8220 5TH AVE W 2022-04-29 - Laserfiche WebLink

INN PILIC WORKS PERMIT IPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:8220 Hardeson Rd SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED EITOWNHOUSE ❑DUPLEX ❑ADU EMULTI-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#: AT&T JOB# 21-70800(SR526 Seismic Retrofit) DESCRIPTION OF SITE WORK / RIGHT-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 FT WIDE ❑ Combined Sewer ❑✓ ASPHALT/CONCRETE PAVING 100 SF ❑ Separated Storm Sewer El 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 2 CY ❑ MR2 Only ❑ MR1-5 El MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: 100 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:100 SF Pothole buried AT&T utility line running across WSDOT SR526 along the west side of Hardeson Rd Investigating potential conflict for WSDOT seismic retrofit. Up to 4 potholes anticipated but not all 4 may be needed. CONTACT INFORMATION OWNER/APPLICANT NAME:AT&T Corp./Sienna Engineering Group OWNER/APP. MAILING ADDRESS: STREET 11241 Willows Rd NE Suite 130 cm, Redmond STATE WA ZIP 98052 OWNER/APP.PHONE:425-896-9850(Louie V.) OWNER/APP.EMAIL:louie.vanhollenbeke@siennaengineeringgroup.com `Required for Work in Public Right-of-Way CONTRACTOR NAME: Waeco Construction CONTRACTOR ADDRESS: STREET 18543 Cascade View DR SE CITY Monroe STATE WA ZIP 98272 CONTRACTOR PHONE:360-794-7785 CONTRACTOR EMAIL:info@waecoconstruction.com CONTRACTOR LICENSE#(REQUIRED):WAECOCL930LF EVERETT BUSINESS LICENSE#(REQUIRED): 55737 PRIMARY CONTACT: ❑ OWNER /APPLICANT ✓❑ CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:253-315-3326 Joe Parker CONTACT EMAIL:jparker@waecoeng.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 Buildin .cial before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform th ork for which applica on is ade,and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# -29.- 2/ PW IDS - 601 Ow horize gent nature Date (Revised 1/72019)