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HomeMy WebLinkAbout602 NEWBERRY ST_BLD2254_2026 Aguhk CITY OF ARLINGTON 238 N. OLYMPIC AVE- ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUTLDING PERMIT Address:672 Newberry St, Parcel#:004618011801500 Permit#:2254 OWNER Valuation:14850.00 APPLICANT CONTRACTOR tYama Lancc/Kelsey Otto Name:ADR Kootin &Construction Address:18207 Gnbywulls Dr g Name:ADR Roofing and Constriction Address: S.West Ave Address:104 S West Avenue City,State Zip:Arlington,WA 98223 City,State 7.ip:Arlington,WA 98223 Phone' City,State Zip:Arlington,WA 98223 MECHANICAL CONTRACTOR Phortc:360 tiS9-7703 Phone:360-659-7703 Name: PLUMBING CONTRACTOR Address: Name: City,State,Zip: Address: Phone: City,State,Zip: LIC#: Phone: JOB DESCRIPTION EXP. LIC#: EX.P: PERMIT TYPE: Residential Re-Roof CODE YEAR: STORIES: I CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL [AGREE TO CUMPLY WITIi CITY AND STATE LAWS REGULAiIN 'CON U(`TION AND IN DOING THE WORK AUTHORIZED THERF:IIY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW l8 27. THIS APPLICATION IS NOT A PERMIT UNTIL S[GNED BY THE BUILDFNG 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]10l1RCI1o. S_�LKS'IiA\NfrC1 -F:c Sales IFArelating to construction and construction materials in the City ofAdinglq uSt be reported on t safes tax return f tt City ofArlington r .ignature Prin Nome Date Releis d By Date CONDITIONS TIRS PERMIT AUTI{ORIZS ONLY THE WORK NOTED.THIS PFRMITCOVERS WORK TO DE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,S[DF.WALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERb11SSlON, Date Description PERMIT FEES 1 1/21201 8 ProcessinglTechnology Fee Fee Amount $25.00 Total Due: $25.00 Total Payment: $0,00 CALL FOR INSPECTIONS Balance Due: $25.00 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 v l I Permit Information Date 11/2/2018 Permit Number 2254 Project Name ADR Re Roof-Newberry Applicant Name ADR Roofing&Construction Applicant Address 104 S.West Ave City,State,Zip Arlington,WA 98223 Contact Phone 360-659-7703 Email jennifersandsroofing@hotmail.com Permit Type Residential Re-Roof Site Address 602 Newberry St. Valuation 14850.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Residential Re-Roof Number of Stories 0 Proposed Use Re-Roof Non structural Assigned To Raelynn Jones Property Parcel Address Legal Owner Owner Phone Zoning 00461800801500 1602 NEWBERRY ST Lance/Kelsev Otto 1122 Two Family Residence(Duplex) Contractors Contractor Name Primary Contact Phone Email Contractor License License Type # DR Roofing and ADR Roofing and 360-659- ianasandsroofing@hotmail.com CONTRACTOR DKROORC861N1 onstruction Construciton 7703 Fees Fee Description Notes Amount Processin /Technolo Feel 341.43.00.021 $25.00 Totall $25.00 Uploaded Files Upload File Date File Uploaded B 11/2/2018 11:46:33 AM 2254 Permit for s;gnature.pdf Jones,Raelynn 11/2/2018 11:39:51 AM 2254 Application.pdf Jones,Raelynn i x .�, I 1 Z CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 co PHONE; (360) 403-3551 BUILDING PERMIT Address:602 Newberry St. Permit#:2254 Parcel#:00461800801500 Valuation: 14850.00 OWNER APPLICANT CONTRACTOR Name:Lance/Kelsey Otto Name:ADR Roofing&Construction Name:ADR Roofing and Construction Address: 18207 Greywalls Dr Address:104 S.West Ave Address: 104 S West Avenue City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-659-7703 Phone:360-659-7703 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: 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/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin ust be reported on yo sales tax return fo and coded City of Arlington#3101. 1/T 18 Signature Print Name Date R.Iras d By Date CONDITIONS THIS PERMIT AUTHOR[ZS 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 11/2/2018 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 _ 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 14850.00 yp p ( ) (./) ( ) Commercial Valuation: 602 Newberry St. Arlington, WA 98223 Project Address: Parcel ID#: Owner: Lance Otto Address: 602 Newberry St. City:Arlington State: WA Zip Code:98223 Phone Number: 425-330-1947 Email:jennifersandsroofing@hotmail.com Applicant:ADR Roofing & Construction Address: 104 S. West Ave City:Arlington State: WA Zip Code:98223 360-659-7703 Jennifersandsroofing@hotmail.com Phone Number: Email: ADR Roofing & Construction Contractor: 104 S. West Ave Arlington WA 98223 Address: City: State: Zip Code: 360-659-7703 jennifersandsroofing@hotmail.com Phone Number: Email: OKRRORC861N1 August 2019 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Premier 30 year ARS 2 Number of Existing Layers: Class of Roofing: A 0 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. `—���� s��los� l _.......:...,........ 11/02/2018 Applicants Signature Date Dana Johnson Print Applicants Name Received FOR STAFF USE ONLY NOV 0 2 2018 Pi _ Permit# A Amount Received Receipt# Date Recelved .1 i Home Espahol Contact WRCH Search L& My L&I i 1,ndustries A-zhiclex Help F71 Safety&Health o Claims&Insurance c Workplace Rightso Trades&Licensing 12 Washington State Department of " Labor & Industries A-OK ROOFING&CONSTRUCTION Owner or tradesperson 526 N WEST AVE#114 ARLINGTON,WA 98223 Principals 360-659-7703 DUNLAP,SHANE S,PARTNER/MEMBER SNOHOMISH County DUNLAP,SHERI L,PARTNER/MEMBER Doing business as A-OK ROOFING&CONSTRUCTION WA UBI No. Business type 603 420 586 Limited Liability Company 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. OKROORC861 N1 Effective—expiration 08/21/2014—08/27/2020 Bond Ironshore Indemnity Inc $12,000.00 Bond account no. SUR40001429 Received by L&I Effective date 08121/2014 08/08/2014 Expiration date ' Until Canceled Insurance Houston Specialty Ins Co $1,000,000.00 Policy no. TEN21794 Received by L&I Effective date 08/03/2018 08/08/2018 Expiration date 0 810 8/2 0 1 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&1 tax debts are recorded for this cor' for license during the previous 6 year period,but sc 'ebts 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. 329,780-00 Doing business as A OK CONSTRUCTION INC Estimated workers reported Quarter 3 of Year 2018"7 to 10 Workers" L&I account contact T4/ALISON WOODWARD(360)902-4629-Email:WOAL235@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 12/22/2016 Violations Inspection no. 317942918 Location 7222 Perregrine 131. Arlington,WA 98223 acrosc Helptisimprove �N:�shinglon1O 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) (,e) Residential ( ) Commercial Valuation: 14850.00 602 Newberry St. Arlington, WA 98223 Project Address: Parcel ID#: Owner: Lance Otto Address: 602 Newberry St. City:Arlington State: WA Zip Code:98223 Phone Number: 425-330-1947 Email:jennifersandsroofing@hotmail.com Applicant: ADR Roofing & Construction Address: 104S. West Ave City:Arlington State: WA Zip Code:98223 360-659-7703 jennifersandsroofing@hotmail.com Phone Number: Email: ADR Roofing & Construction Contractor: 104 S. West Ave Arlington WA 98223 Address: City: State: Zip Code: 360-659-7703 jennifersandsroofing@hotmail.com Phone Number: Email: OKRRORC861N1 August 2019 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Premier 30 year ARS Number of Existing Layers: 2 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. es,9ed, eme=,o=om Liz)� OO� 11/02/2018 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 42 PHONE; (360) 403-3551 BUILDING PERMIT Address:602 Newberry St. Permit#:2254 Parcel#:00461800801500 Valuation: 14850.00 OWNER APPLICANT CONTRACTOR Name:Lance/Kelsey Otto Name:ADR Roofing&Construction Name:ADR Roofing and Construction Address: 18207 Greywalls Dr Address:104 S.West Ave Address: 104 S West Avenue City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-659-7703 Phone:360-659-7703 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION F PERMIT TYPE: Residential Re-Roof CODE YEAR: 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. IBCI 10/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City ofArlingt ust be reported on yo r sales tax return fo and coded City of Arlington#3101. 1/ At C7 Signature Print Name Date Releas d By Date CONDITIONS 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 11/2/2018 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#: 2254 Permit Date: 11/02/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: ADR Re Roof-Newberry Applicant Name: ADR Roofing& Construction Applicant Address: 104 S. West Ave Applicant, City, State, Zip: Arlington,WA 98223 Contact: Phone: 360-659-7703 Email:jennifersandsroofing@hotmail.com Scope of Work: Re-Roof Non structural Valuation: 14850.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/26/2018 Permit Expires: Form Permit Type: Status: EXPIRED Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00461800801500 602 NEWBERRY ST Lance/Kelsey Otto 122 Two Family Residence(Duplex) Contractors Contractor Primary Contact Phone Address Contractor Type License License ADR Roofing and ADR Roofing and 360-659-7703 104 S West Avenue CONSTRUCTION OKROORC86INI Construction Construciton CONTRACTOR Fees Fee Description Notes Amount Processing/Technology $25.00 Total $25.00 Attached Letters Date Letter Description 11/02/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/26/2018 Dana Johnson 72778331 cc $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name 11/02/2018 4147745-2254 Application.pdf Permit#: 2254 Permit Date: 11/02/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: ADR Re Roof-Newberry Applicant Name: ADR Roofing& Construction Applicant Address: 104 S. West Ave Applicant, City, State, Zip: Arlington,WA 98223 Contact: Phone: 360-659-7703 Email:jennifersandsroofing@hotmail.com Scope of Work: Re-Roof Non structural Valuation: 14850.00 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: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00461800801500 602 NEWBERRY ST Lance/Kelsey Otto 122 Two Family Residence(Duplex) Contractors Contractor Primary Contact Phone Address Contractor Type License License ADR Roofing and ADR Roofing and 360-659-7703 104 S West Avenue CONSTRUCTION OKROORC86INI Construction Construciton CONTRACTOR Fees Fee Description Notes Amount Processing/Technology $25.00 Total $25.00 Attached Letters Date Letter Description 11/02/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/26/2018 Dana Johnson 72778331 cc $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name 11/02/2018 4147745-2254 Application.pdf