HomeMy WebLinkAbout20902 67th Ave Ne_BLD2555_2026 CiTY OF ARLINGTON
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' 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
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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
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PERMI��������N�� APPLICATION
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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