4613 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 4613 RIVERFRONT BLVD--1,6(4/05 Permit#: C1907-008 TENANT: OVERLOOK AT RIVERFRONT nci -CM k DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1811-001 PW Reviewer to select all that apply below: Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation&Cost Est.) lEgNew Connection to main plus I connections to building 0 New Connection, Si -0 Per Cost Estimate ❑Alteration JEK Meter Only, Size 3 " -0 Per Cost Estimate ❑ Repair g Water System Development Fee Total:$ 3/357.0- ❑ Cap-off,quantity Ig Sewer System Development Fee Total: $ 5t/21.2 ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA ❑ NOT REQUIRED 0 NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate ❑ Meter Only, Size 0%" Detect Meter Only, Service Size ❑Water System Development Fee Total:$ ❑ Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention(Outside Building): 0 DCVA $(NOT REQUIRED fid NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. .NOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) KNOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ktrYES, Stormwater Total: $ 021.29— 0 YES,Traffic Mitigation Total:$ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calcul tions/credit 'All Hard Surface Fees to be added to Permit# CI°I0l-- o023 KNOT REQUIRED —a 1. f°4-In. fat o See Attached Spreadsheet for calculationsca� /credit / 0Q ❑ NOT REQUIRED FGul�oS oya 13.3"T-tis `f0'fai( 01 PP6r2�6rf NP� Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) EYES—TYPE: 14 SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL El See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) V'Digital copy attached to permit record, Permit#P1,t)tgD3--6q g Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type ST NOT REQUIRED Reason: FIRE- Qta; W f i 360 Of P. PUBLIC WORKS PERMIT RE UIRED? EYES, Permit#PW_I 1On--oq Stormwater NPDES ab Completed in TRAKiT %ADA Tab Completed in TRAKiT $(inspections Added in TRAKiT ❑ NOT REQUIRED oma, p,�� `' U Worksheet Completed By: J O JJ t"t& 4,1,1, Date: -VaRlaOrt Worksheet Checked By: Date: REVISED 4/24/2019