5209 EVERGREEN WAY BASE FILE 2018-05-29

�9/2 17 PUBLIC IAIORKS PERMIT Date: 4 \ __ City of Everett Public Works Department Public Works Permit#: PW1704-037 �. 3200 Cedar Street Parent Permit#: Everett, WA 98201 Planning Reference#: (425)257-8810 Public Works Fee$: $ 1,040.00 Other$: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: JSH PROPERTIES PACIFIC PAVEMENTPROTECTION(P3) 10655 NE 4TH ST. SUITE 901 19827 23RD DR SE BELLEVUE WA 98004 BOTHELL WA 9801a PHONE: 4256790525 PHONE: 2067608600 TAX PARCEL ID# 28050600100200 SITE ADDRESS: 5209 EVERGREEN WAY GRIND &OVERLAY RE-PAVING OF EXISITNG PARKING LOT PARKING LOT TO BE RE-STRIPED TO MEET CITY OF EVERETT STANDARDS. 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 — —I ; 4. Site Civil Work to be done per plans approved (as noted) by the City of Everett Public ..,....,.• ,-_.,-• T ; co Works Department dated 4/25/2017. c=1 2.-.,,_, ,,,, , --+ 5. Refer to attached standards for required parking stall geometry. • <-- -a E P w 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 pr T ; ' !:; En* to starting construction and with other inspection requests. c.; H 7. Any field changes to stall/aisle width geometry shall be coordinated with and approved by the Public Works Inspector in the field. 6 F:)r-a• 8. This permit scope covers parking lot maintenance only, meaning that grind and , overlay shall not touch or disturb the subgrade/base course. If 2000sf or more of asphalt 0 a is removed to the base course, drainage mitigation will be triggered and a report and it t...g .., plan will have to be turned in to comply with the 2010 Stormwater Managment Manual. ;n• F . . ` Z 9. Install erosion control measures per City of Everett Standards for small parcels ands-.L ii P P°P 8;;'.."':':r. 5:2- 0remove upon completion of the project prior to final approval of the permit. °' a 8`-,4 gE °1 c..; 10. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto —"—"``'' iii roadway. c• CA 11. Protect all existing underground utilities during construction. - Public Works Permit Fee Breakdown: Paving(-200,000SF) $1,000.00 4.4 PW Plan Review $20.00 PW Site Inspection $20.00 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the 7 - City of Everett from any and all claims for damages,costs,expenses,or A , `<` �Lr�sr�l� 4,-- 25-....�' 7 causes of action that may arise because of installation and maintenance of the A roved for Construction Date / improvement or other right-of-way use hereto applied for and further agrees to p remove same upon not e from e City and to replace public property dam hereby FINAL INSPECTION Date •tel C//.�7-/7 Approved as Constructed Si ture of App!cant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AN THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORKONTHIS PROJECT OVER 90 DAYS DURATION. !/ VL