4619 RIVERFRONT BLVD 2020-12-23 - Laserfiche WebLink

_ • • EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 4619 RIVERFRONT BLVD—LOT j02 Permit#: C1908-002 TENANT: OVERLOOK AT RIVERFRONT 4 'q{o0 -0j5 DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1811-002 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) SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation&Cost Est.) 1kNew Connection to main plus ( connections to building ❑ New Connection, Siz,e -0 Per Cost Estimate ❑Alteration ECMeter Only, Size 3(61 -❑ Per Cost Estimate ElRepair ErWater System Development Fee Total: $ //15ri Q'° ❑Cap-off,quantity 1B.'Sewer System Development Fee Total: $ 5/(ZI.lL�. ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve ❑ 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 ❑3/" Detect Meter Only, Service Size ❑Water System Development Fee Total: $ ❑ Backflow Prevention(Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA KNOT REQUIRED 'KNOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. 'KNOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ Backflow Prevention (Inside Building): ❑ DCVA(for Domestic service) ❑ 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: EYES, Stormwater Total:$ 622.0 ❑YES,Traffic Mitigation Total:$ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for Iculat' ns/cre.it 1" C All Hard Surface Fees to be added to Permit# '19.OS—602 *NOT REQUIRED t- 0, , At ❑See Attached Spreadsheet for calculations/credit ,/ /}� ❑ NOT REQUIRED ,lg + L1441 vs,l. iL_ ( P�? I i1317 I�P� fW Additional Checklists:�` � ADDRESS LETTE5.REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) $ YES—TYPE: "I SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL CICSee Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) Et Digital copy attached to permit record, Permit# 14)�g0$—OLS (R'Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type liXNOT REQUIRED Reason: t%Lg-6-- eiMe ) I1\) d0( OF- PUBLIC WORKS PERMIT REQUIRED? YES, Pepnit#PW 110g-015 1 gStormwater NPDES Tab C pleted in TRAKiT E ADA Tab Completed in TRAKiT ' Inspections Added in TRAKiT ❑ NOT REQUIRED DAL Worksheet Completed By: C J) 'hA Date: W57/6/C/ Worksheet Checked By: Date: REVISED 4/24/2019