2200_001.pdf- 0 1. 1; 1) p (1�p
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 08/28/2019 Penw(#.- BLD20191083
Expiration Date: 02/28/2020
Parcel No: 00779100010100
ProjectAddre%s'. 'M-5 VINE ST, EDMONDS
EMERALD CREST CONDOMINIUMS
TEKLINE ROOFING
TEKLINE ROOFING
505 PINE ST #101
CIO SCOTT MORRISON
CIO SCOTT MORRISON
EDMONDS, WA 98020
609 INDUSTRY DR
609 INDUSTRY DR
TUKWILA, WA 98188
TUKWILA, WA 98188
(206) 931-1164
(206) 246-7663
(206) 246-7663
LICENSE #: TEKLIR*850KQ EXP:05/18/2021
RE -ROOF, 1/2 FLAT, 1/2 COMP ON CONDO
VALUATION: $15,587
PERMIT GROUP 54 - Re-Roof/Roof AltertRepair
PERMIT TYPE: Commercial
- GRADING: N CYDS: 0
TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD�
I -'r N C E. 0 X 0 FT,)
CODE:
JOTHE.IC ------- OTHERDESC:
ZONE.:
INUMBER OF ��I'ORIES 0
vu'.sr ED DATE-
N 13 M BF R OF DWELLING UNIT S: 0
LOT 4:
BASEMENT 0 1 ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR. 0
3 RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
IBEDROOMS:
0 BATHROOMS, 0 —
BEDROOMS: 0 BATHROOMS: 0
REQUIRED- PROPOSED:
RLQUIRFD: PROPOSED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:0 REQUIRI-A) PROPOSED: �F
SETBACK NOTES:
- I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPENSATION
INSURANCE AND RCW 18:27.
�ICCATONZ NOT A pERmrr UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISMER DEPUTY AND ALL FEES ARE PAID.
T?&'e
Date
SE NELSON 8/28/19
By Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10
FIRE APPUCANT ASSESSOR Crryv
STATUS: ISSUED BLD20191083
nuvl��
• Final approval oil a projector final occupancy approval must be granted by the Build ing Official prior to use or occupancy of
the building or structure. Check thejob card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter"variance") from
adopted codes, ordinances orpolicies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
Approval of any plat or plan containing provisions which do not Comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code orstate lawdoes not approve any items 'lot to code specification.
SoundfNoise originating from temporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites /activities must comply with the
"Oise linlits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harrilless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, aris ing directly or indirectly from the issuance for th is pernift. Issuance of this pennit shall not be deenled to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
I 1hom W WE 1 rfll�
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDB/VALKS, DRIVB/VAYS, MARQUEES, ETC-) VALL REQUIRE SEPARATE PERMISSION, PERMIT
TIME LIMIT: SEE ECDC 19.00-005(A)(6)
BUILDING
1 - Go to: www.edmondswa.gov
2. Then: Servces
3. Then: Perrnits�/Demelopftient_
4. Then: Online Permit Info
5: If you don't have one already, create a
login (upper right hand comer)
6: Schedule votir imnortinri
Building Department Inspections —
are now scheduled online. If you
have difficulties, please call the
Building Department front desk for
assistance during office hours.
(425) 771-0220
ENGINEERING
FIRE (425) 775-7720
771-0220 EXT. 1326
PUBLIC WORKS (425) 771-0235
RECYCLING (426) 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
— being requested, Contact Name and Phone Number, Date Preferred. and whether you Eefer moming or afternoon.
• B-Roof Tear Off
• B-Building Final
ov. 1; 1),f BUILDING PERMIT
/N 0 N
APPLICATI Permit #:
r% I & 0 1 N'j7 Zo
'WV'W%J1J111V" 'q %.V3
Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: www.edrnondswa.ppv.
PLEASE NOTE: Intake appointments are required for New Single Family
Residences, Large Additions, ADU's, New Commercial, and Major Tenant
Improvement application submittals. If 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 425-771-0220 to schedule an intake appointment!
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job Site Address: —'56 -15- F/ ri 67 5-T7
Parcel:
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: CmatAL.D C&42sT- C6-Jjsomtm)Li,5
MailingAddress: 55,!S__ ?(&IF _577
City/State/Zip: 6D M 00N[ Q LA)
Phone#: �2(_)L) 9_3/-)/(,,L�
Email: &F_r_A0,au::7a ��toym_
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? 0 Yes 0 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
18.27.090.
Owner Signature:
APPLICANT/ CONTACT INFORMATION:
Name of Applicant: -rey-L-1 -4c- Rcc-=,
Mailing Address: ZAf1)&&7-,9q za
I
City/State/Zip: 179, �,0,8
Phone#: 2-Y(,- 76(,s
E-mail: ED _r(F(Z__L itf& R_�00rlW6 6Z-A,
GENERAL CONTRACTOR: (if different from applicant)
General Contractor: !7-;�m gz Ari!� Al?o-AF-
Mailing Address:
City/State/Zip:
Phone #:
E-mail:
STATE UBI M t5~6 n -3 q_qt,)!5p:1
CITY OF EDMONDS BUSINESS LICENSEM N1W2_r,5QC7
WA STATE CONTRACTOR L & I M (CCB) & EXPIRATION DATE:
L) V-9
TYPE OF PERMIT (Provide Details on Page 2)
El Accessory Structure/ El Addition
Detached Garage
0 Demolition
El Mechanical
El Plumbing
El New Single Family / Duplex
0 Fire Sprinkler El Remodel
El New Commercial/ Mixed Use EV/Re-Roof
0 Signs El Tank
El Tenant Improvement 0 Other
Remodel Permit fees are based on:
The value of the work performed. Indicate the value (rounded to
the nearest dollar) of all equipment, materials, labor, overhead,
andtheprofitf the work indicated on this application.
Valuation. T?67�
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq ft: Finished El Unfinished El
Ist Floor, sq ft:
2nd Floor, sq ft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft: -ADD f=:" 121 3'7
Ae
PROJECT DESCRIPTION
FE kC)C) E 6y M U t:7—
—I—
COW 80 A' / ^J IL-fm _s
L A S 9 N>-, a iz__
CU4TaL--TLV'_ —r)L,5—
I certify that the information I have provided on this form/application is true,
correct and complete, and that I am the property owner or duly authorized
agent of the property owner to submit a permit application to the City of
Edmonds. P
y
Print Name:
Signature: Date
GENERAL COMMERCIAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction:
Fire Sprinklers: Yes El No E]
WA STATE ENERGY CODE: If your project affects the building envelope,
mechanical systems, and/or lighting, you must complete the
appropriate WSEC forms.
DEFERRED SUBMITTALS: All commercial building permits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
permits are applied for separately.
T! / CHANGE OF USE / NEW BLDG: Include TRAFFIC IMPACT worksheet
MECHANICAL EQUIPMENT COUNTS (New and Relocated)
BTUs Gas Elec other Cty
A/C Unit /Compressor
Air Handier /VAV
Boiler
Dryer Duct
ExhaustFans
Fireplace
Furnace
Heat Pump Unit
Hyd.ronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
PLUMBING FIXTURE COUNTS (New, Relocated or re -piped)
QtY Qty
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:
GAS/FUEL CONNECTION COUNTS (New, Relocated or re -piped)
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
MEDICAL GAS, AIR VACUUM COUNTS
(New, Relocated or re -piped)
QtY QtY
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical - Surgical Vacuum Other:
DEMOLITION
Type of structure to be demolished:
Square footage of structure to be demolished:
AHERA Survey done? Y/N PSCAA Case#:
Critical Areas Determination:
Study Required El Waiver El
im� Conditional Waiver El ikli
Fill in Place El Fill Material:
Removal El Size of Tank (Gallons)
Critical Areas Determination:
Study Required El Conditional Waiver El Waiver El
GRADE/FILL/EXCAVATE
Grading: Cut cubic yards
Fill cubic yards
Cut / Fill in Critical Area: Yes El No El
GENERAL PROVISIONS
APPLICATIONS: Applications are valid for a maximum of 1 year.
ESLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
with Washington State Department of Labor & Industries and have a
current City of Edmonds Business License.
TEOKI�IfNME
ROOFING
C2063 246-7663 6 6 6 6 6
www.teklineroofinia.com
BUILDING AND/OR STREET USE PERMIT
LETTER OF AUTHORIZATION
As Owner of the below listed property, I do hereby grant permission to
Tekline Roofini!, LLC, to act as my agent in order to obtain a building and/or a
construction street use permit as required by the governing authority pertaining to
the re -roof project at this property.
This will allow Tekline Roofine, 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 zoning and building code compliance.
Complete Address: -50 "S � 1. S —N , oJ. 3 �3 \
Print Name:
Signature: 'Date:
0 () 00, 6 0 / . 3`25
Takline Roof ing 0 E335 Industry Orive, Tukwila WA SE31 SE3 * Lic. # TEKLIR*B50KC
C