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HomeMy WebLinkAbout19602 Peak Pl_BLD2681_2026 �= CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON,WA,98223 PHONE: (360)403-3551 Address:19602 Peek Place BUILDING PERMIT Parcel R:00904500002600 Permit k:2681 OWNER Valuation:t1500.00 APPLICANT CONTRACTOR Name:MESA DARRE.V,q�CHI2TSTIIvA E ,ame:SS Roof"me LLC Address:19602 PEAK PL Name:S&S Roofing,LLC Address:104 S.\L'est Ave Address:P.O_Box 969 City,State Zip:ARLINGTON,WA 98223-4021 City,State Zip:Arlington,WA 98223 Phone: Ci t_Y,,State Zip_VIarysville,WA 98270 Phone:360-386-9903 Phone:360-386-9903 MECHANICAL CONTRACTOR LIC:SSROOSR918NIM EXP:08r03 2019 PLUMBING CONTRACTOR Name: Address: Lame: CTIy,State,Zip: Address- Phone- City,State,Zip: Phone: LIC.�.: EXP: LIC�: JOB DESCRIPTION EXP. PERIvHT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: DWELLING UNITS: CONST.TYPE: BUILDINGS: OCC GROUP: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND,STATE LAWS REQULATING COiVs7 KLjCnON AND N DOING THE WORK AL-fEIORlZED THEREBY.NO PERSON WILL BE E,bIPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF W.ASHNGTON RELATING TO 4VORK.MEN'S COWE'NSATTON INSURANCE AND RCW 1927. THIS APPLICATTON IS NOT A PERMIT UNTIL SIGNED BY TIC BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PATD, IT IS UNLANVFLL TO USE OR OCCLPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE,�,-D AP PROVAL OR A CERTIFICATE OF OCCLpANCY HAS BEEN GR TE AND_IBCI IOIRC130. Yq1 :Sales relating to construction and construction materials in the City of Arlington must be reported on your sales Iax re[um Form coded ' •of Ar'plot 1 sifmntur - ILO.d 7/24/19 f Print Lame Date aced B Date CONDITIONS THIS PER�ITT AUTHORIZES O\I.Y THE q ORK NOTED FFBB PER,\fiT C�ERS WORT;TO BE DONE ON PRIVATE PROPERTY ONLY ANY CON5TRUCTT0K ON THE PUBLIC DO.WLL`(CURBS.SIDF AWLKS.DRnEWNYS.;14ARQtT..F.S,ETC.)%%9 LL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description T/2412019 Processing/Technology Fee Fee Amount $25.00 Total Due: S25.00 Total Pavment: S0.00 CALL FOR INSPECTIONS Balance Due: 525.00 BUILDING(360)403-3417 Willett calling for an Inspection please leave the following Information: Penult.Number Type of Inspection being requested,and whether von prefer morning or afternoon iI ,ti r I n 8 _ k 2 ( g } 0 } / § M n E 8 (D r ■ � - V ` 0 » § � 10 E ■ \ U) c 2 k m 2 E § > ■ I § 2 i � / f a m n g » z } (n E o c ° EIn ; k ; 3 2 § o 0 2 $ 0 C i U, E 0 B ; m & § i § 2 ƒ f ° 7 ° % % M ? % £ 2 § ƒ § / r D F t �I CD ( k $ \ \ \ m & , 6 _0 D ( o e _ 0 f o { 7 m » / i o � ( 2 ƒ CL \ \ I & B I < r $ § \ ) o & § CD b 2 \ § \ § . $ 0 § m � ( m \ ƒ < �� • I 0 § } ; \ ƒ / / W. / N f ; 2 (M m k cn T P. C m Cl) A N x O0 p o Cal, - � a o ? CD O m 2! r r U N n Ol 3 m m c m m �- D �l L7 O p � 7 � la � m m rn c cw o T 3 (D O U :3 W m TI m O v n m m N N N [U o a, N m o � o 0 0 Q m � 0 3 m m = m _ n 0 3 O o m n O CD =' Z n -I o zi p o b A m W U o � c O O O N c r CDa �• CL z 7J O N 7 N E m m (n O x O I O r_ Io 3 CD o cfl m c a c m V C" Cn O o 0 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 Residential 11500.00 yp p ( ) (� ( ) Commercial Valuation: 19602 Peak PI. Arlington WA 98223 Project Address: -- - Parcel ID#: Owner: Christina Mesa Address: 19602 Peak PI. City:Arlington State: W4 Zip Code:98223 Phone Number: 360-322-7530 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: Owens Corning True Definition 1 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. 07/24/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Neceivea � 9g JUL 2 41019 Permit# Acc Amount Received Receipt# Date Received i' - I 1 1 ` •. LaborRome Espafiol Contact i Safety&Health M Claims&Insurance 0 Workplace Rights M Trades&Licensing S-1 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: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; Certifications 8 Endorsements 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—08/03/2021 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. TEN23542 Received by L&I Effective date 07/11/2019 07/15/2019 Expiration date 07/15/2020 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 Public Works Requirements Workplace safety and health �11`ashinllonw Help-usimpr 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) (0 Residential ( ) Commercial Valuation: 11500.00 19602 Peak PI. Arlington WA 98223 Project Address: Parcel ID#: Owner: Christina Mesa Address: 19602 Peak Pl. City:Arlington State: WA Zip Code:98223 Phone Number: 360-322-7530 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: Owens Corning True Definition 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� 07/24/2019 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:19602 Peak Place Permit#:2681 Parcel#:00904500002600 Valuation: 11500.00 OWNER APPLICANT * CONTRACTOR Name:MESA DARREN&CHRISTINA E Name:S&S Roofing LLC Name:S&S Roofing,LLC Address: 19602 PEAK PL Address:104 S.West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223-4021 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. 7/24/19 Signature Print Name Date eleased B Date CONDITIONS _ Call for final inspection. THIS PERMIT AUTHORIZES 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 7/24/2019 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $0.00 Balance Due: $25.00 CALL FOR INSPECTIONS L 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#: 2681 Permit Date: 07/24/19 Permit Type: RESIDENTIAL RE-ROOF Project Name: Mesa 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: 11500.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 07/31/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00904500002600 19602 PEAK PL MESA DARREN& 111 Single Family CHRISTINA E 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 07/24/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/25/2019 Dana Johnson 76297353 iTransact CC $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name 07/24/2019 5367417-2681 Application.pdf CITY CIF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON,WA.98223 PHONE:(360)403-3551 BUILDING PERMIT Address:19602 Peak Place Parcel a:00904500002600 Permit#:2681 Valuation:11500.00 OWNER APPLICANT CONTRACTOR Name-MESA D.ARREN&CHRISTINA E Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:19602 PEAK PL Address:104 S.West Ave City,State Zip:ARLINGTON,WA 98223-4021 City,State Zip:Arlington,WA 98223 CidyState Z Box 969 Phone: Phone:360-386-9903 ty P Marysville,WA98270 Phone:360-386-9903 MECHANICAL CONTRACTOR LIC:SSROOSR918MM EXP:08.!03/2019 Name: PLUMBING CONTRACTOR Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC=: EXP: JOB DESCRIPTION PEST 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 CONST ORI{AUTHORIZED THEREBY, COMPENSATION INSURANCE AND RCW 18.27. RUCTION AND 11I DOING TBE��'NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISIFIER DEPUTY AND ALL FEES ARE PAID, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE A A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.MCI I0'1RCll0. ND APPROVAL OR S NOTICE:Sales relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form an coded of gt ru.2 7/24/19 Signatur' Prmt Name Date leased By Date CONDITIONS Call for final inspection. THIS PER-Wr AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMALti(CLRBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC,)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description 724/2019 Processing/Technology Fee Fee Amount $25.00 Total Due: S25.00 Total Payment: $0.00 CALL FOR INSPECTIONS Balance Due: S25.00 BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit N amber,Type of Inspection being requested,and whether you prefer morning or afternoon