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HomeMy WebLinkAbout17504 79th Dr Ne_BLD6759_2026 j 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: 17504 79th Dr NE Lot#: Parcel ID No.: Project Valuation: 25775.00 Project Scope of Work: tear off existing shingles and replace with Pabco Paramount shingles Primary Contact: ❑ Owner ❑✓ Applicant ❑✓ Contractor Owner Name: Jose Stacruz 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@hotmail.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: jam isandsroofing@hotmail.com Cell No.: Mailing Address: 104 S WEst ave City: Arlington State: WA Zip: 98223 L&I Contractor License Number: SSROOSR918MM Expiration Date: 8/26/26 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. . 0 A—Highest Fire Rating El —Moderate Fire Rating ❑C—Light Fire Rating RoofiClass 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 I am the ❑ Owner, ❑r 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 10/7/25 gn ture Print Name Date SAVE PRINT Permit#: 6759 Permit Date: 10/08/25 Permit Type: RESIDENTIAL RE-ROOF Project Name: Stacruz Applicant Name: S&S Roofing Applicant Address: 104 s West Ave Applicant, City, State, Zip: Arlington,WA 98223 Contact: Jamie Phone: 3603869903 Email:jamisandsroofing@hotmail.com Scope of Work: tear off existing shingles an replace with Pabco Paramount shingles Valuation: 25775.00 Square Feet: 2766 Number of Stories: 2 Construction Type: VB Occupancy Group: R-3; Residential ID Code: Permit Issued: Permit Expires: 04/09/2026 Form Permit Type: RESIDENTIAL RE-ROOF Status: EXPIRED Assigned To: LaNay Hendrick Property Parcel# Address Legal Description Owner Name Owner Phone Zoning STACRUZ JOSE A 100 SINGLE 01017900003500 17504 79TH DR NE FAMILY &JOSEPHINE P RESIDENCE 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 10/08/2025 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/08/2025 Jami King 245264669 $3.20 10/08/2025 XBP Con£ $106.50 245264669 Outstanding Balance $0.00 Uploaded Files Date File Name 10/08/2025 28694105-20251007 reroof permit application-Stacruz.pdf