5109 SEAHURST AVE 2025-12-12 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SE, DES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 1 FAX425-257--8857 1 (E)ey■vereeytteps�M@everettwa.gov I https://everettwa.gov/permits y "' ..•F 'j(�., # S�lil'IIw�YIAw�,Y�� 1 1?��fi� � �i � .f, � `E PROJECT ADDRESS:5109 SeahurSt Ave, Everett, WA 98203 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.)SS 18-006, REV 11 18-025 IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME�y&JOB#: JOB# Mom f .c. ncOili IEc,+S.ti y rS FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑Combined Sewer ❑ASPHALT/CONCRETE PAVING SF ❑✓ Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑✓ CLEARING/GRADING/FILL/EXCAVATE 1,000 CY ❑ MR2 Only 21 MR1-5 ❑ MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑✓ CUT/BORE IN PAVEMENT(NON-PARALLEL) 36 LF Proposed Roof Area:1,400 SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:31061 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:4,461 SF The proposal is to obtain enciineerinq approval from a preliminarily approved 2-lot Short Plat. E NfiAC'1` 1NFt�EIZMAT'1 ►N. OWNER 1 APPLICANT NAME:Oak Bay Development, LLC OWNER/APP. MAILING ADDRESS: STREET PO Box 12621 CTY Everett STATE WA ZAP 98206 OWNER I APP.PHONE:206-729-6323 OWNER/APP. EMAIL:oakbayd @ gmail.com 'Required for Work in Public Right-of-Way CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑✓ OWNER /APPLICANT ❑ CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:206-729-6323 Jonathan Shelton CONTACT EMAIL:oakbayd@gmail.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 I&27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# zJ PW I q b5- ;101er/Authorized Agent Signature fiate (Revised 1172019)