HomeMy WebLinkAbout1122 Park Hill Dr_BLD580_2026 Inspection Form
Development Lot1Vo Phase Address PermitNo Con pleted
Parkhill Estates 019 Parkhill Dr 1122 344- 717 J --
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SS Permit Number: Date Fee Paid:
BP Number: 03-5285
CITY OF ARLINGTON
APPLICATION FOR PERMIT TO INSTALL SIDE SEWER
Date: 01/31/03
Undersigned applies for permit to install side sewer on the premises in the City of Arlington,
Snohomish County, Washington, described as follows:
Legal Description:
Lot Number: 19
Plat Name: Parkhill Estates
Property Tax Number: 005627-000-019-00
The street address of the property is: 1122 Parkhill Drive
The owner of the premises is: Hansen & Hansen Construction
Owner's mailing address is: 10131 Moran Rd Arlington 98223
The dimensions and location of any buildings on the property, and the whole course of the side
sewer from the public sewer to its connection with the building or property to be served is
shown on the attached side sewer plat map.
The side sewer contractor who will install and connect the side sewer is:
Address of side sewer contractor is:
Signature of Applicant
Action of Sewer Superintendent
Application Denied 19_ , for the following reasons:
Application Approved L1-;L111-03 -t-9"' with the following modifications and changes:
Signature of Sewer Superintendent
The Sewer Superintendent may require the permittee to furnish him plans pertaining to the
a,Pi�lication and issuance of permit. Reference is made to Chapter 13.08 Arlington Municipal Code
rules and regulations governing side sewers and connections with the public sewer.
RESIDENTIAL ZONING
VERIFICATION APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
Date: L�/�1S (Please allow 72 hours for review)
Address: //Z Z Plat: Pet-.4f
Owner/Applicant: INI,ke— `4- jcssiCw 4,nne__y
Signature:
Verification of accuracy and agreement to follow the City of Arlington Municipal Code
Phone: (h) 360 - 9iy
Describe Proposal (include cross street):
Please check one: 4X! Single-family dwelling ❑ Duplex 141 Addition ❑ Accessory structure
1. Proposed Dimensions:W) f L) Z(& H) 48 Total SF) O :
2. Allowed Lot Coverage: Total Lot Size 7 y0 5�_ SF x 35% = ZOA?-S SF
3. Actual Lot Coverage: (SF of all structures') /Y616 _ ?yoS (lot size) _ 9 %
4. Septic Tank? Ui Yes M1 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? G' 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
L' Decorative Pond/Fountain ❑ Hot Tub
Re-circulating Heating System ❑ Swimming Pool Received
Other FEB 0 9 Z015
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 04I2013
r �
JD
6
Received
FEB 0 9 2015
Permit#: 580
Permit Date: 02/10/15
Permit Type: RESIDENTIAL ZONING VERIFICATION
Project Name: Kinney Addition
Applicant Name: Mike & Jessica Kinney
Applicant Address: 1122 Park Hill Drive
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Jessica Kinney
Phone: 360-435-9914/c 425-231-8283
Email: m.j.kinney@comcast.net
Scope of Work: Addition
Valuation: 12000.00
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
PARK HILL ESTATES BLK
00562700001900 1122 Park Hill Drive 000 D-00-LOT 19 SUBJ Michael&Jessica 360-435-9914 Single Family
ESE TO PUD&GEN TEL Kinney Residence-Detached
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
#
Mike&Jessica 1122 Park Hill
Mike&Jessica Kinney Kinney 360-435-9914 Drive OWNER
Plan Reviews
Date Review Type Description Assigned To Review Status
02/10/2015 RESIDENTIAL ADDITION No issues z.Christopher Young
02/10/2015 RESIDENTIAL ADDITION Marc Hayes
02/10/2015 RESIDENTIAL ADDITION No comments,LT PW-ADMIN-GIS
02/10/2015 RESIDENTIAL ADDITION No issues and I have attached the side sewer service as- pW-SEW-REV
built on record for FYI
02/10/2015 RESIDENTIAL ADDITION No comments for this review pW-WAT-REV
Gus
02/10/2015 RESIDENTIAL ADDITION no issues AIRPORT
02/10/2015 RESIDENTIAL ADDITION no issues z.Tom Cooper
02/10/2015 RESIDENTIAL ADDITION Meets lot coverage/setback requirements.
Uploaded Files
Date File Name
02/11/2015 957647-3443.pdf
02/10/2015 95533 1-Application&Site Plan.pdf