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17323 81st Dr Ne_P26-0086_2026
Re-Roof Permit Application For Instruction/Checklist,please click here Site Address: 17323 81st Dr NE Project Name: David Blackburn Project Valuation: 17995.00 Project Scope of Work: [TEAR OFF EXISTING SHIN, Primary Contact: O Owner O Applicant Contractor Owner Details Owner Name: David Blackburn Home No.: 3603869903 Email Address: jam isandsroofing@hotmail.c], Cell No.: Mailing Address: 1104 S West Ave City: Arlington State: WA Zip: 98223 Contractor Details Primary Contractor: S&S Roofing LLC Office No.: 13603869903 Email Address: jam isandsroofing@hotmail.c], Cell No.: Mailing Address: 104 S West Ave City: Arlington State: I WA Zip: 98223 L&I Contractor License Number: SSROOSR918MM Expiration Date: 08/03/2e26 Type of Roofing Material: Owens Corining Replacing existing sheathing: Yes O No Number of Existing Layers: Installation over existing material: Yes No Roof tear off: Yes G No Class of Roofing: A—Highest Fire Rating !' B —Moderate Fire Rating ! C—Light Fire Rating The following is required for NON-RESIDENTIAL BUILDINGS Provide 2 copies of the installation specifications and U.L.Listed roof assembly. Existing Roof Structure: Existing Roof Material: Building Occupancy: Office/Professional Services Industrial Restaurant Other: Educational Facility Retail Religious Facility I hereby certify that I am the Owner, O 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. Print Name: Jami King Date: 01/20/2026 City of Arlington 14 (11 (0/1 18204 59th Avenue NE, Arlington, • • Washington 98223 Phone: 360-403-3551 jNG� WASHINGTON C Invoice Number: 26-0067 INVOICE Invoice Date:January 20, 2026 Account Number: 4010232331 Bill To: Invoice Questions? S&S Roofing LLC Phone: 360-403-3551 104 S West Ave Arlington, WA 98223 Email: ced@arlingtonwa.gov Invoice Due Date:January 20, 2026 Record Number: Permit A26-0086 Parcel Number: 01040900001800 Location: 17323 81ST DR NE Date Description Paid Date Amount Paid Balance January 20, Re-Roof Residential Fee (006.322.10.00.01) $75.00 2026 January 20, Processing/Technology(320.341.43.00.02) $25.00 2026 January 20, State Surcharge- 1st DU (633.386.00.01.00) $6.50 2026 TOTAL: Permit Fees $106.50 $106.50 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------- REMITTANCE INFORMATION If you are paying by check, please include this portion with your payment and remit to the address listed on this invoice. Remittance Information Invoice Account Total Due Your payment is due by January 20, 2026 Number Number This Invoice 26-0067 4010232331 1$106.50 S&S Roofing LLC 104 S West Ave Arlington, WA 98223 4rtk( tot( WASHINGTON Permit Information - - , 1 'nformat;^ Permit# 26-0086 Parcel # 01040900001800 Building ID Location 17323 81ST DR NE Permit Type Residential Permit Use Re-Roof Zone Permit # Subdivision Applicant Name Jami King Address 104 Applicant Email jamisandsroofing@hotmai Phone 3603869903 Cell I.com Owner Name David Blackburn Address 17323 81ST DR NE ARLINGTON, WA, 98223 Owner Email jamisandsroofing@hotmai Phone Cell I.com Contractor S&S Roofing LLC Address 104 S West Ave,Arlington, WA 98223 Contractor Email jamisandsroofing@hotmai Phone 3603869903 Cell I.com Property Informat— Type/Improveme Accessory/Struct nt ure Current Use Proposed Use Current Zoning 0 Proposed Zoning Project Cost 17995 Project Value 17995 Current Use And TEAR OFF EXISTING SHINGLES AND REPLACE WITH OWENS CORNING DURATION SHINGLES Proposed Changes Lot Width Lot Depth Map Number Total Area of Building &Accessory Total Area of All Man-made Improvements Structures (Sq Ft) (Sq Ft) General Notes Restrictions/ Variances ©Community Development Online Portal Page 1 of 6 July 23, 2026 12:33PM WASHINGTON Structure Information Structure Type # of Stories Usable Floor Area (Sq Ft) Structure Height # of Units Load per Floor (Lbs) Sign Dimensions # of Bedrooms # of Bathrooms Occupancy With Chairs Tables & Chairs Empty Room Foundation Foundation Type Footing Depth Material Foundation Information Setbacks Front& 0 0 Setbacks Right & 0 0 Rear Left Sides Setbacks Information Water Utility Public Sewage Utility Public Gas Utility Public Electric Utility Public Driveway Width # of Off Street # of Off Street Parking Loading Miscellaneous Information ©Community Development Online Portal Page 2 of 6 July 23, 2026 12:33PM WASHINGTON Contractors License # Business Name Type Contact SSROOSR918MM S&S Roofing LLC General Contractor Jami King ©Community Development Online Portal Page 3 of 6 July 23,2026 12:33PM WASHINGTON Inspections Inspection # Inspection Type Status Date Inspector 26-0426 Residential -Other Pass June 30, 2026 Kevin Olander ©Community Development Online Portal Page 4 of 6 July 23,2026 12:33PM 4rtk( tot( WASHINGTON Contacts Contact Name Type Project Address Phone David Blackburn Owner 17323 81ST DR NE ARLINGTON, WA, 98223 Jami King Others 104 360-386-9903 Jami King Applicant 104 360-386-9903 S&S Roofing LLC Contractor 104 S West Ave, 360-386-9903 Arlington, WA 98223 ©Community Development Online Portal Page 5 of 6 July 23, 2026 12:33PM 4rtk( tot( WASHINGTON Fees Fee Type Date Debit Credit Balance Permit Fees January 20, 2026 $0.00 $0.00 $106.50 $-106.50 T O T A L $0.00 $106.50 $-106.50 ©Community Development Online Portal Page 6 of 6 July 23, 2026 12:33PM WASHINGTON Permit #26-0086 Location:17323 81ST DR NE Routing Details X Department: Permit Tech Intake Review - Deadline: January 27, 2026 - Approved: January 20, 2026 - Status: In Progress Permit Application #A26-0086 Location:17323 81ST DR NE- by Admin - Hannah Hardwick- Fire Permit Technician II at January 20, 2026 02:42PM Status: Approved Activity Type: In Review Admin - Hannah Hardwick City of Arlington Fire Permit Technician II hhardwick@arlingtonwa.gov 360-403-3549 Permit #26-0086 Location:17323 81ST DR NE- by LaNay Hendrick- Permit Technician at June 8, 2026 04:11PM Status: In Progress Activity Type: Application Sent EXPIRTION NOTICE SENT LaNay Hendrick City of Arlington Permit Technician Iendrick@arlingtonwa.gov 360-403-3437 ✓ Department: Permit Tech Final Approval - Approved: July 23, 2026 - Status: Closed Manual Update - Permit Application #A26-0086 Location:17323 81ST DR NE - by Admin - Hannah Hardwick- Fire Permit Technician II at January 20, 2026 02:40PM Status: In Progress Activity Type: Documents Review The following permit has been updated manually. Permit Application #A26-0086 Location:17323 81ST DR NE Permit Application #A26-0086 Location:17323 81ST DR NE- by Admin - Hannah Hardwick- Fire Permit Technician II at January 20, 2026 02:43PM Status: Pending Activity Type: Pending Payment Hello, Your invoice is now ready for payment.You can access and process the payment through our portal. Please visit the following link to view and pay your invoice: @ Community Development Online Portal Page 1 of 4 July 23, 2026 12:34PM WASHINGTON https://www.civicgov4.com/wa_arlington/portal/index.php?r=site/dashboard Please let me know once you have made payment and I'll provide a copy of your issued permit and approved documents. Admin - Hannah Hardwick City of Arlington Fire Permit Technician II hhardwick@arlingtonwa.gov 360-403-3549 Permit Application #A26-0086 Location:17323 81ST DR NE- by Admin - Hannah Hardwick- Fire Permit Technician 11 at January 21, 2026 02:33PM Status: Approved Activity Type: Permit Issued Admin - Hannah Hardwick City of Arlington Fire Permit Technician II hhardwick@arlingtonwa.gov 360-403-3549 Permit Application #A26-0086 Location:17323 81ST DR NE- by Admin - Hannah Hardwick- Fire Permit Technician II at January 21, 2026 02:33PM Status: Approved Activity Type: Permit Issued Admin - Hannah Hardwick City of Arlington Fire Permit Technician 11 hhardwick@arlingtonwa.gov 360-403-3549 Permit #26-0086 Location:17323 81ST DR NE- by Admin - Hannah Hardwick- Fire Permit Technician II at January 21, 2026 02:35PM Status: Approved Activity Type: Permit Issued Hello, Please find attached the issued building permit. Please review any conditions and reach out should you have any questions. Inspection request instructions can be found on the permit. Admin - Hannah Hardwick City of Arlington Fire Permit Technician II hhardwick@arlingtonwa.gov 360-403-3549 Permit #26-0086 Location:17323 81ST DR NE - by LaNay Hendrick- Permit Technician at June 24, 2026 10:36AM Status: In Progress Activity Type: Application Sent @ Community Development Online Portal Page 2 of 4 July 23, 2026 12:34PM 4rtk( tot( WASHINGTON EXPIRATION NOTICE SENT LaNay Hendrick City of Arlington Permit Technician Ihendrick@arlingtonwa.gov 360-403-3437 Manual Approval - Permit#26-0086 Location:17323 81ST DR NE - by Kevin Olander- Building Official at June 30, 2026 04:29PM Status: Approved Activity Type: Documents Review The following permit has been approved manually. Permit#26-0086 Location:17323 81ST DR NE Manual Closure - Permit#26-0086 Location:17323 81ST DR NE- by Admin - Hannah Hardwick- Fire Permit Technician II at July 23, 2026 12:29PM Status: Closed Activity Type: Documents Review The following permit has been closed manually. Permit#26-0086 Location:17323 81ST DR NE @ Community Development Online Portal Page 3 of 4 July 23, 2026 12:34PM 4rtk( tot( WASHINGTON Record Actions New Permit Application #A26-0086 Location: 17323 81ST DR NE By Admin - Hannah Hardwick- Fire Permit Technician II at January 20, 2026 08:32AM Hello, A new permit application has been submitted for review. Please login to your CIVICGov Web Application account and visit the link below to view the permit details. https://www.civicgov4.com/wa_arlington/permits/details/214 If you cannot click on the link above, please copy and paste the entire link in the browser address bar. Sincerely, CIVICGov Team. Manual Update- Permit Application #A26-0086 Location:17323 81ST DR NE By Admin - Hannah Hardwick- Fire Permit Technician II at January 20, 2026 02:40PM The following permit has been updated manually. Permit Application #A26-0086 Location:17323 81ST DR NE Condition #1 Added By Admin - Hannah Hardwick- Fire Permit Technician II at January 21, 2026 02:34PM Condition: Adhere to approved materials Condition #2 Added By Admin - Hannah Hardwick- Fire Permit Technician II at January 21, 2026 02:34PM Condition: Permit shall be onsite for inspection Condition #3 Added By Admin - Hannah Hardwick- Fire Permit Technician II at January 21, 2026 02:34PM Condition: Call for inspection Inspection #26-0426: Result- Pass By Kevin Olander- Building Official at June 30, 2026 04:28PM Residential -Other Inspection #26-0426: Result- Pass re-roof final Manual Approval - Permit#26-0086 Location:17323 81ST DR NE By Kevin Olander- Building Official at June 30, 2026 04:29PM The following permit has been approved manually. Permit#26-0086 Location:17323 81ST DR NE Manual Closure - Permit#26-0086 Location:17323 81ST DR NE By Admin - Hannah Hardwick- Fire Permit Technician II at July 23, 2026 12:29PM The following permit has been closed manually. Permit#26-0086 Location:17323 81ST DR NE ©Community Development Online Portal Page 4 of 4 July 23, 2026 12:34PM 18204 59th Avenue NE • ' • 14 op Arlington, Washington 98223 to tt Phone: 360-403-3551 jNG� WASHINGTON C Residential - Re-Roof Permit Parcel:01040900001800 Permit#:26-0086 Permit Address:17323 81ST DR NE Date Issued:January 21,2026 Description of Work:TEAR OFF EXISTING PERMIT EXPIRES 180 DAYS SHINGLES AND REPLACE WITH OWENS AFTER DATE OF ISSUANCE. CORNING DURATION SHINGLES Valuation:$17995 Code Year: OWNER APPLICANT CONTRACTOR David Blackburn Jami King S&S Roofing LLC 104 S West Ave,Arlington,WA 98223 17323 81ST DR NE ARLINGTON,WA,98223 104 3603869903 3603869903 jamisandsroofing@hotmail.com jamisandsroofing@hotmail.com jamisandsroofing@hotmail.com number:SSROOSR918MM 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. 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. This permit authorizes only the work noted and covers work to be done on private property only. Any construction on public domain (curbs, sidewalks, driveways, marquees, etc.) will require a separate permit. 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. CONDITIONS 1.) Adhere to approved materials 2.) Permit shall be onsite for inspection 3.) Call for inspection INSPECTIONS Inspection Line: 360-403-3417 Call for inspections by 3:30 pm for next day inspection. Please allow 48 hours for Fire Inspections. Please provide the following information when leaving a message: Permit Number, Type of Inspection, and provide preference of morning or afternoon inspection. Inspection Portal: Please login to customer portal and submit for the desired inspection type for the permit. Kevin Olander Building Official ASSOCIATED FEES Date Description Paid Date Amount Paid Balance January 20, Re-Roof Residential Fee (006.322.10.00.01) $75.00 2026 January 20, Processing/Technology(320.341.43.00.02) $25.00 2026 January 20, State Surcharge- 1st DU(633.386.00.01.00) $6.50 2026 TOTAL: Permit Fees $106.50 $106.50 Credit/Debit Card 236 Payment Successful January 20, 2026 $106.50 $0.00