1218 59TH PL SW 2021-12-20 - Laserfiche WebLink

r1 4111111111111, EVERETT 'w W PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 1218 59TH PL SW Permit M B2005-029 TENANT: [TenName] DESCRIPTION OF WORK: CONVERT GARAGE PARKING INTO ADU, WITHIN EXTG GARAGE 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 o main plus connections to building ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Alt/er i❑ Meter Only, Size - ❑ Per Cost Estimate ❑ R❑ Water System Development Fee Total: $ ❑ City ❑ Sewer Syst m Development Fee Total: $ ❑ Rto stub ❑ Water Se ice Line (behind meter), Size ❑ Bave ❑ Backfl Prevention (Outside Building): ❑ RPBA or ❑ DCVA �IED RIOT EQUIRED Explty Permit #: Expl ation/ 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, ze ❑ 3/" Dete Meter Only, Service Size ❑ Water Sys m Development Fee Total: $ ❑ Backfl Prevention (Outside Building): ❑ DCDA ❑ Backflo revention (Outside Building): ❑ DCVA Q�§OT EQUIRED QxNOT QUIRED Expl ation/ Utility Permit #: plana on/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quantity See attached for reference. '9-NOT REQUIRFb Plumbing ermits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) 4 Backflo revention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) O�NOT QUIRED Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIG TION FEES: ❑ YES, Storm ater Total: $ ❑ YES, Traffi itigation Total: $ ❑ Roof my Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑See ttached for calculations /credit ❑ All bKard Surface Fees to be added to Permit # VILNOT QUIRED ❑ S e Attached Spreadsheet for calculations / credit PLOTtREQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menujin) 1§4ES—TYPE: ❑SFR ❑DUPLEX YADU ❑ INFILL DWELLING ❑MULTI -FAMILY ❑COMMERCIALSee Attached Letter, 2 copies Permit Techs to issue one copy to applicant with pennits, scan one copy trks) Digital copy attached to permit record, Permit # '5Zoo6 - c Z `i Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES — pe IiNOT EQUIRED Rea n: PUBLIC WORKS PERMIT REQUIRED? ❑ YES, Per it # PW Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT FNOT EQUIRED Worksheet Completed By: Date: 6to 110 1-zo-L-0 Worksheet Checked By: Date: REVISED 1112712019