Loading...
HomeMy WebLinkAbout19421 45th Dr Ne_BLD2122_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON,WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:1942145th Drive NE Permit#:2122 Parcel#:00928200007200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:JACOBS LINDA Name:S&S Roofing Name:S&S Roofing,LLC i Address: 19421 45TF1 DR NE Address:104 S West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-4758 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: i City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC It: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: I CONST.TYPE: V$ DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: 0 OCC LOAD: PERMIT APPROVAL 1 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[ IAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC I O11RCI 10. 1L TAX N( I Sales tax relating to construction and construction materials in the City of Art' t i porte . d on your sales tax return form and•coded City of A ngt n 1 ,� r2 g� l Q>.2'J.l& Signi,turd Print Name Date Lf V R red y Date CONDITIONS Approved as submitted. Inspection required. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE?ROPERTY 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: SO.00 CALL FOR INSPECTIONS BUILDING 13oO)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of inspection being requested,Bud whether you prefer morning or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 _ PHONE; (360)403-3551 BUILDING PERMIT Address:19421 45th Drive NE Permit#:2122 Parcel#:00928200007200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:JACOBS LINDA Name:S&S Roofing Name:S&S Roofing,LLC Address: 19421 45TH DR NE Address:104 S West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-4758 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: 1 CONST.TYPE: ` 13 DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: 0 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. IBC110/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arli �t a ported on your sales tax return form and coded City of Arlington#3101. _ 0.2"].I�b Signature Print Name Date Lf V RVJ6Ycd Vy 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: $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 i Permit Information Date 8/27/2018 Permit Number 2122 Project Name Jacobs 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 19421 45th 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 no sheathing replacement Assigned To Kristin Foster Property Parcel Address Legal Owner Owner Phone Zoning 00928200007200 19421 45TH DR NE JACOBS LINDA 111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# `3&S Roofing.LLC Shane Dunla 360-386-9903 ;hanesandsroofin hotmail.com CONTRACTOR 1-abor&Industries 'SSROOSR918MM Fees Fee Des cOption Notes Amount Processing/Technology Fee 341.43.00.021 $25.00 Totall $25.00 Payments Date Paid By Amount Description Payment Type Accepted B 8/27/2018 Cana Johnson $25.00r,71455328 ;c Totall $25.001 Amount Outstanding:$0.00 Uploaded Files Upload File Date File Uploaded B 1 8/27/2018 1:53:52 PM 12122 Application._ Foster, 'inI h. 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 8050.00 yp p ( ) (� ( ) Commercial Valuation: 19421 45th Dr. NE Project Address: Parcel ID#: Owner: Linda Jacobs Address. 19421 45th Dr. NE City:Arlington State: WA Zip Code:98223 Phone Number: 360-722-4521 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: 260 pound per sq. Pabco Number of Existing Layers: 1 Class of Roofing: A ✓❑ B ❑ C ❑ Replacing existing sheathing: Yes ❑ No a 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. ........_.,...., 08/27/2018 Applicants Signature Date Dana Johnson Print Applicants Name ; FOR STAFF USE ONLY Received ?12_ v _ 2 7 201B Permit# A By Amount Received Receipt# Dee Peoeived EspanolHoine Search l8i Labor'Aft A-ZIndex ' Help My I'm i Industries Safety&Health O Claims&Insurance C Workplace RightsO Trades&Licensing 10 Washington State Department of Labor & Industries S & S ROOFING tie Owner or tradesperson 104 S West Ave. Principals ARLINGTON,WA 98223 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. Help us improve r � � TEN10782 Received by L&I Effective date 07/13/2018 07/15/2018 Expiration date 0 7/1 51201 9 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 IcCM3 �IYasltingtnn" Kelp us impreve 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:8050.00 19421 45th Dr. NE Project Address: Parcel ID#: Owner: Linda Jacobs Address: 19421 45th Dr. NE City:Arlington State: WA Zip Code:98223 Phone Number: 360-722-4521 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 R918M M 8/3/2019 Contractor's License Number: Expiration: Type of Roofing Material: 260 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 08/27/2018 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,1942145th Drive NE Permit#:2122 Parcel#:00928200007200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:JACOBS LINDA Name:S&S Roofing Name:S&S Roofing,LLC Address: 19421 45TFI DR NE Address:104 S West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-4758 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: Addresc: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: I CONST.TYPE: VB DWELLING UNITS: I OCC GROUP_ R3 1 BUILDINGS: 0 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 1AS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC l0/IRCI 10. SALES1 N I Sales tax raluting to construction and construction materials in the City of Arii on your sales tax return form and-coded City of A ngt n 1 Sign tur Print Name Date cd Wy Date CONDITIONS Approved as submitted.Inspection required. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,T141S 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19421 45th Drive NE Permit#:2122 Parcel#:00928200007200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:JACOBS LINDA Name:S&S Roofing Name:S&S Roofing,LLC Address: 19421 45TH DR NE Address:104 S West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-4758 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: I CONST.TYPE: ` 13 DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: 0 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 IAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC i 10/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arli +t a orted on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date V RKJ6Vsed Wy 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: $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#: 2122 Permit Date: 08/27/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: Jacobs 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 no sheathing replacement Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/29/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00928200007200 19421 45TH DR NE JACOBS LINDA 111 Single Family 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 71455328 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 3884758-2122 Issued Permit.pdf 08/27/2018 3869411-2122 Application.pdf