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HomeMy WebLinkAbout421 N Stillaguamish Ave_BLD2843_2026 CITY OF ARLINGTON 238 N. OLY_INVIC AVE-ARLINGTON.WA.98223 PHONE;(360)403-3551 BUILDING PERMIT Address:421 N Sflllaguamisb Permit rY:2943 Parcel#:00411600301500 Valuation_13000 00 OWNER APPLICANT CONTRACTOR Name:OLSONBENJAIVILNE Name*S&SRoofineLLC Name:S&S Roofing,LLC Address:421 N STILLAGUAMISH A\,'E AddressA 04 S West Ave Address 104 S West Ave City-,State Zip:ARLINGTON.WA 98223 City,State Zip:Arlington City_Stale Zip;,4rlinaton;WA 93233 Phone: Phone:3603869903 Pltone:3603869903 LIC:OLYVPSC012QP EXPA81,032021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: City,State,Zip: Address: Phone: City;State,Zip: Phone: LIC ir: EXP: LIC#: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: CONST TYPE. DWELLLNG LIVITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COYIPLY WITH CITY AND STATE LAWS REOLILATQIG CONSTRUCTION AND IN DOIICO THE WORK ALTHORMM THEREBY. NO PERSON WILL.BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF lVAS1liNGTp�T RELATIYG TO WORK%tE'�S COMPENSATION INSURANCE AND RCW 1827. TIES APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS�BER DEPUTY AND ALL FEES ARE PAID - IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION APPROVAL OR HAS BEEN MADE AND OCCUPANCY CERTIFICATE OF OCCUPACY HAS BEEN GRANTED- IBC110iIRC110. S fa.�rel it to conatruction and consitution materia)s in the City of Arlington must be reported on your sales tar return form Fd C'y ofAr t 10/10/2019 Sian Print Name Date cicascd Date CONDITIONS Call for inspection prior to cover.Call for final inspection. THIS PERLIIT AUTHORIZES ONLY THE WORK NOTED-THIS PERNUT COtiFEtS WORK TO BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRATWAYS,NIARQUEES,ETC.)WILL REQUIRE SEPARATE PER ESSION. PERMIT'FEES Date Description 10/10/2019 ProcessinglTechnology Fee Fee Amount 10/10/2019 Re-Roof $25.00 $50-00 Total Due: S75.00 Total Payment $0 00 CALL FOR INSPECTIONS Balance Dae: S75.00 BL'O_DLNG(360)403-3417 When calling for ao inspection please Ieas'e the following information: Permit Number,IlTe of Inspection being requested,and whetherVou prefer morning or afternoon i Permit#: 2843 Permit Date: 10/10/19 Project Name: Olson Site Address: 421 N Stillaguamish Company Name: S&S Roofing LLC Company Address: 104 S West Ave City, State, Zip: Arlington Contact: Dana Johnson Phone: 3603869903 Email: danasandsroofing@hotmail.com Permit Type: Residential Re-Roof Valuation: 13000.00 Square Feet: 0 Number of Stories: 0 Type of Construction: Occupancy Type: Proposed Use: MIC/Opportunity Zone: Permit Issued: Permit Expires: Type of Construction-DNU: Status-DNU: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning OLSON BENJAMIN I I I Single Family 00411600301500 421 N STILLAGUAMISH E Residence- 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 i Re-Roof 322.10.00.00 $50.00 Total $75.00 Uploaded Files Date File Name 10/10/2019 5737371-2843 A1111lication.i df I �T R E-ROOF ' J 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) (%4) Residential ( ) Commercial Valuation:13,000.00 421 North Stillaguamish Ave, Arlington WA Project Address: Parcel ID#: Owner: Ben Olson Address: 421 North Stillaguamish Ave City:Arlington State: WA Zip Code:98223 Phone Number: 425-870-4741 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@hotmaii.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 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 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. �aoi�c�alrsc�lcrr 10/10/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY ?1 UD Permit# zC0 By Amount Received Receipt# Date Received i Hume Espa�iol Contact L&I Safety&Health 6 Claims&Insurance Workplace R. • Alft 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) JOHNSON,STEVEN MICHAEL,PARTNER/MEMBER i (End:08/03/2011) Doing business as S&S ROOFING LLC l WA UBI No. Business type , 602 934 849 Limited Liability Company Governing persons SHERI DUNLAP NANCYJOHNSON; SHANE DUNLAP; STEVEN M JOHNSON; License I 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 L&I Effective date 07/14/2009 07/15/2009 i Expiration date Until Canceled Insurance Houston Specialty Ins Co $1,000,000.00 Help us improve I � r � I 1 I r .. 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. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have apprentices. 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 2 of Year 2019"31 to 50 Workers" L&I account contact T3/STEPHANIE HENDERSON(360)025-5598-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 Exempt from this requirement. 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 05/08/2019 Violations Inspection no. 317954022 Location 2629 NE 82nd St Seattle,WA 98115 Inspection results date 07/09/2018 Violations Inspection no. a o i' ,. 317949404 Location 1106 Ekle St Camano Island,WA 98282 "stale,IJ,_W vl Lai a IIIdmt,-v Ui6 0!U❑u'416 is wUp'—':o'la 1OWN W pm Oklla o Y.A:,hinglQ)I W W.1,11110un 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) (v) Residential ( ) Commercial Valuation: 13,000.00 421 North Stillaguamish Ave, Arlington WA Project Address: Parcel ID#: Owner: Ben Olson Address: 421 North Stillaguamish Ave City:Arlington State: WA Zip Code:98223 Phone Number: 425-870-4741 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 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. es,9�,d�,� e�me=,o�=�om a�c25L�rcaa� 10/10/2019 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:421 N SttllaguamLsh Parcel#:00411600301500 Permit#:2843 Valuation:13000.o0 OWNER APPLICANT CONTRACTOR Name:OLSON BENJA IN E dame:S&S Roofing LLC Name:S&S Roofing,LLC Address:421 IN STILLAGUAMISH AVE AddressA 04 S West Ave City,State Zi ARLINGTON, Address:104 S West P-' N_WA 9821_3 City,State Zip:Arlington AveCity,State Zip:Artington,NA 98223 Phone: Phone:3603869903 Phone:3603869903 LIC:OLY_WSC012QP &10:08/03l2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR blame- Name: Address: Address: City,State,Zip: City;State,Zip: Phone: Phone: LIC 4: EXP: LIC#: JOB DESCRIPTION Ems. PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: COTST TYPE: DWELLING UNITS:BUILDINGS: OCC GROUP: OCC LOAD: PERMIT APPROVAL i AGREE TO COMPLY IVI7I4 CITY A,\D STATE LAWS REGULATING CONSTRUCTION AI,TD IN DOING THB WORK A[,THORIZED T'AEREBY` NO PERSON WILL.BE E_tyfPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORK�4E7\S COMPENSATION INSURANCE AND RCW 18.27 TIES APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL.OR H.IS!HER DEPUTY LND ALL FEES ARE PAID IT IS UN7L.AyVFLL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL I1*SPECTION HAS BEEN ACERTIFICATEOFOCCUYANCYIIAS BEEN GRANTED MC110;IRC1I0. tv1ADE AND AppR04i1I,OR Mq**-IA, E•Sat tax rel to construction and constuction materials in the City of Arlington must be reported on your sales tax return form � ` 10/10/2019 (07 S PnntNarno Datecleared Date CONDITIONS Call for 7TBS PER'W T ALTHOKIZES O.NLY Tlif IVORK NOTED.p prior PERMIT` I VCOVI S WORK TOO BE DONE I ON PRtV,%TE PROPERTY ONLY.aNY CONSTRUCTION ON THE PUBLIC DOMAIN(CLRHS.SWEI4ALHS.DRICEWAYS,MARQUEES.ETC.)WILL REQLTRE SUARATE PER.MS$ION, PERMIT FEES Date Description 1 011 0/20 1 9 Pro cessingiTechnology Fee Fee Amount 10(10/2019 Re-Roof $25.00 $50.00 Total Due: S75.00 Total Pavment: $0.00 CALL FOR INSPECTIONS Balance Due: S75.00 BVILOLNG(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:421 N Stillaguamish Permit#:2843 Parcel#:00411600301500 Valuation: 13000.00 OWNER APPLICANT CONTRACTOR Name:OLSON BENJAMIN E Name:S&S Roofing LLC Name:S&S Roofing,LLC Address:421 N STILLAGUAMISH AVE Address:104 S West Ave Address: 104 S West Ave City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington City,State Zip:Arlington,WA 98223 Phone: Phone:3603869903 Phone:3603869903 LIC:OLYMPSC012QP EXP:08/03/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOIJ Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION W 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. IBCl l0/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. ,� 10/10/2019 Signature Print Name Date eleased Date JW CONDITIONS ' JM Call for inspection prior to cover. 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 10/10/2019 Processing/Technology Fee $25.00 10/10/2019 Re-Roof $50.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 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#: 2843 Permit Date: 10/10/19 Permit Type: RESIDENTIAL RE-ROOF Project Name: Olson Applicant Name: S&S Roofing LLC Applicant Address: 104 S West Ave Applicant, City, State, Zip: Arlington Contact: Dana Johnson Phone: 3603869903 Email: danasandsroofing@hotmail.com Scope of Work: Valuation: 13000.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 10/16/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00411600301500 421 N STILLAGUAMISH OLSON BENJAMIN 111 Single Family 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 Re-Roof Residential Residential $50.00 Total $75.00 Attached Letters Date Letter Description 10/10/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/14/2019 Dana Johnson 77511305 $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 10/10/2019 5737371-2843 Application.pdf