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HomeMy WebLinkAbout605 Newberry ST_BLD5173_2025 i Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 591h Avenue NE • Arlington,WA 98223 • Phone (360)403-3551 Permit Number: BLD5173 Permit Type: Residential Re-Roof Address/Parcel: 605 Newberry St Completed (Month/Year): April 2023 Land Use ❑ Notice of Decision ❑ Bonding or Assignment of Funds ❑ Staff Report o Confidential Documents. Contact the ❑ Application City to obtain. ❑ Narrative ❑ Letters and Project Documents ❑ Legal Description ❑ Other: ❑ Vicinity Map ❑ Site Plan Civil ❑ Landscape Plan ❑ Issued Permit ❑ Complete Streets Checklist ❑ Application ❑ Traffic Impact Analysis ❑ Other Applications ❑ Snohomish County Traffic Mitigation Offer ❑ Construction Calculation Worksheet ❑ WSDOT Traffic Offer Form ❑ Approved Plans ❑ Tree Survey ❑ Review Comment Form ❑ Stormwater Drainage Report ❑ Letters and Project Documents ❑ Geotech Report ❑ Other Agency Permits ❑ Critical Area Evaluation Form ❑ Reports: ❑ SEPA Checklist o Drainage Report Pg: ❑ Public Notice Material o Stormwater Pg: ❑ Noticing and Related Documents o Geotech Pg: ❑ Water/Sewer Availability Certificate o All Other Reports ❑ Unanticipated Discovery Plan Form ❑ SEPA and Noticing Materials ❑ Aerial Photo of Site ❑ Inspections ❑ Proposed Building Materials ❑ As-Builts ❑ Lighting Plans and Lighting Cut Sheets ❑ Other: ❑ Color Elevations ❑ Design Matrix Building ❑ Plat Map ❑✓ Issued Permit ❑ Title Report ❑✓ Application ❑ Lot Closures ❑ Additional Applications ❑ Preliminary Civil Plans ❑ Approved Plans ❑ Archaeological Survey ❑ Site Plan o Confidential Documents. Contact the ❑ Letters and Project Documents City to obtain. ❑ Calculations ❑ Topography(Existing Conditions) ❑ Project Specification Manuals ❑ CC&R's ❑ Reports ❑ Deeds/Easements/Conveyances ❑ Certificate of Occupancy /Dedications ❑ Inspections ❑ Developer's Agreement ❑ Other: ❑ Recorded Copies Page 1 of 1 r ' CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS:360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT 605 NEWBERRY ST Permit#: 5173 Parcel#:00461800900900 PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Scope of Work:remove existing roof,replace with Owens Corning Duration Valuation: 11000.00 OWNER APPLICANT CONTRACTOR DEBERRY MATTHEW S&S Roofing LLC S&S ROOFING LLC 605 NEWBERRY ST 104 S West Ave 104 S WEST AVE ARLINGTON,WA 98223 Arlington,WA 98223 ARLINGTON,WA 98223 3603869903 3603869903 LIC:SSROOSR918MM EXP:08/03/2023 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL RE-ROOF CODE YEAR: 2018 STORIES: 1 CONST.TYPE: VB DWELLING UNITS: OCC GROUP: R-3;Residential BUILDINGS: OCC LOAD: PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. 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/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. OUV �� 'I r v iF..f�1.G�- 02/23/2023 Applicant Sign Date Building Official Date CONDITIONS Adhere to approved plans.Call for inspection. 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. PERMIT FEES Date Description Fee Amount 02/23/2023 Processinglfechnology $25.00 02/23/2023 Re-Roof Residential $75.00 02/23/2023 State Surcharge-1st DU $6.50 Total Due: $106.50 Total Payment: $106.50 Balance Due: $0.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number,Type_of Inspection being requested,and whether you prefer morning or afternoon INSPECTION INFORMATION I Pass/Fail RE-ROOF PERMIT APPLICATION I Community and Economic Development City of Arlington•18204 59th Ave NE•Arlington,WA 98223• Phone(360)403-3551 Type of Permit: ❑ Commercial © Residential Property Address: 605 N Newberry St Suite/Unit Number: Lot#: Parcel ID No.: Project Valuation: 11000.00 Project Scope of Work: remove existing roof, replace with Owens Corning Duration Primary Contact: ❑ Owner © Applicant ❑ Contractor Owner Name: Matt Deberry Office No.: 360-386-9903 Email Address: JAM ISAN IDS ROORNG@HOTMAIL.COM Cell No.: Mailing Address: 605 N Newberry St City: Arlington State: WA Zip: 98223 Applicant Name: S&S Roofing LLC Office No.: 360-386-9903 Email Address: jamisandsroofing@ hotmail.com Cell No.: 360-386-9903 Mailing Address: 104 S West Ave City:Arlington State: WA Zip: 98223 Contractor Name: S&S Roofing LLC Office No.: 360-386-9903 Email Address: jamisandsroofing@ hotmail.com Cell No.: 360-386-9903 Mailing Address: 104 S West Ave Cjty: Arlington State: WA Zip: 98223 L&I Contractor License Number: SSROOSR918MM Expiration Date: 08/03AIso, complete Type of Roofing Material: O WE N S CORNING Replacing existing sheathing: ❑Yes F1 No Number of Existing Layers: 2 Installation over existing material: ❑Yes 6Z No Roof .tear off: Z Yes ❑No Class of Roofing: �a A—Highest Fire Rating ❑ B— Moderate Fire Rating ❑C— Light Fire Rating --------------------------- ----------------------------------------------------------- ------------------------------------------------- -------------------------------------------- Class Examples: Concrete,Clay,Roof Tiles,Fiberglass Pressured Treated Shakes and Untreated Wood Shakes and Asphalt Composition Shingles,Metal Roofs Shingles Shingles,Plywood,Particleboard The following is required for NON-RESIDENTIAL BUILDINGS Provide 2 copies of the installation specifications and U.L.listed roof assembly. Existing Roof Structure: Existing Roof Material: Building Occupancy: ❑Office/Professional Services ❑Industrial ❑Restaurant ❑Other: ❑Educational Facility ❑Retail ❑Religious Facility 1 hereby certify that 1 am the ❑ Owner, ❑Applicant, ❑ Contractor, and authorized to sign this application and that the above information is correct and construction on, and the occupancy and the use of the above-described property will be in accordance with the laws, rules and regulation of the State of Washington, and the City of Arlington. 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. �Slgad ,a saam�a= Jami King 02-17-2023 y sz............aoaaaaneseode Signature Print Name Date FOR STAFF USE ONLY PERMIT# ACCEPTED BY: DATE STAMP kFoi.zazz