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HomeMy WebLinkAbout17630 HIGHLAND VIEW DR_BLD2350_2026 i CITY OF ARLINGTON 238 N. OL,YMPIC AVE-ARLINGTON,WA. 98223 PHONE; (360) 403-3551 Address:17630 Highland View Dr BUMI)ING PERMIT Parcel#:00870600001800 Permit#:2350 OWNER Valuation:U5oo.o0 APPLICANT CONTRACTOR Name:FOSTER LINDA S FAMILY TRUST Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:PO BOX 3571 Address;104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223 Cit};State Zip:Arlington,WA 98223 City,Statc Zi Ma sville,WA 98270 Phone: Phone:360-386-9903 R ry Phone:3 W-386-9903 MECHANICAL CONTRACTOR LIC. EXP: PLU'VIBING CONTRACTOR Name' Address: Name: City,State,Zip: Address: Phone: City,State,Zip: Phone: LIC#: EXP: LLC#: JOB DESCRIPTION EXP' PERMIT TYPE: Residential Re-Roof CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT A.PPROVAL I AGREE TO COIv[PLY Wfi 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/IRCI10. #G_FS TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must he reported on your. Ics tax return form ffMi-c dcd City of Arli t n 3101. Si nature ` Print ame Date ! r r Zoleascd" y Date CONDITIONS Please call for final inspection. THIS PERMIT AUTHORIZE ONLY'fHE WORK NOTED.TINS PERMIT COVERS WORK TO REDONE ON PKIVAI*E PROPERTY ONLY. ANY CONSTRUC'CIUN ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS.MARQUEES,ETC.)WILL REQUIR12 SEPARATE PERMISSION. PERMIT FEES Date Description 1/11/2019 Processing/Technology Fee Fee Amount $25.00 Total Due: 525.00 Total Payment: $0 00 CALL FOR INSPECTIONS Balance Due: $25.00 BUILDING(360),103-3417 When calling for an inspection please leave the following informatlon: Permit Number,Type of Inspection tieing requested,and whether you prefer morning or afternoon i i . � r CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 \ _ PHONE; (360)403-3551 BUILDING PERMIT Address:17630 Highland View Dr Permit#:2350 Parcel#:00870600001800 Valuation: 11500.00 OWNER APPLICANT CONTRACTOR Name:FOSTER LINDA S FAMILY TRUST Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:PO BOX 3571 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 LIC: EXP: 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/IRC110. l SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City ofArlington'must be reported on your les tax return form and coded City of Arlington#3101. / utt Signature Print Name Date cicascd 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 1/11/2019 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 I t Permit Information Date 1/11/2019 Permit Number 2350 Project Name S&S Re Roof 17630 Highland View 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 17630 Highland View Dr Valuation 11500.00 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 Owner Phone Zoning 00870600001800 17630 HIGHLAND VIEW FOSTER LINDA S FAMILY DR TRUST 111 Single Family Residence Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# &S Roofing,LLC Ohane Dunlap 60-386-9903 hanesandsroofing@hotmaii.com ONTRACTOR Labor&Industries JSSROOSR918MM 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 B 1/11/2019 9:18:29 AM IZ350 Applicati n.pd liones, Raelynn } i j RE-ROOF PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Abington, WA 98223 • Phone (360) 403-3551 Type of permit: (check one) (V) Residential ( ) Commercial Valuation:11,500.00 17630 Highland View Dr. Arlington, WA 98223 Project Address: Parcel ID#: owner: Linda Foster Address: 17630 Highland View Dr. City Arlington ` State: WA Zip Code:98223 Phone Number: 425-327-8707 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: 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. - p(/CI.dYCl. �10�1d1a1067 JJ 01/10/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY - JAN 10 2019 Permit# Acc t y Amount Received Receipt# Date Received I I . . _ I� '� ' -R - ,: l i} ." � . . ` Search L&ISim i Industries Safety&Health o Claims&Insurance O Workplace Rights 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. 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. Help us improve 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 su,vei iry the business is up-lu-dale on workers'cornp 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 nu. being challenged. 317949404 Date of appeal Location 10/25/2018 1106 Ekle St Camano Island,WA 98282 All= improve 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: 11,500.00 17630 Highland View Dr. Arlington, WA 98223 Project Address: Parcel ID#: Owner: Linda Foster Address: 17630 Highland View Dr. City:Arlington State: WA Zip Code:98223 Phone Number: 425-327-8707 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 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. 01/10/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By ArnULInt Received Receipt # Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17630 Highland View Dr Permit#•2350 Parcel#:00870600001800 Valuation: 11500.00 OWNER APPLICANT CONTRACTOR Name:FOSTER LINDA S FAMILY TRUST Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:PO BOX 3571 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 LIC: EXP: 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. IBCI10/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington mus�be reported on your Ics tax return form and coded City of Arlington#3101. _ . Signature Print Name Date cicascd 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 1/11/2019 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: 17630 Highland View Dr Permit#:2350 Parcel#:00870600001800 Valuation:11500.00 OWNER APPLICANT CONTRACTOR Name:FOSTER LINDA S FAMILY TRUST Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:PO BOX 3571 Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zi Ma sville,WA 98270 Ph Phone: Phone:360-386-9903 R ry Phone:360-386-9903 MECHANICAL CONTRACTOR LIC. EXP: 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. IBCI 10/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your Ics tax return forth efid` ded City of ArliVhhSpJ�::) r ----S!Fat Print Date ame "'/11 f elcascd 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 1/11/2019 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 whether you prefer morning or afternoon Permit#: 2350 Permit Date: 01/1l/19 Permit Type: RESIDENTIAL RE-ROOF Project Name: S&S Re Roof 17630 Highland View 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: 11500.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 0l/11/2019 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00870600001800 17630 HIGHLAND VIEW FOSTER LINDA S 111 Single Family DR FAMILY TRUST 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 O1/11/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount O1/11/2019 Dana Johnson 73431915 cc $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name O1/11/2019 4401332-2350 Signed Permit.pdf O1/11/2019 4399072-2350 Apnlication.pdf