HomeMy WebLinkAbout19618 Knoll Dr_BLD5710_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: BLD5710 Permit Type: Residential Re-Roof
Address/Parcel: 19618 Knoll Dr Completed (Month/Year): April 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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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: 19618 Knoll Dr
Lot#: Parcel ID No.: Project Valuation: 15500.00
Project Scope of work: Remove existing roof and reroof with Owens Corning Duration
Primary Contact: ❑ Owner ❑✓ Applicant ❑✓ Contractor
Owner Name: Diana Greenberg office No.: 3603869903
Email Address: jam isandsroofing@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 Cirv:Arlington State: WA Zip: 98223
Contractor Name: S&S Roofing LLC office No.: 3603869903
Email Address: jamisandsroofing@hotmaiI.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: ❑✓ Yes ❑No
Class of
Roofin 0 A-Highest Fire Rating ElB-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:
I hereby certify that I 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.
Jami King 11/20/23/23
Sig re Print Name Date
SAVE PRINT