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Home My WebLink About5004 200TH PL NE_BLD6661_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: 5004 200th PI NE Lot#: Parcel ID No.: Project Valuation: 14195.00 Project Scope of Work: tear off existing shingles and replace with Owens Corning Oakridge shingles Primary Contact: ❑ Owner ❑✓ Applicant ❑✓ Contractor Owner Name: Ronald Schultz Office No.: 3603869903 Email Address: jam isandsroofing@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: jam isandsroofing@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: jam isandsroofing@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: Owens corning 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 Z A—Highest Fire Rating El —Moderate Fire Rating El —Light Fire Rating Roofing: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: I hereby certify that 1 am the ❑ Owner, ❑✓ Applicant, ❑r 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 meth�l 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 Si lure 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 5004 200TH PL NE Permit#:6661 Parcel#:00849100004000 PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Scope of Work:Remove existing shingles and replace with Owens Corning Oakridge Valuation: 14195.00 shingles with no sheathing replacement OWNER APPLICANT CONTRACTOR SCHULTZ RONALD G II S&S Roofing,LLC S&S Roofing LLC 27207 35TH AVE NE 104 S West Ave 104 S West Ave ARLINGTON,WA 98223 Arlington,WA 98223 Arlington,WA 98223 360-386-9903 3603869903 1IC:602 934 849 EXP:08/31/2026 TIC:SSROOSR918MM EXP:08/03/2027 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL RE-ROOF CODE YEAR: 2021 STORIES: 1 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.IBC I 10/IRC 110. 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. 08/07/2025 Applicant Signature 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 08/07/2025 Processing/Technology $25.00 08/07/2025 Re-Roof Residential $75.00 08/07/2025 State Surcharge-1 st DU $6.50 08/07/2025 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/Faiil Permit#: 6661 Permit Date: 08/06/25 Permit Type: RESIDENTIAL RE-ROOF Project Name: Schultz Applicant Name: S&S Roofing, LLC Applicant Address: 104 S West Ave Applicant, City, State,Arlington,WA 98223 Zip: Contact: Jami King Phone: 360-386-9903 Email:jamisandsroofing@hotmail.com Scope of Work: Remove existing shingles and replace with Owens Corning Oakridge shingles with no sheathing replacement Valuation: 14195.00 Square Feet: 1634 Number of Stories: 1 Construction Type: VB Occupancy Group: R-3; Residential ID Code: Permit Issued: 08/07/2025 Permit Expires: 02/03/2026 Form Permit Type: RESIDENTIAL RE-ROOF Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning SCHULTZ 100 SINGLE 00849100004000 5004 200TH PL NE FAMILY RONALD G II RESIDENCE Contractors Contractor Primary Contact Phone Address Contractor Type License License# S&S Roofing LLC jamisandroofing@hotmail.com 3603869903 104 S West CONSTRUCTION COA 602 934 849 Ave CONTRACTOR S&S Roofing LLC jamisandroofmg@hotmail.com 3603869903 104 S West CONSTRUCTION Construction SSROOSR918MM Ave CONTRACTOR Contractor Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 01/05/2026 R00.1 RE-ROOF 01/06/2026 01/05/2026 BUILDING Approved FINAL 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 $l 09.70 Attached Letters Date Letter Description 08/07/2025 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/06/2025 Jami King 239305360 $3.20 08/06/2025 XBP Conf: $106.50 239305360 Outstanding Balance $0.00 Notes Date Note Created By: 12/29/2025 sent expiration notice Hannah Hardwick Uploaded Files Date File Name 08/07/2025 27706860-20250807 BLD6661 IssuedPermit.pdf 08/06/2025 27683480-20250805 BLD6661 Application.pdf