Laserfiche WebLink
E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: 4632 31ST AVE SE Permit #: C1908-015 <br />TENANT: OVERLOOK AT RIVERFRONT 4 fW190q - 055 <br />DESCRIPTION OF WORK: NEW SFR 12015 IRC - RB1810-001 —LOT 451 q 1 <br />PW Reviewer to select all that apply below: <br />Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br />SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) <br />New Connection to main plus _Connections to building ❑ New Connection, Size - ❑ Per Cost Estimate <br />❑ Alteration 'B Meter Only, Size 3 'r - ❑ Per Cost Estimatp <br />❑ Repair 9f Water System Development Fee Total: $ 11957. <br />❑ Cap -off; quantity Eff Sewer System Development Fee Total: $ 641 Zi. O0 <br />❑ Reconnection to stub ❑ Water Service Line (behind meter), Size <br />❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA <br />❑ NOT REQUIRED ❑ NOT REQUIRED <br />Explanation/ Utility Permit #: Explanation/ Utility Permit #: <br />IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate /Request for Reference) <br />❑ New Connection, Size ❑ New Connection, Size - ❑ Per Cost Estimate <br />❑ Meter Only, Size ❑ 1/" Detect Meter Only, Service Size <br />❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA <br />❑ Backflow Prevention (Outside Building): ❑ DCVA JXNOT REQUIRED <br />P NOT REQUIRED Explanation/ Utility Permit #: <br />Explanation/ Utility Permit #: <br />WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) <br />❑ Yes, Quantity See attached for reference. <br />IR(NOT REQUIRED <br />Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) <br />❑ Backflow Prevention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) <br />PC NOT REQUIRED <br />Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) <br />STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br />)(YES, Stormwater Total: $ 67,2.92 ❑ YES, Traffic Mitigation Total: $ <br />❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached foi calc lations / credit <br />1dAll Hard Surface Fees to be added to Permit # G1908-0' 5 I( NOT REQUIRED-0 See Attached SpreadsheeWfor lclations / credit <br />❑w&RA <br />V�NOT REQUIRED 5�61 6 1% 149 NK5-041 <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) <br />MYES - TYPE: 14 SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />IR See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />14 Digital copy attached to permit record, Permit # PW1909-Oss <br />14 Saved to Address Folder in Development Tech File <br />❑ NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />❑ YES -Type <br />Iff NOT REQUIRED <br />Reason: W10N ?l% OF V-A <br />PUBLIC WORKS PERMIT REQUIRED? <br />YES, Permit # PW 11109 -055 <br />I(Stormwater NPDES Tab Completed in TRAKiT IR(ADA Tab Completed in TRAKiT Mnspections Added in TRAKiT <br />❑ NOT REQUIRED <br />Worksheet Completed By: Date: VY21 <br />Worksheet Checked By: Date: <br />REVISED 4/24/2019 <br />