BLD2014-0992.pdfL
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4�' 1 �1 T Y' F E121 5TH AVENUENORTH - EDMONDS, WA 98020
IPHONE: (425) 771-0220 - FAX: (425) 771-0221
Expiration Date: 04/03/2015
Parcel No: 00762400040200
EDMONDS CAMELOT HOA ROOF TIGHT INC ROOF TIGHT INC
510 FORSYTH LANE Po Box 5566 Po Box 5566
EDMONDS, WA 98020 Kent, WA 980645566 Kent, WA 980645566
(425)679-6651 (253)735-2347 (253)735-2347
LICENSE #: ROOFTI'*006QA EXP: 11/07/2015
COMMERCIAL RE -ROOF. 15,000 SF /FLAT ROOF.
VALUATION: $30,000.00
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
TIAt APPLICAJJON ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR I11SkfF,,R DEPUTY AND ALL FEES ARE PAID
cott agar 1+ 10 C �
Signature Print Name Date ~ i Das By Date
V-1 \ !r 1 ►1
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,
ONLINE APPLICANT = ASSESSOR E;IPTHER
STATUS: ISSUED BLD20140992
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job 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 or policies 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 or state law does not approve any items not to code specification.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise limits 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
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed 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.
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, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
771
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
EXT. 1326
PUBLIC WORKS (425) 771-0235 PR&TRFATMENT (425)-01-5755 RECYCLING 425) 2754801
..............
When calling for an inspection please leave the following information Permit Number, Job Site Address, Type of Inspection being
reouestetL Contact Name and Phone Number, Date Preferee(4 andvrlrether you Irr Ipr°_morning or afternoon.
• B -Roof Tear Off
• B -Building Final
DEVELOPMENT SERVICES
COMMERCIAL &i MULTI -FAMILY BUILDING
PERMIT APPLICATION
t 1 121 5`h Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 4 Fax 425.771.0221
PLEASE REFER TO THE COMMERCIAL & MULTI-FAMILYBUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip): Parcel #:
10 o s %; -Ki Lane-
Subdivision/Lot
ane-
Subdivision/Lot #: Project Valuation: $ �f
23uQ 1(IL,S0 IMduTwX
APPLICANT: P tin ax:
Rood ri k+ ling 4 786-o484 0z,53) 220-2`42
Address (Street, City, State, Zip): E -Mail Address:
��1,q(hre n hiCo►�
PROPERTY O"'t) NER: Phone: Fax:
E . gt� Came Iof Kt7A
Address (Street, City, State, Zip): E- it Address*
510 ors f V%d5. Jh 98026 bac a�6wchassoc��rtes. �e�
LENDING'AGENC Phone: Fax:
i 425-�-1, -665
Address (Street, City, State, Zip): E -Mail Address;
CONTRACTOR:*1'hor�T?G. Fax:
Roof Ti hf In , -oy4y Z53i2Zo-2t+yZ
Address (Street, City, State, Zipy. E -Mail Address
11 427 L41n Ave, �, , Q -I03 KCe4 Wh 9?a3Z roof 4%*1 t.\(-@ OVA06ll,eo.%
WA State License #/Exp. Date,
*Contractor must have a valid City of Edmonds business license prior to 0' 0 F: 1 I * 00 f,# Q'A O O I
doing work in the Ci ty•Contact the City,Clerk's Office at 425.775.2525 City Business License /Exo. Date:
V�Q R r alA�d �Cwloval o� ,al d roodµ d osa) o+~
e 40i4c cap onc�al FIas41h IIoS ec,410n ^nA re air 4- wood so69+rtie,
Ocw ro""1 G045pky�t,+ o -}w Brad NQS �Aqw� awol5 �ns�-alta�Fo� of /y't
OL-, pe- O-za 5 ewrock Covar board SAv P5 hGs, i Lee,4' o bass
PROPOSED NEW SQUARE FOOTAGE FOR THIS PROJECT:
Basement: s . ft. Garage:
1" Floor: . Deck: ' sq, ft.
2 nd Floor: Other:. sq. ft
mWIN
3r Floor: s . ft. Occu anc : Occupanc Load:
Retaining Wall:, ❑ Yes ❑ No Grading: c ds„ Type of Construction:
I declare under penalty of perjury laws 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. Q OD � Tt ) /'
Print Name .5(.0 -ft PFrLr S I d w f )1`❑ Owner ;; ent/Other (specify)* COO+r i.r
Signature: iLW Date:
lit,
FORME LABuilding New Folder 2010\DONE & x-ferred to LrBuilding-New drive\Form E.doc Updated: 10/2011
I
FORME LABuilding New Folder 2010\DONE & x -ferrel to LrBuilding-New drive\Form E.doc
Updated: 10/2011
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DEVELOPMENT SERVICES �
} COMMERCIAL & MULTI -FAMILY BUILDING CHECKLIST
121 5'h Avenue N, Edmonds, WA 98020
r Phone 425.771.0220 It Fax 425.771.0221
City of Edmonds
PROJECT ADDRESS: ._
PRE -APPLICATION MEETING? ❑ YES ❑ NO If YES, Pre -application Number:
Plans shall be of sufficient clarity to :indicate the location, nature, and extent of the work proposed, and conform to the provisions of
the adopted International Codes and City Ordinances.
Handouts and Standard Details may be found on the City's website cj gpLd' ^ � or can be obtained' at City Hall
during normal business hours.
Plans/calculation/reports prepared by state licensed architects or: professional engineers must` be stamped and signed by the
design professional.
FORME LABuilding New Folder 20101DONE & x-ferred to LrBuilding-New drive\Form l~.doc Updated: 10/2011
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SUBMITTAL REQUIREMENTS
y
o r
po
p
The number indicates the number of copies for
eD
W
submittal( if applicable); Check marks indicate
a
~'
ci
M
O
additional submittal requirement as applicable
o
a K
4
Application Form E 1
1
1
li 1
1
Site Plan` 3
3
3
3 3
3 F/C
Reduced Site Plan 11 X 14 or 8 %2 x 11 1
1
1 '
1' 1
1 F/C
Architectural Construction Drawings 3
3
3
3 3
3
Structural Drawing and Calculations 3
3
3
3
WA State Energy Code NREC Calcs &'Lighting ✓
✓
✓
✓
Site Classification Worksheet 3
3
Site Development Plans/Civils 4
4
En ineering Report/Drainage Calculations 3
3
Landscape Plan ' 3
3
R ht —of--Wa Permit Application 1
1
1
Critical Areas Determination or Checklist 1
1
1'
Geotechnical Report 3
3
Health District Approval Letter ✓
✓
Manufacturer's Specifications/Cut Sheets ✓
✓
✓'
✓
3
Contractor's City, of Edmonds Business License ✓
✓
✓
✓ ✓
✓
Washington State Contractors License ` ✓
✓
✓'
✓ ✓
✓
Plan Check Fee (due upon submittal) ✓
✓
✓
✓ ✓
✓
Traffic Impact Analysis 3
3
3
3
Survey 3
3
Special Inspection and Testing Agreement ✓
✓
Envelope Plans and Documents/Condos 2
2
Bonds 1
1
✓
✓
Architectural Design Approval 1
1
✓
Peer Review Fees ✓
✓
i
Deferred' Submittals ✓
✓
I
Shop Drawings ✓
✓
e
Street Use
✓
Handouts and Standard Details may be found on the City's website cj gpLd' ^ � or can be obtained' at City Hall
during normal business hours.
Plans/calculation/reports prepared by state licensed architects or: professional engineers must` be stamped and signed by the
design professional.
FORME LABuilding New Folder 20101DONE & x-ferred to LrBuilding-New drive\Form l~.doc Updated: 10/2011
EDMONDS CAMELOT HOA
510 FORSYTH LANE
EDMONDS, WASHINGTON 98020
September 25, 2014
To Whom it May Concern:
The Board of Directors for Camelot Condominium has contracted with Roof Tight, Inc. to complete our
roofing project which is scheduled to commence on September 29, 2014. Our consultant for the project
is David Bach & Associates, LLC, Bellevue, Washington. The project includes tear -off, removal, and
disposal of existing cap metal flashing and roof coverings down to the wood decking, inspection and
repair to substrate, and re -roofing.
The project value is $238,162.50 which includes Washington State Sales Tax. Our current assessed
property value is approximately $6.125M
Thank you for your consideration,
Marge Johnson, President
Edmonds Camelot HOA