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HomeMy WebLinkAbout20902 67th Ave Ne_BLD2555_2026 CiTY OF ARLINGTON ti ' 238 N. OLYMPIC AVE- ARLINGTON, WA. 98223 _ . PHONE; (360) 403-3551 BUILDING PERMIT Address:20902 67th Ave NE Permit#:2555 Parcel#:3 105 1100301700 Valuation:3550.00 OWNER APPLICANT CONTRACTOR Name:MONEY SAVER ARL[NGTON LLC Name:Money Saver Mini Storage Name:Assurance Roo[ing&Construction Address: 19011 WOOD-SNOB RD STE#200 Address:5729 Lakeview Dr.4200 Address: 13701 49tb Dr NE City,State 7ip:W'OODINVILLE,WA 98012 City,State Zip:Kirkland,WA 98033 City,State Zip:Marysvifle,WA 98271 Phone: Phone:206-377-9333 Phone:425-238-7738 L[C:ASSURRC887RS EXP: 12/22112020 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC»: FXP. JOB DESCRIPTION PE,'RIMITTYPE: Commercial Re-Roof CODE YEAR: 2015 STORIES. CONST.TYPE: DNNTI,LfN'G UNITS: OCC GROL,'P: BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 AGREE TO COMPLY WITH CITY,AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY: NO PERSON WILL BE E'-MPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORK.MEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS.APPLICATION 1S NOT A PERMIT UNTIL SIGNED 13Y THE BUILDNG 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,gRC110. <AL:S TAX N('1'CF:Sales tax relatingIn construction and construction materials the City of Arlington mus be reported on your sales tax return form and coded_. tty a r lington#310!, t art Print Name Date %-leased By llate CONDITIONS Call for final inspection. mis PL•'R,5v1IT AUTHORJZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO 3F.DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THI:PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,LTC.)WILL RF,QIJIRE SEPARATE PERYIISSION, PERMIT FEES Date Description Fee Amount 5/14i2019 Processing/Technology Fee $25,00 5/14/2019 Re-Roof $'41.94 Total Due: S166.94 Total Payment: S0,00 Balance Due: $166.94 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 .w. ti �[ r / UTY OF ARLINGTON ' 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20902 67th Ave NE Permit#:2555 Parcel#:31051100301700 Valuation:3550.00 OWNER APPLICANT CONTRACTOR Name:MONEY SAVER ARLINGTON LLC Name:Money Saver Mini Storage Name:Assurance Roofing&Construction Address: 19011 WOOD-SNOH RD STE#200 Address:5729 Lakeview Dr.#200 Address: 13701 49th Dr NE City,State Zip:WOODINVILLE,WA 98072 City,State Zip:Kirkland,WA 98033 City,State Zip:Marysville,WA 98271 Phone: Phone:206-377-9333 Phone:425-238-7738 LIC:ASSURRC887RS EXP: 12/22/2020 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 your sales tax return form and coded City of Arlington#3101. l Signature Print Name Date Released By tc 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 5/14/2019 Processing/Technology Fee $25.00 5/14/2019 Re-Roof $141.94 Total Due: $166.94 Total Payment: $0.00 Balance Due: $166.94 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 5/14/2019 Permit Number 2555 Project Name 20902 67th Ave NE Applicant Name Money Saver Mini Storage Applicant Address 5729 Lakeview Dr.#200 City,State,Zip Kirkland,WA 98033 Contact Ken Mohr Phone 206-377-9333 Email ken@storagepartners.com Permit Type Commercial Re-Roof Site Address 20902 67th Ave NE Valuation 3550.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Commercial Re-Roof Number of Stories 0 Proposed Use Composition roof installation Assigned To Raelynn Jones Property Parcel Address Legal Owner Owner Phone Zoning 31051100301700 120902 67TH AVE NE MONEY SAVER ARLINGTON LLC 1 1638 Mini-Warehouse Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# 4ssurance Roofing&Construction William Baldwin 425-238-7738 3ssurancerc mail.com CONTRACTOR 4ssurance Roofing&Construction William Baldwin 425-238-7738 3ssurancerc(a) mail.com CONTRACTOR Fees Fee Description Notes Amount Process in /Tech nology Feel 341.43.00.02 5.0 Re-Roofl 322.10.00.001 $141.94 Total $166.94 Uploaded Files Upload File Date File Uploaded B 5/14/2019 2:21:43 PM 12555 Application.pdf Jones, Raelynn x I �� ������������� m`��� m`mn�'m��m PERMI��������N�� APPLICATION T m m��m- m- ��m��u�� m mm��m`� Department ofCommunity& Economic Development City of Arlington ^ 1820459th Ave NE `Arlington, VVA8O223 ^ Phone (36O) 4O3'3551 Type of permit: (check one) Residential (4,6mmercial Valuation, Phone Number: Email- Address: tate: p Contractor: Address: ' city. ate: Phone Number " Contractor's License wumbnr ~~ ~ ^ sxpicwtkmType of Roofing Material: e5' '22' Number of Existing Layers: Class ofRoofing: A u--r~~� Fl C [—1 Replacing existing sheathing: Yen F—1 No Roof tear off: | | Application over existing material: The following is required for NON'Reo|donda| Buildings: ° Existing roof structure and material- Avoo-) , Two copies of the installation specifications and U L listed roof assembly. , Occupancy ofBui|ding� Office ---_------_. n*\aU ----------__' Church ------------ Restaurant ------__-___ School | hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property i|| U od with State of Washington. The applicant will be responsible �/ � pmvmmg e m inspection and approval ahoU be obtained when the re-roofing i, �= Aopffants Sigri Date Print Applicants Name Home Fspafiol colitadSearch L&ISEARCH Labor • Safety&Health 6 Claims&Insurance 0 Workplace Rights 0 Trades&Licensing 0 Washington State Department of 4.I Labor & Industries Assurance Roofing &Const LLC Owner or tradesperson 13701 49th Dr NE Principals MARYSVILLE,WA 98271 360-657-1242 Baldwin,William Walter,PARTNER/MEMBER SNOHOMISH County BALDWIN,KIMBERLY ANN,PARTNER/MEMBER Doing business as Assurance Roofing&Const LLC WA UBI No. Business type 603 250 984 Limited Liability Company License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. ASSURRC887RS Effective—expiration 12/10/2012-12/22/2020 Bond American Contractors Indem CO $12.000.00 Bond account no. 100263567 Received by L&I Effective date 12/05/2014 12/07/2014 Expiration date Until Canceled Bond history Insurance Underwriters at Lloyds $1,000,000.00 Policy no. WCIS-CGL-0002481-01 Received by L&I Effective date 12/10/2018 12/10/2018 Expiration date 12/10/2019 Insurance history Savings No sa ...................vi... ngs 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. r-_ r-�, l �, 7 I 1 L&I Tax debts —� ................ No L&I tax debts are recorded for this contra Ilicense during the previous 6 year period,but some is 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. 578,640-02 Doing business as ASSURANCE ROOFING&CONSTRUCTI Estimated workers reported Quarter 1 of Year 2019"1 to 3 Workers" L&I account contact T4/SHAUNTEE HENRY(360)416-3027-Email:HENZ235@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. Fw-orkplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 12/19/2017 Violations Inspection no. 317945800 Location 8536 NE 176th St Bothell,WA 98011 Acceu �lYadhingtonm Help. us improve 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) O Residential (Ly ommercial Valuation: Project Address: �� ,, z J Parcel ID#: Owner: — r 7-0 . Address: ��� Ili f ® ;. Rr City: 4 _ State: Zip Code: Phone Number: Email: w) Applicant: Address: ) City: @ State: f Zip Code: Phone Number: ® 3 Email: a_ �° 4�) Contractor: Vie) / �o Address: City State: Zip Code: Phone Number: 7 Email: € � Contractor's License Number: Zia T / Expirationg 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 propertM ce with the ws, rules and regulations of the State of Washington. The applicant will be responsible for providiely ac ssi g roof for inspection. A final inspection and approval shall be obtained when the re-roofing is comple ps Signature Date Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received GiTY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20902 67th Ave NE Permit#:2555 Parcel#:31051100301700 Valuation:3550.00 OWNER APPLICANT CONTRACTOR Name:MONEY SAVER ARLINGTON LLC Name:Money Saver Mini Storage Name:Assurance Roofing&Construction Address: 19011 WOOD-SNOH RD STE#200 Address:5729 Lakeview Dr.#200 Address: 13701 49th Dr NE City,State Zip:WOODINVILLE,WA 98072 City,State Zip:Kirkland,WA 98033 City,State Zip:Marysville,WA 98271 Phone: Phone:206-377-9333 Phone:425-238-7738 LIC:ASSLTRRC887RS EXP: 12/22/2020 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 your sales tax return form and coded City of Arlington#3101. 5 Signature Print Name Date Rcleased By tc 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 5/14/2019 Processing/Technology Fee $25.00 5/14/2019 Re-Roof $141.94 Total Due: $166.94 Total Payment: $0.00 Balance Due: $166.94 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 GiTY OF ARLINGTON 238 N. OLYMPIC AVE- ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20902 67th Ave NE Permit#:2555 Parcel#:31051100301700 Valuation:3550.00 OWNER APPLICANT CONTRACTOR Name:MONEY SAVER ARLINGTON LLC Name:Money Saver Mini Storage Name:Assurance Roofing&Construction Address: 19011 WOOD-SNOH RD STE#200 Address:5729 Lakeview Dr.#200 Address: 13701 49th Dr NE City,State Zip:WOODINVILLE,WA 98072 City,State Zip:Kirkland,WA 98033 City,State Zip:Marysville,WA 98271 Phone: Phone:206-377-9333 Phone:425-238-7738 LIC:ASSURRC887RS EXP: 12/22/2020 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: 3 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 18.2T 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 FINIAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCIIOQRCI i0. SALES TA\N T CE:Sales tax relating vilstruction and construction materiats i the City of Arlington mus be reported on your sates tax return form and code, ity o 4rlington#3101. Sigiiature Print Name Date Released By tte CONDITIONS Call for final inspection. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERM.IT 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 5/14/2019 Processing/Technology Fee $25.00 5/14/2019 Re-Roof $141.94 Total Due: $166.94 Total Payment: $0.00 Balance Due: $166.94 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#: 2555 Permit Date: 05/14/19 Permit Type: COMMERCIAL RE-ROOF Project Name: 20902 67th Ave NE Applicant Name: Money Saver Mini Storage Applicant Address: 5729 Lakeview Dr. #200 Applicant, City, State, Zip: Kirkland, WA 98033 Contact: Ken Mohr Phone: 206-377-9333 Email: ken@storagepartners.com Scope of Work: Composition roof installation Valuation: 3550.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 05/14/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31051100301700 20902 67TH AVE NE MONEY SAVER 638 Mini-Warehouse ARLINGTON LLC Contractors Contractor Primary Contact Phone Address Contractor Type License License# Assurance Roofing& CONSTRUCTION Construction William Baldwin 425-238-7738 13701 49th Dr NE CONTRACTOR L&I ASSURRC887RS Fees Fee Description Notes Amount Processing/Technology $25.00 Re-Roof Residential Residential $141.94 Credit Card Service $5.01 Total $171.95 Attached Letters Date Letter Description 05/14/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/14/2019 Ken Mohr 75335375 iTransact CC $166.94 05/14/2019 CC Surcharge CC Surcharge Raelynn Jones $5.01 #75335375 Outstanding Balance $0.00 Uploaded Files Date File Name 05/15/2019 5069475-2555 Signed pgrmit.pdf 05/14/2019 5067349-2555 Application.pdf