217 ALVERSON BLVD 2022-04-12 - Laserfiche WebLink

E VE R E T T WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 217 ALVERSON BLVD Permit #: 131908-059 TENANT: [TenName] DESCRIPTION OF WORK: REMOVAL OF EXTG GARAGE AND CONST OF A DADU PW Reviewer to select all that apply below: tility Permits (Note: Permit Technicians to Create Utility Permit or Sewer, Water, Fire, and Irrigation, as selected below) ANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) ❑ New Connection to main plus connections to building ❑ New Connection, Size - ❑ Per Cost Estimate ,UJteration ❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Repair ❑ Water System Development Fee Total: $ ❑ Cap -off, quantity ❑ Sewer System Development Fee Total: $ ❑ Reconnection to stub RA/ater Service Line (behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA ❑ NOT REQUIRED ❑ NOT R QUIRED xplanation/ Utility Permit #: Explan ' n/ Utility Permit #: IR GATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate /Request for Reference) ❑ New Conn ction, Size ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter O y, Size ❑ %" Detect Meter Only, Service Size ❑ Water ystem Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA ❑ Back ow Prevention (Outside Building): ❑DCVA NOT REQUIRED 9NO REQUIRED Explanation/ Utility Permit #: Explanation/ Utility Permit #: WATER DEP RTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Qu it See attached for reference. MOT R QUIRED Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) ❑ Backflo revention (Inside Building): El DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) lr2 NOT R QUIRED Building Permits (N;VELOPMENT Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM FEES: TRAFFIC M GATION FEES: E StormwaterTot . $ �.5�. loS" �617o$-oS4 ❑ YES, c Mitigation Total: $ oof Only Fee Bldg Permit (ground hard surfaces fee on PW Permit) ❑ e T ffiAttached for calculations / credit ❑ All Hard Surf e Fees to be added to Permit # IN REQUIRED ❑ See Attache Spreadsheet for calculations / credit ❑ NOT REQUIR Additional Checklists: A DRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) YES — TYPE: ❑ SFR ❑ DUPLEX Pf.ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL IiSee Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) N9 Digital copy attached to permit record, Permit # 'F4-A4( Ito- 63+ I r-or-e -ptaAor -Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type JILNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ES, Permit# PW Bglo - o34 -Stormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ❑ NOT REQUIRED // Worksheet Completed By: Date: zoh(01194 Worksheet Checked By: FA_Date: 16 `'6 -Ah REVISED 412412019