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Home My WebLink About524 DUNHAM_BLD1154_2026 MISCELLANEOUS PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR INTERIOR ALTERATIONS, FENCES, RETAINING WALLS, STORAGE TANKS, PLAYGROUND EQUIPMENT, POOLS, HOT TUBS, ETC. Project Address: 1/� `�lUu/ I / l�►� Project Description: V� 7 QSQ � -[x�S Valuation: Owner: Address: - �� , y City:AV-4State: W&_ Zip Cod7T)*3 Phone: +436—b(0 &7 Email: ICk2La1( W6Il • C ne". Id Applicant: C541y l) Address: 6MIL, City: State: Zip Code: Phone: .. II Email: Contractor Name: "�V — Address: City: State: Zip Code: Phone: Email: License Number_ Expiration Date: 1 hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. � A�pp/liVcants Si I ID I Date .Print Applicants Name FOR STAFF USE ONLY ReceI ve RG"I - - - SEP 2 0 2016 - Permit# Accepted By Amount Received Receipt# Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:524 N.Dunham Ave Permit#: 1154 Parcel#:00529901100500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MOLSTAD DUANE&JENNIFER Name:Jenifer Molstad Name:Duane and Jcnifer Molstad Address:524 N DUNHAM AVE Address:524 N.Dunham Ave Address:524 N.Dunham City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington.WA 98223 Phone Phone:360-435-0614 Phone:360-435-0614 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: M Isc CODE YEAR: 2015 STORIES: 0 CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: 0 OCC LOAD: PERMIT APPROVAL 1 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. IBCI10/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 an coded ity OtAdin n# 101. Signature Print Name Date Released By . Irate CONDITIONS Inspections are required prior to construction of the proposed fence,and after completion, for approved location and construction. THIS PERMIT AUTHORIZS 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 Total Due: S0.00 Total Payment: $0.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 hen calling for an inspection please leave the following information: Permit Number,1 ype of Inspection being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:524 N.Dunham Ave Permit#: 1154 Parcel#:00529901100500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MOLSTAD DUANE&JENNIFER Name:Jenifer Molstad Name:Duane and Jenifer Molstad Address:524 N DUNHAM AVE Address:524 N.Dunham Ave Address:524 N.Dunham City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-435-0614 Phone:360-435-0614 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Misc CODE YEAR: 2015 STORIES: 0 CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: 0 OCC LOAD: PERMIT APPROVAL 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. IBCI 10/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. 2� Signature Print Name Date Released By Date CONDITIONS Inspections are required prior to construction of the proposed fence, and after completion, for approved location and construction. THIS PERMIT AUTHORIZS 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 Total Due: $0.00 Total Payment: $0 00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON ru 238 N. OLYMPIC AVE- ARLING'I'ON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:524 N.Dunham Ave Permit p: 1154 Parcel M:00529901100500 Valuation:0 00 OWNER APPLICANT CONTRACTOR Name:MOLSIAD DUANE&JENNIFER Name:Jenifer Molstad Name:Duane and Jcnifer Molstad Address:524 N DIINHAM AVE Address524 N Dunham Ave Address:524 N.Dunham City,Slate"Zip:ARLINGION,WA 98223 City,State Zip:Arlington,WA 98223 City,State Z.ip:Arlington,WA 98223 Phone: Phone:360-43 5-0614 Phone:360-43 5-0614 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address, City,Slate.Zip: City,State,Zip: Phone Phone: LIC d: EXP: LIC N: EXP: JOB DESCRIPTION PERM ITTYPF: MISc CODE YEAR: 2015 STORIES: 0 CONSI-_TYPE: DWELLING UNITS 0 OCCGROUP: BUILDINGS: 0 OCC LOAD: PERMIT APPROVAL 1 AGREF TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE FMPLOYFD IN VIOI.A'I'ION OF THE LABOR CODE OFTHE STATE OF WASHINGPON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18 27, IHIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISII IER DEPUTY AND ALI,FEES ARE PAID, IT IS UNLAWFUL.TO USF OR OCCUPY A BUILDING OR S'I-RUCTURF UNTIL_A FINAL INSPECTION HAS BFFN MADE AND APPROVAL OR A CERTIFICATF.OF OCCUPANCY HAS BEEN GRAN]FD, IBC1101IRCI IQ SALt«S TAX No'rH'E:Sale-s tax relating to construction and construction materials in the City of Arlington must be reported on your gales lax return t'orm and coded Flty o ram n rl l01 %ignature Print Name Date Released By I)nlc CONDITIONS Inspections are required prior to construction of the proposed fence,and after completion, for approved location and construction. MIS I'ERMfrAL'rHORII.S ONLY THE WORK NOTED THIS PERMI'PCOVERS WORKTO BE DONE ON PRIVA'fT,PROPERTY ONLY ANY CONSTRUCTION ON THE PU131.IC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC)WILL.REQUIRE,'SGPARATE PERMISSION PERMIT FEES We Description Fee Amount Total Due: S0.00 Total Payment: so 00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon _ � i �i� y 1 CITY OF ARLINGTON % 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:524 N.Dunham Ave Permit#: 1154 Parcel#:00529901100500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MOLSTAD DUANE&JENNIFER Name:Jenifer Molstad Name:Duane and Jenifer Molstad Address:524 N DUNHAM AVE Address:524 N.Dunham Ave Address:524 N.Dunham City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-435-0614 Phone:360-435-0614 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Misc CODE YEAR: 2015 STORIES: 0 CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: 0 OCC LOAD: PERMIT APPROVAL 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 IOARC110. 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. Signature Print Name Date Released By Oatc CONDITIONS Inspections are required prior to construction of the proposed fence, and after completion, for approved location and construction. THIS PERMIT AUTHORIZS 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 Total Due: $0.00 Total Payment: $0.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon I { { 11 - - - - - - - - �� - r � II I I I r Permit Information Date 9/20/2016 Permit Number 1154 Project Name Duane and Jenifer Molstad Applicant Name Jenifer Molstad Applicant Address 524 N.Dunham Ave City,State,Zip Arlington,WA 98223 Contact Jenifer Molstad Phone 360-435-0614 Email jchzball@msn.com Permit Type Misc Site Address 524 N. Dunham Ave Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use installation of fence Assigned To Kristin Foster Property Information Owner Information Parcel#:00529901100500 MOLSTAD DUANE&JENNIFER MOLSTAD DUANE&JENNIFER 524 N DUNHAM AVE 524 DUNHAM ARLINGTON,WA 98223 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# (Duane and Jenifer Molstad Jenifer Molstad 360-435-0614 chzball msn.com APPLICANT i Review Date Type Description Target Date Completed Date I Assigned To Status 9/20/2016 IMisc ISite review required. 9/27/2016 9/20/2016 lKevin Olander Approved with Conditions Uploaded Files Upload File Date I File I Uploaded B 9/20/2016 10:41:30 AM 11154 Applicationlodf IFoster,Kristin i� 1 i+ MISCELLANEOUS PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR INTERIOR ALTERATIONS, FENCES, RETAINING WALLS, STORAGE TANKS, PLAYGROUND EQUIPMENT, POOLS, HOT TUBS, ETC. Project Address: V 1/� `� AVf Project Description: 4� i 7� �s �' �12 lraW Valuation: Owner: iDw\b Address: City:AV-4K4�KState: l/ &-1 Zip Cody 7 X tk3 Phone: +35.0(ot f- Email: IC yz-1060 mpi • cm-, Applicant: Address: City: State: Zip Code: Phone: / Email: Contractor Name: Address: City: State: Zip Code: Phone: Email: License Number: Expiration Date: 1 hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. Aigplicants Sqnature� Date .Print Applicants Name FOR STAFF USE ONLY Received SEP 2 0 2016 Permit# Accepted By Amount Received Receipt# Date Received I 1 1 J r I 1 - '1 = I Date: 03/11/2026 Permit#: 1154 Permit Date: 09/20/2016 Review Date: 09/20/2016 Permit Type: RESIDENTIAL FENCE Review Type: Misc Target Date: 09/27/2016 Scheduled Time: 00:00 Completed Date: 09/20/2016 Description: Site review required. Review Status: Assigned To: BUILDING Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 00529901100500 MOLSTAD DUANE &JENNIFER MOLSTAD DUANE & JENNIFER 524 N DUNHAM AVE 524 DUNHAM ARLINGTON, WA 98223 Zoning: 111 Single Family Residence - DetachedLot: Block: Permit#: 1154 Permit Date: 09/20/16 Permit Type: RESIDENTIAL FENCE Project Name: Duane and Jenifer Molstad Applicant Name: Jenifer Molstad Applicant Address: 524 N. Dunham Ave Applicant, City, State, Zip: Arlington,WA 98223 Contact: Jenifer Molstad Phone: 360-435-0614 Email:jchzball@msn.com Scope of Work: Installation of fence Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 09/21/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00529901100500 524 DUNHAM MOLSTAD DUANE 111 Single Family &JENNIFER Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License Duane and Jenifer Molstad Jenifer Molstad 360-435-0614 524 N.Dunham APPLICANT Plan Reviews Date Review Type Description Assigned To Review Status 09/20/2016 Misc Site review required. BUILDING Attached Letters Date Letter Description 09/20/2016 Building Permit Uploaded Files Date File Name 10/04/2016 1873927-1154 Issued Permit.pdf 09/20/2016 1851182-1154 Application.pdf