HomeMy WebLinkAbout18420 GREENOCK CRT_067068_2026 City of Arlington
Development Services
Permit Center
REQUEST FOR SFR REVIEW
RESPONDING DEPARTMENT: PLANNING DEPARTMENT
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BP #: 91J CO NAME: ( n
P EASE RETURN FORM TO LINDA WITHIN 5 WORKING DAYS FROM�1- -Ut0 Mitigation Fees Verified:
School Mitigation Fees
Park Mitigation Fees:
Trip Mitigation Fees: �?
(e6 ,� Set Backs Verified: Zoning:
Front Yard/ Zv -) S° S
�G Street Setback '/ Rear Yard Setbacks l Side Yard Setback
A110 P,,;W P
Impervious Surface Verified
❑ Shade Trees Verified on Site plan WC,
Elevation Design Verified
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments, either on the drawings or in memo form, to the Building Department. If you have no comments,
please return the form with the"No Comments" box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO LINDA.
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Vim' �• IN COMPLIANCE WITH LAND USE CODE - OKAY TO ISSUE' I
❑ IN COMPLIANCE WITH DESIGN GUIDELINES - OKAY TO ISSUE
NOT APPROVED - ADDITIONAL INFORMATION REQUIRED
o (COMMENTS)
REVIEWED BY �-
G� DATE r LVED
2006
C : vR OIT CENER,
0 0 1
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City of Arlington
Development Services
Permit Center
REQUEST FOR REVIEW
NAME:
�`, I 1 G BP #: os-
// -- /
DATE: �0 1 1 1 �P RETURN THIS FORM BY: (o r'Z 3Lo G
PROJECT SUMMARY:
RESPONDING DEPARTMENTS
T O'NI C., riM— DAVE A. SUILDiNG
KAREN L., UTILITIES KERRY W., BUILDING
DERYL T., MARYSVILLE UTIL SCOTT B., BUILDING
BILL B., NATURAL RESOURCE YVONNE P., PLANNING
, ENGINEERING CWA., CONSULTANT
SHERRI PHELPS, BUS LIC JIM T., CONSULTANT
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments in memo form. If you have no comments, please return the form with the No Comments"�-.x
.`ecked.
PLEASE TVIARK ONE BOX. SIGN, DATE, AND RETURN THIS FORM TOE
❑ COMMENTS FOR THIS REVIEW ARE IN ATTACHED MEMq" - M
NO COMMENTS FOR THIS REVIEW, OKAY TO ISSUE PE IT '
` ' M
n� C"
❑ COMMENTS
REVIEWED BY DATE
0 0 1
Y SINGLE FAMILY RE&JENCE
BUILDING PERMIT APPLICATION
Department of Community Development
City of Arlington•238 N Olympic Ave. •Arlington, WA 98223- Phone(360)403 3431 • FAX(360)403 3447
Number of Plumbing Fixtures (Including Rough-Ins)
Accessory Main Total Fixture Total Number Fixtures
Plumbing Fixtures Dwelling Unit Residence Unit#X Units
Multiplier
Bar Sink X 1.0 =
Bathtub or Combination Bath/Shower X 4.0 =
Clotheswasher X 4.0 =
Dishwasher X 1.5 =
Hose Bibb X 2.5 =
Kitchen Sink X 1.5 =
Laundry Sink X 2.0 =
Lavatory(Bathroom Sink) X 1.0 =
Shower(Stand Alone)Each Head X 2.0 =
Water Closet(Toilet) X 2.5 =
Whirlpool Bath or Combination X 4.0 =
Bath/Shower
Water Heater
Other Total Fixture
Units
Traps other than above items)
Column Totals
Estimated Project Valuation
Building Square Footage ( (�ll/ `7�' gdd i ()��
4
1 St Floor 2nd Floor .J.f` 3rd Floor
/
Basement / Deck DO �7�v Garage_
Water Supply Piping
A. Fixture Units: Number of Fixtures X Fixtt Units=Total Fixture Units
B. Distance from meter to most remote outlet: feet.
C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter
D. Pressure in street main: psi. (Measure with gauge or check with Water Department)
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
des bid prope y will by in accordance with the laws, rules and regulation of the State of Washington.
Applicants Signature Date
i
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms-46 Page 2 of 2
COA PERMIT CENTER
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�Y °f SkNGLE FAMILY RES,JENCE �J
BUILDING PERMIT APPLICATIO..
41v G^S Department of Community Development
City of Arlington •238 N Olympic Ave. •Arlington, WA 98223• Phone(360)403 3431 • FAX(360)403 3447
THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS
APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS,SIX(6)ACCURATE,
FULLY DIMENSIONED PLOT PLANS AND TWO(2)SETS OF ENERGY CODE APPLICATIONS.
TYPE OF PERMIT: ( ) Building O Mechanical O Plumbing _D� Combination
Project Address: 420
62� l )00L.0 • Parcel ID#:
Lot#: Subdivision: "
Project Description.
Owner: , '�" `w Phone Numbe:
Address: � � Y�l1X AQ'11C� City: �� State: �� Zip Code: cr/-
Contact Person: E6 � Phone Number: 2&9
ell
Cell Phone:/I ob— "/�-Fax: &M 14� 7c.�I.�-mail: (JC �l JI—(1 6 '1 >',
Address City: State: Zip Code:
Lending Agency: I A'} _ �/ '�J -(/` Phone Number:
Address: City: State: Zip Code:
Contractor: � J�_VJ 11 o Phone Number:
Address: City: State: Zip Code;
Contractor's License Number: Expiration:
Plumbing Contractor: Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration: We"ll1.1%103
.s
Mechanical Contractor: Phone Number:
Address: City: State: Zip CcA . 1 I
Contractor's License Number: Expiration: •-
AN Nil 0ftF1qTFPr__
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms-46 Page 1 of 2 5/05 dwa
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SITE PLAN NOTES RESIDENTIAL ADDITION FOR:
SITE INFORMATION.PRRO ADED BY The GRANAMS'
OWNER AND S4 D *W-t. 18420 ORKENOCK COURT
DRAWINGS. ARLINCiTON, WA 98223
UTILITIES INCLUDE: PL ���
),J t PUBLIC POWER, CABLE 3 PHONE C60U ,
SERVICE. �`
+ STOCK PILE AND COVER EXCAVATED c Qeo ,al OGvo r:.;
SOILS WAN 24 HRS WI BLACK PLASTIC.
• PROVIDE DOWNSPOUT EXTENDERS �� �
UNTIL VEGiTATION ADJACENT TO
RESIDENCE IS REESTABLISHED.
• PROVIDE SILT FENCE AT DOWN HILL RECEVE
t i SIDE OF AREA OF CONSTRUCTION.
• MAINTAIN CONSTRUCTION ENTRY JUN 13 ^^"
THRU OUT PROJECT CONSTRUCTION. ""
CUT/FILL: EXCAVATED BOIL TO BE IMPORV OU A SURFACE AREA:
�
USED AS BACKFILt 1"" N C
i) �•,, MATERIALS AND
r. FEATHERED OUT FROM
THE RESIDENCE 20' msx.
30 �� r)PVF.-/A i
1. � � �