HomeMy WebLinkAbout21022 66th Ave Ne_BLD5641_2024
Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
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BLD5641 Residential Re-Roof
21022 66th Ave Ne April 2024
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10/16/2023
RE-ROOF PERMIT APPLICATION
Community and Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
REV01.2022
Type of Roofing Material: Replacing existing sheathing: Yes NoNumber of Existing Layers: Installation over existing material: Yes No Roof tear off: Yes No Class of Roofing: A – Highest Fire Rating B – Moderate Fire Rating C – Light Fire Rating Class Examples: Concrete, Clay, Roof Tiles, Fiberglass Asphalt Composition Shingles, Metal Roofs Pressured Treated Shakes and Shingles Untreated Wood Shakes and Shingles, Plywood, Particleboard
The following is required for NON-RESIDENTIAL BUILDINGS
Provide 2 copies of the installation specifications and U.L. listed roof assembly. Existing Roof Structure: Existing Roof Material: Building Occupancy: Office/Professional Services Industrial Restaurant Other: Educational Facility Retail Religious Facility
I hereby certify that I am the Owner, Applicant, Contractor, and authorized to sign this application and that the
above information is correct and construction on, and the occupancy and the use of the above-described property will be in
accordance with the laws, rules and regulation of the State of Washington, and the City of Arlington. 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.
FOR STAFF USE ONLY
Type of Permit: Commercial Residential Property Address: Suite/Unit Number: Lot #: Parcel ID No.: Project Valuation: Project Scope of Work: Primary Contact: Owner Applicant Contractor Owner Name: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Applicant Name: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Contractor Name: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: L&I Contractor License Number: Expiration Date:
x
21022 66th Ave NE Arlington WA 98223
10242
x
Thomas M Adams
tma069@aol.com
221022 66th Ave NE Arlington WA 98223
3606313309
Duffy Brody
duffy@hphusa.com
4200 SE Columbia Way C Vancouver WA 98661
High Performance Homes
duffy@hphusa.com 3606350101
4200 SE Columbia Way C Vancouver WA 98661
Asphalt x
x
x
1
x
Duffy Brody Duffy Brody 10/11/2023
HIGHPPH876DN 4/8/2024
x
xx
xx
PO #EV Report Summary
Job #231093 Shingle Squares 20.66
Customer Name Adams, Thomas Squares 2/12 & Under 0
Address 21022 66th Ave NE Ridge 59
City, State, Zip Arlington, WA 98223 Hips 0
Hip/Ridge Total 59
Vendor Valleys 35
Roof Type HPR Rakes 170
Shingle Color Desert Rose Eaves 111
Metal Color Brown Starter 281
Pitch 6/12 Flashing 36
Squares 2/12 & Under 0 Step Flashing 47
Material 2/12 & Under Existing Chimneys 0
Color 2/12 & Under Existing Skylights 2
Waste:8%
Product Type Coverage QTY Ordered QTY Delivered Notes Left Over Materials
Shingles Duration 3 / SQ 67
Starter OC Starter 105 ft 3
Underlayment Pro Armor 10 SQ 3
Underlayment WeatherLock, Ice & Water 66 LFT 5
Underlayment Staples A-11 1 / 22 SQ 1
Ridge / Hips Decoridge - High Profile 20 ft 4
Nails 3/4" (tear off)1
Nails 1-1/4" (tear off)3
Metal W-Valley 24 10 ft 5
Rake 1-3/8" G-Drip 10 ft 20
Eve 1x3 Starter Metal 10 ft 13
Flashing 3x5 Roof to Wall 10 ft 5
Step Flashing 8x8 Tin Shingles 25 ft 3
Pipes 1.5" lead w/ cap 3
Pipes 2" lead w/ cap 2
Caulking geocell or equivelant Brown 1
Caulking geocell or equivelant Black 1
Caulking paintable White 1
Vents 4" Stem Vent 3
Vents 6" Stem Vent 1
Vents 10" Vent Sure Ridgevent 4 ft 15
Non-Standard Items ez-plug 9
Notes:
Please fill out checklist upon completion:
Item Quantity
Dump Truck Rental
Material pick up/trip fee
Pop out roofs/bay windows
Turn outs/undershots
Material pack up 1 story (per bundle)
Material pack up 2nd story or 8/12+ (per bundle)
Pack out to dumpster
Layers of Shingles
Trip Fee: >60 miles
Trip Fee: >90 miles