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HomeMy WebLinkAbout19230 Crown Ridge Blvd_BLD2606_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON,WA.98223 PHONE;(360)403-3551 BUILDING PFRMiT Address:19230 Crown Ridge Blvd Parcel 1_00910700002200 Permit#:2606 OWNER APPLICANT Valuation:3450.00 Name:BRrI"fON PEARL I CONTRACTOR Name:SBcS Roofing LLC Addreas:19230 CROWN RIDGE BLVp Name:S&S R001mtr,LLC City,State Zip:ARLINGTON.WA ress:l04 S-West Ave Address:P. 98223-4009 City,State Zip:Arlington,WA 98223 0-Box 969 Phone: Phone:360-386-9903 City,State Zip:blarysville,WA 98270 Phone:360-386-9903 MECHANICAL cONTRAcroR LIC SSROOSR918MM E.p:08�031Z019 Name.- PLITMBING CONTRACTORAddress: Name: - City,State,Zip: Address- Phone- City,State,Zip: LIC$- Phone- JOB JOB DESCRIPTION LIC#: E_XP: PERMIT TYPE: Residential Re-Roof STORIES: CODE YEAR- STORIES- DWELLING UNITS: CONST.TYPE: BUILDINGS- OCC GROUP: GCC Loan: PERMIT APPROVAL 1 AGRIifi TO COMPLY NITH CITY AND STATE LAMS REGU a NG CONS rRUCTION AND iN DOING THE WORK AUTHORITFD THERFFI2Y NO PERSON WILL BE EMPLOYED IN-vIOLATION OF THE LABOR CODE OF THE STATE OF WASHNGTOI RELATING TO"-FOWOR TICEP 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 p FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC1IQQRCI l0. S"LLL=S 1'A YES tax relating to construction and construction watenals in the City of Arlington must be reported on your sales tax return form ed CdY of $(o d 10 t - "I �L t in�7wS 6/11/2019 gnatur PrmtName Date Released By Date CONDITIONS Call for final inspection. THIS PERivil I A[TTH E PL ONLY THE LYORK NOTFU.THIS PF.RWT CO%'[RS WORK TO BE DONE ON PRKATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS.SIDFNvALKS,DRIVERAYS,MARQUEES.E7'C)WILL REQUIRE SEPARATE PFR>1tANY C. PERMIT FEES Date Description 6/11/2019 Processing/Technology Fee Fee Amount $25.00 Total Due: S25.00 Total Pavment: $0.00 CALL FOR INSPECTIONS Balance Due: 325-00 Bc uD (360)403-3417 - W heu calling for as lospection please leave the foilorving information: Permit Number,'1ype of Inspetdou being requested,and whether you prefer morning or afteruoon I ' I Permit Information Date 6/11/2019 Permit Number 2606 Project Name Reinke Re Roof 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 Residential Re-Roof Site Address 19230 Crown Ridge Blvd Valuation 8450.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Residential Re-Roof Number of Stories 0 Proposed Use Re-Roof Non structural MIC/Opportunity Zone Assigned To Raelynn Jones Property Parcel Address Legal Owner Owner Phone Zoning 00910700002200 119230 CROWN RIDGE BLVD I IBRiT-rONPEARLI I 1111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# &S Roofing,LLC Shane Dunlap 60-386-9903 •hanesandsroofinqphotmail.com JCONTRACTOR _abor&Industries iSROOSR918MM Fees Fee Description Notes Amount Process!n rrech nology Feel 341.43.00.02 $25.00 Totall $25.00 Uploaded Files Upload File Date File Uploaded B 6/11/2019 3:34:51 PM IZ606 Application.pdf Jones.Raelynn ( ,: I ' RE-ROOF r 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:8450.00 19230 Crown Ridge Blvd. Project Address: Parcel ID#: Owner: Chuck& Pearl Reinke Address: 19230 Crown Ridge Blvd City:Arlington State: WA Zip Code:98223 Phone Number: 425-210-5063 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 R918 M M 8/3/19 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Premier Arch 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 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 L-°��st� t�cltrzJcr� 06/11/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Keceivea -3L�^ �OLo JUN 11204 Permit# Ac By Amount Received Receipt# Date Received r 1 •i �[ I �� ' search L&I La*b'or' Safety&Health o Claims&Insurance c Workplace Rights <% Trades&Licensing o Washington State Department of "Labor & Industries S &S ROOFING LLC Owner or tradesperson 104 S West Ave. Principals ARLINGTON,WA 98223 JOHNSON,NANCY,PARTNER/MEMBER 360-386-9903 SNOHOMISH County DUNLAP,SHERI LYNN,PARTNER/MEMBER DUNLAP,SHERI LYNN,AGENT DUNLAP,SHANE STEVEN,PARTNER/MEMBER (End:08103/2011) Certifications & Endorsements OMWBE Certifications Apprentice Training Agent 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. TEN10782 Received by L&I Effective date 07/13/2018 07/15/2018 Expiration date 07/15/2019 Insurance history Help us improve Savings No savings accounts during the previous 6 yE nriod. 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 I STEPHANIE HENDERSON(360)902-5598-Email:HSTE235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 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 0 510 8/2 01 9 Violations Inspection no. 317954022 Location 2629 NE 82nd St Seattle,WA 98115 Inspection results date 07/09/2018 Under appeal.The results of the inspection are Inspection no being challenged. 317949404 Date of appeal Location 10/25/2018 1106 Ekle St Camano Island,WA 98282 _ .� 1 I 1cc��ss W N'slt tan^ Help us improve r � ; RE-ROOF PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arington, WA 98223 • Phone (360) 403-3551 Type of permit: (check one) (0 Residential ( ) Commercial Valuation:8450.00 19230 Crown Ridge Blvd. Project Address: Parcel ID#: Owner: Chuck & Pearl Reinke Address: 19230 Crown Ridge Blvd City:Arlington State: WA Zip Code: 98223 Phone Number: 425-210-5063 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: Pabco Premier Arch 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. I9,d, eme=o=om M�11 %aa� 06/11/2019 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:19230 Crown Ridge Blvd Permit#:2606 Parcel#:00910700002200 Valuation:8450.00 OWNER ! APPLICANT * CONTRACTOR Name:BRITTON PEARL I Name:S&S Roofing LLC Name:S&S Roofing,LLC Address: 19230 CROWN RIDGE BLVD Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-4009 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 V 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Raelni L7oires 6/11/2019 Signature Print Name Date Released By 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 6/11/2019 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $0.00 Balance Due: $25.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON,WA.98223 PHONE; (360)403-3551 BUILDING PERMIT Address:19230 Crown Ridge Blcd Parcel 4:00910700002200 Permit#:2606 Valuation:8450.00 OWNER APPLICANT CONTRACTOR Name:BRITTON PEARL I Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:19230 CROWN RIDGE BLVD Address:104 S.West Ave City,State Zip:ARLINGTON,WA 98223-4009 City.State Zip:Arlin o WA 98223 Address. Zi Box 969 Phone: P �� City;State Zip:Marysville,WA 98Z70 Phone:360-386-9903 Phone:360-386-9903 LIC:SSROOSR918MM EXP:08l0312019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Address: Name: Address: Phone: City,State;Zip: City,State,Zip: LIC!�: Phone: EXP: LIC�: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: DWELLING UNITS: CONST.TYPE: BUILDINGS: OCC GROUP: OCC LOAD: PERMIT APPROVAL I AGREE TO Co_MPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHiNGTON RELATING To WO 'S COMPENSATION INSURANCE AND RCW 18.27. RKMEN THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AN APPROVAL OR A CERTIFICATE OF OCCUPANCYHAS BEEN GRANTED. IBC110/IRCI10. SALES TAX NOTICES es tax relating to construction and construction materials in the City of Arlington must be repotted on your sales tax return form ed City of X o 4310 r �Gf�E h�1,70h$( 6/11/2019 �gna Print Name Date Released By \ CONDITIONS Date Call for final inspection. TH[S PERMIT AUTHORIZE ONLY THE WORK SIPE ON THE PUBLIC DOMAIN(CURBS,BS,SIDEWALKS THIS KP-IIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ,DRIVEWAYS,MARQUEES,ETC_)WILL REQUIRE SEPARATE PERMISSION_ PERMIT FEES Date Description 6%11/2019 Processing/Technology Fee Fee Amount $25.00 Total Due: S25.00 Total Pacment $0,00 Balance Due: S25.00 CALL FOR INSPECTIONS BLID_DLNG(360)403-3417 When calling for an inspection please leave the following Information: Permit\amber,Type of Inspection being requested,and whether you prefer morning or afternoon Permit#: 2606 Permit Date: 06/11/19 Permit Type: RESIDENTIAL RE-ROOF Project Name: Reinke Re Roof 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: 8450.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 06/13/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00910700002200 19230 CROWN RIDGE BRITTON PEARL I 111 Single Family BLVD Residence-Detached 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 06/11/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 06/12/2019 Jennifer Turrone 75736269 iTransact CC $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name 06/13/2019 5191997-2606 Signed Permit.pdf 06/11/2019 5181171-2606 Application.pdf