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HomeMy WebLinkAboutPermit D15-0256 - FOURPLEX - REROOFFOURPT REROOF 6511 S 153 ST D15-0256 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.gov DEVELOPMENT PERMIT Parcel No: 2954900348 Permit Number: D15-0256 Address: 6511 S 153RD ST COMPLEX Issue Date: 10/2/2015 Permit Expires On: 3/30/2016 Project Name: FOURPLEX REROOF Owner: Name: TWELVE & OLIVE LLC Address: 1122 E PIKE ST PMB 1043, SEATTLE, WA, 98122 Contact Person: Name: VICTOR VASALE Address: PO BOX 24449, FEDERAL WAY, WA, 98093 Contractor: Name: HORIZON ROOFING LLC Address: 833 SW 312TH ST, FEDERAL WAY, WA, 98023-4515 License No: HORIZRL8671-7 Lender: Name: SELF FUNDED - TWELVE & OLIVE LLC Phone: (253) 350-1472 Phone: (258) 383-8583 Expiration Date: Address: 1122 E PIKE ST, SEATTLE, WA, 98122 DESCRIPTION OF WORK: REROOF FOURPLEX RESIDENTIAL BUILDING WITH TORCH DOWN ROOF SYSTEM Project Valuation: $5,000.00 Fees Collected: $522.33 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: VB Occupancy per IBC: R-2 Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Volumes: Cut: 0 Fill: 0 Landscape Irrigation: Sanitary Side Sewer: Number: 0 Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: No ll r Permit Center Authorized Signature: �L-' V Date: I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this 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 permi t and — V /d agree to the conditions attached to this permit. Signature: "_tiDate: 10--' Print Name: � j &Ikf VU 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: 2: Application of roof coverings with the use of an open -flame device or use of a propane fueled asphalt kettle requires a separate permit from the Tukwila Fire Marshals Office located at 6300 Southcenter BI Suite 209 Tukwila, WA 98188. Telephone (206) 575-4407. There shall be not less than one multi -purpose portable fire extinguisher with a minimum 2-A20-B:C rating and a charged, minimum diameter 5/8 diameter water line(hose) on the roof being covered or repaired. (IFC 105.6.23, 3504.2.5, 3504.2.6) 1: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2436 and #2437) 3: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 4: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. 5: 'BUILDING PERMIT CONDITIONS' 6: 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. 7: 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. 8: 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. 9: 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. 10: 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 0104 REMOVE STOP WORK CITY OF TUglr ,A Community Development Department • Public Works Department • Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 ho://www.TukwilaWA.p_ov SITE LOCATION Building Permit No. ts is, —02— Project No. Date Application Accepted: I— Date Application Expires: 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" King Co Assessor's Tax No.: Site Address: Suite Number: Floor: Tenant Name: New Tenant: ❑ .....Yes ❑..No PROPERTY OWNER Name: l 2 CAS. O \ \\vl. L.J f- - Address: ,L,� � S'- P, X(` City: State: Zip: Ci 7 CONTACT PERSON — person receiving all project communication Name: S Address: `3 City: State: \ Zip: Phone: � � v 3so - )4 4ax: Email: GENERAL CONTRACTOR INFORMATION Company Name: Rod %-LC" Address: {3 -Lgq�q City: State: Zip: Q� Phone: Contr Reg No.: Exp Date: Tukwila Business License No.: ARCHITECT OF RECORD Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD 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: 11 City: State: Zip: H:V.pplicationstFomks-Applications On Line12011 ApplicalionsTartnit Application Revised - 8-9-11.dc= Revised: August 2011 Page t of 4 bh BUILDING PERMIT INFORMATIO. 06431-3670 Valuation of Project (contractor's bid price): $ Describe the scope of work (please provide detailed information): kt,� fnp!� Existing Building Valuation: Will there be new rack storage? 0..... Yes ❑.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1" Floor 2 Floor 3 Floor Floors tbru 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, phis 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 PROTECTIONMAZARDOUS MATERIALS: ❑ ....... Sprinklers ❑ ....... Automatic Fire Alarm ❑ .......None ❑ .......Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ....... Yes ❑ .......No If "yes, attach list of materials and storage locations on a separate 8-112 " 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. RkApptio[iom\For(-Apprvatiom On Lmc\2011 Apphcz iom\£emit Amiiotion Revered - 8-9.11 Aw Revixd AuXuA 2011 Page 2 of 4 bn 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). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED Print Name: V )��� . Fr V4'' `'lc - Mailing HAApplitairons\Forms•Applimtion; On line\2011 Applicationg\Pm it Appli-tion Revised • 8.9-11.docx Revised: August 2011 bh Date: 10-1-1 Day Telephone: Z-K � - 3S O 19-71 State Zip Page 4 of 4 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $522.33 D15-0256 Address: 6511 S 153RD ST COMPLEX Apn: 2954900348 $522.33 DEVELOPMENT $503.50 PERMIT FEE R000.322.100.00.00 0.00 $188.30 PLAN CHECK FEE R000.345.830.00.00 0.00 $122.40 WASHINGTON STATE SURCHARGE 13640.237.114 0.00 $4.50 PERMIT FEE R000.322.100.00.00 0.00 $188.30 TECHNOLOGY FEE $18.83 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT:' . 1 R000.322.900.04.00 0.00 $18.83 Date Paid: Thursday, October 01, 2015 Paid By: VICTOR VISALE Pay Method: CREDIT CARD 08631C Printed: Thursday, October 01, 2015 7:50 AM 1 of 1 SYSTEMS I..' INSPECTION RECORD 77A Retain a copy with permit f�` 6;0 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type o Ins ection: c P &,--4 1 (G Address*, 4 0 c Called' VI Special Instructions: Date Wanted: a.m. Q -6 -�(� p.m. Re es er: ly Phone No: • �0 �� Ilnspector: 'I/ _ 1Datez70 r � s REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. REVISIONS --� NO 6109ss Shall be maoz to the scope of viork without prior approml of Tu%vlila Building Division. Zr— Map$ 6511 S 153rd St NO + Z: Fevisions will require o new plan o' al I and may include additional plan refts ,i fees. � Image capture: Aug 2014 02015 Google Tukwila, Washington Street View - Aug 2014 s 9 N T6511 FOIE S 153rd St �s� �IANCE S/53rdSt�-� � OCT 02 2015 Man review approval is eubjzzt to errors and om ssions. A mval na construction documnts do3s not authorize � �S �p the violation of any adoMed cads or orCrmm R=!% lviye", olvisloN of approved Field Copy end condo ups is Wmor.1 2zd: - - RECEIVED Date: 10 -z - )I' CITY OF TUKWILA City of Tulzavila OCT 0 12015 t) [,5 ft�- IiftG ®lgl�t 5 19 PERMIT CEWTER Google earth ►Here l' . 100 60 b [ &---ooZ56 ROWED FOR 100DE COMPLIANCE APPROVED OC I 0 2 2015 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA OCT 0 12015 PERMIT CENTER t 5-? l G 1, -�- '- Q Lt z5� r L�, ,f I� 8L,1"I4- 1g67 A BILE 2) m 'c- � , " --� RECEIVED Y OF 1"WIL A OCT 0 12015 PERMIT CENTER C� r%-qqq P 00 L EL_ � ? - V 1 ` ) POLYFLEX• and POLYFLEX• G are rem" � premium, polyester reinforced APP modified bitumen roofing membranes specially designed for heat welded applications. POLYFLEX• membranes are also used as flashing membranes in all Lul applicable specifications, in accordance with recommended installation ;' 3's practices. R UTop surface of membrane is sanded or granular (available in a variety of•-:"' '- colors) except at selvage edges, and provided with a patented, J p ,granule -free CDroll end, FAsnap• (U.S. Patent No.5,766,729; No.5,843,522 and r'= No.5,964,946), . :j 6 F MIAAM•DADE S d ^ A PPnOVEDo • ASTM D 6222 Type I V) • MIAMI DADE County Product Control Approved • Factory Mutual Approved Report #J.I.2W7A7 AM • UL Classified fR14671) for use in class A, B or C roofs, as d o• in the latest UL "Roofing Materials and Systems DirectorCEIVED • ICC-ES OF TUKWIL • TDI OCT p}2015 np POLYFLEX• and POLYFLEX• G membranes are specifically Uj designed for heat welding or to be applied with cold adhesive, ZU when sand backed. ► • REV, F c tions include new roofing, re -roofing, re-cover and BUR stallation. OCTW AM i Directly ver an acceptable substrate, base -ply sheet, apply one or more .�.' �yers of OLYFLEX10or a single layer of POLYFLEX• G. C membranes shall be set with min. 3" side and min. 6" end I I-- 103 1VI oiled membranes shall be set and unrolled approximately 6' to align sheets. A propane torch flame shall be applied to the exposed, outer oW surface of the roll (the membrane underside) until the surface reaches the proper application temperature. The roll is then gradually unrolled to ED`;,'% "I a� • V O create a continuous heat weld between the membrane and substrate. The — Q W remainder of the roll is re -rolled and installed in the same manner. There / Qis should be approx. 1/4" to 3/8" bleed out of the melted membrane (com- I pound) at the laps. Laps shall be top rolled using a minimum 6" wide roi- ley applying pressure immediately after heat welding. a 4i r ASTM D 6222 Type I abnaiaK, aatteaaad physic.{ prowinefAPPnadtned CAM malerkle Using fhhtelterRdafatcmeets) TEST METHOD TECHNICAL ) VALUES ` Grade SA ' VALUES Grade G DESCRIPTION STMM AD5147 Sec5 Thicknes nominal, mils (mm) 160 (4,0?180 (4.5)dASTM D228 Sec 7 diet mam/unit area, min, lbslld0 R' ( m') 70(34.1)85(41.5)ASTM D5147 See 16 Bottom coatingthickness, min, In mm) 30(0.76)30 (0.76) m ASTM D5147 Sec 6 Maximum load at 73.4 ± 3.6°F (23 t 2°C), 3 • MD & XMD, min, before and after heat conditioningi IbOin. 0/m) 70 (12.3) � j a ASTM D5147 Sec 6 Rongatian at 73.4 ± 3.6°F (23 ± 2°C), t)�> MD & XMD, min, at maximum load, NN. i rivim' a before and after heat conditioning, % i. 40 I: F ASTM D5141 See 6 Maximum load at 0 ± 3.6°F (1$ ± 2°0, R ' MD & XMD min, Ibf/m. i N/m) 80 (14) ASTM D5147 Sec 6 Elongation at 0 ± u MD & XMD min, at maximum loa % l0 ASTM D5147 Sec 6 Elongation at 5%of maximum load ' 73.4 ± 3.6°F (23 t 2°C) MD & XMD min % =x; 40 ASTM D5147 Sec 7 Tear strength at 73.4 t 3.6°F (23 t 2°C), min, lbf (N)�90 (400) ASTM D5147 Sec 11 Loty temperature flexibility, max, before and after heat conditioning, °F (C) +32 (0) ASTM D5147 Sec 10 Dimensional stability,max % 0.5 ASTM D5147 See 15 High temperature stability, °F (°C) min 260 026) 70 (12,3) 40 80 90 (400) +32 (0) ASTM D5147 Sec 14 Granule embedment, max N/A 2 ASTM I)SIC Sec 9 Water absorption, % max Mi 3# 2 .f 3.2 ASTM D5147 See 9 Water absorption, % min five 1.0 �" 1.0 ASTM D5&36 Low temperature unrdling, °F (°C) max r 41(5) �— ;. 41(5) The properties in this table are'as manufactured' unless otherwise noted. Meets minimum thickness requirements of applicable ASTM etanilerd. ---------------- PRODUCT NAMEI VERSION .._._..... .._._.._.__ I APPROR. WEIGHT � (161ro1U ROLL SIZE � ROLLSIPALLET I COVERAGE FOLYFLEX° 4 92 3T10'k3'IN'(10mxlm) $3 tooftt POLYFLEXaG 4.5 104 :12' n3'31/E'(Iomxlin) 20 l(x)ft' POLYFLEXt 5 110 3Yl0"r3'$W(I6mxlm) 20 IOORt Aa rumariela A —Id be ewrad to ,h r anginal —opened paekagi.g. (tail goods shalt be stored on end on a dean not anrface. - Store all tooting materials I. it dry place, on raiwd platfarms, out of direct eayafury to tbo elemonta until time of application This requirement applies equally, to Mft*P materials, temporarily an tho m.f Wow te—II'Ven. Mtom memhmo- at room uneperalure wherever possible. until immediately prior w installing th° ran. • blamriats 4haa be Stored in a tidy and safe way 10 order to ovoid axceedmj; Una etlowobie live load 4 the awrege umu. - Do not double at.k of ets of POLYGLASS' membrane. Top surface granule protection is available in a variety of colors such as Black Buff' Chestnut Careen Grey .Slate Oak Weatheruwod. White Red Red Blend Pine Green .. U.1tt Wa lea9 atbernhi.lae incurporuled into or part of a supplemental rmnufatWrrs'a wnrmnty, 3'alyglaea wertante its ptodueUs) for a periad of E Ywra agatnat manufaewring defo •te in its pro". Drat d4eedy'in-Ito in leakage. Warranty cweragc is......ally dedlnn,g p—rad warranty (FASnmpm j POLYGLASS USA Inc.: Corporate Office dt Manufacturing Facility Fernley9, Nevada 69408 Phone (775) 576-6007 Fax (175) 57G- 314 - Ton Free (800) 222-9782 a Tell . (r�g Fon)ities4563tdn Pater Haven, , Florida - Phone 3980570) - Pho23Une 3) 2 7.6885 Toll Free (800) 894.4583 • Winter Haven, Fl33680 -Phone (863) 297.6885 Fax(863)297.5658-Ton Free (866) 802.8017 WATERPROOFING MATERIALS AND INSULATING SYSTEMS tvtvty.polygglnae.cdm.e-maiLtvatomerservioeftol ese.cotn 1'OLYI'rI.ABS EURGPA tip.A.:World Head lourters (/tnaly) 0 2005 POLY(ft=USA lac. A11,10K Ntersed. poLyGLA53. lanafy or Predaera are prat"wo by U.S. and nallas patents US 6.766,724: US S.967.922: US 5,964.946: US O479. 685: US 6.596,125: Us 6.924.015; IT 1.261.999: oa K pststxs panain, ADra w a" max— awnw po►rat"V 00 MALLKW' aN NO"" nadanarts of POLYGLASS'. Wcanwerr, zf� Material Safety Data Sheet MSDS # APP FR -01 U.S. FEDERAL REGULATIONS TSCA' This product and its components are fisted on the TSCA 8(b) inventory. CERCLA: None SARA: 311/312 HAZARD CATEGORIES: None 313 REPORTABLE INGREDIENTS: None CALIFORNIA PROPOSITION 65: This product contains a chemical known to the state of California to cause cancer anti birth defects, or other reproductive harm. Other state regulations may apply. Check individual state requirements. The following components appear on one or more of the following state hazardous substances lists: Chemical Name CAS # CA MA MN NJ PA RI Asphalt 8052-42-4 Yes Yes Yes Yes Yes Yes rystalline Silica 14808-60-7 Yes Yes Yes Yes Yes Yes Limestone 1317-65-3 No Yes Yes NoI Yes Yes ADDITfONAL COMMENTS: None Polyglass U.S.A_ Inc. • 1111 West Newport Center Drive. Deerfield Reach. FL - Toll Free (888) 410-1376 . www.00lval RiN�I'��C AND %VATWRUOI7<G SYMMS • • , ✓] & MAW EYES: SKIN: INHALATION: INGESTION: Material Safety Data Sheet MSDS # APP FR -01 Hold eyelids open and wash with gentle stream of water for at least 15 minutes preferably at eyewash fountain. If contacted by hot asphalt, Cool with ice or water. Do not attempt to remove asphalt immediately. Consult medical personnel. Remove to fresh uncontaminated air. Not expected to be ingested. NOTE: TO PHYSICIANS OR FIRST AID PROVIDERS: Water-Jel has been shown to be an effective agent in softening and removing asphalt SUITABLE EXTINGUISHING MEDIA: Water spray, Alcohol foam, Carbon Dioxide, or Dry chemical. HAZARDOUS COMBUSTION PRODUCTS: Carbon Dioxide and Carbon Monoxide. RECOMMENDED FIRE FIGHTING PROCEDURES: NIOSH-approved self contained breathing apparatus is recommended for smoke protection. UNUSUAL FIRE & EXPLOSION HAZARDS: N/A ACCIDENTAL RELEASE MEASURES: Pick up large pieces. Avoid generating dust when picking up pieces. STORAGESECTION 7 HANDLING AND HANDLING AND STORAGE: Use protective equipment as described in Section 8. Keep away from heat or flame and protect product from the elements. OTHER PRECAUTIONS: Avoid breathing asphalt fumes. ENGINEERING CONTROLS /VENTILATION: N/A RESPIRATORY PROTECTION: N/A under normal use conditions. In circumstances where dust or fumes are generated and may exceed recognized allowable exposure levels, appropriate NIOSH approved respiratory protection is recommended. EYE PROTECTION: Safety glasses with side shields SKIN PROTECTION: Cotton or leather gloves are recommended when handling. OTHER PROTECTIVE EQUIPMENT: None WORK HYGIENIC PRACTICES: Wash exposed skin prior to eating, drinking or smoking and after skin contact. EXPOSURE GUIDELINES: These products should be handled using methods and techniques that minimize or eliminate dust or fume generation. Polyglass U.S.A., Inc. • 1111 West Newport Center Drive, Deerfield Beach, Fl. • Toll Free (888) 410-1375 • www.g)olvalass.com ku> INC Avn IPArFAr1"MSG NV5 Qmb • Material Safety Data Sheet MSDS # APP FIR -01 PROPERTIES UNIT DATA Appearance NIA Granulated Roll Sailina-point deg F >850 Evaporation Rate WA NIA Flash Point deg F >430 Maltina Point deg F >290 Odor NIA Mild asphaWpetrolem odor H undilutedproduct) NIA NIA Saturation in air % NIA Solids Content NIA NIA Specific gravity 91- 1.02 —1.30 Vapor Density Air � 1 NIA Valmr Pressure NIA NIA visaosft cP NIA VOC liter WA Volatility % <0.1 Water solubility % <0.1 ' THERMAL STABILITY: STABLE X UNSTABLE CONDITIONS TO AVOID (STABILITY): None known. INCOMPATIBILITY (MATERIAL TO AVOID): None known HAZARDOUS DECOMPOSITION OR BY- PRODUCTS: None known HAZARDOUS POLYMERIZATION: Will Not Occur TOXICOLOGICAL INFORMATION: None available for the product. See section 3. ECOLOGICAL INFORMATION: No information available WASTE DISPOSAL METHOD: This product, as supplied, is not regulated as a hazardous waste by the U.S. Environmental Protection Agency (EPA) under Resource Conservation and Recovery Act (RCRA) regulations. Comply with state and local regulations for disposal. RCRA HAZARD CLASS: None SECTION••- • •- • U.S. DOT TRANSPORTATION: PROPER SHIPPING NAME: NIA HAZARD CLASS: NIA ID NUMBER: NIA PACKING GROUP: NIA LABEL STATEMENT: NIA OTHER: NIA Polygiass U.S.A., Inc. • 1111 West Newport Center Drive, Deerfield Beach, FL • Toll Free (888) 410-1375 • WWW.PolvQlass.Cam RWIiSG AIND 4Y.{TERNI )lIN f SYS 7CVS Material Safety Data Sheet SECTION 1 PRODUCT NAME AND COMPANY IDENTIFICATION MSDS D: 06115/12 PRODUCT NAME: Poly@ex G, Polybond G, Torch Pro G TRADE NAME: APP Granulated Rolled Roofing CHEMICAL NAME: NA MANUFACTURER: Polyglass U.S.A. Inc. ADDRESS: 1111 West Newport Center Drive Deerfield Beach, Florida 33442 INFORMATION ONLY: (954) 233-1330 INTERNET: www.polyglass.com EMERGENCY CONTACT: (800) 424-9300 CHEMTREC (USA) NFPA Hazard Rating � t 1 ReWilm 0 $edal Hazards PAadive Personal Protection MSDS # APP G-01 HMIS Hazard Rating SECTION 2 COMPOSITIONIINFORMATiON ON INGREDIENTS 1 1 0 X INGREDIENT NAME COMMON NAME CAS number % Weight Exposure Limit OSHA Ex oaure Limit ACGIH Petroleum Asphalt Asphalt 8052 42 4 50 -61.0 5 mglm3 PEL 5 mafm3 TLV as fume Calcium Carbonate Limestone 1317 65 3 7 - 30 5 mg/m3 PEL (Respirable) 15 m m3 PEL(Total) 3 mg/m3 TLV (Respirable) 10 m m3 TLV Total Polyethylene Polyethylene 9002 88 4 0-8 5mg/m3 PEL (Respirable) 15 3 PEL(Total) 3 mglm3 TLV (Respirable) 10 mgtm3 TLV Total Polypropylene Pd lane 9003 07 0 0-10 Not established Not established Ethylene Propylene Copolymer Copolymer 9010 79 1 0 - 20 5 mg/m3 PEL (Respirable) 15 MaIM3 PEL Total 10 mglm3 TLV (Total) Nan -woven Polyester 1 Pal ester mat None assigned 2-4 Not established Not established Cant Filament glass fiber Fiberglass mat 65997173 0-2 5 mgfm3 PEL (Respirable) 16 m m3 PEL(Total) 1 fiberlcc TLV 5 mglm3 TLV Total As canna in um v4rrA naiam L ammurwaudn aianuaru, ey t.r' 7a7u. 7LW, Inc produRV ebove are cups7aerQearuLMs arm our nur regwre mi rn.a,a. nr r.urrµiuirn,ta that are listed for the produc(s) are bound within the product(s). Wben handed undarnomml cor4lons and handled as intended for use, there is no evidence that any of the above me iboned ingredients are iefeasedki amounts that pose a sigMcant health dsk. Although these products are not subject lathe OSHA Standard, POL YGLA SS USA would like to disclose as much health and safely inPormation as possible to ensure that this product is handed and used propedy. This MSDS contains valuable information critical to the safe handling and proper use of the product PRIMARY ROUTE OF EXPOSURE: Occasional nuisance dust, Inhalation SIGNS & SYMPTOMS OF EXPOSURE EYES: May cause irritation to the eyes. SKIN: May cause irritation to the skin. INGESTION: This product is not intended to be ingested. If ingested, it may cause temporary irritation to the gastrointestinal (digestive) tract. INHALATION: May cause irritation to the respiratory tract. Polyglase U.S.A., Inc. • 1111 West Newport Center Drive, Deerfield Beach, FL - Toll Free (888) 410-1375 - www.00lyglass.com PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D15-0256 DATE: 10/01/15 PROJECT NAME: FOURPLEX REROOF SITE ADDRESS: 6511 S 153 ST X Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: K, * C, 10-1-1S" Building Division Vi Fire Prevention Planning Division ❑ Public Works ❑ Structural ❑ Permit Coordinator PRELIMINARY REVIEW: DATE: 10/06/15 Not Applicable ❑ Structural Review Required ❑ (no approval/review required) REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 11/03/15 Approved ❑ Approved with Conditions Corrections Required ❑ Denied ❑ (corrections entered in Reviews) (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 Horizon Roofing LLC Page 1 of 2 Home; Inicio en Espanol Contact. Safety Washington State Department of Labor & Industries Horizon Roofing LLC n Search A-Z Index Help My Secure L&I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson PO Box 24449 FEDERAL WAY, WA 98093 Principals 253-838-5833 Vasale, Robert Scott, PARTNER/MEMBER KING County Giere, Peter Ellis, PARTNER/MEMBER Doing business as Horizon Roofing LLC WA UBI No. Business type 603 405 837 Limited Liability Company Governing persons PETER ELLIS GIERE ROBERT SCOTT VASALE; 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. HORIZRL8671-7 Effective — expiration 06/27/2014— 06/27/2016 Bond ................. Wesco Insurance Co $12,000.00 Bond account no. 46WBO50751 Received by L&I Effective date 06/27/2014 06/27/2014 Expiration date Until Canceled Insurance ...._..._................... Houston Specialty Ins Co $1,000,000.00 Policy no. TEN14320 Received by L&I Effective date 06/26/2015 06/27/2016 Expiration date 06/27/2016 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings 1. https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603405837&LIC=HORIZRL867L7&SAW= 10/02/2015