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Permit D14-0143 - NORMED BUILDING - REROOF
NORMED BUILDING 4310 S 131 PL D14-0143 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.sov Parcel No: 7349200135 DEVELOPMENT PERMIT Permit Number: D14-0143 Address: 4310 S 131 PL Issue Date: 5/22/2014 Permit Expires On: 11/18/2014 Project Name: NORMED BUILDING Owner: Name: NORMED SHAW PTN Address: PO BOX 3644 , SEATTLE, WA, 98124 Contact Person: Name: LIESA KOLONICS Phone: (206) 242-8228 Address: PO BOX 3644 , SEATTLE, WA, 98124 Contractor: Name: TRISTATEROOFING Phone: (253) 922-2292 Address: 1901 CENTER ST, TACOMA, WA, 98409 License No: TRISTI*931QH Expiration Date: 11/8/2015 Lender: Name: NORMED SHAW PARTNERSHIP Address: PO BOX 3644 , SEATTLE, WA, 98124 DESCRIPTION OF WORK: RECOVER ROOF Project Valuation: $60,065.00 Type of Fire Protection: Sprinklers: Fire Alarm: Fees Collected: $1,874.24 Type of Construction: Occupancy per IBC: Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: 125,TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Volumes: Cut: 0 Fill: 0 Number: 0 No Permit Center Authorized Signature: Date: os(2-7. I hearby certify that I have read and ex min d this permit and know the same to be true and correct. All provisions of law and ordinances govern is work will be complied with, whether specified herein or not. The granting of this permit does not presume 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 permit. (P.V1. Kr/ tEn u Signature: Print Name: Lit e-zt IW 1 ern (C s Date: 151 This permit shall become null and void if the work is not commenced within 180 days for 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 PERMIT CONDITIONS*** 2: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 3: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 4: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 5: Prior to final inspection for this building permit, a copy of the roof membrane manufacturer's warranty certificate shall be provided to the building inspector. 6: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0103 PRE-REROOF CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Buridin Peer it N Project No Date • Appticatto Accet bails A tip i atiant Expire (For office ; us 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: J ` • ra i 5 ` l-t Tenant Name: King Co Assessor's Tax No.: Suite Number: New Tenant: PROPERTY OWNER Name: 1\C,G-i�] xLL—Pat' 1- Address: ? O exx &4L4 City: 3-ea-We e State: w y-\ Zip: clq CONTACT PER communictttion Name: L - C CCk C3 ►� �r� Address:? City:' .(c At:e State: v\i j Phone:op..d_4, <827Fax: 0.01, 331 Email: k k0�O Y\►C 5 bCOAC, • C-CI ((-1 RA, GENE L CONTRACTOR 11 4 NATION ,. Company Name: t(t�C�e ���C� ‘lt1 Address: Icy' G Curtc;4 citY:TaC. 0mo. state:wn Zip:q�g09 Phone: 253 _3b3 -s2, ax: 2_s 3 -' 3ia3 s Contr Reg No.:T Exp Date: '. 1 14 Tukwila Business License No.: `la y t U 1p 1 Floor: ❑ Yes g..No ARCHITECT OE"RECO1 Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDERI$OND greater per RC 1 Name: 1\1or 4) v IAS voy the ksiL;, Address: �. j x 3 LP C-G City: sled State: W Zip: CeZ 19,14 Pr.\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-I I.docx Revised, August 2011 bh Page 1 of 4 Valuation of Project (contractor's bid price): $ (PC; 0(05 Describe the scope of work (please provide detailed information): "ecbv-c X C-0c4 Will there be new rack storage? ❑ Yes l5' Floor Existing Building Valuation: $ 10.. No If yes, a separate permit and plan submittal will be required. Building Areas in Square rootage, Floor:, 314p1 Addition to Existing Structure Type of Construction per IBC Type of Occupancy per IBC 1 thru Basement Accessory Structure* Attached Garag De G Mt Carport e'd"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? 0 Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers 0 Automatic Fire Alarm ❑ None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes 0 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 current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11 docx Revised. August 2011 bh Page 2 of 4 L1.0 URXS "4l .101 Scope of Work (please provide detailed information): 6-4330179 Ca11 before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑...Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate 0 .. Highline ❑...Valley View ❑ .. Renton 0... Sewer Availability Provided 0 .. Renton 0 .. Seattle Septic System: ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) 0 .. Geotechnical Report ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) 0 .. Maintenance Agreement(s) Proposed Activities (mark boxes that apply): ❑ ...Right-of-way Use - Nonprofit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control 0 ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑...Traffic Impact Analysis ❑ ... Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Curb Cut 0 .. Pavement Cut ❑ .. Looped Fire Line ❑ ...Permanent Water Meter Size... WO # ❑ ...Temporary Water Meter Size .. WO # ❑ ...Water Only Meter Size WO # ❑ ...Sewer Main Extension Public 0 Private 0 0 ...Water Main Extension Public 0 Private 0 ❑ .. Grease Interceptor ❑ .. Channelization 0 .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 ...Water 0 ...Sewer 0 ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx Revised. August 2011 bh Page 3 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUT ORZZED AGENT: Signature: '1 c Print Name: L-(tSc- (Q 'i j( Mailing Address: • B»n 3644. Day Telephone: ec-t_44 City Date: UV-t-, (a State Zip H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-I l.docx Revised: August 2011 bh Page 4 of 4 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID D14-0143 Address: 4310 S 131 PL Apn: 7349200135 $1,874.24 DEVELOPMENT $1,819.25 PERMIT FEE R000.322.100.00.00 $1,099.85 PLAN CHECK FEE R000.345.830.00.00 $714.90 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $54.99 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2094 R000.322.900.04.00 $54.99 $1,874.24 Date Paid: Friday, May 09, 2014 Paid By: NORMED - SHAW PARTNERSHIP Pay Method: CHECK 2486 Printed: Friday, May 09, 2014 1:42 PM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit j)m-ott--15 IN 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: t `' Ve,toe, Type of Ins r ion L Adaes 10 ISI T - Date Called: C Special InstrutjoAs` Date Wan _ j 4 p.m. Requester: Phone No: `" 4.pproved per applicable codes. Corrections required prior to approval. f COMMENTS: REIf PECTION FEE REQUED. Prior to nebct inspection. fee must be paid t 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit TION N 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: Typ of Impaction: Addres S, 15)1 } l 3( iPE..Wante Date Called: SplInstructions: g,e)(b) bate �`�} a.m. 'tequester: ne No: 11:9(41....... 2. , y2:2,3 LJApproved per applicable codes. corrections required prior to approval. COMMENTS: 1 Aj Datti l REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: NO .,M d Type of Inspection: €— r. Address: Date Called: Special Instructions: Date Wanted: 10 -, 0a.m. Requester: Phone No: Approved per applicable codes.Corrections required prior to approval. COM ENTS: DaL. _l0 - f(2) PECTION FEE R WIRED. Prior toJnext inspection. fee must be at 6300 Southcenter Blvd., Suite 100. Call to, schedule reinspection. ERSICO ROOFING SYSTEMS CITY OF TIVEo AUG 082O14 PERMIT CENTER ROOFING SYSTEM WARRANTY System Warranty Revisions & Alterations Procedure Care & Maintenance Instructions Versleo PO Box 1289 Carlisle, PA 17013 Tel: 800.992.7663 Fox: 717.960.4036 Web: www.verslco.com VERSICO ROOFING SYSTEMS Warranty Revisions & Alterations Procedures Versico recommends periodic roof system evaluations to ensure the roofing system is performing as intended. We suggest regular maintenance inspections be conducted by a Versico Authorized Roofing Contractor or by someone specially trained in single -ply roofing installations. However, even with the most rigorous reviews, roofing systems can be damaged by flying debris, other trades servicing rooftop equipment, etc. Regardless of how the damage occurs, it is important to understand how to both protect your warranty investment and prolong the life of your roofing sy§tem. Following these procedures and recommendations can ensure that repairs are performed accurately so that the warranty duration and coverage remains intact. Warranty Revisions & Alterations Procedures 1. Paragraph 4(a) of the Versico Roofing System Warranty states: "This warranty shall be null and void if, after installation of the Versico Roofing System by a Versico Authorized Roofing Contractor, there are any alterations or repairs made on or through the roof or objects such as, but not limited to, structures, fixtures, or utilities placed upon or attached to the roof without first obtaining written authorization from Versico." 2. Any questions concerning revisions or alterations to your Versico Roofing System must be directed to Versico's Warranty Services Department. Versico must approve the proposed details prior to any revision or alteration. Below is address information for Versico's Warranty Services and telephone and fax numbers for your convenience. Versico Attn. Warranty Services P.O. Box 1289, Carlisle, PA 17013 Phone: 800.992.7663 Fax: 717.960.4035 3. The approval process begins when Versico receives a shop drawing that outlines those locations where the alteration will take place. Either the Versico Authorized Roofing Contractor or the building owner must also notify Versico of the proposed alterations in writing and identify the project name, location, warranty number and the CMD or AB number originally assigned by Versico. 4. A Versico Authorized Roofing Contractor must perform all revision work. It is recommended that the original contractor who installed the roofing system perform the revision work, if possible. 5. The Versico Authorized Roofing Contractor must notify Versico in writing when the revision work is complete. 6. At Versico's discretion, a Versico Field Service Representative may conduct an inspection to ensure compliance with the current published Versico Specifications and Details. The contractor will be notified of the results. Current inspection charges and expenses will apply. 7. When the revision or alteration is completed in compliance with the above procedures, Versico will notify the building owner that the warranty is being continued. VERSICO ROOFING SYSTEMS Care & Maintenance Instructions The following maintenance items are the responsibility of the building owner and are not included within the scope of the Roofing System Warranty. MAINTENANCE ITEM Drainage ACTION Keep the roof surface clean at drain areas to avoid clogging. Check that ponding water is drained from the roof within 48 hours following rain. Petroleum Pr 1 t ;,�k �$�' v�,�.Kf, S } h4 , Flee .b: Y b ate het ale m p oducts,( oIvo s, f l ,oils, or dr y 'hi I tr ai s u t) # # r r eCt brane to { �bvald.. l �latk n fF[Fk A t k". E 'N "NT y ''' Y�Z ' �"Y"t 73'•y Animal Fats - EPDM Membranes Do not exhaust kitchen wastes (vegetable oils) or other animal fats directly onto the roof surface. If incidental contact is likely, contact Versico for recommendations on membrane type and usage. .,Crx� 3 4 k �; t 9^r.(,.1,1i�r5ft:�i�:���.'{4t�, T.^ke'�a ._ 1(v. NW -o . f'�{ ��R.*1�' � �' a�SAN,"5� .� }k, `"k rIyte o$ X , i h J his! %.:v.4, l`y��f f [��,^,,�yry ) ,�7y' � . r� y4 i �+' 3 kl 1 + `�X - N '0 .r.. r a r- •tr i.;`„ � s _ ri k s , �' . ' {�* kp ��..1„ � .nrn,.r .., �At , .'*A'v+91id .i'E�h'• r. '�.1 .�:M.e, vY�.. � 1%a-�.�TyaS`,v:. �Y d h s+ r y, s .n , ry x F,.;lkl'< Chemicals Contact Versico if any chemicals come in contact with the roofing membrane. Some chemicals could degrade the membrane or cause swelling. f YeC K t 4 1F of 'r tff c r .; s ':, t� ut�YWwat ?i�++�s..w Mr �#,nf«;•+a 4wti,n. e.,��isk"wr WY/ t 'J� N 3.. N P' �''A..'3" h ''�, N4 t .:3' sz � aq � �^ t'�zi >a yt �,r, k, La' �"n 1�,y f. �3.�✓ ,t�` 'jjjj�'7diN y # 'rYi � E, �r.� ai,�'0 k.k t has w. 1 i➢ �W � 1 �' d► `R` ("*^ 1t4W.11�'� -1.�► rkxz l'', I ' g e r ++. .+5+ 't ,r 1 ion WCllte ,,, `� 4J kF+�+ i t � � �% � 6 b r Y �.,.,} t � w� +r ��w ^y*t�++y�.nfrrmr ry � b vlsibI "� `"me�" �` N�iYts� A, �TT•"''��,,i F k �F ,' b kT 1 3 ,� y' X � , . ..,, ,. Roof Alterations Please refer to the Versico Roofing System Revisions and Alteration procedures on the preceding page. l �T/ � FHf 4� i 'i � e� � '��., 4 � ')• Cleaning ti '�S %` Ci 'M'd' J55}'J'k Ffi(�prlrl5 OM b ys�crubblingpwjith/ vety { �" wN� V � � �^�i�f .. tobhprits gsrerltrcafo gam �rlrwltnts o�td 01 taIclitt may berot tti it ei tb?an detergent al d�;wateYr, tthen�<yrrnjsing with led{ny,w�a�ter S ng, reftectilllty3 y`� MY it 4 ernbra e(s) should cl �� C'id on Y( two years., , Metal Work Keep roof maintenance items such as counterflashing, metal curbs and metal ducts sealed watertight at all times. Continued on next page. VERSIC ROOFING SYSTEMS VERSICO ROOFING SYSTEMS Care & Maintenance Instructions (continued) MAINTENANCE ITEM Leaks ACTION Locate the leak and determine if it is a roof membrane leak or a wall, curb, skylight, metal ductwork or plumbing leak. Deterioration or failure of building components that causes a leak is not covered by the warranty. A water leak may be indicated by soft or warped insulation. Physical damage to the membrane or flashing is not covered by the warranty. Please notify Versico's Warranty Services Department at 800.992.7663 if the leak is determined to be membrane related. The building owner must pay the investigation and repair cost if the problem is found to be outside the scope of the warranty. 1 � �,r *"�." � ,� �k t i 0''�l'7•(5���1,�V� .r. (IkAkMa"V` rary; : a 'rrsN n'�' iidkv ^.nny� Sg�,�, i•,4 ,yar a *t'r },ry '^��E'+ �t d ,� � :� r Y r"a+�� '1, �+: '�: m�w'S, r - z � sk '' N " � al r iy goo -g1 e k r t lk tb make fe ora y� airs.: ti .. 3 7t i f]I } i Xtr i 6,1 `YS .t," vgfAF` 7r:,t' '6%f�e i. i'4 N ',. r�,'�, ,''�"5"a,�•!� Ns lfl "I !?..i.� �''I, 9�'Y i iii��C$r 8iv}j+. ,P,,�(}����{�li".ed �{AH��i k' y,'u,•i i 't�. y'+YN ANX:t,�, i"h'hfi;r "� 1 1:., �N �"'W k'J.r>P".%iN^v:, .'i/.Ytl.NM1{m✓.+...i*kt`; n,L i"iM%.�+i'; �. 4fi, Mr�"g yNgk ... si' s• R }v,� "' ,�t`5, end 1"� Y1 ",�.. r"..,YT {'A.wyN':'.;�3r^}S, S� :W U,}.I,�n.eaf ;.. IIV � ..w rdvNy� i Hysunite and Acrylic Coatings Coatings are maintenance items and are excluded from the Versico warranty, Recoat when necessary, ik ih a�'r,i': t� ,Y%3/r r J .,' :... 1\?7!l• �i'y : xa+." ,� •? `a,J:,, iim4iY{"�w,�• � � �^ +k F I &�>• t�yfi�1 �,4' i 9�� th f b f j5 .@3 pWf':i �"t.. ' � � U.• • • . - fy,s f- y#YvgJ',¢� ;r i�' $3 a �. R � .:+ti r' ,� 1A � r�+ �A �a fu � f �4 $ W ,a �7'c"e "� : 'M p a � t �i R� .... k +; E �C+PI"1::� � �s ri 5..:. `+ b ;.'J9C �S iF" .x 6"� .8� 4¢3 �.k v �y,wx`a+3a6�' 'k{ri N 7� V ' �Y , � k� Q� rY#y; » €^ 9 yH',r^u 34 bi1i y',C ?.i+a.l, '� „�,}",`,'•�S.,l#n 4i �+ihl q7 %.. ` Rooftop Maintenance When it is necessary for workers to be on the roof to service rooftop equipment (e.g. HVAC units, antennas, etc.) workers should be cautioned to use walkways and exercise care with their tools and equipment to avoid puncturing the roofing membrane. The preceding care and maintenance requirements are for VersiGard EPDM (black and white), VersiWeld, VersiFlex and VersiFleece Membrane Roofing Systems. The list is not meant to be exhaustive and is for illustrative purposes only. Versico recommends that your maintenance staff and/or maintenance contractor inspect the roof periodically or at least twice a year. The inspection should concentrate on high -risk areas such as roof hatches, drains and around all rooftop equipment as well as general inspection of the entire roof. The inspector should be looking for membrane damage (cuts and tears), oil or Freon leaks, chemical spills, and water infiltration into the roofing system, Compliance with the above -listed care and maintenance requirements will aid in ensuring a durable, watertight membrane roofing system. VERSICO ROOFING SYSTEMS A SINGLE SOURCE FOR SINGLE -PLY ROOFING Verslco, PO Box 1289, Carlisle, PA 17013 Tel: 800.992.7663 Fax: 717.960.4036 Web: www.versico.com ® 2013 Versico. Printed In U.S.A. REPRINT REQUEST CODE: 803227 - 'Care and Maintenance Brochure' - 05.15.13 Verslco, VersiGard, VersiWeld, VerslFlex and VersiFleece are a trademark of Versico. • VERSICO TOTAL ROOFING SYSTEM WARRANTY Versico, a division of Carlisle Construction Materials Incorporated (Versico), warrants to the Building Owner (Owner) of the building described below, that subject to the terms, conditions, and limitations stated in this warranty, Versico will repair any leak in the Versico Total Roofing System (Versico Roofing System) installed by a Versico Authorized Roofing Contractor for a period of 20 years commencing with the date of Versico's acceptance of the Versico Roofing System installation. However, in no event shall Versico's obligations extend beyond 20.8 years subsequent to the date of substantial completion of the Versico Roofing System. See below for exact date of warranty expiration. The Versico Roofing System is defined as the following Versico Materials: Membrane, Fleshings, Adhesives and Sealants, Fastener Assemblies, Metal Edging, Insulation, Cover Boards, Metal Work, Insulation Adhesives and any other Versico brand products utilized in this installation. TERMS, CONDITIONS, LIMITATIONS 1. Owner shall provide Versico with written notice via letter, fax or email to the address printed below within thirty (30) days of the discovery of any leaks in the Roofing System. By so notifying Versico, the Owner authorizes Versico to investigate the cause of the leak. Should the investigation reveal the cause of the leak to be outside the scope of this warranty, investigation and repair costs for this service shall be paid by the Owner. 2. If, upon inspection, Versico determines that the leak is caused by defects in the Versico Roofing System's material or workmanship of the Versico Authorized Roofing Contractor in installing the same, Owner's remedies and Versico's liability shall be limited to Versico's repair of the leak. 3. This Warranty shall not be applicable if Versico determines that any of the following has occurred: (a) The Versico Roofing System (Membrane, Insulation, or Accessory) is damaged by natural disasters, including, but not limited to, lightning, fire, insect infestations, earthquake, tornado, hail, hurricanes, or winds of (3 second) peak gust speeds of fifty-five mph or higher measured at 10 meters above ground, or (b) Loss of integrity of the building envelope and, or structure including, but not limited to partial or complete loss of roof decking, wail siding, windows, doors or other envelope components or from roof damage by wind-blown objects, or. (c) The Versico Roofing System is damaged by any acts of negligence, accidents, or misuse, including but not limited to, excessive traffic, recreational activities, storage of materials on the roof, vandalism, or civil disobedience; or (d) The Versico Roofing System is damaged by infiltration of moisture in, through, or around walls, skylights, vents, copings, HVAC units, building structures, or underlying or surrounding areas; or (e) The Versico Roofing System is damaged by the building structure failing to have adequate strength to support all live and dead loads, including water and snow loads, or by any other structural defects or failures; or (f) The Versico Roofing System is damaged by settlement, distortion, cracking, movement or failure of the roof substrate, coping, walls, structural members or components adjacent to the roof or foundation of said building; or (g) The Versico Roofing System is damaged as a result of attack by roof top contaminants such as solvents, petroleum, oil products, acids or other harmful chemicals; or OWNER: NORMED BUILDING : OLD NORMED BUILDING 4310 S. 131ST PLACE, TUKWILA, WA ROOFER: TRISTATE ROOFING 1901 CENTER STREET, TACOMA, WA 98409 DATE INSTALLATION COMPLETED : 07/17/2014 DATE OF ACCEPTANCE BY VERSICO : 07/26/2014 WARRANTY EXPIRATION DATE : VERSICO ROOFING SYSTEMS 07/25/2034 P.O. Box 1289 Carlisle, PA 17013 (800) 992-7663 (717) 980-4035 FAX VSW-1 Rev 4/14 (h) The Versico Roofing System encounters leaks or is otherwise damaged by condensation resulting from any condition within the building that may generate moisture. 4. This Warranty shall be null and void if Versico determines that any of the following has occurred: (a) If, after installation of the Versico Roofing System by a Versico Authorized Roofing Contractor, there are any alterations, test cuts, or repairs made on or through the roof, or objects such as, but not limited to, structures, fixtures, solar panels, wind turbines, roof gardens or utilities are placed upon or attached to the roof without first obtaining written authorization from Versico, or (b) Failure by the Owner to use reasonable care in maintaining the roof, including, but not limited to, periodic cleaning of drains and removal of harmful debris from the roof, or (c) Owner falls to comply with every term and/or condition stated herein. 5. During the term of this Warranty, Versico shall have free access to the roof during regular business hours. 6. Versico shall have no obligation under this Warranty while any bills for installation, supplies, services, and warranty charges have not been paid in full to the Versico Authorized Roofing Contractor, Versico, or material suppliers. 7. Versico's failure at any time to enforce any of the terms or conditions stated herein shall not be construed to be a waiver of such provision. 8. This warranty is not assignable by operation of law or otherwise. Application may be made by a new building owner for reissuance of the warranty during the original warranty period. Certain procedures, including an inspection of the Versico Roofing System by a Versico representative, and fees will apply to any reissuance. Should these procedures be satisifed, Versico will not unreasonably withhold the reissuance of this warranty. 9. Only Versico brand insulations are covered by this warranty. Versico specifically disclaims liability, under any theory of law, for damages sustained by or caused by non-Versico brand insulation products. 10. Versico shall not be responsible for the cleanliness or discoloration of the Versico Roofing System caused by environmental conditions including, but not limited to, dirt pollutants or biological agents. 11. 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 damages, relating, directly or indirectly, to the presence of any irritants, contaminants, vapors, fumes, molds, fungi, bacteria, spores, mycotoxins, or the like in the building or in the air, land, or water serving the building. VERSICO DOES NOT WARRANT PRODUCTS UTILIZED IN THIS INSTALLATION WHICH IT HAS NOT FURNISHED; AND SPECIFICALLY DISCLAIMS LIABILITY, UNDER ANY THEORY OF LAW, ARISING OUT OF THE INSTALLATION AND PERFORMANCE OF, OR DAMAGES SUSTAINED BY OR CAUSED BY, PRODUCTS NOT FURNISHED BY VERSICO OR THE PRIOR EXISTING ROOFER MATERIAL OVER WHICH THE VERSICO ROOFING SYSTEM HAS BEEN INSTALLED. THE REMEDIES STATED HEREIN ARE THE SOLE AND EXCLUSIVE REMEDIES FOR FAILURE OF THE ROOFING SYSTEM OR ITS COMPONENTS. THERE ARE NO WARRANTIES EITHER EXPRESSED OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE AND MERCHANTABILITY, WHICH EXTEND BEYOND THE FACE HEREOF. VERSICO SHALL NOT BE LIABLE FOR ANY INCIDENTAL, CONSEQUENTIAL OR OTHER DAMAGES INCLUDING, BUT NOT LIMITED TO, LOSS OF PROFITS OR DAMAGE TO THE BUILDING OR ITS CONTENTS UNDER ANY THEORY OF LAW. WARRANTY NUMBER: 1149912 VERSICO, a division of Carlisle Construction Materials Incorporated BY L. 7'f Permit No. Ply -011Tb Plan review approval is subject to errors and omissions. Approval of construction documents does nc a Me violation of any adopted code or ordinance. Recv pt �f approved Field Copy and oondilions is acknowledged. By 2(,L64:4_ teC3)}3-TU4 City Of 1Ukwlla BUILDING DIVISION 239' 60 Mil TPO wmgmossimmilfr 1/4" Fanfold Existing Roofing Wood Deck 3 27 v 35' 75' REVISIONS No changes shall be made to the scope Of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. REVIEWED FOR CODE COMPLIANCE APPROVED MAY 15 2014 City of BUILDING kwiia VISION SEPARATE PERMIT REQUIRED FOR: Mechanical Electrical Plumbing 'Gas Piping City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA MAY 0 9 2014 PERMIT CENTER p\LkQt143 ► REVIEWED FOR CODE COMPLIANCE APPROVED MAY 15 2014 Imagery Date:% /41199 1 4762910.46n N 12296`44.3V° W elov nsuclam R-Tech® Fanfold A G'_' Company PILE COPY perms Description r' - R-Tech• Fanfold is a high-performance, rigid insulation con- sisting of a superior closed -cell, lightweight and resilient expanded polystyrene (EPS) with advanced polymeric lami- nate facers. R-Tech is available with factory adhered metallic - reflective facers, white facers or a combination of the two. The core of R-Tech is the same high -quality as our InsulFoam• brand insulations and meets or exceeds the requirements of ASTM C578, Standard Specification for Rigid, Cellular Poly- styrene Thermal Insulation. R-Tech has excellent dimensional stability, compressive strength and water-resistant properties. R-Tech Fanfold is an Energy Stare qualified insulation and qualifies for LEED points. Uses R-Tech Fanfold has been used successfully for numerous commercial, industrial and residential applications. The fol- lowing are examples of the many R-Tech Fanfold uses: • Siding Underiayment • Basement Walls • Cavity Walls • Crawl Spaces • Interior Walls • Radiant -Heated Floors • Below Grade Insulation • Waterproofing Protection Board Advantages • Labor Savings. R-Tech Fanfold is available in 100 ft2 (one -square) and 200 ft2 (two -square) bundles, and is lightweight enough that the average contractor can carry 400 ft2 at one time. • Environmentally Friendly. R-Tech Fanfold contains no dyes, formaldehyde or ozone -depleting HCFCs, may contain recycled material and the foam core is 100% recyclable. • Stable R-Value. R-Tech Fanfold has no thermal drift. De- signers are well served knowing the R-Tech Fanfold ther- mal properties will remain stable over its entire service life. R-Tech is eligible for an Insulfoam 20-Year Thermal Performance Warranty — a warranty that's not prorated or limited to a percentage of the published R-Value. • Water -Resistant. R-Tech facers provide a surface that is virtually impervious to moisture. • Insect and Mold Resistant R-Tech is manufactured with an inert additive that deters termites and carpenter ants. R-Tech does not sustain mold and mildew growth. • Jobsite Durability. With a polymeric facer on either side of the R-Tech, it is an extremely flexible and durable in- sulation. • Cost -Effective. R-Tech is typically less expensive than comparable insulation products. • Proven Performance. The same fundamental chemistry has been in use since the mid-1950s, so the actual per- formance of the product is well known. • Enhanced R-Values. In certain applications, increased R-Values can be obtained by placing the metallic reflec- tive side of the R-Tech towards a dead air space. R-VaI- ue gain is dependent on the amount of dead air space between the R-Tech and outer surface. R-Value gains are based on the ASHRAE Handbook of Fundamentals. See the attached Effective R-Value chart. Sizes R-Tech Fanfold is packaged accordian-style and is available in one- and two -square bundles. R-Tech Fanfold is available in thicknesses of 1/4", 3/8", 1/2" and 3/4" and has a standard nominal density of 1 pcf. Individual panel sizes within the fan- fold bundle are 2' x 4'. Different densities are available upon request. Installation Recommendations Please refer to the appropriate R-Tech application sheets for recommended installation procedures. RECEIVED CITY OF TUKWILA MAY 0 9 2014 REVIEWED FOR CODE COMPLIANCE APPROVED MAY 15 2014 City of BUILDING PERMIT CENTER Insuifoam LLC • 6004 N.Westgate, Suite 120 • Tacoma, WA 98406 • USA • Phone: (253) 572-5111 • Toll Free: (800) 248-5995 • www.inauNbem.com Typical Physical Properties of R-Tech Fanfold Property Nominal Density (pcf) Type I 1.0 Test Method ASTM C303 C-Value (Conductance) BTU/(hr•ft2•°F) 442 25° F (per inch) @ 40° F © 75° F .23 .24 .26 ASTM C518 or ASTM C177 R-Value (Thermal Resistance) (hr•ft2•°F)/BTU @ 25° F (per inch) @ 40° F 75° F 4.35 4.17 3.85 ASTM C518 or ASTM C177 Compressive Strength (psi, 10% deformation) 13 ASTM D1621 Flexural Strength (psi) 33 ASTM C203 Dimensional Stability (maximum %) < 2% ASTM D2126 Water Vapor Transmission (perms) < 1.0 ASTM E96 Absorption (% vol.) < 1.0 ASTM C272 Capillarity none — Flame Spread < 20 ASTM E84 Smoke Developed 150 - 300 ASTM E84 "Properties are based on data provided by resin manufacturers, independent test agencies and Insulfoam. Effective R-Values • (metallic -reflective facer and dead air space) R-Tech Thickness 1/4" 3/8" 1/2" 3/4" Design Temp. Effective R-Value (R-Tech MR + Air Space) b 40° F 75° F 40° F 75° F 40° F 75° F 40° F 75° F 4.04 3.96 4.56 4.44 5.09 4.93 6.13 5.89 a Effective R-Values determined using InsulFoam 1. Higher density InsulFoam products will provide higher R-Values. The type of construction application and the depth of the air space will also impact the actual Effective R-Value. b Requires 0.75"- 3.50" dead air space and the R-Tech MR facer towards the dead air space. 6011 - 07/08 R-TECH® MECHANICALLY ATTACHED R-Tech Fanfold Existing Roof System,:• R-Tech4'x8' Existing Roof Re -Cover Specification General This specification is intended for use over any substrate suit- able to receive and support a mechanically attached roof insulation assembly and subsequent roof membrane. It is pro- vided to serve as a guideline for designers and installers. Installation Considerations R-Tech insulations are shipped in plastic film wraps, which are intended for temporary protection during ship- ping. All material should be protected from the elements and stored in a dry location. Install only as much insulation as can be covered by a roof membrane system, and/or made watertight by the end of each day. 4, Insulfoam insulations should not be exposed directly to solvent -based or petroleum -based adhesives and seal- ants. Allow approximately a 1/4" space between InsulFoam insulation and vertical surfaces or roof projections. Do not force or jam product into place. When used with dark colored membranes, the R-Tech should be installed with the metallic side facing up. wig For re-cover applications, care should be taken to ensure that no moisture is trapped in the existing or new roof system. ow Prior to a re-cover, consideration should be given to add- ing roof drains, crickets or saddles to facilitate positive drainage. InsulFoam insulations are compatible with most membrane systems; however, we recommend consultation with the membrane manufacturer for any limitations or approvals for use with their products. Insulation Specifications R-Tech R-Tech Fanfold 1 NRM 1NFM Mechanically Attached Insulation Install R-Tech insulation with continuous side joints, and end joints staggered so they are offset by a minimum of 12" from the end joints in adjacent rows. Insulation should abut tightly against adjacent boards. Joints greater than 1/2" should be filled with the same insulation that is being used in the field of the roof. If R-Tech is being installed over an existing layer of insulation, all joints must be offset a minimum of 6" between layers. Use an approved mechanical fastener of sufficient length to penetrate into or through the deck by the amount prescribed for the specific fastener. Fasteners should never be closer than 6" from the edges of the insulation board, and should be placed in a pattem to achieve the desired approval. Use appropriate insulation plates with the fasteners. Care must be taken to avoid over -driving or under -driving the fas- tener and plate assembly. Note: Some membrane manufacturers may require a higher density of fasteners for their warranted systems. Consult the membrane manufacturer for specific requirements. Insulfoam Roofing Manual, January 2008 - 'R-TECH® MECHANICALLY ATTACHED Re -Cover Specification Fastening Considerations The following fastening pattem is just one of several suitable pattems. See note on previous page. * 5 S For the above pattem, one fastener is to be placed at each comer of the R-Tech's leading and trailing edges, and there- after at a rate of one fastener every 12 square feet, placed on altemating sides of the sheet. - Insulfoam Roofing Manual, January 2008 VERSICO ROOFING SYSTEMS FASTENERS & PLATES SYSTEM ACCESSORIES Versico offers a wide variety of fasteners and plates to enhance our rooting systems. From pre -assembled choices for VersiGarde installations to Purlin fasteners for Metal Retrofit Systems and HPVX plates for VersiWeid® options, our focus is to provide all components necessary for the application of a long-lasting, single -ply roofing system from Versico. PRODUCT HPV Fastener InsulTite K-Fast (Sure -Tice) DECK TYPE USAGE Steel (22 gauge & heavier) Wood Plank Decks CDX Plywood VersiGard Membrane, Insulation Securement, RTS DESCRIPTION • #3 Square Drive Recess • Flat Wafer Style Head and Buttress Threads • Mini Drill Point Wood Decks Insulation Only • #3 Phillips Head Steel • Deep Buttress Threads (22 gauge & heavier) Steel VersiGard Membrane (22 gauge & heavier) Securement For Mechanically -Attached Systems GypTec Fastener Cementitious Wood Fiber Lightweight Concrete Gypsum VersiGard,VersiFlex'" & VersiWeld Membranes, Insulation Securement • Oversized #3 Phillips Flat Wafer Style Head • Modified Buttress Threads • 1/4" Square Drive • Glass Filled Nylon Fastener GypTec Plate (not shown) 1000/ctn 2" Steel Plate for Membrane Attachment 3" Steel Plate for Insulation Attachment VERSICO PACKAGING SIZE SIZE # PER CTN • 1'/4", 2"- 15" 1 ya" (1" Increments) 2"- 6" 7"- 12" 13"- 15" • Longer Fastener Sizes Available As Special Order • 15 21/4 "" • 3"- 8" (1" Increments) • 2"- 8" (1" Increments) • 2'h"- 10" ('h" Increments) 1000 1000 500 250 ok„ t-ktin)0a2P4")`- 1 %", 21/4" 1000 3"- 8" 1000 2", 3" 500 4"- 8" 250 21/2"- 71/2" 500 7'h"- 10" 250 A SINGLE SOURCE FOR SINGLE -PLY ROOFING Versico PO Box 1289, Carlisle, PA 17013 Tel: 800.992.7663 Fax: 717.960.4036 Web: www.verslco.com VERSICO ROOFING SYSTEMS PRODUCT HPV-XL Plate FASTENERS & PLATES USED WITH USAGE HPVX Fastener VersiWeid and VersiFlex Membranes, Steel, Concrete, Wood HPV-XL Fastener VersiWeid and VersiFlex Membranes, Steel Polymer Seam Plate HPV Fastener Seam Fastening Plate HPV Fastener MP14-10, CD-10 Insulation Fastening Plate Oval Barbed Plate Insul-Trte VersiGard Membrane Mechanically Attached Systems, RTS Attachment VersiGard Membranes Mechanically Attached Systems, (Excluding Steel Decks), RTS Attachment (Excluding Mechanically Attached Systems Over Steel Decks) SYSTEM ACCESSORIES DESCRIPTION • 20 Gauge Metal Plate with Reinforcing Ribs and 12 'Gripping Teeth" i..�� bc2 `t- • 20 Gauge Metal Plate with Reinforcing Ribs and 12 'Gripping Teeth" • Oversized Hole to Accommodate HPV-XL Fastener • Round Nylon Plate with 16 Barb Profile on Underside SIZE • 23%" (Diameter) • 23%" (Diameter) • 2" (Diameter) • 20 Gauge, Round Metal Plate • 2" (Diameter) with Aluminized Coating Insulation Only Standard • 26 Gauge Heavy -Duty CD-10 Fluted • Round Metal Plate Nail, Steel, Wood, Concrete with Aluminized Coating i"u C-4 HPVX Fastener VersiFlex and VersiFlex-E Membranes, Mechanically Attached Systems, Metal, Wood, Concrete, Steel • 8-gauge • GALVALUME® corrosion -resistant metal barbed plate • 3" • 1.5" x 2.75" PACKAGING # PER CTN APPROVED 1000 1000 1000 1000 1000 500 O2013 Versfco. Printed in (1 :A. Versico, Ver3iFlex, Versi Weld, Versieard and !ie Versfco logo are trademarks of Verslca. VERSICO ROOFING SYSTEMS MECHANICALLY ATTACHED ROOFING SYSTEM Colors: White, Gray and Tan Standard Thicknesses: 45-, 60- and 80-mil Standard Widths: 4', 6', 8', 10' and 12' Standard Length: 100' INSTALLATION Verslco's VersiWeld Mechanically Attached Roofing System utilizes white, gray or tan membranes In standard reinforced 45- or 60-mil thickness or 80-mil thick reinforced VersiWeld Plus. Insulation Is mechanically attached to an acceptable roof deck. VersiWeld membrane sheets are mechanically fastened to the deck with Verslco HPVX or HPV-XL Fasteners and appropriate HPVX Plates. Adjoining sheets are overlapped and joined together with a minimum 1 Yz"- wide hot-air weld. The above information represents a typical Versico VersiWeld Mechanically Attached Roofing System. Refer to Versico's published specifications and details for more complete Information. 40pro VERSICO TYPICAL APPLICATION 0 0 0 0 0 VersiWeld® Reinforced TPO Membrane Versico Insulation Fasteners and Plates Acceptable Insulation Approved Roof Deck Membrane Fasteners and Plates SYSTEM FEATURES AND BENEFITS: Heat b1e membranes High wind uplift performance • Hall and high puncture re stance • Smoothttl k top ply membrane addslInPrOVed long-term weatherallity and dLrablty and minimizes dirt build-up • White and tan membranes are ENERGY STAR,' cpaftlied • Industry -leading C)ct°Guard Xr Weathering Package provides improved weatherability, durability and long -tam rooftop performance A SINGLE SOURCE FOR SINGLE -PLY ROOFING Vosslee, PO Box 1289, Carlisle, PA 17013 Tel: 800.992.7663 Fax: 717.960.4036 Web: www.verslco.com VERSICO ROOFING SYSTEMS ��I VERSIWELO CERTIFIED FABRICATED ACCESSORIES Certified Fabricated Accessories (CFAs) are the only factory -fabricated TPO accessories that meet the stringent quality tolerances required to be included in a warranted Versico TPO roofing system. SYSTEM CODES • UL Class A, B and Universal Slope ratings are available over any deck type • FM Uplift values up to 135 psf can be achieved For code specifics, refer to Versico's Code Approval Guide. QUALITY ASSURANCE Versico Authorized Contractors have been trained to Install Versico's VefslWeld Roofing Systems. INSPECTION Upon installation completion, and prior to the issuance of a membrane system warranty, an inspection will be conducted by a Verslco Field Service Representative. WARRANTY Consult your Authorized Contractor, Verslco Independent Sales Representative or Distributor for associated warranty charges. Provided all materials are manufactured or marketed by Versico, this system, properly installed and Inspected on a commercial project may receive: Warranty Options VerslWetd 5-Year 10-Year 15-Year 20-Year 25-Year 30-Year 45-Mil X X X 60-Mil X X X X 80-Mil X X X X X X • 55 mph maximum peak gust wind speed coverage is standard; higher wind speed warranties available upon review by Versico • 10-year Reflectivity Warranty (based on ENERGY STAR qualification) available on all white membranes • Puncture Warranties are available for VersiWeld 60-mil and 80-mil TPO For more specifics or on warranty programs, contact Versico. NEW CONSTRUCTION REROOFING EXISTING OR NEW DECK TYPE INSULATION REQUIRED RECOMMENDED INSULATION INSULATION ATTACHED BY MEMBRANE ATTACHED BY STEEL PLYWOOD LT. WT. STRUCTURAL OR OSB CONCRETE CONCRETE WOOD PLANKS POLYISO, WOOD FIBERBOARD, EXTRUDED POLYSTYRENE APPROVED VERSICO FASTENERS GYPSUM & FIBROUS CEMENT SMOOTH- SURFACE BUR GRAVEL - SURFACE BUR EXISTING SINGLE -PLY t--REFER TO NEW CONSTRUCTION 4--REFER TO NEW CONSTRUCTION FOR TEAR OFF OPTIONS REFER TO NEW CONSTRUCTION ABOVE. For current code approvals and warranties, visit Versico's web site or contact a design analyst. * Refer to Versico's Current Specification for details. OCTAGURRO XT WEATHERING PACKAGE ENERGY STAR APPROVED r 2012 Venice Prtried in U:0 A. REPRINT REQUEST CODE: 600585 - VeroifVeld MAC stem sheet - I0 08 12 11 Veroi'JJeld, 0claguard TT and the Yercico Ingo are Ilademarl<c of Veroico- PERMIT COOED COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0143 DATE: 05/09/2014 PROJECT NAME: NORMED REROOF SITE ADDRESS: 4310 S 131 PL X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: PL Al" �lM Building Division Public Works tMn °5`13'1L1 Fire Prevention Structural n Planning Division Permit Coordinator El n PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 05/13/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews) DUE DATE: 06/10/14 Approved with Conditions7. Denied (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 TRISTATEROOFING INC Page 1 of 3 C141 Washington State Department of Labor & Industries TRISTATEROOFING INC Owner or tradesperson HOLUM, JOHN Principals HOLUM, JOHN, PRESIDENT Doing business at TRISTATEROOFING INC WA UBI No. 602 770 769 1901 Center Street TACOMA, WA98409 253-922-2292 PIERCE County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. TRISTI*931 QH Effective — expiration 11 /08/2007-11 /08/2015 Bond American States Insurance Co Bond account no. 32S209356 $12,000.00 Received by L&I Effective date 05/07/2012 04/20/2012 Bond history Insurance United Specialty Insurance Com Policy no. BT01316249 $1,000,000.00 Received by L&I Effective date 08/08/2013 08/07/2013 Expiration date 08/07/2014 Starr Surplus Lines Insurance Policy no. SLPGGL0150400 $1,000,000.00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602770769&LIC=TRISTI*931QH&SAW= 05/22/2014