2118 KIRBY PL 2022-02-18 - Laserfiche WebLink

i r EVERETT WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 2118 KIRBY PL Permit #: BW2011-007 TENANT: [TenName] DESCRIPTION OF WORK: REMOVE BAY WINDOW, RE -ROOFING, BONUS ROOM REMODEL, SITE WORK 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 ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Alteration ❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Repair ❑ Water System Development Fee Total: $ ❑ Cap -off, quantity ❑ Sewer System Development Fee Total: $ ❑ Reconnection to stub ❑ Water Service Line (behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA i(NOT REQUIRED 'NOT REQUIRED Explanation/ Utility Permit #: Explanation/ Utility Permit #: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate /Request for Reference) ❑ New Connection, Size ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter Only, Size ❑ g/" Detect Meter Only, Service Size ❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA Backflow Prevention (Outside Building): ❑ DCVA XNOT REQUIRED NOT REQUIRED Explanation/ Utility Permit #: 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. 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) 'NOT REQUIRED Building Permits (Note: Permit Technicians to add all items selectedbelow to associated Building Permit) ORM ATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: YES, See Attached for calculations / credit V ,,LO -00 ❑ YES, Traffic Mitigation Total: $ To be added on PW To be added on �� } ❑ See Attached for calculations / credit Quantity charged SF Quantity charged 2 SF t' NOT REQUIRED QTY is ❑ Ground only ❑ all hard surfaces QTY is [Roof only ❑ all hard surfaces $ $ 41b.3 ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑ YES — TYPE: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ 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 # ❑ Saved to Address Folder in, Development Tech File KNOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type t�NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑ YES, Permit # PW ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT OT REQUIRED Worksheet Completed By: Date: Worksheet Checked By: Date: REVISED 1112712019