HomeMy WebLinkAbout20260910_PWD4261_App ' CONSTRUCTION PERMIT APPLICATION
Community and Economic Development
Citv of Arlington • 18204 5911,Avenue NE Arlington,WA 98223 • Phone (360) 403-3551
CIVIL(TYPE I) 71 GRADING/PAVING/DRAINAGE(TYPE 11) RIGHT OF WAY(TYPE III) a
TYPE I&Il ONLY NEW DEVELOPMENT Q REDEVELOPMENT
Project Name:N/A
Project Address/Location: 116 N Stillaguarnish Ave, Arlington WA Tax Parcel I.U.#:
Description of Project: Need to store storage pod in front of house from 9/15/26
through 9/30/26
Project Size in Acres: DOE General Construction Stormwater Permit#:
OWNER
Name:Andrew Duchi
Address!7834 264th PL NW
City: Stanwood State:WA _ zip:98292 pl,one: 4253660228
Email:drewduchi@gmaiI.com
APPLICANT
Name:
Address:
City: State: ---Zip. Phone:
Email:
ENGINEER
Name:
Address:
City: State: Zip: Phone:
Email: License#: Expiration:
CONTRACTOR
Name:
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 lie Specifications. Performance of the
proposed work shall follnw 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 tn, Right of Way
Permit,WSDW Hydraulic Pr pproval (HPA],WSDOE Notice of Intent(NO[),National Pollutant Discharge Elimination System (NPDES],Artily Corp.of
Engineers Permits,the i n is of the Endangered Species Act,and the Forest Practices Application(FPA).
Signatu
Print Name: Andrew Duchi Date: 9/10/26
Page oft RE112/2024
Complete packgge constitutes all items. Only complete submittals will be accepted.
1 Reauirementg,f:, 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)
Department of Ecology General Construction Stormwater Permit(if applicable)
Drainage Analysis including calculations and downstream analysis(2 sets)and(PDF file);refer to Stormwater Drainage
Requirements
8 Geotechnical Report(2 sets)and(PDF file)
SEPA is required if 250 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
(l:ildl8gr/Payinpwf Drainage Submittal Requirements,Tvne 11: Electronic files shall be PDF on USB flash-drive,email,or
drop-box
eComplete 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
Department of Ecology General Construction Stormwater Permit(if applicable)
Geotechnical Report(2 sets) and(PDF file)
SEPA is required if 250 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: 0 Show Subject Property 0 Show 500 ft.Boundary
■ Current Owner List(of properties within 500ft radius) including the following:
0 Tax Parcel ID Number(s) O Owner(s) Full Name(s) 0 Owner(s) Mailing Addresses)
0 Current Resident&Property Address(if property owner doesn't reside at the property)
■ Mailing Material:Provide O white,#10 envelopes with the following affixed to the envelopes.
0 Postage 0 Mailing Labels 0 Return Address labels:18204 59tb 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,])Me III: Electronic files shall be PDFon 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).
Engineers Estimated Cost of Construction; $
Permit fee due at time of permit issuance.
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