7420 UPPER RIDGE RD 2022-05-10 - Laserfiche WebLink

PUULIC WORKS PERMIT A'LICATION CITY OF EVERETT PERMIT SERVIEES 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:7420 Upper Ridge Road, Everett,WA 98203 SITE WORK FOR PROJECT TYPE: ✓ FR-DETACHEC'OWNHOUSE )UPLEX DU IULTI-FAMILY .OMMERCIAL IDUSTRIAL IF APPLICABLE: ✓AND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)SS#21-001 IF APPLICABLE: r=RANCHISE/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: DRAINAGE MITIGATION QUESTIONS: =ENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: DRIVEWAY APRON/CURB CUT 10 and 20 FT WIDE combined Sewer ASPHALT/CONCRETE PAVING 1,500 SF ✓6eparated 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: BLEARING/GRADING/FILL/EXCAVATE 65 CY `/ VIR2 Only MR1-5 FV1R1-9 CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: BUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area:0 SF DOLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:800 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+ Replaced: 1,500 SF _ Site work for creation of 2-lot short plat. Includes two driveways, one 10-feet wide and the other 20-feet wide, approximately 100 LF of 6" sewer service, and 3/4" domestic water service to new lot. CONTACT INFORMATION OWNER/APPLICANT NAME:Tom Staniford OWNER/APP. MAILING ADDRESS: sTREET 9625 163rd Ave SE CITY Snohomish STATE WA zip 98290 OWNER/APP. PHONE:(425)319-0664 OWNER/APP.EMAIL:tomstaniford06@gmail.com *Required for Work in Public Right-of-Way • C_ CONTRACTOR NAME: lr:W D V l in Doc �^ CONTRACTOR ADDRESS: STREET { j' oO /2.► (I I I --NeSvetf /-F �/�y � (.� Q CITY ( G -—� 7)-e 1/ STATE W. 1 ZIPWI,)/ � CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CO C O� ` J ! ; - (.S l EVERETT BUSINESS LICENSE#(REQUIRED):/1-,c 9 5- PRIMARY CONTACT: `/tDWNER /APPLICANT CONTRACTOR [STHER(Architect, Engineer, Etc.) Civil Engineer CONTACT NAME: CONTACT PHONE:(206)596-2020 JMJ Team (Justin Jones) CONTACT EMAIL:justin@jmjteam.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. City of Everett Official Use Only PERMIT# Owner/Auth ized Agent ignature Date (Revised 1/72019)