4628 RIVERFRONT BLVD 2025-04-18 - Laserfiche WebLink

EVERETT +PUBLIC WORKS REVIEW WORKSHEET MW WASHINGTON PROJECT ADDRESS: 4628 RIVERFRONT BLVD Permit #: C1908-018 TENANT: OVERLOOK AT RIVERFRONT 4 0 by l --©C✓' DESCRIPTION OF WORK: SFR BASIC/2015 IRC - RB1810-002 —�oT 368 Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) SANITARY SEWER: 19 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 1KNOT REQUIRED Explanation/ Utility Permit #: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) ❑ New Connection, Siz - ❑ Per Cost Estimate JEr Meter Only, Size 3�yT Per Cost Estimate �a j t Water System Development Fee Total: $ WSewer System Development Fee Total: $ ❑ 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 ❑ 3/" Detect Meter Only, Service Size ❑ Backflow Prevention (Outside Building): ❑ DCDA ONOT REQUIRED Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewerto 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) ji NOT REQUIRED Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: DYES, Stormwater Total: $ , 22 ❑ YES, Traffic Mitigation Total $ ❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached for calculations / credit ErAll Hard Surface Fees to be added to Permit # CI10$-018 NOT REQUIRED r,,,","�`,'(` hk ❑ See Attached Spreadsheet for caalculations / credit ❑ NOT REQUIRED 22��i T�ID� 1 6�I q �� 1628 I� na 1'W)�45--0�12. Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) YES —TYPE: t!(SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL 1' See Attached Letter, 2 copies (Permit Techs to issue one co,!y to applicant with permits, scan one copy to Jeffrey Marks) UDigital copy attached to permit record, Permit # PW11og-059 Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type iR(NOT REQ IRED Reason: W 1W OF PUBLIC WORKS PERMIT REQUIRED? YES, Pernit # PW (q09 `0513 E Stormwater NPDES Tab Completed in TRAKiT MADA Tab Completed in TRAKiT E(Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: JC )� Date: l2 Wo 1 Worksheet Checked By:_ REVISED 412412019 Date: