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HomeMy WebLinkAbout18016 Greywalls Dr_BLD1413_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) (te) Residential ( ) Commercial Valuation:12000 18016 Greywalls Dive Project Address: Parcel ID#: Owner: Philip &Joanne Lane Address: 18016 Greywalls Drive City:Arlington State: WA Zip Code:98223 Phone Number: 3604352172 Email:laneimages@yahoo.com Applicant:Philip Lane Address: 18016 Greywalls Drive City:Arlington State: WA Zip Code:98223 3604352172 laneimages@yahoo.com Phone Number: Email: S&S Roofing Contractor: 104 S W Ave Arlington WA 98223 Address: City: State: Zip Code: 3603869903 shanesandsroofing@hotmail.com Phone Number: Email: S&S S&S Contractor's License Number: Expiration: Type of Roofing Material:Asphalt shingles 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 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. 04/04/2017 Applicants Signature Date Philip Lane Print Applicants Name FOR STAFF USE ONLY e eiveo JgJ2,, APR 0 4 2017 Permit# Amount Aep Received Receipt# Date Received CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON. WA.98223 PHONE;(360)403-3551 BUILDING PERMIT ____ _ Address:18016 Greywolls Drive Permit p:1413 Parcel#:0087480(M1300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:LANE PHILIP&JOANNE Name Philip and Joanne lane Name:S&S Roofing,LLC Address:18016 GRAYWALLS DR Address:18016 Greywalts Drive 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:3W435-2172 Phone:360-386-9903 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address. City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP LIC#: FXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: ] CONST.TYPE: DWELLING UNITS: I 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 WASHINGT'ON RELATING TO WORKMENS COMPENSATION INSURANCE AND RC W 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 I I0/IRC 1 I0. SALES TAX NOTR F:Sal tax relating to construction and construction materials in the C' of Arlington rc ned on your sales tax return form and coded ,/Aram�t 03101. Signature Print Name ate Re eased By Date CONDITIONS Approved as submitted. Final 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 DowAption Fee Amount Total Due: $0.06 Total Payment: $0.00 Balance Due: SO•N CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the followiog information: Permit Number,Type of lospection 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:18016 Greywalls Drive Permit#:1413 Parcel#:00874800001300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:LANE PHILIP&JOANNE Name:Philip and Joanne Lane Name:S&S Roofing,LLC 'M Address: 18016 GRAYWALLS DR Address:18016 Greywalls Drive 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:360-435-2172 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/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin h 41prlcd on your sales tax return form and coded City of Arlington#3101. i Signature Print Name Date Re eased By Date CONDITIONS Approved as submitted. Final 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 Total Due: $0.00 Total Payment: $0.00 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:18016 Greywalls Drive Permit#:1413 Parcel#:00874800001300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:LANE PHILIP&JOANNE Name:Philip and Joanne Lane Name:S&S Roofing,LLC Address: 18016 GRAYWALLS DR Address:18016 Greywalls Drive 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:360-435-2172 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: 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 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arli*filrted on your sales tax return form and coded City of Arlington#3101. i Signature Print Name Date Rc eased By Date CONDITIONS Approved as submitted. Final 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 Total Due: $0.00 Total Payment: $0.00 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 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 12000 yp p ( ) (� ( ) Commercial Valuation: 18016 Greywalls Dive Project Address: Parcel ID#: Owner: Philip &Joanne Lane Address: 18016 Greywalis Drive City:Arlington State: WA Zip Code:98223 Phone Number: 3604352172 Email:laneimages@yahoo.com Applicant:Philip Lane Address: 18016 Grevwalls Drive City:Arlington State: WA Zip Code:98223 3604352172 laneimages@yahoo.com Phone Number: Email: S&S Roofing Contractor: 104 S W Ave Arlington WA 98223 Address: City: State: Zip Code: 3603869903 shanesandsroofing@hotmail.com Phone Number: Email: S&S S&S Contractor's License Number: Expiration: Type of Roofing Material:Asphalt shingles 1 Number of Existing Layers: 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. L 04/04/2017 Applicants Signature Date Philip Lane Print Applicants Name FOR STAFF USE ONLY i1,2 � ,, Permit# ept y Amount Received Receipt# Date Received Afth CITY OF ARLINGTON 1�w 238 N.OLYMPIC AVE-ARLINGTON,WA.98223 PHONE;(360)403-3551 BUILDING PERMIT Addren:18016 Greywalb Drive Permit t 1413 Parcei M:00874800001300 Valuation:0,00 OWNER APPLICANT CONTRACTOR Name:LANE PHI LIP&JOANNE Namc:Philip and Joanne Lane Name:S&S Roofing,LIC Address:19016 GRAYWALLS DR Address:180 16 Givywalls Drive 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:360-435-2172 Phone:360-386-9903 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC 0: EXP: LIC N: 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 TIIE STATE OF WA.SIIINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RC W 18.27 THIS APPLICATION IS NOT A PF.RMrr UNTIL SIGNED BY rHF.BUILDING OFFICIAL OR I IIS/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 I I0/1RC 110 S Salt:f tax relating to construction and construction materials in the C of Arlington r ncd on your sales tax return form and ealej� y (rlingt3101 M 4/ L Signature Print Name to Rc cawd By Date CONDITIONS Approved as submitted. Final inspection is required. THIS PERMIT AUTIIORIZS ONLY rHE WORK NOTED-THIS PERMIT COVERS WORK rO BE DONE ON PRIVATE PROPHR'I Y ONLY ANY CONSTRUCTION ON[ME PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS.MARQUJ S,EI'C)WILL REQUIRE SEPARATE PERMISRION PERMIT FEES Dab Dawription Fee Amount Toth Due. S9•0e Total Payment: $0.00 Balance Due: SO•M CALL FOR INSPECTIONS _ Bl!ILDING(360)g03J417 When calling for an inspection please leave the fMlowiat Information-- Permit Namber,Type of laspection being regnested,and whether you prefer morning or afternoon I I I 1 I I �I 4/4/2017 S&S ROOFING LLC [taint iS,apanul Contiw� Search L&I \-'!,IIIdI,x felt) Yly Lltl Safety&Health Claims&insurance Workplace Rights Trades& Licensing ^ Washington State Department of „ Labor & Industries S & S ROOFING LLC Owner or tradesperson PO BOX 969 MARYSVILLE,WA 98270 Principals 360-386-9903 JOHNSON, NANCY, PARTNER/MEMBER SNOHOMISH County DUNLAP,SHERI LYNN,PARTNER/MEMBER DUNLAP,SHERI LYNN,AGENT DUNLAP,SHANE STEVEN, PARTNER/MEMBER (End:08/03/2011) JOHNSON,STEVEN MICHAEL, PARTNER/MEMBER (End:08/03/2011) Doing business as S&S ROOFING LLC WA UBI No. Business type 602 934 849 Limited Liability Company Governing persons SHERI DUNLAP NANCYJOHNSON; SHANE DUNLAP; STEVEN M JOHNSON; License Verify the contractor's active registration/license!certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties ROOFING License no. SSROOSR918MM Effective—expiration 07/15/2009—08/03/2017 Bond CBIC $6,000.00 Bond account no. S13456 Received by L&I Effective date 07/14/2009 07/15/2009 Expiration date Until Canceled Insurance Houston Specialty Ins Co $1,000,000.00 Policy no. Help us improve https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=602934849&LIC=SSROOSR918MM&SAW= 1/2 4/4/2017 S&S ROOFING LLC TEN17854 Received by L&I Effective date O7/14/2016 07/15/2016 Expiration date 07/15/2017 Insurance history Savings No savings accounts during the previous 6 year 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-dato on workom'oomp premiums. L&I Account ID Account is current. 178,628-00 Doing business as S&S ROOFING LLC Estimated workers reported Quarter 4 of Year 2016"11 to 20 Workers" L&I account representative T3/(360)902-5598 Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 12/12/2012 Violations Inspection no. 316563873 Location 6720-A 60th PI.NE. Marysville,WA 98270 Inspection results date 08/10/2012 Violations Inspection no. 316354166 Location 17818 Oxford Rd. Arlington,WA 98223 ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the stale of Washington. Help us improve hftps://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602934849&LIC=SSROOSR918MM&SAW= 2/2 Permit#: 1413 Permit Date: 04/04/17 Permit Type: RESIDENTIAL RE-ROOF Project Name: Lane Applicant Name: Philip and Joanne Lane Applicant Address: 18016 Greywalls Drive Applicant, City, State, Zip: Arlington,WA 98223 Contact: Philip Lane Phone: 360-435-2172 Email: laneimages@yahoo.com Scope of Work: Re-Roof with no sheathing replacement Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 04/07/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00874800001300 18016 GREYWALLS DR LANE PHILIP& 111 Single Family JOANNE 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 Attached Letters Date Letter Description 04/04/2017 Building Permit Uploaded Files Date File Name 04/07/2017 2205269-1413 Issued Permit.pdf 04/04/2017 2197025-1413 Application.pdf CITY OF ARLINGTON, WASHINGTON --- BUILDING DEPARTMENT No building construction shall be commenced until permit holder INSPECTION RECORD SHALL or his agent has posted this Inspection Record Card in a REMAIN AT JOB SITE conspicuous place on the premises. OWNER:Philip and Joanne Lane CONTRACTOR: S&S Roofing JOB ADDRESS: 18016 Greywalls Drive OWNER ADDRESS: 18016 GreyW Its Drive USE of BUILDING: SFR PLAT NAME: Glenea le Description of Work: Re-Roof with no sheathing LOT# 13 PERMIT No: BLD-141 3 Sprinklered: NO CONDITIONS:See Permit DATE ISSUED: TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION 360-403-3417 UNDERFLOOR SHEARWALL PLUMBING(groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE The following documents will be required and must be available during the final inspection: Completed Public Works & Utility Inspection Card Final electrical sign off by L & I Completed Blower Door test certificate Completed Duct test certificate (if applicable) Conditions (if applicable) *indicates that the inspection is approved but there is a minor correction FINAL INSPECTION Required Documents: CORRECTIONS (*