1019 112TH ST SW 2019-09-25 - Laserfiche WebLink

PUBLIC WORKS PERMIT —bate Applied: 3/27/2018 City of Everett Permit Services Public Works Permit#: PW1803-069 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: Everett,WA 98201 Planning Reference#: (425)257-8810 Public Works Fee: $135.00 0 1 JUN 2018 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: COMMUNITY HEALTH CENTER OF SNO CO COMMUNITY HEALTH CENTER OF SNO CO 8609 EVERGREEN WAY 8609 EVERGREEN WAY EVERETT, WA, EVERETT, WA, PHONE: PHONE: TAX PARCEL ID#: 00442900102501 SITE ADDRESS: 1019 112TH ST SW DESCRIPTION: INSTALL ADDITIONAL PARKING AREA (14 NEW STALLS AT NORTH END OF PROPERTY) 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 and Planning Departments dated 5/22/2018. 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 fora..,•_ consultation, to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests. 6. Install and maintain erosion control measures per City of Everett Standards and-a proved SWPi /Plan. R .ilno e9upon completion of the project prior to final approval of thepermit =:72 a.)!II 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be traced 8. Protect all existing underground utilities during construction. ,_,' '_ 9. A Landscape Inspection is required by the Planning Department prior to final by_the Public Works Inspector-Contact.:the Planning Department at 425-257-2273 to schedule the inspection. 10. A separate building permit is required for the addition of two new accessible Atall striping, one of which shall be a VAI accessible stall, located near the building entrance, per ICB 2015 Sec 1106.3 ar;r 1106.6. This building permit must b : finaled prior to final of this public works permit, as the additional accessible stalls'iare a requirement of this permit. 11. Thispermit must be finaled in order to close out this permit. Call the ins p pepti&i line to,�r .,qu9.‘t a...Fi4.,for this permit when all items have been completed. ",-t.'3�':_:"' 'e:. r '�- Public Works Permit Fee Breakdown: Paving (4,510SF) $45.00 `= Erosion Control $50.00 Grade/Fill/Excavate (200CY) $70.00 PW Plan Review $20.00 PW Site Inspection $20.00 City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save .14k/alik- 1 � IJharmless 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 or other right-of-way use here to applied Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to replac publi pro rty damage hereby. FINAL INSPECTION Date 3 -/-7( Approved as Constructed (PW Inspector) Signature of Applic t 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 COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. Fes'