BLD2022-1368+HOA Letter+10.7.2022_2.04.32_PM+31531542018 FINAL -The GREGORY RULES AND REGULATIONS
U bJ IL-Jciu
EXHLSIBITI — ARCH, ITECTURAL CONTROL COMMITTEE (ACC) FORM
Gregory 'Architectural Lontrof
COMm"t,tea,, (ACC) Appficat,
uon (revised 04/201.9)
INSTRUCTIONS, For detailed instructions and attachment criteria, refer to the current
Condominium Rules and Regulations. NO application will be reviewed unless it is complete.
A complete application must include, where appropriate, construction drawings, plans,
sPecificat1on!k,;E.nd all other information needed to permit the ACC to fully review the proposal
and its Potential impact on the Gregory Condominium,
PARKING NOTIES: The City of Edmonds requires parking permits for street parking beyond the
posted limits; curb signs are available to reserve parking spaces. The Gregory requests that
contractors NOT park directly 'n front Of commercial businesses on Fifth Ave, if possible,
Alternatively, tools./materials can be unloaded from Fifth Ave before vehicles are moved.
Please read the instructions carefully in order to avoid unnecessary delay in processing,
NOTE: NO WORK THAT REQUIRES ACC APP'
ROVAI MAY BEGIN UNTIL THE ACC HAS GIVEN ITS
I
APPROVAL IN WRITING ON THIS FORM. ORAL APPROVALS AND APPROVALS BY INDIVIDUAL
DIREC TIORS, OFFICERS 016MANAG-ING AGENT THAT ARE NOT ONTHIS FORM SHALL NOT BE
:EFFECTIVE.
PLEASE TYPE OR COMPLETE FORM WITH BLACK INK.
,,Nlaayeo Cher-yl Pothover,
Email: -jw-r) -aven o,coni
In 1 206 8S23517,
tl -----_--Phone- ,
Unit of Pr011osed Work cif Different), _.
Description of Work (Please include the location of the project in the unit; make and model
Of any product to be installed; the name and Contact information, for the professional
contractor selected to do the work; a copy Of ar'Y City permit, if required; and Copies of any
other docunjentatiop . that may be requested in the Rules and Regulations. Drawings or plans
of war k or mociffications in Unit must be attached as a separate sheet.).
Lse main bath and wetroom +,-.o be a main bath wit.h double shower
and a closet for the second be&r-oom. Plc®_- -i ljc747�
but
rna t
r a 9 _CJT1_61_J.79F-1 Thy M7 W411 be
Ufin linen closet door and
shower door. if any perinii'-st are required, they will be applied for and
Pame 27 o 2 -L'
-dance With City of Edmonds code.
supplied by A&O Constructio in �Acor
n0279301
2018 FINAL — The GREGORY RULES AND REGULATIONS
Estimated Start Date. 10/5/2022
Estimated COM-Pletion Date-
... 1/30/2022
Acknowledgement of Neighbors: Signatures of all neighbors are required to ensure that
awareness Of YOLr intent is communicated — including but not limited to extra building
traffic, higher noise levels, etc,
Last Name & Unit:
sign
Last Name &
Last Name & Unit,
4-X_
Last Name & Unit:
Signature:_
Acknowledgement of Applicant. I have read and acknowledged the appropriate Rules and
Regulations of the Gregory Condominium that govern the Procedure for undertaking any
addition and/o.alteration to my property.
Signature:__-
Ca
Completed applic tiOnS must be submitted to the Association Secretary or Board designee at
least 14 days Prior to the Proposed scheduled work.
Official Use oniy, Approved: ex- Disapproved: mate:
'C'onditions of Approval:
p
Signed b'y. —title. S—e-o-re +..cwr -el 0 V L1_.q
/7(/14
d IL4 pt 2 3
Page 28 of 42
ne279301
warn lagmn s�au o.pammene m
Labor & Industriesl.,_(https: Ini.wa.gov)
Contractors
I A&O GENERAL CONSTRUCTION LLC 1
Owner or tradesperson
..................................................................
Principals
ZAMBRANO CONTRERAS, LUIS
ANTON, PARTNER/MEMBER
Doing business as
A&O GENERAL CONSTRUCTION LLC
WA UBI No.
604 822 552
License
15703 3RD AVE NE
SHORELINE, WA 98155
206-475-8408
KING County
Business type
Limited Liability Company
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction r
..........................................Contracto........................... Active
Meets current requirements.
License specialties
GENERAL
License no.
OGENEGC793QC
Effective — expiration
11/03/2021-11/03/2023
Bond
................
HARTFORD INSURANCE CO THE MIDWEST
$12,000.00
Bond account no.
67BSBIM9394
Received by L&I
Effective date
11/03/2021
10/27/2021
Expiration date
Until Canceled
Insurance
.......I ......................
Continental Cas Co
$1,000,000.00
Policy no.
C6981550530
Received by L&I
Effective date
11/03/2021
10/28/2021
Expiration date
10/28/2022
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.
I Certifications & Endorsements I
OMWBE Certifications
...................................................................
No active certifications exist for this business.
Apprentice Training Agent
No active Washington registered apprentices exist for this business. Washington allows the use of apprentices
registered with Oregon or Montana. Contact the Oregon Bureau of Labor & Industries or Montana Department of Labor
& Industry to verify if this business has apprentices.
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
612,743-00
...............-- ...........
Doing business as
A&O GENERAL CONSTRUCTION LLC
Estimated workers reported
Quarter 2 of Year 2022 "0" Workers
L&iaccount contact
Account is current.
T2 / LINDA ALGUIRE (360)902-4678 - Email: POTH235@lni.wa.gov
I Public Works Requirements I
Verify the contractor is eligible to perform work on public works projects.
Required Training— Effective July 1, 2019
Needs to complete training.
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 & Health
Check for any past safety and health violations found on jobsites this business was responsible for.
No inspections during the previous 6 year period.
wasabgbn Sbic DapaNnlnt of
Labor &Industries (https: Inima.g-).
Contractors
I MADE RENOVATION I
Owner or tradesperson PO Box 471081
Principals SAN FRANCISCO, CA 94123
Dickey, Roger Felix, PRESIDENT 415-309-0058
Doing business as
MADE RENOVATION
WA UBI No. Business type
604 635 269 Corporation
Parent company
UNTITLED LABS INC
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.
MADERR*790CZ
Effective —expiration
03/01/2021— 03/01/2023
Bond
................
American Contractors Indem CO
$12,000.00
Bond account no.
100537119
Received by L&I
Effective date
01/26/2021
03/01/2021
Expiration date
Until Canceled
Ie
.......nsuran............c
...........
Landmark American Ins Co
$1,000,000.00
Policy no.
Iha141690
Received by L&I
Effective date
11/30/2021
10/25/2021
Expiration date
10/25/2022
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&1 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.
I Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business.
Apprentice Training Agent
No active Wasfirigton registered apprentices exist for this business. Washington allows the use of apprentices
registered with Oregon or Montana. Contact the Oregon Bureau of Labor & Industries or Montana Department of Labor
& Industry to verify if this business has apprentices.
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.
916,887-00
...............................
Doing business as
MADE RENOVATION
Estimated workers reported
Quarter 4 of Year 2021 "0" Workers
L&I account contact
T2 / CRYSTAL RALKEY (360)902.4635 - Email: KECR235@lni.wa.gov
I Public Works Requirements I
Verify the contractor is eligible to perform work on public works projects
Required Training— Effective July 1, . 2019
Needs to complete training.
Contractor Strikes
No strikes hivebien issued against this contractor.
Contractors not allowed to bid
446 dibarmeriii"havi bean issued against this contractor.
I Workplace Safety & Health I
Check for any past safety and health violations found on jobsites this business was responsible for.
No inspections during the previous 6 year period.
EXISTING CONDITIONS - FLOOR PLAN
i
i
� I
I It l�l l� I
it l !i I
-
NOTES
P NOc
1 7' _ R 1IA"
Revision 03 // 05.24.2022
)POSED CLOSET -FOR GC TO
OUTSIDE OF MHOE. NOTES
• 2 columns (1 with 45 one
with rain (on left wall)
• 16" ht. Stacked niche.12"
shaving
DOOR TO 9E COORDINATED • full wall @ toilet side. CO
D IREC TUY, •
Add single grab bar.CO
Add new framed wall to Sow