1803 112TH ST SE 2021-12-13 - Laserfiche WebLink

POBLIC WORKS PERMIT WPLICATION 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:1803 112th Street SE, Everett, WA SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY ❑✓ COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) EPPLICABLE: ❑ 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 394 SF ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑ CLEARING / GRADING / FILL / EXCAVATE 10 CY LJ CUT/BORE IN PAVEMENT (PARALLEL) LF ❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) 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 Proposgd Hardscape: u Total �u .+:Replaced: 394 F Install two catch basins, repave and replace curb to prevent pondinq. I;'k 2 20 ciTY OF EVERETT CONTACT INFORMATION OWNER / APPLICANT NAME: Bank of America, Contact: Nick Mandelenakis OWNER / APP. MAILING ADDRESS: STREET 800 Fifth Ave. 16th Floor ciTY Seattle STATE WA Z,P 98104 OWNER / APP. PHONE: 360-552-5469 OWNER / APP. EMAIL: nick.mandelenakis@am.jll.com 'Required for Work in Public Right -of -Way CONTRACTOR NAME: Westmark Construction, Contact: Tom Frank CONTRACTOR ADDRESS: STREET 6102 North 9th Street, Suite 400 CITY Tacoma STATE WA ZIP 98406 CONTRACTOR PHONE: 253-564-4620 CONTRACTOR EMAIL: tfrank@westmarkconst.com CONTRACTOR LICENSE #(REQUIRED): WESTMC1012D3 EVERETT BUSINESS LICENSE #(REQUI ED): ! PRIMARY CONTACT: ❑ OWNER / APPLICANT ❑ CONTRACTOR L/ OTHER (Architect, Engineer, Etc.) Parametrix, C ngineer CONTACT NAME: Darren S a n d e n o CONTACT PHONE: 253-604-6767 CONTACT EMAIL: dsandeno@parametrix.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 wWrh-appfl ation is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Date City of Everett Official Use Only PERMIT # Pw9_c302 — C) (Revised 1172019)