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HomeMy WebLinkAbout18630 WHITEHAWK DR_BLD2234_2026 � - - " CITY O ARLINGTON ® 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 - PHONE; (360)403-3551 Address:18630 White Hawk Dr. BUILDING PERMIT Parcel#:00800700003100 Permit q:2234 OWNER = ';- APPLICANT Valuation:0.00 Name CONTRACTOR ICE ALLEN&pEANNA Name S&S Roofing LLC Name:S&S Roofing,LLC Address:18630 WHITFHAWK DR Address:104 S.West Ave City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 Address:P.D.Box 969 Phone: City,State Zip:Marysville,WA 98270 Phone:360-386-9903 Phone:36I1-386-9903 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Address: Name: City,Stale,Zip: Address: Phone: City,Stale,Zip: Phone: LTC#: EXP: LIC#: JOB DESCRIPTION F'�' PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: O BUILDINGS: CC GROUP: 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. IBC1 l0/IRC110. &t . R TAK NU rI •F Sal tax relating to c ruction and construction materials in the City of Arlington must be reported on your sales tax return to an City ofArlil I �j I St na I _ (u, LL� J r//J7�6 8 Print NamDate Re CONDITIONS Inspection required prior to cover. Please call for final inspection. THIS PERMIT AUTFiORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON IRE PUBLIC DOMAIN(CURBS.SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION, PERMIT FEES Date Description 1115/2018 Processing/Technology Fee Fee Amount 11/5/2018 Re-Roof $25.00 $50.00 Total Due: S75.00 Total Payment. $75.00 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 murning or afternoon i (aiTY OF ARLIAGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 _ PHONE; (360) 403-3551 BUILDING PERMIT Address:18630 White Hawk Dr. Permit#:2234 Parcel#:00800700003100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:ICE ALLEN&DEANNA Name:S&S Roofing LLC Name:S&S Roofing,LLC Address: 18630 WHITEHAWK DR Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223 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: 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. IBC1l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington dust be reported on your sales tax retu7o7f and coded City of Arlington#3101. II Signature Print Name Date Relcas d By Date _ . .. . . t -- - - CONDITIONS Inspection required prior to cover. Please 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 11/5/2018 Processing/Technology Fee $25.00 11/5/2018 Re-Roof $50.00 Total Due: $75.00 Total Payment: $75.00 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 10/22/2018 Permit Number 2234 Project Name S&S Re-Roof Applicant Name S&S Roofing LLC Applicant Address 104 S.West Ave City,State,Zip Arlington,WA 98223 Contact Phone 360-386-9903 Email danasandsroofing@hotmail.com Permit Type Residential Re-Roof Site Address 18630 White Hawk Dr. Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Assigned To Raelynn Jones Property Parcel Address Legal Owner Owner Phone Zoning 00800700003100 118630 WHITEHAWK DR ICE ALLEN&DEANNA 111 Single Family Residence-Detached Contractors Contractor Name [Primary Contact Phone Email Contractor Type License License# S&S Roofing.LLC JShane Dunlap 360-386-9903 5hanesandsroofin hotmail.com CONTRACTOR kabor&Industries ISSROOSR918MM Fees Fee Description Notes Amount Processing/Technology Feel 341.43.00.02 $25.00 Re-Roofl 322.10.00.001 $50.00 Total $75.00 Uploaded Files Upload File Date File Uploaded B 10/22/2018 2:31:56 PM 12234 S&S Re Roof.pdf Jones,Raelynn I I I RE-ROOF 1 PERMIT APPLICATION CATI O a � 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:19500.00 18630 White Hawk Dr. Arlington, WA 98223 Project Address: Parcel ID#: Owner: Gloria Ice Address: 18630 White Hawk Dr. City:Arlington State: W4 Zip Code:98223 Phone Number: 425-422-2397 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 R918 M M 8/3/2 019 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 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. - n��trZCL ahsulosr I 10/22/2018 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# Ac ed By Amount Received Receipt# Date o v OCT 2 2 2018 Search L&iSEARCH Labor & Industries Safety&Health 10 Claims&Insurance 0 Workplace Rights 0 Trades&Licensing M 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:08103/2011) 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 07/13/2018 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 0 7/0 912 01 8 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 1 2/1 212 01 2 Violations Inspection no. 316563873 Location 6720-A 60th PI.NE. Marysville,WA 98270 Acems - �IY:whinglun" CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 ` PHONE; (360) 403-3551 BUILDING PERMIT Address:18630 White Hawk Dr. Permit#:2234 Parcel#:00800700003100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:ICE ALLEN&DEANNA Name:S&S Roofing LLC Name:S&S Roofing,LLC Address: 18630 WHITEHAWK DR Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223 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: 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. IBC 110/IRCI10. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington ust be reported on your sales tax return/forrrrrr��� and coded City of Arlington#3101. I/ / l °v Signature Print Name Date Releas By Date CONDITIONS � j Inspection required prior to cover. Please 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 11/5/2018 Processing/Technology Fee $25.00 11/5/2018 Re-Roof $50.00 Total Due: $75.00 Total Payment: $75.00 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 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) (0 Residential ( ) Commercial Valuation: 19500.00 18630 White Hawk Dr. Arlington, WA 98223 Project Address: Parcel ID#: Owner: Gloria Ice Address: 18630 White Hawk Dr. City:Arlington State: WA Zip Code:98223 Phone Number: 425-422-2397 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: 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. °�as °lz�co°mac 10/22/2018 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By ArnULInt Received Receipt # Date Received Adwhk CITY OF ARLINGTON MT MID 1W 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:18630 Whitc Hawk Dr. Parcel#:00800700003100 Permit#:2234 OWNER APPLICANT Valuation:0.00 CONTRACTOR Name:ICE ALLEN&DEANNA Name:S&S Roofing LLC Name:S&5 Roofing,LLC Address: 18630 WHITEHAWK DR Address:104 S.West Ave Address:P.D.Box 969 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 Phone: City,State Zip:Marysville,WA 98270 Phone:360-386-9903 Phone:360-386-9903 MECH"CAL CONTRACTOR PLUMBING CONTRACTOR Name: Address: Name: Address: Pone:City,Stale,Zip: City,State,Zip: h Phone: LIC#: EXP: LIC#: JOB DESCRIPTION ExP: PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: DWELLING UNITS: CONST.TYPE: BUILDINGS: OCC GROUP: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THERERY; 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. IBCI 10/IRCI10. hALES TA,X N Tf .K Sul tax relating to c ruction and construction materials in the City of Arlington must be reported on your sales tax retum fo i al CityofArli i � /y 8 Print Name Date A, Releas d By Dale CONDITIONS Inspection required prior to cover. Please 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 IRE PUBLIC DOMAIN(CURBS.SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description 11/5/2018 Processing/Technology Fee Fee Amount 11/5/2018 Re-Roof $25.00 $50.00 Total Due: $75.00 Total Payment: $75 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#: 2234 Permit Date: 10/22/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: S&S Re-Roof Applicant Name: S&S Roofing LLC Applicant Address: 104 S. West Ave Applicant, City, State, Zip: Arlington,WA 98223 Contact: Phone: 360-386-9903 Email: danasandsroofing@hotmail.com Scope of Work: Re-Roof- structural Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/05/2018 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00800700003100 18630 WHITEHAWK DR ICE ALLEN& 111 Single Family DEANNA 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 11/05/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/05/2018 Dana Johnson 72504950 cc $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 11/06/2018 4157417-2234 Signed Permit.pdf 10/22/2018 4071254-2234 S&S Re Roofpdf