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HomeMy WebLinkAbout18219 GREYWALLS DR_BLD1092_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) (v) Residential ( ) Commercial Valuation:13350 18219 Graywall Drive Arlington WA 98223 Project Address: Parcel ID#: Owner: Donald and Leslie Hobbs Address: 18219 Graywalls Drive City:Arlington State: WA Zip Code:98223 Phone Number: 206-512-4342 Email:hobbs.don@gmail.com Applicant: Speedy Roofing Inc. Address: 15731 2nd Place W. City:Lynnwood State: WA Zip Code:98087 425-563-5526 speedyroofing.don@gmail.com Phone Number: Email: Speedy Roofing Inc. Contractor: 15731 2nd Place W. Lynnwood WA 98087 Address: City: State: Zip Code: 425-563-5526 speedyroofing.don@gmail.com Phone Number: Email: speedri 944pr 11-9-2016 Contractor's License Number: Expiration: Type of Roofing Material: Composition Number of Existing Layers: 1 Class of Roofing: A ✓❑ B ❑ C ❑ Replacing existing sheathing: Yes ✓❑ No ❑ Roof tear off: © Application over existing material: ❑ The following is required for NON-Residential Buildings: • Existing roof structure and material: • Two copies of the installation specifications and U.L. listed roof assembly. • Occupancy of Building: Office Retai I 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. b15 p� 07/18/2016 Applicants Signature Date Don Berry Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:18219 Graywalls Drive Permit#:1092 Parcel#:00874900005700 Valuation: 13350.00 OWNER APPLICANT CONTRACTOR Name:HOBBS DONALD L&LESLIE E Name:Speedy Roofing,Inc Name:Speedy Roofing,Inc. Address:PSC 557 BOX 2187 Address:18219 Graywalls Drive Address: 15731 2nd Place W City,State Zip:FPO AP,96379 City,State Zip:Arlington,WA 98223 City,State Zip:Lynnwood,WA 98087 Phone: Phone:206-512-4342 Phone:425-563-5526 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 ALI,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 110/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 a co City of Arogton 43101. Signature 61, Print Name Date Released By Date CONDITIONS Adhere to approved submittal. THIS PERMIT AUTHORIZE 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 7/20/2016 Re-Roof $50.00 Total Due: $50.00 Total Payment: $50.00 Balance Due: $0.00 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:18219 Graywalls Drive Permit#:1092 Parcel#:00874800005700 Valuation: 13350.00 OWNER APPLICANT CONTRACTOR Name:HOBBS DONALD L&LESLIE E Name:Speedy Roofing,Inc Name:Speedy Roofing,Inc. Address:PSC 557 BOX 2187 Address:18219 Graywalls Drive Address: 15731 2nd Place W City,State Zip:FPO AP,96379 City,State Zip:Arlington,WA 98223 City,State Zip:Lynnwood,WA 98087 Phone: Phone:206-512-4342 Phone:425-563-5526 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. 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/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 coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Adhere to approved submittal. 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. 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Don Berry 425-563-5526 15731 2nd Place CONSTRUCTION Labor andSPEEDRI944PR W CONTRACTOR Industries Fees Fee Description Notes Amount Re-Roof Residential Residential $50.00 Total $50.00 Attached Letters Date Letter Description 07/20/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/19/2016 Beau Stowe 60510219 cc $50.00 Outstanding Balance $0.00 Uploaded Files Date File Name 07/20/2016 1741901-1092 Issued Permit.pdf 07/19/2016 1737969-1092 Apnlication.pdf