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HomeMy WebLinkAbout7723 EAGLEFIELD DR_BLD2214_2026 CITY OF ARLINGTON e 238 N. OLYMPIC AVE-ARLINGTON,WA.98223 PHONE; (360)403-3551 BUILDING PERMIT Address:7723 Eaglneld Drive Permit#:2214 Parcel#:00865900009100 Valuation:Wit) OWNER APPLICANT CONTRACTOR Name:NELMS EMILY A Name:S&S Roofing Name:S&S Roofing,LLC Address:7723 EAGLEFfELD DR Address:104 S.West Avenue Address,.P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-5999 City,State Zip:Arlington,WA 98223 City,Slate Zip;Marysvillc,WA 98270 Phone: Phone:360-386-9903 Phone:360-3$6-9903 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: Phone: Photy,ne: Slate,Zip; Phone: L1C#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE-: Residential Re-Roof CODE YEAR: 2015 STORIES: 1 CONST.TYPE: VB DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: OCC LOAD: PERMIT APPROVAL t AUXWE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTI1ORim)THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHIN45TON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION 1S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR I[IS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL 1 HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRAA`TE•D_ 1BC1 101fR(:1111. r Y 'C S as tax relating to construction and construction materials in the Ci f be el your sales tax return form c ed City of.Ar'n m f 711 I. .,� Si nulu Print Name Date Released By Date CONDITIONS Final inspection required. THIS PERMIT AUTHORIZE ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQi1F.'FS,ETC)WILL REQUiRR SEPARATF PERMISSION. PERMIT FEES Date Description Fee Amount 10/17/2018 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: S0,00 Balance Due: $25.00 CALL FOR INSPECTIONS BUILDING:(360)403-3417 When calling for an inspection plrusc leave the following information: Permit Number,*type of Inspection being requested.and whether you prefer morning or afternoon i GITY OF ARLINGTON ` 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:7723 Eaglfield Drive Permit#:2214 Parcel#:00865900009100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:NELMS EMILY A Name:S&S Roofing Name:S&S Roofing,LLC Address:7723 EAGLEFIELD DR Address:104 S.West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-5989 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: 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 W ECTI HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A o u be `p ed your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Final 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 10/17/2018 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 Permit Information Date 10/17/2018 Permit Number 2214 Project Name Nelms 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 7723 Eaglfield Drive Valuation 0.00 Status Ready to Issue Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Re-roof no sheathing Assigned To Kristin Foster Property Parcel Address Legal Owner Owner Phone Zoning 00865900009100 17723 EAGLEFIELD DR NELMS EMILY 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 3hanesandsroofina hotmail.com CONTRACTOR t-abor&Industries '3SROOSR918MM Fees Fee Description Notes Amount Processing/Technology Feel 341.43.00.021 1 $25.00 Totall $25.00 Uploaded Files Upload File Date File Uploaded By 10/17/2018 8:19:33 AM IZ214 Application.pdf I Foster,Kristin RE-ROOF PERMIT APPLICATION �fiL ► Department of Community& Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 Type of permit: (check one) (vo) Residential ( ) Commercial Valuation:15750.00 7723 Eaglefield Dr. Arlington, WA 98223 Project Address: Parcel ID#: --- Owner: Emily Nelms Address: 7723 Eaglefield Dr. City:Arlington State: W4 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: Phone Number: 360-386-9903 danasandsroofing@hotmaii.com _ Email: Contractor's License Number:S S ROOS R918 M M Expiration:8/3/2 019 Type of Roofing Material: Pabco Paramount 50 years 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 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 reroofing is complete. 10/16/2018 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Received OCT 1 @ 2018 Permit# Ac pted B Amount Received Receipt# Date Received 1:: ��'� '� � � ��, Home Espanol ContactWIVE Search L&ISEARCH Safety&Health v Claims i Insurance O Workplace ■ c Trades&Licensing c 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:08/03/2011) 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 0 r. I I 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 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. J Marysville,WA 98270 lrcrc. Help us �11.tshinglmi"' improve i 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: 15750.00 7723 Eaglefield Dr. Arlington, WA 98223 Project Address: Parcel ID#: Owner: Emily Nelms Address: 7723 Eaglefield Dr. City:Arlington State: WA Zip Code:98223 Phone Number: 360-386-9903 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: Pabco Paramount 50 years 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 10/16/2018 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:7723 Eaglfield Drive Permit#:2214 Parcel#:00865900009100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:NELMS EMILY A Name:S&S Roofing Name:S&S Roofing,LLC Address:7723 EAGLEFIELD DR Address:104 S.West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-5989 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: `IB 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 IN ECTI 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 6 u be -p cd your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Final 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 10/17/2018 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 Permit#: 2214 Permit Date: 10/17/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: Nelms 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 no sheathing Valuation: 0.00 Square Feet: 0 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: EXPIRED Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00865900009100 7723 EAGLEFIELD DR NELMS EMILY A 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 Credit Card Service $0.75 Total $25.75 Attached Letters Date Letter Description 10/17/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/15/2019 Dana Johnson 76164606 cc $25.75 07/15/2019 76164606 CC Surcharge Raelynn Jones $0.75 Outstanding Balance $0.00 Uploaded Files Date File Name 10/17/2018 4054689-2214 Application.pdf