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HomeMy WebLinkAbout19916 48th Dr Ne_BLD2116_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:19916 48th Drive NE Permit N:2116 Parcel#:00849100002200 Valuations 0.00 OWNER APPLICANT CONTRACTOR Name:DOBYNS FAMILY LLC Name:S&S Roofing,LLC Name;S&S Roofing,LLC Address: 1801 GROVE ST UNIT B Address:104 S.West Avenue Address.P.O.Box 969 City,State Zip:MARYSVILLE,WA 98270 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 f#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: 2 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 INSPECTI AS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI l0/lRC 110. S TA :Sales tax re construction and construction materials in the City of Arl' gtu c re rt on your sales tax return form ded City of 101. I " ) - I S na Prin Nam Date R lea, By Date f CONDITIONS Approved as submitted. Inspection required. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BE DONH 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 812712018 ProcessinglTechnology Fee $25.00 Total Due: $25.00 'total Payment: $0.00 Balance Due: 525.00 CALL,FOR INSPECTIONS � BUILDING(360)403-3417 When calling for an inspection please leave the following Information: Permit Nu mher,Type of Inspection being requested,and whether you prefer morning or afternoon CITYOF ARLINGTON '\ 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 -1 ' PHONE; (360)403-3551 BUILDING PERMIT Address:19916 48th Drive NE Permit#:2116 Parcel#:00849100002200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DOBYNS FAMILY LLC Name:S&S Roofing,LLC Name:S&S Roofing,LLC Address: 1801 GROVE ST UNIT B Address:104 S.West Avenue Address:P.O.Box 969 City,State Zip:MARYSVILLE,WA 98270 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: 2 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 INSPECT( AS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 1 l 0ARC i 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arl' g10 ere c on your sales tax return form and coded City of Arlington#3101. 100 Signature Print Name Date Release By Date CONDITIONS Approved as submitted. 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 8/27/2018 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $0.00 Balance Due: $25.00 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 ..ti A, M,�. �I �� �' � ti Permit Information Date 8/27/2018 Permit Number 2116 Project Name Johnson Applicant Name S&S Roofing, LLC Applicant Address 104 S.West Avenue City,State,Zip Arlington,WA 98223 Contact Dana Johnson Phone 360-386-9903 Email danasandsroofing@hotmail.com Permit Type Residential Re-Roof Site Address 19916 48th Drive NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 2 Proposed Use Re-roof with no sheathing replacement Assigned To Kristin Foster Property Parcel Address Le al Owner Owner Phone Zoning 00849100002200 119916 48TH DR NE DOBYNS FAMILY LLC 111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# S&S Roofing,LLC Ohane Dunlap 60-386-9903 -hanesandsroofinq@hotmaii.com CONTRACTOR -abor&Industries SSROOSR918MM Fees Fee Description Notes Amount -Processing/Technology Feel 341.43.00.021 1 $25.00 Totall $25.00 Uploaded Files I Upload File Date File Uploaded B 8/27/2018 10:33:51 AM 2116 Application.pdf I Foster, Kristin _ ti ��: 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) (,e) Residential ( ) Commercial Valuation:$8000.00 19916 48th Dr. NE Arlington Project Address: Parcel ID#: Owner: Matt Johnson Address: 19916 48th Dr. NE City;Arlington State: WA Zip Code:98223 Phone Number: 360-386-9903 Email:danasandsroofing@hotmail.com Applicant:S & S Roofing LLC Address. 104 S 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@hotmaii.com Phone Number: Email: S S ROOS R918M M 8/3/2019 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Premier 30 year 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. I - �,,.c. ...,.,... _. 08/21/2018 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY La Permit# Accepted By Amount Received Receipt# Date Received Home Espafiol Contact Searr.h +.ISEARCH ULal'b'or,& Industries Safety&Health T) Claims&Insurance Workplace Rightsad • 8 Washington State Department of Labor & Industries S&S ROOFING LLE 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 WA 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. TEN10782 Received by L&I Effective date O7/13/2018 07/15/2018 Expiration date 07/15/2019 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 2 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 �1Yc�hington^ 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) (v) Residential ( ) Commercial Valuation:$8000.00 19916 48th Dr. NE Arlington Project Address: Parcel ID#: Owner: Matt Johnson Address: 19916 48th Dr. NE City:Arlington State: WA Zip Code:98223 Phone Number: 360-386-9903 Email:danasandsroofing@hotmail.com Applicant: S & S Roofing LLC Address: 104 S 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 R918M M 8/3/2019 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Premier 30 year 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 08/21/2018 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON,WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:19916 48th Drive NE Permit#e 2116 Parcel#:00849100002200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DOBYNS FAMILY LLC Name:S&S Roofing,LLC Name:S&S Roofing,LLC Address: 1801 GROVE ST UNIT B Address:104 S.West Avenue Address:F.O.Box 969 City,State Zip:MARYSVILLE,WA 98270 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 98270 Phone: Phone:360-386-9903 Phone:360-386-9903 MECHAMCAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip-- Phone: Phone: LIC#: EXP: L1C#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: 2 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 WORKAUTHORIZED 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 INSPECT[ AS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI lO/IRC I l0. SALESTAX114 TI :Sates tax rel:l o construction and construction materials in the City of Arl' gto s c ru t on your sales tax return form ded City of 101. l00 S nut Pri6N. Date Re lea By Date CONDITIONS Approved as submitted. 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,SIDEWALAS,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: $0.00 Balance Due: 325.00 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 CITY OF ARLINGTON i 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:19916 48th Drive NE Permit#:2116 Parcel#:00849100002200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DOBYNS FAMILY LLC Name:S&S Roofing,LLC Name:S&S Roofing,LLC Address: 1801 GROVE ST UNIT B Address:104 S.West Avenue Address:P.O.Box 969 City,State Zip:MARYSVILLE,WA 98270 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: 2 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 1NSPECII AS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC I0/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arl' glo s ere a on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date R�leas By Date CONDITIONS Approved as submitted. 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 8/27/2018 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $0.00 Balance Due: $25.00 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 • 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:DOBYNS FAMILY LLC CONTRACTOR:SAND S ROOFING, LLC JOB ADDRESS:19916 48T DRIVE NE OWNER ADDRESS:1801 GROVE STREET UNIT B,MARYSVILLE,WA 98270 USE ofBUILDING: SFR PLAT NAME: VB R3 Description of Work:RE-ROOF WITH NO SHEATHING LOT# PERMIT NO: BLD-21 16 Sprinklered: CONDITIONS:SEE PERMIT/INSPECTION REQUIRED DATE ISSUED:8/27/2018 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: Permit#: 2116 Permit Date: 08/27/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: Johnson Applicant Name: S&S Roofing, LLC Applicant Address: 104 S. West Avenue Applicant, City, State, Zip: Arlington,WA 98223 Contact: Dana Johnson Phone: 360-386-9903 Email: danasandsroofing@hotmail.com Scope of Work: Re-roof with no sheathing replacement Valuation: 0.00 Square Feet: 0 Number of Stories: 2 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/29/2018 Permit Expires: Form Permit Type: Status: IN PROCESS Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00849100002200 19916 48TH DR NE DOBYNS FAMILY 111 Single Family LLC Residence-Detached 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 71449613 cc $25.00 Outstanding Balance $0.00 Notes Date Note Created By: 08/28/2018 Emailed permit for signature. Kristin Foster Uploaded Files Date File Name 08/30/2018 3884769-2116 Issued Permit.pdf 08/27/2018 3867636-2116 Application.pdf