2315 OKLAHOMA AVE 2016-10-21 - Laserfiche WebLink

ar ` Date: 9/23/204`-1-LJ PUBLIC94ORKS PERMIT Public Works Permit#: PW1509-0-21 _r7 City of Everett Public Works Depa44nt �.j� C1509-Op 3200 Cedar Street °r ria �uildi Per t ; �t Everett, WA 98201 n •�.-j� .I ,., C)r_s Ka (425) 257-8810 fi � C>7 c_> . c f 6: c Z/Vorks r' $ 11 0_,,4,J1 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: JACOBSEN HOMES INC OWNER 1109 SPRINGBROOK RD LAKE WA 98258 STEVENS PHONE: PHONE: 4253300444 TAX PARCEL ID# 01053500001300 SITE ADDRESS: 2315 OKLAHOMA AVE NEW SINGLE FAMILY RESIDENCE 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. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 11/17/2015. w 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction I�-I and with other inspection requests. See attached to request an inspection. 6. It is the applicant/owner's responsibility to ensure that stormwater runoff from new impervious surfaces will be managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way O and/or easements and the improvements located therein. 7. Any damage to the public right-of-way improvements shall be replaced at the direction of the City Public Works Z I nspector. O 8. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. 9. Install erosion control measures per City of Everett Standards and as directed by the Public rka In�s ector. 10. Remove erosion control measures upon completion of the project prior to final inspection a roe 4 , J EU permit. Public Works Permit Fee Breakdown: NOV 2 Q 2015 Paving (Concrete Site Work) $45.00 Driveway Cut$25.00 Y 0 J3 R' PW Plan Review$20.00 em ice;, PW Site Inspection $20.00 ACKNOWLEDGEMENT OF CONDITIONS The undersigned 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 improvement ao/s or other right-of-way use hereto applied for and further agrees A ve fo Con Date to remove same upon notice from the City and to replace pP "' public property damaged thereby. r INAL INSP CTION Date Approved as Constructed Signature oapplicant Date 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 90 DAYS DURATION. FAL'