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Home My WebLink About17928 OXFORD DR_BLD20120248_2026 CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223 — , PHONE:(360)403-3551 BUILDING PERMIT Address:17928 OXFORD DR,ARLINGTON Permit#:BLD20120248 Parcel#:00893900000300 Valuation:$0.00 OWNER ', r APPLICANT �G_CONTRACTOR WILLIAM&LYNNETTE LIVING LIFFRIG WILLIAM&LYNNETTE LIVING LIFFRIG C&RBoger Construction 17928 OXFORD DR 17928 OXFORD DR 21414 68th Avenue South ARLINGTON,WA 98223-4625 ARLINGTON,WA 98223-4625 Kentq,WA 98032 Lie#:CRBOGRB943M6 Exp:7/26/2014 PLUMBING CONTRACTOR MW14ANICAL CONTRACTOR. Lie#: Exp Lie#: Exp JOB DESCRIPTION A Re-roof PERMIT TYPE: Residential PERMIT GROUP: Re-Roof/Roof Alter/Repair STORIES: 0 CONST TYPE: DWELLINGUNITS: 1 OCC GROUP: CODE: OCC LOAD: 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/IRC1 10. SALES TAX NOTICE: Sales tax relating to construction and construction materials 1 0 e City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. S nature Print Narne Date R le ed By ate ARCHIVE = APPLICANT ASSESSOR OTHER BLD20120248 CONDITIONS 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. • None PERNMUS CALL FOR INSPECTIONS BUILDING/FNGLNEERINC/PARKS/UrUITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leap the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • None l RE-ROOF i PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3418 Type of permit: (check one) WResidential ® Commercial valuation Project Address: / Or� Parcel ID#: [�8�35Cat�`3ar� Owner: 7-To—, Lf nc Phone Number: Address: .. SSA"L City State: Zip Code: Contractor: Phone Number: Address: RI YA' to 8 r-0—AVf_ City: KcM� State: " - Zip Code: Contractor's License Number: �- "�bG 1 9y3�Co Expiration: Type of Roofing: �ewEbsiyiv� Number of Layers: Oil Number of Squares: �1s Class of Roofing: Q(A a B 0 C installing or replacing sheeting Work Scheduled to Begin O iR Work Scheduled to End: Z �� The following is required for NON-Residential Buildings: a 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. 0 Two copies of the installation specifications and U.L. listed roof assembly. a Building square footage: (0 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 meth safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is complete. 0/ Applicants Signature Date cJaS,q L. fJA►iGk-rno�..� Print Applicants Name FOR STAFF USE ONLY Permit# cce to ByV Amount Received Receipt# Date Received WEB Form-284 Page 1 of 1 7/10CJY .� ., .,. a I Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with L&I 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. Business and Licensing Information Name C&R BOGER CONSTRUCTION INC UBI No. 602628944 Phone 4252075400 Status Active Address 21414-68Th Ave S License No. CRBOGRB943M6 Suite/Apt. SUITE#105 License Type Construction Contractor City Kent Effective Date 7/26/2006 State WA Expiration Date 7/26/2014 Zip 98032 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status CRBOGC"028CF C&R BOGER Construction General Unused 2/6/1998 2/6/2008 Re- CONSTRUCTION Contractor Licensed Business Owner Information Name Role Effective Date Expiration Date ROGER, CHRISTOPHER C jPresident 07/26/2006 Bond Information Bond Bond Company Name Bond Account Numberl Effective Date�Expiration Date Cancel Date Impaired Date Bond Amount Received 6] ate FA2161 107/01/2006 jUntil Cancelled $12,000.00107/26/2006 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company NamelPolicy Number]Effective DatelExpiration Date Cancel Date Impaired Date Amount Received Date Houston 8 TEN-10817 02/18/2012 IO2/18/2013 $1,000,000.00 02/17/2012 Specialty Ins Co !! United 7 Specialty TWG42000687 02/18/2011 02/18/2012 $1,000,000.0002/22/2011 Insurance Com 6 BURLINGTON HGL0026505 01/29/2011 01/29/2012 $1,000,000.00 01/25/2011 INS CO 5 BURLINGTON HGL0023397 01/29/2010 01/29/2011 $1,000,000.00 01/25/2010 INS CO 4 BURLINGTON HGL0020549 01/29/2009 01/29/2010 $1,000,000.00 01/29/2009 INS CO 3 ICOLONY INS CO IGL3617015 101/29/2008 101/29/2009 $1,000,000.00 01/28/2008 2 1FIR INS CO0 ICL2306896A 101/29/2007 I01/29/2008 $2,000,000.00 02/01/2007 1 MT VERNON CL2306896 A 101/29/2006 101/29/2008 $1,000,000.00 02/01/2007 FIRE INS CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 10/9/2012 t I