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Home My WebLink About17624 W Country Club Dr_BLD793_2026 RE-ROOF PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360) 403-3551 Type of permit: (check one) (,�) Residential ( ) Commercial Valuation:na Project Address: 17624 west country club dr Parcel ID#: Owner: Anthony Morth Phone Number: 425 750 2387 Address: 17624 west country club dr City: arlington State: WA Zip Code: 98223 Contractor: c&j enterprises Phone Number: 4259719336 Address: 29011 104th PI se City:monroe State: wa Zip Code:98272 Contractor's License Number:cientje900ne Expiration: 9/5/2016 Type of Roofing Material: 30 yr arcitectual asphalt shingle Number of Existing Layers: 1 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 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. lKe sz,o��z,=sse=�e,az3a,s e� 09/23/2015 Applicants Signature Date Chad Joseph eppig Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 QO PHONE; (360) 403-3551 BUILDING PERMIT Address: 17624 W Country Club Drive Permit#: 793 Parcel#:00816000001600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MORTH ANTHONY S Name:C&J Enterprises Name: C&J Enterprises Address: 17624 W COUNTRY CLUB DR Address:29011 104th Place SE Address:29011 104th Place SE City, State Zip:ARLINGTON, WA 98223-5960 City,State Zip:Monroe,WA 98272 City, State Zip:Monroe, WA 98272 Phone: Phone:425-971-9336 Phone:425-971-9363 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City, State, Zip: City, State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: 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. IBC1 10/IRC1 10. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlingl n must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date °leased By Date CONDITIONS THIS PERMIT AUTHORIZS 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 Total Due: $0.00 Total Payment: $0.00 Balance Due: $0.00 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#: 793 Permit Date: 09/24/15 Permit Type: RESIDENTIAL RE-ROOF Project Name: Morth Applicant Name: C &J Enterprises Applicant Address: 29011 104th Place SE Applicant, City, State, Zip: Monroe,WA 98272 Contact: Chad Joseph Eppig Phone: 425-971-9336 Email: ceppig@yahoo.com Scope of Work: Residential Re-Roof Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 09/24/2015 Permit Expires: Permit Form Type: Civic Plus Number: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00816000001600 17624 W COUNTRY CLUB MORTH ANTHONY 111 Single Family DR S Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Chad Joseph 29011 104th Place CONSTRUCTION C&J Enterprises Eppig 425-971-9363 SE CONTRACTOR CJENTJE900NE Attached Letters Date Letter Description 09/24/2015 Building Permit Uploaded Files Date File Name 09/24/2015 1297281-17624 Re-RoofApnlication.pdf