6325 BLUFF PL 2020-05-04 - Laserfiche WebLink

I. FIUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:6325 Bluff Place Everett WA 98203 SITE WORK FOR PROJECT TYPE: ❑✓SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY EICOMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB#: JOB# z DESCRIPTION OF SITE WORO, IGHT OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑✓ DRIVEWAY APRON/CURB CUT 13 FT WIDE ❑Combined Sewer ✓❑ASPHALT/CONCRETE PAVING 962 SF Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑CLEARING/GRADING/FILL/EXCAVATE CY MR2 Only El MR1-5 ❑ MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: 0 SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: C1 c92 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced !(j 2 SF The drive is located on a curving portion of the road on Polk Place. I had already submitted to the city the location of my new secondary drive in 2018. The site is on the SE corner of property SQ FEET INCLUDED BOTH DRIVEWAYS CONTACT INFQR % TN. OWNER/APPLICANT NAME:John Luchsinger OWNER/APP. MAILING ADDRESS: STREET 6325 Bluff Place CITY Everett STATE WA z,p 98203 OWNER/APP.PHONE:206-914-6742 OWNER/APP. EMAIL:Johnnyluchsinger©aol.com *Required for Work in Public Right-of-Way CONTRACTOR NAME: CC Construction CONTRACTOR ADDRESS: STREET 1505 150th Place SW coy Lynnwood STATE WA zip 98087 CONTRACTOR PHONE:425-399-6220 CONTRACTOR EMAIL:mosesepulu@icloud.com CONTRACTOR LICENSE#(REQUIRED):CREATCC844C2 EVERETT BUSINESS LICENSE#(REQUIRED): 273657 Receipt# PRIMARY CONTACT: ❑✓ OWNER /APPLICANT ❑CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:206-914-6742 John Luchsinger CONTACT EMAIL:Johnnyluchsinger@aol.com ACKNOWLEDGEMENT..I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. r S PP City of Everett Official Use Only rG PERMIT# �� -. Owner/Authorized Agent Signature Date (Revised 1/72019)