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HomeMy WebLinkAbout18315 Champions Dr_BLD1462_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) (,/j Residential ( ) Commercial Valuation:5,000.00 18315 Champions Dr. Project Address: Parcel ID#: Owner: Emily & Daniel Reisdorff Address: 18315 Champions Dr. City:Arlington State: wa Zip Code:98223 Phone Number: 360-386-9903 Email:Sheri@adrroofingwa.com Applicant: Sheri Dunlap Address: 526 N West Ave City:Arlington State: wa Z p Code: 98223 360-659-7703 Sheri@adrroofingwa.com Phone Number: Ema ADR Roofing & Construction Contractor: 526 N West Ave Arlington WA 98223 Address: City: State: Z p Code: 360-659-7703 Sheri@adrroofingwa.com Phone Number: Email: 0KR00RC861N 1 08/21/2018 Contractor's License Number: Expiration: Type of Roofing Material: PABCO 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: SHAKES REPLACING WITH PABCO COMP • 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. 9 ed se m........a gg 05/15/2017 Applicants Signature Date SHERI L. DUNLAP Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By ArnULInt Received Receipt # Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address: 18315 Champions DR Permit#:1462 Parcel#:00874400001400 Valuation:5000.00 OWNER APPLICANT CONTRACTOR Name:REISDORFF DANIEL R Name:ADR Roofing and Construction Name:ADR Roofing and Construction Address: 18315 CHAMPIONS DR Address:526 N West Ave Address:526 N West Ave City,State Zip:ARLINGTON,WA 98223-5090 City,State"Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-659-7703 Phone:360-659-7703 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: 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. FF 1S 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. IBC1I01IRC110. 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. 1. UialaP 5-ITN Sign ure Print Name Date Alcased By Date CONDITIONS Approved as submitted.Nailing inspection is required prior to cover. THIS PERMIT AUTHORTZS ONLY THE WORK NOTED.TI IIS 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 511512017 Process in gfrech no logy Fee $25.00 511512017 Re-Roof $50.00 Total Due: S75.00 Total Payment: $0.00 Balance Due: $75.00 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: 18315 Champions DR Permit#:1462 Parcel#:00874400001400 Valuation:5000-00 OWNER APPLICANT CONTRACTOR Name:REISDORFF DANIEL R Name:ADR Roofing and Construction Name:ADR Roofing and Construction Address: 18315 CHAMPIONS DR Address:526 N West Ave Address:526 N West Ave City,State Zip:ARLINGTON,WA 98223-5090 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-659-7703 Phone:360-659-7703 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: 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 Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Approved as submitted.Nailing inspection is required prior to cover. 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 5/15/2017 Processing/Technology Fee $25.00 5/15/2017 Re-Roof $50.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 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:18315 Champions DR Permit#:1462 Parcel#:00974400001400 Valuation:5000.00 OWNER APPLICANT CONTRACTOR Name:REISDORFF DANIEL R Name:ADR Rooting and Construction Name:ADR Roofing and Construction Address:18315 CHAMPIONS DR Address:526 N West Ave Address;526 N West Ave City,State Zip:ARLINGTON,WA 98223-5090 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-659-7703 Phone:360-659-7703 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Namc: 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: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE 1'O 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 1S 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 I10/IRC110. SALES TAX NOTICT: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. r. Sign ure Print Name Date R !cased By Date CONDITIONS Approved as submitted.Nailing inspection is required prior to cover. 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 5/15/2017 Processinglrechnology Fee $25.00 5/15/2017 Re-Roof $50.00 Total Due: S75.00 Total Payment: $0.00 Balance Due: S75.00 CALL FOR INSPE"CTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type orlaspection 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:18315 Champions DR Permit#:1462 Parcel#:00874400001400 Valuation:5000.00 OWNER APPLICANT CONTRACTOR Name:REISDORFF DANIEL R Name:ADR Roofing and Construction Name:ADR Roofing and Construction Address: 18315 CHAMPIONS DR Address:526 N West Ave Address:526 N West Ave City,State Zip:ARLINGTON,WA 98223-5090 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-659-7703 Phone:360-659-7703 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: 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/IRCI10, 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. LI Signature Print Name Date R leased By Date CONDITIONS Approved as submitted.Nailing inspection is required prior to cover. 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 5/15/2017 Processing/Technology Fee $25.00 5/15/2017 Re-Roof $50.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 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) (to) Residential ( ) Commercial Valuation:5,000.00 18315 Champions Dr. Project Address: Parcel ID#: Owner: Emily & Daniel Reisdorff Address: 18315 Champions Dr. City:Arlington State: wa Zip Code:98223 Phone Number: 360-386-9903 Email:Sheri@adrroofingwa.com Applicant:Sheri Dunlap Address: 526 N West Ave City:Arlington State: wa Zip Code:98223 360-659-7703 Sheri@adrroofingwa.com Phone Number: Email: ADR Roofing & Construction Contractor: 526 N West Ave Arlington WA 98223 Address: City: State: Zip Code: 360-659-7703 Sheri@adrroofingwa.com Phone Number: Email: OKROORC861N1 08/21/2018 Contractor's License Number: Expiration: Type of Roofing Material: PABCO Number of Existing Layers: 1 Class of Roofing: A ❑ B 0 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: SHAKES REPLACING V1ATH PABCO COMP • Two copies of the installation specifications and Ul.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. .....,..-..,.� . 05/15/2017 Applicants Signature Date SHERI L. DUNLAP Print Applicants Name FO STAFF USE ONLY Heceivea �Lk ?� MAY 15 2017 Pcrrnll# A t y Amount Received Receipt# Date Received 5/15/2017 A-OK ROOFING&CONSTRUCTION roi, Search L&I \-zr,1dk•\ n'd[) cll.&I Safety&Health Claims& Insurance Workplace Rights Trades&Licensing Washington State Department of " Labor & Industries A-OK ROOFING & CONSTRUCTION Owner or tradesperson 526 N WEST AVE#114 Principals ARLINGTON,WA 98223 360-659-7703 DUNLAP, SHANE S, PARTNER/MEMBER SNOHOMISH County DUNLAP, SHERI L, PARTNER/MEMBER Doing business as A-OK ROOFING&CONSTRUCTION WA UBI No. Business type 603 420 586 Limited Liability Company Parent company Governing persons ADR ROOFING&CONSTRUCTION LLC SHANE DUNLAP SHERI DUNLAP; 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. OKROORC861 N1 Effective—expiration 08/21/2014—08/21/2018 Bond Ironshore Indemnity Inc $12,000.00 Bond account no. SUR40001429 Received by L&I Effective date 08/21/2014 08/08/2014 Expiration date Until Canceled Insurance Houston Specialty Ins Co $1,000,000.00 Policy no. TEN17955 Received by L&I Effective date 08/01/2016 08/08/2016 Expiration date 08/08/2017 Insurance history Savings No savings accounts during the previous 6 year period. Help us improve hftps://secure.Ini.wa.gov/verify/Detai I.aspx?U BI=603420586&LIC=OKROORC861 N 1&SAW= 1/2 5/15/2017 A-OK ROOFING&CONSTRUCTION Lawsuits against the bond or savings No lawsuits against the bond or savings. junts 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. 329,780-00 Doing business as A OK CONSTRUCTION INC Estimated workers reported Quarter 1 of Year 2017"7 to 10 Workers" L&I account representative T4/ALISON WOODWARD(360)902-4629-Email:WOAL235@lni.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 12/22/2016 Violations Inspection no. 317942918 Location 7222 Perregrine PI. Arlington,WA 98223 Q Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. HPIp Lis improve https://secure.Ini.wa.gov/verify/Detaii.aspx?U BI=603420586&LIC=OKROORC861 N 1&SAW= M Permit#: 1462 Permit Date: 05/15/17 Permit Type: RESIDENTIAL RE-ROOF Project Name: Reisdorff Applicant Name: ADR Roofing and Construction Applicant Address: 526 N West Ave Applicant, City, State, Zip: Arlington,WA 98223 Contact: Sheri Dunlap Phone: 360-659-7703 Email: sheri@adrroofingwa.com Scope of Work: Residential Re-roof with new sheathing Valuation: 5000.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 05/17/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00874400001400 18315 CHAMPIONS DR REISDORFF 111 Single Family DANIEL R Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License ADR Roofing and ADR Roofing and 360-659-7703 104 S West Avenue CONSTRUCTION OKROORC86INI Construction Construciton CONTRACTOR Fees Fee Description Notes Amount Processing/Technology $25.00 Re-Roof Residential Residential $50.00 Total $75.00 Attached Letters Date Letter Description 05/15/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/17/2017 Sheri Dunlap 64750996 cc $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 05/17/2017 2292747-1462 Issued Permit.pdf 05/15/2017 2285631-1462 Apnlication.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:Daniel Reisdorff CONTRACTOR:ADR Roofing and Construction JOB ADDRESS: 18315 Champions Drive OWNER ADDRESS: 18315 Champions Drive USE of BUILDING: SFR PLAT NAME: Description of Work: Re-Roof LOT# PERMIT No: 1462 Sprinklered: CONDITIONS:See Permit DATE ISSUED:5.16.2017 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 (*