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HomeMy WebLinkAbout5529 Cemetery Rd_BLD2478_2025 CITY CIF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA, 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:5529 Cemetery Rd Permit#:2478 Parcel#:31051500200200 Valuation:10500.00 OWNER APPLICANT CONTRACTOR Name;MORAN CARLOS R&KRISTINA D Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:5529 CEMETERY RD NE Address;104 S.West Ave Address:P.O,Box 969 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 98270 Phone: Phone:360-386-9903 Phone:360-386-9903 LTC:SSROOSR918MM EXP;08/03/2019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: L1C#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: CONST.TYPE: DWF.LLINGUNITS: OCCGROUP: I BUILDINGS: 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 HISMER 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. IBCII0/IRC110. SALES TAX NOTICE:.a cs tax relating to stntction and construction materials in the City of Arlington!1 +I c reported o your sales tax return form c�cd Cityf Ar t t t31 Si atur Print Name Date oleos d y Date CONDITIONS CONDITIONS Call for final inspection. THIS PERMIT AUTHOR[ZS 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,ETCJ WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 3/28/2019 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $0.00 Balance Due: $25.00 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 GiTY OF ARLINGTON a� 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:5529 Cemetery Rd Permit#:2478 Parcel#:31051500200200 Valuation: 10500.00 OWNER APPLICANT CONTRACTOR Name:MORAN CARLOS R&KRISTINA D Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:5529 CEMETERY RD NE Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 98270 Phone: Phone:360-386-9903 Phone:360-386-9903 LIC:SSROOSR918MM EXP:08/03/2019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR 16 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: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington tst c reported o your sales tax return form and coded City of Arlington#3101. Signature Print Name Date elcas y Date CONDITIONS Call for final inspection. 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 3/28/2019 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $0.00 Balance Due: $25.00 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 it r Permit Information Date 3/28/2019 Permit Number 2478 Project Name S&S Re Roof-5529 Cemetery Rd Applicant Name S&S Roofing LLC Applicant Address 104 S.West Ave City,State,Zip Arlington,WA 98223 Contact Phone 360-386-9903 Email jennifersandsroofing@hotmail.com Permit Type Residential Re-Roof Site Address 5529 Cemetery Rd Valuation 10500.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Residential Re-Roof Number of Stories 0 Proposed Use Re-Roof Non structural Assigned To Raelynn Jones Property Parcel Address Legal Owner Owner Phone Zoning 31051500200200 15529 CEMETERY RD NE MORAN CARLOS R&KRISTINA D 1 1118 Manufactured Home(Owned Site) Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# S&S Roofin .LLC P3hane Dunla 360-386-9903 ,,hanesandsroofing@hotmaii.com CONTRACTOR -abor&Industries SSROOSR918MM Fees Fee Description Notes Amount Processing/Technology Feel 341.43.00.02 $25.00 Total $25.00 Uploaded Files Upload File Date File Uploaded B 3/28/2019 2:03:38 PM 12478 Application.pdf Jones.Raelynn }4. RE-ROOF PERMIT APPLICATION ' Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Adington, WA 98223 • Phone (360) 403-3551 Type of permit: (check one) (se) Residential ( ) Commercial Valuation:10500.00 5529 Cemetary Rd. Arlington, WA 98223 Project Address: Parcel ID#: - Owner: Carlos Moron Address: 5529 Cemetary Rd. City:Arlington State: W4 Zip Code:98223 Phone Number: 206-683-9074 Email jennifersandsroofing@hotmaiLcom Applicant:S & S Roofing LLC Address: 104 S. West Ave City:Arlington State: W°` Zip Code:98223 360-386-9903 jennifersandsroofing@hotmaiLcom Phone Number: Email: S & S Roofing LLC Contractor: 104 S. West Ave Arlington WA 98223 Address. City: State: Zip Code: 360-386-9903 jennifersandsroofing@hotmaiLcom Phone Number: Email: S S ROOS R918 M M 8/3/19 Contractor's License Number: Expiration: Type of Roofing Material: Malarkey Vista 1 Number of Existing Layers: Class of Roofing: A ✓❑ B ❑ C ❑ Replacing existing sheathing: Yes ❑ No ✓❑ Roof tear off: © Application over existing material: ❑ 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 Office Retail Church Restaurant School 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. / 03/26/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY RRO Ceived Permit# 4AceeBy Amount Received Receipt# I Home • Search L&ISEARCH Labori Industries Workplace Washington State Department of " Labor & Industries S &S ROOFING LLC Owner or tradesperson 104 S West Ave. ARLINGTON,WA 98223 Principals 360-366-9903 JOHNSON,NANCY,PARTNER/MEMBER SNOHOMISH County ■ DUNLAP,SHERI LYNN,PARTNER/MEMBER ■ DUNLAP,SHERI LYNN,AGENT . DUNLAP,SHANE STEVEN,PARTNER/MEMBER (End:08/03/2011) ■ JOHNSON,STEVEN MICHAEL,PARTNER/MEMBER (End:08/03/2011) Doing business as S&S ROOFING LLC WA UBI No. Business type 602 934 849 Limited Liability Company Governing persons SHERI DUNLAP NANCYJOHNSON; SHANE DUNLAP; STEVEN M JOHNSON; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties ROOFING License no. SSROOSR918MM Effective—expiration 07/15/2009—08/03/2019 Bond CBIC $6,000.00 Bond account no. S13456 Received by L&I Effective date 07/14/2009 07115/2009 Expiration date Until Canceled Insurance Houston Specialty Ins Co $1,000,000.00 Help us improve Policy no. TEN10782 Received by L&I Effective date 07/13/2018 07/15/2018 Expiration date 0 711 5/2 01 9 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&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. 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. 178,628-00 Doing business as S&S ROOFING LLC Estimated workers reported Quarter 4 of Year 2018"21 to 30 Workers" L&I account contact T3/STEPHANIE HENDERSON(360)902-5598-Email:HSTE235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. 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 and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 07/09/2018 Under appeal.The results of the inspection are Inspection no. being challenged. 317949404 Date of appeal Location 10/25/2018 1106 Ekle St Camano Island,WA 98282 1i�csa Washington`'