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HomeMy WebLinkAbout3506 188TH ST NE_BLD1633_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) (pe) Residential ( ) Commercial Valuation:n/a 3506 188th ST Arlington WA Project Address: Parcel ID#: Owner: John Potter Address: 22522 3rd Ave SE City:Bothell State: WA Zip Code:98021 Phone Number: 206 697 0106 Email:lohnpzx202@yahoo.com Applicant:Luis Vera Address: 10603 Woods Lake Road City:Monroe State: WA Zip Code:98272 425 280 7845 luisvivo@live.com Phone Number: Email: Luis Vera Contractor: 10603 Woods Lake Road Monroe WA 98272 Address: City: State: Zip Code: 425 280 7845 luisvivo@live.com Phone Number: Email: VIVAJJ*906RB 3/10/2019 Contractor's License Number: Expiration: Type of Roofing Material 3 Tab Asphalt Shingles one Number of Existing Layers: 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. 09/05/2017 Applicants Signature Date Luis E Vera-Lopez Print Applicants Name FOR STAFF USE ONLY Rucelveci W;�_ -W_ � SEP os 2017 Permit# AlceotebAy Amount Received Receipt# Date Received i CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 3506 188th Street NE Permit#: 1633 Parcel #: 31052100200500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name: RKG PROPERTIES LLC Name: Luis Vera Name: Viva Juanita Address: 2627 EASTLAKE AVE E Address:10603 Woods Lake Road Address: 10603 Woods Lake Road City, State Zip: SEATTLE, WA 98102 City, State Zip: Monroe, WA 98272 City,State Zip:Monroe,WA 98272 Phone: Phone:425-280-7845 Phone: 425-280-7845 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: 1 CONST. TYPE: DWELLING UNITS: I 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. TI{IS 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 10/IRCI 10. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of r\rli i lust be reported on your sales tax return form and code ity of Arlington#3101. Signature Print Name v Uate Date CONDITIONS Approved as submitted. THIS PERMIT AUTHORIZS 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 Total Due: $0.00 Total Payment: $0.00 Balance Due: $0.00 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 I ' CITY OF ARLINGTON o, 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3506 188th Street NE Permit#:1633 Parcel#:31052100200500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:RKG PROPERTIES LLC Name:Luis Vera Name:Viva Juanita Address:2627 EASTLAKE AVE E Address:10603 Woods Lake Road Address: 10603 Woods Lake Road City,State Zip:SEATTLE,WA 98102 City,State Zip:Monroe,WA 98272 City,State Zip:Monroe,WA 98272 Phone: Phone:425-280-7845 Phone:425-280-7845 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: 1 CONST.TYPE: DWELLING UNITS: 1 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. IBCI10/IRCI10. SALES TAX NOTICE.:Sales tax relating to construction and construction materials in the City ofArli ust be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date V I Ycreared By Date CONDITIONS Approved as submitted. THIS PERMIT AUTHORIZS 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 Total Due: $0.00 Total Payment: $0.00 Balance Due: $0.00 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 Community and Economic Development , Building Division INSPECTION RECORD SHALL REMAIN AT JOB Building construction shall not commence until permit SITE holder or agent has posted this Inspection Record Card in a conspicuous place on the premises. OWNER: RKG Properties, LLC CONTRACTOR: Viva Juanita JOB ADDRESS:3506 188th Street N E OWNER ADDRESS: 2627 Eastlake Ave E, Seattle, WA 98102 USE of BUILDING: SFR PLAT NAME: Description of work: Residential Re-Roof LOT# PERMIT NO: 1633 Sprinklered: CONDITIONS: See Permit DATE ISSUED:9.6.2017 TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION INSPECTION LINE UNDERFLOOR (360)403-3417 SHEARWALL PLUMBING (groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE DEVELOPMENT STORM INFILTRATION SERVICES GRADING INSPECTION LINE CURB GUTTER&SIDEWALK (360)403-3417 LANDSCAPE DRIVEWAY UTILITIES SIDE SEWER INSPECTION LINE SEWER CLEANOUT/FINAL (360)403-3508 WATER SERVICE INSPECTION WATER SERVICE FINAL CROSS CONNECTION FINAL (360)403-3417 FINAL INSPECTION All sections must be signed off prior to final inspection Electrical must be signed off prior to final inspection COMMENTS: CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON,WA.98223 PHONE;(360)403-3551 BUILDING PERMIT Address:3506188th Street NE Permit#:1633 Parcel p:3t052100200500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:RKG PROPERTIES LLC Name:Luis Vera Name:Viva Juanita Address,2627 EASTLAKE AVE E Address:10603 Woods Lake Road Address:10603 Woods Lake Road City,State Zip:SEATTLE,WA 99102 City,State Zip:Monroe,WA 98272 City,State Zip:Monroe,WA 98272 Phone: Phone:425-280-7945 Phone:425-290-7945 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC 0: EXP: LIC ll: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: l 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 WASH NGTON RELATING TO WORKMEMS COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISMER 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. IBC1101IRC110. SAL.FS TAX NtaTIGE:Sales tax relating to construction and construction materials in the City ofArli usl be reported on your sales tax return form and codoVtry of Arlington M3 101. r Signature Print Name Date c d By Date CONDITIONS Approved as submitted. THIS PERMIT AUTHORIZS 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 Foe Amount Total Due: S0.00 Total Payment: S0.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for as inspection please leave the following information: Permit Number,Type of fespection being requested,and whether you prefer morning or afternoon i } CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDIN_G_PERMIT Address:3506188th Street NE Permit#:1633 Parcel#:31052100200500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:RKG PROPERTIES LLC Name:Luis Vera Name:Viva Juanita Address:2627 EASTLAKE AVE E Address:10603 Woods Lake Road Address: 10603 Woods Lake Road City,State Zip:SEATTLE,WA 98102 City,State Zip:Monroe,WA 98272 City,State Zip:Monroe,WA 98272 Phone: Phone:425-280-7845 Phone:425-280-7845 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: 1 CONST.TYPE: DWELLING UNITS: 1 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. IBC I10/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A;l'�ust ed on your sales tax return form and coded City of Arlington#3101. �^ Signature Print Name Date V I KlearM By Date CONDITIONS Approved as submitted. THIS PERMIT AUTHORIZS 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 Total Due: $0.00 Total Payment: $0.00 Balance Due: $0.00 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 �: y 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) (0 Residential ( ) Commercial Valuation:n/a 3506 188th ST Arlington WA Project Address: Parcel ID#: owner: John Potter Address: 22522 3rd Ave SE City:Bothell State: WA Zip Code:98021 Phone Number: 206 697 0106 Email:johnpzx202@yahoo.com Applicant:Luis Vera Address: 10603 Woods Lake Road City:Monroe State: WA ZipCode:98272 425 280 7845 luisvivo@live.com Phone Number: Email: Luis Vera Contractor: 10603 Woods Lake Road Monroe WA 98272 Address: City: State: Zip Code: 425 280 7845 luisvivo@live.com Phone Number: Email: VIVAJJ*906RB 3/10/2019 Contractor's License Number: Expiration: Type of Roofing Material: 3 Tab Asphalt Shingles Number of Existing Layers:one 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. 09/05/2017 Applicants Signature Date Luis E Vera-Lopez Print Applicants Name / FOR STAFF USE ONLY Ift!calve cl SEP 06 2017 Permit# A&epteLAy Amount Received Receipt# Date Received .1 •� 9/6/2017 VIVA JUANITA n, Search L&I Satety& Health Claims& Insurance LNarkplace fights Trades& Licensing Washington State Department of `j Labor & Industries VIVA JUANITA Owner or tradesperson 10603 WOODS LAKE RD MONROE,WA 98272 Principals 425-280-7845 VERA-LOPEZ,LUIS EUSEBIO,OWNER SNOHOMISH County Doing business as VIVA JUANITA WA UBI No. Business type 602 579 433 Individual License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor_ Active. Meets current requirements. License specialties GENERAL License no. VIVAJJ*906RB Effective—expiration 12/0212010—03/10/2019 Bond Wesco Insurance Co $12,000.00 Bond account no. 46WBO19083 Received by L&I Effective date 03/14/2017 03/13/2017 Expiration date Until Canceled Bond history Insurance Ohio Security Ins Co $1,000,000.00 Policy no. BKS55466560 Received by L&I Effective date 03/01/2017 03/13/2014 Expiration date 03/13/2018 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. ;-lase us in3erav2 hfps://secure.ini.wa.gov/verify/Detail.aspx?UBI=602579433&LIC=VIVAJJ*906RB&SAW= 1/3 9/6/2017 VIVA JUANITA License Violations Infraction no. Satisfied fied Issue date RCW/WAC 03/22/2017 19.28.041 RCW Violation city Violation amount MONROE $500.00 Type of violation ELECTRICAL CITATION Description Offering to perform,submitting a bid for, advertising,installing or maintaining cables, conductors or equipment that convey or utilize electrical current without having a valid electrical contractor license. Infraction no. NSAMD01292 Satisfied Issue date RCW/WAC 03/22/2017 18.27.200(1)(a)RCW Violation city Violation amount MONROE $500.00 Type of violation CONSTRUCTION INFRACTION Description Advertising,offering to do work,submitting a bid or performing work when not registered as a contractor,as required.working outside of scope Infraction no. ESAMD01294 Satisfied Issue date RCWM/AC 03/22/2017 19.28.161 RCW Violation city Violation amount MONROE $250.00 Type of violation ELECTRICAL CITATION Description Performing electrical work without having a valid certificate of competency or electrical training certificate.(Ran conduit in boxes in stairway walls) 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. 641,963-00 Doing business as VIVA JUANITA Estimated workers reported Quarter 2 of Year 2017"Less than 1 Workers" L&I account contact TO/GARY HONC(360)902-4823-Email:HONC235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Heip us innr_—Ove hftps:Hsecure.ini.wa.gov/verify/Detail.aspx?UBI=602579433&LIC=VIVAJJ*906RB&SAW= 2/3 9/6/2017 VIVA JUANITA Contractors not allowed to bid No debarments have been issued against this c.,_..ractor. Workplace safety and health No inspections during the previous 6 year period. Cc Washington State Dept of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602579433&LIC=VIVAJJ*906RB&SAW= 3/3 Permit#: 1633 Permit Date: 09/06/17 Permit Type: RESIDENTIAL RE-ROOF Project Nam a Potter Applicant Nam a Luis Vera Applicant Address: 10603 Woods Lake Road Applicant, City, State, Zip: Monroe,WA98272 Contact: Luis Vera Phone: 425-280-7845 Em al: luisvivo@live.com Scope of Work: Residential Re-Roof with no Sheathing Valuation: 0.00 Square Feet: 0 Num ber of Stories: 1 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 09/13/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e Caner Phone Zoning 31052100200500 3 506 188TH ST NE RKG PROPERTIES 111 Single Fam iy LLC Residence-Detached Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# Viva Juanita Luis Vera 4 25 280-7845 10603 Woods CONSTRUCTION Labor andVIVAJJ*906RB Lake Road CONTRACTOR Industries Inspections Date I nspection Type D escription S cheduled Date C om Oeted Date I nspector S tatus 09/28/2017 R00.1 RE-ROOF Re-Roof Com Bete 0 9/27/2017 B UILDING A pproved FINAL Attached Letters Date L etter D escription 09/06/2017 Building Perm i Notes Date Note C reated By: 09/11/2017 Em tiled perm i for signature.KF K ristin Foster 09/11/2017 Contractor out of city issued.KF K ristin Foster 09/06/2017 Contractor needs out of City.KF K ristin Foster Uploaded Files Date File Nam e 09/14/2017 2602915-1633 Issued Penn Lpdf 09/06/2017 2584693-1633 Application.pdf