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HomeMy WebLinkAbout17612 84TH AVE NE_BLD2956_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 RP PHONE; (360) 403-3551 Address:1761 BUILDING PERMIT 2 84th Ave NE Parcel#:00958500601800 Permit#:2956 OWNER Valuation:13025.50 APPLICANT CONTRACTOR Name:REYES ALEXANDER O&EDNA SJ Name:[Company Name Address:17612 84TH AVE NE Name:5&S Roofing,LLC Address:[Company Address] Address: 104 S West Ave City,State Zip:ARLINGTON.WA 98223-4050 City,State Zip:Arlington Phone: City,State Zip:Arlington,WA 98223 Phonc:3603869903 Phone:3603869903 MECHANICAL CONTRACTOR LIC:SSROOSR918MM EXP:08/03/2021 PLUMBING CONTRACTOR Name: Address: Name: City State,Zip: Address: Phone: City,State,Zip: LIC#: Phone: EXP: LIC#: EXP: JOB DESCRIPTION PER-MIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: DWELLING UNITS: CONST.TYPE: BUILDINGS: OCC GROUP: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CUNSTRUCTION AND IN DOLVG THE WORK AUTHORIZED THEREBY: NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WAS COMPENSATION INSURANCE AND RCW 18.27. HINGTON RELATING TO WORKMEN'S THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT 1S 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. LE'T OTICE:S4 tax rely' g to c s Lion and construction materials in the City of Arlington must be reported on your sales tax return form an c ed Cit of Ar' 0 12/31/2019 Signannr not Name Date CONDITIONS cieased Datc Cal for final THIS PERMIT AUTHORIZEs ONLY THE WORK NO ED1TMSS PERMIT OVERS tWORK TO 13E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description 12/31/2019 Proces.ing%chnology Fee Fee Amount $25.00 Total Due: $25.00 Total Payment: $0.00 Balance Due: $25.00 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 RE-ROOF PERMIT APPLICATION W 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:13,025.50 Project Address: 17612 84th Ave NE Arlington, WA 98223 Parcel ID#: Owner: Alex Reyes Address: 17612 84th Ave NE City:Arlington State: W4 Zip Code:98223 Phone Number: 425-220-7970 Email:jennifersandsroofing@hotmail.com Applicant:S & S Roofing LLC Address: 104 S West Ave City:Arlington State. W4 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: S S ROOS R918M M 8/3/2021 Contractor's License Number: Expiration: Type of Roofing Material Pabco Premier 30 year 1 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. asrir ��/r�tdcsc 12/31/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# cceo ed By Amount Received Receipt# Date Received ,,;, .ti "� � - � LasMa bnorgron&Sdie In du s- -.e Ltries Contractors S & S ROOFING LLC Owner or tradesperson rson 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 07/15/2009—08/03/2021 Bond CBIC $6,000,00 Bond account no S13456 Received by L&I Effective date 07/14/2009 07/15/2009 Expiration date Until Canceled Insurance Houston Specialty Ins Co $1,000,000.00 Policy no. TEN23542 Received by L&I Effective date 07/11/2019 07/15/2019 Expiration date 07/15/2020 Insurance history Savings No savings accounts during the previous 6 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 No active certifications exist for this business. Apprentice Training Agent Not allowed to have 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 2019"31 to 50 Workers" L&I account contact T3/STEPHANIE HENDERSON(360)902-5598-Email:HSTE235@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 this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid Mi debarteants have be 1.en 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 05/0812019 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 RE-ROOF PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arington, WA 98223 • Phone (360) 403-3551 Type of permit: (check one) (..-) Residential ( ) Commercial Valuation: 13,025.50 17612 84th Ave NE Arlington, WA 98223 Project Address: Parcel ID#: Owner: Alex Reyes Address: 17612 84th Ave NE City:Arlington State: WA Zip Code:98223 Phone Number: 425-220-7970 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: Ema 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 8/3/2021 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 Retai I 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. I osd3z=9en=ati4az3a,e«eode 12/31/2019 Applicants Signature Date Dana Johnson Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By ArnULInt Received Receipt # Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:7608 Glenwood Ave NE Permit#•2957 Parcel#:00834900005500 Valuation: 14550.00 OWNER APPLICANT CONTRACTOR Name:ZIRNHELD STEPHANIE E Name:[Company Name] Name:S&S Roofing,LLC Address:7608 GLENWOOD AVE NE Address:[Company Address] Address: 104 S West Ave City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington City,State Zip:Arlington,WA 98223 Phone: Phone:3603869903 Phone:3603869903 LIC:SSROOSR918MM EXP:08/03/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LTC#: 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 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/IRC110. S AX NOTICE: ales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form cod Ci of ingto #31 {{ 12/31/19 Signatur Print Name Date Released Date CONDITIONS Approved job copy shall be onsite for inspections if applicable. Inspection required prior to cover. 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 12/31/2019 Processing/Technology Fee Fee Amount 12/31/2019 Re-Roof $25.00 $50.00 Total Due: S75.00 Total Payment: $0 00 Balance Due: $75.00 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17612 84th Ave NE Permit#:2956 Parcel#:00958500001800 Valuation: 13025.50 OWNER APPLICANT CONTRACTOR Name:REYES ALEXANDER O&EDNA SJ Name:[Company Name] Name:S&S Roofing,LLC Address: 17612 84TH AVE NE Address:[Company Address] Address: 104 S West Ave City,State Zip:ARLINGTON,WA 98223-4050 City,State Zip:Arlington City,State Zip:Arlington,WA 98223 Phone: Phone:3603869903 Phone:3603869903 LIC:SSROOSR918MM EXP:08/03/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION W PERMIT TYPE: Residential Re-Roof CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 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. 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. , , 12/31/2019 Signature Print Name Date eleased MV Date CONDITIONS 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 12/31/2019 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $0.00 Balance Due: $25.00 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 Permit#: 2956 Permit Date: 12/31/19 Permit Type: RESIDENTIAL RE-ROOF Project Nam a Reyes Applicant Nam a S& SRoofing LLC Applicant Address: 104 S West Ave Applicant, City, State, Zip: Arlington Contact: Phone: 3603869903 Em al: danasandsroofing@hotm al.com Scope of Work: Re-Roof Non structural Valuation: 13025.50 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 01/06/2020 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address L egal Description O wner Nam e Cvner Phone Zoning REYES 00958500001800 1 7612 84TH AVE NE ALEXANDER O& Residence Single Dam iy -Detached EDNA SJ Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# 104 S WEST CONSTRUCTION COA Business S&SROOFING LLC 3 603869903 602 934 849 AVE CONTRACTOR License S&SROOFING LLC 3 603869903 104 S WEST CONSTRUCTION Labor& SSROOSR918MM AVE CONTRACTOR Industries Fees Fee D escription N otes A in axnt Processing/Technology $25.00 Credit Card Service $0.75 Total $ 25.75 Attached Letters Date Letter D escription 12/31/2019 Building Perm i 12/31/2019 Building Penn Paym acts Date Paid By D escription P aym ant Type A ccepted By A m aunt O1/03/2020 Dana Johnson 7 8478150 $25.00 O1/03/2020 78478150 C C Surcharge R aelynn Jones $0.75 O ttstanding Balance $0.00 Uploaded Files Date File Nam e 12/31/2019 6038946-2956 Apnlication.pdf