Loading...
HomeMy WebLinkAbout18325 E Country Club Dr_BLD2535_2025 CITY OF ARLINGTON e 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONNT; (360)403-3551 BUILDING PERMIT Address:18325 E.Country Club Dr Permit#:2535 Parcel#:00832900005200 Valuation:17750.00 OWNER APPLICANT CONTRACTOR Name:DOWNES TAMMY CHRISTINE& Name:S&S Roofing LLC Name.S&S Roofing,LLC JEFFREY A Address: 18325 E COUNTRY CLUB DR Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,W'1 98223-5)96 City,State Zip:Artington,WA 98223 City,State Zip:Marysville,WA 98270 Phone: Phone:360-386-9903 Phone:360-386-9903 LIC:SSROOSR9181vIM EXP:08/03/2019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: L,IC#: F,XP: L[C#: 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. IBCI 10ARCII0. SALES TAX NO [ E:Salcs tax relating to constnuction and construction materials in the City cfArlington nniSLbc reported an yout sales tax return!'will and, I c'ty of Arli 1 q 3 J Signature Print Name Date Re11415e1 BN Date CONDITIONS �— Call for final inspection, THIS PERMIT AUTHORIZE ONLY TIIE WORK NOTED.THIS PF,RIMIT COVPRS WORK TO BF.DONE ON PRIVATE PROPUff['Y ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN('CURPS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 5/3/2019 Processing/Techno lug y 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(cave the following information: Permit Number Type of Inspection being requested,and whether you prefer morning or afternoon & TY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:18325 E.Country Club Dr Permit#:2535 Parcel#:00832900005200 Valuation: 17750.00 OWNER APPLICANT CONTRACTOR Name:DOWNES TAMMY CHRISTINE& Name:S&S Roofing LLC Name:S&S Roofing,LLC JEFFREY A Address: 18325 E COUNTRY CLUB DR Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-5996 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 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 mustbc reported on your sales tax rc4,,,e_,� turn fa and coded City of Arlington#3101. 7 If /:?/,? Al Signature Print Name Date Rclogsc t 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 5/3/2019 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 Permit Information Date 5/3/2019 Permit Number 2535 Project Name 18325 E.Country Club Dr. 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 18325 E.Country Club Dr Valuation 17750.00 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 Owner Parcel Address Legal Owner Phone Zoning 00832900005200 18325 E COUNTRY CLUB DOWNES TAMMY CHRISTINE& 111 Single Family Residence- DR JEFFREY A Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# S&S Roofing.LLC Shane Dunlap 360-386-9903 shanesandsroofin hotmail.com -ONTRACTOR abor&Industries OSROOSR918MM Fees Fee Description Notes Amount Processing/Technology Feel 341.43.00.02 $25.00 Total $25.00 Uploaded Files Upload File Date File Uploaded By I 5/3/2019 10:34:24 AM 2535 APPlication.Pdf lJones,Raelynn RE-ROOF PERMIT APPLICATION a. Department of Community& Economic Development City of Arlington • 16204 59th Ave NE • Arlington, WA 96223 • Phone (360) 403-3551 Type of permit: (check one) (so) Residential ( ) Commercial Valuation:17750.00 18325 East Country Club Dr. Arligton, WA 98223 Project Address: Parcel ID#: Owner: Tammy Downes Address: 18325 East Country Club Dr. City:Arlington State: WA Zip Code:98223 Phone Number: 425-299-3655 Email:jennifersandsroofing@hotmail.com Applicant: S & S Roofing LLC Address: 104 S. West Ave city:Arlington State: WA Zip Code:98223 360-386-9903 jennifersandsroofing@hotmail.com Phone Number: Email: S & S Roofing LLC Contractor: 104 S. West Ave Arlington WA 98223 Address: City: State: Zip Code: 360-386-9903 jennifersandsroofing@hotmail.com Phone Number: Email: S S ROOS R918 M M 8/3/19 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Paaramount Adv. 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. e�Gto�CL %caa`r 05/03/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY I Received L M,Y ® 32019 ermit Z_By � Amount Received Receipt# Date Received •n Searoh L&1 UI-abor Workplace • c Trades&Licensing c Washington State Department of " Labor & Industries S & S ROOFING LLC Owner or tradesperson 104 S West Ave. ARLINGTON,WA 98223 Principals 360-386-9903 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. SI3456 Received by L&I Effective date 07/14/2009 07/15/2009 Expiration date Until Canceled Insurance Houston Specialty Ins Co $1,000,000.00 Policy no. Help us improve TEN10782 Received by L&I Effective date 07/13/2018 07/15/2018 Expiration date 07/15/2019 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond of 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 1 of Year 2019"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 10 Washiligton State Dept,of Labor&Industries Use of this site is subject to the laws of the state of Wasningion. •%kkc", 11'.tau tif;tru Hel e us improve