9620 19TH AVE SE 2024-07-10 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I https:Heverettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:9620 & 9702 19th Ave SE SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: El LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) PREAPP21-023, REVII21-024, REV1121-033 (SEPA), REV121-092 (Mod Req.) EPPLICABLE: ElFRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME & JOB M JOB # DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON / CURB CUT FT WIDE ❑ ASPHALT / CONCRETE PAVING SF ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY LF 0 RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT 477 FT TOTAL HEIGHT 0 CLEARING / GRADING / FILL / EXCAVATE 15,130 CY ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF ❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) LF ❑ POLE WORK / AERIAL / OVERLASH LF ADDITIONAL DESCRIPTION (AS NEEDED): DRAINAGE MITIGATION QUESTIONS: STORMWATER DISCHARGES TO: ❑ Combined Sewer s❑ Separated Storm Sewer ❑ Direct Discharge to Snohomish River or Puget Sound TRIGGERED REQUIREMENTS: ❑ MR2 Only ❑ MR1-5 s❑ MR1-9 QUANTITY OF PROPOSED HARD SURFACES: Proposed Roof Area:75,646 SF Proposed Hardscape:44,398 SF Total New+ Replaced: 120,044 SF Clearinq and Gradinq of 3.68 acres in support of a 85 unit sinqle-family, attached towhome project. The project would disturb 3.68 acres of the 4.93 acre total parcel area. Onsite Rockeries and a propsoed detention vault will be utilized to stablize the proposed gradinq. CONTACT INFORMATION OWNER / APPLICANT NAME: Pacific Ridge Homes / Kellie Schwacha OWNER/APP. MAILING ADDRESS: ST1EET17921 Bothell -Everett Hwy., Suite 100 CITY Bothell STATE WA Z1P 98012 OWNER / APP. PHONE: (425) 939-1 158 OWNER / APP. EMAIL: kmschwacha@paclflcrldgehomes.com `Required for Work in Public Right -of -Way CONTRACTOR NAME: Pacific Ridge-DRH, LLC / Tom Allen CONTRACTOR ADDRESS: STREET17921 Bothell -Everett HWy, Ste 100 CITY Bothell STATEWA Q ` ZIP 98012 CONTRACTOR PHONE: (425) 438-8444 1CONTRACTOR EMAIL: tallenl @pacificridgehomes.com CONTRACTOR LICENSE #(REQUIRED): 603487821 EVERETT BUSINESS LICENSE #(REQUIRED): 056403 PRIMARY CONTACT: ❑ OWNER / APPLICANT ❑ CONTRACTOR s❑ OTHER (Architect, Engineer, Etc.) Civil Engineer/CPH Consultants CONTACT NAME: Jamie Schroeder CONTACT PHONE: (425) 285-2392 CONTACT EMAIL:jamie@cphconsultants.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. 1 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 # Kellie M Schwacha Digitally signed Kellie M Schwacha P /� / Date: 2022.0 1 .2 8 1 s:sz:aa-os'oo' 1.28.2022 V V Owner/Authorized Agent Signature Date (Revised 1172019)