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CONSTRUCTION PERMIT APPLICATION
Community&Economic Development
City of Arlington • 18204 591h Avenue NE • Arlington,WA 98223 • Phone(360)403-3551
CIVIL(TYPE I) GRADING/PAVING/DRAINAGE(TYPE II) RIGHT OF WAY(TYPE III)
TYPE I&II ONLY NEW DEVELOPMENT a REDEVELOPMENT
Project Name: Jaspens
Snohomish County Tax Parcel I.D.#: 31051400203300
Project Address/Location: 19516 Arlington Valley Road, Lot D
Description of Project: Construction of a new 40,965 SF manufacturing building and associated site impr�
OWNER
Name: Snowlion Properties, LLC, Jeremy and Petcha Rushane
Address: 10530 15th Street SE
city: Lake Stevens State: WA zip: 98258 Phone: 425.344.7266
Email:petcha@jaspens.com,jeremy@jaspens.com
APPLICANT
Name:2812 architecture -Adam Clark
Address:2812 Colby Avenue
city: Everett State: WA zip: 98201 Phone: 425.252.2153
Email: adam@2812architecture.com
ENGINEER
Name: Harmsen - David Harmsen
Address: 2822 Colby Avenue, Suite 300
city: Everett State: WA zip: 98201 Phone: 360.794.7811
Email: david@harmsenllc.com License#: 33745 Expiration:
CONTRACTOR
Name: Axthelm Construction -Alan Perkes
Address: PO Box 2947
city: Mt. Vernon State: WA zip: 98273 Phone: 360.424.6848
Email: alan@axthelmconstruction.com 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 Hydraujk Project Approval(HPA),WSDOE Notice of Intent(NOI),National Pollutant Discharge Elimination System(NPDES),Army Corp.of
Engineers Permits,t r o ed Species Act,and the Forest Practices Application(FPA).
Signature 11/�1�� �,�Print Name: 1" OA*- -- A Date: Of KAI
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
❑ 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:
❑ 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 Paving Drainage Submittal Requirements,Type II:Electronic files shall be PDF on USB flash-drive,email,or drop-box
El Complete Application
0 Construction Plans including import/export quantities
■ 2 full size plan sets 22"x 34"
■ PDF file of the complete plan set
O Drainage Analysis including calculations and downstream analysis (2 sets)and(PDF file); refer to Stormwater Drainage
Requirements
El 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
❑ 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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