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HomeMy WebLinkAbout20627 63rd Ave Ne_BLD2539_2026 CITY OF ARLINGTON 238 N.OLYMPIC;AVE-ARLINGTON, WA. 98223 PHONE;(360)403-3551 BUILDING PERMIT Address:20627 63rd Ave NE Permit#:2539 Parcel 11:00875200006700 Valuation:8530.00 OWNER APPLICANT CONTRACTOR Name:ELLERTON R SHANNON Name:S&S Rooting LLC Name:S&S Roofing,LLC Address:20627 63RD AVE NF. Address:1114 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Nlarysville,WA 98270 Phone: Phone:360-386-9903 Phone:360-386-9903 LIC:SSROOSR9ISMM CXP:08/03/2019 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 f AGREE TO COMPLY WITH CITY AND STATE LAWS R13GULA'I'ING CONSTRUCTION AND IN DOING THE 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 THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUM''RE UNTIL A FINAL INSPECTION HAS BEEN;MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY I-LAS BEEN GRANTED. 113CHOARCI I0. • T :Stiles tax relating to Constriction and construction materials in the City of Arlington t tK reported on Out sales lax retu If and c ad Cit of Igloo 11 _ fn 5 '°J n Print Name Date Rcicat By / Date CONDITIONS ,J/ Cal l for final inspection. THIS PFRMTT AUTHORIZE ONLY THE WORK NO`1LED.THIS PF.1LMIT COVERS WORK TO RE DONL ON PIUVNI'E PROPERTY ONLY. ANY CONS'fKUC1'ION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS.DRIVFNVAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fos Amount 5/7/2019 ProcessinglTechnology Fee $25,00 Total Due: $25.00 Total Payment: S0.00 Balance Due: 525.00 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 UTY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 12 PHONE; (360) 403-3551 BUILDING PERMIT Address:20627 63rd Ave NE Permit#:2539 Parcel#:00875200006700 Valuation:8530.00 OWNER APPLICANT CONTRACTOR Name:ELLERTON R SHANNON Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:20627 63RD AVE NE 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:SSROOSR918MM EXP:08/03/2019 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 m st be reported on our sales tax retu fon and coded City of Arlington#3101. ��� Signature Print Name Date Releas By Date CONDITIONS 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 5/7/2019 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 5/7/2019 Permit Number 2539 Project Name 20627 63rd Ave NE 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 20627 63rd Ave NE Valuation 8530.00 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 00875200006700 120627 63RD AVE NE ELLERTON R SHANNON 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 ILabor&Industries SSROOSR918MM Fees Fee Description Notes Amount Processing/Technology Feel 341.43.00.021 $25.00 Total $25.00 Uploaded Files Date File Uploaded B 5/7/2019 4:08:23 PM 12539 Application.pdf Jones, Raelynn x i RE-ROOF 40, -?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) (0 Residential ( ) Commercial valuation:8530.00 20627 63rd Ave NE Arlington, WA 98223 Project Address: Parcel ID#: Owner: Shannon Ellerton Address: 20627 63rd Ave NE City:Arlington State: WA zip Code:98223 Phone Number: 425-870-2675 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: - 014 S. West Ave Arlington WA 98223 Address: City: State: Zip Code: 360-386-9903 jennifersandsroofing@hotmail.com Phone Number: Email: SS ROOS R918MM 8/3/19 Contractor's License Number:— Expiration: Type of Roofing Material: Pabco Premier Arch. 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: ❑ 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. 7tm�?�ofiin9t+rt 05/07/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY MAY 017 2019 Permit# cbt By Amount Receiver Receipt# Date Receiver s Home Espafiol Contact • •o a Industries Safety&Health c Claims&Insurance c Workplace Rights c Trades 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 07115/2018 Expiration date O7/15/2019 Insurance history Savings ........................ No savings accounts during the previous 6 year period. Lawsuits against the bond or savings _..... ..................__.........v 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 1 of Year 2019"21 to 30 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 0 7/0 912 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 arc ss �11'a�int0on" improveHelp us 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:8530.00 20627 63rd Ave NE Arlington, WA 98223 Project Address: Parcel ID#: Owner: Shannon Ellerton Address: 20627 63rd Ave NE City:Arlington State: WA Zip Code:98223 Phone Number: 425-870-2675 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: 014 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 Arch. 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,9�,d�,� e�me=,o�=�om a�c25L�rcaa� 05/07/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received CITY OF ARLINGTON o. 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20627 63rd Ave NE Permit#:2539 Parcel#:00875200006700 Valuation:8530.00 OWNER APPLICANT CONTRACTOR Name:ELLERTON R SHANNON Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:20627 63RD AVE NE 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:SSROOSR918MM EXP:08/03/2019 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/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington m st be reported onzoursales tax retu fo and coded City of Arlington#3101. 1 � Signature Print Name Date Releas By Date CONDITIONS IJ 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 5/7/2019 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:20627 63rd.Ave NE Permit#:2539 Parcel#:00875200006700 Valuation:8530.00 OWNER APPLICANT CONTRACTOR Nance:ELLERTON R SHANNON Name:S&S Rooting LLC Name:S&S Rooting,LLC Address:20627 63RD AVE NE Address:]04 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington.W.A 98223 City,State ZIp:Maryaville,WA 98270 Phone: Phone:360-386.9903 Phone:360-386-9903 LIC:SSROOSP918MM EXP:08/03/2019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone_ LIC#: EXP: LIC#: EXP' JOB DESCRIPTION PERMITTYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY W'rrH 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 1S NOT A PERMIT UNTIL SIGNED BY THE BUI LDING 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, 1BCI I0/IRC H0. 1 77C T:Sales lax relating to constnte6on and construction materials in die City oCArlingdon nt Lit reported o67 Lq A6 A?A1. n uur sales lax tetu fom and• kd Ch uC ngtan, 0 m �I/�9 Print Namc Date Rcicas I By J Date CONDITIONS Call for final inspection. ]'HIS PERMIT AUTHORIZE ONLY THE WORK NOTED.THIS PER1trr COVERS WORK TO OF DONE ON PR1VNI'E PROPERTY ONLY.ANY CONS'l KL1CTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS.DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION, PERMIT FEES Date Description Fee Amount 5/712019 ProcessinglTechnology Fee $25.00 Total Due: $25.00 Total Payment: $0,00 Balance Due: S25.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the fallowing information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Permit#: 2539 Permit Date: 05/07/19 Permit Type: RESIDENTIAL RE-ROOF Project Name: 20627 63rdAve NE 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: 8530.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 05/09/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00875200006700 20627 63RD AVE NE ELLERTON R 111 Single Family SHANNON 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 05/07/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/09/2019 Dana Johnson 75255141 iTransact CC $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name 05/09/2019 5050515-2539 Signed pgrmit.pdf 05/07/2019 5037789-2539 Apnlication.pdf