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OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 Address:8105 Hunter Place BUILDING PERMIT Parcel#:00874800003200 Permit#:2115 OWNER Valuation:0.00 APPLICANT CONTRACTOR Name:LA CLAIR DONALD G&ELENA Namc: 81S Roofing Address:8105 HUNTER PL Name:S&S Roofing,LLC Addressa04 S West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-5064 City,State Zip:Arlington,WA 98223 Phone: City,State Zip:Marysville,WA 98270 Phone:360-386-9903 Phone:360-386-9903 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Address: Name: City,State,Zip: Address: Phone: City,State,Zip: LIC#: Phone: JOB DESCRIPTION EXP: LIC#: EXP' PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: DWELLING UNITS: O CONST.TYPE:OCC GROUP: BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL i AGRF.F.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 BEF,N GRANTED. IBCI10/IRC110. SALES TAX NOTICE: tax relating to construction and construction materials in the City of lin o t`st be reported on your sales tax return fo 11 d coded City f, ' ton 43 1. ign l e J� Print ame Date Released By Date CONDITIONS Call for final inspection. THIS PERMIT AUTHORIZ_S 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, Date Description PERMIT FEES 8/27/2018 Processing/Technology Fee Fee Amount $25.00 Total Due: $25.00 Total Payment: $25.00 CALL FOR INSPECTIONS Balance Due: $0.00 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:8105 Hunter Place Permit#:2115 Parcel#:00874800003200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:LA CLAIR DONALD G&ELENA Name:S&S Roofing Name:S&S Roofing,LLC Address:8105 HUNTER PL Address:104 S West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-5064 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: Residential Re-Roof CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: I 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. IBCl10/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of lin o®Released reported on your sales tax return fo n and coded City of Arlington 43101. Signature Print Name Date By Date CONDITIONS Call for final inspection. 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 8/27/2018 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $25.00 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#: 2115 Permit Date: 08/27/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: LaClair Applicant Name: S&S Roofing Applicant Address: 104 S West Avenue Applicant, City, State, Zip: Arlington,WA 98223 Contact: Dana Johnson Phone: 360-386-9903 Email: danasandroofing@hotmail.com Scope of Work: Re-roof non-structural Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/27/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning LA CLAIR 00874800003200 8105 HUNTER PL DONALD G& Residence Single Family -Detached ELENA 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 Fees Fee Description Notes Amount Processing/Technology $25.00 Total $25.00 Attached Letters Date Letter Description 08/27/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/27/2018 Dana Johnson 71448032 cc $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name 08/27/2018 3868062-2115 Issued Permit.pdf 08/27/2018 3867264-Re Roof Permit Application D7fYPdnIZkvCE2.pdf 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: 13,000.00 Project Address: 8105 Hunter PI Parcel ID#: Owner: Elena La Clair Address: 8105 Hunter PI. City:Arlington State: WA Zip Code:98223 Phone Number: 360-403-0861 Email:danasandsroofing@hotmail.com Applicant: S & S Roofing LLC Address: 104S. West Ave City:Arlington State: WA Zip Code:98223 360-386-9903 danasandsroofing@hotmail.com Phone Number: Email: S & S Roofing LLC Contractor: 104 S. West Ave Arlington WA 98223 Address: City: State: Zip Code: 360-386-9903 danasandsroofing@hotmail.com Phone Number: Email: S S ROOS 918 M M 8/3/19 Contractor's License Number: Expiration: Type of Roofing Material: 360 pound per sq 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: • 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. °1r 08/17/2018 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received