The URL can be used to link to this page

Home My WebLink About5423 Cemetery Rd_BLD20100048_2025 INSPECTION REPORT • Permit No.: ��"� �Lot #: Address: 5 123 Contractor: Li{J • Owner: Date: APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: ZIA Date: Z/ /O TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation her: - /` r CITY OF ARLINGTON 238 N.OLYMPIC AVE,-ARLINGTON,WA,98223 PHONE:(360)403-3421 Permit#: BLD20100048 BUILDING PERMIT Project Address: 5423 CEMETERY RD, ARLINGTON Parcel No: 31051500201800 PROPOWNERAPPLICANT CONTRACTOR BROWN FORREST BROWN FORREST ALLEN ROOFING&CONSTRUCTION 5423 CEMETERY RD 5423 CEMETERY RD 15131 MCELROY RD ARLINGTON,WA 98223- ARLINGTON,WA 98223- ARLINGTON,WA 98223- Phone:(360)435-4074 Ext. Phone:(360)435-4074 Ext. LICENSE#:ALLENRC94103 EXP:9/5/2010 Email: Email: CONTRACTORPLUMBING () Lic#: Ex : Lic#: Ex : C DESCRIPTION REPLACE 3 TAB ROOFING. VALUATION: $0 PERMIT TYPE:Residential PERMIT GROUP:Re-Roof/Roof Alter/Repair NUMBER OF STORIES:0 ITYPE OF CONSTRUCTION: NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP: CODE:2006 OCCUPANT LOAD: EXISTING AREA PROPOSEI)AREA BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 I BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONTiACK SIDE SETBACKREAR SETBACK REQUIRED: PROPOSED: I REQUIRED: PROPOSED RE UIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED SETBACK NOTES: PERMITAPPROVAL 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. Signature Print Name Date Meased By Dale ATTENTION 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.UBC109/IBC110/IRC110. s ARCHIVE APPLICANT = ASSESSOR OTHER BLD20100048 CONDITIONS • None PERMIT FEES INSPECTIONS THIS PERMIT AUTHORIZES 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. CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • None f RE-ROOF / PERMIT APPLICATION ` Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3447 Type of permit: (check one) residential nn Commercial Valuation: SUED Project Address: T z 3 X Parcel ID -3 I h�I S o�� Owner: '('C�� S W �'f Z J 6 b �3 Phone Number: Address: _��Z�� 4_ City: UV► State: (t PF- Zip Code: 9 2ITC -� Contractor: l�Ss`�-'CX pra I(��• �PhtSne Number 5 Address: ) S ( :�i MC.e(roU , nnIZ -City: fykob—State: Zip Code: ` �2 Z'3 Contractor's License Number:Z& Expiration: /Y/zo /U Type of Roofing:^ Number of Layers: 1 Number of Squares: 2� Class of Roofing: 0 A C]B Q C indfalling or replacing sheeting t Lk_* I)e—e Work Scheduled to Begin Work Scheduled to End The following is required for NON-Residential Buildings: ❑All Non-Residential projects will require a site visit prior to the issuance of the permit for obvious signs of fatigue, condition of existing roofing and number of existing layers. ❑Two copies of the installation specifications and U.L. listed roof assembly. Building square footage 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 p�complete. Applicants Signature Date e_S'+ r(3r'L-) W 6-\ Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Form—284 Page 1 of 1 4/08 sb Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Allen Roofing Ft Constr Inc UBI No. 602619778 Phone 3606524300 Status Active Address 15131 Mcelroy Rd License No. ALLENRC9410E Suite/Apt. License Type Construction Contractor City Arlington Effective Date 9/5/2006 State Wa Expiration Date 9/5/2010 Zip 98223 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty Specialty 2 Effective Expiration Status 1 Date Date ALLENR"099KL Allen Construction Roofing Gutters/Downspouts 5/13/1991 4/25/2007 Relicensed Roofing Contractor Business Owner Information Name Role Effective Date Expiration Date .Allen, Russell S President 09/05/2006 Allen, Rebecca L Secretary 09/05/2006 Bond Information Bond Bond Account Effective Expiration Cancel Impaired Bond Received Bond Company Name Number Date Date Date Date Amount Date 1 OLD REPUBLIC YLI235712 09/01/2006 Until 04/25/2010 SURETY CO Cancelled $12,000.00 09/05/2006 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Company Policy Effective Expiration Cancel Impaired Amount Received Insurance Name Number Date Date Date Date Date 4 CENTURY CCP616601 08/17/2009 08/17/2010 $1,000,000.0008/14/2009 SURETY CO 3 CENTURY 01CCP564864 08/17/2008 08/17/2009 $1,000,000.0008/15/2008 SURETY CO https://fortress.wa.gov/lni/bbip/Print.aspx 4/19/2010 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 2 BURLINGTON HGL0016666 08/17/2007 08/17/2008 $1,000,000.0008/14/2007 INS CO PRO BUILDERS 1 SPECIALTY LAM5010977 08/17/2006 08/17/2007 $1,000,000.0009/05/2006 INSURANC Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 4/19/2010