBRANE MATERIAL WARRANTY Detach here and return completed form along with a copy of the bill of sale or invoice, for the membrane to: VERSICO r6 , P.O. Box 1289 • Carlisle, PA 17013 DATE OF SALE: �1 Attn: Warranty Services Department Building Owner's Name: Building Owner's Address: `�` Address and Location of Building: Building Owner's Telephone Date Project Completed: Roofing Contractors Name: Se4r ti > bfdq .! ber: (�) 3 Z 9 L Roofing Contractor's Address- �1 o : r o' Contact: I, ifokolot 0 8Q -mil Type of Membrane: (circle one) VersiWeld TPO' or Versil1eebi TPO 0 45 -mil 60 -mil 0 72 -mil VersiFlex`.PVC 0 50 -mil 60 -rgi 0 80 -mil Warranty Requested: 10 year -, 50 -, 60 -, 72 -, or 80 -mil Size of Project. 13. year 45 -, 50 -, 60•,.72 -, or. 80-mil 20 year 60 ;4, 72 -, or 80 -mil 0 305 953. 602363 03/10 SEPARATE PERMIT REQUIRED FOR:_. _ . 6ARec hanical electrical' ; plumbing; &tas Piping City of Tukwila Bt. -°'' _ DIVISION cop J i Pe it:HO: _ . �IQ ^' �I Cf!l3R apprOV�1 aSSl�� � errors and 0 ISSIolS. - . 1p' vaL of construction .docOrnents does not authorize �. .ration of' any adop Q or -o inanc c Receipt � Lpprove Fietd-CopyintcOnthtions IsacKnovilledget City Tamitcri u;ILD,INdrcayrsioisi. REVISIONS . !Vo.chgnges -s Jr a made ,to the scope of wo$k withou prior approval of''' NOTE: Revisjons will require a n plan submittal_ 'irtcicide-ad t jnal pia re '..w fees.. EVVECIFOR CODE COMPLIAN_ :..'_� ___ -- A' PROVE, D SOP'0;g2(111 Ctty-of Th iz ta; ; -- B UILChPNG DtVISi'dN' 0 LT. C 0 RECEIVED SEP 06 201111 PERMIT CENTER 111 mmi Associated Roofing, Inc. 111 P.O. Box 82894 Kenmore, WA 98028 SEPTEMBER 6, 2011 CITY OF TUKWILA DEPT OF COMMUNITY DEVELOPMENT 6300 SOUTHCENTER BLVD., SUITE 100 TUKWILA, WA 98188 RE: LUMBER LIQUIDATOR'S BUILDING ASSOCRI 1620(i 206 364 4445 800 358 3119 Fax 206 368 2303 FILE COPY The existing roofing is one layer Class "B" built -up asphalt roof system installed over a 5/8" plywood deck. The Oew roof system to be installed is a Versico Premier .060 Thermoplastic Polyolefin (TPO) reinforced roofing membrane. This system is to be installed over the existing first Class B roof system. We have attached product literature and data for your review. RESPECTFULLY SUBMITTED, BRYAN KAE TNER PRESIDENT BK/jms enc D11- 345 Serving the Pacific Northwest since 1979 REVIEWED FOR CODE COMPLIANCE APPROVED SEP 0 9 2011 City of Tukwila BUILDING DIVISION RECEIVED SEP 0 6 2011 PERMIT CENTER Print Map Page Page 1 of 1 Parcel Map and Data 0223000060 • Green River 242 DR 0003200020 2523049080 0223000062 Tukwila 262304407 • 2523049077 0223100040 (C) 2010 King County 0w229d41 4048 Parcel Number 0223000062 Site Address 120 ANDOVER PARK E Zip code 98188 Taxpayer HOME ELECTRIC COMPANY The information included on this map has been compiled by King County staff from a variety of sources and is subject to change without notice. King County makes no representations or warranties, express or implied, as to accuracy, completeness, timeliness, or rights to the use of such information. King County shall not be liable for any general, special, indirect, incidental, or consequential damages including, but not limited to, lost revenues or lost profits resulting from the use or misuse of the information contained on this map. Any sale of this map or information on this map is prohibited except by written permission of King County." King County 1 GIS Center 1 News! Services 1 Comments 1 Search By visiting this and other King County web pages, you expressly agree to be bound by terms and conditions of the site. The details. http://www5.kingcounty.gov/parcelviewer/Print_Process.asp REVIEWED FOR CODE COMPLIANCE APPROVED SEP 0 g 2011 City of Tukwila BUILDING DIVISION RECEIVED SEP 0 6 2011 PERMJTCENTEF 9/6/2011 440 VERSIWELD VERSIWELD 45- & 60 -MIL THICK REINFORCED TPO Basic Properties and Characteristics (Standard and HS) Physical Property Tolerance on Nominal Thickness, % Thickness over scrim, In. (mm) 45 -mil 60 -mil Breaking strength, Ibf (kN) Test Method ASTM D 751 ASTM D 6878 Optical Method (avg of 3 areas) ASTM D 751 Grab Method Property of Unaged Sheet *10 Property after ASTM D 573 Aging' 28 days © 240 °F 0.018 (0.457) t10% 0.024 (0.610) t10% Elongation at break of fabric, % Tearing strength, Ibf (N) 8 by 8 In. specimen Brittleness point, °F ( °C) ASTM D 751 ASTM D 751 B Tongue Tear ASTM D 2137 225 (1.0) min. 45 -mil 320 (1.4) typical 45 -mil 250 (1.1) min. 60 -mil 360 (1.6) typical 60 -mil 25 typical 55 (245) min. 130 (578) typical -40 ( -40) max. -50 ( -46) typical 225 (1.0) min. 45 -mil 320 (1.4) typical 45 -mil 250 (1.1) min. 60 -mil 360 (1.6) typical 60 -mil 25 typical 55 (245) min. 130(578) typical Linear Dimensional Change (shrinkage),% After 6 hours at 158 °F (70 °C) ASTM D 1204 Ozone resistance, 100 pphm, 168 hours (No cracks 7x) ASTM D 1149. +/- 1 max -0.2 typical No cracks No cracks Resistance to Water Absorption After 166 hours immersion 4 158 °F (70 °C) Change in mass, max, % ASTM D 471 (top surface only) 3.0 max. 2.0 typical Field seam strength, Ibf /in. (kN /m) Seam tested in peel ASTM D 1876 Water vapor permeance, Perms ASTM E 96 25 (4.4 min.) 50 (8.8) typical 45 -mil 60 (10.5) typical 60 -mil 0.10 max 0.05 typical Puncture resistance, Ibf (kN) 250 (1.1) min. 45 -mil (see supplemental section for additional 325 (1.4) typical 45 -mil puncture data) 300 (1.3) min. 60 -mil 350 (1.6) typical 60 -mil Aging conditions are 28 days at 240 °F (116 °C) equivalent to 400 days at 176 °F (80 °C) for breaking strength, elongation, tearing strength, ozone and puncture resistance. FTM 101 C Method 2031 iECE VED SEP U 6 2011 PERMIT CENTER Radiative Properties for ENERGY STAR® Cool Roof Rating Council (CRRC) & LEED® Test Method White TPO Tan TPO Gray TPO Energy Star initial solar reflectance Solar Spectrum Reflectometer 0.87 0.68 Energy Star solar reflectance after 3 years Solar Spectrum Reflectometer 0.83 (after cleaning) 0.6 CCRC initial solar reflectance CCRC solar reflectance after 3 years CCRC initial thermal emittance CCRC thermal emittance after 3 years ASTM C 1549 ASTM C 1549 (uncleaned) ASTM C 1371 ASTM C 1371 (uncleaned) 0.79 0.70 0.90 0.86 0.7 pendi 0.8 pendi n/a CODE COR LIANCE 0.46 g SEP 0g482011 0.88 6, LEED thermal emittance SRI (Solar Reflectance Index) ASTM E 408 ASTM E 1980 110 88 City oftbkwila BUILDING DIVISION 08/17/2011 14:50 2063240982 JOHN T BACKUS PAGE 01/02 Associated Roofing, Inc. ASSOCRI162o6 PROPOSAL AND CONTRACT P.O. Box 82894 This is a "plain - English" contract. "We," "us," and "our" means Kenmore, Washington 98028 Associated Roofing, Inc. "You" means the customer. 206 364 -4445 • 800 358 -3119 • 206 368 -2303 (Fax) Date: AUGUST 9, 2011 PAGE 1 OF 2 Proposal Submitted To: MCKUS 206- 324 -0964 ofbe -E rrir'Gp.•.P4Nd.. 3414 NE 55Th SEATTLE, WA 98105 Job Name and Location: LUMBER LIQUIDATOR BUILDING 120 ANDOVER PARK EAST TUKWILA, WA Pile Code: A92 +29 / IT / TR -rr _ REVIEWED FOR CODE COMPLIANGL RO0AgPSQ19ED SEP 0 q 2011 City of Tukwila BUILDING DIVISION PROPOSAL: We are pleased to submit this proposal to furnish the materials and perform the labor to: INSTALL VERSICO .060, or equal, WHITE MECHANICALLY ATTACHED SINGLE -PLY SCOPE OF THE WORD: The specific scope of the work for this project is: 1. Remove edge metal and roofing on walls and haul away for disposal_ 2. Remove all dirt and debris from roof surface, sweep or blow clean, and dry. 3. Cut out all blisters and defects in roof. — 4. Install Versico .080, or gc ual thermoplastic polyolefin (TPO) reinforced membrane roof corresponding criteri d,iis a UL approved roofing system and meets FM 1-60 rating using and plate. Field sheets are available in 8 or 10 foot widths_ This roof membrane has limited warranty. Standard color is white. - 5. Install Versico Premier TPO perimeter sheets (1/2- widths of field sheets). 6. Install accessory products to include penetration pockets, pipe seals, inside and outside cover strip as needed. 7. Install new 24 gauge sheet metal perimeter flashing with baked enamel finish using gasketed head gasketed screws. 8. Clean up and remove all debris from contracted work. OTHER ITEMS: A. Remove clamping ring from existing internal roof drain. Install roof membrane and flashing, and/or mounting hardware. 0 it is Unserviceable, replace with new at an additional cost found to be unserviceable, it will be removed and replaced as work additional to contract. B. Provide and install seven (7) galvanized sheet metal tall none 8 -vent flashings with rain Continued on page 2 THE FOLLOWING PLANS, SPECIFICATIONS, AND QUALIFICATIONS ARE A PART OF THIS SCOPE OF WORK: Dollars system and when installed to the the appropriate fastener a manufacturer's ten (10) year comer flashings, and galvanized nails or hex Reinstall damping ring of $ 150.00 per drain. If drain is collar. ECEIVEL SEP 0 62!011 HERMIT CENTER Terms and Conditions Listed On Reverse Side PLUS SATES TAX WARRANTIES: Our warranty for workmanship, as described on the reverse The manufacturer's warranty, which is described in their warranty which will AUTHORIZED: side, is for years. be provided to you, is for years. SIGNATURE, Associated Roofing. Inc. Associated Roofing, Inc. CUSTOMER ACCEPTANCE OF PROPOSAL This proposal is eeceprei the scope of work, price, terms and conditions contained on the front and reverse of this document constitute the context. SIGNATURE TITLE DATE RETURN ORIGINAL. OP TI-IIS PROPOSAL TO; PO. BOX 82894, KENMORE, WASHINGTON 98028 08/17/2011 14:50 2063240982 JOHN T BACKUS /0.4r19V4'7/ PAGE 02/02 Associated Roofing, Inc. ASSOCRI16206 PROPOSAL AND CONTRACT PO. Box 82894 Ws is a "plain - English" contract. 'VC," "us, and °bur" means Kenmore, Washington 98028 Associated Roofing, Inc. "You' means the customer. 206 364-4445 • 800 358 -3119 • 206 368 -2303 (Fax) Date: AUGUST 9, 2011 PAGE 2 OF 2 Proposal Submitted To: JOHN BACKUS 206-324 -0964 3414 NE 50 SEATTLE, WA 98105 HO rrie (, I,W114(I Job Name and Location: LUMBER LIQUIDATOR 120 ANDOVER TUKWILA, WA Pile Code: A92 +2911T / T BUILDING PARK EAST R-rr REVIEUVED FOR CODE COMPLIANCE PROPOSAL: We are pleased to submit This proposal to furnish the materials INSTALL VERSICO .060, or equal, WHITE MECHANICALLY SCOPE OF THE WORK; the specific scope of the work for this project Is: C. Provide and install one (1) RVO-38 High Rise sheet D. Raise mechanical units, install specified roof system, timbers; reset existing timbers. Unserviceable timbers E. Install 24 gauge sheet metal skirt flashing around curb P. WAt�( <IN-7 s wit F14 e e F04 QUALIFICATIONS TO BID: A. There will be dirt and debris associated with this project. Repair to such damage is the sole responsibility of and/or secured to prevent damage. Notification to representative. Associated Roofing is not responsible B. As this is a construction project, there will be additional be an odor present. Some people may find this objectionable, has not been shown to be a health hazard, C. By acceptance of this contract, the owner or owner's the existence of any asbestos containing materials D. The cost excludes all permits and fees (i.e., building, owners expense. E. Owner to provide parking through duration of project. F. if applicable, temporary relocation and /or realignment scope of work and are the responsibility of the owner. G. Scope of worts excludes disc nneeting am-raising H. Puce valid for thirty (30) days. PLEASE NOTE: Due to the size of this project, we are to commencement of the worts. THE FOLLOWING PLANS, SPECIFICATIONS, AND QUALIFICATIONS ARE 2I• . 1. • 1.• • . _ . 1: • .m• and perform the labor to: ATTACHED SINGLE -PLY ROOF metal roof vent. loose lay an additional layer of cap sheet will be replaced at an additior.I cost. mounted equipment as needed. H(/AC 6eRVlce_ : SY93ELI 0 Q 2011 Ci :.of Tu Ila = r -. ' . IOI\ There is also the potential for sheetrodc (ceiling) damage. the-property owner. Important items should be moved, covered, the tenants) is the responsibility of the owner or owner's for consequential damages to the structure or contents. vehide traffic and an increased level of noise. There may also however, please be assured this smell, as far as we know, representative is stating to the best of their knowledge there is not that will be disturbed by the performance of the specified work. street/sidewalk use, or fire/torch). If required, we will obtain at the of satellite dishes(s) to facilitate this project are not included in the of mechanical equipment Unless specified•in contract. 6'ECEIVED requesting a downpayment of 25% 10 days prier_ • SE 0 6 2011 A PART OF THIS SCOPE OF WORK: PERMIT CENTER .• _ • . ° • r, t Dollars $ 58650-00 Team and Conditions Listed On Reverse Side PLUS SALES TAX WARRANTIES: Our warranty for workmanship, as described on the reverse The macutfacturer's warranty, which is described in their warranty which will AUTHORIXED: TIM RESSLER side, is for FIVE years. be provided to ou, is for SIGNATURE: - Aasodatcd Rooting, Inc. Associated Roofing, Inc CUSTOMER ACCEPTANCE of PROPOSAL Yhi roposal is accepted. $ pe or wo price, Penns and cendidons consained on the front and reverse of this document eorodsure the contract. SIGNATURE TITI,E f!/ DATE S7 [ to / RETURN ORIGINAL OF THis PROPOSAL TO: P.O. BOX 82894, KENMORE; WASHINGTON 98028 TGFU.R9853 - Roofing Systems ONLINE CERTIFICATIONS DIRECTORY Page 1 of 35 TGFU.R9853 Roofing Systems Page Bottom See General Information for Roofing Systems VERSICO INC PO BOX 1289 CARLISLE, PA 17013 USA Roofing Systems SINGLE PLY MEMBRANE SYSTEMS REVIEWED FOR CODE COMPLIANCE APPROVED SEP 0 q 2011 R9853 City of Tukwila BUILDING DIVISION In the fully adhered and mechanically fastened systems described below, the "Versigard" membrane coated with "G -700HC Hysunite Coating" coating at 2/3 gal /sq and dry silica sand (35 Ibs /sq) may replace the "Versigard Non - Reinforced EPDM Membrane" membrane. When a classification does not require a hypalon or hypalon and sand coating, the classification of any EPDM roofing system is retained when surfaced with 1 or 2 coats of "G -700HC Hysunite Coating" coating using of coverage rate of 2/3 gal /sq /coat limited to max 3 -1/2 In. slope. Unless otherwise indicated, when referring to gypsum board in the following classifications, the following will be referenced: G -P Gypsum DensDeck®, 1/4 in. min, SECUROCK Glass -Mat Roof Board (Type SGMRX) or SECUROCK Gypsum -Fiber Roof Board (Type FRX -G), minimum 1/4 In., Regular gypsum board (not Classified) laid with staggered joints (6 in. offset) measuring 0.463 in. thick min and weighing 184 Ibs /sq min or Georgia Pacific "Sound Deadening" Board, measuring 0.208 in. thick min and weighing 109 Ibs /sq min. 1/4 in. (min) SECUROCK Gypsum -Fiber Roof Board (Type FRX -G) is limited to a maximum 3:12 slope when used as a thermal barrier over a combustible deck in a system with any UL Classified insulation except polystyrene. 1/2 in. (min) SECUROCK Gypsum -Fiber Roof Board (Type FRX -G) is limited to a maximum 1:12 slope when used as a thermal barrier over a combustible deck in a system without insulation or with any UL Classified polystyrene insulation. 1/4 in. thick (min) G -P Gypsum DensDeck®, Ve in. thick (min.) Owens Corning Strataguard, 1/4 in. thick (min) SECUROCK Glass -Mat Roof Board (Type SGMRX) or SECUROCK Gypsum -Fiber Roof Board (Type FRX -G) or regular gypsum board may replace "Versico Recovery Board" in any existing noncombustible deck Classification. When this is done, the resulting roofing system is acceptable for use over combustible (15/32 In. min) roof decks. The joints in the gypsum board are offset 6 in. with the joints in the deck. 1/4 in. (min) SECUROCK Gypsum -Fiber Roof Board (Type FRX -G) is limited to a maximum 3:12 slope when used over a combustible deck in a system with any UL Classified insulation except polystyrene. 1/2 in. (min) SECUROCK Gypsum -Fiber Roof Board (Type FRX -G) is limited to a maximum 1:12 slope when used over a combustible deck in a system without insulation or with any UL Classified polystyrene insulation. 1/2 in. thick (min) gypsum board, Ve in. thick (min.) Owens Corning Strataguard, 1/4 in. thick (min) SECUROCK Glass -Mat Roof Board (Type SGMRX) or SECUROCK Gypsum -Fiber Roof Board (Type FRX -G) or 1/4 in. thick (min) G -P Gypsum DensDeck® may be used in any existing noncombustible deck Classification. When this Is done, the resulting roofing system is acceptable for use over combustible (15/32 in. min) roof decks. The joints in the gypsum board and overlayment board are offset 6 in. with the joints in the deck. 1/4 in. (min) SECUROCK Gypsum -Fiber Roof Board (Type FRX -G) Is limited to a maximum 3:12 slope when used as a thermal barrier over a combustible deck in a system with any UL Classified insulation except polystyrene. 1/2 in. (min) SECUROCK Gypsum -Fiber Roof Board (Type FRX -G) Is limited to a maximum 1:12 slope when used as a thermal barrier over a combustible deck in a system without insulation or with any UL Classified polystyrene insulation. Unless otherwise indicated, Johns Manville "ENRGY 3 Plus" (composite) Insulation may replace the " Versico Recovery Board" over polyisocyanurate Insulation in any of the systems mentioned below. Unless otherwise indicated, any UL Classified wood fiber board may replace " Versico Recovery Board" in any of the systems mentioned below. Unless otherwise indicated, on non - combustible decks, Versico " SecurShield HD ", " SecurShield HD Plus ", " SecurShield HD Composite" or "SecureShield NB ", or Hunter Panels "H- Shield HD ", "H- Shield HD90 ", "H- Shield HD Composite ", "H- Shield HD Composite CG" or "H- Shield -NB" may replace, or be used in addition to, any Versico product or any UL Classified wood fiberboard, in any UL Classified insulated roofing system assembly and retain the classification of that assembly, though the max slope cannot exceed 1/2:12 if Versico " SecurShield HD ", " SecurShield HD Plus" or " SecurShield HD Composite ", or Hunter Panels "H- Shield HD ", "H- Shield HD90 ", "H- Shield HD Composite" or "H- Shield HD Composite CG" is used directly below TPO membrane. Unless otherwise indicated, on combustible decks, Versico " SecurShield HD ", " SecurShield HD Plus ", " SecurShield HD Composite" or " SecurShield NEV, or Hunter Panels "H- Shield HD ", "H- Shield HD90 ", "H- Shield HD Composite ", "H- Shield HD Composite CG" or "H- Shield -NB" may be used in addition to any Versico polyisocyanurate product or any UL Classified wood fiber board, in any insulated UL Classified roofing system assembly and retain the classification of that assembly, though the max slope cannot exceed 1/2:12 if Versico " SecurShield HD ", " SecurShield HD Plus ", " SecurShield HD Composite" or Hunter Panels "H- Shield HD ", "H- Shield HD90 ", "H- Shield HD Composite" or "H- Shield HD Composite CG" is used directly below TPO membrane. The following insulations, straight or tapered, may be used interchangeably: Versico "Polyiso MP -H" and "WeatherBond XP Polyiso ", "Polyiso MP- HWF" and "WeatherBond XP -WF Polyiso ", "Polyiso MP -HF" and "WeatherBond XP -HF Polyiso ", " Polyiso MP -HNB" and "WeatherBond XP-NB Polyiso ", " SecurShield" and "WeatherBond XFP Polyiso ", " SecurShield HD" and "WeatherBond XFP HD Cover Board ", " SecurShield HD G.(ii ��� y �^ "WeatherBond XFP HD Composite ", "SecureShield HD Plus" and "WeatherBond XFP HD Plus Cover Board ". i SEP 06 20U1 PGRM9 /61TEE http: / /database.ul.com/cgi- bin /XYV/ template /LISEXT /1FRAME /showpage.html ?name =TG... / TGFU.R9853 - Roofmg Systems 1. Deck: C -15/32 MAINTENANCE AND REPAIR SYSTEMS Class A, B and C Incline: 1 Existing Roof System: — Class A, B or C mineral or smooth surfaced non - modified asphalt coated retain the existing Classification, is covered with: Membrane: — " Versigard" or "Versigard Non - Reinforced EPDM Membrane - White" 0.045 or 0.060 I 2. Deck: C -15/32 Incline: ' Existing Roof System: — Class A, B or C mineral or smooth surfaced non - modified asphalt coated retain the existing Classification, is covered with: Slip Sheet (Optional): — One or more layers of the following - Lyda11 "Manniglas 1200" mat, 15 mil, Atlas Roofing "FR -10 ", Elk "VersaShield ", Versico "FR Base Sheet" or Type G2 base sheet, laid loosely. Membrane: — " Versigard FR Reinforced EPDM Membrane" or " Versigard Reinforced EPDM Membrane " ", mechanically fastened Page 1 of 2 REVIEWED FOR CODE COMPLIANCE APPROVED p sheefilnOy4eM , fully adhered. City of Tukwila BUILDING DIVISION 3. Deck: C -15/32 Incline: Y Existing Roof System: — Class A, B or C mineral or smooth surfaced cap sheet roofing system, to retain the existing Classification, Is covered with: Membrane: — "Versigard ", " Versigard Non - Reinforced EPDM Membrane - White ".045 or.060 in., "VersiFleece AC 120 EPDM Membrane" or "VersiFleece AC 135 EPDM Membrane ", fully adhered. 4. Deck: C -15/32 Incline: 'h Existing Roof System: — Class A, B or C mineral or smooth surfaced cap sheet roofing system, to retain the existing Classification, covered with: Membrane: — Versigard or VersiFieece 100 TPO or 115 TPO, fully adhered with "FAST Adhesive" or "VersiFieece AC 120 EPDM Membrane" or "VersiFleece AC 135 EPDM Membrane ", hot mopped. 5. Deck: C -15/32 Incline: 1/2 Existing Roof System: — Class A, B or C roofing system, to retain the existing Classification, is covered with: Slip Sheet: — One or more layers of the following - Lydell "Manniglas 1200" mat, 15 mil, Atlas Roofing "FR -10 ", Elk "Versashieid ", Versico "FR Base Sheet" or Type G2 base sheet, laid loosely. Membrane: — " VersiWeld Reinforced TPO Membrane" or "WeatherBond Pro TPO ", "VersiWeld Pius Reinforced TPO Membrane ", or "VersiFlex Reinforced PVC Membrane ", mechanically fastened. 6. Deck: C -15/32 Incline: 3/4 Existing Roof System: — Class A, B or C roofing system, to retain the existing Classification, is covered with: Slip Sheet: — One or more layers of the following - Lydall "Manniglas 1200" mat, 15 mil, Atlas Roofing "FR -10 ", Elk "Versashield ", Versico "FR Base Sheet" or Type G2 base sheet, laid loosely. Membrane: — " VersiWeld ES Reinforced TPO Membrane" or "VersiFlex Reinforced PVC Membrane ", mechanically fastened. 7. Deck: C -15/32 or NC Incline: 1 Existing Roof System: — Class A, B or C roofing, gravel to be maintained on gravel built -up system, to retain the existing Classification, is cover with: Insulation: — Owens Corning Specialty & Foam Products "Durapink ", 1 in. max. Membrane: — Any Classified Versico mechanically attached assembly. 8. Deck: C -15/32 Incline: See Note Existing Roof System: — Class A, B or C roofing system, to retain the existing Classification, is covered with: Slip Sheet (Optional): — One or more layers Versico "FR Base Sheet ", Elk " VersaShield Underlayment" or "VersaShieid FB -2S ". Membrane: — Any UL Classified Versico membrane. Note: Max incline shall be in accordance with Classification established for the existing roofing system, but can not exceed 1- 1/2:12. 9. Deck: C -15/32 Incline: See Note Existing Roof System: — Any Class A, B or C roofing system, covered with: Membrane: — "VersiFleece 100 EPDM or 115 EPDM ", adhered with "FAST Adhesive ". ECE VFr, SEP O 6 PERMIT CENTEI http: // database. ul. com /cgi- bin/XYV /template/LISEXT /1 FRAME /showpage.html ?name =TG... 9/6/2011 TGFU.R9853 - Roofing Systems Page 2 of 2 J Note: Max incline shall be in accordance with Classification established for the existing roofing system, but can not exceed 2:12. 10. Deck: C -15/32 Incline: See Note Existing Roof System: — Any Class A, B or C roofing system, covered with: Membrane: — "VersiFleece 100 TPO or 115 TPO Membrane" or VerslFleece 100 White EPDM or 115 White EPDM Membrane ", adhered with "FAST Adhesive ". Note: Max incline shall be in accordance with Classification established for the existing roofing system, but can not exceed 1:12. 11. Deck: C -15/32 Incline: 1 Existing Roof System: — Class A, B or C mineral or smooth surfaced non - modified asphalt coated cap sheet roofing system, retain the existing Classification, covered with: Membrane: — "VersiFleece 100 EPDM or 115 EPDM Membrane ", adhered with "FAST 100 LV ", applied at 2 -3 In. beads spaced 12 in. OC max. 12. Deck: C -15/32 Incline: 1 Existing Roof System: — (To maintain existing Classification) Any Class A, B or C coated or uncoated, insulated or uninsulated, Type G3 mineral surfaced cap sheet, BUR, or modified bitumen membrane roofing system covered with: Membrane: — "VersiFleece AC 120 EPDM Membrane ", "VersiFleece AC 135 EPDM Membrane ", "VersiFleece AC 120 TPO Membrane" or "VersiFleece AC 135 TPO Membrane ", mechanically fastened. 13. Deck: C -15/32 Incline: See Note Existing Roof System: — Any Class A, B or C roofing system, covered with: Membrane: — Any UL Classified Versico VersiFleece AC membrane, adhered with "Cold Process Adhesive ". Note: Max Incline shall be in accordance with Classification established for the existing roofing system, but can not exceed 1:12. Class A REVIEWED FOR CODE COMPLIANCE APPROVED SEP 0 q 2011 City of Tukwila BUILDING DIVISION RECE!VEP SEP 0 6 2011 PERMIT CENTER http: // database. ul. com /cgi- bin/XYV /template/LISEXT /1 FRAME /showpage.html ?name =TG... 9/6/2011 ,E It PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D11 -305 PROJECT NAME: LUMBER LIQUIDATORS SITE ADDRESS: 120 ANDOVER PK E X Original Plan Submittal Response to Correction Letter # DATE: 09 -06 -11 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: 'Budding- Dlvis %n Public Works n 4reihn Structural Planning Division I 1 Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 09-08-11 Complete Incomplete n Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route 111 Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 10-06-11 Not Approved (attach comments) n DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 Contractors or Tradespeople Peer Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name ASSOCIATED ROOFING INC UBI No. 600522587 Phone 2063644445 Status Active Address P 0 Box 82894 License No. ASSOCRI16206 Suite /Apt. License Type Construction Contractor City Kenmore Effective Date 9/26/1984 State WA Expiration Date 5/6/2012 Zip 980280894 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ASSOCRI164JD ASSOCIATED ROOFING INC Construction Contractor Roofing Gutters /Downspouts4 /4/1984 9/26/1984 Archived ASSOCRC21906ROOFING ASSOCIATED COMPANY Construction Contractor Roofing Unused 9/26/1979 9/26/1984 Archived Business Owner Information Name Role Effective Date Expiration Date KAESTNER, BRYAN JAY Agent 03/29/2010 Bond Amount KAESTNER, BRYAN JAY President 10/27/2008 269250C KAESTNER, PEARLLA JO Secretary 10/27/2008 NEISINGER, WILLIAM P Agent 01/01/1980 10/27/2008 NEISINGER, NANCY Agent 01/01/1980 10/27/2008 SANDVIG, ROBERT N $12,000.0003/21 01/01/1980 01/01/1980 SANDVIG, VERDA A CCP588239 01/01/1980 01/01/1980 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7 DEVELOPERS SURETY Et INDEM CO 269250C 01/08/2010 Until Cancelled $12,000.0001/19 /2010 6 DEVELOPERS SURETY Et INDEMNITY 850161C 05/01/2002 Until Cancelled 02/28/2010 $12,000.0003/21 /2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 18 COMPANION SPECIALTY INS CO VGL1011152 02/20/2011 02/20/2012 $1,000,000.00 02/18/2011 17 CO CENTURY SURETY CCP640664 02/20/2010 02/20/2011 $1,000,000.00 02/18/2010 16 CENTURY SURETY CCP588239 02/20/2009 02/20/2010 $1,000,000.00 03/02/2009 15 CONTINENTAL CASUALTY CO 2090161787 05/01/2006 02/20/2009 $10,000,000.00 04 /28/2006 14 CO LEXINGTON INS 41LX439765 05/01/2005 05/01/2006 $1,000,000.00 05 /11/2005 https: // fortress .wa.gov /lni/bbip/Print.aspx 09/09/2011 V V i 4 4 i V F625- 052 -000 (8/97) D, ARTMENT OF LABOR AND INDUS'' REGISTERED AS PROVIDED BY LAW AS CONST CONTR GENERAL ASSOCIATED ROOFING INC P O BOX 82894 KENMORE WA 98028 -0894 THIS IS TO CERTIFY THAT THE ABOVE IS AN ACTUAL COPY OF AN ORIGINAL DOCUMENT. �r�«N ryt, JEA STEPHENS NO RY PUBLIC IN AND FOR THE STATE RESIDING IN SNOHOMISH CO. MY COMMISSION EXPIRES 4/15/15. of,, f Rlltttwwc % °a 1