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HomeMy WebLinkAboutPermit D17-0211 - GENERAL BUILDERS SUPPLY - PRE-ROOFGENERAL BUILDERS SUPPLY 510 STRANDER BLVD D17-0211 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 0223200040 510 STRANDER BLVD DEVELOPMENT PERMIT Project Name: GENERAL BUILDERS SUPPLY Permit Number: Issue Date: Permit Expires On: D17-0211 9/5/2017 3/4/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: STRANDER ASSOCIATES LLC 1650 S 244TH PL , DES MOINES, WA, 98198 PEARLLA K PO BOX 828974 , KENMORE, WA, 98028 ASSOCIATED ROOFING INC 3121 NE 133RD ST, SEATTLE, WA, 98125 ASSOCRI16206 STRANDER ASSOC. 510 STRANDER BLVD , TUKWILA, WA, 98188 Phone: (206) 364-4445 Phone: (206) 364-4445 Expiration Date: DESCRIPTION OF WORK: REMOVE EDGE METAL AND DISPOSE CUT OUT BLISTERS AND DEFECTS IN ROOF. INSTALL VERSICO VERSIWELD 060 TPO SINGLE PLY MAINTENANCE/REPAIR SYSTEM. INSTALL NEW PERIMETER SHEET METAL FLASHING. Project Valuation: $59,472.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: Electrical Service Provided by: TUKWILA Fees Collected: $1,893.23 Occupancy per IBC: Water District: TUKWILA Sewer District: TUKWILA 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: Pivio 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 permind agree to the conditions attached to this permit. Signature:Date: _� Print Name:SC f 1� y S 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: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 6: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 7: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 8: 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. 9: 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.TulcwilaWA.gov Building Permit No. Project No. Date Application Accepted: 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** SITE LOCATION King Co Assessor's Tax No.: C 2.243 22) - ©s 90 Site Address:5(O Q.►2le4/ LAPP Tenant Name: Suite Number: PROPERTY OWNER Name: Sft z i i 'Q,..tr Address: C Jo ide avp J Ci , . fi,, /ti / ( State: 9j%� Zi' ry teff CONTACT PERSON — person receiving all project communication Name: 14 )t J C4 ,p �I Address: p' ®.. , , 0 City: ' `��l% e& State ztl ,r yzC Phone 3/ c/ y q p x: z4,6, 56g Zia Erx tla CP, r cia*Ct4iCr', I/J . GENERAL CONTRACTOR INFORMATION _ e Company Name:0,:clykre:0 g /7 Address: cpc) ezyx k City: State: Z9 ?GI Zg Phone ` Y-WCIiK.rvax: 206 c3 We5.3 Contr Re No.• Ex Date: / - Tukwila usiness License No.: H:\Applications\Forms-Applications On Line \2011 ApplcationsTermit Application Revised - 8-9.11.docx Revised: August 2011 bh .01 Floor: New Tenant: ❑ Yes 0 ARCHITECT OF RECO ' D D fr ngccei. Company Name: f------- City: T24i449,4 t Architect Name: ife Address: City: State: Zip: Phone: Fax: ^ Email: ENGINEER OF REC D fr ngccei. Company Name: L 7p __ ,tea V City: T24i449,4 t 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: ok fr ngccei. Address: C fLi 5.'f—e L 7p __ ,tea V City: T24i449,4 t State:Wr Zip�95(U' A Page 1 of 4 BUILDINGPERMIT INFORMATIO — 206-431-3670 .Valuation of Project (contractor's bid price): $ SC/) `.f —7 z- Existing Building Valuation: $_ D e the scope of work lease provide detai d informatio/n)�: �Q A� /fin l^ \I lyl / _I ae- i- 6, es^ f, , i ' ✓� "'� Ce l (Ai '�j `z"t /; "�Z' /��� i i 1/E ,0 l�' �' l -r tit/'C_/t . �`-/ � 02) , rr,� ,,2 y M ° - �a a7141, el neo 44 A el-e.,r do, -.A, Will there be new rack storage? ❑ Yes / No If yes, a separate permit a • p an submittal will be required. 2 te, Provide All Building Areas in Square Footage Below PLANNING DIVISION: f Single family building footprint (area of the oundation 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:, 0 Sprinklers ❑ Automatic Fire Alarm 0 None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 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 1\f ❑ On-site Septic S'stem — 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 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1° Floor 2nd Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: f Single family building footprint (area of the oundation 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:, 0 Sprinklers ❑ Automatic Fire Alarm 0 None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 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 1\f ❑ On-site Septic S'stem — 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 PUBLIC WORKS PERMIT INFOVIATION — 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 ❑ ...Tukwila ❑ ...Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate 0 .. Highline ❑ ...Valley View ❑ .. Renton ❑ ... Sewer Availability Provided ❑ .. Renton ❑ .. 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") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond 0 .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): 0 ...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 ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ ...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 ❑ ...Sanitary Side Sewer 0 .. Abandon Septic Tank 0 .. Grease Interceptor ❑ ...Cap or Remove Utilities 0 .. Curb Cut 0 .. Channelization ❑ ...Frontage Improvements 0 .. Pavement Cut 0 .. Trench Excavation ❑ ...Traffic Control 0 .. Looped Fire Line 0 .. Utility Undergrounding 0 ...Backflow Prevention - Fire Protection Irrigation " Domestic Water " ❑ ...Permanent Water Meter Size... WO # ❑ ...Temporary Water Meter Size .. " WO # ❑ ...Water Only Meter Size WO # 0 ...Deduct Water Meter Size ❑ ...Sewer Main Extension Public 0 Private 0 ❑ ...Water Main Extension Public 0 Private 0 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: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip HAApplications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 �. bh t' 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). 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 O ER OR AUTHORIZED AGENT:Signature: 1� /Q_. leGathLer Print Name: D ,�C L% r /L (_ 1 f , �f% ,e,v Day Telephone: U V �D Date: 1? -9 - /1 Mailing Address: H:Wpplimtions\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.doa Revised: August 2011 bh City State Zip Page 4 of 4 DESCRIPTIONS ACCOUNT 1 QUANTITY PermitTRAK . PAID $1,893:23 D17-0211 Address: 510 STRANDER BLVD Apn: 0223200040. $1,893.23 DEVELOPMENT $1,837.68 PERMIT FEE R000.322.100.00.00 0.00 $1,111.02 PLAN CHECK FEE R000.345.830.00.00 0.00 $722.16 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $55.55 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12079 R000.322.900.04.00 0.00 $55.55 $1,893.23 Date Paid: Wednesday, August 09, 2017 Paid By: ASSOCIATED ROOFING Pay Method: CHECK 101923 Printed: Wednesday, August 09, 2017 9:18 AM 1 of 1 SYSTEMS IRMO INSPECTION RECORD Retain a copy with permit INS TION NO. Nil -dare 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:22�' i L fL t'J :So Tyke of Inspection: 6u)t..bi y i /SAL Address: S7O ,s1 A-Arb &v1 Date Called: Special Instructions: • Date Want d 7 20: /7 qPE Requester: Phone No: 7,06e S-0 66/4) Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: VA-1/1 Date: 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 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 P) .02i) Project: IAL 2Vi'.-P R5 sway Type of Inspection: PRr- R. RAF Address: Date Called: 570 S DCR 0L..VD Special Instructions: baxreg , Date Wante • —1.(-17 a. rale Requester: Phone No: _ abs -510 -14)&21 Y Approved per applicable codes. D Corrections required prior to approval. COMMENTS: Inspector: Date: a W47 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection; T—Ts 25 C .9 g 2 r 16 .v .ct g5 76 44.2 Ci 5 a S a. z 0 0) w CC To • o . > c°'> QTO..> C as ,t 0 • 0) c ad m°m03 as a ▪ ni..£ 0 0 }`CO epi 03 o • o d= E 2 0 as At a m uni I gt° tel" 16 C PRI CI 42 OOP ig Ou t. 43 s ' /� v uJ (1 PERMIT CENTER 111.11111111 111= Associated Roofing, Inc. ASSOCRI 16206 - P.O. Box 82894 206 364 4445 Kenmore, WA 800 358 3119 98028 fax 206 368 2303 AUGUST 7, 2017 CITY OF TUKWILA DEPARTMENT OF COMMUNITY DEVELOPMENT 6300 SOUTHCENTER BLVD, SUITE 100 TUKWILA, WA 98188 RE: GENERAL BUILDERS SUPPLY BUILDING, RE -ROOF TUKWILA The existing roof is a Class "B" built-up roof system installed over plywood decking. We are proposing the installation of a Versico Versiweld .060 TPO roof over the existing system. The Versico Versiweld system is a maintenance/repair system, which installed over the existing Class "B" system will provide a Class "B" rating. Versico Versiweld information sheet has been enclosed. Should you have any questions, please let me know. Thank you. RESPECTFULLY SUBMITTED, BRYAN KAESTNER PRESIDENT BK/jms enc REVIEWED FOR CODE COMPLIANCE APPROVED AUG 302017 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA AUG •092017 PERMIT CENTER D11-0211 Serving the Pacific Northwest since 1979 SINGLE SOURC F O R CHOOSE THE ROOF THAT IS RIGHT FOR YOUR BUILDING FELE Versico understands that every building is different and has unique requirements when it comes to choosing the right replacement roof. This guide is designed to help you easily identify the best reroofing option based on your existing roof system, your energy requirements and your budget. Whatever your needs, Versico provides a comprehensive offering of products, services and warranty options. Existing Roof s 3 :_? �'l F4 f � v OFITIONSw Oitw RE-ROOfiNG X -Tendo Coat" Fully Adhered VersiFleece® TPO Membrane with M DASH Adhesive "t' h,,. ,Ys , i l Mechanically' ' Attached,, i ?;..- 3..� , Membrane,,. '(j �Direct-to-, ' i.r i I Existing Roof, 3; .,: v r ,4 ., ..r k-__ Versico , }* sl i ' SecurShield/ t i Coverboard -0, -, - ... with fully ':. . .; Adhered ;, r*- ,' i Minimum 060 D r i ,i ,..;Membrane . Mechanically , Y Attached ;, VersiFleece F TPO'Membrane , , • - , , Directto ,. s s ` 4 Existing Roof .-.: +,.r R Tech® EPS �4_ Fanfold 1V1inimum .04 • • Membrane -''- • sDirecfi-to- i ` Eiashng Roo: Metal Y��R t , G� -, 3,• ...� j,. , .. r{ .�-; _ � ..rt �, .' _ t � til ... r. .ti Gravel Built-up Roofi — — t A, '� +.,' c'- , ��C Jr ® �. N Smooth Built-up Roof/ ;Modified Bitumen.. 5 — r i ` ;� ;q w � ' . i '�, ,� t ;: }�:; ..S t' 7 f' Fully Adhered TPO or EPDM _— R 4 I r ;7 a !t ® �.'� F r , _-�^ c r #. . i YEAR N }S+ r irr VI, T+ ,' W •. � .t:.. a...'t A ' ... Ballasted EPDM (Ballast must be removed)i. — — _r ' . `,,,,....„,r1 .. tom' :.iAr, • ,,. l .• . `` h �.I 4�7� ' I .4 ® °:.. M f �� ,• ,, 1 — , l �• z • . �• i aa PVC C F T ;L i. FN!'• i } 1�;t!'''''': f z wPA, . �.R�^ •f�j '...' ''' �r. ;t! _ y L hr 4 c' ' Approved mechanical) 2Mechanically attached 8 VersiGard® EPDM and VersiWeldi Over VersiGard EPDM oily ,� attafigT.MtPefPcde stie Erng eunC Beth lT% OI YED ' AUG 30 2017 City of Tukwila tee), structural concrete, plywood and wood planks pugh Purlins RECEIVED CITY OF TU K W I L A AUG 002017 _ pE1►�i1;L`i�1 ER UILDING DIVISI VersiFleece TPO Adheredwith DASH Direct -to -Modified Bitumen Coverboard and Fully Adhered Membrane to Modified Bitumen Mechanically Attached VersiFleece TPO Direct -to -Existing Roof Associated Roofing, Inc., i PROPOSAL AND CONTRACT ASSOCRI16206 P.O. Box 82894 This is a "plain -English" contract. "We, "us, and "our" means Associated Roofing, Inc. "You" means the. customer. Kenmore, Washington 98028 206 364-4'i45 • 800 358-3119 • 206 368-2303 (Fax) Date: JUNE 28, 2017 PAGE 1 OF 1 Proposal Submitted To: JULIE ANDERSON 206-243-9800 GENERAL BUILDERS SUPPLY, INC. Job Name and Location: GENERAL BUILDERS SUPPLY BUILDING 510 STRANDER BLVD TUKWILA, WA File Code: B20 / 1T / DH-jms 510 STRANDER BLVD TUKWILA, WA 98188 PROPOSAL: We are pleased to submit this proposal to furnish the materials and perform the labor to: INSTALL VERSICO 60 -MIL or equal, WHITE TPO MECHANICALLY ATTACHED SINGLE -PLY ROOF SYSTEM SCOPE OF THE WORK: The specific scope of the work for this pro)a�tsR EXISTING ROOF COVER (22,000 SQ FT) 1. Remove edge metal and haul away for disposal. 2. Cut out all blisters and defects in roof. 3. Remove all dirt and debris from roof surface, sweep or blow clean, and dry. 4. Install Versico 60 -mil or equal, thermoplastic polyolefin (TPO) reinforced membrane roof system and when installed to the corresponding criteria, is an UL approved roofing system and meets FM 1-60 rating using the appropriate Versico fastener and plate. Field sheets are available in 8 or 10 foot widths. This roof membrane has a manufacturer's fifteen (15) year limited warranty. Standard color is white. 5. Install Versico TPO perimeter sheets (1/2 -widths of field sheets). 6. Install TPO accessory products to include penetration pockets, pipe seals, inside and outside comer flashings, and cover strip as needed. 7. Install new 24 gauge sheet metal perimeter flashing with baked enamel finish using 9aslketed galvanized nails or hex head gasketed screws. 8. Clean up and remove all debris from contracted work. NOTES: * Price does: nothinclude loaves awning. canopy roofs... _. -_ - * Due to the size of this project, we are requesting a downpayment of 25% 10 days prior to commencement of the work. QUALIFICATIONS TO BID: A. There will be dirt and debris associated with this project.There is also the potential for sheetrock (ceiling) damage. Repair to such damage is the sole responsibility of the property owner. Important items should be moved, covered, and/or secured to prevent damage. Scope of work excludes any and/or all interior work. Associated Roofing is not responsible for consequential damages to the structure or contents. B. As this is a construction project, there will be additional vehicle traffic and an increased level of noise. There may also be an odor present. Some people may find this objectionable, however, this smell, as far as we know, has not been shown to be a health hazard. C. By acceptance of this contract, the owner or owner's representative is stating to the best of their knowledge there is not the existence of any asbestos containing materials that will be disturbed by the performance of the specified work. D. The cost excludes all permits and fec.. (Le., building, street/sidewalk use, or fire/torch). If required, we will obtain at owner's expense. E. Owner to provide parking through duration of project. F. If applicable, temporary relocation and/or realignment of satellite dishes(s) or di connecting/raising-of mechanical equipment, and/or disconnection/reconnection of electrical to facilitate this project are not included in the scope of work and are the responsibility of owner. G. Price valid for thirty (30) days. THE FOLLOWING PLANS, SPECIFICATIONS, AND QUALIFICATIONS ARE A PART OF THIS SCOPE OF WORK: FIFTY NINE THOUSAND FOUR HUNDRED SEVENTY TWO & NO/100 59,472.00 Dollars $ Terms and Conditions Listed On Reverse Side PLUS SALES TAX WARRANTIES: Our warranty for workmanship, as described on the reverse , The manufacturer's warranty, which is described in their warranty which will i DEXTER HOLMES AUTHORIZED: FIVE side, is for 15 YR LTD tears. be provided to you, is for years. SIGNATURE: 1 1 11210 i Associated Roofing, Inc. Associated Roofing, Inc. JI CUSTOMER ACCEPTANCE OF PROPOSAL This proposal is accepted. The scope of work, price. terms and conditions contained on the front and reverse of this document constitute the contract. SIGNATURE TITLE DATE RETURN ORIGINAL OF THIS PROPOSAL TO: P.O. BOX 82894, KENMORE, WASHINGTON 98028 p ,ta..• .„ • CPEFiMIT COORD COPY. PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D17-0211 DATE: 08/14/17 PROJECT NAME: GENERAL BUILDERS SUPPLY SITE ADDRESS: 510 STRANDER BLVD X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: Attic, °a-0`47 Building Division57.1 Public Works ❑ l 074- $1 Fire Prevention Structural Planning Division ❑ Permit Coordinator PRELIMINARY REVIEW: Not Applicable (no approval/review required) REVIEWER'S INITIALS: DATE: 08/15/17 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved DUE DATE: ❑ Approved with Conditions Corrections Required Denied (corrections entered in Reviews) Notation: (ie: Zoning Issues) 09/12/17 REVIEWER'S INITIALS: DATE: 'Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 ' Fire 0 Ping 0 PW ❑ Staff Initials: 12/18/2013 ASSOCIATED ROOFING INC Safety & Health Claims & Insurance Washington State Department of % Labor & Industries Search L. &I :\- .Index help Page 1 of 2 My LM Workplace Rights Trades & Licensing ASSOCIATED ROOFING INC Owner or tradesperson Principals KAESTNER, BRYAN JAY, PRESIDENT KAESTNER, PEARLLA JO, SECRETARY KAESTNER, BRYAN JAY, AGENT SANDVIG, ROBERT N (End: 01/01/1980) SANDVIG, VERDA A (End: 01/01/1980) NEISINGER, WILLIAM P, AGENT (End: 10/27/2008) NEISINGER, NANCY, AGENT (End: 10/27/2008) Doing business as ASSOCIATED ROOFING INC WA U(BI No 600 522 587 P 0 BOX 82894 KENMORE, WA 98028-0894 206-364-4445 KING County Business type Corporation Governing persons BRYAN KAESTNER PEARILLA KAESTNER; 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 ASSOCRI162O6 Effective — expiration 09/26/1984— 05/06/2018 Bond DEVELOPERS SURETY & INDEM CO EP nd account no. 269250C $12,000.00 Received by L&I Effective date 01/19/2010 01/08/2010 Expiration date Until Canceled Insurance Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600522587&LIC=ASSOCRI16206&SAW= 9/5/2017 ASSOCIATED ROOFING INC United Specialty Insurance Com Policy no. ATNSF1770272 [' ) $1,000,000.00 Received by L&I Effective date 02/17/2017 02/20/2017 Expiration date 02/20/2018 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. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 412,332-00 ................................ Doing business as ASSOCIATED ROOFING INC Estimated workers reported Quarter 2 of Year 2017 "11 to 20 Workers" L&I account contact T1 / JAN BENTLEY (360)902-4652 - Email: STRO235@Ini.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes ....................................................... No strikes have been issued against this contractor. Contractors not allowed to bid .......................................................................................... No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 09/03/2013 Inspection no. 316856814 Location 120 5th Ave South Edmonds, WA 98020 No violations Page 2 of 2 © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600522587&LIC=ASSOCRI16206&SAW= 9/5/2017