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Home My WebLink About4623 191ST ST NE_BLD6660_2026 RESIDENTIAL RE-ROOF PERMIT APPLICATION t - e Community and Economic Development City of Arlington•18204 59th Ave NE•Arlington,WA 98223•Phone(360)403-3551 Property Address: 4623 191 st ne Lot#: Parcel ID No.: Project Valuation: 19995.00 Project scope of Work: Tear off existing shngles and replace with Owens Corning Duration shingles Primary Contact: ❑ Owner ❑✓ Applicant ❑✓ Contractor Owner Name: Emilee Wells Office No.: 3603869903 Email Address: jamisandsroofing@hotmail.com Cell No.: Mailing Address: City: State: Zip:104 S West Ave Arlington WA 98223 Applicant Name: S&S Roofing LLC Office No.: 3603869903 Email Address: jamisandsroofing@hotmai1.com Cell No.: Mailing Address: 104 S West Ave City:Arlington State: WA Zip: 98223 Contractor Name: S&S Roofing LLC Office No.: 3603869903 Email Address: jamisandsroofing@hotmail.com Cell No.: Mailing Address: 104 S West Ave City: Arlington State: WA Zip: 98223 L&I Contractor License Number: SSROOSR918MM Expiration Date: 8/3/25 RE-ROOF INFORMATION Type of Roofing Material: Owens Corning Replacing existing sheathing: [—]Yes ❑✓ No Number of Existing Layers: 1 Installation over existing material: ❑Yes ✓❑No Roof tear off: ❑✓ Yes ❑No Class of Class 0 A—Highest Fire Rating ElB—Moderate Fire Rating ❑C—Light Fire Rating Class Concrete,Clay,Roof Tiles,Fiberglass Pressured Treated Shakes and Untreated Wood Shakes and Shingles, Examples: Asphalt Composition Shingles,Metal Shingles Plywood,Particleboard Roofs Provide additional information,as necessary: 1 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 8/5/25 Sign.'�L r 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 4623 191ST ST NE Permit#: 6660 Parcel#:00955700005000 PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Scope of Work:Remove existing shingles and replace with Owens Corning Duration Valuation: 19995.00 shingles OWNER APPLICANT CONTRACTOR WELLS KEVIN MICHAEL/EMILEE S&S Roofing,Inc S&S Roofing LLC NICOLE 4623 191ST ST NE 104 S West Ave 104 S West Ave ARLINGTON,WA 98223-4788 Arlington,WA 98223 Arlington,WA 98223 360-386-9903 3603869903 LIC:602 934 849 EXP:08/31/2026 LIC:SSROOSR918MM EXP:08/03/2027 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL RE-ROOF CODE YEAR: 2021 STORIES: 2 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 detennined 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. IBC110/IRC110. 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. 08/06/2025 �. Applicant Signs rc 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 08/06/2025 Processing/Technology $25.00 08/06/2025 Re-Roof Residential $75.00 08/06/2025 State Surcharge-1 st DU $6.50 08/06/2025 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 Permit#: 6660 Permit Date: 08/05/25 Permit Type: RESIDENTIAL RE-ROOF Project Name Wells Applicant Nam a S& SRoofing, Inc Applicant Address: 104 S West Ave Applicant, City, State, Zip: Arlington,WA98223 Contact: Jam iKing Phone: 360-386-9903 Em al:jam sandsroofing@hotm al.com Scope of Work: Rem we existing shingles and replace with Owens Corning Duration shingles Valuation: 19995.00 Square Feet: 2182 Num ber of Stories: 2 Construction Type: VB O xupancy G ioup: 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 L egal Description O wner Nam e Cvner Phone Zoning WELLS KEVIN 100 SINGLE 00955700005000 4 623191STSTNE MICHAEL/EMILEE FAMILY NICOLE RESIDENCE Contractors Contractor Prim ay Contact P hone A ddress C ontractor Type L icense License# S&SRoofimg LLC j am sandroofng@hotm al.com 3 603869903 104 S Writ CONSTRUCTION COA 602 934 849 Ave CONTRACTOR S&SRoofing LLC j am sandroofng@hotm al.com 3 603869903 104 S West CONSTRUCTION Construction SSROOSR918MM Ave CONTRACTOR Contractor Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus 01/05/2026 C00. 01/06/2026 0 1/05/2026 B UILDING A pproved CONSULTATION Fees Fee D escription N otes A m amt Processing/Technology $25.00 Re-Roof Residential R esidential $75.00 State Surcharge- 1st DU R esidential-Ist Unit $6.50 Credit Card Service $3.20 Total $109.70 Attached Letters Date Letter D escription 08/06/2025 Building Perm i Paym arts Date Paid By D escription P aym ait Type A ccepted By A m amt 08/05/2025 Jam iKing 2 39227478 $3.20 08/05/2025 XBP Conf: $106.50 239227478 O itstanding Balance $0.00 Notes Date Note C reated By: 12/29/2025 sent expiration notice H annah Hardwick Uploaded Files Date File Nam e 08/06/2025 27684106-20250805 BLD6660 IssuedPerm i.pdf 08/05/2025 27664441-20250805 BLD6660 Application.pdf