4902 23RD AVE W 4900 Block 2024-01-26

PUBLIC WORKS PERMIT Date Applied: 11/10/2021 City of Everett Permit Services Public Works Permit#: PW2111-019 3200 Cedar Street, 211 Floor Associated Bldg Permit#: EVERETT Everett, WA 98201 Planning Reference#: WASHINGTON 425-257-8810 Public Works Fee: $85.00 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: GRANADA HOA BOB KELLY 5009 23RD AVE W EVERETT,WA,98203 PHONE:4253590912 PHONE:4253590912 TAX PARCEL ID#: SITE ADDRESS:4900-5000 BLOCK OF 23RD AVE W DESCRIPTION:ASPHALT OVERLAY OF EXTG PAVED LANE(MADERA LANE) 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. 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 can be applied for online at pw.everettwa.gov and requires a traffic control plan to be submitted for the area of requested closure. Please allow 1-2 weeks for TSU permit issuance from the date of application. 12.This permit must be finaled in order to close out 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. 13. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever requires use of the right-of-way for municipal purposes. Public Works Permit Fee Breakdown: Paving(6200SF)...............................$45.00 PW Plan Review..............................$20.00 PW Site Inspection..........................$20.00 City of Everett Official Use Only ACKNOWLEDGEMENT 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 144 7&94ae 12/06/2021 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 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 MAYBE 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 ADDRESS FILE