3004 47TH ST SE 2021-12-17 - Laserfiche WebLink

EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 3004 47TH ST SE — 0'r 553 Permit #: C1910-003 TENANT: OVERLOOK AT RIVERFRONT 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: IT New 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 19 NOT REQUIRED Explanation/ Utility Permit #: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) ❑ New Connection, Size- ❑ Per Cost Estimate Meter Only, Size 3y„ - ❑ Per Cost Estimate IIR Water System Development Fee Total: $ $95VO EZ'Sewer System Development Fee Total: $ S� 121, SP ❑ 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-(Ifyes, 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) 13 NOT REQUIRED Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: 19 YES, Stormwater Total: $ ?,Z.'s ❑ YES, Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached for caipulation / dit %All Hard Surface Fees to be added to Permit # C 1910-003 1KNOT REQUIRED wasJ1'I ❑ See Attached Spreadsheet for calcations / credit �/n ❑ NOT REQUIRED Lla 4 OaZi (VW,6i 640h 06� PW � ✓� ' ��Z Additional Checklists: ADDRESS LETTER / REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) IK YES —TYPE: SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL III See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) It Digital copy attached to permit record, Permit # P(A)/`ll0-Oy6 EfSaved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type gNOT REQI�IRED Reason: W11 im G%' OF rz� PUBLIC WORKS PERMIT REQUIRED? DYES, Permit # PW I Of i6 -0 $ �..,/ Ri Stormwater NPDES Tab Completed in TRAKiT N ADA Tab Completed in TRAKiT Klnspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: � Date: d O,VV AMIq Worksheet Checked By: REVISED 4/24/2019 Date: