3403 W MUKILTEO BLVD 2021-06-10 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 3403 W MUKILTEO BLVD Permit#: C1904-002 TENANT: [TenName] DESCRIPTION OF WORK: REMODEL EXTG KITCHEN,CREATE MASTER SUITE, PERMIT EXTG ADU 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 0 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 0 Sewer System Development Fee Total: $ ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA KNOT REQUIRED NOT REQUIRED Explanation/Utility Permit#: xplanation/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 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 gNOT REQUIRED xplanation/Utility Permit#: xplanation/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) .NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: &YES,Stormwater Total:$ /3/ . 2 7 ❑YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit $'All Hard Surface Fees to be added to Permit# I 9 0 fi'o 3 ig NOT REQUIRED ❑ NgSee Attached Spreadsheet for calculations/credit T REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) AYES—TYPE: 0 SFR ❑ DUPLEX ,ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 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# 110 to— 0 c3 Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type ANOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? OYES, Permit#PW pW i9ote-0 i3 , ormwater NPDES Tab Completed in TRAKiT ADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: , /-7/z€,/q Worksheet Checked By: Date: C/J/ZO/g REVISED 4/24/2019