HomeMy WebLinkAbout152_20260108_PJA26-0005_- APP i
CONSTRUCTION PERMIT APPLICATION
` Community&Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington,WA 98223 • Phone (360) 403-3551
CIVIL(TYPE I) ❑ GRADING/PAVING/DRAINAGE(TYPE Il) RIGHT OF WAY(TYPE III) O✓
TYPE I&II ONLY NEW DEVELOPMENT REDEVELOPMENT
Project Name: 188TH ST NE ROUNDABOUT - 18725 SMOKEY POINT BLVD ARLINGTON WA 98223
Snohomish County Tax Parcel I.D.#: 31052000103100
Project Address/Location: 18725 SmOkey Point Blvd.
Description of Project:STARTING WITH POLE 1, MOVE SPLICE CASE HERE,OVERLASH NEW CABLE 260'N TO POLE 2, MOVE POWER SUPPLY
2.AT
JB0002376209 POLE 2,OVERLASH NEW CABLE 280'NW TO POLE 3.AT POLE 3,OVERLASH 448'NW TO POLE 7,SPLICE PER DESIGN.
OWNER
Name: ALLEN INVESTMENTS LLC
Address:
City: State: Zip: Phone:
Email:
APPLICANT
Name:COMCAST - Jane Bain
Address: 1701 JOHN F KENNEDY BLVD
city: PHILADELPHIA State: PA zip: 19103 Phone: 971-352-5392
Email: WACONSTRUCTION JOINTUSE@COMCAST.COM
ENGINEER
Name:
Address:
City: State: Zip: Phone:
Email: License#: Expiration:
CONTRACTOR
Name: CABLECOM LLC - LEAH IHLENFELDT
Address: 1429 AVENUE D #339
city: SNOHOMISH State: WA Zip: 98290 Phone: 425-386-5535
Email: SNOHOMISH.PERMITTING@CABLEC( License#: CABLEL*971 DP Expiration: 8-21-2025
1, hereby certify that I have read and examined this application, City of Arlington Municipal Code, Standard Plan & Specifications. Performance of the
proposed work shall follow all applicable laws and regulations.The owner/applicant shall assume full and complete responsibility for said work and shall
be responsible for the acquisition and compliance of all applicable permits and/or authorizations which may include, but not limited to, Right of Way
Permit,WSDW Hydraulic Project Approval(HPA),WSDOE Notice of Intent(NOI),National Pollutant Discharge Elimination System(NPDES),Army Corp.of
Engineers Permits,the requirements of the Endangered Species Act,and the Forest Practices Application(FPA).
Signature Jane Bain
Print Name: Jane Bain Date: 1/8/26
Pagel of 2 REV11/2021
Complete package constitutes all items. Only complete submittals will be accepted.
Civil-Submittal Requirements,Type I: Electronic files shall be PDF on USB flash-drive,email,or drop-box
❑ Complete Application
❑ Construction Plans including cut/fill quantities
■ 2 full size plan sets 22"x 34"
■ PDF file of the complete plan set
■ 2 full size set of landscape plans 22"x 34"
❑ Marysville Utility plans,if applicable(2 sets)
❑ Drainage Analysis including calculations and downstream analysis (2 sets) and(PDF file);refer to Stormwater Drainage
Requirements
❑ Geotechnical Report(2 sets)and(PDF file)
❑ SEPA is required if 500 or more cubic yards of cut/fill is proposed(not required if included with a Land Use Permit);if
there is not a Land Use Permit associated with the project,Public Notice Materials will be required
❑ Grading cut/fill quantity:
❑ Design Vehicle-demonstrate turning radius include 45'Fire truck,dual axle,256-inch wheelbase
❑ Drafts of easement(s) dedication(s),and/or CAPE(s)for review
❑ Flood Hazard Permit Application and required documentation if project is within 100-year flood plain;refer to Flood
Hazard guidance documents
❑ Construction Calculation Worksheet
❑ NPDES Permit(if required);See Storm Water Drainage Report,New or Redevelopment Flowcharts
❑ Assurance Device will be required prior to Permit Issuance(Bond or Assignment of Funds)
❑ Permit Fee due at time of permit submittal
Grading/Paving/Drainage Submittal Requirements,Type II:Electronic files shall be PDF on USB flash-drive,email,or drop-box
❑ Complete Application
❑ Construction Plans including import/export quantities
■ 2 full size plan sets 22"x 34"
■ PDF file of the complete plan set
❑ Drainage Analysis including calculations and downstream analysis (2 sets)and(PDF file);refer to Stormwater Drainage
Requirements
❑ Geotechnical Report(2 sets)and(PDF file)
❑ SEPA is required if 500 or more cubic yards of cut/fill is proposed(not required if included with a Land Use Permit)
❑ SEPA Public Notice Material Requirements:
■ Snohomish County Assessor's Quarter Section Map: ❑ Show Subject Property ❑ Show 500 ft.Boundary
■ Current Owner List(of properties within 500ft.radius)including the following:
❑ Tax Parcel ID Number(s) ❑ Owner(s) Full Name(s) ❑ Owner(s)Mailing Address(es)
❑ Current Resident&Property Address(if property owner doesn't reside at the property)
■ Mailing Material: Provide ❑ white,#10 envelopes with the following affixed to the envelopes:
❑ Postage ❑ Mailing Labels ❑ Return Address labels: 18204 591h Ave NE,Arlington WA 98223
❑ Grading cut/fill quantity:
❑ Construction Calculation Worksheet
❑ NPDES Permit(if required);See Storm Water Drainage Report,New or Redevelopment Flowcharts
❑ Permit fee due at time of permit submittal
Right of Way Submittal Requirements,Type III: Electronic files shall be PDF on USB flash-drive,email,or drop-box
❑ Complete Application.
❑ Construction Plans.
❑ Traffic Control Plan.
❑ Road Closure Request.
❑ Temporary Erosion&Sediment Control(TESC) Plan.
❑ Certificate of Insurance with the City of Arlington named as Additional Insured.
❑ Assurance Device will be required prior to Permit Issuance(Bond or Assignment of Funds).
0 Engineers Estimated Cost of Construction;$5000.00
❑ Permit fee due at time of permit issuance.
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