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HomeMy WebLinkAbout16519 41st Dr Ne_BLD3004_2026 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL Cl CORRECTIONS REQUIRED ❑ DO NOT OCCUPY XAPPROVED PERMIT#: '��(' �AM PM DATE: �� Z . JOB ADDRESS: 110 LOT#: PROJECT: TYPE OF INSPECTION: ', OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 Cl CALL FOR REINSPECTION I r THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE O PLANNING M CIVIL (1 BUILDING CITY OF ARLINGTON • • CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON,WA.98223 PHONE;(360)403-3551 BUILDING PERMIT Address:16519 41st Dr NE Permit 9:M04 Parcel#:00866700004700 Valuation:8250.00 OWNER APPLICANT CONTRACTOR Name:THOMPSON JAMES M&TANDRA C Name:[Company Name] Name-S&S Roofing,LLC Address:16519 41ST DR NE#47 Address:[Company Address] 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,SSROOSR918IviM 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 GROLP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY Nk7M CITY AND STATE LAWS REGULATING CONSTRUCTIo\A)<M IN DOr% THE WORK AUTHORIZED THEREBY; NO PERSON RILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASEVOTON RELATING TO 1VORK0IE.V S COMPENSATION INSURANCE AND RCW 1827. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR IUS,11ER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN Iv1ADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. MCIloIIRCllo_ i sting to coustruction and �on m the City ofArlington must be reported on your sales tax return formandcodfdcityotAr � 1/30/2020 S. Print Name Date Releaze&mv Date l/ CONDITIONS Approved job copy shall be onsite for inspections.Call for final inspection. THIS PERvIlT AUTHORIZES ONLY THE WORK NOTED,THIS PERINUT COVERS WORK TO BE DONE ON PKRIATE PROPERTS ONLY ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE pFJLIXSSION_ PERMIT FEES Date Description Fee Amount 0 113 11202 0 Re-Roof $75.00 01/31/2020 Processing/Technology Fee $25.00 Total Due: $100.00 Total Pavmeut: $O 00 Balance Due: $100.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an luspecilun please lease the rollowing information: Permit Number,Type of Iuspectlou being requested,and whether you prefer morning or afternoon I 1� 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 8,250.00 yp p ( ) (.� ( ) Commercial Valuation: 16519 41st Dr. NE, Arlington, WA 98223 project Address: Parcel ID#: Owner: Jeremy Salsberry Address: 16519 41st Dr. NE City:Arlington State: W4 Zip Code:98223 Phone Number: 360-386-9903 Email:aennifersandsroofing@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 R918 M M 8/3/21 Contractor's License Number: Expiration: Type of Roofing Material: Pabco Premier 30 year 1 Number of Existing Layers: Class of Roofing: A © B ❑ C ❑ Replacing existing sheathing: Yes ❑ No Roof tear off: Fj] 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. 01/30/2020 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY 1- eCeIveC JAN 3 0 2020 Permit# Acc42dx Amount Received Receipt# Date Received i i i ,,,� fV IYashingron Shte 4paNnml of Labor&Industries_(https: In im a gov). Contractors 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 NANCY JOHNSON SHANE DUNLAP; SHERI DUNLAP; STEVEN M JOHNSON; License Verify the contractor's active registration I license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties ROOFING License no. SSROOSR918MM Effective—expiration 07115/2009—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 0 7/1 512 0 2 0 Insurance history Savings No savings accounts during the previous f 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. CertlflCations & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent ............. No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor &Industry to verify if this business has 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 Eslirnaled workers reported Quarter 4 of Year 2019"31 to 50 Workers" L&I account contact T3/STEPHANIE HENDERSON(360)902-5598-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 & 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. 317949404 Location 1106 Ekle St Camano Island,WA 98282 r� �� NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY XAPPROVED PERMIT#: AM PM DATE: r-I .JOB ADDRESS: r ' '� �lc.r LOT#• PROJECT: TYPE OF INSPECTION: OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK Cl STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. Cl CONTACT INSPECTOR 360-403-3551 Cl CALL FOR REINSPECTION THE ACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE �,, Cl PLANNING Cl CIVIL -1 BUILDING CITY OF ARLINGTON "�,, ,,�� RE-ROOF PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arington, WA 98223 • Phone (360) 403-3551 Type of permit: (check one) (..-) Residential ( ) Commercial Valuation:8,250.00 16519 41st Dr. NE, Arlington, WA 98223 Project Address: Parcel ID#: Owner: Jeremy Salsberry Address: 16519 41st Dr. NE City:Arlington State: WA Zip Code: 98223 Phone Number: 360-386-9903 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: S S ROOS R918M 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: F] 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. I osd3z=9en=ati4az3a,e«eode 01/30/2020 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:16519 41st Dr NE Permit#:3004 Parcel#:00866700004700 Valuation:8250.00 OWNER APPLICANT CONTRACTOR Name:THOMPSON JAMES M&TANDRA C Name:[Company Name] Name:S&S Roofing,LLC Address: 16519 41 ST DR NE#47 Address:[Company Address] 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: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 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. 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. 1/30/2020 Signature Print Name Date Release y Date MOMW CONDITIONS Approved job copy shall be onsite for inspections. 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 01/31/2020 Re-Roof $75.00 01/31/2020 Processing/Technology Fee $25.00 Total Due: $100.00 Total Payment: $0.00 Balance Due: $100.00 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#: 3004 Permit Date: 01/30/20 Permit Type: RESIDENTIAL RE-ROOF Project Name: Salsberry 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: 8250.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 02/03/2020 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning THOMPSON 141 Single Family 00866700004700 16519 41 ST DR NE JAMES M& Residence TANDRA C Condominium 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 Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 05/21/2020 R00.1 RE-ROOF Roof Final 05/21/2020 05/21/2020 BUILDING Completed FINAL Fees Fee Description Notes Amount Re-Roof Residential Residential $75.00 Processing/Technology $25.00 Total $100.00 Attached Letters Date Letter Description 01/30/2020 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 01/31/2020 Dana Johnson 78826712 $100.00 Outstanding Balance $0.00 Uploaded Files Date File Name 01/30/2020 6180912-3004 Application.pdf