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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