209 112TH ST SE 2019-01-30 - Laserfiche WebLink

PUBLIC=wORKS PERMIT III Date Applied: 8/27/2018 ilifiliPosoudi City of Everett Permit Services Public Works Permit#: PW1808-064 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: tittigj Everett,WA 98201 Planning Reference#: (425)257-8810 Public Works Fee: $85.00 7 AUG21 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: POELZER JOSEPH POELZER JOSEPH 209 112TH ST SE 209 112TH ST SE EVERETT, WA, 98208 EVERETT, WA, 98208 PHONE: 4253470200 PHONE: 4253470200 TAX PARCEL ID#: 28042400401700 SITE ADDRESS: 209 112TH ST SE DESCRIPTION: CONCRETE PATIOS IN BACK YARD THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES 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 for Development'. 3. Call Location Underground Service 48 hours before you dig. The day you call does not count.TOLL FREE NUMBER 811. 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 08/27/2018. Approved plans must remain on job-site at all times. 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction for a consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requestecr,nSee ; attached handout for phone number and online instructions to Request an Inspection. }--, --i--` I:71 6. Install and maintain erosion control measures per City of Everett Standards and approvedA'LL F/?lan. RifnoVe upon completion of the project prior to final approval of the permit. x•`^ CJ 71 I...4 73 1--1 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadvligy. 8. Protect all existing underground utilities during construction. ('--; 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfascebe managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way's /or easements and the improvements located therein. H) co Public Works Permit Fee Breakdown: **® - Paving (436SF) $45.00 ��r z _ t-y PW Plan Review $20.00 " y ' '�• PW Site Inspection $20.00 —�c, City of Everett Official Use Only 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, 7 expenses,or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use here to applied Approved for Construction (Pu Ilc Works) Date for and further agrees to remove same upon notice from the City and to r-.lace public prop d aged thereby. ) / y / 2S FINAL INSPECTION Date ;�nature of Appli nt D to Approved as Constructed (PW Inspector) pp WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE • IT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STe••AGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. • ct Cor