8615 7TH AVE SE 2021-02-26 - Laserfiche WebLink

• • E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON � PROJECT ADDRESS: 8717-7TH AVE SE Permit#: PW1905-034 TENANT: ST MARY MAGDALEN PARISH DESCRIPTION OF WORK: REMODEL/ADDITION TO EXTG CHURCH 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.) ❑ New Connection to main plus connections to building ❑ New Connection, Size -0 Per Cost Estimate ❑Alteration 0 Meter Only, Size -0 Per Cost Estimate ❑ Repair 0 Water System Development Fee Total:$ ❑ Cap-off,quantity ❑ Sewer System Development Fee Total: $ ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA eNOT REQUIRED ] 'NOT REQUIRED xplanation/Utility Permit#: Explanation/Utility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) . ❑ New Connection, Sizeew Connection, Size 2 '. -IgPer Cost Estimate`Win, ❑ Meter Only, Size $3/4" Detect Meter Only, Service Size ?" ❑Water System Development Fee Total:$ tI Backflow Prevention (Outside Building): ❑ DCDA c b ✓- ❑ Backflow Prevention (Outside Building): 0 DCVA 0 NOT REQUIRED , ,.NOT REQUIRED Explanation/Utility Permit#: Yafta0" Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) � rh1� tiYes, Quantity 1 , See attached for reference. f�%ts>`. Sc:2-�.c.E Co.�+a4-�t '4 ❑ 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): ❑ DCVA(for Domestic service) 0 RPBA(for Domestic service) XDCDA(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: KYES, Stormwater Total: $ 3, 0 40 . co ❑YES,Traffic Mitigation Total: $ p,Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) ❑ See Attached for calculations/credit All Hard Surface Fees to be added to Permit# '2W% ?c S—o 34- KNOT REQUIRED fl-See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑YES-TYPE: 0 SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY ❑ COMMERCIAL ❑ See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ❑ Digital copy attached to permit record, Permit# ❑ Saved to Address Folder in Development Tech File VNOT REQUIRED FIRE SPRINKLERS REQUIRED? I--YES-Type ❑ NOT REQUIRED Reason: 1Pg.6 cope PUBLIC WORKS PERMIT REQUIRED? AYES, Permit#PW i46 5-c 3 4• III--atormwater NPDES Tab Completed in TRAKiT 141, 2A Tab Completed in TRAKiT 0 Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: 7 1t3 1st, I% Worksheet Checked By: ?1Date: 712160/9 REVISED 4/24/2019