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HomeMy WebLinkAbout16602 40TH AVE NE UNIT B_BLD2317_2026 0 GiTY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:16602 40th Ave NE#B Permit#:2317 I Parcel#:00866700013800 Valuation:8250.00 OWNER APPLICANT CONTRACTOR Name:RULLAN ALEXANDER D&DIANA S Name:S&S Roofing LLC Name:S&S Roofing,LLC Address: 16602 B 40TH AVE NE#138 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington u t be reported on you sales tax return fo and coded City of Arlington#3101. /Z 7-7//0 Signature Print Name Date Relca ed y D/ate CONDITIONS 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 12/17/2018 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 r I 4 " CITY OF ARLINGTON 238 N, OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:16602 40th Ave NE#B Permit#:2317 Parcel#:00866700013900 Valuation:8250.00 OWNER APPLICANT CONTRACTOR Name:RULLAN ALEXANDER D&DIANA S Name:S&S Roofing LLC Name:,S&S Roofing,LLC Address: 16602 B 4oTH AVE NF#138 Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 Phone: City,State Zip:Marysville,WA 98270 MECHANICAL CONTRACTOR Phune:360-386-9903 Phone:360-386-9903 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:DWELLING UNITS: CONST,TYPE:O BUILDINGS: CC GROUP: OCC LOAD: PERMIT APPROVAL I AGRFr TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED TIIHRFI3Y; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASI IINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISAIER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPF,CTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC1 t0/fRC110. SALES TAX NOTICE:Su s tax relating to construction and construction materials in the City of Arlington,tat he reported on you ales tax return fo antiw ed City of Arlin Ito I . ' , _ ,�/,8 titg aut Print Name Date Rcica ed Y Date CONDITIONS Please call for final inspection. THIS PERMIT AU114ORIZS ONLY l'IIC WORK NOTED.I111S PERMIT COVERS WORK TO HE IK)NE On PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON'1'HF PUBLIC DOMAIN(CUMUS.SIDEtVALKS,DKIVEWAYS,YtARQUFFS.ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description 12/17/2018 Processing/Technology 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 whetheryou prefer morning or afternoon ,; i Permit Information Date 12/17/2018 Permit Number 2317 Project Name S&S Re Roof 16602 40th Ave Applicant Name S&S Roofing LLC Applicant Address 104 S.West Ave City,State,Zip Arlington,WA 98223 Contact Phone 360-386-9903 Email ,iennifersandsroofrng@hotmaii.com Permit Type Residential Re-Roof Site Address 16602 40th Ave NE#B Valuation 8250.00 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 Owner Parcel Address Legal I Owner Phone Zoning 00866700013800 16602 40TH AVE NE RULLAN ALEXANDER D& 142 Single Family Residence Condominium UNIT B DIANA S Common Wal Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# 5&S Roofing.LLC Shane Dunlap 360-386-9903 ahanesandsroofinge,hotmail.com CONTRACTOR _abor&Industries GSR00SR9189M Fees Fee Description Notes Amount Processing/Technology Feel 341.43.00.021 $25.00 Total $25.00 Uploaded Files Upload File Date File Uploaded B 12/17/2018 4:35:52 PM IL317 AppOc, on_pdf liones, Raelynn { r �. �� 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 8250.00 yp p ( ) (�/► ( ) Commercial Valuation: 16602 40th Ave NE #B Project Address: Parcel ID#: Owner: Alexander Rullan Address: 16602 40th Ave NE #B City:Arlington State: W4 Zip Code:98223 Phone Number: 206-295-2213 Email jennifersandsroofing@hotmail.com Applicant:S & S Roofing LLC Address: 104 S. West Ave City:Arlington State: WA Zip Code:98223 360-386-9903 jennifersandsroofing@hotmail.com Phone Number: Email: S & S Roofing LLC Contractor: 104 S. West Ave Arlington WA 98223 Address: City: State: Zip Code: 360-386-99.03 jennifersandsroofing@hotmail.com Phone Number: Email: S S ROOS R918M M 8/3/2019 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Premier 30 year with 1 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. .. _ �,czs�ca ���o/tstJo<Y. 12/17/2018 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY 0-1\I V_� �, DEC 17 2018 Permit# A By Amount Received Receipt# Date Received t: :i: 1; � I ti Search I.&I . 91 Safety&Health ®R Claims&Insurance S Workplace Rights 121 Trades&Licensing 0 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 Help us improve 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&1 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 3 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 1 012 5/2 01 8 1106 Ekle St Camano Island,WA 98282 atcr» He1 �NStshinglun" 0 0 RE-ROOF PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arington, WA 98223 • Phone (360) 403-3551 Type of permit: (check one) (0 Residential ( ) Commercial Valuation:8250.00 16602 40th Ave NE #B Project Address: Parcel ID#: Owner: Alexander Rullan Address: 16602 40th Ave NE #B City:Arlington State: WA Zip Code: 98223 Phone Number: 206-295-2213 Email:jennifersandsroofing@hotmail.com Applicant: S & S Roofing LLC Address: 104 S. West Ave City:Arlington State: WA Zip Code: 98223 360-386-9903 jennifersandsroofing@hotmail.com Phone Number: Ema S & S Roofing LLC Contractor: 104 S. West Ave Arlington WA 98223 Address: City: State: Zip Code: 360-386-9903 jennifersandsroofing@hotmail.com Phone Number: Email: S S ROOS R918M M 8/3/2019 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Premier 30 year with 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. 12/17/2018 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By ArnULInt Received Receipt # Date Received 01- CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:16602 40th Ave NE#B Permit#:2317 Parcel#:00866700013800 Valuation:8250.00 OWNER APPLICANT CONTRACTOR Name:RULLAN ALEXANDER D&DIANA S Name:S&S Roofing LLC Name:S&S Roofing,LLC Address: 16602 B 40TH AVE NE#13 8 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. 1BC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington nu I be reported on you 'alcs tax return fo and coded City of Arlington#3101. / Signature Print Name Date Rclea ed y Date CONDITIONS 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 12/17/2018 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#: 2317 Permit Date: 12/17/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: S&S Re Roof 16602 40th Ave 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:jennifersandsroofing@hotmail.com Scope of Work: Re-Roof Non structural Valuation: 8250.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 12/18/2018 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning RULLAN 142 Single Family 00866700013800 16602 40TH AVE NE UNIT ALEXANDER D& Residence B DIANA S Condominium Common Wal 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 12/17/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/18/2018 Dana Johnson 73095836 cc $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name 12/18/2018 4338174-Permit#2317.pdf 12/17/2018 4335752-2317 Application.pdf CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:16602 40th Ave NE#B Permit#:2317 Parcel#:00866700013800 Valuation:8250.00 OWNER APPLICANT CONTRACTOR Name:RULLAN ALEXANDER D&DIANA S Name:S&S Roofing LLC Name:S&S Roofing,LLC Address: 16602 B 40-FH AVE NE#138 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,Slate,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 I8.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HTS/HF.R 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. SALES TAX NOTICE•S s tax relating to construction and construction materials in the City of Arlington a be reported on you •ales tax return fir n and a ed City of Arlin o 1 - ( / "A Sig atur Print Name Date Rclea ed v Date CONDITIONS Please call for final inspection. 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,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 1 211 71201 8 Process ingfTechnology 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