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HomeMy WebLinkAbout125 HALLER AVE_BLD2729_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:125 E Haller Ave Permit#:2729 Parcel#:00461803902902 OWNER Valuation:9450.00 Name:NELSEN LUKE C/BILLIOT CHRISTINE APPLICANT CONTRACTOR R Name:S&S Roofing LLC Name:S&S Rooling,LLC Address:125 EAST HALLER Address:104 S West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington City,State Zip:Marysville,WA 98270 Phone: Phone:360386903 Phone:360-386-9 03 MECHANICAL CONTRACTOR PLUMBING C LIC:SSRUUSR918MM I:XP:08/03/2021 ONTRACTOR Name' Name: Address: Address: City,State.Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNn'S: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY A,'ID STATE LAWS REGULMNG CONSTRUCI'I()N 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 rNSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI l0/IRC110, SALES TAX NOTICF Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form ARC�f.Qf}C[1-C' Of AflingWn I f Irlf!/__Y 8/15/19 Signa a Print Name Date frclensC Y Date CONDITIONS CALL FOR FINAL INSPECTION. THIS PERMIT AUTHORIZES ONLY TILE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY .6_NY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description — 8/15/2019 Fee Amount 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 Permit Information Date 8/15/2019 Permit Number 2729 Project Name Billiot Applicant Name S&S Roofing LLC Applicant Address 104 S West Ave City, State,Zip Arlington Contact Phone 3603869903 Email danasandsroofing@hotmail.com Permit Type Residential Re-Roof Site Address 125 E Haller Ave Valuation 9450.00 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 Le al Owner Owner Phone Zoning 00461803902902 1125 HALLER AVE I I NELSEN LUKE C/BILLIOT CHRISTINE R 111 Single Family Residence Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# S&S Roofing,LLC Ohane Dunlap 360-386-9903 shanesandsroofin hotmail.com -ONTRACTOR ILabor&Industries ISSROOSR918MM Fees Fee Description Notes Amount Processin /Technolo Fee 341.43.00.02 $25.00 Totall $25.00 Uploaded Files Upload File Date I File Uploaded By 77=7 8/15/2019 10:11:05 AM 12729 Application.pdf Jones,Raelynn I }:. ., I �I �� 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) (t/) Residential ( ) Commercial Valuation:945 0.00 125 E. Haller Arlington, WA 98223 Project Address: Parcel ID#: Owner: Christine Billiott Address: 125 E. Haller City:Arlington State: WA Zip Code:98223 Phone Number: 360-840-5539 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: SS ROOS R918MM 8/3/21 Contractor's License Number Expiration: Type of Roofing Material: Pabco Premier 30 year Number of Existing Layers: 1 Class of Roofing: A Wrl 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. 1 a�t2 c%6c��loor• 08/13/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY ecelve &D AUG 14 2019 Permit# Accdpft By Amount Received Receipt# Dale Received _ � a_ � Home Espafiol ContactSearch L$ISfARAC La rt r a Safety&Health 0 Claims&Insurance M- Workplace Rights Q Trades&Licensing 0 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 &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. SI3456 Received by L81 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 07115/2019 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 agait the.11 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 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) (v) Residential ( ) Commercial Valuation:9450.00 125 E. Haller Arlington, WA 98223 Project Address: Parcel ID#: Owner: Christine Billiott Address: 125 E. Haller City:Arlington State: WA Zip Code:98223 Phone Number: 360-840-5539 Email:jennifersandsroofing@hotmail.com Applicant: S & S Roofing LLC Address: 104S. 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 8/3/21 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Premier 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. es,9�,d�,� e�me=,o�=�om 08/13/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:125 E Haller Ave Parcel#:00461803902902 Permit#:2729 Valuation:9450.00 Name:OWNER APPLICANT CONTRACTOR e:NELSEN LUKE C/BILLIOT CHRISTINE R Name:S&S Roofing LLC Name:S&S Rooting,LLC Address:125 FAST HALLER Address:104 S West Ave City,State Zip:ARLINGTON,WA 98223 Address:P.O.Boa 969 City,State Zip:Arlington Ci State Zi Ma sville,WA 98270 Phone: �^ P�� D' Phone:3603869903 Phone:360-386-9903 LIC:SSROOSR918MM EXP:08/03/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone; Phone: LIC#: EXP: LIC#: EXP; JOB DESCRIPTION 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 ARID IN DOh\'G'T WORK AUTHORIZED TFIL•RCBY; 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. IBCI 10/IRCl10, SALES TAX 14017C •Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form anc�Setkd of Arlington ' t 8/15/19 Signa tr Print Name Date Itclease Y 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,tAARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION, PERMIT FEES Date Description 8/15/2019 Processing/Technology Fee Fee Amount $25.00 Total Due: $25.00 Total Payment: $0.00 CALL FOR INSPECTIONS Balance Due: $25.00 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:125 E Haller Ave Permit#:2729 Parcel#:00461803902902 Valuation:9450.00 OWNS APPLICANT CONTRACTOR Name:NELSEN LUKE C/BILLIOT CHRISTINE Name:S&S Roofing LLC Name:S&S Roofing,LLC R Address: 125 EAST HALLER Address:104 S West Ave Address:P.O.Box 969 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington City,State Zip:Marysville,WA 98270 Phone: Phone:3603869903 Phone:360-386-9903 LIC:SSROOSR918MM EXP:08/03/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION j or 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. IBC 110/IRCI10. 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. 8/15/19 Signature Print Name Date Release y 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 8/15/2019 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 Permit#: 2729 Permit Date: 08/15/19 Permit Type: RESIDENTIAL RE-ROOF Project Name: Billiot Applicant Name: S&S Roofing LLC Applicant Address: 104 S West Ave Applicant, City, State, Zip: Arlington Contact: Phone: 3603869903 Email: danasandsroofing@hotmail.com Scope of Work: Re-Roof Non structural Valuation: 9450.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/16/2019 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning NELSEN LUKE 00461803902902 125 HALLER AVE CB Residence Single Family -Detached CHRISTINE R 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 08/15/2019 Building Permit 08/15/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/16/2019 Dana Johnson 76610655 $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name 08/20/2019 5486948-2729 Issued permit.pdf 08/15/2019 5467454-2729 Application.pdf