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HomeMy WebLinkAbout16602 40th Ave Ne Unit A_BLD2546_2026 CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON,WA.98223 PHONE;(360)403-3551 BUILDING PERMIT Address;16602 40th Ave NE#A Permit#:2546 Parcel 17:0086670U111390[7 Valuation:9150.00 OWNER APPLICANT CONTRACTOR Name;GRAN DAVID M&PATRICE Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:4341 BRIDGEWATER PLACE Address:104 S.West,Ave Address:P.O.Box 969 City,State Zip:SfOCKTON,CA 95219 City,Slate Zip:Arlington,WA 98223 City,Statu Zip:Morysville,WA 98270 Phone: Phone:360-386-9903 Phone:360-386-9903 LIC:SSROOSR918MM EXP:08/03/2019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Nanlot Address: Address: City,State,Zip: City,Slate,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCCGROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND Ih DOING THE WORK AUTFIOWEI)THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE Of:WASHfNGTON 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 USEOR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION LAS BEEN MADE AND APPROVAL OR A CERTIFICATE-OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC I LO. 1 t s tea eel. ruetton and construction materials in the City of Arlingto4V1;r1cd on,Gout sales tax return Iodro od NtyofArl' untll10Cf- 111turc Pant Name Date Dam CONDITIONS Call for final inspection. THIS PERMIT ALTHORIZS ONLY THE WORK NOTED.rills PERMI'I'CUVF.RS WORK TO BE DONE UN PRIVATF.PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILI.REQUIRE SEPARATE PERMMiSSIQN, PERMIT FEES Date Description Fee Amount 5/8/2019 Processing/technology Fee $25.00 Total Due: $25.00 Total Payment: $GAD I Balance Due: $25.0(1 CALL FOR INSPECTIONS BUILDLNG(360)403-3417 When adf lm for an inspection please leave the following Information: Permit Number,Type of Inspection being requested,and whether you prefer murnfog or afternoon CITY ARLINGTON OF 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:16602 40th Ave NE#A Permit#:2546 Parcel#:00866700013900 Valuation:8150.00 OWNER APPLICANT CONTRACTOR Name:GRAN DAVID M&PATRICE Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:4341 BRIDGEWATER PLACE Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:STOCKTON,CA 95219 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. IBCI l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington Must a reported on our sales tax return Ion and coded City of Arlington#3101. Signature Print Name Date cicas d y Date CONDITIONS Call for final inspection. THIS PERMIT AUTHORIZE 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 5/8/2019 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 t 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 8150.00 Yp P ( ) (•�1 ( ) Commercial Valuation: 16602 40th Ave NE Unit A Project Address: Parcel ID#: owner: David & Patrice Gran Address: 16602 40th Ave NE Arlington WA 98223 City: State: Zip Code: Phone Number: 209-955-0226 Email:jennifersandsroofing@hotmaii.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: 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: ❑ 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. I . ......._! ...._ �<rsra;C�olr�rJosc 05/08/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Received ki MAY 0 8 2019 Permit# A e y Amount Received Receipt# Date Received � � i �' .1 ' T> Search L&I Safety&Health a Claims&Insurance 0 Workplace Rights 8 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. 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&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 iesulls dale 0 7/0 912 01 8 Under appeal.The results of the inspection are Inspection no. being challenged. 317949404 Date of appeal Location 1 012 5/2 0 1 8 1106 Ekle St Camano Island,WA 98282 •ltcess L" 0 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:8150.00 16602 40th Ave N E U nit A Project Address: Parcel ID#: Owner: David & Patrice Gran Address: 16602 40th Ave NE City:Arlington State: WA Zip Code:98223 Phone Number: 209-955-0226 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 R918 M M 8/3/19 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,9�,d�,� e�me=,o�=�om 05/08/2019 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:16602 40th Ave NE#A Permit#:2546 Parcel#:00866700013900 Valuation:8150.00 OWNER APPLICANT CONTRACTOR Name:GRAN DAVID M&PATRICE Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:4341 BRIDGEWATER PLACE Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:STOCKTON,CA 95219 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. IBC 110/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington st n ported on our sales tax return Ion i and coded City of Arlington#3101. _VA 6/el M Signature Print Name Date Nk,leas{d By Date CONDITIONS Call for final inspection. THIS PERMIT AUTHORIZE 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 5/8/2019 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:16602 40th Ave NE#A Permit#:2546 Parcel#:00966700013900 Valuation:8 150.00 OWNER APPLICANT CONTRACTOR Name:GRAN DAVID M&PATRICE Name:S&S RoofingLLC Name:S&S Roofing,LLC Address:4341 BRIDGEWATER PLACE Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:STOCKTON,CA 95219 CRY,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,S18Co,Zip: Phone: Phone: LIC M 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 1 AGREE TO COMPLY WITH CRY AND STATE LAWS REGULATING CON&TRUCTION AND IN DOING THE WORK AUTHORI'CLD THERESY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATL OF WtSHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/EIER 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. IBC110/1RC1 I0. X N tax rcl. ' etion and construction materials in the City of Arlington ni4l%t tcpanal on oursulcs nut telotn I and i;oaod 'ity of Ail un#310 Cf— 1 /+_ Sig Marc Pnm Name v� Date ® /If uleatltd y Date CONDITIONS Call for Gnat inspection. PHIS PERA9IT AL1'HORIZS ONLY THE WORK NOTED.PHIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERI Y ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVIi1VAYS,MARQUEES,ETC)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 5/812019 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $0,00 t 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#: 2546 Permit Date: 05/08/19 Permit Type: RESIDENTIAL RE-ROOF Project Name: 16602 40th Ave NE Unit A 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: 8150.00 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 142 Single Family 00866700013900 16602 40TH AVE NE UNIT GRAN DAVID M& Residence A PATRICE Condominium Common Wal 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 05/08/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/09/2019 Dana Johnson 75255074 iTransact CC $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name 05/09/2019 5050516-2546 Signed permit.pdf 05/08/2019 5044156-2546 Application.pdf