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Home My WebLink About17908 COUNTRY CLUB DR_BLD2204_2026 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL C RRECTIONS REQUIRED ;/APPROVED ❑ DO NOT OCCUPY PERMIT#: 'Zo I LOT#: I DATE: Z JOB ADDRESS: G TYPE OF INSPECTION: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$SO REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3SS1 ❑ CALL FOR REINSPECTION OUC THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY• FOR INSPECTION CALL: 360-403-3417 INSPECTOR bAT- `" `•tY � UILDING DEPT. O PLANNING DEPT. CITY OF ARLINGTON ' . a a I IVVVl\.,� OyZ!ILG111Jlilt- 1ay,G 1 vi 1 4 -y' CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17908 W.Country Club Permit#:2204 Parcel#:00816000002900 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KESSELRING KEITH A Name:Custom Werx Design Name:Custom Werx Design Address:UNKNOWN Address:7403 W.Country Club Address:7403 W.Country Club City,State Zip:UNKNOWN,WA City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-239-5842 Phone:425-239-5842 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: OCC GROUP: 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 of Arlington s be reported on yo r sales tax retu767()IIS m and c City of Arlington#3101. L✓ v' O Signature Print Name Date eleased y I Date CONDITIONS If sheeting is replaced call for inspection. Call for final insp-ction. 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 10/10/2018 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 https://www.iworq.net/iworq/permit/popupPertnitEditLetterPrint.asp?sid=AGJEEJAEOA... 10/10/2018 i � �_ r � �- Search L&I Washington State Department of Labor & Industries WATERS CONSTRUCTION Owner or tradesperson 17414 79TH DR NE WATERS,SHAWN RICHARD ARLINGTON,WA 98223 425-239-5842 Principals SNOHOMISH County WATERS,SHAWN RICHARD,OWNER WA UBI No. Business type 604 004 786 Individual License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. WATERC*843P5 Effective—expiration 10/25/2016-10/25/2018 Bond Western Surety Co $12,000.00 Bond account no. 62943902 Received by L&I Effective date 10/25/2016 10/13/2016 Expiration date Until Canceled Insurance MESA UNDERWRITERS SPECIALTY IN $1,000,000.00 Policy no MP0046003005644 Received by L&I Effective date 10/09/2017 10/13/2016 Expiration date 10/13/2018 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 71 hftps://secure.ini.wa.gov/verify/Detaii.aspx?UBI=604004786&LIC=WATERC*843P5&SAW= 1/2 IV(IV/LVIV ..... .." "'"..".. .. No active workers'comp accounts during the l pus 6 year period. 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 No inspections during the previous 6 year period. J Washington State Dept of Labor&Inbustiies.Use of,his site is subject to the laws of the state of Washington. https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=604004786&LIC=WATERC*843P5&SAW= 2/2 RE-ROOF a> 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 ( ) Commercial Valuation: Project Address: �!� ? [ d'i'IC) Parcel ID#: 0 0 ,41-i v..�1 A4 Owner: Address: I City: State: Zip Code: Phone Number: A/j Email: Applicant: Jyt n 1,,e r w 'D!^,—c ,•r, Address: coa4ry C lak City: ' h State: Zip->Code- / Phone Number: Email: N ` v Contractor: S fi �./h 1_�✓� �r_r Address: City: f r State: Zip Code: Phone Number: / Email: /J Contractor's License Number: `+� l�� 31' Expiration: Type of Roofing Material: Number of Existing Layers: 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 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. Applicants Signature Date _5'1FAP&✓g /.A/¢ ,Ze F S Print Applicants Name FOR STAFF USE ONLY 2�r�y Permit# Accepted By Amount Received Receipt# Date Received 0 - • it1' .-P. NOTICE TO PERMITEE AND/OR OWNER Cl PARTIAL APPROVAL ❑ C9RRECTIONS REQUIRED Cl DO NOT OCCUPY APPROVED PERMIT#: LOT#: DATE: IL� JOB ADDRESS: TYPE OF INSPECTION: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION o UL THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR IDATE SY O ®'BUILDING DEPT. Cl PLANNING DEPT. CITY OF ARLINGTON • RE-ROOF 4V 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 ( ) Commercial Valuation: Project Address:i �r�v�1 < ��l'�►�� Parcel ID#: Ar Owner: di I ; t'I rl Address: I City: State: Zip Code: Phone Number: yl�� S d ' �, �y� Email: Applicant: Lie r,jk.-- l� :►� Address: C i k City:t_rh,4k State: / Zip Code: 7s' -23i �' i�1 _> Phone Number: Email: �✓ ` r} Contractor: S A J.4.- r—f Address City: State: Zip Code: Phone Number: Email:/ Contractor's License Number: JJ+ ,[�� 3r� Expiration Type of Roofing Material: Number of Existing Layers: 1 Class of Roofing: A ❑ B ❑ C ❑ Replacing existing sheathing: Yes ❑ No Roof tear off: �\J 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. Applicants Signature Date �/i.�-�r�r G✓sue ,4,c Print Applicants Name FOR STAFF USE ONLY 2'XLA Permit# Accepted By Amount Received Receipt# Date Received IWORQ Systems Inc. Page 1 of 1 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address: 17908 W.Country Club Permit#:2204 Parcel#:00816000002900 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KESSELRING KEITH A Name:Custom Werx Design Name:Custom Werx Design Address:UNKNOWN Address:7403 W.Country Club Address:7403 W.Country Club City,State Zip:UNKNOWN,WA City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-239-5842 Phone:425-239-5842 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: OCC GROUP: 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 of Arlington i s be reported on yo r sales tax return form and co City of Arlington#3101. 5� Signature Print Name Date cleased y Date CONDITIONS If sheeting is replaced call for inspection. Call for final insp ction. 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 10/10/2018 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 https://www.iworq.net/iworq/permit/popupPermitEditL etterPrint.asp?sid=AGJEEJAEOA... 10/10/2 018 Permit#: 2204 Permit Date: 10/10/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: Kesselring Applicant Name: Custom Werx Design Applicant Address: 7403 W. Country Club Applicant, City, State, Zip: Arlington,WA 98223 Contact: Shawn Waters Phone: 425-239-5842 Email: customwerxdesign@yahoo.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: 10/10/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00816000002900 17908 COUNTRY CLUB KESSELRING 111 Single Family DR KEITH A Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Custom Werx Design Shawn Waters 425-239-5842 7403 W.Country CONSTRUCTION Labor andClub CONTRACTOR Industries waterc*843p5 Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 11/09/2018 R00.1 RE-ROOF Re-Roof Final 10/29/2018 10/29/2018 BUILDING Approved FINAL Fees Fee Description Notes Amount Processing/Technology $25.00 Total $25.00 Attached Letters Date Letter Description 10/10/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/10/2018 Shawn Waters 72146198 cc $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name 10/10/2018 4027561-2204 Application.pdf 10/10/2018 4027562-2204 Issued Permit.pdf