BLD20161526.pdfDEVELOPMENT SERVICES
COMMERCIAL & MULTI -FAMILY BUILDING
PERMIT APPLICATION
,it I
1215 Lh Avenue N, Edmonds, WA 98020'
City of Edmonds Phone 425.771.0220 9 Fax 425.771.0221
PLEASE REFER TO THE COMMERCIAL & MULTI -FAMILY BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PRONE w ss (Street, Suite City tate, ZM; , � Parcel #:
Subdivision/Lot #: Project Valuation: $ l G'Zr
i
APPLICANT"; 1'ia illi . Fax:
Address (Strcet, Clty Stats Zip): E -Mail Address:
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PROPERTY OWNFId:lritie, Fax:
Address (Street, Cit S�tatc, Zi -Mail Address:
" any -1 v_k.. ( Jct l c•1?/� ''��
LENDING AGENCY: Phone, Fax:
Address (Street, City, State, Zip): E -Mail Address:
CONTRACTOR:* I'll tie, Fax:
Addros, (Street, City, Sate, Zi ): E -Mail Address
tAt49
WA Stateticense Ot/EX .a„ bate:
*Contractor must have a valid City of Edmonds business license prior to 40 4,4V4 , ,
doing work in the City. Contact the City Clerk's Office at 425.775.2525 F ity Business License #/Exp. Date:
DETAIL THE SCOPE OF WORK: , w A6 ..... ,.
PROPOSED NEWS UARE FOOTAGE FOR THIS PROJECT:
1 st Floor: sq. ft. 2'd Floor: s2. ft. _ 3r `Floor;
Basement: —sq, ft. Gara e: S9. ft. Deck/Cvrd Porch:. —sq. ft.
Other; sq. ft. Retaining Wall`. YesLJ No LJ Fire S rinklers: Yes No El
Occu anc Grou "(s): Occupant Load(s): J Type(s) of Construction:
Grading: Cut .........cu, ds. Fill cu. ds. I Cut/Fill in Critical Area: Yes LJ No
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.
Print Name: t -C I Owner Agent/Other ❑ (specify):
Signature: Date:.
FORM E LABuilding New Folder 2010\130NE & x-ferred'to L Building -New drive\Form E 2014.docx Updated: 1/17/2014
CrOW" 18596 76th AVE W
I Edmonds WA 98026
RootiliStiCt (425) 712 - 7663
Contractor's License # CROWNRIO021<2
Bonded & Insured
Proposal Submitted To.
Sandy Tindall
543 Pine Street
Edmonds, WA
(425) 218 - 2680
223 3rd AVE 5o
Edmonds WA 98020
DATED 11/11/2016 We Submit Specification & Estimate For: Cost
Removal of existing roof (main roof & out building)
Installation of TITANIUM UDL high performance underlayment
Installation of CERTAINTEED LANDMARK AR shingles
Installation of CERTAINTEED SWIFT START starter shingles
Installation of CERTAINTEED SHADOW RIDGE to peaks
Installation of metal, drip cap to gables
Installation of new flashing to plumbing vents
Installation of 6 vents on main roof & 3 vents on out building
Re line built in gutter system with 60MIL WEATHERBOND TPO membrane
Installation of new drains
Installation of fascia cap metal to built in gutter system
Disposal of all job debris 113,000.00
We hereby propose to furnish labor and material complete in accordance with the above specification for the
total shown below, due upon completion.
All labor is guaranteed for ten years. All work to be completed in a workman like manner according to
standard practices. All material is guaranteed to be as specified. Any alteration or deviation from above
specifications involving extra costs will be executed only upon written orders and will become an extra charge
over and above this proposal. All agreements contingent upon strikes, accidents or delays beyond our
control. This proposal is subject to acceptance within 30 days and is void thereafter at the option of the
undersigned.
Signature:
ACCEPTANCE OF PROPOSAL
The above specifications, conditions and cost are hereby
accepted. Crown Roofing Inc. is authorized to do the work as
specified. Payment will be made as outlined above.
Signature / Date Accepted: a—a
Subtotal $13,000.00
Sales Tax (9.5%) $1,235.00
Total $14,235.00