Loading...
HomeMy WebLinkAbout17311 IRONWOOD ST_BLD1102_2026 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: Project Address: �( �or-'Wcxxt Parcel ID#: Owner: &L\V\e, AAW--e— Address: riz(l :1X0\1. O L+ City: 1 State: Wk+ Zip Code: Phone Number: tk6' �4 `S 19-7 Email: y� � Applicant: ��- Address: City: to State:y � Zip Code: Phone Number. �2U�6 4 30C� Email: j aAl e"V`QQ�Lk)f, 'COWN Contractor: Adlt' - Address: 763a-�( City: State: "� Zip Code: ®ZZ Phone Number: �fo0-6S� O� Email: 1 �� �a��2lRycltfh5 �� Contractor's License Number: Q�� "��-�Q��U Expiration: /50/1 7 1 filglt�l�loE, Type of Roofing Material: Number of Existing Layers: f Class of Roofing: Replacing existing sheathing: Yes No , Roof tear off: �ZL Application over existing material: ❑ The following is required for NON-Residential Buildings: • Existing roof structure and material: Sty e— • Two copies of the installation specifications and U.L. listed roof assembly. • 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 complete ._applicants Signature Date Print Applicants Name i FOR STAFF USE ONLY ReCeivea y Z AUG 01 2016 Permit# ad y Amount Received Receipt# Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 _- PHONE; (360) 403-3551 BUILDING PERMIT Address:17311 Ironwood Street Permit#:1102 Parcel#:00834900000400 Valuation: 10925.27 OWNER APPLICANT CONTRACTOR Name:LITZKOW SCOTT A&BRIANNA S Name:Allen Roofing&Construction Inc Name:Allen Roofing&Construction,Inc Address: 17311 IRONWOOD ST Address:17632 1 Ith Ave NE Address: 17632 1 lth Ave City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-652-4300 Phone:360-652-4300 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: 2 CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 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 RC W 18.27. 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. IBC1I0/IRC110. 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 code 'ity of Arlington#3101. )CCcc.` Signature Print Name Date Released By 6aic CONDITIONS Adhere to submittal. Sheathing inspection is required. THIS PERMIT AUTHORIZS 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 8/1/2016 Re-Roof $50.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17311 Ironwood Street Permit#:1102 Parcel#:00834900000400 Valuation:10925.27 OWNER APPLICANT CONTRACTOR Name:LITZKOW SCOTT A&BRIANNA S Name:Allen Roofing&Construction Inc Name:Allen Roofing&Construction,Inc Address: 17311 IRONWOOD ST Address:17632 1 lth Ave NE Address: 17632 11th Ave City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-652-4300 Phone:360-652-4300 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: 2 CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 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 1 IO/IRC 110. 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 code ity of Arlington#3101. Signature Print Name Date Released By baic CONDITIONS Adhere to submittal. Sheathing inspection is required. THIS PERMIT AUTHORIZS 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 8/1/2016 Re-Roof $50.00 Total Due: $50.00 Total Payment: $0 00 Balance Due: $50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon i . :�� i RE-ROOF f PERMIT APPLICATION a 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: Project Address: �� �� �w�X� �� Parcel ID#: Owner: i Address: INN A t City: State: w Zip Code: Q zZ3 Phone Number: qZ.S-26'4 `S 19-7 Email: Applicant: �I Address City: State: tax Zip Code: Phone Number: �aC�U'bS� 3 t3C� Email: I VAN C_cx ll eUI roO t l p ' Cbl\ Contractor: I.le�\ 0_DOr l nl U--sr '` - u ( � '\L Address: (?����-j City: by State: Zip Code: �BZZ Phone Number: ¢j5 O(] Email: l \(\(=c) Q_oJ(2ANVoL)�(r)`) - Contractor's License Number: cxL1,m'«-oggy_L_ Expiration: KA04 .&i'410L Type of Roofing Material: Number of Existing Layers: Class of Roofing: A ❑ B ❑ C ❑ Replacing existing sheathing: Yes JK No Roof tear off: 9— Application over existing material: ❑ The following is required for NON-Residential Buildings: • Existing roof structure and material: SWe'e_ • Two copies of the installation specifications and U.L. listed roof assembly. • 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 complete Cn� - C61-1(0 pplliicants Signature Date 1 Print Applicants Name FOR STAFF USE ONLY Received Z AUG 01 2016 Permit# adW16y Amount Received Receipt# Date Received r _� ;�: .. • ' � ,. 1 • f �_i i d�. � it 8/1/2016 ALLEN ROOFING&CONSTR INC Search L&I � rl-%irid (lelp %tv JAI SaFehy&Hnaith Claims&Insurance,, Workplace Rights Tirades&Licensing Washington State Department of " Labor & Industries ALLEN ROOFING &CONSTR INC Owner or tradesperson 17632 11TH AVE NE Principals ARLINGTON,WA 98223 360-652-4300 ALLEN, RUSSELL SCOTT, PRESIDENT SNOHOMISH County ALLEN, REBECCA LEE,SECRETARY Doing business as ALLEN ROOFING&CONSTR INC WA UBI No. Business type 602 619 778 Corporation Governing persons REBECCA LEE ALLEN RUSSELL SCOTT ALLEN; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. ALLENRC941 OE Effective—expiration 09/05/2006—09/07/2016 Bond Ironshore Indemnity Inc $12,000.00 Bond account no. SUR40004828 Received by L&I Effective date 04/10/2015 04/25/2015 Expiration date Until Canceled Bond history Insurance Kinsale Insurance Company $1,000,000.00 Policy no. 01000314190 Received by L&I Effective date 08/17/2015 08/17/2015 Expiration date 08/17/2016 Insurance history Savings ..._.......... https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=602619778&UC=ALLENRC9410E&SAW= 1/2 I 1 O I I 8/1/2016 ALLEN ROOFING&CONSTR INC No savings accounts during the previous 6 yt period. Lawsuits against the bond or Savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 597,774-01 Doing business as ALLEN ROOFING&CONSTRUCTION Estimated workers reported Quarter 1 of Year 2016"4 to 6 Workers" L&I account representative T5/THAD NGUYEN(360)902-0276-Email:NGUV235ani.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 03/27/2013 Violations Inspection no. 316730993 Location 20715 123rd St.SE. Snohomish,WA 98290 Inspection results date 1 011 6/201 2 Violations Inspection no. 316416858 Location 6745 Beach Drive SW Seattle,WA 98136 Inspection results date 12/13/2010 Violations Inspection no. 314618901 Location 1854 N 177th St Shoreline,WA 98133 ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington https://secure.ini.wa.gov/verify/Detail.aspx?UBI=602619778&LIC=ALLENRC941OE&SAW= 212 I I I Permit#: 1102 Permit Date: 08/01/16 Permit Type: RESIDENTIAL RE-ROOF Project Name: Anne Albee Applicant Name: Allen Roofing & Construction Inc Applicant Address: 17632 1 Ith Ave NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Rebecca Allen Phone: 360-652-4300 Email: info@allenroofing.com Scope of Work: Residential Re-roof Valuation: 10925.27 Square Feet: 0 Number of Stories: 2 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/01/2016 Permit Expires: 02/01/2017 Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00834900000400 17311 IRONWOOD ST LITZKOW SCOTT 111 Single Family A&BRIANNA S Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Allen Roofing& Rebecca Allen 360-652-4300 17632 llth Ave CONSTRUCTION ALLENRC9410E Construction,Inc CONTRACTOR Fees Fee Description Notes Amount Re-Roof Residential Residential $50.00 Total $50.00 Attached Letters Date Letter Description 08/01/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/01/2016 Rebecca Allen 60675343 cc $50.00 Outstanding Balance $0.00 Uploaded Files Date File Name 08/01/2016 1762771-1102 Issued Permit.pdf 08/01/2016 1762772-1102 Apnlication.pdf 08/01/2016 1762770-1102 Application.pdf