4616 RIVERFRONT BLVD 2020-12-23 - Laserfiche WebLink

RE EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 4616 RIVERFRONT BLVD —Le 61/3 Permit#: C1907-014 TENANT: OVERLOOK AT RIVERFRONT m03- + DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1810-002 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) SNITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation&Cost Est.) New Connection to main plus I connections to building 0 New Connection, Size -❑ Per Cost Estimate ❑Alteration '6'Meter Only, Size 5/41, -0 Per Cost Estimate ❑ Repair gWater System Development Fee Total: $ 3f967'.� ❑ Cap-off, quantity SSewer System Development Fee Total: $ .5,I ZI, 22 ❑ Reconnection to stub ❑Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention(Outside Building): 0 RPBA or❑ 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 -❑ Per Cost Estimate ❑ Meter Only, Size ❑3/" Detect Meter Only, Service Size ❑Water System Development Fee Total: $ 0 Backflow Prevention (Outside Building): ❑ DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA CieNOT REQUIRED SNOT 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. NI'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) ''NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: BYES, Stormwater Total: $ �21..80 ❑YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached f r calculations/,credit l Ali Hard Surface Fees to be added to Permit#(`i901-014 SNOT REQUIRE f t/''n`'1I`'� o See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED 266 (0.34 PF '1623 NPR � L-105ro1IZ Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) 13CYES—TYPE: $(SFR ❑ DUPLEX ❑ADU 0 INFILL DWELLING ❑ MULTI-FAMILY 0 COMMERCIAL 0 See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) IS Digital copy attached to permit record, Permit# fWIRo}-aye IR1 Saved to Address Folder in Development Tech File ❑ NOT REQUIRED • FIRE SPRINKLERS REQUIRED? ❑YES—Type 1E(NOT REQUIRED Reason: 'itg c 1 W nit IN) ! OP PUBLIC WORKS PERMIT REQUIRED? 13(YES, Permit#PW19(1—O44 �Stormwater NPDES Tab Completed in TRAKiT 1grADA Tab Completed in TRAKiT WInspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: l2 b/WI Worksheet Checked By: Date: REVISED 4/24/2019