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HomeMy WebLinkAbout18815 46th Ave Ne_BLD2799_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:18815 46th Avenue NE Permit#:2799 Parcel#:00955700002600 Valuation: 11250.00 OWNER APPLICANT CONTRACTOR Name:GIANG LAN XUAN/HATCH SARAH P Name:S&S Roofing Name:S&S Roofing,LLC Address:22606 30TH AVE S Address:104 S West Avenue Address: 104 S West Ave City,State Zip:DES MOINES,WA 98198 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-386-9903 Phone:3603869903 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: 2 CONST.TYPE: `IB DWELLING UNITS; I OCC GROUP: R3 BUILDINGS: 1 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 E LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL S FD IkY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUI DIN UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN Al. ISALES TAX NOTICE:Sales tax relating to construction and co materials in'ihUf Arli gto a ep on your sales tax return form and coded City of Arlington#3 I01. Signature Print Name Date as By Date CONDITIONS Approved as submitted. 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 09/18/2019 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#: 2799 Permit Date: 09/18/19 Project Name: Hatch Site Address: 18815 46th Avenue NE Applicant Name: S & S Roofing Applicant Address: 104 S West Avenue City, State, Zip: Arlington, WA 98223 Contact: Dana Johnson Phone: 360-386-9903 Email:jennifersandsroofing@hotmail.com Permit Type: Residential Re-Roof Valuation: 11250.00 Status: Applied Permit Issued: Permit Expires: Square Feet: 2065 Type of Construction/Occupancy Type: Number of Stories: 2 Proposed Use: New comp roof with no sheathing replacement MIC/Opportunity Zone: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning GIANG LAN 111 Single Family 00955700002600 18815 46TH AVE NE XUAN/HATCH Residence- SARAH P Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# S&S Roofing,LLC Shane Dunlap 3603869903 104 S West Ave CONTRACTOR Labor& SSROOSR918MM Industries Fees Fee Description Notes Amount Processing/Technology Fee 341.43.00.02 $25.00 Total $25.00 :a Uploaded Files Date File Name 09/18/2019 5626400-2799 Application.pdf _ i ,l 1 RE-ROOF PERMIT APPLICATION r 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 11250.00 Yp p ( ) (� ( ) Commercial Valuation: Project Address: 18815 46th Ave NE Arlington, WA 98223 Parcel ID#: Owner: Chris Hatch Address. 18815 46th Ave NE City:Arlington State: W4 Zip Code:98223 Phone Number: 253-285-6255 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: Phone Number: 360-386-9903 jennifersandsroofing@hotmail.com Email: S S ROOS R918M M 8/3/2021 Contractor's License Number. Expiration: _... Type of Roofing Material: Owens Corning Duration True 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. � �cer ��o6i�ela�r— 09/18/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Received SEP 10 2019 Permit# Accepted By Amount Received Receipt# Date Received Contact Search L&ISEARCH ChLabor i Industries Workplace Rights .•- • 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. 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 N ............. ... o 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 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: 11250.00 18815 46th Ave NE Arlington, WA 98223 Project Address: Parcel ID#: Owner: Chris Hatch Address: 18815 46th Ave NE City:Arlington State: WA Zip Code:98223 Phone Number: 253-285-6255 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 R918M M 8/3/2021 Contractor's License Number: Expiration: Type of Roofing Material: Owens Corning Duration True 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 �a�c�S�Gcrcaa� 09/18/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received CITY OF ARLINGTON 0 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:18815 46th Avenue NE Permit#:2799 Parcel#:00955700002600 Valuation: 11250.00 OWNER APPLICANT CONTRACTOR Name:GIANG LAN XUAN/HATCH SARAH P Name:S&S Roofing Name:S&S Roofing,LLC Address:22606 30TH AVE S Address:104 S West Avenue Address: 104 S West Ave City,State Zip:DES MOINES,WA 98198 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-386-9903 Phone:3603869903 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: 2 CONST.TYPE: VB DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: I 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/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arli gt u be epLnrs u les tax return form and coded City of Arlington#3101. •��. VA F1 Signature Print Name Date as By Date CONDITIONS Approved as submitted. 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 09/18/2019 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#: 2799 Permit Date: 09/18/19 Permit Type: RESIDENTIAL RE-ROOF Project Name: Hatch Applicant Name: S & S Roofing Applicant Address: 104 S West Avenue Applicant, City, State, Zip: Arlington,WA 98223 Contact: Dana Johnson Phone: 360-386-9903 Email:jennifersandsroofing@hotmail.com Scope of Work: New comp roof with no sheathing replacement Valuation: 11250.00 Square Feet: 2065 Number of Stories: 2 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: EXPIRED Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning GIANG LAN 00955700002600 18815 46TH AVE NE X Residence Single Family -Detached SARAH P 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 Credit Card Service $0.75 Total $25.75 Attached Letters Date Letter Description 09/18/2019 Building Permit 09/18/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 09/19/2019 Dana Johnson 77119237 $25.00 09/19/2019 77119237 CC Surcharge Raelynn Jones $0.75 Outstanding Balance $0.00 Notes Date Note Created By: 04/26/2021 Not sure if this permit was issued.Status updated to expired. Jennifer Pittman Uploaded Files Date File Name 09/18/2019 5626400-2799 Apnlication.pdf