HomeMy WebLinkAbout19408 Crown Ridge Blvd_BLD4080_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:13,250.00
19408 Crown Ridge Blvd, Arlington, WA 98223
Project Address: - Parcel ID#:
Owner: Mike Wood
19408 Crown Ridge Blvd. Arlington WA 98223
Address. City: State: Zip Code.
Phone Number:
425-232-7115 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. 1l\Iest Ave Arlington WA 98223
Address: City: State: Zip Code:
360-386-9903 jennifersandsroofing@ hotmail.com
Phone Number: Email
SSROOSR918MM 8/3/2023
Contractor's License Number: Expiration:
Pabco Premier 30 year 1
Type of Roofing Material: Number of Existing Layers:
Class of Roofing: A B El El Replacing existing sheathing: Yes ❑ No l� l
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. ;
>%srs�f�r ✓�fcr�ito 08/12/2021
Applicants Signature Date
Jennifer Turrone
Print Applicants Name
1 FOR STAFF USE ONLY
wp . t# Accepted By Amount Received Receipt# Date Rocoived
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: 13,250.00
19408 Crown Ridge Blvd, Arlington, WA 98223
Project Address: Parcel ID#:
Owner: Mike Wood
19408 Crown Ridge Blvd. Arlington WA 98223
Address: City: State: Zip Code:
Phone Number:
425-232-7115 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 8/3/2023
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
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 08/12/2021
Applicants Signature Date
Jennifer Turrone
Print Applicants Name
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
CITY OF ARLINGTON
Dw
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
19408 CROWN RIDGE BLVD Permit#: 4080
PERMIT EXPIRES 180 DAYS AFTER
Parcel#: 00910700003100 DATE OF ISSUANCE.
Scope of Work: Pabco Premier 30 year Valuation: 13250.00
OWNER APPLICANT CONTRACTOR
WOOD MICHAEL J S&S Roofing LLC S&S Roofing,LLC
19408 CROWN RIDGE BLVD 104 S West Ave 104 S West Ave
ARLINGTON,WA 98223-4027 Arlington,WA 98223 Arlington,WA 98223
3603869903 3603869903
LIC:SSROOSR918MM EXP:08/03/2023
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
S&S Roofing,LLC
104 S West Ave
Arlington,WA 98223
3603869903
LIC#: SSROOSR918MM EXP: 08/03/2023 LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Re-Roof CODE YEAR: 2018
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. IBC 110/IRC 110.
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.
Signature Print Name Date Released By Date
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
08/12/2021 Re-Roof Residential $75.00
08/12/2021 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
t W
CITY OF ARLINGTON
w 18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
19408 CROWN RIDGE BLVD Permit#:4080
PERMIT EXPIRES 180 DAYS AFTER
Parcel#:00910700003100 DATE OF ISSUANCE.
Scope of Work:Pabco Premier 30 year Valuation: 13250.00
OWNER APPLICANT CONTRACTOR
WOOD MICHAEL J S&S Roofing LLC S&S Roofing, LLC
19408 CROWN RIDGE BLVD 104 S West Ave 104 S West Ave
ARLINGTON, WA 98223-4027 Arlington,WA 98223 Arlington,WA 98223
3603869903 3603869903
LIC:SSROOSR918MM EXP:08/03/2023
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
S&S Roofing,LLC
104 S West Ave
Arlington, WA 98223
3603869903
LIC#: SSROOSR9I8MM EXP: 08/03/2023 LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Re-Roof CODE YEAR: 2018
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 constriction materials in the City of Arlington must be reported on
your sales tax return form and coded City of Arlington#3101.
n i Tywxy_ tt U I'd-I 08/16/2021
nalurre Print Name Date Released By Date
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
08/12/2021 Re-Roof Residential $75.00
08/12/2021 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
Permit#: 4080
Permit Date: 08/12/21
Permit Type: RESIDENTIAL RE-ROOF
Project Name: Wood
Applicant Name: S & S Roofing LLC
Applicant Address: 104 S West Ave
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Jennifer
Phone: 3603869903
Email:jennifersandsroofing@hotmail.com
Scope of Work: Pabco Premier 30 year
Valuation: 13250.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued:
Permit Expires: 02/08/2022
Form Permit Type:
Status: COMPLETE
Assigned To: Ameresia Lawlis
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
19408 CROWN RIDGE 100 SINGLE
00910700003100 BLVD WOOD MIC14AEL J FAMILY
RESIDENCE
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
11/19/2021 R00.1 RE-ROOF Am or PM 11/22/2021 11/22/2021 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
08/12/2021 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
08/13/2021 Dana Johnson 87963278 $100.00
Outstanding Balance $0.00
Uploaded Files
Date File Name
09/15/2021 9688874-4080 Signed Permit.pdf
08/12/2021 9460701-4080 Application.pdf