2721 HOYT AVE 2022-02-16 - Laserfiche WebLink

I&BLIC WORKS PERM ITOPPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2721 Hoyt Ave (ROW), Everett, WA 98201 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY ❑✓ COMMERCIAL ❑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 # DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON / CURB CUT FT WIDE ❑ ASPHALT / CONCRETE PAVING SF ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑ CLEARING / GRADING / FILL / EXCAVATE CY ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF ✓❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) 50 (x4) LF ❑ POLE WORK / AERIAL / OVERLASH LF ADDITIONAL DESCRIPTION (AS NEEDED): DRAINAGE MITIGATION QUESTIONS: STORMWATER DISCHARGES TO: ❑ Combined Sewer ❑ Separated Storm Sewer ❑ Direct Discharge to Snohomish River or Puget Sound TRIGGERED REQUIREMENTS: ❑ MR2 Only ❑ MR1-5 ❑ MR1-9 QUANTITY OF PROPOSED HARD SURFACES: Proposed Roof Area: SF Proposed Hardscape: SF Total New+ Replaced: SF Environmental drilling, soil borinas to 50 ft depth in the riaht-of-wav (ROW) located in the eastern (north- bound) lane of Hovt Ave in front of 2721 Hovt (see attached Figure). Four 4 borinas are proposed for JUIV 2020, with concrete corina and air -knife clearina of the borinas to approximately 4 ft depth. CONTACT INFORMATION OWNER I APPLICANT NAME: JB Everett LLC OWNER / APP. MAILING ADDRESS: STREET 15203 SE 80th Street cITY Newcastle STATE WA ZIP 98059 OWNER / APP. PHONE: OWNER / APP. EMAIL: Iune.h.yoo@gmall.com 'Required for Work in Public Right -of -Way CONTRACTOR NAME: Holocene Drilling CONTRACTOR ADDRESS: STREET 11412 62nd Ave East CITY Puyallup STATE WA ZIP 98373 CONTRACTOR PHONE: 253-484-6500 CONTRACTOR EMAIL: Jpender@holocenedrlllinglnc.com CONTRACTOR LICENSE #(REQUIRED): HOLOCD1044KH EVERETT BUSINESS LICENSE #(REQUIRED): 53216 PRIMARY CONTACT: ❑ OWNER / APPLICANT ❑ CONTRACTOR ✓❑ OTHER (Architect, Engineer, Etc.) Adapt Consulting (Environmental) CONTACT NAME: Dan Joswiak CONTACT PHONE: 206-654-7045, ext.109 (office) 206-556-6422 (cell) CONTACT EMAIL: daniel@adaptengr.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. 1 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. City of Everett Official Use Only PERMIT # �Q 06/11/2020 I PW ZUo (v - C�2 Owner/Authorized Agent Signature Date (Revised 1172019)