2920 47TH ST SE 2022-05-23 - Laserfiche WebLink

1w, EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 2920 47TH ST SE —Car �;tA Permit #: C1910-013 TENANT: OVERLOOK AT RIVERFRONT PW DESCRIPTION OF WORK: NEW SFR 2015 IRC - RB1810-002 Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) SANITARY SEWER: 9New Connection to main plus connections to building ❑ Alteration ❑ Repair ❑ Cap -off, quantity ❑ Reconnection to stub ❑ Backwater Valve ❑ NOT REQUIRED Explanation/ Utility Permit #: IRRIGATION SERVICE: (Not Including Cost Estimates) ❑ New Connection, Size ❑ Meter Only, Size ❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCVA UNOT REQUIRED Explanation/ Utility Permit #: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) ❑ New Connection, Si e - ❑ Per Cost Estimate IF Meter Only, Size 3 r Per Cost Esti ate 9 Water System Development Fee Total: $ 3 `�s�• ErSewer System Development Fee Total $ I / ❑Water Service Line (behind meter), Size ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA ❑ NOT REQUIRED Explanation/ Utility Permit #: FIRE SERVICE: (Attach Cost Estimate /Request for Reference) ❑ New Connection, Size - ❑ Per Cost Estimate ❑ %" Detect Meter Only, Service Size ❑ Backflow Prevention (Outside Building): ❑ DCDA KNOT REQUIRED 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. 19 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) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) Iff NOT REQUIRED Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: V YES, Stormwater Total: $ ❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) I KAII Hard Surface Fees to be added to Permit # C 410--013 ❑ See Attached Spreadsheet for calculations / credit ❑ NOT REQUIRED -tUi 6 4dai (ias 4tvP6 . 4414 Additional Checklists: TRAFFIC MITIGATION FEES: ❑ YES, Traffic Mitigation Total: $ ❑ See Attached for calculations cr dit KNOT REQUIRED vkl;;, W ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) YES — TYPE: KSFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL ffSee Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) 9 Digital copy attached to permit record, Permit #—& Oil'-Gg5 1WSaved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type 34 NOT REQVIRrD Reason: W 1NN �Jd ®F r> PUBLIC WORKS PERMIT REQUIRED? YES, Permit# PW -01AS I(Stormwater NPDES Tab Completed in TRAKiT 9ADA Tab Completed in TRAKiT 19Inspections Added in TRAKiT ❑ NOT REQUIRED ` Worksheet Completed By: n �y C/l� Date: �5 Worksheet Checked By: Date: