8102 EVERGREEN WAY FINAL EVERETT 4 CORNERS 2025-08-04

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 1 FAX425-257-8857 1 (E) everetteps@everettwa.gov I https:Heverettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 28050700306900 and 28050700307000 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑✓ MULTI -FAMILY ❑COMMERCIAL []INDUSTRIAL IF APPLICABLE: 0 LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) VAR19-002, SS19-007, TDM20-004, REV1120-016, REV120-009, SEPA20-007 IF APPLICABLE: ❑ FRANCHISE/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 173,149 SF ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY - LF Ell RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT - FT TOTAL HEIGHT ❑✓ CLEARING / GRADING / FILL / EXCAVATE 14,140 (Fill) Cy ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF ❑✓I CUT/BORE IN PAVEMENT (NON -PARALLEL) 55 LF ❑ POLE WORK / AERIAL / OVERLASH LF ADDITIONAL DESCRIPTION (AS NEEDED): DRAINAGE MITIGATION QUESTIONS: STORMWA TER DISCHARGES TO: ❑ Combined Sewer ❑✓ Separated Storm Sewer ❑ Direct Discharge to Snohomish River or Puget Sound TRIGGERED REQUIREMENTS: ❑ MR2 Only ❑ MR1-5 ✓❑ MR1-9 QUANTITY OF PROPOSED HARD SURFACES: Proposed Roof Area: 133,001 SF Proposed Hardscape: 173,149 SF Total New+ Replaced: 306,150 SF This permit application is provided for the multi family apartment complex and supporting infrastructure which includes storm improvements, water and sewer improvements, and a parking lot in support of 430-unit multi -family complex. CONTACT INFORMATION OWNER / APPLICANT NAME: Four Corners, LLC - Attn: David Ratliff OWNER / APP. MAILING ADDRESS: STREET 10900 NE 8th Street, Ste 1200 CITY Bellevue STATE WA ZIP 98004 OWNER / APP. PHONE: (425) 453-9551 OWNER / APP, EMAIL: david.ratliff@devcowa.com *Required for Work in Public Right -of -Way CONTRACTOR NAME: Heartland Construction CONTRACTOR ADDRESS: STREET 10900 NE 8th Street, Ste 1200 crry Bellevue STATE WA ZIP 98004 CONTRACTOR PHONE: (425) 452-4042 CONTRACTOR EMAIL: tom.neubauer@heartlandwa.com CONTRACTOR LICENSE #(REQUIRED): I EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER / APPLICANT ❑ CONTRACTOR ❑✓ OTHER (Architect, Engineer, Etc.) Civil Engineer CONTACT NAME: CPH Consultants - Matthew J. Hough, PE CONTACT PHONE: (425) 285-2390 CONTACT EMAIL: matt@cphconsultants.com ACKNOWLEDGEMENT. 1 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 1 am authorized by the owner of this property to perfo►m, the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # PW2011-044 (Revised 1172019)