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HomeMy WebLinkAbout18308 35TH AVE NE_BLD2042_2026 CITY OF ARLINGTON 238 N. OLYMPTC AVE- ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:18308 Smokey Point Blvd Permit#:2042 Parcel#:00472500000600 Valuation:45000.00 OWNER APPLICANT CONTRACTOR Name:STILLAGUAMISH CENTER INC Name:S&S Roofing Name:S&S Roofing,LLC Address: 18308 SMOKEY POINT BLVD Address:104 S.WestAvicenue 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:360-386-9903 Phone:360-386-9903 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,"Zip: City,Statc,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Re-Roof CODE YEAR: 2015 STORIES: CONST.TYPE: VB DWELLING UNITS: OCC GROUP: R2 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. IBCI l0/IRCI 10. SALF;S TAX NO"1'ICF.:Sales tax relating to constriction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlin d #310L Sign Print Nai Date Rcicuscd By to CONDITIONS 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 7/6/2018 Building Permit-Other $500.00 7/6/2018 Processing/Technology Fee $25.00 7/6/2018 Re-Roof $856.68 Total Due: $1,381.68 Total Payment: $1,381.68 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 i i CI FY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:18308 Smokey Point Blvd Permit#:2042 Parcel#:00472500000600 Valuation:45000.00 OWNER APPLICANT CONTRACTOR Name:STILLAGUAMISH CENTER INC Name:S&S Roofing Name:S&S Roofing,LLC Address: 18308 SMOKEY POINT BLVD Address:104 S.West Avicenue 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:360-386-9903 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: Commercial Re-Roof CODE YEAR: 2015 STORIES: CONST.TYPE: VB DWELLING UNITS: OCC GROUP: R2 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 1S 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. IBCI l0/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. Signature Print Name Date Released By I Dfite CONDITIONS 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 7/6/2018 Building Permit-Other $500.00 7/6/2018 Processing/Technology Fee $25.00 7/6/2018 Re-Roof $856.68 Total Due: $1,381.68 Total Payment: $1,381.68 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 i Permit Information Date 7/5/2018 Permit Number 2042 Project Name Stillaguamish Senior Center Applicant Name S&S Roofing Applicant Address 104 S.West Avicenue City,State,Zip Arlington,WA 98223 Contact Nancy Johnson Phone 360-386-9903 Email nancysandsroofing@hotmail.com Permit Type Commercial Re-Roof Site Address 18308 Smokey Point Blvd Valuation 45000.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Multi-family re-roof Assigned To Kristin Foster Property Parcel Address Legal Owner Owner Phone Zoning 00472500000600 118308 35TH AVE NE ISTILLAGUAMISH CENTER INC 1174 Retirement Home/Orphanages Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# 3&S Roofing,LLC Shane Dunlap 360-386-9903 ;hanesandsroofin hotmail.com 1CONTRACTOR Labor&Industries P3SROOSR918MM Review Date Type Description Tar et Date Completed Date Assigned To Status 7/6/2018 Re-Roof 7/12/2018 3uildin n Review Fees Fee Description Notes Amount Building Permit-Other 322.10.00.00 $500.00 Processinciffechnology Fee 341.43.00.02 $25.00 Re-Roof 322.10.00.00 $856.68 Total $1 381.68 Payments Date Paid By Amount Description Payment Tv a Accepted By 7/5/2018 lfqancv Johnson $1.381.68 70710578 kc I 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) (se) Residential Commercial Valuation:45,000.00 18308 Smokey Point Blvd. Project Address: Parcel ID#: Owner: Stillaguamish Senior Center Address: 18308 Smokey Point Blvd. City:Arlington State: WA Zip Code:98223 Phone Number: 360.659.0575 Email:maintenance@stillycenter.org Applicant:S & S Roofing Address: 104 S. West Ave. City:Arlington .State: WA Zip Code:98223 360.386.9903 nancysandsroofing@hotmail.com Phone Number: Email. S & S Roofing Contractor: _ 104 S. West Ave. Marysville WA 98223 Address: City: State: Zip Code: 360.386.9903 nancysandsroofing@hotmail.com Phone Number: Email: SSROOS�18MM 8/2019 Contractor's License Number:-- Expiration: Type of Roofing Material: 30 yr Comp 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. �f/nsu�i ��o%rcctorr 07/05/2018 Applicants Signature Date Nancy Johnson Print Applicants Name FOR STAFF USE ONLY ReeeiVLad M2___ JUL 05 2018 Permit# Accept- By Amount Received Receipt# Date Received 7 �orr_'t/ '=— - -••� :-•fit_}�pc:���r•_-,t`s,• Y_�ar,�,:a=-s'�-:2�i=^ ":� '?i�=`ram-�` - � r ,-:r�'.- - '�,_.. _, f LaborHome : Espai-iol Contact Safety&Health G Claims&Insurance M Workplace • G Trades&Licensing G Washington State Department of Labor & Industries S & S ROOFING LLC Owner or tradesperson 104 S West Ave. ARLINGTON,WA 98223 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 VVA 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—08/03/2019 Bond CBIC $6,000.00 Bond account no. SI3456 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 ;t � i '� TEN19691 Received by L&I Effective,date 07/11/2017 07/15/2017 Expiration date 07/15/2018 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. 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. 178,628-00 Doing business as S&S ROOFING LLC Estimated workers reported Quarter 1 of Year 2018"11 to 20 Workers" L&I account contact T3/STEPHANIE HENDERSON(360)902-5598-Email:HSTE235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. 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 12/12/2012 Violations Inspection no. 316563873 Location 6720-A 60th PI.NE. Marysville,WA 98270 Inspection results date O8/10/2012 Violations Inspection no. 316354166 Location 17818 Oxford Rd. Arlington,WA 98223 liies5 Help us �NSythingtrm } v � I I Permit#: 2042 Permit Date: 07/05/18 Permit Type: COMMERCIAL RE-ROOF Project Name: Stillaguamish Senior Center Applicant Name: S & S Roofing Applicant Address: 104 S. West Avicenue Applicant, City, State, Zip: Arlington,WA 98223 Contact: Nancy Johnson Phone: 360-386-9903 Email: nancysandsroofing@hotmail.com Scope of Work: Multi-family re-roof Valuation: 45000.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 07/12/2018 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00472500000600 18308 35TH AVE NE STILLAGUAMISH 174 Retirement CENTER INC Home/Orphanages 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 Plan Reviews Date Review Type Description Assigned To Review Status 07/06/2018 RESIDENTIAL RE-ROOF BUILDING Fees Fee Description Notes Amount Processing/Technology $25.00 Re-Roof Residential Residential $856.68 Building Permit-Other $500.00 Total $1,381.68 Attached Letters Date Letter Description 07/06/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/05/2018 Nancy Johnson 70710578 cc $1,381.68 Outstanding Balance $0.00 Notes Date Note Created By: 07/06/2018 Emailed permit for signature. Kristin Foster Uploaded Files Date File Name 07/17/2018 3722858-2042 Issued Permit.pdf 07/05/2018 3683696-2042 Application.pdf