1023 100TH ST SW 2022-05-12 - Laserfiche WebLink

MINN PS3LIC WORKS PERMIT , 'PLICATION 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:1023 100TH ST SW, EVERETT, WA 98204 SITE WORK FOR PROJECT TYPE: ❑✓SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: 0✓ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) SS19-010 IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME &JOB#: JOB# DESCRIPTION OF SITE WORK I 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 20 (X3) FT WIDE ❑ Combined Sewer Cl ASPHALT/CONCRETE PAVING 6,318 SF ❑✓ Separated 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: ❑ CLEARING/GRADING/FILL/EXCAVATE 490 CUT CY ❑ MR2 Only El MR1-5 ✓❑ MR1-9 El CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) 90 LF Proposed Roof Area:7,222 SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:6,318 SF ADDITIONAL DESCRIPTION (AS NEEDED): Total New+Replaced: 13,540 SF CONTACT INFORMATION OWNER/APPLICANT NAME:JOSEPH SMEBY, P.E. - OMEGA ENGINEERING, INC. OWNER/APP. MAILING ADDRESS: sTREET2707 WETMORE AVE CITY EVERTT STATE WA ZIP 98201 OWNER/APP. PHONE:428.903.4852 OWNER/APP. EmAiLdoe@omega-eng.com *Required for Work in Public Right-of-Way CONTRACTOR NAME: 1 k .S a( G �l u rV` CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): (")(\. PRIMARY CONTACT: ✓❑ OWNER /APPLICANT ❑ CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: ACKNOWLEDGEMENT 1 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# PW2- 0 r uthdriz'ed Agent Signature Date (Revised 1/72019) ) '