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Home My WebLink About17420 40TH DR NE_BLD2339_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE;(360)403-3551': BUILDING PERMIT Address:17420 40th Drive NE Permit#:2339 Parcel#:00934700002900 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:INGISON TIMOTHY G&LINDA V Name:S&S Roofing,LLC Name:S&S Rooting,LLC Address:17420 40TH DR NE Address:104 S.West Avenue Addresi:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-3706 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 M. JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED TI IF.REBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHIN(i fON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNF,D 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 IOARC110. SALES TUC NOUTI E•Sales tax relating to construction and construction materials in the City ofA i st od on your sales tax return form d City of Arlin # 10! Signatut� Print Name Date y Cased By Date CONDITIONS Final inspection required. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRJVATTi 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 Processingrrechnology 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 y I GITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17420 40th Drive NE Permit#:2339 Parcel#:00934700002900 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:INGISON TIMOTHY G&LINDA V Name:S&S Roofing,LLC Name:S&S Roofing,LLC Address: 17420 40TH DR NE Address:104 S.West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-3706 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: DWELLING UNITS: I 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 l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A i st orted on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date c eased 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 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 Permit Information Date 1/4/2019 Permit Number 2339 Project Name Ingison Applicant Name S&S Roofing,LLC Applicant Address 104 S.West Avenue City,State,Zip Arlington,WA 98223 Contact Dana Johnson Phone 360-386-9903 Email jennifersandsroofing@hotmail.com Permit Type Residential Re-Roof Site Address 17420 40th Drive NE Valuation 0.00 Status Ready to Issue Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Re-Roof non Structural Assigned To Kristin Foster Property Parcel Address 11-egal Owner [Owner Phone Zoning 00934700002900 117420 40TH DR NE I JINGISON TIMOTHY G&LINDA V 111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# 3&S Roofina.LLC Shane Dunlap 60-386-9903 ,.hanesandsroofin hotmail.com :ONTRACTOR -abor&Industries SSROOSR918MM Fees Fee Description Notes Amount Processing/Technology Feel 341-43-00-021 $25.00 Totall $25.00 Uploaded Files Upload File Date File Uploaded By 1 1/4/2019 10:12:31 AM 12339 Application.pdf Foster,Kristin r I I RE-ROOF ' 1 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) (vo) Residential ( ) Commercial valuation:6,000.00 17420 40th Dr. NE Arlington, WA 98223 Project Address: — - Parcel ID#: Owner: Tim Ingison Address: 17420 40th Dr. NE City:Arlington State: W4 Zip Code:98223 Phone Number: 360-653-8892 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: 360-386-9903 jennifersandsroofing@hotmail.com Phone Number: Email: SS ROOS R918MM 8/3/2019 Contractor's License Number. Expiration: Type of Roofing Material: Pabco Premier 30 year 1 Number of Existing Layers: Class of Roofing: A ✓❑ B ❑ C ❑ Replacing existing sheathing: Yes ❑ No ✓❑ Roof tear off: ❑ Application over existing material: 21 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. - _,....__r...., - ��ir tic ��futctoar. 01/04/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY 22 11 JAN 0 4 2019 Permit# Accepted By Amount Received Receipt# Date Received Search L&) Industries Safety&Health c Claims&Insurance c Workplace Rights C Trades&Licensing 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,PARTNERIMEMBER (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 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 3 of Year 2018"11 to 20 Workers" L&I account contact T3/STEPHANIE HENDERSON(360)902-5598-Email:NSTE235@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 0 710 9/2 0 1 8 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 �1lrashintllun^ Help us improve 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:6,000.00 17420 40th Dr. NE Arlington, WA 98223 Project Address: Parcel ID#: Owner: Tim Ingison Address: 17420 40th Dr. NE City:Arlington State: WA Zip Code:98223 Phone Number: 360-653-8892 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 R918M M 8/3/2019 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� 01/04/2019 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:17420 40th Drive NE Permit#:2339 Parcel#:00934700002900 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:INGISON TIMOTHY G&LINDA V Name:S&S Roofing,LLC Name:S&S Roofing,LLC Address: 17420 40TH DR NE Address:104 S.West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-3706 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: DWELLING UNITS: 1 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. IBCI10/IRC1I0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A i st c` ortcd on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date a cased 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 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE;(360)403-3551' BUILDING PERMIT Address:17420 40th Drive NE Permit#:2339 Parcel.#:00934700002900 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:INGISON TIMOTHY G&LINDA V Name:S&S Roofing,LLC Name:S&S Roofing,LLC Address:17420 40TH DR NE AddressA 04 S.West Avenue Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-3706 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: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AIMIORIZED TI IEREBY; 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 BF.FN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI IOARCI 10. SALES TAX N" E:Sales tax relating to construction and construction materials in the City of A i • st mr • d City of Arli # 1 art�d on your salts tax return form 01 Signatu Print Name _ J L Date a Cased By Date CONDITIONS Final inspection required. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONL ON PRIVATE PROPERTY ONLY. ANY CONSTRUC.'TION ON THE PUBLIC DOMAIN(CURBS.SIDF.\V.ALKS.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 Permit#: 2339 Permit Date: 01/04/19 Permit Type: RESIDENTIAL RE-ROOF Project Name: Ingison Applicant Name: S&S Roofing, LLC Applicant Address: 104 S. West Avenue Applicant, City, State, Zip: Arlington,WA 98223 Contact: Dana Johnson 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: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning INGISON 00934700002900 17420 40TH DR NE TIMOTHY G& Residence Single Family -Detached LINDA V 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 73316293 cc $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name O1/04/2019 4376207-2339 Signed permit.pdf O1/04/2019 4375444-2339 Application.pdf