1427 100TH ST SW CLUBHOUSE 2023-09-08

PUBLIC WORKS PERMIT Date Applied: 1/6/2022 City of Everett Permit Services Public Works Permit N: PW2201-003 320G Cedar Street, 2"a Floor Associated Bldg Permit lt: R: E V E R E T T Everett, WA 98201 Planning Reference N: WASH I NOTON everettwa.eov/permits Public Works Fee: $799.14 Perm it5ervicesg eve rettwa.eov Schedule mspeRions at; onlinepermits.evereffoxi OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: CPI FAIRWAY ESTATES OWNER LLC LAW RENCE HOUSTON 1001 PENNSYLVANIA AVE NW WASHIN(bi DC 20004 PHONE: PHONE: 2068191279 SITE ADDRESS: 1427 100TH ST SW CLUBHOUSE TAX PARCEL me: 28041400400800 THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES DESCRIPTION: REPLACE EMG CONCRETE PAD W/ NEW NOTES: REPLACE EXTG CONCRETE PAD W/ NEW PERMRCONDITIONS: 1. All Inspections shall be scheduled online at htum I/onlinewarmits.unimproved . Available Inspection dates are shown In the dropdown menu. 2. All work shall be performed in aaordance with the permit and current City of Everett'Design and Construction Standards and Specifications for Development. 3. Oil Location Underground Service 48 hours before you dig. The day you call does nor count TDLL FREE NUMBER 811. 4. Site C'wil Work to be done per plans approved by the Cry of Everett Public Works Department Approved plans must remain on jobsite at all times. 5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at on mace rats.everettwa.gov to formally request all required inspections. A handout is provided at Permit issuance with instructions on how to request an inspection online. 6. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector and the approved SW PPP/TESC Plan. Remove upon completion of the protect prior to final approval of the Permit. T. Keep Cry streets clean at all times. No dirt, mud,rocks, or debris to M tracked onto roadway. 8. Protect all existing underground utilities during construction. 9. Any damage to City Improvements (sidewalk, curb, roadway, etc.) shall be replaced per City Standards and/or as directed by the City PW Inspector. 10. It is the applicam/owner's responsibility to ensure that stormwater runoff from new/replaced Impervious surfaces will be managed on site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements and the improvements located therein. 11. Prior to any interruption to the public right-of-way (roadways, parking lanes, or sidewalks) a Traffic Street Use permit shall be obtained from the City's Traffic Engineering Division. This permit Dun be applied for online at onlinepermits.everetiwa.g s, and requires a traffic control plan to be submitted for the area of requested closure. Please allow 1-2 weeks For ISO permit Issuance ham the date of application. 12. This permit must be finaled in order to close out this permit/grant a Certificate of Daupanry. Request a final inspection online by selecting PW 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items haw been complete Public Works Permit Fee Breakdown: Erosion Control............................ .......................... $50.W Paving R48WFl....................................................$45.W PW Plan Review...................................................$20.W PW Site Inspection ...............................................$20.W Stormwater System Development Fee........ ....... $664.14 ACBNOWIEDGEMENT OF CONDITIONS By Purchasing this permit and commencing work, the owner/applicant hereby agrees to hold and save harmless the City W Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of Installation and maintenance of the improvement or other right- of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. VAUDMIUPIMDON: Work authorized by this Permit must be started within 180 days of date permit Is Issued and thereafter Is to be diligently pursued to completion. This Permit may be canceled by the city upon any stoppage W work on this Project over Dal duration. Each inspection extends the expiration date 180 days to keep the permit open while work is active. Page 1 of 1 _APPLICANT/I03 SITE COPY _ADDRESS FILE _TREASURER