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7528 GREENLOFT AVE_BLD1956_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: 7528 Greenloft ave Project Address: Parcel ID#: Owner: Jason Germick Address: 7528 Greenloft Ave City:Arlington State: WA Zip Code:98223 Phone Number: 360-653-1884 Email: Applicant:Jason Germick Address: 7528 Greenloft Ave city:Arlington State: WA Zip Code:98223 Phone Number. Email: Contractor: Dw 1�p- Address: City: State: Zip Code: Phone Number: Email: Contractor's License Number: Expiration: Type of Roofing Material: presidential Number of Existing Layers: 1 Class of Roofing: A ❑ B ❑ C ❑ Replacing existing sheathing. Yes 0"i No ❑ Roof tear off: © Application over existing material: ❑ The following is required for NON-Residential Buildings: Existing roof structure and material: cedar • 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 o' •afely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is 4 complete. 4_1 � ��/.�I Applicants Signature Date �Sw1 C�e✓lAff'c-� Print Applicants Name FOR STAFF USE ONLY WDLr CZYMAY 0 2 2.018 Permit# A pled By Amount Received Receipt# Date Received IWORQ Systems Inc. Page 1 of 1 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:7528 Greenloft Ave Permit#:1956 Parcel#:00834900001300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GERMICK JASON Name:Jason Germick Name:Jason Germick Address:7528 GREENLOFT AVE NE Address:7528 Greenloft Ave Address:7528 Greenloft Ave City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-653-1884 Phone:360-653-1884 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: ` 13 DWELLING UNITS: I OCC GROUP: R3 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 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arli g s ere o on your ales tax return form and coded Cit rlington#3101. ; �- G .,�,-,I S .3.2-41-:lCb Signature Print Name Dale le tl Date CONDITIONS Sheathing inspection 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 5/3/2018 Processing/Technology Fee $25.00 5/3/2018 Re-Roof $50.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon https://www.iworq.net/iworq/permit/popupPermitEditLetterPrint.asp?sid=DNPMIPLAJFER... 5/3/2018 IWORQ Systems Inc. Page 1 of 1 CIT-""*Y O ARLINGION2 g N. OLYMP 3 ` IC AVE -ARLINGTON, WA, 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:7528 Greenloft Ave Parcel#:00834900001300 Permit#:1956 OWNER APpL I CANT Valuation:0.00 Name:GERMICK JASON Name:: Jgson CONTRACTOR Address:7528 GREENLOFT AVE NE Address Germtck R --7528 Greenloft Ave Name:Jason Germick City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 Address'7528 Greenloft Ave Phone: Phone_ 360-653-1884 City.State Zip:Arlington,WA 98223 MECHANICAL CONTRACTOR Phone:360-653.1884 Name: PLUMBING CONTRACTOR Address: Name: City,State,Zip: Address: Phone: City,State,Zip: LIC#: EXP: Phone: JOB DESCRIPTION LIC#: EXP. PERMIT TYPE: Residential Re-Roof STORIES: 2 CODE YEAR: 2015 DWELLING UNITS: 1 CONST.TYPE: VB BUILDINGS: OCC GROUP: R3 OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND nJ DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF T11E STATE OF WgSHINGTUN RELATING WORKMEN'S COMPENSATION INSURANCE AND RCW 1827 THIS APPLICATION IS NOT A PERMIT UNTIL SIGNER By'THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID,TO IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, I$C 110/IRCI 10. HAS BEEN MADE AND APPROVAL OR SALES TAX NOTICE:Sales tax relating to construction and Construction materials in the City of Arli and coded City. rlington#3101. e re� on our Y ales tax return form Signature Print Name Date — � � .2✓.Z�� CONDITIONS le " Date Sheathing inspection required prior CO cover. THIS PERMIT AUTHORIZE ONLV'n{E WORK NOTED,THIS PERMIT COVERS CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS DRIVEWAYS,MARQUE WORK TOEg DUNE ON PRIVATE PROPERTY ONLY. ANY ETC.) WILL REQUIRE SEPARATE PERMISSION. Date Description PENT FEES 5/3/2018 Processing/Technology Fee 5/3/2018 Re-Roof Fee Amount $25.00 Total Due: $50.00 S75.00 Total Payment: $0.00 CALL FOR INSPECTIONS Balance Due: $75.00 BUILDING(360)403-3417 When calling 7foranoapection please leave the followirr ' Permit Number,Type of Inspection being requested,and whether yviu prefer mornirng or afternoon https://www.iworq.net/iworq/permit/popupperMitEditLetterPrint.asp?sid=D7VPN,ffDT A Ir IWORQ Systems Inc. Page 1 of 2 Permit Information Date 5/3/2018 Permit Number 1956 Project Namel Germick Applicant Name)Jason Germick Applicant Addressl7528 Greenloft Ave City,State, Zipl Arlington,WA 98223 Contact Jason Germick Phone 360-653-1884 Email) Permit Typel Residential Re-Roof Site Addressl7528 Greenloft Ave Valuation 10.00 Status I Applied Permit Issued) Permit Expires) Square Feetl0 Type of Construction/Occupancy Load Number of Stories)0 Proposed Usel Re-roof with sheathing Assigned To Kristin Foster Property Parcel Address Legal Owner Owner Phone Zoning 00834900001300 7528 GREENLOFT AVE GERMICK JASON 111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Jason Germick Jason Germick 360-653-1884 OWNER Fees Fee Description Notes Amount Processingfrechnology Fee 341.43.00.02 $25 00 Re-Roof 322.10.00.00 $50.00 Total $75.00 Uploaded Files Upload File Date File Uploaded By 5/3/2018 2:16:10 PM 1983 Application.odf Foster,Kristin x https://www.iworq.net/iworq/Permit/popupPennitEditPrint.asp?sid=DNPMIPLAJFERLDB... 5/3/2018 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: 7528 Greenloft ave Project Address: Parcel ID#: Owner: Jason Germick Address: 7528 Greenloft Ave City:Arlington State: WA Zip Code:98223 Phone Number: 360-653-1884 Email: Applicant:Jason Germick Address: 7528 Greenloft Ave City.Arlington State: WA Zip Code:98223 Phone Number: Email: Contractor: Address: City: State: Zip Code: Phone Number: Email: Contractor's License Number: Expiration: Type of Roofing Material: presidential Number of Existing Layers: 1 Class of Roofing: A ❑ B ❑ C ❑ Replacing existing sheathing: Yes 0-1*11' No ❑ Roof tear off: © Application over existing material: ❑ The following is required for NON-Residential Buildings: • Existing roof structure and material: cedar • 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 o afely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is complete. Applicants Signature Date �Scw1 �e✓tAl►'C. Print Applicants Name � FOR STAFF USE ONLY igby — - MAY 0 2 2018 Permit# Acc pted By Amount Received Receipt# Date Received Permit#: 1956 Permit Date: 05/03/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: Germick Applicant Name: Jason Germick Applicant Address: 7528 Greenloft Ave Applicant, City, State, Zip: Arlington,WA 98223 Contact: Jason Germick Phone: 360-653-1884 Email: Scope of Work: Re-roof with sheathing Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 05/18/2018 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00834900001300 7528 GREENLOFT AVE GERMICK JASON 111 Single Family Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License Jason Germick Jason Germick 360-653-1884 7528 GreenloftAve OWNER Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 09/04/2018 R00.1 RE-ROOF Roof 08/30/2018 BUILDING Approved FINAL Fees Fee Description Notes Amount Processing/Technology $25.00 Re-Roof Residential Residential $50.00 Total $75.00 Attached Letters Date Letter Description 05/03/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/07/2018 Jason Gen-nick Cash Kristin Foster $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 08/09/2018 3802480-1956 Issued Permit.pdf 05/03/2018 3441945-1983 Apnlication.pdf