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HomeMy WebLinkAbout320 E 3RD ST_BLD1822_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:320 E Third Street Permit#: 1822 Parcel#:00378800200100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:STEFAN DOINA Name:Doina Stefan Name:Pro Roofing Address:320 E 3RD ST Address:320 E Third Street Address: 13004 NE 125th Way,Unit A-120 City,State Zip:ARLINGTON,WA 98223-1304 City,State Zip:Arlington,WA 98223 City,State Zip:Kirkland,WA 98034 Phone: Phone:425-238-5578 Phone:425-814-7313 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: 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 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 INSPECT HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI10/IRCI 10. SALE. TAX NOTICE:Sales tax relating to construction and construction materials in the City of Art*tgto m re rte n your sales tax return form and ded City of Arlington#3 I. gnature Print Name Date Rel a d By Date CONDITIONS Approved as submitted. Inspections 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 2/6/2018 Re-Roof $75.00 Total Due: $75.00 Total Payment: $75 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 3, .4 � ,. ' 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: I �j Project Address: Ll'pa� ✓" �f Z -� Owner: 3 Dllf1 . Address L 1 /V6_tat , ZD 2-Li Cod; Phone Numb S S V E ail: Applicant: Address: f t Comity State: Zip Code: Phone Number: `� ` VEQ1, Contractor: Address City: State: Zip Code Phone Number: Email: -� I Contractor's License Number: Expiration: Type of Roofing Material: LT- G�/� ✓�� � �L#nbe f ist+4— Layers:VV 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 t e laws, rules and regulations of the State of Washington. The applicant will be responsible for providing a method of safely acc sing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is complete. Applican s Signature ate Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received 2/6/2018 PRO ROOFING NW INC 1 'Search L&I wurkr,i�u; RKj. lts d s �. Lit;ersiny Washington State Department of " Labor & Industries PRO ROOFING NW INC Owner or tradesperson 13004 NE 125TH WAY UNIT A-120 KIRKLAND,WA 98034 Principals 425-814-7313 SILVA,ALESSANDRO,PRESIDENT KING County Doing business as PRO ROOFING NW INC WA UBI No. Business type 602 777 559 Corporation 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. PRORORN935RC Effective—expiration 12/03/2007-12/22/2019 Bond RLI INS CO $12,000.00 Bond account no. LSM0199563 Received by L&I Effective date 12/20/2010 12103/2010 Expiration date Until Canceled Insurance Houston Casualty Co $2,000,000.00 Policy no. TEN17461 Received by L&I Effective date 04/20/2017 05115/2016 Expiration date 05/15/2018 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. hfps://secure.ini.wa.gov/verify/Detaii.aspx?UBI=602777559&LIC=PRORORN935RC&SAW= 1/3 2/6/2018 PRO ROOFING NW INC 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. 088,942-01 Doing business as PRO ROOFING NW INC Estimated workers reported Quarter 3 of Year 2017"21 to 30 Workers" L&I account contact T4/TERRI MADISON(360)902-4654-Email:KIRT235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to porform work on publio worl<o projcot3. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 0411 3/2 01 7 Violations Inspection no. 317944215 Location 502104th PL SE Everett,WA 98208 Inspection results date 03/15/2017 Violations Inspection no. 317943785 Location 328 91th Ave.N E. Lake Stevens,WA 98258 Inspection results date 02/02/2016 Violations Inspection no. 317938603 Location 26534 SE 25th St Sammamish,WA 98075 Inspection results date 12/16/2013 Violations Inspection no. 316910280 Location 15918 119th Ave NE Bothell,WA 98011 Inspection results date 08/13/2013 Violations Inspection no. weU, ;�. in,r-rn https://secure.ini.wa.gov/verify/Detail.aspx?UBI=602777559&LIC=PRORORN935RC&SAW= 2/3 2/6/2018 PRO ROOFING NW INC 316788447 Location 17905 41 st pi w Lynnwood,WA 98037 J Washington Stale Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Ms1n ifs inmra` https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602777559&LIC=PRORORN935RC&SAW= 3/3 i Permit#: 1822 Permit Date: 02/06/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: Stefan Applicant Name: Doina Stefan Applicant Address: 320 E Third Street Applicant, City, State, Zip: Arlington,WA 98223 Contact: Doina Stefan Phone: 425-238-5578 Email: stefan@hotmail.com Scope of Work: Residential Re-Roof Valuation: 0.00 Square Feet: 0 Number of Stories: 2 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00378800200100 320 E 3RD ST STEFAN DOINA 111 Single Family Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# 13004 NE 125th Labor and Pro Roofing 425-814-7313 Way,Unit A-120 CONSULTANT Industries PROPORN935RC Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status R00.1 RE-ROOF Roof inspection called after Unable to 02/12/2018 FINAL completion 02/12/2018 BUILDING Inspect-No Access Fees Fee Description Notes Amount Re-Roof Residential Residential $75.00 Total $75.00 Attached Letters Date Letter Description 02/06/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 02/06/2018 Doina Stefan 68433413 cc $75.00 Outstanding Balance $0.00