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HomeMy WebLinkAboutPermit D16-0316 - NORMANDY COURT APTS - REROOFNORMANDY COURT APT - REROOF 14225 42ND AVE S D16-0316 Parcel No: Address: 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 6111100000 Permit Number: 14225 42ND AVE S Project Name: NORMANDY COURT APTS - REROOF Issue Date: Permit Expires On: D16-0316 12/5/2016 6/3/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: „ WA, LARRY HOLDEN 17230 SE AUBURN BLACK DIAMOND RD , AUBURN, WA, 98092 HOLDENS ROOF SERVICE 6002 35TH WAYSE , AUBURN, WA, 98092 HOLDERS850K6 NEIDERS CO 1120 E TERRACE ST - SUITE 300 , SEATTLE, WA, 98122 Phone: (206) 853-0272 Phone: (206) 853-0272 Expiration Date: 5/26/2017 DESCRIPTION OF WORK: TEAR OFF EXISTING ROOF SYSTEM CEDAR SHAKE DOWN TO DECKING. INSTALL 30 YEAR LAMINATE FIBERGLASS SHINGLES OVER ROOF DECK Project Valuation: $6,500.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $398.97 Occupancy per IBC: R-2 Water District: 125 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 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: /tf'J//tL4' Date: �W 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 la regulating construction or the performance of work. I am authorized to sign and obtain this development p it and agre to conditions attached to this permit. Signature: L Date: Print Name: LA 12 y /iWo'-"-' %- 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: 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. 5: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0401 ROOF SHEATHING CITY OF TUK ,.,A Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. b i fp - 031 c 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 t' ) King Co Assessor's Tax No.: Site Address: 14 22.5 —1 Z it P Ot 5 'Vern 4, Suite Number: Tenant Name: �1i !d &eG D PROPERTY OWNER Name: LA. 't 1—ad /c1424‘) ldwt�t1A Name: NL i' c/4-4-5 L 0 ,. Address: /72 3 D Se /�4' Address: / / 2 0 L 76a2e,4 (C% 6 6 4t 46 City: 5444/At 1 /A t State: & g Zip42 Lr d�qqnn RO14." ,02,7 Fax: CONTACT PERSON — person receiving all project communication Name: LA. 't 1—ad /c1424‘) ldwt�t1A Address:. -7;? 3n .5 1�pR kik / D/0044t1 A Address: /72 3 D Se /�4' ..A.,4'D t City: A / Ail State: ai 4 A� I Zip: 9ga? d�qqnn RO14." ,02,7 Fax: Email: GENERAL CONTRACTOR INFORMATION Company Name: ( O tl�5 poor 56 ` Address:. -7;? 3n .5 1�pR kik / D/0044t1 A City: /1yc+KL4.,I State: tem.. Zip:�f /530 Pre." /35 5 "6272 Fax: ColooI ,5 8,Exp Date: Tukwila Business License No.: H: WpplicationsWorms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh a. New Tenant: Floor: ❑ Yes ARCHITECT OF RECORD Company Name: c 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: NE. C 1 ed2.6 L.6� f� Address: 7/20 72-,214,6„. ,5si E 3f City: 1(//6 State: ()4 Zip, ,) 24. Page 1 of 4 BUILDING PERMIT INFORMATI 206-431-3670 eat* Valuation of Project (contractor's bid price): $ 6,6 00 Existing Building Valuation::$ Describe the scope of work (please provide detailed information): % ,1-�- '� FF 6-x / j1! +($ , or 69, kill- Cectiti h4 v 6)104)4.'4 dect%y 6 I�r.> .".a.261.F - 4. '3o2 I4niv rd.624/tssh/ / Duet_ RovF Will there be new rack storage? ❑ ....Yes ❑ ..No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes 0 Na 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\2012 Applications\Fermit Application Revised - 2-7-12.docz Revised: February 2012 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC tat Floor 2na 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 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes 0 Na 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\2012 Applications\Fermit Application Revised - 2-7-12.docz Revised: February 2012 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). 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 OER OR 1UT RIZED AG ' T: Signature: Print Name: `.ti e -g* ///cJ#'O- Mailing Address: % 7:756 4d lirk ©; H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Date: (1/ 18 f to Day Telephone: 'ZC 85-5 0272 City State Zip Page 4 of 4 PUBLIC WORKS PERMIT INF AVIATION — 206-433-0179 Scope of Work (please provide detailed information): Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District 0 .. Tukwila ❑ ...Water District #125 0 .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ .. Sewer Use Certificate ❑... Highline ❑ ...Valley View ❑... Renton ❑ ...Sewer Availability Provided 0... Renton 0... Seattle 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. Submitted with Application (mark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34") 0 .. Technical Information Report (Storm Drainage) ❑ .. Bond ❑...Insurance ❑... Easement(s) Proposed Activities (mark boxes that apply): ❑ .. Right-of-way Use - Nonprofit for less than 72 hours 0 .. Right-of-way Use - No Disturbance ❑ .. Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 El.. Total Cut ❑ .. Total Fill cubic yards cubic yards . ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Permanent Water Meter Size (1) ❑ .. Temporary Water Meter Size (1) ❑ .. Water Only Meter Size ❑...Geotechnical Report 0...Maintenance Agreement(s) 0 .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0... Right-of-way Use - Profit for less than 72 hours 0... Right-of-way Use — Potential Disturbance 0...Work in Flood Zone 0... Storm Drainage 0...Abandon Septic Tank ❑...Curb Cut 0...Pavement Cut 0...Looped Fire Line ❑ .. Sewer Main Extension Public ❑ .. Water Main Extension Public WO # WO # WO # Private 0 Private 0 0...Grease Interceptor 0... Channelization ❑ ... Trench Excavation 0...Utility Undergrounding (2) " WO # (3) (2) " WO # (3) ❑ .. Deduct Water Meter Size " WO# " WO# 37 FINANCE INFORMATION Fire Line Size at Property Line ❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment Monthly Service Billing to: Name: Number of Public Fire Hydrant(s) Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip H:\Applications\Forms-Applications On Line \2012 Applications\permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 3 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $398.97 D16-0316 Address: 14225 42ND AVE S Apn: 6111100000 $398.97 DEVELOPMENT $387.37 PERMIT FEE R000.322.100.00.00 0.00 $232.04 PLAN CHECK FEE R000.345.830.00.00 0.00 $150.83 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $11.60 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R9880 R000.322.900.04.00 0.00 $11.60 $398.97 Date Paid: Friday, November 18, 2016 Paid By: LARRY HOLDEN Pay Method: CREDIT CARD 121421 Printed: Friday, November 18, 2016 1:12 PM 1 of 1 OSYSTEMS 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) 438-9350 Project: Ah�iiaZr Airs Ty of Inspection: tlit.,tii�G- ),,I,44L Address: /Z/ 22S— 4Z,uu A,lor S Date Called: Special Instructions: Date Wanted: ))` iZ� /� �,„ �•.' p.m. Requester: Phone No: vioApproved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: /2/9//6 2 9 /6 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. q .. M•7a6harlical ■ 9 i; civic - AA, ® j , BU _' 't ' S 111 III 4�■ 1 ■ /■ .41111= ■ Arr. P , _ , ni �■ ■ lug ■ 0 ^ke faith; -1 .4Jk •iM 1'+; ■ �' DC t in - + :. • • b th B4ikli I a ulya +' 7 ;+r r ••� ••„" _ P�RnV.D -BUR* !" D ,:Q i iy f 1 , 1. - ;, ' Sj - ISI• � ----, ►. «+-,!- '+a, n 1 • • +P • •:o,- ■ } •. lrvo gar the f f: � rEc u�,. ror�ai �f _. , i ► •T' ._Eev+,icns will -zwiro��.r,��a� r.4an dam= ' i a • mty iridude a Oland; plan reii daes , i ' - I- RCEIB ,, 1 1900 o xd 1R r NOV , I i I i I _ / i Tp 1 Ali CENtEi� ; 1i fa, 7-4,,,... j 1 i41: ropoo.Y /40 i `� ICLAN- oo� s a.,ru rc.,z- Page # of pages FIELD Ca "4 . I4-OLDE1 k� "'''A 204 -833- oz72 1- go£rC ' PROPO AL SUBMITTED T04 . JOB NAME !\Cr "%am Co r4, JOB # ADDRESS JOB LOCATION 14 z2s- Z DATE DATE OF PLANS PHONE FAX ARCHITECT 1 -We hereby submit specifications 0 --e,_cj., and estimates for: I "64"- v*'t' r42-"" r'r0af: G it .pl 8. per,. A claa‹. cit aWn L t•cLre. S L► t c e U -C _L...12Gar__:.....e-_T-hc, 11 '03 I( .&,) E u,s c. __-- Geri" —c, . " Lc..r A .k. 41 t) skC.-,,ri,c1 ( �1.mr t1 J 6 r .r I o' -411 t k -!- (i rt -c— j ii) j„,1.54. --;_g_ - 36 s at 40..r -C1 (0 -ii ` 1 ca �a✓h r)S- s k' NI 1 t .1" r bts 4]/ A -c.. J UC)rr- /-a ..tie.,- Y`o ke..; IS — Tr. tge... I I ct,. Lc..)” sli4r v,,,/ IP (As 4--, /il k ..J g /a rw3 c -' crrL 113 "X-- , ii Y h - I L r t d- cc..? 4e. a I I intC — (r.....c__;s_e_ K,riQ ro- Ia.Lc' LJDr; 1 a C l e.c (14 eL.J .1\.0.4.411 4 a 411 REVIEWED FO - b 149% -- --- CODE COMPLIANCE 031 APPROVED e proppse hereb6 fanis ,material and labor — complete in accordance with the above specifications for the sum of: with payments to be made as follows. Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, \accidents, or delays beyond our control. Respectfully submitted Note — this proposal may be withdrawn by us if not accepted within days. / acceptance of Vropogar The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date of Acceptance Signature RECEIVED CITY OF TUKWILA NOV 18 2016 PERMIT CENTER A-NC3819 / T-3850 09-11 "rpt:`• Lr 0 1 20t& LIMITED LIFETIME' ARCHITECTURAL SHINGLES — �—* — r r 1.111111.11.11 i 1vMixirm Color featured is Dual Brown arranty for complete terms, conditions, restrictions and application requirements. Cambridge LIMITED LIFETIME' ARCHITECTURAL SHINGLES Cambridge is IKO's most popular shingle among contractors and discerning homeowners alike. Cambridge shingles add architectural interest that boosts your home's curb appeal. With their dimensional profile and deep shadow bands which mimic the look of wood shake construction, they can create a high-end designer look for your home, all at an affordable cost. Choose from a huge array of colors to coordinate perfectly with your home's style; whether rustic or urban, traditional or modern. Even if you live in a maritime climate or area of high humidity, you can enjoy having a gorgeously colored roof free from streaks and discoloration. Cambridge premium architectural laminated shingles come in IKO's special Advantage size. They're bigger and heavier than most competitors' products of comparable quality. Constructed with one of the heaviest mats in the industry for their class, Cambridge is engineered to withstand the elements for years, making them among the most durable shingles you can buy. When you choose Cambridge, your new roof will keep on looking as great as it performs. • Built-in algae -resistant' granules • 15 -Year IKO Iron Clad Protection' • Limited Lifetime Warranty' • Includes up to 110 mph (177 km/h) Limited Wind Warranty' • Optional Limited High Wind Warranty Upgrade of 130 mph (210 km/h) available12 • Miami -Dade Approved* Color featured is Dual BIack Cambridge Color Blends 3 AR Algae Resistant Product availability may vary by region. Dual Black Harvard Slate Weatherwood Dual Grey Driftwood Charcoal Grey Dual Brown Aged Redwood Earthtone Cedar Riviera Red Vintage Green These Cambridge color blends are only available in select shipping areas. National Blue **0 Patriot Slate 0 Super Whitest 0 �R C RATED PRODUCT ENERGY TAR "Cambridge Super White is CRRC° listed and ENERGY STAR° qualified. Beachwood 0 Product and color availability may vary by region, please refer to chart. ' See Limited Warranty for complete terms, conditions, restrictions and application requirements. 2 High Wind Application is required. 3 This article contains a preservative to prevent discoloration by algae. Miami -Dade Approved for Cambridge product made in Kankakee. "Blue granules may fade after extensive exposure to the sun's ultraviolet rays. 0 Limited Availability in USA and Canada. CAMBRIDGE THE IKO ADVANTAGE Limited Warranty' Limited Lifetime Iron Clad Protection' 15 Years Limited Wind Warranty' 110 mph (177 km/h) Limited High Wind Warranty Upgrade'•2 130 mph (210 km/h) Algae Resistant3 Yes PRODUCT SPECIFICATIONS Length 40 7/8 in (1038 mm) Width 13 3/4 in (349 mm) Exposure 57/8 in (149 mm) Coverage Per Bundle 33.3 ft2 (3.1 m2) STANDARDSt ASTM D3462 ASTM D3018 ASTM D3161- Class F ASTM E108 - Class A Colors Dual Black Charcoal GreyJ Harvard Slate Dual Grey Dual Brown [Weatherwood J Driftwood Eastern U.S.A. ASTM D7158 - Class H CSA A123.5 CSA A123.51 Cambridge [ ✓ ( ( Lged Redwood 1 1 ✓ 1 Earthtone Cedar ✓ Riviera Red ✓ 1 Western U.S.A. Western Canada Cambridge r ✓ [ [ [ L Cambridge L ✓ 1 ( r Lit Vintage Green ✓ ✓ ✓ These Cambridge color blends are only available in select shipping areas: [National Blue`*01 Super Whitett 0 rBeachwood 0 1 Patriot Slate 0 r [ ✓ [ Note: All values shown are approximate. Miami -Dade Approved for Cambridge product made in Kankakee.' Product is designed and tested to comply with ASTM/CSA standards at time of manufacture prior to packaging. **Blue granules may fade after extensive exposure to the sun's ultraviolet rays. 0 Limited Availability in USA and Canada. 'See Limit- ed Warranty for complete terms, conditions, restrictions and application requirements. 2High Wind Application is required. 'This article contains a preservative to prevent discoloration by algae. Product and color availability may vary by region. IR° ROOFING I1 COMPONE.NrS Shingles alone are usually not enough to protect your home. IKO has developed superior multi -layered roofing components for these vulnerable areas of your roof. - AL. �\ Underlayment E r -r Eave Protection 1. Eave Protection GoldShield, ArmourGard, or StormShieldTM Ice & Water Protectors IKO's Ice & Water Protectors provide a second line of defense against water penetration due to ice dams or wind -driven rain and the costly damage it can cause. This product is also strongly recommended for sealing around vents, low pitch areas, ridges, hips, rake edges, chimneys, dormers, vent stacks, and skylights. 2. Underlayment RoofGard-Cool Grey or Stormtite® Underlayment Use our innovative RoofGard-Cool Grey or Stormtite synthetic underlayment for total deck protection. 3. Roof Starters Leading Edge Plus Starter Strips Fast, easy and convenient. IKO's Starter Strips are already cut to size, saving valuable time during the installation of the first course of shingles. Compatible with all existing IKO Shingles, Leading Edge Plus includes a sealant strip at the bottom edge allowing for a tight seal. 4. Ridge Cap Shingles Hip & Ridge Plus, Hip & Ridge 12 or Ultra HPTM High Profile Ridge Cap Shingles Ridge cap shingles are required where roof planes meet, and provide additional protection along these high stress areas of the roof, enhancing your home's aesthetic appeal by accentuating the roof line. CR C ® RATED PRODUCT ENERGY STAR "Cambridge Super White is CRRC listed and ENERGY STAR qualified in the US. Shingle Swatches and House Photography shown are as accurate as modern printing processes allow. Shingle swatches shown do not fully represent the entire color blend range of the shingles. To ensure complete satisfaction, please make your final color selection from several full size shingles and view a sample of the product installed on a home. Be sure to look at the color sample of all material in natural sunlight, at different times of day to ensure that your color choices are complementary. The information in this literature is subject to change without notice. We assume no responsibility for errors that may appear in this literature. Find out more about our products now by talking to an IKO Sales Representative, your Professional Roofing Contractor or contact us directly at: United States 1-888-IKO-ROOF (1-888-456-7663), Canada 1-855-IKO-ROOF (1-855-456-7663) or visit our web site at: www.iko.com. © Copyright 08/15 - MR 1 LOOS vcRMIi COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D16-0316 DATE: 11/18/16 PROJECT NAME: NORMANDY COURT APTS - REROOF SITE ADDRESS: 14225 42 AVE S X Original Plan Submittal Response to Correction Letter # Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: N6 fr?t1 2 Building Division Public Works n Fire Prevention Structural Planning Division n Permit Coordinator PRELIMINARY REVIEW: Not Applicable ri (no approval/review required) DATE: 11/22/16 Structural Review Required REVIEWER'S INITIALS: DATE: n APPROVALS OR CORRECTIONS: DUE DATE: 12/20/16 Approved Corrections Required ❑ Approved with Conditions ❑ 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 D Ping ❑ PW 0 Staff Initials: iznsnou HOLDENS ROOF SERVICE Hume Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & industries Search L&I Page 1 of 2 A -Z 1 ndex Help Ml LCI Workplace Rights Trades & Licensing HOLDENS ROOF SERVICE Owner or tradesperson Principals Holden, Larry Earl, OWNER Doing business as HOLDENS ROOF SERVICE WA UBI No. 602 658 317 6002 35TH WAY SE AUBURN, WA 98092 206-853-0272 KING County Business type Individual License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties ROOFING License no. HOLDERS850K6 Effective — expiration 05/26/2015— 05/26/2017 Bond Wesco Insurance Co $6,000.00 Bond account no. 46WB063280 Received by L&I Effective date 05/26/2015 05/08/2015 Expiration date Until Canceled Insurance United Specialty Insurance Com $1,000,000.00 Policy no. SI14841A13597 Received by L&I Effective date 05/19/2016 05/17/2016 Expiration date 05/17/2017 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. 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