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HomeMy WebLinkAbout903 Medical Center Dr Unit A_BLD2545_2026 ) CITY OF ARLINGT ON i 238 N.OLYMPIC AVE-ARLINGTON, WA.98223 PHONE;(360)403-3551 BUILDING PERMIT Address:903 Medical Center Dr Permit#:25d5 Parcel#;00801600000100 Valuation:11050.01) OWNER APPLICANT CONTRACTOR Name:HARMAN R LEE,&JUDTTH A Name:S&S Routing LL.0 Nomc:S&S Roofing,LUC Address:635 N SUNSET Address:104 S.West Ave Address:P.0 Box 969 City,Suite Zip:CAMANO ISLAND,WA 98292 City,State Zip:Arlington,WA 98223 City,State Zip-Marysville,WA 93270 Phone: Phone:360-386-9903 Phone:360-386-9903 1.iC:SSROOSR918MM EXP:08l03i20l9 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Nmne: Address: Address: City,State,Zip: City,Stutc,Zip: Phone: Phone: L1C#: EXP: LICE F.XP; JOB DESCRIPTION PERMIT TYPE: Commercial 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 RCUUI.e',TIN(i C:ON51 KUMON AND IN DOINO THE WORK AUTHORIZED TIIERL•BY; NO PERSON WILL BE EMPLOYED N VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RP,LATING TO WORKMEN'S CO_MIPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL.SIGNED BY THE BUILDING OFFICIAL OR HISrHER DEPUTY AND ALL FEES ARE PAID, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTLRE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEWI'IFICAI*E OF OCCUPANCY HAS BEEN GRANTED. IBC I10/IRCI 10, SALE SaIcs la rdaling to cunsiruction and conslnrction materials in the City of Arlington m be reported on your sales Iax return faun W ctrc 101y of Arilagt 011 Si lure Dale Reka By.,` ( Date CONDITIONS J Call for final inspection. ']HIS PERMITAUTHORILS ONLY THE WORK NO rLD.THIS PERMIT COVERS WORK TO BE DONE ON PRi VATE PROPBRfY ONLY, ,ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC,.)WILL RI?QUIRE.SE•PAILITE PLdRAIISSION. PERMIT FEES Date Description 5/9/2019 Processingfrbchnology Fee Fee Amount 51912019 Re-Roof S25.00 $306.90 Total Due: $331.90 Total Payment: S33I90 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDIN<.(360)403-3417 When culling for an inspection please leave the following Information: Permit Numbe,'type of Inspection being requested.and whether you prefer morning or afternoon i UTY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:903 Medical Center Dr Permit#:2545 Parcel#:00801600000100 Valuation: 11050.00 OWNER APPLICANT CONTRACTOR Name:HARMAN R LEE&JUDITH A Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:635 N SUNSET Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:CAMANO ISLAND,WA 98292 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: Commercial 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 mus be reported on our sales tax return form and coded City of Arlington#3101. //7 Signature Print Name Date Rcicasc Bye 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 5/9/2019 Processing/Technology Fee $25.00 5/9/2019 Re-Roof $306.90 Total Due: $331.90 Total Payment: $331.90 Balance Due: $0.00 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 n � . i I rrz- Permit Information Date 5/8/2019 Permit Number 2545 Project Name 903 Medical Center 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 Commercial Re-Roof Site Address 903 Medical Center Dr Valuation 11050.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Commercial Re-Roof Number of Stories 0 Proposed Use Coating-Karnak 97 Fiber silver Assigned To Raelynn Jones Property Parcel Address Legal Owner Owner Phone Zoning 00801600000100 1903 MEDICAL CENTER DR UNIT A HARMAN R LEE&JUDITH A 1506 Coml Condo-Services Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# S&S Roofing.LLC Shane Dunlap 360-386-9903 ,3hanesandsroofin hotmail.com CONTRACTOR 1-abor&Industries 'SSROOSR918MM Fees Fee Description Notes Amount Processing/Technology Feel341.43.00.02 $25.00 Re-Roo 322.10.00-001 $306.90 Total $331.90 Uploaded Files Upload File Date File Uploaded By 1 5/8/2019 3:25:08 PM 12545 Application.pdf lJones. Raelvnn I x ' 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 11050.00 yp p ( > ( ) (,� Commercial Valuation: 903 Medical Center Dr. Project Address: -- Parcel ID#: owner: Lee Harman Address: 903 Medical Center Dr. City:Arlington State: W4 Zip Code:98223 Phone Number: 425-422-5406 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 8/3/19 Contractor's License Number: Expiration: Coating-Karnak 97 Fiber silver 0 Type of Roofing Material: 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. z)awell 01 °fWd_~ 05/08/2019 Applicants Signature Date Dana Johnson Print Applicants Name 0 FOR STAFF USE ONLY Received MAY 0 8 2019 Permit# AccNtffEfy Amount Received Receipt# Date Received `= - r JII I 1 I .. �� � �� �� 7� NNW Labor & Industries Safety&Health 13 Claims&Insurance 0 Workplace Rights 0 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 Policy no. Help us improve TEN10782 Received by L&I Effective date 07/13/2018 07/15/2018 Expiration date 0 711 512 01 9 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 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 0 710 9/2 01 8 Under appeal.The results of the inspection are Inspection no. being challenged. 317949404 Date of appeal Location 1 012 512 01 8 1106 Ekle St Camano Island,WA 98282 .lcctss Hel iir 11`ashinglun` Ptuts improve Raelynn Jones From: Jennifer Turrone <jennifersandsroofing@hotmail.com> Sent: Thursday, May 9, 2019 11:02 AM To: Raelynn Jones Subject: Re:903 Medical Center Dr [NOTICE: This message originated outside the City of Arlington mail system.-- DO NOT CLICK on links or open attachments unless you are sure the content is safe.] Hello, The roofing on the Medical Center Drive is just torch down now. Pay Your Bill Now By Check Or Credit Card: https:/Lwwm.paystation.com/­­pay/­sandsroofin Thank You, Jennifer Turrone S&S Roofing, LLC. 360.386.9903 www.sandsroofmgllc.com Showroom Open: Mon—Fri 8:00 am—4:00 pm Saturday: By Apt. Only PABCO' PreferredPRO CONTRACTOR As a Preferred Pro Contractor, we at S&S Roofing are an advocate partner who promotes PABCOO as our asphalt shingle of choice. PABCOO recognizes us for our quality workmanship and we have developed a lasting relationship between family owned businesses. S&S and PABCOO share a commitment to the core values of Safety, Integrity, Customer Service, Respect, Quality, Financial Success, and Community Service. Ask us about our warranty offering and the variety of high quality products PABCOO has to offer. From: Raelynn Jones<rjones@arlingtonwa.gov> Sent:Wednesday, May 8, 2019 3:29 PM To:Jennifer Turrone Subject:903 Medical Center Dr Hi Jennifer, 1 Please provide the existing roof structure and material details for 903 Medical Center Drive.Thank you! Sincerely, Raelynn Jones Permit Technician City of Arlington Community& Economic Development 18204 59th Ave NE Arlington, WA 98223 Office: 360-403-3436 www.arlingtonwa.gov 2 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 Commercial Valuation: 11050.00 Project Address: 903 Medical Center Dr. Parcel ID#: Owner: Lee Harman Address: 903 Medical Center Dr. City:Arlington State: WA Zip Code:98223 Phone Number: 425-422-5406 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: SSROOSR918MM 8/3/19 Contractor's License Number: Expiration: Type of Roofing Material: Coating-Karnak 97 Fiber silver Number of Existing Layers: 0 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. I9,d, eme=o=om M�11 %aa� 05/08/2019 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:903 Medical Center Dr Permit#:2545 Parcel#:00801600000100 Valuation: 11050.00 OWNER APPLICANT CONTRACTOR Name:HARMAN R LEE&JUDITH A Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:635 N SUNSET Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:CAMANO ISLAND,WA 98292 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: Naive: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial 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 mu s be reported on your sales tax return form and coded City of Arlington#3101. ig-/G//� Signature Print Name Date Release B Date-I CONDITIONS ;7T 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 5/9/2019 Processing/Technology Fee $25.00 5/9/2019 Re-Roof $306.90 Total Due: $331.90 Total Payment: $331.90 Balance Due: $0.00 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:903 Medical Center Dr Permit#:2545 Parcel#:00801600000100 Valuation:11050.00 OWNER APPLICANT CONTRACTOR Nance:HARMAN R LEE&JUDFFH A Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:635 N SUNSET Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:CAMANO ISLAND,WA 98292 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 99270 Phone: Phone:360-386-9903 Phone:360-386-9903 LIC:SSROOSR918MM EXP:08/0312019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,"Lip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial 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 1817. 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 IA/IRC110. j SA ESTXNOTIMSalesto relating to construction and construction materials in the City of Arlington in be reported on your sales tax return form an co c I City of Arlingt d 1 Si a re not — Date' - Rcicasa *,j BD, 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 5/9/2019 Processingfrechnology Fee $25 00 5/9/2019 Re-Roof $306.90 Total Due: $331.90 Total Payment: $331.90 Balance Due: $0 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#: 2545 Permit Date: 05/08/19 Permit Type: COMMERCIAL RE-ROOF Project Name: Harmon Eye Center 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: Coating - Karnak 97 Fiber silver Valuation: 11050.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 05/13/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00801600000100 903 MEDICAL CENTER HARMAN R LEE& 506 Coml Condo- DR UNIT A JUDITH A Services 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 Re-Roof Residential Residential $306.90 Total $331.90 Attached Letters Date Letter Description 05/09/2019 Building Permit 05/08/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/09/2019 Dana Johnson 75255218 iTransact CC $331.90 Outstanding Balance $0.00 Uploaded Files Date File Name 05/08/2019 5043956-2545 Application.pdf