HomeMy WebLinkAbout332 W MARION ST_BLD1257_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) I(hesidential ( ) Commercial Valuation:�i�QJ
Project Address:-•�3� w`� /�I aqq Cty',II DV 97L Parcel ID#:
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Owner:
Address: 33 U/,.lqcvtt S City: &4 State: Zip Code:
Phone Number: ,� `� �\7 /I��� Email: , �1
Applicant:
Address: S C7 City: State: Zip Code:
Phone Number: ( Email:
Contractor: `
Address: City: State: Zip Code:
Phone Number: Email.
Contractor's License Number: Expiration:
Type of Roofing Material: Number of Existing Layers:
Class of Roofing: A ❑ B ❑ C ❑ Replacing existing sheathing: Yes ❑ No ❑
Roof tear off: M �ARWQ� 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
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 safel essing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is
complete.
Z_
Applicants Si ature i Date
Print Applicants Name
FOR STAFF USE ONLY
Permit# Uted 61 Amount Received Receipt# Date Received
CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:332 W Marion St Permit#: 1257
Parcel#:31051100300500 Valuation: 10000.00
OWNER APPLICANT CONTRACTOR
Name:DUSKIN DAVID&KAY Name:David Duskin Name:S&S Roofing,LLC
Address:332 W MARION ST Address:332 W Marion St Address:P.O.Box 969
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 98270
Phone: Phone:425-879-4515 Phone:360-386-9903
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: 1 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 TWX IC :Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form
and p c i f Arl' gton#3101.
ignaiurc Print Name Date Released By D is
CONDITIONS
Approved as submitted. Inspection is required at time of existing roof tear off.
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
3/21/2017 Miscellaneous $100.00
3/21/2017 Processing/Technology Fee $25.00
Total Due: $125.00
Total Payment: $0 00
Balance Due: $125.00
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
Received
DEC 13 2016
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Deceived
DEC 13 2016
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RE-ROOF
a
PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington• 18204 Mh Ave NE-Arlington,WA 98223-Phone(360)403-3551 , 6�Qw
Type of permit: (check one) ( esidential O Commercial Valuation:
Project Address: ' er, lt7h Parcel ID#
Owner:
Address: City: 4U kilrr State: 'r� Zip Code:L �^ �
Phone Number �S.3/\�( " ]�OS Email: 1 ��
Applicant: �—'-�L'ci� rLJiACl�r}�
Address: a ql 0:2 City: State: Zip Code:
Phone Number. Email:
Contractor:
Address: itT S te: Zip Code: /
Phone Number. ��G — �^ Q/^q(�) �? Email:/�(�/f r Sa+mod StG�/
Contractor's License Number: 45/"�V( �e21 d 4 �'/ Expiration:
• U. (a1` V
Type of Roofing Material: i� Number of Existing Layers:
Class of Roofing: A ❑ B C F1 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
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 safe) essing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is
complete.
(ajz� 3 - /s`--l�z
Applicants Sigpature 1 Date
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:332 W Marion St Permit#:1257
Parcel#:31051100300500 Valuation: 10000.00
OWNER APPLICANT CONTRACTOR
Name:DUSKfN DAVID&KAY Name:David Duskin Name:S&S Roofing,LLC
Address:332 W MARION ST Address:332 W Marion St Address:P.O.Box 969
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 98270
Phone: Phone:425-879-4515 Phone:360-386-9903
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: 1 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. IBC110/IRC1 l0.
SALESk.X IC :Sales tax relating to construction construction materials in the City of Arlington must be reported on your sales tax return form
and 1 f Arl' gton-#3101.
ignature Print Name Date Released By Da is
CONDITIONS
Approved as submitted. Inspection is required at time of existing roof tear off.
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
3/21/2017 Miscellaneous $100.00
3/21/2017 Processingrrechnology Fee $25 00
Total Due: $125.00
Total Payment: $0.00
Balance Due: $125.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type or Inspection being requested,and whether you prefer morning or afternoon
i
M
I
Permit Information
Date 12/14/2016
Permit Number 1257
Project Name Duskin
Applicant Name David Duskin
Applicant Address 332 W Marion St
City, State,Zip Arlington,WA 98223
Contact David Duskin
Phone 425-879-4515
Email dave.duskin@comcast.net
Permit Type Residential Re-Roof
Site Address 332 W Marion St
Valuation 10000.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 1
Proposed Use Re-roof with TPO
Assigned To Kristin Foster
Property Information Owner Information
Parcelk 31051100300500 DUSKIN DAVID&KAY
DUSKIN DAVID&KAY 332 W MARION ST
332 W MARION ST ARLINGTON,WA 98223
Contractors
Contractor Name Primary Contact Phone Email Contractor Type License License#
(David Duskin (David Duskin 425-879-4515 lave duskin@comcast.net APPLICANT
5&S Roofing.LLC 360-386-9903 CONTRACTOR (Labor&Industries SSROOSR918MM
Review
Date Type Description 1 Target Date completed Date I Assigned To I Status
12/14/2016 lResidential Renovation 12/21/2016 JKevin Olander 11n Review
Fees
Fee Description Notes Amount
Miscellaneou. 322.10.00.001 Inspections 2 @ 50.001 $100.0
ProcessinglTechnology Feel 341.43.00.021 $25 00�
Tota $125 0
Notes
Date Note
3/20/2017 jApplication has been revised to re-roof with no framing for gable Re-roof existing roof with TPO
Uploaded Files Upload File
Date File Uploaded B
12/14/2016 11:04:52 AM 1257_ApQlicahon�df IFoster. Kristin
12/14/2016 11:04:52 AM 11257 Project Drawings Photos.pdf Foster,Kristin
°` ` RE-ROOF
PERMIT APPLICATION
Department of Community&Economic Development
City of Arlington-18204 59th Ave NE-Arlington,WA 98223-Phone(360)403-3551 , /y 0a)
Type of permit:(check one) (YResidential ( )Commercial Valuation:
Project Address:-- ..zl \ - Parcel ID*. �(' ri C J
Owner:
Address: City_: A � l�3 �• i�./� Cf.�c 0`� S7'-' �% ir
�( State: Zip Code:
Phone Numbers:��,��5�3/e " S�5 Email:
Applicant:
Address: 4 ,:2 City: State: Zip Code: i
Phone Number. Email:
Contractor:
Address: 9 ity: S to - Zip Code.
Phone Number. ��G -' c�2 (L)�� 7 Email: >^ Sa as
Contractor's License Number �?�fv � / �"� Expiration:
FEF
77
Type of Roofing Material: Pis^!�• .r Number of Existing Layers: f
Class of Roofing: A L1 B ❑ C FJ Replacing existing sheathing: Yes 0 No
Roof tear off: 54 '?ar_•t'cq_ 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
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 safe) ccessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is
complete. i
Applicants Signature t Date
Print Applicants Name `
FOR STAFF USE ONLY Received
1Z5�1 MAR 2 0 2017
Permittt Accepted By Amount Received Receipt* Dale Received
r'
��ly `�� �
� �t �.
RE-ROOF
PERMIT APPLICATION
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�J� I:- Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE•Arlington, WA 98223• Phone(360)403-3551
ny
Type of permit: (checkk,one)q (XZesidential ( ) Commercial Valuation:�idlxi
Project Address: 3� l�' caNI,Dh �� Parcel ID#: � 05- f oo -
Owner: � C717�0('7
� ��
G l
Address: City: ' State: Zip Code:
Phone Number: \�JIL��S� Email: iG i
Applicant: k& ���1(,.rt �`� "
Address: a�4 ,e City: State: Zip Code:
Phone Number: Email:
Contractor: < _( P_
Address: City: State: Zip Code:
Phone Number: Email:
Contractor's License Number: Expiration:
Type of Roofing Material: W4l -1 In/tcal-IN,jt—s Number of Existing Layers:
Class of Roofing: A 0 B ❑ C El Replacing existing sheathing: Yes ❑ No ❑
Roof tear off: M _?ArtbftL- 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
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 methoasafel c essing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is
complete.
Applicants Si atut Date
Print Applicants Name
FOR STAFF USE ONLY RPCeived
ZS� DEC 13 2016
Permit N.Wted By Amount Received Receipt# Date Received
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Date: 03/12/2026
Permit#: 1257
Permit Date: 12/14/2016
Review Date: 12/14/2016
Permit Type: RESIDENTIAL RE-ROOF
Review Type: RESIDENTIAL ALTERATION
Target Date: 12/21/2016
Scheduled Time: 00:00
Completed Date: 03/20/2017
Description: Inspection required at time of tear off.
Review Status:
Assigned To: BUILDING
Time In: 00:00
Time Out: 00:00
Hours: 0.0
Property Information
Parcel#: 31051100300500 DUSKIN DAVID & KAY
DUSKIN DAVID &KAY 332 W MARION ST
332 W MARION ST ARLINGTON, WA 98223
Zoning: I I I Single Family Residence -
DetachedLot: Block:
Permit#: 1257
Permit Date: 12/14/16
Permit Type: RESIDENTIAL RE-ROOF
Project Name: Duskin
Applicant Name: David Duskin
Applicant Address: 332 W Marion St
Applicant, City, State, Zip: Arlington,WA 98223
Contact: David Duskin
Phone: 425-879-4515
Email: dave.duskin@comcast.net
Scope of Work: Re-roof with TPO
Valuation: 10000.00
Square Feet: 0
Number of Stories: 1
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 04/04/2017
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
31051100300500 332 W MARION ST DUSKIN DAVID& 111 Single Family
KAY Residence-Detached
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
104 S WEST CONSTRUCTION COA Business
S&S ROOFING LLC 3603869903 602 934 849
AVE CONTRACTOR License
104 S WEST CONSTRUCTION Labor& SSROOSR918MM
S&S ROOFING LLC 3603869903 AVE CONTRACTOR Industries
David Duskin David Duskin 425-879-4515 332 W Marion APPLICANT
Street
Plan Reviews
Date Review Type Description Assigned To Review Status
12/14/2016 RESIDENTIAL Inspection required at time of tear off. BUILDING
ALTERATION
Fees
Fee Description Notes Amount
Mechanical Misc. Not otherwise specified Inspections 2 @ 50.00 $100.00
Processing/Technology $25.00
Total $125.00
Attached Letters
Date Letter Description
03/20/2017 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
04/04/2017 Dave Duskin Check#3701 Kristin Foster $125.00
Outstanding Balance $0.00
Notes
Date Note Created By:
03/20/2017 Application has been revised to re-roof with no framing for gable.Re-roof existing roof with Kristin Foster
TPO.
Uploaded Files
Date File Name
04/04/2017 2197065-1257 Issued Permit.pdf
12/14/2016 2010619-1257 Project Drawings and Photos.pdf
12/14/2016 2010620-1257 Application.pdf