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HomeMy WebLinkAbout20508 64TH DR NE_BLD2200_2026 40 CITY OF ARLINGTON 238 N. OLYiYiPIC AVE-ARLINGTON,WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20508 64th Drive NE Parcel#:00381200002700 Permit#:2200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:COATNEY REBEKAH A Name:S&S Rooting Name:S&S Roofing,LLC Address:20508 64TH DR NE Address:104 S West Avenue City,State Zip:ARLINGTON,WA 98223-8280 City,State Zip:Arlin Address:P.O.Box 969 Phone: �on,WA 98223 City,StateLip:Marysville,WA48270 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#: JOB DESCRIPTION EXP: 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 AIJTHORIZED 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 INSPEC IpN HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/TRCI 10. 5ALES'l'AX. N Tl k• � _S�des tax to ling to construction slid construction materials in the City of Arlin us ep rtssl your sales tax return form and ' of Arlington#31 Signature Print Name Date Released By Date CONDITIONS Approved as submitted, Sheathing inspection required prior to cover. THIS PERMIT AUTHORIZE ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONF ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRTVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description 10/5/2018 Processing/Technology Fee Fee Amount 10/5/2018 Re-Roof $25.00 $50.00 Total Due: $75.00 Total Pavment: $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 i r .! GITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20508 64th Drive NE Permit#:2200 Parcel#:00381200002700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:COATNEY REBEKAH A Name:S&S Roofing Name:S&S Roofing,LLC Address:20508 64TH DR NE Address:104 S West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-8280 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: 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 INSPECjIeN HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC l0/IRCI10. / -- 1 SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of i us ep d your sales tax return form and coded City of Arlington#3101. S. 7,01q2 Signature Print Name Date Released By Date CONDITIONS Approved as submitted. 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 10/5/2018 Processing/Technology Fee $25.00 10/5/2018 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 ., ,, I F 4. Permit Information Date 10/5/2018 Permit Number 2200 Project Name Coatney Applicant Name S&S Roofing 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 20508 64th Drive NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Re-Roof with Sheathing Replacement Assigned To Kristin Foster Property Parcel Address Legal Owner Owner Phone Zoning 00381200002700 120508 64TH DR NE COATNEY REBEKAH A 111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# 3&S Roofing,LLC 'Shane Dunlap 360-386-9903 ;hanesandsroofin (a hotmail.com CONTRACTOR tabor&Industries 3SROOSR9181MM Fees Fee Description Notes Amount Processin /Technoloov Fee 341.43.00.02 $25 00 Re-Roo 322.10.00.001 $50.00 Total $75.00 Uploaded Files pload File Date File Unloaded By 77=77 10/5/2018 3:09:34 PM 12200 Appliration.pdf I Foster,Kristin }C 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 Residential 10,250.00 yp p ( ) (�) Commercial Valuation: 20508 64th Dr. NE Arlington, WA 98223 Project Address: - -- Parcel ID#: Owner: Rabekah Coutney Address: 20508 64th Dr. NE City Arlington State: W4 Zip Code:98223 Phone Number: 858-717-5475 Email danasandsroofing@hotmail.com Applicant:S & S Roofing LLC Address: 104 S West Avenue City:Arlington State WA Zip Code:98223 360-386-9903 danasandsroofing@hotmail.com Phone Number: Email: S & S Roofing LLC Contractor: 104 S West Avenue 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: Panco Premier 30 ARS 1 Number of Existing Layers: Class of Roofing: A ✓0 B ❑ C ❑ Replacing existing sheathing: Yes ✓0 No U 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 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 _...~ ��� ,�,,,- 10/04/2018 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY RuoceivtFu OCT 0 4 M8 Permit# A ed by Amount Received Receipt# Date Received I I Mine Espafiol ContactSearch L&IRCH Labor i Industries Safety& Health o Claims&Insurance b Workplace Rightsc Trades&Licensing o 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:08/0312011) 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. Help us improve � . ,r. ti, I TEN10782 Received by L&I Effective date 07/13/2018 07/15/2018 Expiration date 0 711 5/2 0 1 9 Insurance history Savings ......................... No savings accounts during the previous 6 year period. Lawsuits against the bond or s avings 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 07/09/2018 Under appeal.The results of the inspection are Inspection no. being challenged. 317949404 Date of appeal Location 08/01/2018 1106 Ekle St Camano Island,WA 98282 Inspection results date 12/12/2012 Violations Inspection no. 316563873 Location 6720-A 60th PI.NE. Marysville,WA 98270 lccss Help us improve — W 11Sishinklon" I I 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: 10,250.00 20508 64th Dr. NE Arlington, WA 98223 Project Address: Parcel ID#: Owner: Rabekah Coutney Address: 20508 64th Dr. NE City:Arlington State: WA Zip Code:98223 Phone Number: 858-717-5475 Email:danasandsroofing@hotmail.com Applicant: S & S Roofing LLC Address: 104 S West Avenue City:Arlington State: WA Zip Code:98223 360-386-9903 danasandsroofing@hotmail.com Phone Number: Email: S & S Roofing LLC Contractor: 104 S West Avenue 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: Panco Premier 30 ARS 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 10/04/2018 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received ARLINGTON CITY F O 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 i PHONE; (360) 403-3551 BUILDING PERMIT Address:20508 64th Drive NE Permit#:2200 Parcel#:00381200002700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:COATNEY REBEKAH A Name:S&S Roofing Name:S&S Roofing,LLC Address:20508 64TH DR NE Address:104 S West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-8280 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: ` 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 INSPEC N HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 1 l0/IRC 110. — _ SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of li us be cp ried your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Approved as submitted. 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 10/5/2018 Processing/Technology Fee $25.00 10/5/2018 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 Permit#: 2200 Permit Date: 10/05/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: Coatney 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: danasandsroofing@hotmail.com Scope of Work: Re-Roof with Sheathing Replacement Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/26/2018 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00381200002700 20508 64TH DR NE COATNEY 111 Single Family REBEKAH A 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 Re-Roof Residential Residential $50.00 Total $75.00 Attached Letters Date Letter Description 10/05/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/26/2018 Dana Johnson 72778437 cc $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 10/05/2018 4016829-2200 Application.pdf