2200_001.pdfCITY OF EDMONTDS
12I 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425) 77 l'02n - FAX: (425) 77 t -0221
STATUS: ISSUED 08D8nOl9
Expiration Date : 02 128 12020
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P¡IOPEII]-\'OWNEIì \PPLI( ,'\NT (]ONTR^('roRParcel No: 00779100010100
E,MERALD CREST CONDOMINIUMS
505 PINE ST #IOI
EDMONDS, WA 98020
TEKLINE ROOFING
C/O SCOTT MORRISON
609 INDUSTRY DR
TUKWILA, WA 98188
(206) 246-7663
TEKLINE ROOFING
C/O SCOTT MORRISON
609 INDUSTRY DR
TUKWILA,\ilA 98I88
(206) 246-7663
LICENSE #: TEKLIR*(206) 931-1164 EXP:05/18/2021
RFROOF, II2FLAT, I/2 COMP ONCONDO
VALUATION: $15,587
W"v¿ENE
Date By Date
ATTENTION
ITIS UNLAWFUL TO USE OROCCUPY A BUILDING ORSTRUCTURE UNTIL AFINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBCIOg/ IBCI IO/ IRCI IO.
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GROUP 54 - Re-Roof/RoofTYPE: Commercial
EOF CONSTRUCTIONCYDS: OGRADING: N
OCCUPANT GROUPWALLROCKERY:
ANT
CODE:OXO FT
.---- OTHERDESC:
ED DATE:0OF
LOT #:OF DWELLINGUNITS: O
lST FLOOR:0BASEMENT:O 02ND FLOOR:01ST FLOOR:00
GARAGE: ORD FLOOR: 0 DECK:0 OTHER:0DECK:0 OTHER:0RDFLOOR:0 GARAGE:0
0 00 BATHROOMS:0
l'lìO l'()s 1:l) ¡\l{lr\t,.\ls ll\(; \l{l!\
PROPOSED:PROPOSED:PROPOSED:
PROPOSED:ALLOWED:0 PROPOSED:0
SETBACKNOTES:
FRONT SF,I'TìA('IT s lDE, S F.'l'lìA(.lr ¡ì.8,\,1ì stlTIìA(ìK
COMPI-Y
IOLATON
NOTHEREBYAUTHORIZEDTHEWORKINANDDOINGCONSTRUCTIONTINGLAWSTEREGULAActIYSTANDTOWIIHAGREECOMFENSATIONWORKMENSTOTINGRÉAWASHINGTONOFTHEOFTESTACODELABOROFTHEINEÐBEWLLEMPLOYFERSON
RCWAND 8:27INSURANCE AREFEES PAID.A ALLNDHIS/HEROR DEPtJryOFFICIALTHEBYBUILDINGSIGNEDUNTILFERMTA
PERMlT APPROVAL
FIRE APPLICANT ASSESSOR CITY
(roNt)tT'toNS
STATUS: ISSUED
. BRoofTear Off. &Building Final
8LD20191083
Final approval on a project or f,inal o€cupancy approval.must be granted by the Bu.ilding official prior to use or occupancy ofthe building or structure' check the job ðar¿ io.äl required cfiy ;;r;;;s inctuding finalproject approvat and finatoccupancy inspections.
Any request for altemate design, nrodification, variance or other administrative deviation (hereinafter..variance,') fromadopted codes' ordinances.orpolicies- rnust be specificalþ requested in u,riting and be calìed out and identified. processingfees for such request shall be ðstablished by council un¿ rrtuäu. p;Jd;" submittal and are non-refi¡ndable.
Approval ofany plat orplan containing provisions which do not cornnlv rvith ci¡, nnrta nn.r r^.,..L:^r- - ---..:specificalþ identified, requested and cãnsidered by the appr"p'i.i.l[i"ä;;ìií;;;;".:"ilil;i:,il'rffi;:iifflt"i"of city code or state law d_oes not approve any items not to code specification.Sound/ltloise originating fromtemporary construction sites as a result ofconstruction activity are e)cmpt fromthe noise limitsof ECC chapter 5'30 only during the hours of 7:00amto 6:00pm on weekdays and l0:00am and 6:00pm on saturdays, e><cludingSundaysandFederal Holidays' Atallothertimesthenoiseoriginutirgfi';;."nstructionsites/acúvitiesmustcompþwiththe
noise. limits of chapter 5.30, unless avanancehas been g.unt"Jpu.suãnt io gcc 5.30.120.Applicant' on behalf ofhis or her spouse, heirs, assign{and ro"r.rro., in interests, agrees to indenni$ defend and holdharnrless the city of Edmonds,-washington, its-otrcials, employ".s, anJ agents from any and all claims for damages ofwhatevernature,arisingdirectþorindñectþfiomthe¡rruun."'ro.tit;ücritit Issuanceofthispermitshallnotbedee'redtomodily, waive or reduce any requirements oiany Cþ ordinance nor limit in any way the Cþ,s ability to enforce any ordinanceprovision.
THIS FERMIT AUTHORZES ONLY THE WORK NOTED. THIS FERMÍÏ COVERS WORK TO BE DONE ON FRMATE FROPERry ONLY. ANYCoNSTRUCTON ON THE PUBLC DOMAIN (cuRBs, S|DEWALKS, DRMM/AYS, MARQUFFS, Erc.) wLL REQUTRE SEPARAïE FERM|SS|ON. FERMITT|ME LtMtf: SEE ECDC r9.00.00S(AX6)
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INSP[I*t'toNs
IO SCIIEI)IJL[, INSI'L{"t't()NS
BUILDING ENGINEERING 771{,220 EXT.1326
4. Then: Online permit lnfo
5: lf you don't have one already, create a
login (upper right hand corner)
to: wwwedmondswa.gov
Then: Peifi ítS/Derélöpment
l. Go
2. Then: Services
6: Schedule
ng Department lnspections
Building Department font desk for
assistance during ofice hours.
(425) 771-0220
Buildi
scheduledarenow onli tfne.you
haw d¡tr callpleaseculties,the
F|RE (425) 775-7720
PUBLTC WORKS (4251 77 1 4235
RECYCLT NG (42s1 27 54801
When anfor oncallinginspecti leareplease the Perminformation:following Numberit SiteJob Address ofType lnspectionContactNameandPhoneDateNumberandPrefenedwhetherorafremoon.
¿rc, I
BUIIDING PERMIT
APPTICATION
Development Services
Building Division
t2t sth Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: www.edmondswa.sov.
PLEASE NOTE: lntake appointments are required for New Single Family
Residences, torge Additions, ADU's, New Commercial, and Mojor lenant
lmprovement application submittals. lf plans are prepared by a profession-
al, electronic files are requested in addition to the hard copies. Please bring
electronic files on a flash drive or coordinate for electronic transfer.
Please call 425-777-0220 to schedule an intoke appointment!
Permil #:Dþ7
Oftr(ie iJse ()nt\
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job site Address: 5O g 7¡g, ST
Parcel:
Lot /Unit/Suite #: _ Subdivision
PROPERTY OWNER:
Name:l?neL*t¡> CÞÆr Ca".Joa fttr¡Út4¡'t9
Mailing Address:frç P,Ne ST
City/State/Zip:ëþMøloç, v)fr 9boZL
Phone #:t4
Enail: lfFcAØ¿¡fP ãl>rquxu¿ . Nil
OWNER INSTALLATION: *lf yes, read and sign*
Will work be performed by the property owner? ! Yes ! No
I own, reside in, or will reside in the completed structure. This
installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange according to RCW
t8.27.O90.
Owner Signature
APPUCANT / CONTACT TNFORMATION:
Name of Applicant trvuntç Ræcr*U
Mailing Address:êz{ ,
^ÍD¿.tsr,a
ê/ òo-
city/state/zip:L¿Æ
Phone f:
E-mail:@fr ¿N 2-o6t Øq\
GENERAT CONTRACTOR: (lf different from applicant)
General Contractor:4¡rtr A<AgoJç
Mailing Address
City/State/Zip:
Phone #:
E-mail:
srArE uBr *: #t6 O 3 41O <87
crry oF EDMoNDs BUstNEss ucENsE * NRöZ'ç.çça
WA STATE CONTRACTOR [ & I #: (CCB) & EXPIRATION DATE:
E AccessoryStructure/
Detached Garage
tr Addition
! Demolition tr Mechanical
n New Single Family / Duplex ! Plumbing
n Fire Sprinkler n Remodel
tr New Commercial/ Mixed Use ú"-aoor
! Signs tr Tank
tr Tenant lmprovement tr Other
Remodel Permil fees ore bosed on:
The volue of the work performed. lndicote the volue (rounded lo
the neoresl dollor) of oll equipment, moleriols, lobor, overheod,
ond the Orofil jg¡1he work indicoled on this opplicolion.
vqruorion: f7 87, l9 3.L
Finished tr Unfinished !Basement sq ft:
1st Floor, sq ft
2nd Floor, sqft
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
other sq ft: ßæf tÞt 311
Ke Roor éX rsrtNâ Mu cr t -l^ul-q Co'v{tomt^t ni*' ^
NA^) fiMrt-zt kL Go, nt¿ ô{\./
I certify that the information I have provided on this form/appl¡cation is true,
correct and complete, and that I am the property owner or duly authorized
çT€ Y tT
I
f*r
Date
â perm¡t application to the City ofsubmit
ts
agent of the property owner
llQ¿eYAf
eTVlOr,/A U
Signature
Edmonds.
Print Name:
IYPE OF PERMIï (Provide Detoíls on Poge 2)
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
PROJECT DESCRIPTION
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Occupancy Group(s):Occupant Load(s):
Type(s) of Construction Fire Sprinklers: Yes n No !
WA STATE ENERGY CODE: lf your project affects the building envelope,
mechanical systems, and/or lighting, you must complete the
appropr¡ate WSEC forms.
DEFERRED SUBMITTALS: All commercial building permits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
perm¡ts are applied for separately.
T! l CHANGF OF USF 1 NFW BLDG: lnclude TRA.FFIC l[.4PACT rrorksheet
BTUS Gas / Elec / Other Qty
A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
Qtv Qtv
Clothes Washer Tub/ Showers
Dishwasher Backflow Device (RPBA, DCDA, AVB)
Drinking Fountain Pressure Reduction/ Regulator Valve
Floor Drain/Sink Refrigerator Water Supply
Hose Bibs Water Heater - Tankless? Y or N
Hydronic Heat Water Service Line
Sinks Other:
Toilets Other:
GENERAL COMMERCIAL DATA
MECHANICAL EQUIPMENT COUNTS (New and Relocated)
PLUMBING FIXTURE COUNTS (New, Relocated or re-piped)
BTUS Qty BïUs Qty
A/C Unit Outdoor BBQ/ Fire pit
Boiler Stove/Range/Oven
Dryer Water Heater
Fireplace/ lnsert Other:
Fu rnace Other:
Qtv Qtv
Carbon Dioxide Nitrous Oxide
Helium Oxygen
Medicai Air Other:
Medical - Surgical Vacuum Other:
Type of structure to be demolished
Square footage of structure to be demolished
AHERA Surveydone? Y/N PSCAA Case #:
Critical Areas Determination:
Study Required E Conditional Waiver Fl Waiver I
Fill in Place n Fill Material
Removal !Size of Tank (Gallons)
Critical Areas Determination:
Study Required ! Conditional Waiver E Waiver E
Grading: Cut cubic yards
cubic yardsFilt
Cut / Fill in Critical Area: Yes n No !
APPLICATIONS: Applications are valid for a maximum of J. year
ESLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
with Washington State Department of Labor & lndustries and have a
current City of Edmonds Business License.
GAS/FUEL CONNECTION COUNTS (New, Relocated or re-piped)
MEDICAL GAS, AIR VACUUM COUNÏS
(New, Relocated or re-piped)
DEMOLITION
TANK
GRADE/FrLL/EXCAVATE
GENERAL PROVISIONS
tao6t P.4Ê-7e,ÊA ô¿ô¡
www^ ÈeklinerÞof ing. oom
BUILDING AND/OR STREET USE PERMIT
LETTER OF AUTHORIZATION
As owner of the below listed property, I do hereby grant permission to
Teklíne Roofins. tLC to act as my agent in order to obtain a building andlor a
construction street use pennit as required by the goveming authority pertaining to
the re-roof project at this property.
This will allow Tekline Roofins, LLC to answer any and all questions on my
behalf and to sign any and all documents, as required by the permit authority to
ensure that this project meets all zoningand building code compliance.
Complete Address:5oS gi,^re :î a.a\
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Print Name:\Ð.ab .--\= <-
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Signature:.
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Tekline Roofing . 635 lndueËny tfnive, Tukwila WA gSIBB ' Lie,# TEKL|FI+FFOKß