HomeMy WebLinkAbout18019 Country Club Dr_BLD637_2025 CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:18019 Country Club Drive Perini t#:637
Parcel#:00832900008700 Valuation: 14000.00
OWNER APPLICANT CONTRACTOR
Name:HARRIS DAVID J&LAURA Name:S&S Roofing,LLC Name:S&S Roofing,LLC
Address: 18019 W COUNTRY CLUB DR Address:P.O.Box 969 Address:P.O.Box 969
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:Marysville,WA 98270
Phone: Phone:360-386-9903 Phone:360-386-9903
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: L[C#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Re-Roof CODEYEAR: 2012
STORIES: CONST.TYPE:
DWELLING UNITS: ( OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE"ro 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
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID,
HAS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, IBC110/IRCI10.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of trii I nusI be reported on your sale tax return form
and coded City of Arlinglot#3101
Laura C.Harris 4/10/15
Signature Print Name Date Released By Date
CONDITIONS
Plywood over skip sheathing, then installing PABCO Premier Advantage 50 heavy weight architectural
shingle.
THIS PERMIT AUTHORIZE 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.
PERMIT FEES
Date Description Fee Amount
Total Due: $0.00
Total Payment: $0.00
Balance Due; $0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type oflnspection being requested,and whether you prefer morning oi•afternoon
i CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:18019 Country Club Drive Permit#:637
Parcel#:00832900008700 Valuation: 14000.00
OWNER APPLICANT CONTRACTOR
Name:HARRIS DAVID J&LAURA Name:S&S Roofing,LLC Name:S&S Roofing,LLC
Address: 18019 W COUNTRY CLUB DR Address:P.O.Box 969 Address:P.O.Box 969
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:Marysville,WA 98270
Phone: Phone:360-386-9903 Phone:360-386-9903
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Re-Roof CODE YEAR: 2012
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: 1 OCC LOAD:
PERMIT APPROVAL
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
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. 1BC110/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of rli loi tttst be reported on your salt tax return form
and coded City of Arlington#3101.
Signature Print Name Date Released By Date
CONDITIONS
Plywood over skip sheathing,then installing PABCO Premier Advantage 50 heavy weight architectural
shingle.
THIS PERMIT AUTHORIZS 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.
PERMIT FEES
Date Description Fee Amount
Total Due: $0.00
Total Payment: $0.00
Balance Due: s0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
RE-ROOF
PERMIT APPLICATION
Depaftment of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223
Y 9 9
Phone (360) 403-3551
Type of Permit: Residential 0 Commercial Valuation: J$14,000
Project Address: 18019 YAmi6wbr Arlington WA 98223
Owner: David and Laura Harris
Address PO Box 403
City: JChelan State: WA Zip 98816
Phone Number: (206) 499-7734 Date: 104/05/15
Email: ILaura@chelanlookout.com
Contractor Information
Contractor Name: IS&S Roofing LLC
Address PO Box 969
City: limarysviiie State: 'WA Zip: 198270
License Number JSSROOSR9181VIM Expiration: 08/03/2015
I () t�IV
Type of Roofing Material:
PABCO Premier Advantage 50
year heavy weight architectural
shingle
No. of Existing �3 l
Layers:
Class of O B O A Roofing: . C
O
Replacing existing '`;i Yes �e i No Roof tear off: 0 Yes 0 No
sheathing:
Application over • Yes No
existing material:
I__
The following is required for NON-Residential Buildings:
• Existing roof structure and material:
• Two copies of the installation specifications and U.L. listed roof assembly.
• Occupancy of Building:
Please attach plans or other supporting documents:
Premier Advantage Brochure.pdf
By submission of this form, I hereby certify the above information is correct and that the construction
on, and the occupancy and the use of the above described property will be accordance with the
laws, rules and regulations of the State of Washington. The applicant will be responsible for
providing a method of safely accessing roof for inspection. A final inspection and approval shall be
obtained when the re-roofing is complete.