HomeMy WebLinkAbout401 N Alcazar_BLD5709_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: BLD5709 Permit Type: Residential Re-Roof
Address/Parcel: 401 N Alcazar Ave Completed (Month/Year): January 2024
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
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CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403-3417-Permit Center:360-403-3551
BUILDING PERMIT
401 N ALCAZAR AVE Permit#:5709
PERMIT EXPIRES 180 DAYS AFTER
Parcel#:00618900002100 DATE OF ISSUANCE.
Scope of Work:Remove existing roof and reroof with Owens Corning Duration Valuation: 18995.00
MAX
OWNER APPLICANT CONTRACTOR
BERTINO JOHN R S&S Roofing LLC S&S Roofing LLC
401 ALCAZAR 104 S West Ave 104 S West Ave
ARLINGTON,WA 98223 Arlington,Wa,98223 Arlington,WA 98223
3603869903 3603869903
LIC:602 934 849 EXP:06/30/2024
LIC:SSROOSR918MM EXP:08/03/2025
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.IBC IO/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.
Z, 79 11/20/2023
Applicant`�fg9ature I Date Building Official Date
CONDITIONS
Adhere to approved mechanical equipment.Call for final inspection.Permit shall be onsite for inspections.
The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations.The
property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment
or community.The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant
authorities before commencing construction.The property owner shall ensure that the construction project complies with all
applicable design review requirements.
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
11/21/2023 Processing/Technology $25.00
11/21/2023 Re-Roof Residential $75.00
11/21/2023 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 IPass/Fail
RESIDENTIAL RE-ROOF PERMIT APPLICATION
Community and Economic Development
City of Arlington•18204 59th Ave NE•Arlington,WA 98223•Phone(360)403-3551
Property Address:
401 N Alcazar
Lot#: Parcel ID No.: Project Valuation: 18995.00
Project scope of work: Remove existing roof and reroof with Owens Corning Duration MAX
Primary Contact: ❑ Owner ❑✓ Applicant ❑✓ Contractor
Owner Name: Scott Goodey Office No.: 3603869903
Email Address: jamisandsroofing@hotmail.com Cell No.: 3603869903
Mailing Address: 104 S West Ave City:Arlington State: WA Zip: 98223
Applicant Name: S & S Roofing LLC Office No.: 3603869903
Email Address: jamisandsroofing@hotmai1.com Cell No.: 3603869903
Mailing Address: 104 S West Ave City:Arlington State: WA Zip: 98223
Contractor Name: S&S Roofing LLC Office No.: 3603869903
Email Address: jamisandsroofing@hotmail.com Cell No.: 3603869903
Mailing Address: 104 S West Ave City:Arlington State: WA Zip: 98223
L&I Contractor License Number: SSROOSR918MM Expiration Date: 08/03/2025
RE-ROOF INFORMATION
Type of Roofing Material: 1 Replacing existing sheathing: ❑Yes ❑✓ No
Number of Existing Layers: 1 Installation over existing material: ❑Yes ❑✓ No
Roof tear off: Z Yes ❑No
Class of
l�
Roofin A—Highest Fire Rating ❑B—Moderate Fire Rating ❑C—Light Fire Rating
Class Concrete,Clay,Roof Tiles,Fiberglass Pressured Treated Shakes and Untreated Wood Shakes and Shingles,
Examples: Asphalt Composition Shingles,Metal Shingles Plywood,Particleboard
Roofs
Provide additional information,as necessary:
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 f►nal inspection and approval shall be obtained when
the re-roofing is complete.
Jami Kin 11/15/23
Si Print Name Date
SAVE PRINT