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