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17620 REDHAWK DR_BLD2067_2026
CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUMDING PERMIT Address:17620 Redhawk Drive Permit#:2067 Parcel#:00809200004700 Valuation: 17551.57 OWNER APPLICANT CONTRACTOR Name:MILLER JACK C&HOLLY Name:Sears Home Improvement Prod.Inc. Name:Sears Home Improvement Prod.Inc. Address: 17620 REDHAWK DR Addressa 024 Florida Central Parkway Address:1024 Florida Central Parkway City,State Zip:ARLINGTON,WA 98223-5939 City,State Zip:Longwood,FL 32750 City,State Zip:Longwood,FL 32750 Phone: Phone:360-945-2787 Phone:360-945-2787 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: VB 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 t 10/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City o/Ar t-be- rted on your sales tax return form and dedCi of Arlin o #3101. Cyndal Ellenberger 8/7/2018 Signature VPrint Name Date VVReleased By Date CONDITIONS Approved as submitted. Final inspection required. 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 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 ,. a - CiTY pFARLINGTON 238 N. OLYMPIC AVE -ARLIN TON,WA. 9822 3 PHONE, (360) 403 51 ]BUILDING PERMIT permit#:2067 Address:17620 Redhawk Drive Valuation:17551.57 Parcel#:00809200004700 CONTRACTOR OWNER APPLICANT rovement Prod.Inc. Name:Sears home lmp Name:Sears Home improvement Prod.Inc. Address:1024 Florida Central Parkway Name:MILLER JACK C&HOLLY City,State Zip:Longwood,FL 32750 Address:17620 REDHAWK DR Address:1024 Florida Central Parkway City,State Zip:ARLINGTON,WA 98223-5939 City,State Zip:Longwood,FL 32750 phone:360-945-2787 Phone: Phone:360-945-2787 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: EXP: Phone: LIC#: LIC#: EXP: JOB DESCRIPTION CODE YEAR: 2015 PERMIT TYPE: Residential Re-ROOF CONST.TYPE: VB STORIES: OCC GROUP: R3 DWELLING UNITS: I OCC LOAD: BUILDINGS: PERMIT APPROVAL STATE LAWS REGULA I L CONSTItUCTIO ATAND IN E OF WDSHINGTON RELp ING TO WORKMEN'SBY, 11 1 AGREE TO COMPLY WITH CITY AND S NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE THE BUILDING BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. �i COMPENSATION INSURANCE AND RCW 18.27. E AND APPROVAL OR f THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MAD A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. tBC l lO/IRC 110. s rted on y our sales tax return form SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City o�Ar � and coded City of Arlington#3101. / Date Date Released By Signature Print Name CONDITIONS Approved as submitted.Final TO BE inspection Nq�Q RE SEPARATE PERMISSION. THIS PERMIT AUTHORIZE ONLY THE WORK NOTED.THIS PERMIT COVERS WO�UEG BE DONE ILLON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS.SIDEWALKS,RIVWAYS. pEjPt T FEES Fee Amount $0.00 Date Description Total Due: $0.00 Total Payment: $0.00 Balance Due: CALL FOR INSPECTIONS gUILD1NG(360)403-3417 p lease leave the following refer morning or afternoon When calling for io inspection requested,and whether y p Permit Number,Type of Inspection being i � � i 'i ice''„ _ _ - - � .. ,� Permit Information Date 7/20/2018 Permit Number 2067 Project Name Miller Applicant Name Sears Home Improvement Prod. Inc. Applicant Address 1024 Florida Central Parkway City,State,Zip Longwood, FL 32750 Contact Naida Khan Phone 360-945-2787 Email naida@nwpermit.com Permit Type Residential Re-Roof Site Address 17620 Redhawk Drive Valuation 17551.57 Status Ready to Issue Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Re-Roof with no sheathing replacement Assigned To Kristin Foster Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Sears Home Im rovement Prod. Inc. aids Khan 60-945-2787 aids nw ermit.com CONTRACTOR abor and Industries EARSM1011 LA Notes Date Note 7/20/2018 Emailed for out of city business license. Upload File Uploaded Files Date File Uploaded B h 7/20/2018 3:32:46 PM IZO67 Application.pdf Foster,Kristin 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) (we) Residential ( ) Commercial valuation:17551.57 Project Address: 17620 REDHAWK DR Parcel ID#: 00809200004700 Owner: JACK MILLER Address: 17620 REDHAWK DR City:Arlington State: WA Zip Code:98223 Phone Number: 425-334-7453 Email:unknown Applicant:Northwest Permit Inc/Naida Khan Address: 9808 31st Ave SE City:Everett State: WA Zip Code:98208 3609452787 naida@nwpermit.com Phone Number: Email: SEARS HOME IMPROVEMNT PROD INC Contractor: 1024 FLORIDA CENTRAL PKWY Longwood FL 32750 Address City: State: Zip Code. 3609452787 naida@nwpermit.com Phone Number: Email: S EARS H 1011 LA 8/2/2018 Contractor's License Number: Expiration: Type of Roofing Material: 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. i2cct� asr. 07/13/2018 Applicants Signature Date Naida Khan Print Applicants Name i FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received Search L&I Labor'& industries Safety&Health o Claims&Insurance 6 Workplace • c Trades&Licensing Washington State Department of Labor & Industries SEARS HOME IMPROVEMNT PROD INC Owner or tradesperson 1024 FLORIDA CENTRAL PKWY LONGWOOD,FL 32750 Principals 407-767-0990 Riecker,Robert A,PRESIDENT ■ CLARK,LAURA JOANNE,VICE PRESIDENT MEERSCHAERT,LAWERENCE JOESPH,VICE PRESIDENT • NYMAN,ALFRED W,SECRETARY ■ VALENTINO,LUKE,SECRETARY • BICHKOFF,BRIAN W,SECRETARY C T CORPORATION SYSTEM,AGENT • FEINBERG,MEL J (End:01/23/2012) ■ BOYD,JOHN T (End:01/23/2012) ■ GABB,WILLIAM J (End:01/23/2012) TOWER,MICHAEL J,PRESIDENT (End:01/23/2012) • STENBEKE,JOSEPH J,VICE PRESIDENT (End:01/23/2012) Henrikson,Mark A,SECRETARY (End:05/02/2016) ■ Reed,Stuart C,PRESIDENT (End:12/14/2015) ■ Terrell,James B,VICE PRESIDENT (End:12/14/2015) Doing business as SEARS HOME IMPROVEMNT PROD INC WA UBI No. Business type 601 689 787 Corporation Governing persons RICHARD M MAURER GARY J ISKRA; MEL J FEINBERG; EILEEN ROSE ECK; CARLA N MATTHEWS; LAWRENCE ROBERT MCDOWELL; JOHN PIGOTT; PAMELA R SCHNIEDER; RICHARD SREDNICKI; JOSEPH JAMES STEENBEKE; MICHEAL J TOWER; JAMES HENRY WILLIAMS; License p us improve / i l Verify the contractor's active registration/licensr rtification(depending on trade)and any past violations. , Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. SEARSH1011 LA Effective—expiration 06/01/1999—08/02/2018 Bond ATLANTIC SPECIALTY INSURANCE $12,000.00 COMPANY Bond account no. 800033532 Received by L&I Effective date 08/25/2017 08/18/2017 Expiration date Until Canceled Bond history Insurance Ace American Insurance Company $5,000,000.00 Policy no, HDOG27868988 Received by L&I Effective date 08/02/2017 08/01/2017 Expiration date 08/01/2018 Insurance history Savings ....................... No savings accounts during the previous 6 year period. Lawsuits against the bond or savings Cause no. 17-2-06663-34 C"n Complaint filed by Complaint against bond(s)or savings PHILLIP&LINDA DORAN 800033532 Complaint date Complaint amount 12/28/2017 $10,000.00 Cause no 16-2-17276-31 Mn Complaint filed by Complaint against bond(s)or savings EDDIE&AMELIA LUCAS 6288971 Complaint date Complaint amount 08/23/2016 $0.00 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 Infraction no. NBERU01275 Satisfied Issue date RCW/WAC 12/08/2015 18.27.200(1)(e)RCW Violation city Violation amount LONGWOOD $1,000.00 Type of violation CONSTRUCTION INFRACTION Description improveHelp us - A I Subcontracting to or using an unregistered' contractor. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts L&I Account ID Self Insured. 700,003-00 This business is certified to cover its own workers'comp costs.No premiums due. Doing business as SEARS ROEBUCK&CO Estimated workers reported N/A L&I account contact (360)902-4817 Track this contractor 0 Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes This contractor received a valid strike(s)for violation or infraction for the following L&I law(s).Learn more about contractor strikes. RCW Violation Effective Date 18.27.200 1/28/2016 Description Failure to comply with contractor registration requirements,per RCW 18.27 Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Access ARLN'a..hington'e Help us improve 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: 17551.57 Project Address: 17620 REDHAWK DR Parcel ID#: 00809200004700 Owner: JACK MILLER Address: 17620 REDHAWK DR City:Arlington State: WA L p Code: 98223 Phone Number: 425-334-7453 Email:unknown Applicant: Northwest Permit Inc/Naida Khan Address: 9808 31st Ave S E City:Everett State: W4 L p Code: 98208 3609452787 naida@nwpermit.com Phone Number: Email: SEARS HOME IMPROVEMNT PROD INC Contractor: 1024 FLORIDA CENTRAL PKWY Longwood FL 32750 Address: City: State: L p Code: 3609452787 naida@nwpermit.com Phone Number: Email: S EARS H 1011 LA 8/2/2018 Contractor's License Number: Expiration: Type of Roofing Material: 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 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. O6„ gs 07/13/2018 Applicants Signature Date Naida Khan Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By ArnULInt Received Receipt # Date Received • Community and Economic Development Building Division INSPECTION RECORD SHALL REMAIN AT JOB Building construction shall not commence until permit SITE holder or agent has posted this Inspection Record Card in a conspicuous place on the premises. OWNER:JACK ADN HOLLY MILLER CONTRACTOR:SEARS HOME IMPROVEMENT PROD, INC oBADDRESS:17620 REDHAWK DRIVE OWNER ADDRESS: 17620 REDHAWK DRIVE USE ofBUILDING: SFR PLAT NAME: VB R3 Description of Work:RE-ROOF LOT# PERMIT NO: BLD-2067 Sprinklered: CONDITIONS:SEE PERMIT DATE ISSUED:7/20/2018 TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION INSPECTION LINE UNDERFLOOR (360)403-3417 SHEARWALL PLUMBING (groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD (SHEAR/RATING) ROOF DRAINAGE DEVELOPMENT STORM INFILTRATION SERVICES GRADING INSPECTION LINE CURB GUTTER&SIDEWALK (360)403-3417 LANDSCAPE DRIVEWAY UTILITIES SIDE SEWER INSPECTION LINE SEWER CLEANOUT/FINAL (360)403-3508 WATER SERVICE INSPECTION WATER SERVICE FINAL CROSS CONNECTIONFINAL (360)403-3417 FINAL INSPECTION All sections must be signed off prior to final inspection Electrical must be signed off prior to final inspection COMMENTS: CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17620 Redhawk Drive Permit#:2067 Parcel#:00809200004700 Valuation: 17551.57 OWNER APPLICANT CONTRACTOR Name:MILLER JACK C&HOLLY Name:Sears Home Improvement Prod.Inc. Name:Sears Home Improvement Prod.Inc. Address: 17620 REDHAWK DR Address:1024 Florida Central Parkway Address: 1024 Florida Central Parkway City,State Zip:ARLINGTON,WA 98223-5939 City,State Zip:Longwood,FL 32750 City,State Zip:Longwood,FL 32750 Phone: Phone:360-945-2787 Phone:360-945-2787 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: VB DWELLING UNITS: 1 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City o f Ar stIbe r ned on your sales tax return form and coded City of Arlington#3101. 2i0.Zia1`6 Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Final inspection 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 Permit#: 2067 Permit Date: 07/20/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: Miller Applicant Name: Sears Home Improvement Prod. Inc. Applicant Address: 1024 Florida Central Parkway Applicant, City, State, Zip: Longwood, FL 32750 Contact: Naida Khan Phone: 360-945-2787 Email: naida@nwpermit.com Scope of Work: Re-Roof with no sheathing replacement Valuation: 17551.57 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/07/2018 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00809200004700 17620 REDHAWK DR MILLER JACK C& 111 Single Family HOLLY Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Sears Home 1024 Florida CONSTRUCTION Labor and SEARSHIOI ILA Improvement Prod.Inc. Naida Khan 360-945-2787 Central Parkway CONTRACTOR Industries Attached Letters Date Letter Description 07/20/2018 Building Permit Notes Date Note Created By: 08/07/2018 Emailed permit for signature. Kristin Foster 07/20/2018 Emailed for out of city business license. Kristin Foster Uploaded Files Date File Name 08/13/2018 3813769-2067 Issued Permit.pdf 07/20/2018 3737208-2067 Apnlication.pdf