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Permit D13-099 - RAINIER RUBBER - TENANT IMPROVEMENT
RAINIER RUBBER 15660 NELSON PL D13-099 City otTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431-3670 Inspection Request Line: 206-431-2451 Web site: htto://www.TukwilaWA.gov Parcel No.: 0005800023 Address: 15660 NELSON PL TIIKW Suite No: Project Name: RAINIER RUBBER DEVELOPMENT PERMIT Permit Number: D13-099 Issue Date: 05/02/2013 Permit Expires On: 10/29/2013 Owner: Name: MEYERS VERNON L Address: 13911 SE 45TH PL , BELLEVUE WA 98006 Contact Person: Name: JIM D DAVIS Address: 1220 37 ST NW, BLDG A STE 106 , AUBURN WA 98001 Contractor: Name: COBRA BEC INC Address: PO BOX 19068 , SPOKANE WA 99219 Contractor License No: COBRABI906J6 Lender: Name: Address: Phone: 253-887-1500 Phone: 509-455-4043 Expiration Date: 05/14/2013 DESCRIPTION OF WORK: REISSUANCE OF EXPIRED PERMTI D12-136. REROOF: REPLACE ANY DAMAGED OR DRYRO1 hi) 2X6 T&G WOOD DECKING, INSTALLATION OF 2 LAYERS OF JM BASE SHEET, INSTALL LAYER OF JM APP APPEX GRANULATED MODIFIED BITUMEN, FLASHINGS UP WALL AND ACROSS TOP FOR WATERTIGHT SEAL, ETC. Value of Construction: $113,840.00 Type of Fire Protection: Type of Construction: Electrical Service Provided by: PUGET SOUND ENERGY Fees Collected: $798.20 International Building Code Edition: 2009 Occupancy per IBC: **continued on next page** doc: IBC -7/10 D13-099 Printed: 05-02-2013 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: N N Number: 0 Start Time: Volumes: Cut 0 c.y. Start Time: Sanitary Side Sewer: Sewer Main Extension: Private: Storm Drainage: Street Use: Profit: N Water Main Extension: Private: Water Meter: N Permit Center Authorized Signature: Date: Size (Inches): 0 End Time: Fill 0 c.y. End Time: Public: Non -Profit: N Public: I hereby certify that I have read and e : d this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied hether specified herein or not. The granting of this permit does not preT- to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this pe Signature: 441C /A Print Name: 7l-% b r -V lV Date: 5/21/3 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: 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. 6: Manufacturers installation instructions shall be available on the job site at the time of inspection. doc: IBC -7/10 D13-099 Printed: 05-02-2013 7: Prior to final inspection for this buildingnit, a copy of the roof membrane manufact> warranty 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 D13-099 Printed: 05-02-2013 • CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. y Project No. Date Application Accepted: Date Application Expires: (For office use only) CONSTRUCTION PERMIT APPLICATION 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: /5440 /V e.&7,1 /1 /lf//_ Tenant Name: it%/il/t/ Paf er 7/9 King Co Assessor's Tax No.: Suite Number: New Tenant: PROPERTY OWNER Name: A, .I A) Le f re Address: Name: &,,uiei- iota e,4 6 . Email: G/'toelde Q/4f4/er - eie,-.CMii Address: /5-660 �„ c/ /, /j� City: 7,,(-j1/4 State: Wil 1/"il Zip:/ .iC"ti CONTACT PERSON - person receiving all project communication Name: A, .I A) Le f re Address: City: ju/'. /,`. /l / State: Zip:q� t Phone:: 42.5-_U 7- red" -' - ZZ 7 -9/3 'o Email: G/'toelde Q/4f4/er - eie,-.CMii GENERAL CONTRACTOR INFORMATION Company Name: em4 n> `TSG Address: /z Zb 37 t6 5/ /v, /bu City: ./fu /_ rAi State: ZipIlef Phone: Z87 /5 Fax: 253 _g757_ fs-6/ Cont g o.: Exp Date:/ Tuk la Business License No.: H:\Ap Revis : August _ 1 bh JIB �.1 ver T 60.74//W OA° 14 11731A i tela 'o i io On Line 1�1 ationslPennit p sel- 8-9-11.docx Floor: 0 Yes ❑ ..No ARCHITECT OF RECORD Name: Address: Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: Address: Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: Address: City: State: Zip: Page 1 of 4 BUILDING PERMIT INFORMATIO`I — 206-431-3670 Valuation of Project (contractor's bid price): $ /43/ MO( (!)c7 Describe the scope of work (please provide detailed information): S q /M cJed Spe c(ca X/e-i15 Will there be new rack storage? ❑ Yes Existing Building Valuation: $ ❑.. 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: 0 Sprinklers 0 Automatic Fire Alarm 0 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 0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line\201 I Applications\Permit Application Revised - 8-9-I 1.docx Revised: August 2011 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 151 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: 0 Sprinklers 0 Automatic Fire Alarm 0 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 0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line\201 I Applications\Permit Application Revised - 8-9-I 1.docx Revised: August 2011 bh Page 2 of 4 PERMIT APPLICATION NOTES — 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. 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). 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING Signature Print Na NER`OI�,A.�THORIZED AGENT: ,Tn1 ✓. 7�s-w s Mailing Address: /2ZO 37 .9. /V!� Date: 3/25//3 Day Telephone: 2 S.; --— /SID Irk) 9 ebt City H:\Apphcations\Forms-Applications On Line \2011 Applicatrons\Permit Application Revised - 8-9-1 I.docx Revised: August 2011 bh State Zip Page 4 of 4 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.: 0005800023 Address: 15660 NELSON PL TUKW Suite No: Applicant: RAINIER RUBBER RECEIPT Permit Number: 1)13-099 Status: PENDING Applied Date: 03/25/2013 Issue Date: Receipt No.: R13-01126 Payment Amount: $798.20 Initials: WER Payment Date: 03/25/2013 02:02 PM User ID: 1655 Balance: $0.00 Payee: JIM DAVIS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 043868 ACCOUNT ITEM LIST: Description 798.20 Account Code Current Pmts BUILDING - NONRES STATE BUILDING SURCHARGE 000.322.100 793.70 640.237.114 4.50 Total: $798.20 Dr,n+e,l. INSPECTION RECORD Retain a copy with permit INSPECTI+N NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project:Type of Inspection: Address: \ 4)(.60 tJ-oiSe„,.} Q. c. Date Called: Special Instructions: Date Wanted:a.m. 10 /1 I 1 �p_m. Requester: 1€1f (; Phone No: Ipproved per applicable codes. QCorrections required prior to approval. COMMENTS: C) GJ v.tAkA- re6;e /eJ• e r w -4 �I %. 1€1f (; ,UA CA -A. EIN PECTION FEE REQUIRED. Prior, next inspection, fee must be p i at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: I0 2 - INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Projest: A) c•J I F 2 -2113691/ Type of inspection: 1-- i til l L - a,t-R nti;,\?(, - >\J/' Address: I� C9(90 d�1FISON P!✓ Date Called: -1 IN/ t c6' PAotiJ 1.-ilko L,J t S L>.#‘ Y (! l Special Instructions: Date Wanted: C( 1 C1 -- I -3 p.m. Requester: Phone No: G OO �Otv—C17 f_%("'n Approved per applicable codes. ti Corrections required prior to approval. COMMENTS: , 1\ 0 (ki411^-�ti>rAekttil f - N Id, a,t-R nti;,\?(, - >\J/' Pd/2i/ AJ/4 -1 IN/ t c6' PAotiJ 1.-ilko L,J t S L>.#‘ Y (! l i t.'"3.1/ 10 -1----;34 ti ( C)11lt° (i.`1r,‘.a 1 c`..l s eee-n z OG -w T-1 efe sp or.:Ajk, aid at 6300 Southcenter�Blvd., Suite 100. Call to schedule reinspection. Dat EINSPECTION FEE R E'QUIRED. Prior to nex inspection, fee must 5e I� INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING IDIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Pro ect: A1NIksCZ. ku(..gEk Type of Inspection: w--1 a 1. Address: t 50(90 t.N c -Sates\ 'L Date Called: Special Instructions: Date Wanted: G ID' r3 m. Requester: Phone No: -‘7 Approved per applicable codes. D Corrections required prior to approval. COMMENTS: O t. N FEE REQUIRED. Prior to net inspection. fee must be Southcenter Blvd.. S ite 100. Call to schedule reinspection. Maintenance Program In order to continue the coverage of this Guarantee, the following Maintenance Program must be implemented and followed: 1. Building Owner must notify JM Guarantee Services Unit (see below) immediately upon discovery of the leak and in no event later than ten (10) days after initial discovery of the leak, time being of the essence. Failure of the Building Owner to provide timely notice to JM Guarantee Services of any leak is a material ground for termination of the Guarantee. 2. In response to timely notice, JM will arrange to inspect the Roofing System, and () If, in JM's sole and absolute opinion, the leak(s) is/are the responsibility of JM under this Guarantee (see Limitations and Exclusions), then JM will take prompt appropriate action to return the Roofing system to a watertight condition, or (ii) If, in JM's sole and absolute opinion. the leak(s) is/are not the responsibility of JM under this Guarantee, then JM will advise the Building Owner within a reasonable time of the minimum repairs that JM believes are required to retum the Roofing System to a watertight condition. If the Building Owner, at his expense, promptly and timely makes such repairs to the Roofing System (time being of the essence) then this Guarantee will remain in effect for the unexpired portion of its Term. Failure to make any of these repairs in a timely and reasonable fashion will void any further obligation of JM under this Guarantee as to the damaged portion of the Roofing System as well as any other areas of the Roofing System impacted by such failure. 3. In the event an emergency condition exists which requires immediate repair to avoid damage to the Building, its contents or occupants, then Building Owner may make reasonable, essential temporary repairs. JM will reimburse Building Owner for those reasonable repair expenses only to the extent such expenses would have been the responsibility of JM under the Guarantee. There are a number of items not covered by this Guarantee that are the sole, exclusive responsibility of the Building Owner. In order to ensure that your new roof will continue to perform its function and to continue JM's obligations under the Guarantee, you must examine and maintain these items on a regular basis: • Maintain a file for your records on this Roofing System, including, but not limited to, this Guarantee, invoices, and subsequent logs of all inspections performed and repairs that are made to the Roofing System. • Inspect your Roofing System at least semi-annually. This is best done in the spring, after the Roofing System has been exposed to the harsh winter conditions, and, in the Fall after a long hot summer. It is also a good idea to examine the Roofing System for damage after severe weather conditions such as hailstorms. heavy rains, high winds, etc. • Since these types of Roofing Systems typically have a low slope, they are easily examined. However, care must be taken to prevent falling and other accidents. JM expressly disclaims and assumes no liability for any inspections performed on the Roofing System. When checking the Roofing System: • Remove any debris such as leaves, small branches, dirt, rocks, etc. that have accumulated. • Clean gutters, down spouts, drains and the surrounding areas. Make certain they allow water to flow o0 the Roofing System. Positive drainage is essential. • Examine all metal flashings and valleys for rust and damage that may have been caused by wind or traffic on the Roofing System, and make certain they are well attached and sealed. Any damaged, loose, or poorly sealed materials must be repaired by a JM Approved Roofing Contractor only. • Examine the areas that abut the Roofing System. Damaged masonry, poorly mounted counter flashing, loose caulking, bad mortar joints, and any loose stone or tile coping can appear to be a membrane leak. Have these items repaired by a JM Approved Roofing Contractor if found to be detective. • Examine the edges of the Roofing System. Wnd damage often occurs in these areas. Materials that have been lifted by the wind need to be corrected by a JM Approved Roofing Contractor. • Examine any roof top equipment such as air conditioners, evaporative coolers, antennas, etc. Make certain they do not move excessively or cause a roof problem by leaking materials onto the Roofing System. • Check the building exterior for settlement or movement. Structural movement can cause cracks and other problems which in tum may lead to leaks in your Roofing System. • Examine protective coatings; any cracked, flaking, or blistered areas must be recoated. Protecting your investment: • Avoid unnecessary roof top traffic. • If you allow equipment servicemen to go onto the Roofing System, advise them to be careful. Dropped tools, heavy equipment, etc. can damage the membrane. Log all such trips to the Roofing System. • Do not allow service personnel to make penetrations into the Roofing System; these are to be made only by a JM Approved Roofing Contractor. All the terms and conditions of this Guarantee shall be construed under the intemal law of the state of Colorado without regard to its conflicts of law principles. Invalidity or unenforceability of any provisions herein shall not affect the validity or enforceability of any other provision which shall remain in lull force and effect to the extent the main intent of the document is preserved. This form is not to be copied or reproduced in any manner. This Guarantee is valid only in the United States of America. Guarantee Services (800) 922-5922 E-mail: gsu©jm.com www.lm.com/roolnq Mailing Address: Johns Manville Guarantee Services P.O. Box 625001 Littleton, CO 80162-5001 Shipping Address: Johns Manville Guarantee Services 10100 West Ute Avenue Littleton, CO 80127 Johns Manville Building Owner: Rainier Rubber Company 15660 Nelson Place S Seattle, WA 98188 Building Name: Rainier Rubber Company 15660 Nelson Place S Seattle, WA 98188 Approved Roofing Contractor: Cobra Building Envelope Contractors -Spokane, WA PO Box 19068 Spokane, WA 99219 Peak Advantage Guarantee PEAK r , JermoMooviae ADV4NT4(3E Guarantee Number: BNA157193758 Expiration Date: May 7, 2027 Job Name: Rainier Rubber Date of Completion: May 7, 2012 Terms 8 Maximum Monetary Obligation to Maintain a Watertight Roofing System. Years: 15 Year $ No Dollar Limit — Coverage: The components of the Roofing System covered by this Guarantee are: Total Squares: 274 Sec. Sqs. Roof Type Membrane Insulation Type Spec. Layer 1 Layer 2 Layer 3 1 274 APP 1 2PNN-HW Not Applicable Cover Board Not Applicable Accessories: Type Expand -O -Flash (1) Style: Expand -O -Flash (2) Style: Expand -O -Flash (3) Style: Drains (1) Style: Drains (2) Style: Vents Style: Fascia Style: Copings Style: Gravel Stop Style: Product Name Qu nttty lin. ft. lin. ft. lin. ft. ea. ea. ea. lin. ft. lin. ft. lin. ft. These Johns Manville Guaranteed components are referred to above as the 'Roofi g System' and ALL OTHER COMPONENTS OF THE OWNER'S BUILDING ARE EXCLUDED FROM THE TERMS OF THIS GUARANTEE, inducing any amendments thereto. Johns Manville' guarantees m the original Building Owner that during the Tenn commencing with the Date of Completion (as defined above), JM will pay for the materials and labor reasonably requ'sed in Johns Manolle's sole and absolute dscration to repair the Roofing System to retum it to a watertght condton it leaks occur due to: ordnary wear end mar, or deficiencies in any or all of the Johns Manville component materials of the Roofing System, or workmanship deficiencies only to the extent they arise solely out of the application of the Roofing System. Non -leaking blisters are specifically excluded from coverage. Should any investigation or inspection reveal the cause of a reported leak to be outside Bre scope of coverage under this Guarantee, then el such nvestigation and inspection costs shall be home solely by the Bulking Owner. r. RECEIVED CITY OF TUKWILA C:,TG� PERMIT ft 41) ij 411 WHAT TO DO IF YOUR ROOF LEAKS If you should have a roof leak please refer to cirectons on the reverse side. Faihtre by the Bulking Owner to comply with any of the erections on the reverse side of this document will render the coverage provided under this Guarantee, inducing any applicable amendments endtor riders, null and void. LIMITATIONS AND EXCLUSIONS This Guarantee is not a maintenance agreement or an Insurance poky; therefore, routine inspections and maintenance are the Bulking Owners sole responsbiity (see reverse side of this dmanent). Faidae to fader the Maintenance Program on to reverse side of this document will void dm Guarantee in its entrey. This Guarantee does not obligate JM to repair Cl replace to Roofing System, or any part of the Roofing System, lar leaks or appearance issues resulting, in whole or in part, from one or more of to following (a) natural disasters inducing but not limited to the direct m indirect effect of lightning, flood, had slam, earthquake, tonados, hurricanes or other extreordnary natural occurrences and/or red speeds in excess of 55 riles per hour, (b) misuse, abuse, neglect or negligence; (c) installation or material 105083 other than Lace invoking the component materials expressy defined above as the Roofing System or ehposure of the Roofing System canparents to damaging sdutances such as dl, lertdizers, or solvents or to damaging mhdtians such as vermin; (d) any and all (1 changes, alterations, repairs to the Roofing System, including, but not united to, structures, penetrations, f&tures or utilities (inducing vegetative and solar overlays) based upon or through to Roofing System as well as any (5) changes to to Building's usage that are not preapproved in wiling by JM; (e) failure of the Building substrate (mechanical, structural, or otherwise and whether resulting from Building movement design defects or other causes) or improper damage; (f) defects in or faulty/Improper design, specification construction or engineering of the Building or any area over which to Roofing System is installed; (g) defects in or faulydnprnper architectural, engineering or design flaws of the Roofing System or Builcing, including, but not limited to, design issues arising out of improper climate or building code compliance; or (h) in instances of e recover project Johns Manville is not responsible for the performance of pre-existing materials that predated to recover. Instead, Johns Manville's sole responsibility in recover systems where JM materials are adhered to existing materials is limited to the instated recover JM Roofing materials up to to wind speed listed harem. Guarantee coverage is lnited to replacing recover JM Roofing materials only (and not the preexisting materials - which is to Owners responsibility) as required to return the roofing system to a watertight condition due to a claim covered under to tams and conditions herein. Johns Manville is not responsible for leaks, injuries or damages resetting from any water enby from any porton of the Buikfmg structure nota part of the Roofing System, inducing, but not united to, deterioration of the roofing substrate, walls, mortar joints, HVAC units and all otter ran -Johns Manville materials and metal components. Moreanrer, the Building Owner is solely and absolutely responsble for any removal and/or replacement of any overburdens, super -strata or overlays, in any form whatsoever, as reasonably necessary to expose the Roofing System for inspection ardor repair. This Guarantee becomes effective when (1) it is delivered to Owner, and (2) at bills for installation, materials, and services have been pad to hu to to Approved Roofing contractor and to JM. Until that time, this Guarantee is not in farce, has no effect -and JM is under no obligation whatsoever to perform any senicesAvork. The Parties agree that any controversy or claims relating to this Guarantee shad be first sobrtited to rnedatbn under the Construction Industry Arbttratim and Meciation Rules of to American Arbitration Association (Regular Track Procedures) or to such other neciaton arrangement as the parties mutely agree. No cart or other irdxaal shad have jurisdiction until the sedation is completed. In any action or proceedng brought against the Braking Owner to enbrce this Guarantee or 10 ceded costs due hereunder, Johns Manville shall be entitled to recover its reasonable costs, expenses and fees (ndodng expert witness' fees) incurred in any such action or proceeding, inducing, *trout limitation, attorneys' fees and expenses, and to Buddrrg Owner shad pay it TO THE FULLEST EXTENT PERMITTED BY LAW, JM DISCLAIMS ANY IMPLIED WARRANTY, INCLUDING THE WARRANTY OF MERCHANTABILITY AND THE WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE, AND LIMITS SUCH WARRANTY TO THE DURATION AND TO THE EXTENT OF THE EXPRESS WARRANTY CONTAINED IN THIS GUARANTEE. THE EXCLUSIVE RESPONSIBILITY AND LIABILITY OF JM UNDER THIS GUARANTEE IS TO MAKE REPAIRS NECESSARY TO MAINTAIN THE ROOFING SYSTEM IN A WATERTIGHT CONDITION IN ACCORDANCE WITH THE OBLIGATIONS OF JM UNDER THIS GUARANTEE. JM AND ITS AFFILIATES WILL NOT BE LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES TO THE BUILDING STRUCTURE (UPON WHICH THE ROOFING SYSTEM IS AFFIXED) OR ITS CONTENTS AND OR OCCUPANTS, LOSS OF TIME OR PROFITS OR ANY INCONVENIENCE, INJURY. JM SHALL NOT BE LIABLE FOR ANY CLAIM MADE AGAINST THE BUILDING OWNER BY ANY THIRD PARTY AND THE BUILDING OWNER SHALL INDEMNIFY AND DEFEND JM AGAINST ANY CLAIM BROUGHT BY ANY THIRD PARTY AGAINST JM RELATING TO OR ARISING OUT OF THE ROOFING SYSTEM OR JM'S OBLIGATIONS UNDER THIS GUARANTEE. JM AND ITS AFFILIATES SHALL NOT BE UABLE FOR ANY DAMAGES WHICH ARE BASED UPON NEGLIGENCE, BREACH OF WARRANTY, STRICT LIABILITY OR ANY OTHER THEORY OF LIABILITY OTHER THAN THE EXCLUSIVE LIABILITY SET FORTH IN THIS GUARANTEE. THIS GUARANTEE DOES NOT COVER, AND EXPLICITLY EXCLUDES, ANY AND ALL INJURIES, CLAIMS AND/OR DAMAGES RESULTING, IN WHOLE OR IN PART, FROM ANY WATER ENTRY FROM ANY PORTION OF THE BUILDING STRUCTURE INCLUDING, BUT NOT LIMITED T0, THE ROOFING SYSTEM. No one is authorized to change, alter, or modify the provision of this Guarantee other than to Manager, Guarantee Services or authorized delegate. JM's delay or failure in enforcing the terms and concitions contained in this Guarantee shall not operate as a waiver of such terms and conditions. This Guarantee is solely for the benefit of the Building Owner identified above and Bulling Owners rights hereunder are not assignable. Upon sale or otter transfer of the Bulking, Bulldog Owner may request transfer of this Guarantee to the new owner, and JM may transfer this Guarantee, in its sole and absolute discretion any after receiving satisfactory information and payment of a transfer fee, which must be paid no later than 30 days after the date of Bullring ovmersdlp transfer. In the event JM pays for repairs which are required due to the acs or omissions of others, JM shall be subrogated to all rights of recovery of the Bulking Owner to the extort of the amount of the repairs. Because JM does not practice Engineering or Architecture, neither the issuance of this Guarantee nor any renew of the Bhcidne's construction or inspection of roof plans (or the Building's roof deck) by JM representatives shad constitute ary warranty by JM of such plans, specifications, and construction or in any wry constitute an extension of the terms and carillons of this Guarantee. Any roof inspections are solely for the benefit of JM. JM dos not spervise nor is it responsible for emoting contractors work except to the extent stated herein, and roofing contractors are not agents of JM. 'JOHNS MANVILLE ('JM1 is a Delaware corporation with is principal mane addess at P.O. Box 5108, Denver, Colorado 802175108. By: Robert Wambddt Tits: Vice President a General Manager Roofing Systems Group Larry Tate Attorney -in -Fact Addendum(s) - None - Page l: of 2 August 10, 2011 I REVIEWED FOR CODE COMPLIANCE APPROVED APR 0 9 2013 City of u wila BUILDING !SION Clayton LeFevre Rainier Rubber Company 15660 Nelson Place South Seattle, WA 98188 RE: Re -roof Project @ Address Listed Above COQ Building Envelope Contractors LE COPY Penni No. Di b1 Pian review approval I8 subject to errors and Wok* le Approval of construction documents does not authorizi the violation of any adopted code or ordnance. Receip of app ap4 coalitions f8 acknowledged 4 0 City Of 1Ukwila BUILDING DIVISION Cobra Building Envelope Contractors is pleased to present to you our proposal for the Rainier Rubber Company located at 15660 Nelson Place South, Seattle, WA 98188. General Specifications: • Provide a safe worksite per industry codes and standards. • 7 Provide necessary permits required for work specified below. • Maintain a clean and orderly job -site and dispose of roof related debris on a daily basis. • Provide manufactures 15 -year labor and material warranty. Re -roof Specifications: • We will sweep and remove all dirt and debris from the existing roofing SEPARATE PERMIT REQUIRED FOR: Mechanical Electrical ,f5 Plumbing Gas Piping City of Tukwila BUILDING DIVISION • We will remove and dispose of the perimeter sheet metal coping cap, scuppers, and collector heads • We will remove enough roofing away to perform necessary repairs to damaged wood decking.. •: Over the existing roof we will furnish and install a layer of %2" perlite roof board mechanically attached into the wood decicing. • Over the wood fiber board we will furnish and install a JM (Johns Manville) base sheet which will be mechanically attached using plates and screws to the wood decking Over the base sheet we will furnish and install a layer of JM APP granulated modified bitumen which will be heated and fully adhered to the base sheet. • At all short parapet walls we will furnish and install new JM APP granulated APP modified bitumen base flashings which will run up the wall and across the top for a complete watertight seal. • We will furnish and install new 24 -gauge through wall scuppers and tie them in to the new roof system. • We will furnish and install new 24 -gauge pre -painted collection head boxes which we will install into the existing downspouts. • At the top of parapet walls we will furnish and install new 24 -gauge pre -painted metal coping cap complete with a standing seam detail incorporated at each joint. • At each soil pipe penetration we will furnish and install new lead pipe jacks complete with lead caps. • At each curbed penetration we will furnish and install new granulated APP modified bitumen base flashings which will be sealed and terminated at the top. • Upon completion we will remove and dispose of all job -site related debris. Total cost to perform specifications as outlined above: $81,360.00 •• Wood Deck Repairs: • We will replace any damaged or dry rotted 2x6 T&G wood decking at a rate of $3.65 per lineal foot. Eastern, WA - Cobra Building Envelope Contactors — P.O. Box 19068, Spokane, WA 99219 — (509) 455-4043 — (509) 455-4594 fax Western, WA - Cobra Building Envelope Contactors —1220 37th St NW, A-106, Auburn, WA 98001— (253) 887-1500 — (253) 887-1501 fax Cobraiesults.com — info@cobraresults.com REVISIONS No changes shall be made to the supe of r:ork without prior approval of i ukwi!a Building Division. rlOT : r::vislons will require a new plan submittal and may include additional plan review fees. RECEIVED CITY OF TUKWILA MAR 2 5 2013 PERMIT CENTER Page 2 of 2 COQ Building Envelope Contractors Option 1: We will tear off and dispose of the existing roofing for the additional cost of: $32,480.00 Note: This assembly only qualifies for a 15 -year manufactures warranty. Since this assembly weighs approximately 450#'s per 100 square feet the city may require existing roofmg to be removed or require a certification from structural engineer indicating that the existing deck construction is capable of accepting the additional weight. The JM 60 -mil PVC will only add about 100#'s per square foot as a comparison. Exclusions: Our proposal excludes scopes other than listed above. Cobra Building Envelope Contractors shall only extend its workmanship warranty obligation if repairs are necessary due to our sole negligence. Unit pricing and change order modifications shall be mutually negotiated between Cobra Roofing Services and facilities manager. Terms and Conditions: Proposal subject to mutually agreement of final construction schedule. All activities proposed herein, to be performed continuously and substantially without interruption caused by owner or contractor for each phase of work. Except as specifically offered otherwise, this quotation is based on using standard products and materials currently available from the acceptable manufacturer which meet or exceed the specified requirements in standard gauges, colors and finishes. Conflicts arising between design requirements in the contract documents and those of the acceptable manufacturer shall be resolved in favor of the manufacturer's standard system requirements. This proposal is based upon areas to be suitable for any work to be performed within the scope of this quotation. Suitable access to be provided for equipment, materials storage, and hoisting. Additional charges may apply in the event of remote materials staging or infringed access to work areas. Provisions for encountering asbestos material or lead based paint are not in our proposal. This price proposal is based on 40 hour work weeks with no overtime. All overtime is at a time and one-half rate except for Holidays, Sundays; work weeks over 60 hours per week or over 10 hours per day which the rate is double time. We appreciate the opportunity to be of service, and look forward to a mutually beneficial project. Respectfully, Cobra Building Envelope Contractors Jim D Davis Project Manager/Estimator P: 253-887-1500 C: 206-979-7600 F: 253-887-1501 REVIEWED FOR CODE COMPLIANCE APPROVED APR 0 9 2013 City of Tukwila BUILDING DIVISION Eastern, WA - Cobra Building Envelope Contractors — P.O. Box 19068, Spokane, WA 99219 — (509) 455-4043 — (509) 455-4594 fax Westem, WA - Cobra Building Envelope Contractors —1220 37th St NW, A-106, Auburn, WA 98001— (253) 887-1500 — (253) 887-1501 fax Cobraresults.com — info@cobraresults.com RECEIVED CITY OF TUKWILA MAR 2 5 2013 PERMIT CENTER ROOF. COVERING MATERIALS (TEVT) Roofing Systems . (TGFU)-Continued Ply Sheet (Optional): "APPeX 4S", "APPeX 5S", "APPeX 180", "Dibiten Poly/4", "Dibiten Poly/5", heat fused. Membrane: "APPeX 4.5M FR", "Tricor M FR", "Dibiten Poly 4.5 FR", heat fused. 31. Deck: C-15/32 Incline: 1/2 Insulation: "ISO 3", "ENRGY 3", "Fesco Foam" or any UL Classified polyisocyanurate, polyisocyanurate/perlite composite, 2 in. thick min, joints in insulation offset 6 in. with joints in deck. Base Sheet: "PermaPly 28" or "GlasBase" (Type G2). Membrane: "APPeX 5S", "APPeX 4S", "Bicor 5", "Tricor S", " APPeX 4.5M", "Roof Defender APP Cap Sheet", "APPeX 4:5M FR", "APPeX 180", "Dibiten Poly/4", "Dibiten Poly/5", "Dibiten Poly/4.5 Granular", "Dib- iten Poly 4.5 FR", heat fused. • - Coating: Grundy "20 F Asphalt Emulsion", 3 gal/sq or "Fibrated Topgard Type B", 3 gal/sq. Surfacing: Roofing granules, 60 lbs/sq. ' 32: Deck: C-15/32 .. Incline: 1/2 Insulation: "ISO 3", "ENRGY 3" or any UL Classified polyisocyanu- rate, 1.5 in. min, joints in insulation offset 6 in. with joints in deck. Insulation: "Fesco" or "DuraBoard", "Retro -Fit Board", "Fiber Glass Roof Insulation" or ' any UL Classified wood fiber, glass fiber or perlite, 1/2 in. min. Base Sheet: Two plies "PermaPly 28" or "GlasBase" (Type G2). Membrane: "APPeX 5S", "APPeX 4S", 'Bicor S", "Tricor S", "APPeX 4.5M", "Roof Defender APP Cap Sheet", "APPeX 4.5M FR", "APPeX 180", "Dibiten Poly/4", "Dibiten Poly/5", "Dibiten Poly/4.5 Granular", "Dib- iten Poly 4.5 FR", heat fused. Coating: Grundy "20 F Asphalt Emulsion", 3 gal/sq or "Fibrated Topgard Type B", 3 gal/sq. . Surfacing: Roofing granules, 60 lbs/sq. 33. Deck: NC • Incline: 1 Insulation: "DuraBoard", "Fesco" or "DuraBoard", "Retro -Fit Board", "Fesco Foam", "ENRGY 3", "Fiber Glass Roof Insulation" or any UL Classified polyisocyanurate, urethane, perlite/urethane composite, perlite/polyisocyanurate composite, glass fiber, perlite or wood fiber, any thickness or polystyrene (any thickness) covered with 1/2 in. min perlite. Base Sheet: Type G2 or "APP Base". Membrane: "APPeX 5S", "APPeX 4S", "Bicor S", '"Tricor S", "APPeX 180", "Dibiten Poly/4", "Dibiten Poly/5", heat fused. Surfacing: Henry "307", 2-3 gal/sq. 34: Deck: NC 0 Incline: 1/2 Insulation (Optional): "DuraBoard", "Fesco" or "DuraBoard", "Retro- • - Fit Board", "Fesco Foam", "ISO 3", "ENRGY 3", "Fiber Glass Roof Insulation" or any UL Classified polyisocyanurate, urethane, perlite/ urethane composite, perlite/polyisocyanurate composite, glass fiber, perlite or wood fiber, any thickness or polystrene (any thickness) covered with 1/2 in. min. perlite. . . Base Sheet: Type G2 or "APP Base". Membrane: "APPeX 5S", "APPeX 4S", "Bicor S", '"Tricor S", "APPeX 4.5M", 'Roof Defender APP Cap Sheet", "APPeX 4.5M FR", "APPeX 180", "Dibiten Poly/4", "Dibiten Poly/5", "Dibiten Poly/4.5 Granular", "Dib- iten Poly 4.5 FR", heat fused. Surfacing: Grundy "20F -AF" at 3 gal/sq. X35. Deck: NC . Incline: 1 Insulation (Optional): Any thickness, one or more layers UL Classified perlite, wood fiber, glass fiber, polyisocyanurate, polyisocyanurate/ composite, EPS/wood fiber; EPS/perlite, EPS/composite or Partek Insu- lation "PAROC" roof insulation. Base Sheet: One or more layers UL Classified Type G1 or G2 or one ply "APP Base". Membrane: One or more layers "APPeX 180", "APPeX 4S", "APPeX 4.5M", "Roof Defender APP Cap Sheet", . "APPeX 4.5M FR", "Bicor S", "Tricor S", "APPex 5S""Dibiten Poly/4", "Dibiten Poly/5", "Dibiten Poly/4.5 Granular", "Dibiten Poly 4.5 FR", "Dibiten Poly 4.5 FR", heat fused. Surfacing: Fields "F530 Heat Shield Aluminum Coating" or "F630 Heat . Shield Fibered Aluminum Coating", 1-1/2 gal/sq. 36.. Deck: NC Incline: 1 Insulation: Polyisocyanurate Insulation, any thickness. Base Sheet: One or more plies APP Base Sheet, applied in "MR Cold Application Adhesive" at 1-2 gal/sq. Membrane: "Tricore MFR" or "Bicore MFR", (modified bitumen), applied in MBR Cold Application Ahesive at 1-2 gal/sq. - -. -- - . MEV . -...v •••1111••%, 1 WI 1 1 ROOF COVERING MATERIALS (TEVT) 283 Roofing Systems (TGFU)-Continued 37. Deck: C-15/32 Incline: 1/2 Insulation (Optional): One or more layers 1/2 in. "Retro -Fit", "Fesco" or "DuraBoard", "Fesco-Foam", "Fiber -Glass Roof Insulation" or 2 in. min thickness of "ENRGY 3" insulation, mechanically fastened or adhered with "MBR Cold Application Adhesive". All insulation joints offset from plywood deck joints, 6 in. min. Base Sheet: Two or more plies G2, "PermaPly 28", "GlasBase", mechanically fastened or hot mopped. Membrane: "Tricore MFR" or "Bicore MFR", (modified bitumen), heat - -� 38. Deck: C-15/32 Incline: 1/2 Insulation (Optional): One or more layers 1/2 in. "Retro -Fit", "Fesco" or "DuraBoard",'Besco-Foam ", "Fiber -Glass Roof Insulation" or 2 in. min thickness of "ENRGY 3" insulation, mechanically fastened or adhered with "MBR Cold Application Adhesive". All insulation joints offset from plywood deck joints, 6 in. min. Base Sheet: Two plies Type G2, "PermaPly 28", "GlasBase" or "Dibi- Glass Base", mechanically fastened or hot mopped. Membrane: "APPex 4.5M FR", "Dibiten Poly 4.5 FR", (modified bitu- , heat welded. - ec �2 Insulation: "ENRGY 3" insulation, 2.3 in. thick, mechanically fastened. Insulation: 1/2 in. "Retro -Fit Board", mechanically fastened. Ply Sheet: Two or more plies "GlasPly 4", hot mopped. Membrane: One or more plies "APPex 4.5 M", heat applied. Coating: Karnak "#97", 1-1/2 gal/sq. 40. Deck: NC Incline: 1/2 Base Sheet: One ply "Ventsulation", hot mopped. • Insulation: "ENRGY 3" insulation, 3 in. thick, mechanically fastened. Insulation: 1/2 in. "Retro -Fit Board", mechanically fastened. Ply Sheet: Two or more plies "GlasPly 4", hot mopped. Base Sheet: "JM APP Base", heat applied. Membrane: One or more plies "APPex 4.5M FR", "Dibiten Poly 4.5 FR", heat applied. Class B 1. Deck: C-15/32 Incline: 1/4 Insulation: "Fiber Glass Roof Insulation", 1-1 /2 in. or any UL Classified glass fiber, 1-1/2 in. Base Sheet: Type G2, "GlasBase". Membrane: "APPeX 4S", " APPeX 4.5M", "Roof Defender APP Cap Sheet", "APPeX 4.5M FR", "Bicor 5","Tricor S", "APPex 5S", "APPeX 180", "Dibiten Poly/4", "Dibiten Poly/5". "Dibiten Poly/4.5 Granular", "Dib- iten Poly 4.5 FR". Surfacing: Karnak "Karnak No. 97 Fibrated Aluminum Asphalt Roof Coating" or "Karnak No. 97 AF Aluminum Roof Coating" at 2 gal/sq. 2. Deck: NC Incline: 4 Insulation (Optional): "DuraBoard", "Fesco" or "DuraBoard", "Fiber Glass Roof Insulation" or any UL Classified perlite, wood fiber or glass fiber, any combination, any thickness or polystyrene (any thickness) covered with 1/2 in. min perlite. Base. Sheet (Optional): Type G2 or "APP Base". Membrane: "APPeX 5S", "APPeX 4S", "Bicor S"; "Tricor 5", "APPeX 4.5M", "Roof Defender APP Cap Sheet", "APPeX 4.5M FR", "APPeX 180", "Dibiten Poly/4", "Dibiten Poly/5", "Dibiten Poly/4.5 Granular", "Dib- iten Poly 4.5 FR", heat fused. Coating: "Fibrated Topgard Type B", 3 gal/sq. Surfacing: Roofing granules, 60 lbs/sq. 3. Deck: C-15/32 Incline: 1/4 Base Sheet: Two plies "PermaPly 28"F "GlasBase" (Type G2). Membrane: "APPeX 5S", "APPeX 4S'; 'Bicor S", "Tricor S", "APPeX 4.5M", "Roof Defender APP Cap Sheet","APPeX 4.5M FR", "APPeX 180", "Dibiten Poly/4", "Dibiten Poly/5", "Dibiten Poly/4.5 Granular", "Dib- iten Poly 4.5 FR", heat fused. Surfacing: Grundy "al MB Aluminum Roof Coating", 2-3 gal/sq or Monsey "Pro Grade Aluminum Roof Coating", 2 gal/sq. 4. Deck: C-15/32 in. Incline: 1/2 Base Sheet: One or more plies "PermaPly 28" or "GlasBase" (Type G2). Membrane: "APPeX 4S", "APPeX 4.5M", "Roof Defender APP Cap Sheet", "APPeX 4.5M FR", "Bicor S", "Tricor S", "APPeX 180", "Dibiten Poly/4", "Dibiten Poly/5", "Dibiten Poly/4.5 Granular", "Dibiten Poly 4.5 FR", torched in place. Surfacing: Karnak "No. 97 AF Aluminum Roof Coating" or "No. 97 Fibered Aluminum Roof Coating", 1-1/2 to 2 gal per sq. 5. Deck: C-15/32 in. Incline: 1/2 ... LOOK. FOR THE UL MARK ON PRODUCT REVIEWED CODE COMPLIANCE APPROVED APR 0 9 2013 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWIL.A MAR 2 5 2013 PERMIT CENTER COQ 1116SIIIIIIIIIIIIF BUILDING ENVELOPE CONTRACTORS REVIEWED FOR CODE COMPLIANCE APPRIVED APR 0 9 2013 City of Tukwila BUILDING DIVISION PROJECT DESCRIPTION PAGE: Righweie 4 4ex /5c4O Ne/ ! ` 7f' ills r DATE: BY: I • I Eastern WA - Cobra BEC, Inc. - P.O. Box 19068, Spokane, WA 99219-9068 - (509) 455-4043 - (509) 455-4594 fax Western WA - Cobra BEC, Inc. - 1220 -37th ST NW, Suite A-106, Auburn, WA 98001-2433 - (253) 887-1500 • (253) 887-1501 fax wa:-.cobraresults.com RECEIVED CITY OF TUKtnd IL.A MAR 2 5 2013 PERMIT CENTER I REVIEWED FOR CODE COMPLIANCE APPROVED APR 0 9 2013 City of Tukwila BUILDING DIVISION b\3,soc/ci 471.6 cobv KWILA MAR 2 5 2013 PERMIT CENTER 09-03-2013 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace. Director JIM D DAVIS 1220 37 ST NW, BLDG A STE 106 AUBURN WA 98001 RE: Permit No. D13-099 RAINIER RUBBER 15660 NELSON PL TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 10/29/2013. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or fmal inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 10/29/2013, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. D13-099 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fav 206-431-3665 • • ,InAT CO D COPY PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: D13-099 PROJECT NAME: RAINIER RUBBER SITE ADDRESS: 15660 NELSON PL X Original Plan Submittal Response to Correction Letter # DATE: 03-25-13 Response to Incomplete Letter # Revision # After Permit Issued DEPATMEE TS9 ,oL,1 ffVV 1/ Btail�ing Division Fire Prevention Planning Division Public Works ❑ Structural ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 03-26-13 Complete Incomplete ❑ Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: TUES/THURS ROUTING: Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: n APPROVALS OR CORRECTIONS: DUE DATE: 04-23-13 Approved ❑ Approved with Conditions V Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: Documents/routing slip.doc 2-28-02 Contractors or Tradespeople ter Friendly Page General/Specialty Contractor A business registered as a construction contractor with LEI 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 Phone Address Suite/Apt. City State Zip County Business Type Parent Company COBRA BEC INC 5094554043 Po Box 19068 Spokane WA 99219 Spokane Corporation UBI No. 600495094 Status Active License No. COBRABI906J6 License Type Construction Contractor Effective Date 4/26/2010 Expiration Date 5/14/2015 Suspend Date Specialty 1 General Specialty 2 Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ROOFTSR894RR ROOFTOP SNOW REMOVAL LLC Construction Contractor General Unused 12/27/2011 12/27/2013 Active BASSECI890R0 BASSETT CONSTRUCTION INC Construction Contractor Siding Unused 12/16/2011 12/16/2013 Active LYDIGDJ906QP LYDIG + DIX A JOINT VENTURE Construction Contractor General Unused 11/17/2010 11/17/2014 Active DIXCO''213KJ DIX CORPORATION Construction Contractor General Unused 5/11/1979 5/12/2013 Active COBRAC'1710RCOBRA CORPORATION Construction Contractor General Unused 9/19/1983 5/1/1999 Archived DIXST"372ND DIX STEEL CO Construction Contractor General Unused 8/20/1963 7/4/1980 Archived ACONDL'941B6 ACONDO LLC Construction Contractor General Unused 2/16/2006 3/12/2010 Expired COBRARS0112P COBRA ROOFING SERVICES INC Construction Contractor General Unused 5/17/1999 5/14/2011 Inactive Business Owner Information Name Role Effective Date Expiration Date DIX, PETER MICHAEL President 04/26/2010 Amount COLLINS, DANNY C Secretary 04/26/2010 4027173675 NUSS, AARON W Treasurer 04/26/2010 WEIRICH, JOHN Vice President 04/26/2010 Continental Insurance Co 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 2 LIBERTY MUTUAL INS CO 23010749 04/09/2010 Until Cancelled $12,000.00 04/26/2010 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 5 ValleyColForge Ins 4027173675 08/31/2012 08/31/2013 $1,000,000.00 08/23/2012 4 Continental Insurance Co 4027173675 08/31/2011 08/31/2012 $1,000,000.00 08/31/2011 3 CP03805047 08/31/2010 08/31/2012 $1,000,000.00 08/26/2011 httns://fortress.wa.gov/lni/bbin/Print.asnx 05/02/2013