HomeMy WebLinkAbout210 S HAMLIN DR_BLD6634_2026 RESIDENTIAL RE-ROOF PERMIT APPLICATION
./ Community and Economic Development
City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 •Phone(360)403-3551
Property Address: 210 S Hamlin Dr
Lot#: Parcel ID No.: Project Valuation: 16450.00
Project scope of work: tear off existing shingles and replace with Pabco Premier Arch Shingles
Primary Contact: ❑ Owner ❑✓ Applicant ✓❑ Contractor
Owner Name: Don & Sheri Moe Office No.: 3603869903
Email Address: jamisandsroofing@hotmail.com Cell No.:
Mailing Address: 104 S West ave City: Arlington State: WA Zip: 98223
Applicant Name: S&S Roofing LLC office No.: 3603869903
Email Address: jamisandsroofing@hotmail.com Cell No.:
Mailing Address: City: State: Zip:104 S West Ave Arlington WA 98223
Contractor Name: S&S Roofing LLC office No.: 3603869903
Email Address: jamisandsroofing@hotmail.com Cell No.:
104 S West Ave Arlington WA 98223
Mailing Address: City: State: Zip:
L&I Contractor License Number: SSROOSR918MM Expiration Date: 8/3/25
RE-ROOF INFORMATION
Type of Roofing Material: Pabco Replacing existing sheathing: ❑Yes ❑✓ No
Number of Existing Layers: 1 Installation over existing material: ❑Yes ❑✓ No
Roof tear off: ❑✓ Yes No
Class
Cl of
Class : A-Highest Fire Rating ElB—Moderate Fire Rating ❑C—Light Fire Rating
Roofing
[Class Concrete,Clay,Roof Tiles,Fiberglass Pressured Treated Shakes and Untreated Wood Shakes and Shingles,
xamples: Asphalt Composition Shingles,Metal Shingles Plywood,Particleboard
Roofs
Provide additional information,as necessary:
I hereby certify that I am the ❑ Owner, ❑✓ Applicant, ❑✓ Contractor, and authorized to sign this application and that the
above information is correct and construction on, and the occupancy and the use of the above-described property will be in
accordance with the laws, rules and regulation of the State of Washington, and the City of Arlington. 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.
Jami King 7/18/25
Si n ture Print Name Date
SAVE PRINT
CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403-3417-Permit Center:360-403-3551
BUILDING PERMIT
210 S HAMLIN DR Permit#:6634
Parcel#:00920000000400
PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work:Remove existing shingles and replace with Pabco Premier Arch Valuation:16450.00
Shingles.No sheathing repalcement
OWNER APPLICANT CONTRACTOR
MOE DONALD W&CHERI L S&S Roofing,LLC S&S Roofing LLC
210 S HAMLIN DR 104 S West Ave 104 S West Ave
ARLINGTON,WA 98223 Arlington,WA 98223 Arlington,WA 98223
360-386-9903 3603869903
LIC:602 934 849 EXP:08/31/2026
UC:SSROOSR918MM EXP:08/03/2027
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL RE-ROOF CODE YEAR: 2021
STORIES: I CONST.TYPE: VB
DWELLING UNITS: OCC GROUP: R-3;Residential
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any
other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the
Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice
or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid The building official is
authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or
any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation,guidance advice or
decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or
on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or
federal law,or any order,proclamation,guidance or decision of the Governor.
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 Arlington must be reported on
your sales tax return form and coded City of Arlington#3101.
! �l�._ :lfi 08/05/2025
Applicant Sign1 1 Date Building Official Date
CONDITIONS
Inspection required.Call for inspection.
The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property
owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or
community.The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities
before commencing construction.The property owner shall ensure that the construction project complies with all applicable design
review requirements.
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
08/05/2025 Processing/Technology $25.00
08/05/2025 Re-Roof Residential $75.00
08/05/2025 State Surcharge-1st DU $6.50
08/05/2025 Credit Card Service $3.20
Total Due: $109.70
Total Payment: $109.70
Balance Due: $0.00
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
INSPECTION INFORMATION I Pass/Fail
• 1
Permit#: 6634
Permit Date: 07/18/25
Permit Type: RESIDENTIAL RE-ROOF
Project Name: Moe
Applicant Name: S & S Roofing, LLC
Applicant Address: 104 S West Ave
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Jami King
Phone: 360-386-9903
Email:jamisandsroofing@hotmail.com
Scope of Work: Remove existing shingles and replace with Pabco Premier Arch Shingles. No sheathing repalcement
Valuation: 16450.00
Square Feet: 0
Number of Stories: 1
Construction Type: VB
Occupancy Group: R-3; Residential
ID Code:
Permit Issued: 08/05/2025
Permit Expires: 02/02/2026
Form Permit Type: RESIDENTIAL RE-ROOF
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
00920000000400 210 S HAMLIN DR SECTION 12 TOWNSHIP 31 MOE DONALD W& 100 SINGLE FAMILY
RANGE 05 QUARTER NW CHERI L RESIDENCE
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
S&S Roofing LLC jamisandroofing@hotmail.com 3603869903 104 S West Ave CONSTRUCTION COA 602 934 849
CONTRACTOR
S&S Roofing LLC jamisandroofing@hotmail.com 3603869903 104 S West Ave CONSTRUCTION Construction Contractor SSROOSR918MM
CONTRACTOR
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
01/05/2026 R00.1 RE-ROOF FINAL 01/06/2026 01/05/2026 BUILDING Approved
Fees
Fee Description Notes Amount
Processing/Technology $25.00
Re-Roof Residential Residential $75.00
State Surcharge- 1st DU Residential- 1st Unit $6.50
Credit Card Service $3.20
Total $109.70
Attached Letters
Date Letter Description
08/05/2025 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
07/21/2025 XBP Con£237766745 $106.50
07/21/2025 Jami King 237766745 Hannah Hardwick $3.20
Outstanding Balance $0.00
Notes
Date Note Created By:
12/29/2025 sent expiration notice Hannah Hardwick
Uploaded Files
Date File Name
08/06/2025 27683227-20250805 BLD6634 IssuedPermit.pdf
07/18/2025 27407791-20250718 BLD6634 Apnlication.pdf