HomeMy WebLinkAbout17430 38th Dr Ne_BLD448_2026 RESIDENTIAL ZONING
,
VERIFICATION APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
Date: C l / `7 j�,,� N�-_ry a-an- (Please allow 72 hours for review)
Address: I 1 (A 3U 3 �' 2 IU t,JI�F j �� Plat: �S
Owner/Applicant: to I*h'1,6 S C_ 13 64L-0 Loa
Signature: (C&C- ()
Verification of accuracy and agreement to follow the City of Arlington Municipal Code
Phone: (h) ����� �j X?_ 3 d 3q (c)
Describe Proposal (include cross street):
g,4,jd=j,& — 0V Ole
��c,��� �{r�
Please check one: 4$ingle-family dwelling ❑ Duplex ❑ Addition ❑ Accessory structure
1. Proposed Dimensions:W) L) H) Total SF)
2. Allowed Lot Coverage: Total Lot Size SF x 35% = SF
3. Actual Lot Coverage: (SF of all structures') - (lot size) _ %
4. Septic Tank? QiYes ❑No Private Well on Site? ❑Yes ❑ 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)
Fire Sprinkler System ❑ Medical Equipment
Lawn Sprinkler System ❑ Livestock Drinking Tanks
Decorative Pond/Fountain ❑ Hot Tub
Re-circulating Heating System F-I Swimming Pool
Other 11
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
SNOHOMISH HEALTH DISTRICT REQUEST FOR A HEALTH DISTRICT
3020 Rucker#104
Everett WA98201-3900 PRELIMINARY CONSTRUCTION
Water/Wastewater Section425.339.5250 CLEARANCE REVIEW
Property Tax Account Number:
00 $ t OOpDO O 7 O I
Owners Name: CII .A_f S S. Eft L le—A, TL2 . Phone: S' 39 7— 303 L4
Address: J 7 `4 3 O N3 m4 Dx. ei E. City: 4✓u' of-K� Zip: 97 Y?—Z-3
Contact Person: '5AW"C- A.5 akk-J�— P;,0,-,c:
Address: City: Zip:
SITE ADDRESS: I-7 3 O 3 g �/2 •��. C I T Y:_"LV
SITE LEGAL DESCRIPTION AND LOT#: LO--- 1 - SP#/Plat name _7W Uz44tic SS ��ircQ
Is Septic System/Drainfield: '2!�dSTALLED/EXISTING* PROPOSED NOT APPLICABLE
*If installed/existing, approximate year of installation O
Has a new onsite sewage disposal system application been made to the Snohomish-Health District in conjunction with this proposed
building project? yes no.
Indicate source of water: INDIVIDUAL WATER SUPPLY PUBLIC WATER SYSTEM
Explain building project and its use (SFR, addition, shed, etc.): 6t.' d a 0, Alt v
Is plumbing for an structures: 0 0 BOTH EXISTIN /PROPOVbz
p g y C1 EXISTING PROPOSED �
C3,zz
Indicate total number of bedrooms before and after construction: .3 / 3 �� No
ATTACH A COPY OF PLOT PLAN-81/2"x 11"minimum showing: �f on
1. Dimensions of Property Lines. 4. Location of Septic Tank and Drainfield, if known.
2. Dimensions of Existing Structures and 5. Roads, Easements, Driveways, Parking and Pavement Areas.
their distances from Lot Lines. 6. Location of Water Well.
3. Dimensions&Description of Proposed Construction. 7. North Arrow.
1''/nt2r!2n^10 rn1/%e2Ai fna IA411 Ae ^kh v ^A _f fhe #;__ wr..:.a.f h' :/.J. a ...J
' c. 1—V roc vvlll ✓c L,11CJ1 you aL LIIG LIMO �.11 V�C{..L LJU11Ui1JL4 1JC JJ1JL IJ IJJUCU
You have requested the Snohomish Health District (SHD) to perform a preliminary
review based upon the information you have submitted to SHD as of the date of
review. Any notice of preliminary approval hereby does not constitute a vested
right, guarantee, or warranty of subsequent construction clearance approval if in fact
you proceed by filing application for a building permit with the City`or County
Building Permit Authority, and SHD is thereafter requested to evaluate the project at
that time.
Signature of Applicant Date
FOR HEALTH DISTRICT USE ONLY
PRELIMINARY BUILDING CLEARANCE:
0 APPROVED:
CONDITIONAL APPROVAL
DISAPPROVED
REVIEWING SANITARIAN: 71\(�� ;} ;—{ �i, DATE:
rev121099je
U "PV
SNOHOMISH ENVIRONMENTAL HEALTH DIVISION
HEALTH, 3020 Rucker Avenue, Suite 104
DISTRICT Everett, WA 98201-3900
425.339.5250 FAX: 425.339.5254
Deaf/Hard of Hearing: 425.339.5252 (TTY)
Healthy Lifestyles, Healthy Communities
March 7, 2006 004810 000 00701
Property Tax Account Number
Chris Bacoka Jr
17430 38th Dr NE
Arlington WA 98223
Subject: Preliminary Construction Clearance Review
Site Address: 17430 38th Dr NE, Arlington
Dear Mr. Bacoka:
You have requested the Snohomish Health District (SHD) to perform a preliminary construction
clearance review.
The SHD reviews preliminary construction permit requests to determine if the proposed project is in
compliance with applicable onsite sewage disposal regulations, and if required by the Building
Department, compliance with rules regarding an adequate water supply.
The SHD performed the preliminary construction review based upon the information you have submitted
to SHD as of the date of the review.
The SHD has determined that your proposed project does not under present conditions meet the
minimum requirements of Snohomish Health District Sanitary Code, Chapter 8.1 (WAC 246-272) and
Snohomish Health District Sanitary Code, Chapter 8.1.2 for a building clearance for the following
reason(s):
1. The existing drainfield is sized for a three-bedroom single-family residence. The house is currently a
three-bedroom single-family residence. The addition of an apartment in the garage is an expansion
under Washington Administrative Code (WAC) 246-272-01001. An expansion of a drainfield
requires a new application for a system that meets all current codes per WAC 246-272-17501. Please
contact a licensed on-site septic system designer to address this concern.
2. The site plan does not accurately represent the site. The existing drainfield extends into the north of
the property. It appears that part of the northwest corner of the drainfield is under a parking area.
WAC 246-272-15501 requires the property owner to protect the on-site septic system from soil
compaction (ex. from vehicular traffic). This concern must be addressed prior to building clearance
approval.
3. The site plan does not accurately represent the site. The proposed garage location is over the
designated reserve area. WAC 246-272-15501 requires the property owner to protect the reserve
area. A copy of the as-built is enclosed.
A letter from your water provider is needed stating that they have and that they will provide a second
water connection to the proposed apartment.
A copy of SHD appeals procedure is available upon request. An administrative appeal must be initiated
�- within 20 working days from the date of this letter.
If you have any questions or need additional information I can be contacted at 425.339.5250.
Sincerely,
Shaelin Butler, R.S.
Environmental Health Specialist
SB/ss
5�'� � , °��� cis- ��,� L-�
� �� � Ivc ��es �� � LI
72'
m O
x -0
CO m
� C,, m ON
� o mo Cf)
� p < < cn o m
T m
D p -
z � i T � CD
m ; m m
N o D �--�
C7
D
30'
N m
x 2° z
i w D
z OD —�
:A)
co o m
o cn
m
1 X z m
o° m O
o
c
N C 1
m 4:h,
W
26' � �
o co
o D T O
CO
> O m
51 m O 6' m
� cf)
Dm
0
0 o L N
_ O
CD L
178th PI. NE
PropertyFonn Pag 4 of 4
PTA Number: 00481000000701
L.N!ote: Diagrams may not be drawn to scale
i fib- -�� sue, � _0•1- o
rR
i
N'L
"Cl, Z
T
X/4 r o 0
rt o
� TO
httn //chrlannFi R(1R(1/chri��i/Prnna,h�Fr.r,,, ��„v�um—nnnszi nnnnnn�ni 1 h 1 /0nnic
Prop6rtyForin Page 1 of 4
1
SNOHOMISH Parcel Tax Account Number (PTA)
HEALTH �—00481000000701
QISTRICT 010 PTA Number
48100000070104
ppro�perty Information
a Address Owner Address
117430 38TH DR NE NAPSTAD ROLF E
R NGTON WA 98223 17430 38TH DR NE
RLINGTON WA 98223
Sewer: No Section: 21
Year House Built: No Township: 31
Ma Quarter Section: _ Range: 5
Use Code: 111 Single Family Residence - Detached
if
Plat Name: INVERNESS PLACE
} Legal Description:
INVERNESS PLACE BLK 000 D-01 LOT 7 LESS W 80FT AKA PAR B OF SP 372 (8-79) REC
L AFN 7910110270
I
Drainfield Su lemental Information
System Type: GRAVITY Latitude:
i Year Installed: 1980 Longitude:
• AsBuilt Sent: Last Update: 8/11/2005
Comments: 1988, 90 93 96, 99 -op checks
I
1
I
1
' I
IE
I
http:l/ hdapp6:8080/shduVPropertyForm.aspx?RID=00481000000701 1/11/2006
PropertyForm Page 2 of 4
PTA Number: 00481000000701
Note: Diagrams may not be drawn to scale
SNOT,.)MISH HEALTH DISTA.,'T
A Environmental Health Division
NH Sryoyolp pp Courthouse, Everett, Washington 98201
C� ON FOR A SEWAGE DISPOSAL SYSTEM PERMIT
[Submit 3 copies] 7
r Acct, No.
'r�v77{0
i
Permit to he issued in
Q t
For installation at (street addes rst � ���1 Y L t a r-
\ I s+l
r
Sec,Q'fwp"�Rg, Short Plat No. Lot_Flat y iC)f�l: L1�� � � , Lgt_Blk._
'Type of Building: New IN Existing_._Single family residence No. bedrooms
Water Supply: Public Private they. Ispecify type or use)
00
BuilJcr (�_(_ j�'�t�nldJresc1 .� �V1� *2.,� �. Telephone r �
Designer f]{�ji . ,U(�ttl iddtcss 4bl , 5Z— �r7\\1Vr- IT_ L. License No.WR4W
Soil Log Hole No. 1 04 5
Soil Log Hole No.
Elevation Of Water fable, if'encountered, (Distance from ground surface) fly
Corrections to control surface water if needed
t
Fill needed: (Arnounl)
Percolation: / r�
Test Hole No. I Average Rate a; (Fall in min/inch-bottom 6" test hole) Depth test taken C�7
Test Hole No. 2 Average Rate (Fall in minJinch-bottom 6" test hole) Depth test taken
Test Hole (No. 3 Average Ratc !_ (Fall in min/inch-bottom 6" teytole) Depth test taken
r
,A
verage percolation rate on which to base drainfitad design � Date taken
Septic tank requirements based on present rule and regulations:
i
Septic Tank Size_ �� gallons.Lxa-
Amount of Square Feet of Disposal Field .7 Tr- Width T Tr. Depth_ _ J
Signature of Designer I! ls.v i� Date
I
r_
DO NOT WRITE BELOW THIS LINE(to be completed by issuing agency)
tio. Permit Date Sanitarian_ Pending
Permit to be issued Date 7—?—X0 Sanitarian
Reeheckcd Sanitarian Wet Winter Months
check Received +� Cish Received Permit Renewal
f—
t'alled for Inspection /Z-.0
t rutaller
Permit ISYLlVd (datel f Permit Number 0
L HO-r 4
http://shdapp6:8080/shdui/PropertyForm.aspx?RID=00481000000701 1/11/2006
PropertyForm Page 3 of 4
PTA Number: 00481000000701 -7:1
fJote: Diagrams may not be drawn to scale
SNO, )MISH HEAL TH DISTE Y
Environmental Health Division
Courthouse, Everett, Washington 98201
SEPTIC TAB K INSTALLATION PLAN
Submit in Triplicate
Accl. No, � 76-ooa—00 7-GbI�
i r
Owner (L�//,(l_ X3 '� _.gddress� p+t� SGhonc�Q �G��
ADDRESS OF PROPERTY 00 - ELL /
Legal Descripiion
3 3 R I
Designer'Ft IS w L AddressK2q03•',s�-?kfL- � - Phone 7 3�
i
Instolle lei S ^,NCo,,�J~i-Address_
I I hereby certify the accornpanying drawing is an accurate representation of the system installed at the listed address,
I also ccrliry all recommendations and restrictions (concerning plumbing stub elevations, maintenance Of grades, fills,
i surface drains,etc.)listed by me on my sewage disposal system permit application dated
I have been complied with.
Sienaiure of Des(euer Datr
I
I
t TO BE I' AMA) IN BY I[FAL'I'II DEPAKI'MEM' UNI,I
Accepted :/ Date_, 07 t% / ID
Not Accepred Date
Signature of Sanitarian
Remarks:
1
t
ATTENTION HONE OWNER:
Your septic lank has lintilatiuns: II was designed and installed to :are for an average-size family. Over-loading
the septic tank or disturbance of the drain field may seriously impair satisfactory Operation. Points to remember.
I. Have your tank checked perioltict!lty to see il' Pumping is neeesary (213-3 years)_
_. Do not channel ground water, ..urlacc water- fooling drains or downspouts into the lank or drainfield,
;. Do not excavate, fill. PJaLe a strurun'e. drkeway Or patio in. On. or over the drainfield.
a. Limit toilet fi+cture disposal !r. >.init3ri waste•. anti toilet lissuc.
i, Detergents and bleaches used m normal houuh0ld quantities will not harm the action of the 5eplie lank and dispowl
field.
i
No-IN
http://shdapp6:8 080/shdui/PropertyForm.aspx?RID=00481000000701 1/11/2006
Date: 09/14/2026
Permit#: 448
Permit Date: 08/11/2014
Review Date: 08/11/2014
Permit Type: RESIDENTIAL ZONING VERIFICATION
Review Type: RESIDENTIAL ZONING VERIFICATION
Target Date: 08/14/2014
Scheduled
Time:
Completed 08/11/2014
Date:
Description: Based on the dimensions shown on the submitted site plan the proposed garage meets the
required setbacks. We will require SHD clearance/approval on the drain field expansion and
reserve area.Access to the proposed garage can be from 174 St NE.
Review
Status:
Assigned To: Marc Hayes
Time In:
Time Out:
Hours:
Property Information
Parcel#: 00481000000701 BACOKA CHRIS J JR
BACOKA CHRIS J JR 17430 38TH DR NE
17430 38TH DR NE ARLINGTON, WA 98223-7728
Zoning: I I I Single Family Residence -
DetachedLot: Block:
Permit#: 448
Permit Date: 08/11/14
Permit Type: RESIDENTIAL ZONING VERIFICATION
Project Name: New Garage &Access
Applicant Name: Chris Bacoka
Applicant Address: 17430 38th Drive NE
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Chris Bacoka
Phone: 425-387-3034
Email:
Scope of Work: Add Garage and new access
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued:
Permit Expires:
Permit Form Type:
Civic Plus Number:
Status: COMPLETE
Assigned To: Launa Black
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
00481000000701 17430 38TH DR NE BACOKA CHRIS J 111 Single Family
JR Residence-Detached
Plan Reviews
Date Review Type Description Assigned To Review Status
08/11/2014 RESIDENTIAL ZONING No issues z.Christopher Young
VERIFICATION
Based on the dimensions shown on the submitted site plan
RESIDENTIAL ZONING the proposed garage meets the required setbacks.We will
08/11/2014 VERIFICATION require SHD clearance/approval on the drain field Marc Hayes
expansion and reserve area.Access to the proposed garage
can be from 174 St NE.
08/11/2014 RESIDENTIAL ZONING No comments,LT PW-ADMIN-GIS
VERIFICATION
08/11/2014 RESIDENTIAL ZONING No concerns PW-SEW-REV
VERIFICATION
RESIDENTIAL ZONING no Comments for this review
08/11/2014 PW-WAT-REV
VERIFICATION Gus
08/11/2014 RESIDENTIAL ZONING no issues z.Tom Cooper
VERIFICATION
08/11/2014 RESIDENTIAL ZONING Proposal meets lot coverage requirement.New driveway
VERIFICATION needs to be 22ft.in length.
Attached Letters
Date Letter Description
08/18/2014 Building Permit
Uploaded Files
Date File Name
08/11/2014 17430 Zoning Verify Information.pdf
08/11/2014 17430 Zoning Verify..pdf
Date: 09/14/2026
Permit#: 448
Permit Date: 08/11/2014
Review Date: 08/11/2014
Permit Type: RESIDENTIAL ZONING VERIFICATION
Review Type: RESIDENTIAL ZONING VERIFICATION
Target Date: 08/14/2014
Scheduled Time:
Completed Date: 08/12/2014
Description: Proposal meets lot coverage requirement. New driveway needs to be 22ft. in length.
Review Status:
Assigned To:
Time In:
Time Out:
Hours:
Property Information
Parcel#: 00481000000701 BACOKA CHRIS J JR
BACOKA CHRIS J JR 17430 38TH DR NE
17430 38TH DR NE ARLINGTON, WA 98223-7728
Zoning: 111 Single Family Residence -
DetachedLot: Block: