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Home My WebLink About18230 CHAMPIONS DR_BLD3523_2026 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: 28,665.00 18230 Champions Dr. Arlington, WA 98223 Project Address: Parcel ID#: Owner: Stephanie & Russ Gielski Address: 18230 Champions Dr. City:Arlington State: WA Zip Code:98223 Phone Number: 425-681-4885 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: SSROOSR918MM 8/3/21 Contractor's License Number: Expiration: Type of Roofing Material: Owens Corning True Definition 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 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. Lc?7 G f a '� � � Kev_ e =9ee=464434� eod 11/02/2020 Applicants Signature Date Jennifer Turrone Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED Cl DO NOT OCCUPY D APPROVED PERMIT -,"- M-AM P_PM DATE: - JOB ADDRESS: ,l'2-Zi.2 t j .,; 1 U,Jc_ (' .I LOT#: PROJECT: &71E 1CCU i 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 THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE O PLANNING 0 CIVIL (]`BUILDING CITY OF ARLINGTON ' r CITY OF ARLINGTON 18204 59th Avenue NE,Arlington, WA 98223 INSPECTIONS:360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 18230 CHAMPIONS DR Permit#:3523 Permit Expiration Date:05/02/2021 Parcel#:00874400008500 Valuation:28665.00 OWNER APPLICANT CONTRACTOR GIELSKI RUSSELL L S&S Roofing LLC S&S Roofing,LLC 18230 CHAMPIONS DR 104 S West Ave 104 S West Ave ARLINGTON,WA 98223 Arlington Arlington,WA 98223 3603869903 3603869903 LIC:SSROOSR918MM EXP:08/03/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR 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 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. IBCI l0/IRCl l0. 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. /3/2020 gnaturc Print Name Date -leased Date CONDITIONS Approved permit 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. PERIVIIT FEES Date Description Fee Amount 11/03/2020 Re-Roof Residential $75.00 11/03/2020 Processing/Technology Fee $25.00 Total Due: $100.00 Total Payment: $0.00 Balance Due: $100.00 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 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) (%4) Residential ( ) Commercial Valuation:28,665.00 18230 Champions Dr. Arlington, WA 98223 Project Address: Parcel ID#: Owner: Stephanie & Russ Gielski Address: 18230 Champions Dr. Arlington WA 98223 City: State: Zip Code: Phone Number: 425-681-4885 Email:Jennifersandsroofing@ hotmail.com Applicant:S & S Roofing LLC Address: 104 S. Mst 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: SSROOSR918MM 8/3/21 Contractor's License Number: Expiration: Owens Corning True Definition 1 Type of Roofing Material: Number of Existing Layers: Class of Roofing: A ✓0 B ❑ C ❑ Replacing existing sheathing: Yes ❑ No Roof tear off: F41 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. rTei"�fo tN "'r'to`�� 11/02/2020 Applicants Signature Date Jennifer Turrone Print Applicants Name FOR STAFF USE ONLY Received Ki0y a 9 2o2o Permit# Accep y Amount Received Receipt# DateT�eceived 1 i Q Some online services are currelit y unavailable.See a list of service outages.(https:/rini.Wa.gov agencyLsystem-status) L&I regional offices are closed to public visits until further notice. Offices can still help you by phone from 8 a.m.to 5 p.m. weekdays (except state holidays). Use the phone number for your closest regional office (hMis ;kii;,,3 gov agency/coi,„,, ::_r.._..--I„ ,t ,;, ), or you can call the Office of Information and Assistance at 360-902-5800. wa,h9o �e�a�� Labor&Industries(https'/llni wa gov) 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. 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 07115/2009—08/03/2021 Bond CBIC $6,000.00 Bond account no. SI3456 Received by L&I Effective date 07114/2009 07/15/2009 Expiration date Until Canceled Insurance Houston Specialty Ins Co $1,000,000.00 Policy no. TEN23542 Received by L&I Ettective date 0611912020 07/15/2019 Expiration date 07/15/2021 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 Nn octivn cnrtifinntinns exist for Thin husinnss 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 &Indus"to verify if this hi sinass 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 Estimated workers reported Quarter 3 of Year 2020"31 to 50 Workers" L&I account contact T4 I STEPHEN TASSONI(360)902-4819-Email:TASS235@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 t11his 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 NOTICE V TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY n APPROVED PERMIT# ;C is 7i d-AM O-PM DATE: JOB ADDRESS: LOT#: PROJECT: —11 EI t�U TYPE OF INSPECTION: V, 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 ❑ CALL FOR REINSPECTION THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE GAY � p PLANNING 0 CIVIL "] BUILDING CITY OF ARLINGTON CITY OF ARLINGTON Dw 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 -BUILDING PERMIT 18230 CHAMPIONS DR Permit#:3523 Permit Expiration Date:05/02/2021 Parcel#: 00874400008500 Valuation:28665.00 OWNER APPLICANT CONTRACTOR GIELSKI RUSSELL L S&S Roofing LLC S&S Roofing,LLC 18230 CHAMPIONS DR 104 S West Ave 104 S West Ave ARLINGTON,WA 98223 Arlington Arlington,WA 98223 3603869903 3603869903 LIC:SSROOSR918MM EXP:08/03/2021 MECHANICAL CONTRACTOR ! PLUMBING CONTRACTOR . LIC#: EXP: LIC#: EXP: JOB DESCRIPTION i PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: 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. 11/3/2020 Signature Print Name Date el eased Date I CONDITIONS Approved permit shall be onsitc 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 11/03/2020 Re-Roof Residential $75.00 11/03/2020 Processing/Technology Fee $25.00 Total Due: $100.00 Total Payment: S0.00 Balance Due: $100.00 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 Permit#: 3523 Permit Date: 11/03/20 Permit Type: RESIDENTIAL RE-ROOF Project Name: Gielski Applicant Name: S&S Roofing LLC Applicant Address: 104 S West Ave Applicant, City, State, Zip: Arlington Contact: Jennifer Turrone Phone: 3603869903 Email: danasandsroofing@hotmail.com;jennifersandsroofing@hotmail.com Scope of Work: Re-Roof Non structural Valuation: 28665.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/06/2020 Permit Expires: 05/02/2021 Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00874400008500 18230 CHAMPIONS DR LIELSKI RUSSELL 125 DUPLEX 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 01/29/2021 R00.1 RE-ROOF Roof Final 01/29/2021 01/29/2021 BUILDING Approved FINAL Fees Fee Description Notes Amount Re-Roof Residential Residential $75.00 Processing/Technology $25.00 Total $100.00 Attached Letters Date Letter Description 11/03/2020 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/04/2020 Dana Johnson 83234418 $100.00 Outstanding Balance $0.00 Uploaded Files Date File Name 09/21/2021 9727067-3523 Inspection-Final.pdf 11/03/2020 7639249-18230 Re Roof Permit Application Dcyc28SfPxs0s.pdf _ s CITY OF ARLINGTON 18204 59th Avenue NE,Arlington, WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 18230 CHAMPIONS DR Permit#: 3523 Permit Expiration Date: 05/02/2021 Parcel#: 00874400008500 Valuation:28665.00 OWNER APPLICANT CONTRACTOR GIELSKI RUSSELL L S&S Roofing LLC S&S Roofing,LLC 18230 CHAMPIONS DR 104 S West Ave 104 S West Ave ARLINGTON,WA 98223 Arlington Arlington,WA 98223 3603869903 3603869903 LIC:SSROOSR918MM EXP:08/03/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR 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 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. 11/3/2020 gnaturc Print Name Date leased Date CONDITIONS Approved permit 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. PERNUT FEES Date Description Fee Amount 11/03/2020 Re-Roof Residential $75.00 11/03/2020 Processing/Technology Fee $25.00 Total Due: $100.00 Total Payment: $0.00 Balance Due: $100.00 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