HomeMy WebLinkAbout2026_PSE_PWD4216_ROW_Smokey Pt Blvd permit app- i
CONSTRUCTION PERMIT APPLICATION
Community&Economic Development
City of Arlington • 18204 591h Avenue NE • Arlington,WA 98223 • Phone (360)403-3551
CIVIL(TYPE I) 71 GRADING/PAVING/DRAINAGE(TYPE II) 71 RIGHT OF WAY(TYPE III) C3
TYPE I&II ONLY NEW DEVELOPMENT ❑ REDEVELOPMENT
Project Name: 106404385
Snohomish County Tax Parcel I.D.#:
Project Address/Location: 16523 & 16517 Smokey Pt Blvd
Description of Project: Install gas service and anodes anticipated cut 's in paving
OWNER
Name:Colby Wammack
Address:16523 & 16517 Smokey Pt Blvd
City: Arlington State:Wa zip: 98223 Phone: 360-322-2408
Email: COLBY@GRANDVIEWINC.NET
APPLICANT
Name:PSE/Infrasource
Address: 1660 Park Lane
city: Burlington State: Wa zip: 98233 Phone: 425-457-6353
Email: susan.sidick@pse.com
ENGINEER
Name:Zachary alexander
Address:
City: Bothell State: Wa Zip: Phone: 206-258-1811
Email: zachary.alexander@pse.com License#: Expiration:
CONTRACTOR
Name:same as above
Address:
City: State: Zip: Phone:
Email: License#: Expiration:
I, 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 Susan Sidick
Print Name: Susan Sidick Date:01/06/26
Pagel of 2 REV 10/2017
Complete package constitutes all items. Only complete submittals will be accepted.
Civil-Submittal Requirements,Type I:
91 Complete Application;
❑ Construction Plans including cut/fill quantities;
■ 2 full size plan sets 22"x 34"
■ PDF file of the complete plan set
■ 1 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);
9 Grading cut/fill quantity: 8.3 yd or 16.3 tons
❑ 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);
❑ Plan Check Fee due at time of permit submittal.
Grading I Paving I Drainage Submittal Requirements,Type IL
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);
❑ Grading cut/fill quantity: 8.3 yd or 16.3 tons
❑ Construction Calculation Worksheet;
❑ NPDES Permit(if required);See Storm Water Drainage Report,New or Redevelopment Flowcharts;
❑ Plan Check Fee due at time of permit submittal.
Right of Way Submittal Requirements,Type III:
91 Complete Application;
9 Construction Plans;
Qr 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);
l� Engineers Estimated Cost of Construction;$ 12,000.00 ;
❑ Permit fee due at time of permit issuance.
Page 2 of 2 REV 10/2017