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HomeMy WebLinkAbout20511 66TH DR NE_BLD2336_2026 CITY OF ARLINGTON 238 N, OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-355 I BUILDING PERMIT Address:2051166th Or NE Parcel#:00957500002900 Permit#:2336 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CERECERO APRIL C Name:S&S Roofing LLC Name;S&S Roofing,LLC Address:20511 66TH DR NE Address:ID4 S.West Ave City,State Zip:ARLINGTON,WA 98223-4236 City,State Zip:Arlington,on,WA 98223 Address:P.O.Box 969 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 CODEYEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPI..Y WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING TIIE WORK AUTHORIZED TIIEREBY; 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 TIIE 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(0/IRCI 10. SAI.E,S•I Ax NOTICE:Sale'tax relating to construction and construction materials in the City of Arlingto usl be reported on y or sales tax return fo d City of Arlir gton 01 II Signature `/ Print 4 Name Date Releits By Date CONDITIONS Please call for final inspection_ THIS PERMIT AUTHORIZS ONLY THE WORK NOTED_THIS PERMIT COVERS WORK TORE 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 1/4/2019 Processin g/Technology Fee $25.00 Total Due: $25.00 Tolol Payment: $0.00 Balance Due: $25.00 CALL FOR INSPECTIONS BUILDING(360)403-34I7 When calling for an inspection please leave the following information: Permit Number,'rype of Inspection being requested,and whether you prefer mornink or afternoon I CITY OF ARLh'v4GTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 42 PHONE; (360) 403-3551 BUILDING PERMIT Address:20511 66th Dr NE Permit#:2336 Parcel#:00957500002900 Valuation:0.00 OWNER APPLICANT __ CONTRACTOR Name:CERECERO APRIL C Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:20511 66TH DR NE Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-4236 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 Arlingto ust be reported on y ur sales tax return fo and coded City of Arlington#3101. z' I L) (9 Signature Print Name Date Releas dBy 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 1/4/2019 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 i Permit Information Date 1/4/2019 Permit Number 2336 Project Name S&S Re Roof 20511 66th Dr Applicant Name S&S Roofing LLC Applicant Address 104 S.West Ave City, State,Zip Arlington,WA 98223 Contact Phone 360-386-9903 Email jennifersandsroofing@hotmail.com Permit Type Residential Re-Roof Site Address 20511 66th Dr NE Valuation 0.00 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 00957500002900 120511 66TH DR NE ICERECEROAPRILC 111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# 'S&S Roofing.LLC Shane Dunlap 360-386-9903 ;hanesandsroofin hotmail.com ;ONTRACTOR hl abor&Industries 3SROOSR918MM Fees Fee Description Notes Amount Processin /Technolo Feel 341.43.00.021' $25M Totall $25.00 Uploaded Files Upload File Date File Uploaded B 1/4/2019 9:42:00 AM 12336 Applir;ation.pdf I Jones, Raelynn r, I ,, ,� RE-ROOF 1 PERMIT APPLICATION T � / 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 6250.00 yp p ( ) (� ( } Commercial Valuation: 20511 66th Dr. NE Arlington, WA 98223 Project Address: - - Parcel ID#: Owner: April Cerecero Address: 20511 66th Dr. NE City:Arlington State: W4 Zip Code:98223 Phone Number: 425-737-7500 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@hotmaii.com Phone Number: Email: 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 R918 M M 8/3/19 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Premier 30 year 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. ""'Y"' ctsrrt ��o/ts�lcrr ��.,. . ...w.. 01/03/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Z � JAN 0 3 2019 Permit# &OEB Amount Received Receipt# Date Received � � .� S .'rl -r 2 � '., Home I Espifiol ContactSearch • Industries Safety&Health 0 Claims&Insurance W Workplace Rights OF 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: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. S13456 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 Saving.s .. ............ ... 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 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 10/25/2018 1106 Ekle St Camano Island,WA 98282 Ict ss a w o v) C �'v c w ° 0 0 J m Cr a o ^ < C ` CDC U l/ O W N (n C 0 7 c0 o C'3 U U cA ii � a0 3 u; N ❑ ❑ ❑ ❑ ❑ a F— o 0 w IL a cr .0 N ° �' — �' H W I oWC W O a O a O , Z z c a) Z o �.,� U c F rn = Z v� •• ° W - t c o ? � CL Cl) a LL ❑ cn C7 ir ❑ W a`a)) -�v o 3 cca 3 0 E cr Z ❑ ❑ ❑ ❑ ❑ ❑ a (LaUo ❑ Z_ ZC`�7 • owC� Jg 0N o � v LL a0LL O LL Z ° CL W N > IL CD coC 'a tmO o o oo 0 Ln ° O Ca NC o N 0 co r,A, Q `° N � Q �` C ° N o <a �b dT tt� ❑ U � C) 5 Z) LL LL �2 �i 2 O ❑ ❑ ❑ ❑ N 0000000 C _0 C7 Z c ` a, a) a � 0 Cl) C — _o� Cl) � ni cn m w Q Y 0 cz Z (n L L CO a- Cc -U- r N a) N 00000�oop 0 U o .� 75 W ( p O cz w Y)Y 3 2 �+ V C $ �� amm.ar- cz M 1��V1 � O cAmC)Fn<0()U)LL J -0 p O Ir000 00000� Z W L O N Q N L) ' W 3 Z �- m p 0 N Z U � Z a "N0 O ;; i � N W Coo �3 ca W O ° °w U) U) LL m °aro `o Q� o a. 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U 7 Z Z � t� "' t ...`^ ` �^ j� W I v Li < 3 z 3 s O �1 9 ti Q Q Q T ^ a J Q Y x J d z V ' �l O I O Z to U y J p J O 4„� _ Z W Z 3 m J n X O W U 3 C _ > s O v J W N z p a z o 3 Sim ry ' O �[��j U mco oC Q 'w y ^ m FH o a u F a o s O 0 a I .} U 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:6250.00 20511 66th Dr. NE Arlington, WA 98223 Project Address: Parcel ID#: Owner: April Cerecero Address: 20511 66th Dr. NE City:Arlington State: WA Zip Code:98223 Phone Number: 425-737-7500 Email:jennifersandsroofing@hotmail.com Applicant: S & S Roofing LLC Address: 104S. 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: 360-386-9903 jennifersandsroofing@hotmail.com Phone Number: Email: S S ROOS R918 M M 8/3/19 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Premier 30 year 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. es,9ed, eme=,o=om Liz)) ` OO� 01/03/2019 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:20511 66th Dr NE Permit#•2336 Parcel#:00957500002900 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CERECERO APRIL C Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:20511 66TH DR NE Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-4236 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 IO/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingto ust be reported on y or sales tax return fo and coded City of Arlington#3101. //L) Signature Print Name Date Relcas d By 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 1/4/2019 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 42 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:2051166th Dr NE Permit#:2336 Parcel#:00957500002900 Valuation: 33 .00 OWNER APPLICANT CONTRACTOR Name:CERECERO APRIL C Name:S&S Roofing LLC Nantes S&S Roofing,LLC Address:20511 66TH DR NE Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-4236 City,State Zip:Arlington,WA 98223 Phone: City,State Zip:Marysville,WA 98270 Phone:360-386-9903 Phone:360-386-9903 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,Statc,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 T1[E 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 71 fE 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 CERTIFICATF.OF OCCUPANCY HAS BEEN GRANTED. IBCI l01fRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingto ust be reported on y ur sales tax return font d City ofArli gton! Ol G� Si mature b Print Name Date Releus By Date CONDITIONS Please call for final inspection. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE Y ONLY. ANY CONSTRUCTION PROPERT ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,F,TC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description 1/4/2019 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 Permit#: 2336 Permit Date: 01/04/19 Permit Type: RESIDENTIAL RE-ROOF Project Name: S&S Re Roof 20511 66th Dr 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: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 01/04/2019 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00957500002900 20511 66TH DR NE CERECERO APRIL 111 Single Family C 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 Total $25.00 Attached Letters Date Letter Description O1/04/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount O1/04/2019 Sheri Dunlap 73315803 cc $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name O1/04/2019 4376220-2336 Signed pgrmit.pdf O1/04/2019 4375278-2336 Apnlication.pdf