HomeMy WebLinkAbout18403 E Country Club Dr_BLD5840_2025 Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Permit Number: BLD5840 Permit Type: Residential Re-Roof
Address/Parcel: 8403 E Country Club Dr Completed (Month/Year): August 2024
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DocuSign Envelope ID: 1278FA7E-A793-4898-82B5-FF944CBA7EED
CITY OF ARLINGTON
18204 59th Avenue NE, Arlington, WA 98223
INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551
BUILDING PERMIT
18403 E COUNTRY CLUB DR Permit #: 5840
PERMIT EXPIRES 180 DAYS AFTER
Parcel #: 00832900005400
DATE OF ISSUANCE.
Scope of Work: Reroof Valuation: 30000.00
OWNER APPLICANT CONTRACTOR
GORDON DENNIS & CHERYL Washington Roofing Services Washington Roofing Services
1323 188TH ST NW 390 Shepards Lane 390 Shepards Lane
ARLINGTON, WA 98223-8324 CAMANO ISLAND Camano Island, WA 98292
12069487395 2069487395
LIC: 604 332 531 EXP: 09/30/2024
LIC: WASHIRS820PB EXP: 10/02/2024
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC #: EXP: LIC #: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL RE-ROOF CODE YEAR: 2018
STORIES: 1 CONST. TYPE: VB
DWELLING UNITS: OCC GROUP: R-3; Residential
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any
other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the
Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice
or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid. The building official is
authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or
any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or
decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or
on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or
federal law, or any order, proclamation, guidance or decision of the Governor.
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.
2/20/2024
02/20/2024
Applicant Signature Date Building Official Date
DocuSign Envelope ID: 1278FA7E-A793-4898-82B5-FF944CBA7EED
CONDITIONS
Adhere to approved materials. Call for final inspection. Permit shall be onsite for inspection.
The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property
owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or
community. The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities
before commencing construction. The property owner shall ensure that the construction project complies with all applicable design
review requirements.
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
02/20/2024 Processing/Technology $25.00
02/20/2024 Re-Roof Residential $75.00
02/20/2024 Inspection $75.00
Total Due: $175.00
Total Payment: $175.00
Balance Due: $0.00
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection, allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number, Type of Inspection being requested, and whether you prefer morning or afternoon
INSPECTION INFORMATION Pass/Fail
DocuSign Envelope ID: D02148C2-7AE9-45F3-8401-1C73592F8FE0
RE-ROOF PERMIT APPLICATION
Community and Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
Type of Permit: Commercial X Residential
Property Address: 18403 County Club Dr Suite/Unit Number:
Lot #: Parcel ID No.: Project Valuation: 30k
Project Scope of Work: Remove cedar shingles. Install 1/2" cdx over skip sheathing. install shingles
Primary Contact: Owner Applicant X Contractor
Owner Name: Dennis Gordon Office No.:
Email Address: eh.dennis98292@gmail.com Cell No.: 3607224172
98223
Mailing Address: 18403 country club dr City: arlington State: wa Zip:
Applicant Name: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Contractor Name: Andrew Pace Office No.:
Email Address: apace@waroofingservices.com Cell No.: 2069487395
Mailing Address: 412 172nd st ne City: arlington State: wa Zip: 98223
L&I Contractor License Number: WASHIRS820PB Expiration Date: 10/2/24
X
Type of Roofing Material: Malarkey Windsor Replacing existing sheathing: Yes No
Number of Existing Layers: 1 Installation over existing material: Yes X No
Roof tear off: X Yes No
NOTE: installing plywood over existing skip sheathing
X
Class of Roofing: A – Highest Fire Rating B – Moderate Fire Rating C – Light Fire Rating
Concrete, Clay, Roof Tiles, Fiberglass Pressured Treated Shakes and Untreated Wood Shakes and
Class Examples:
Asphalt Composition Shingles, Metal Roofs Shingles Shingles, Plywood, Particleboard
The following is required for NON-RESIDENTIAL BUILDINGS
Provide 2 copies of the installation specifications and U.L. listed roof assembly.
Existing Roof Structure: Existing Roof Material:
Building Occupancy: Office/Professional Services Industrial Restaurant
Other: Educational Facility Retail Religious Facility
I hereby certify that I am the Owner, Applicant, Contractor, and authorized to sign this application and that the
above information is correct and construction on, and the occupancy and the use of the above-described property will be in
accordance with the laws, rules and regulation of the State of Washington, and the City of Arlington. 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.
2/20/2024
Andrew Pace
Signature Print Name Date
FOR STAFF USE ONLY
PERMIT # ACCEPTED BY: DATE STAMP
REV01.2022
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