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HomeMy WebLinkAbout17421 38TH DR NE_BLD1377_2026 paA!aoa�i ale(] #;dlaoau paA!aoad;unowy Ag pa;daooy #;!ullad 111NO 3sn ddtlls aOd aweN s;ueoliddy;wid W,-QJ-4-S'p a;ea am;eu6!s s;ueollddy 'uo;6u!yseM;o;e;s ay;jo suol;elnbaj pue solni'snnel ay;y;!m aouepj000e ul aq lllM�(�adoid paq_ p -anoge ay;;o asn ay;pue Aouedn000 ay;pue'uo uo!;onj;suoo ay;;ey;pue;oenoo sl uogewjo;w anoge ay;;ey;fi4pao Agajay I Sim W :)IjoM;o adooS G r :uol;endx3 :jagwnN asuaol_l s,Jo;oeJ;uOO �b -apo0 d!Z �7pf :ssajpp`d .jagwnN auoyd S :ao;oea;uo0 :apoo d!Z :a;e;s :Avo :ssajppv :I!ew-3 :auoyd II90 :jegwnN auoyd -� 95 :uosaad}0e;uO3 g :apoo d!Z M :a;e;s j �i�{ AD �p `?�� �Ci I r)�L) :ssajppd :jegwnN auoyd )JTS P• _� :Jaumo:sbu!pin8;o jagwnN :sJoog;O-ON 0001 (;d bs)eajy buwppq :uo!;enlen :uolslAlpgns :#;o1 #al lao'ed , :ssajppy;oafad leu;snpul lelojawwoD lel;uaplsaul , (auo)loayo):;!waad;o odAl AON2 03A flddV NV A 03137MOD(alquagdde j!) 1HOd3L11N3W31V9V(INV Id0d.98 A3Auns SO1S39SV NV-40 S31d00(Z)OMl `ADN30V MIV NV370 aNnOS 130nd WOU-4 NOIIVDI-4110N N011170W3W0IS39SV 3Hl dO Ad00 V 1411M O31NVdW030V 391SM NOI1VDl7ddV SIHI 699£-M,(09£) auoyd • £ZZ96 VAA 'uo;6uilay• 3N aAd y169 t�OZ96'•UOIBUIIad 10 AI!3 juawdolanaa oiwouog3 ;y Ai!unwwoa jo juawj.ledea N011.d311ddd 1.1WH3d CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17421 38th Drive NE Permit#:1377 Parcel#:00481000000800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:LUNDSTROM PAMELA Name:Pamela Lundstrom Name:Thomas Lundstrom Address: 17421 38TH DR NE Address:1742138th Drive NE Address: 17421 38th Drive NE City,State Zip:ARLINGTON,WA 98223-7729 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-202-9573 Phone:360-202-9573 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: ] OCC LOAD: APE+RMIITTAPP�R 101, . 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 l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be repo ed on your sales tax return form and coded City of Arlington#3101. 117 Signature Print Name Date Released By Yaw CONDITIONS Approved as submitted. All utilities must be disconnected prior to the start of demolition. 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 3/10/2017 Demolition Fee $100.00 3/10/2017 Processing/Technology Fee $25.00 3/10/2017 State Building Code Surcharge Fee $4.50 Total Due: $129.50 Total Payment: $129.50 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 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT_ Address:1742138th Drive NE Permit#:1377 Parcel#:00481000000800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:LUNDSTROM PAMELA Name:Pamela Lundstrom Name:Thomas Lundstrom Address: 17421 38TH DR NE Address:17421 38th Drive NE Address: 17421 38th Drive NE City,State Zip:ARLINGTON,WA 98223-7729 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-202-9573 Phone:360-202-9573 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 1 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 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be repo ed on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Dale CONDITIONS Approved as submitted. All utilities must be disconnected prior to the start of demolition. 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 3/10/2017 Demolition Fee $100.00 3/10/2017 Processing/Technology Fee $25.00 3/10/2017 State Building Code Surcharge Fee $4.50 Total Due: $129.50 Total Payment: $129.50 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 ' \PERMIT APPLICAT40N , Department of Community& Economic Development City of Arlington•.18204 59th Ave NE•Arlington, WA 98223• Phone (360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS✓DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (if applicable)COMPLETED BY AN APPR VED AGENCY. Type of Permit:(check one) z Residential ❑ Commercial ❑ Industrial ll Project Address: 1 74a l 3 'bL Parcel ID# �y��n 'S 4� 'Y Lot#: Subdivision: 1 Valuation: Building Area,,P'(Sq Ft) 00O No.of floors: r Number of Buildings: Owner: T �P� 1 /,��, � �C� M Phone Number: &d L�0� 9 Address: 17�1 ?gy t m I #-T-- City:P r State: kfA Zip Code: �g , Contact Person: Phone Number: Cell Phone: E-mail: Address: City: State: ,ZiipLC^�odd—e: a Contractor: ��1nYy14l 1 4.Xfy1'+LgDM Phone�N�u�mbber: 'I v� Address: ��a ��' City:CJLIL[.!'(_State: Lk)� Zip Code: �a2 Contractor's License Number: Expiration: Scope of Work:Drwo — C� Ty �,-, t VJ- +T�r w✓► 1000�+ de�' �u.lr4e9l / )_7 - w, W; + �Vc' ca,ryrtrCocArvs ( I I ay)vj) 6iq 'r, +t . �ka�iel U`�-�l�'� w�✓r c��.,Q �w�' Ins �-c�� �e-�v►at.�e� . aid ldJ u s--e I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above- d bed grope will be in accordance with the laws,rules and regulations of the Stat of Washington. i Applicants Signature Date Print Applicants Name polR STAFF USE ONLY Received MAR 10 2017 Permit# Amount Received Receipt# Date Received Date: 03/18/2026 Permit#: 1377 Permit Date: 03/10/2017 Review Date: 03/10/2017 Permit Type: DEMOLITION Review Type: DEMOLITION Target Date: 03/17/2017 Scheduled 00:00 Time: Completed 03/10/2017 Date: Description: They may want to consider removing any contaminated soils while equipment is on site. Ok to issue. BB Review Status: Assigned To: PW Storm Rev Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 00481000000800 LUNDSTROM PAMELA LUNDSTROM PAMELA 17421 38TH DR NE 17421 38TH DR NE ARLINGTON, WA 98223-7729 Zoning: I I I Single Family Residence - DetachedLot: Block: Date: 03/18/2026 Permit#: 1377 Permit Date: 03/10/2017 Review Date: 03/10/2017 Permit Type: DEMOLITION Review Type: DEMOLITION Target Date: 03/17/2017 Scheduled Time: 00:00 Completed Date: 03/17/2017 Description: No comments Marysville coverage area. FR Review Status: Assigned To: PW-SEW-REV Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 00481000000800 LUNDSTROM PAMELA LUNDSTROM PAMELA 17421 38TH DR NE 17421 38TH DR NE ARLINGTON, WA 98223-7729 Zoning: I I I Single Family Residence - DetachedLot: Block: Date: 03/18/2026 Permit#: 1377 Permit Date: 03/10/2017 Review Date: 03/10/2017 Permit Type: DEMOLITION Review Type: DEMOLITION Target Date: 03/17/2017 Scheduled Time: 00:00 Completed Date: 03/13/2017 Description: Marysville water system Review Status: Assigned To: PW-WAT REV Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 00481000000800 LUNDSTROM PAMELA LUNDSTROM PAMELA 17421 38TH DR NE 17421 38TH DR NE ARLINGTON, WA 98223-7729 Zoning: I I I Single Family Residence - DetachedLot: Block: Date: 03/18/2026 Permit#: 1377 Permit Date: 03/10/2017 Review Date: 03/10/2017 Permit Type: DEMOLITION Review Type: DEMOLITION Target Date: 03/17/2017 Scheduled Time: 00:00 Completed Date: 03/10/2017 Description: Per K.O.'s site visit. Review Status: Assigned To: z.Rick Karns Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 00481000000800 LUNDSTROM PAMELA LUNDSTROM PAMELA 17421 38TH DR NE 17421 38TH DR NE ARLINGTON, WA 98223-7729 Zoning: I I I Single Family Residence - DetachedLot: Block: Permit#: 1377 Permit Date: 03/10/17 Permit Type: DEMOLITION Project Name: Lundstrom Applicant Name: Pamela Lundstrom Applicant Address: 17421 38th Drive NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Pamela Lundstrom Phone: 360-202-9573 Email: Pamela.lundstrom@yahoo.com Scope of Work: Demo complete loss fire damaged garage Valuation: 0.00 Square Feet: 1000 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00481000000800 17421 38TH DR NE LUNDSTROM 111 Single Family PAMELA Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License Thomas Lundstrom Pamela Lundstrom 360-202-9573 17421 38th Drive NE Plan Reviews Date Review Type Description Assigned To Review Status 03/10/2017 DEMOLITION BUILDING 03/10/2017 DEMOLITION No comments,LT PW-ADMIN-GIS They may want to consider removing any contaminated 03/10/2017 DEMOLITION soils while equipment is on site.Ok to issue. PW Storm Rev BB 03/10/2017 DEMOLITION No comments Marysville coverage area.FR PW-SEW-REV 03/10/2017 DEMOLITION Marysville water system PW-WAT-REV 03/10/2017 DEMOLITION Per K.O.'s site visit. z.Rick Karns Fees Fee Description Notes Amount Demolition $100.00 Processing/Technology $25.00 State Surcharge- 1st DU Residential- 1st Unit $4.50 Total $129.50 Attached Letters Date Letter Description 03/10/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 03/10/2017 Pamela Lundstrom 63836399 cc $129.50 Outstanding Balance $0.00 Notes Date Note Created By: 12/11/2019 Permit not signed.Filed in address files Raelynn Jones 03/10/2017 Marysville Utilities. Kristin Foster Uploaded Files Date File Name 03/10/2017 2150080-1377 Application.pdf