2817 MEDORA WAY 2023-12-08 - Laserfiche WebLink

PUBLICSVORKS PERMIT Irks Permit 3/4/2022 City of Everett Permit Services Public or Permit#: PW2203-006 EVERETT 3200 Cedar Street, 2' Floor Everett, WA 98201 Associated Bldg Permit#: B2110-052 Planning Reference#: WASHINGTON 425-257-8810 Public Works Fee: $65.00 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: CHANG SHU CHUAN CHANG SHU CHUAN 2817 MEDORA WAY 2817 MEDORA WAY EVERETT,WA,98201 EVERETT,WA,98201 PHONE:6262269678 PHONE:6262269678 TAX PARCEL ID#:00520300002200 SITE ADDRESS:2817 MEDORA WAY DESCRIPTION: REMOVE UNPERMITTED GRAVEL TO COMPLY WITH CODE REQUIREMENTS See code case CE21-0571 THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett'Design and Construction Standards and Specifications for Development'. 3. Call Location Underground Service 48 hours before you dig.The day you call does not count.TOLL FREE NUMBER 811. 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department.Approved plans must remain on job- site at all times. 5. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.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 or the approved SWPPP/TESC Plan. Remove upon completion of the project prior to final approval of the permit. 7. Keep City streets clean at all times. No dirt, mud, rocks,or debris to be 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 applicant/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.This permit must be finaled in order to closeout this permit/grant a Certificate of Occupancy. 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 have been completed. Public Works Permit Fee Breakdown: 8 8 Misc. Minor Permits(Remove gravel, restore landscape) $25.00 US E PW Plan Review $20.00 PW Site Inspection $20.00 SEF 09Q2z CI Ty OF ' F City of Everett Official Use Only PermitSeA(KKel@WLEDGEMENT OF CONDITIONS By purchasing this permit and commencing work,the owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages,costs,expenses,or causes of action that may arise because of installation and maintenance of the s� 3/4/2022 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 Approved for Construction, Public Works Dept. Date public property damaged thereby. 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 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 180-DAY DURATION.EACH INSPECTION EXTENDS THE EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. _APPLICANT/JOB SITE COPY _TREASURER 84 ADDRESS FILE