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