HomeMy WebLinkAbout20251113_PJA25-0064_App Sno SMART Project - DA-78 work order 100061454
CONSTRUCTION PERMIT APPLICATION
Community&Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington,WA 98223 • Phone(360) 403-3551
CIVIL(TYPE I) 71 GRADING/PAVING/DRAINAGE(TYPE II) RIGHT OF WAY(TYPE III)
TYPE I&II ONLY NEW DEVELOPMENT REDEVELOPMENT
Project Name: PUD No.1 of Snohomish County - Sno SMART Project DA-78 work order 100061454
Snohomish County Tax Parcel I.D.#: Utility Pole in ROW near 00455400101901
Project Address/Location: ROW near 522 E 3rd St. Arlington Wa (E 3rd St. & N. Lenore Ave)
Description of Project: Distribution panel replacement at Pole 168060 - Overhead work in ROW only.
All work to be performed by Sno Co PUD Employees
OWNER
Name: PUD No.1 of Snohomish County
Address: PO Box 1107
city: Everett State: WA zip: 98206 Phone:
Email:
APPLICANT
Name:Teresa Gash - PUD No.1 of Snohomish County
Address:PO Box 1107
city: Everett State: WA zip: 98206 Phone: 425-530-6141
Email: txgash@snopud.com
ENGINEER
Name: Lucas Hitterdal-PUD No.1 of Snohomish County
Address: PO Box 1107
city: Everett State: WA zip: 98206 Phone: 425-308-1857
Email: Ixhitte@snopud.com License#: Expiration:
CONTRACTOR
Name: PUD No.1 of Snohomish County
Address: PO Box 1107
city: Everett State: WA Zip: 98206 Phone:
Email: License#: N/A Expiration:
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).
Teresa L Gash Digitally signed by Teresa L Gash
Signature Date:2025.11.11 14:32:35-08'00'
Print Name: Teresa L Gash Date: 11/11/25
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
11 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: None
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 I Paving I 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 50Oft.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
0 Complete Application.
O Construction Plans.
0 Traffic Control Plan.
NM Road Closure Request.
NM Temporary Erosion&Sediment Control(TESC) Plan. Overhead Utility pole work only
NM Certificate of Insurance with the City of Arlington named as Additional Insured.
NM Assurance Device will be required prior to Permit Issuance(Bond or Assignment of Funds).
O Engineers Estimated Cost of Construction;$22,000.00
71 Permit fee due at time of permit issuance.
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