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Home My WebLink About18308 35TH AVE NE_006965_2026 r I Ne L 1 r- (I U?1, . 1 1-1 1 C-)91%4 -1 1"If i I V?t 'I I t I 1,%I t -,I I"I-t r I 1.1 rII t f mt C. VaIm- of Work: Dencribe Work: .",A! N i AL, fly-optisc-d Use: !<I-- -:.F MAI % t1ALi Lvqal Do,.-ut;vipLj.cm: Job Address: Cont rat-A or 'r Name Typo LYN-Ii Tt I'l AL:_; �'11'NA'I MiL ITITAI. VE.E. . . . . . . . . . . . . . . . . 51, 2'1'1. 48 3 Y U F-10 1 P Y i'l I Al I tIAVti AN I'A Y M E NTS. . . . . . . . . . . . . *0. 00 TOTAL DIIE. . . . . . . . . . . . 1, 2,77. 46 ,, _`� ., . - �+- +� � � I � �� '� City of Arlington Develo ment Services Permit Center COA AUIL[)IM,4 M S lip: REQUEST FOR REVIEW • ' S NAME: N BP #: 06- 10�� DATE: L�I I 1 Q RETURN THIS FORM BY: �j 11 7i010 PROJECT SUMMARY: - r►�-- - X RESPONDING DEPARTMENTS TOM C., FIRE DAVE A. BUILDING KAREN L., UTILITIES KERRY W., BUILDING DERYL T., MARYSVILLE UTIL SCOTT B., BUILDING BILL B., NATURAL RESOURCE YVONNE P., PLANNING GREGG E., ENGINEERING CWA., CONSULTANT SHERRI PHELPS, BUS LIC JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form. If you have no comments, please return the form with the "No Comments"box checked. PLEASE MARK ONE BOX, SIGN, DATE,AND RETURN THIS FORM TO PC COMMENTS FOR THIS REVIEW ARE I ATTACHED MEMO ❑ NO COMMENTS FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY DATE `l _ y �� yt :f• "�i ! � � JNG"� Y U ell of Arlington Community Development 0 Building Division Memorandum Date: 4-19-06 To: Permit Center From: Kerry Wentz Subject: Permit# 06-6964 A plot plan showing the location of the building where the work will be done is needed for review. The contractor information must be provided before the permit can be issued. RECEIVED APR 1'a 2006 COP,PERMIT CENTER r. at r "A T-IMRqAO rl '1 f UIWJ 1 12UL T 1 Uhl I 'L RJYI I ! Uvr►rer _ '��"'ILLAbUAM1"S1: G:2ti?I ii J-LNTER _ti :b;lF) ;;�2Cl�:.Y !�:?i`; .' L1!.V'. A". ? ter Va.l ut •o i Wc�r k_ ., �}r;'.'t, nt' T r ,�• 1 c3: �.' f;:�=� Du-i3cri be Work : T:►' r, I.tar��l Vvf3cripl•.ion: V-)0,4l.,5q`:�lot;� lC•'t,'C?, t.; :Job Address: -18:3 8 Slef)KEY JlaInv Type AIJ/1c•4-+t;:; i.2rc r�E:c�K TOTALS i t i n• rl1'rAl. FEE. . . . . . . . . . . . . . . . SiGNATUk h /tl:i. 2ti ili <LDY" :r; I'� to PAYm-mrs. . . . . . . . . . . . . . . . . . 100, O1N TOTAL DUE. . . . . . . . . . . . . . . . . $-785. 28 .. • � i i i I f City of Arlington RECEIVED lio Development Services CO Permit Center DE. REQUEST FOR REVIEW NAME: II BP #: 06-_1 o9�oa , DATE: 44� �1k6)—) RETURN THIS FORM BY: I�a� PROJECT SUMMARY: I�30 RESPONDING DEPARTMENTS TOM C., FIRE DAVE A. BUILDING KAREN L., UTILITIES KERRY W., BUILDING DERYL T., MARYSVILLE UTIL SCOTT B., BUILDING BILL B., NATURAL RESOURCE YVONNE P., PLANNING GREGG E., ENGINEERING CWA., CONSULTANT SHERRI PHELPS, BUS LIC JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form. If you have no comments, please return the form with the"No Comments"box checked. PLEASE MARK ONE BOX, SIGN, DATE,AND RETURN THIS FORM TO PC CO M-14 �'� -,J�yC �-�o✓ � /SSG FOR THIS REVIEW ARE IN ATTACHED MEMO ❑ NO COMMENTS FOR THIS REVIEW, OKAY TO ISSUE PERMIT C] COMMENTS REVIEWED BY /,Z DATE �-- RECEIVED APR 1°r+F;5 COA PERMIT CENTER �.n yf q1 w^'Z..- .;r r r!t;'R �i� � 1 . t. 1-E Contractor/ Owner: Stillaguamish Senior Center Permit: 06-6965 Date: 07-12-06 Project Address: 18308 Smokey Point Blvd. Value: $30K Building Permit: $508.00 Plan Review Fee: $330.20 State Fee: $4.50 .. .�: n . . I w MARVIN MOORE Technical Representative-fammerdal 7�M w � � 8650 154th Avenue Northeast Redmond,Washington 98052-3556 \vkyerhaeuscrBusinessrnw[VPhone 425.869.3713 •Toll Free 1.888.215.6355 • Fax 425.869.7900 400, oe 7 Job Name Job Number Location Sheet of Technical Representative By Date , .,ok Up a Contractor, Electrici--n or Plumber License Detail Page 1 of 3 Topic Index Contact Info Search Labor1 i •. , Home Safety Claims Et Insurance Workplace Rights Trades Ft Licensing Find a Law or Rule: Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly-Version General/Specialty Contractor A business registered as a construction contractor with I- tl to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. License Information License LLOYDGC234PU Licensee Name LLOYD A LYNCH GEN CONTR INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600061086 Verify Workers Comp Premium Status Ind. Ins. Account 32579600 Id Business Type CORPORATION Address 1 PO BOX 1305 Address 2 City WOODINVILLE County KING State WA Zip 980721305 Phone 4254855596 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 10/31/1977 Expiration Date 10/31/2006 Suspend Date Separation Date Parent Company Previous License Next License Associated License https://fortress.wa.gov/lni/bbip/Detail.aspx?License=LLOYDGC234PU 7/12/2006 anti l'I I Look Up a Contractor, Electrician or Plumber License Detail Page 2 of 3 i Business Owner Information Name 101/01/1980 Effective Date Expiration Date LYNCH, LYNN A01/01/1980 LYNCH, JOYCE W Bond Information Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date GREAT AMERICAN INS Until #5 CO 6686404 10/31/2001 Cancelled $12,000.00 10/12/2001 GREAT AMERICAN INS #4 CO 6686404 10/31/1991 10/31/2001 $6,000.00 43 USFEtG 76011011651871 10/31/1987 10/31/1991 $6,000.00 PLANETINS #2 CO P581913 10/31/1984 10/31/1987 NATIONAL SURETY #1 CORPORATION SLR6313475 10/31/1981 10/31/1984 Savings Information No Matching Information —-� Insurance Information Effective Expiration Cancel Impaired Rec( Insurance Company Name Policy Number Date Date Date Date Amount Di TRANSPORTATION Until #21 INS CO 2011516697 10/31/2005 Cancelled $1,000,000.00 10/2( AMERICAN Until #20 CASUALTY 2011516697 10/31/2003 Cancelled $1,000,000.00 10/11 TRANSCONTINENTAL #19 INS CO TCP2011516697 10/31/2002 10/31/2003 $1,000,000.00 09/2`_ TRANSCONTINENTAL #18 INS CO TCP2011516697 10/11/2002 10/11/2003 09/2E #17 CNA INS CO TCP2011516697 10/31/2000 10/31/2002 10/12 #16 CNA INS CO TCP2011516697 10/31/1999 10/31/2000 #15 RELIANCE INS CO PB1141852 10/31/1999 10/31/2000 #14 RELIANCE INS CO QB1141852 10/31/1996 10/31/1999 #13 RELIANCE INS CO QB122243503 10/31/1996 10/31/1997 #12 RELIANCE INS CO QB122243501 10/31/1995 10/31/1996 #11 RELIANCE INS CO QB1222435 10/31/1994 10/31/1995 #10 RELIANCE INS QB850129401 10/31/1993 10/31/1994 #9 RELIANCE INS QB8501294 03/01/1993 10/31/1993 FIREMANS FUND INS #8 CO DXX80548418 11/19/1992 11/19/1993 https://fortress.wa.gov/lni/bbip/Detail.aspx?License=LLOYDGC234PU 7/12/2006 -.-,;. i I� f LQok Up a Contractor, Electrici�:uq or Plumber License Detail Page 3 of 3 #7 AMERICAN STAR AMS4512495 12/01/1989 12/01/1992 #6 USFEtG 1MP07745968001 11/01/1988 12/01/1989 #5 USFEtG MP075318221 11/01/1986 11/01/1988 Until #4 USFEtG MP056608321 11/01/1984 Cancelled FIDELITY Et GUAR Until #3 INS UND INC MP046505492 11/01/1983 Cancelled Until #2 USFEtG MP011478 11/01/1982 Cancelled #1 USFEtG MP07980 10/30/1981 11/01/1982 l Summons /Complaints Information Tax Summons / Cause Warrant Dismissal Complaint Complaint Judgement Judgemel Complaint Number Id Plaintiff County Date Date Amount Date Amount #3 022207341 ARMEX INC KING 07/15/2002 $35,930.93 $0.00 KC SHEET #2 952016259 METAL INC BENTON 12/08/1995 $0.00 $0.00 NORTHWEST ROOFERS #1 ETAL SPOKANE 01/02/1981 $0.00 $0.00 Start a New Search Printer Friendly Version About LEtI I Find a job at I-Ed I Informaci6n en espanol i Site Feedback 1-800-547-8367 O Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Washington. Access Agreement I Privacy and security statement I Intended use/external content policy Visit access.wa.gov Staff only link https://fortress.wa.gov/lni/bbip/Detail.aspx?License=LLOYDGC234PU 7/12/2006 .-, r. I 441NG RE-ROOF oPERMIT APPLICATION Department of Community Development City of Arlington - 238 N Olympic Ave. • Arlington, WA 98223 • Phone (360) 403 3431 - FAX (360)403 3447 Type of permit: (check one) ( ) Residential ( ) Commercial oc¢72�—cococ Eo`, Project Address: ��'" '' P� '� Parcel ID#: °s ¢ 72-.c Owner: S i7 !�!L��i ✓l - !,e:�O c'i / Phone Number: -7 C Address: Mj J e J/Y110,4e ��• /` City: i!1< State: W Zip Code: 2 2,2 Contractor: Phone Num;)er: Address: City: State: Zip Code: Contractor's License Numbe;: Expiration: Type of Roofing: Number of Layers: Number of Squares: Class of Roofing: O A B O C Valuation of Re-Roof: CXO C' Work Scheduled to Begin: Work Scheduled to End: The following is required for NON-Residential Buildings: ( )All Non-Residential projects will require a site visit prior to the issuance of the permit for obvious signs of fatigue, condition of existing roofing and number of existing layers. ( trwo copies of the installation specifications and U.L. listed roof assembly. ( ) Building square footage: ( ) Occupancy of Building t-—.—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 riethod of safely accessing roof for inspe tion. A final inspection and approval shall be obtained when the re-roofing is complete. Y A li is Signature Date L -7 �-- •�71i>s1 Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amou t Received Receipt# Date Received WEB Form—38 Page 1 of 1 5/05 dwa -.- �_ _ M��