4328 FOREST DR 2021-11-03 - Laserfiche WebLink

PUBLICORKS PERMIT 8 City of Everett Permit Services Public Works Permit#: P/7/201012 Associated Bldg Permit#: 3200 Cedar Street, 2nd Floor SateApplied: 9/7/201 Everett,WA 98201 Planning Reference#: (425)257-8810 Public Works Fee: $65.00 7 SEP .Ji8 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: LEE ROSE C REVOCABLE LIVING TRUST LEE ROSE C REVOCABLE LIVING TRUST PO BOX 12165 PO BOX 12165 EVERETT, WA, 98206 EVERETT, WA, 98206 PHONE: PHONE: TAX PARCEL ID#: 00449400200200 SITE ADDRESS: 4328 FOREST DR DESCRIPTION: REMOVE FILL MATERIAL FROM SLOPE THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett`Design and Construction Standards and Specifications for Development'. 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 9/7/2018/2018. Approved plans must remain on job-site at all times. 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting constructiop for a�7, consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formal)r�requestecSee„t113 attached handout for phone number and online instructions to Request an Inspection. 6. Install and maintain erosion control measures per City of Everett Standards and approves Q=Sn. IlInnove upon completion of the project prior to final approval of the permit. m ' F--. 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. 8. Protect all existing underground utilities during construction. -' m 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces Ivibe managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way a,ri1/or easements and the improvements located therein. 41* 10. This permit must be finaled in order to close out this permit. Call the inspection line to requeit a Final for this perm when all items have been completed. , 11. Bare and/or disturbed soils shall remain uncovered and/or unstabilized for no more thany`„iferxin0ctober 1 though April 30, and for no more than 7 days from May 1 through September 30. a 0 8 12. All exposed ground must be reseeded within 30 days of the completion of construction. If reseeding is not pray •flue to weather or seasonal restraints, the ground must be covered with mulch as directed by the City Engineer. a--• Public Works Permit Fee Breakdown: Grade/Fill/Excavate(4CY) $25.00 PW Plan Review $20.00 PW Site Inspection $20.00 City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save 2/7harmless the City of Everett from any and all claims for damages,costs, /�� expenses,or causes of action that may arise because of installation and / maintenance .f e improvement or other right-of-way use here to applied Approved for Construction (Public Works) Date for and furthe\• ees to remove same upon notice from the City and to replace pub'c . o.-rty damaged thereby. FINAL INSPECTION Date Approved as Constructed (PW Inspector) Signat - •f�� • i ant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS . ED D THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION.