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Home My WebLink About17706 Upland Dr Ne_BLD1418_2025 Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551 Page 1 of 1 Permit Number: Permit Type: Address/Parcel: Completed (Month/Year): Land Use Notice of Decision Staff Report Application Narrative Legal Description Vicinity Map Site Plan Landscape Plan Complete Streets Checklist Traffic Impact Analysis Snohomish County Traffic Mitigation Offer WSDOT Traffic Offer Form Tree Survey Stormwater Drainage Report Geotech Report Critical Area Evaluation Form SEPA Checklist Public Notice Material Noticing and Related Documents Water / Sewer Availability Certificate Unanticipated Discovery Plan Form Aerial Photo of Site Proposed Building Materials Lighting Plans and Lighting Cut Sheets Color Elevations Design Matrix Plat Map Title Report Lot Closures Preliminary Civil Plans Archaeological Survey o Confidential Documents. Contact the City to obtain. Topography (Existing Conditions) CC&R’s Deeds / Easements / Conveyances /Dedications Developer’s Agreement Recorded Copies Bonding or Assignment of Funds o Confidential Documents. Contact the City to obtain. Letters and Project Documents Other: Civil Issued Permit Application Other Applications Construction Calculation Worksheet Approved Plans Review Comment Form Letters and Project Documents Other Agency Permits Reports: o Drainage Report Pg: o Stormwater Pg: o Geotech Pg: o All Other Reports SEPA and Noticing Materials Inspections As-Builts Other: Building Issued Permit Application Additional Applications Approved Plans Site Plan Letters and Project Documents Calculations Project Specification Manuals Reports Certificate of Occupancy Inspections Other: BLD1418 Residential Alteration 17706 Upland Dr Ne May 2017 ✔ ✔ ✔ ✔ ✔ C IT Y O F A R L IN G T O N 238 N. OLYMPIC A VE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERM IT Address: 17706 Upland Drive Parcel#:00870600011800 OWNE R AP PLICAN T Permit#: 1418 Valuation: 7000.00 CONTRA CTOR Name: DEASON MICHAEL E Address: 17706 UPLAND DR City, State Zip: ARLINGTON, WA 98223 Phone: Name: Sally Deason Address: 17706 Upland Drive City, State Zip: Arlington, WA 98223 Phone: 360-403-0589 Name: Sally Deason Address: 17706 Upland Drive City, State Zip:Arlington, WA 98223 Phone: 360-403-0589 MECHAN ICAL CONTRA CTOR PLUMB ING CONTRA CTOR Name: Address: City, State, Zip: Phone: LIC#: JOB DESCRI PTION EXP: Name: Address: City, State, Zip: Phone: LIC#: EXP: PERMIT TYPE: STORIES: DWELLING UNITS: BUILDINGS: Residential Alteration 2 1 CODE YEAR: CONST. TYPE: OCCGROUP: OCCLOAD: PERMI T AP PROVAL 2015 I AGREE TO COMPLY WITH CITY AND ST A TE LAWS REGULA TING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE ST A TE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION rs NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE p AlD. IT rs 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/IRCl 10. relating to construction and construction materials in the City of 50J ~-,- to- ( Date CONDITIONS Date Approved as submitted. All conditions must be site verified. 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 SEP ARA TE PERMISSION. PERM IT FEES Date 4/10/2017 4/10/2017 4/10/2017 4/10/2017 4/10/2017 4/10/2017 4/10/2017 Description Building Permit Fee Miscellaneous Plumbing Permit Base Fee Plumbing Permit Fee (Enter Fixture Fee) Processing/Technology Fee State Building Code Surcharge Fee Water Heater Total Due: Total Payment: Balance Due: Fee Amount $196.20 $150.00 $25.00 $72.00 $25.00 $4.50 $25.00 $497.70 $0.00 $497.70 CAL L FOR INSPECTIONS BUILDING (360) 403-3417 When calling for an inspection please leave the following information: Permit Number, Type oflnspection being requested, and whether you prefer morning or afternoon ·' r. -1·•?.. J J, \.-·t· ~J .. - ..... ' fo , • , ... ·•.~ P e r m it In fo r m a ti o n Date 4/10/2017 Permit Numbe r 1418 Project Name Deason Applicant Name Sally Deason Ap plicant Address 17706 Upland Drive City, State, Zip Arlington, WA 98223 Contact Sally Deason Phone 360-403-0589 Email Permit Type Residential Alteration Site Address 17706 Upland Drive Valuation 7000.00 Status Applied Permit Issued Perm it Expires Square Fee t 0 Type of Construction/Occupancy Load Numbe r of Stories 2 Propo sed Use Convert unfinished first floor into living space Assigned To Kristin Foster Property Information Owner Information Parcel#: 00870600011800 DEASON MICHAEL E DEASON MICHAELE 17706 UPLAND DR 17706 UPLAND DR ARLINGTON, WA 98223 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Sally Deason Sally Deason ~60-403-0589 OWNER Fees Fee Description Notes Amount Building Permit Fee 322.10.00.0C Valuation 7000 $196.20 Miscellaneous 322.10.00.0( 3 lnsoections/Site Visits $150.00 Plumbing Permit Base Fee 322.10.00.0C $25.00 Plumbing Permit Fee (Enter Fixture Fee 322.10.00.0C 6@ 12 $72.00 Processing/Technology Fee 341.43.00.02 $25.00 State Building Code Surcharge Fee 386.00.01 .OC $4.50 Water Heater 322.10.00.0C $25.00 Tota~ $4 97.70! Uploaded Files I Upload File I Date I File I Uoloaded Bv I 4/10/2017 4:27:59 PM 11418 A1212lication.12df I Foster, Kristin IX ') RESIDENTIAL 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 APPL YING FOR A NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE, ADDITION, DECK, OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND TWO (2) SETS OF STRUCTURAL CALCULATIONS. THE APPLICATION MUST ALSO INCLUDE THE PLUMBING SUBMITTAL AND THE MECHANICAL SUBMITTAL FORMS. THE ZONING VERIFICATION MAY BE SUBMITTED PRIOR. Project Address: i 7 ] 6 \o Up knJ }nr. Plat: _ ~ Single-fa~ily Q Duplex '• . Q Townhouse Q Addition Q Accessory structure Proposed Area: 1st Floor: ---- 2nd Floor: _ ____,:')(~- Garage: --- Total SF: --- Describe Proposal (include cross street): oJ,sl( tnJ6JL~ PAY ffe«--- WU) l,.J1Jb ~ "1, DOD O Q, Valuation: ---+---=--=-=:;..._ _ O w ner: _s u Uµ 1Q_,,a scnJ Address: l ]'lOQ urf.11~ a , Phone: 3&0 -1{)3 :::6 59 S Applicant: ~~ JJea .Smr\ Address: City: State: __ Zip Code: _ Citv: ~ Slate: (J.JA. Zip Code: 9 8 z:z3 Email: -------------- Phone: Email: --------------- -------------- Contractor: ...;:~-~1,:11LNU.a,,~------1i.A.1i.lu.!----10.,.i..MCN:K..L..0,1,.:1_1,J/~------------------ Address: City: State: __ Zip Code: _ Phone: Email: --------------- -------------- Contact Person: License Number: Expiration: _ 6/16LP Page 1 of 3 R E S ID E N T IA L P E R M IT A P P L IC A T IO N Department of Community & Economic Development City of Arlington• 18204 59th Ave NE• Arlington, WA 98223 • Phone (360) 403-3551 Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) 0 Bath/Shower Combo (4.0) X 0 Sink (1.5) X i ;_ 0 Shower (2.0) X I 0 Lavatory ( 1. 0) X Clothes Washer (4.0}.:J\:1,.:),·· xrf ; 1 .1 :.-ii ·, 0 , •·r-~ r ·i··d J/u\t~r Qt'Q~~1.1(al!1jx1 :·•,, f· '•:,, v,,' , \.,~ ' ,, . ,-x. ~ l ! 0 Dishwasher ( 1. 5) X l 0 Water Heater X \ 0 Hose Bibb (2.5) X Water Heater Model # 0 Other (list) X I Plumbing Section Continued I Proposed Water Piping Size: Proposed Piping Material: ·. , ,. :·, r • ..... 1 ,, ._. ,. ~ .,)\.J \ : • ! jll Proposed owV Material: ------- Proposed DWV Size: ------- } .. • i"\ .•. ~ . .'... ' .• • All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) 6/16LP Page 2 of 3 R E S I D E N T I A L P E R M I T A P P L I C A T IO N Department of Community & Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: 0 Furn ace (80+) M odel# AFUE 0 H eat Pum p Model# SEER HSPE 0 AC Unit Model# SEER 0 Type II H ood 0 Com m ercial Cooking Appliance 0 Hydronic Piping 0 Boiler 0 Solid-Fuel Appliance 0 PV System 0 Fireplace Insert 0 Outdoor BBQ 0 Storage Tank 0 Freestanding Stove 0 G as Piping 0 O ther Gas Piping Information Not Applicable: 0 Pipe Material: Pipe Size: Total BTU's of all Appliances: _ Distance from Meter to Furthest Appliance: _ • New gas piping requires a pressure test to hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper combustion air and venting required for all appliances • A shut-off is required within 6 feet of all appliances Applicant Sign Received APR 1 0 2017 6/16LP Page 3 of 3 '" ' .• \,J ~ ,_ .:· ..• \\,, \ .,. /··1 lJ . .Jl r(" · R E S ID E N T IA L Z O N IN G V E R IF IC A T IO N A P P L IC A T IO N Department of Community & Economic Development City of Arlington• 18204 59th Ave NE• Arlington, WA 98223 • Phone (360) 403-3551 (Please allow 72 hours for review) Project Address: \,""),""\0 (e U-p\'4-0d 'trr:. Plat: _ Owner/Applicant: ~llu :Dea' o"1 Address D")o ~ ( 1~~ ~ City:~..Jan. State: ll:'A- Zip Cod e: qe, 22-3 Phone: .,5}(> - '103 -OS ff-J Email: _ Describe Proposal (include cross street): bla..b ~ ~(.,lO,o, l Please check one: Q Single-family dwelling Q Accessory structure 1. Proposed Dimensions: W) q L) .;)}- H) __ Total SF) ~l'1~i __ 2. Allowed Lot Coverage: Total Lot Size ~71o.40 SF x 35% = $tf(().1tsF U Duplex Q Addition 3. Actual Lot Coverage: (SF of all structures1) 11 \ 't + q} lfR • 'iO(lot size) = H_ % 4. Septic Tank? UYes ! No Private Well on Site? !Yes U No If so, please provide Snohomish County Health Department approval and indicate on site plan. 5. How many trees greater than 12" diameter will be removed? if any, please indicate on site plan. 6. Appliances permanently connected to water service may require Cross-Connection-Control. (Check all that apply) 0 Fire Sprinkler System Q Lawn Sprinkler System 0 Decorative Pond/Fountain 0 Re-circulating Heating System Q Other _ ApplicantSignature:C~~/1,j Date: ,S:- /0-/] 0 Medical Equipment 0 Livestock Drinking Tanks ! HotTub O Swimming Pool 1 This square footage should include the footprint area of all structures on the property including: house, garages, sheds, covered patios, and decks permitted by the building code. Rev 04/2013 ' . \ ' t . . . ,, -"-. .• .: • l 1' , ~ ... I ' ~• • I• ·: ,, 1 (._~f '• .. I v t. ) .... - . ·, I I (',,~I.' ..._J .• ., . I• .. ,.J ..... , i ._.,~' • . "" ·~ :~t ~:. ~ .\ -:, .. ,· . , ' ' ' ,., ... ' ,I, ... ~·n.,,,,,, 1 • • ' , . ' .,,., .. , - '' l~ ; • '• ... jj ~ 1. . , 1 SIDE SEWER PLAT MAP CITY OF ARLINGTON SEWER DEPARTMENT Owner's Name M < t( ~ Cu,vrt',)tvlAJi on Mailing Address Address of :r~pe-rtv-r=l?=:zo.,...,...l,__,.\..,....;\~-{_;.-,jJ+--?....-}V1-- If ti!,; tl_ Legal Description j a I.11< ~,i]~ Urw ~5 SS PERMIT # / S (o ~ BP# 97- 2;:;7-:;:;:)6--=--=~---- Side Sewer Contractor _ Mailing Address _ 4' C.b.~i. I I -L,- 3 ~1 GA 1i!;AG E \ ..,., - .- r-r, C'"":) c:, -c -< -N~ zo' t c.c , 1. 2. 3. 4. ·5. 6. Commercial Single Residence Distance from M.H. No. Depth: Sewer Main Basement Basement Connections _ Depth of pipe at house connection --------- (first floor) .1 u a d Inspected by Date 0 I - I I - Io Type of pipe--------------------------- Pipe Size _ r- Multiple Dwelling Joint Use # of ERU's _ __._ _ SS Perm it Nuc\'ber }3>~'6 BP Number --t-+-7 ... -_ .... ~ ....... T ...... ~-=----- Fee Paid _ C CITY OF ARLINGTON APPLICATION FOR PERMIT TO INSTALL SIDE SEWER DATE Undersigned applies for permit to install side sewer on the premises in the City of Arlington, Snohomish County, Washington, described as follows: Legal Description: ~+- l[S l-h3hlo...P (}re,,; BPks The street address of the property is --1o:J,..-7r-Jb'V......;:{oc.....,a"""' I Jl~D::r/i::..()._'-'...;1::l.f-O .. .,_IJ·...:/&f~•-_llt..,..;:~------------- The owner of the premises is ---~Z\A.:::....- .... t=.:..' ___,,,c:;=1 d.:.i.[4fiV.l:..10.:cfi4-· .1.::Pb~---------------- Owner's mailing address ---------------------------------- The dimensions and location of any buildings on the property, and the whole course of the side sewer from the public sewer to its connection with the building or property to be served is shown on the attached side sewer plat map. The side sewer contractor who will install and connect the side sewer is _ Address of side sewer contractor ------------------------------ Action of Sewer Superlntsqdent ___ Application Denied __.,....__, for the following reasons: X" ·· A-pplication Approved-~""'A-tc:=......._ __ l_i. 1 ... 9,_A?_, with the following modifications and changes: __ SignatureofSewer uperintendent The Sewer Superintendent may require the permittee to furnish him plans pertaining to the application and issuance of permit. Reference is made to Chapter 13.08 Arlington Municipal Code for rules and regulations governing side sewers and connections with the public sewer.