3618 SHORE AVE 2023-10-24 - Laserfiche WebLink

P LIC WORKS PERMIT A LICATION 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:3618 Shore Avenue Everett, WA 98203 SITE WORK FOR PROJECT TYPE: ESFR-DETACHED ❑TOWNHOUSE ❑DUPLEX EADU ❑MULTI-FAMILY ['COMMERCIAL ['INDUSTRIAL IF APPLICABLE: ✓❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.)SS20-002 IF APPLICABLE: ❑ 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: DRAINAGE MITIGATION QUESTIONS: ❑FENCE IN ROW N/A FT IN HEIGHT STORMWATER DISCHARGES TO: ❑✓ DRIVEWAY APRON/CURB CUT 34 FT WIDE ❑ Combined Sewer ❑✓ ASPHALT/CONCRETE PAVING 3,063 SF ❑✓ Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY N/A LF ❑ Direct Discharge to Snohomish River or Puget Sound El RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT N/A FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑✓ CLEARING/GRADING/FILL/EXCAVATE 100 CY El MR2 Only El MR1-5 ❑✓ MR1-9 I CUT/BORE IN PAVEMENT(PARALLEL) 31 LF QUANTITY OF PROPOSED HARD SURFACES: Cl CUT/BORE IN PAVEMENT(NON-PARALLEL) N/A LF Proposed Roof Area:5,071 SF ❑POLE WORK/AERIAL/OVERLASH N/A LF Proposed Hardscape:3,063 SF ADDITIONAL DESCRIPTION (AS NEEDED): Total New+Replaced:8,134 SF CONTACT INFORMATION OWNER I APPLICANT NAME: Rian Hayward OWNER/APP. MAILING ADDRESS: STREET P.O. Box 34 CITY North Lakewood STATE WA ZIP 98259 OWNER/APP.PHONE:(425) 754-5885 OWNER/APP.EMAIL:rian@cascadegcinc.com *Required for Work in Public Right-of-Way CONTRACTOR NAME: Cascade General Contracting, Inc CONTRACTOR ADDRESS: STREET P.O. Box 34 CITY North Lakewood STATE WA ZIP 98259 CONTRACTOR PHONE:(425) 754-5885 CONTRACTOR EMAIL:rian@cascadegcinc.com CONTRACTOR LICENSE#(REQUIRED):CASCAG980QK EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ✓❑ OWNER /APPLICANT ❑CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:(425) 754-5885 Rian Hayward CONTACT EMAIL:rian@cascadegcinc.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# 11/24/2021 2 )(C. . Ol Ow r/Authorized A9ent Signature Date (Revised 1/72019) Lee A. Michaelis