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HomeMy WebLinkAbout18317 WOODBINE DR_BLD20120047_2026 CITY OF ARLINGTON • 238 N. OLYMPIC AVE.-ARLINGTON,WA. 98223 PHONE: (360)403-3421 13UILDING PERMIT Address: 18317 WOODBINE DR,ARLINGTON Permit#:BLD20120047 Parcel#: 00800700000700 Valuation:$5,000.00 OWNER APPLICANT CONTRACTOR ERIC&JANET FULLER ERIC&JANET FULLER RJ THOMAS ENTERPRISES 18317 WOODBINE DR 18317 WOODBINE DR 21231 89TH AVE NE ARLINGTON,WA 98223 ARLINGTON,WA 98223 ARLINGTON,WA 98223 Lie#:RJTHOTE905RS Exp: 12/10/2012 PLUMBING CONTRACTOR MECHANICAL CONTRACTOR Lie#: Exp: Lie#: Exp: JOB DESCRIPTION T Re-Roof PERMIT TYPE: Residential PERMIT GROUP: Re-Roof/Roof A]ter/Repa i r STORIES: 0 CONST TYPE: DWELLING UNITS: 0 OCC GROUP: CODE: 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 110/IRCI 10. 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. ell dam., #' t 7signature Print Name Date Released By Dat ARCHIVE APPLICANT ASSESSOR OTHER t i RE-ROOF 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) Residential ® Commercial Valuation: 0 00 Project Address: �� b)n �� Parcel ID#: Owner: ( C, 1' N 1(,�a .f /- A I I e-1- Phone Number: /z �.r;" 2 "1 3 Address N.M i Wood )(/IT pad Jf City: State: Zip Code: Contractor: f\1 0 I��rYj _ Phone Number: Z ,�l L�=���� Address: ��I �� �� � �Ve' N rye City: State: Zip Code: Contractor's License Number: V Expiration: Type of Roofing: Number of Layers: Number of Squares: Class of Roofing: A 0 B 0 C installing or replacing sheeting : i Work Scheduled to Begin: /U L Work Scheduled to End: r'%iP I/ The following is required for NON-Residential Buildings: nn,, C)All Non-Residential projects will require a site visit prior to the issuance of th perr aToyviol 1gnA�GTdQnf existing roofing and number of existing layers. BUILDING DEPARTMENT. �Two copies of the installation specifications and U.L. listed roof assembly. /� j�f�! 7;�1,�J r- a Building square footage: / �— -- !- -/ ([) Occupancy of Building: Office DATE �Ji --2_. BYNE Retail N CHGES AUTHOR! Church UNLESS APPROVED BY THE Restaurant BUILDING INSPECTOR 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. Applicants Signature Date J kr_ Print Applicants Name RECEIVED FOR STAFF USE ONLY JAN 2 7 2012 Ub nlaamtl? A:P-- G� COA PERMIT CENTER Permit# Accepted By Amount Received Receipt# Date Received WEB Form—284 Page 1 of 1 7/10CJY BLD20120047 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of I BUILDING PERMIT PERMIT#: BLD20120047 OWNER: FULLER, ERIC&JANET STATUS: APPLIED ADDRESS: 18317 WOODBINE DR,ARLINGTON BALANCE: $0.00 ISSUED: CREATED: 1/27/2012 SCREENS: Select Screen... [- FUNCTIONS: Select Permit Function.. w RE-ROOF/ROOF ALTER/REPAIR REVIEWS PRINT ADD NEW SUMMARY REVIE...- DESCRIPTION ASSIGNE... DUE DATE LAST (#) REQ?DO... ASSIGN REMOVE 2000 C-Building I CYOUNG 1/31/2012 0 Y N Assign Remove 2008 C-Community Development I ARUSKO 1/31/2012 0 Y N Assign Remove l http://coaweb2.arlington.local/PermitTrax/Module Permits/Permits Permit/Permit Revie... 1/27/2012 Page 1 of 2 A Washington Mate Department of Labor & Industries Contractors or Tradespeople Detail Return to List > Start a New Search > 0 Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About 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 R1 THOMAS ENTERPRISES LLC UBI No. 603049684 Phone No. (360)435-8455 Status � Active Address 21231 89Th Ave Ne License No. PJTHOTE90SRS Suite/Apt. License Type Construction Contractor City Arlington State WA Effective Date 12/10/2010 Zip 98223 Expiration Date 12/10/2012 County Snohomish Suspend Date Business Type Limited Liability Company Specialty 1 a General Parent Company Specialty 2 � Unused 0- Other Associated Licenses License Name Type Specialty 1 Specialty Effective Expiration Status 2 Date Date itOBER1T926PZ ROBERTJ Construction Cabinets, Millwork Unused 10/9/2008 10/9/2010 Re- THOMAS Contractor And Finish Carpentry Licensed 0 Business Owner Information ED Hide All Name Role Effective Date Expiration Date THOMAS, ROBERTJAMES Agent 12/10/2010 THOMAS,ANN MARCIA Partner/Member 12/10/2010 THOMAS, ROBERTJAMES Partner/Member 12/10/2010 Bond Information Bond https://fortress.wa.gov/lni/bbip/Result.aspx 1/27/2012 Page 2 of 2 Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received Name Number Date Date Date Date Amount Date 1 CBIC S10483 11/22/2010 Until $12,000.00 12/10/2010 Cancelled Assignment of Savings Information ID No records found for the previous 6 year period I- Insurance Information Jd Insurance Company Policy Effective Expiration Cancel Impaired Amount Received Name Number Date Date Date Date Date 1 CBIC C11SI0483 09/25/2010 09/25/2012 $300,000.00;09/16/2011 0 Summons/Complaint lnformatlon i No unsatisfied complaints on file within prior 6 year period 2 warrant Information ! No unsatisfied warrants on file within prior 6 year period Access ©Washington State Dept. of Labor&Industries. Use of this site is subject to the laws of the state of Washington. AWMAlington" 4••'iyl�•�'•••V'�'noau+�M4k{dr https:Hfortress.wa.gov/lni/bbip/Result.aspx 1/27/2012