Loading...
HomeMy WebLinkAbout7710 E Country Club Dr_BLD2874_2025 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE, (360)403-3551 Address:7710 E.Country Club Dr BUILDING PERMIT Parcel r:00809200004300 Permit#:2874 OWNER Valuation:13995.00 APPLICANT CONTRACTOR Name:LUNDBERG DAVID R&SHARON R Name:[Company Name] Address:7710 E COUNTRY CLUB DR Name:S&S Roofing,LLC Address:[Company Address] Address:]04 S West Ave City,State Zip:ARLINGTON,WA 98223-5958 City,State Zip:Arlington Phone: City,State Zip:Arlington,WA 98223 Phone:3603869903 Phone:3603869903 MECHANICAL CONTRACTOR LIC:SSROOSR918MM EXP:08/03/2021 PLUMBING CONTRACTOR Name: Address: N tee' City,State,Zip: Address: Phone: City,State,Zip: LIC#: Phone: EXP: LIC#: JOB DESCRIPTION EXP: PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: DWELLING UNITS: CONST TYPE: BUILDINGS: OCC GROUP: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND SLATE LAWS REGULATING CONSTRUCTION AND IDi DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHNGTON RE COMPENSATION INSURANCE AND RCW 18.27. LATING TO WORKMEN'S TIES APPLICATION IS NOT A PERMIT L'NTIL 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 relating o construction and construction materials in the City of Arlington must be reported on Your sales tax return foam co! d .i f gt` J 10/29/19 Sigma Print Name Date Re!c By Date CONDITIONS Call for final inspection THIS PERNHT AUTHORIZES ONLY THE WORK NOTED.TIES PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS.SIDEWALKS.DRIVEW.AyS.MARQUEES,ETC.)WILL REQUIRE SEPARATE PER\MISSION. PERMIT FEES Date Description 10/29/2019 Process ingfTechnology Fee Fee Amount $25.00 Total Due: $25.00 Total Payment: $0.00 CALL FOR INSPECTIONS Balance Due: $25.00 BUILDING(360)403-34I7 When calling for an inspection please leave the fo[[owing information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Permit#: 2874 Permit Date: 10/29/19 Project Name: Lundberg Site Address: 7710 E. Country Club Dr Company/Applicant Name: S&S Roofing LLC Company/Applicant Address: 104 S West Ave City, State,Zip: Arlington Contact: Dana Johnson Phone: 3603869903 Email: danasandsroofing@hotmail.com Permit Type: Residential Re-Roof Valuation: 13995.00 Square Feet: 0 Number of Stories: 0 Type of Construction: Occupancy Type: Proposed Use: Re-Roof Non structural MIC/Opportunity Zone: Permit Issued: Permit Expires: DNU: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 7710 E COUNTRY CLUB LUNDBERG I I I Single Family 00809200004300 DR DAVID R& Residence- SHARON R Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# S&S Roofing,LLC Shane Dunlap 3603869903 104 S West Ave CONTRACTOR Labor& SSROOSR918MM Industries Fees Fee Description Notes Amount Processing/Technology Fee 341.43.00.02 $25.00 Total $25.00 ;pd•UOPv:)TJd'dV VL8Z-6Z86I89 610Z/6Z/01 MIEN QUA 31va saPA paproldn ' RE-ROOF PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington. WA 98223 • Phone (360) 403-3551 Type of permit: (check one) (,/) Residential ( ) Commercial Valuation:13,995.00 7710 East Country Club Dr. Project Address: Parcel ID#: Owner: Dave Lundberg Address: 7710 East Country Club Dr. City:Arlington State: WA Zip Code:98223 Phone Number: 425-876-9532 Email:jennifersansroofing@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 R918M M 8/3/2021 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Paramount 50 year Number of Existing Layers: 1 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 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. .,._..:...�. -� 10/28/2019 Applicants Signature Date Dana Johnson Print Applicants Name n L� FOR STAFF USE ONLY Permit# A to y Amount Received Receipt# Date Received ContactHome Espanol SEARCH La'b"o,r"& Insurance rJ Workplace Rights Q Trades&Licensing Washington State Department of Labor & Industries S &S ROOFING LLC Owner or tradesperson 104 S WEST AVE Principals ARLINGTON,WA 98223 JOHNSON,NANCY,PARTNER/MEMBER 360-386-9903 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—08/03/2021 Bond CBIC $6,000.00 Bond account no. S13456 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 TEN23542 404646LL£ -ou uoiloadsul su ogepDiA 8 L0Z/60/LO alep slinsaa uoiloadsul 9LL86 VM'81WOS 3S PuZO 3N 6Z9Z uoileool ZZOV96LL£ -ou uoiloodsul suoileloin 6LOZ/80/0 alep sllnsaa uoiloadsul 'jo;alglsuodsai seM ssouisnq slyl sallsgof uo puno;suoileloin glleay pue Alops;sed Aue Jo;>oayz) ypleay pue gales aoeld)ljoM •jo;oej;uoo sly;;sule6e panssl uaaq aney s;uawjegap ON plq of paMolle;ou sio;oei;uoo •jopeiluoo sly4;sule6e panssl uaaq aney saMu;s ON sa)llj;g J043ei;uod •luawaiinba.j sill;woj;;dwax3 6LOZ'L Alnr anl;aaJ13—6uluiei1 pannbaa •sloafad s>PoM ollgnd uo�joM uuojjad of elgl6lla sl joloeiluoo ay;4p9A quawaiinbab s)ljoM oilgnd no6•eM•IuI@S£Z31SH:IIeW3-8699-ZO6(09£)NOS213UN3H 31NVHd31S/£1 loeluoo lun000e jyl 6ullld jayenb;uenno 6ulpuad pe}iodaj sja>jom palewgs3 oll ON1=10021 S V S se ssauisnq buiod 00-8ZWSLL •;uaiino sl;un000V (ii lun000y l gl •swnlwajd dwoo,sja*mm uo alep-ol-dn sl ss2wsnq ayl A4!JGA'os;l LseaAoldwo seq ssoulsnq ay;;I Mou)l nog(od dwoo ,simpoM -saolluaidde aney of Pem011e ION ;ue6V 6ululejl eol;uaiddV •ssouisnq slyl Jo;;slxa suoileogll,ao 8n110e ON suolleo3PaO 38MWO s;uawesiopu319 suolloogi:L93 •pouad jean 9 snolnaid ay;6uunp suol;elom OSU99I1 ON suol;el0ln asuaall •sal3u06e Jay;o Aq pepjooaj eq Aew sl.gep awos;nq'pouad jean 9 snolna.jd ag;6uunp asuaall jopeiluoo sly;jo;papioaai aje s;gap xel lgl ON s;gep xU IVl •pouad.jean(9 snolnajd ay;6uljnp s;unoaoe s6wnes jo puoq 841;sule6e s;lnsmel ON s66 nes�o puoq ay;is6ie6e s m§iN6 •pouad jean(9 snOlnajd ay;6uunp s;un000e s6wnes ON s6ulneS 1.iolsly eoueinsul OZOZ/S L/LO alep uoilejidx3 6 L0Z/S L/LO 6 LOZ/L L/LO alep aniloa}y3 P8l Aq paniaoay Location 1106 Ekle St Camano Island,WA 98282 1i�tas Help us ��NSuhi�ton' improve