2416 CLEVELAND AVE B 2021-12-22 - Laserfiche WebLink

• • EVE R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 2416 CLEVELAND AVE , 0 1JU S Permit#: C1909-008 TENANT: [TenName] DESCRIPTION OF WORK: BUILD DETACHED ACCESSORY DWELLING UNIT/384 SF WITH LOFT 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 Connecti n� plus connections to building 0 New Connection, Size -0 Per Cost Estimate Alteration 0 Meter Only, Size - 0 Per Cost Estimate ❑ Repair 0 Water System Development Fee Total: $ ❑ Cap-off, quantity 0 Sewer System Development Fee Total: $ ❑ Reconnection to stub ,C -3Nater Service Line(behind meter), Size Z " ❑ Backwater Valve 0 Backflow Prevention (Outside Building): 0 R BA or 0 DCVA ❑ NOT REQUIRED 0 NOT REQUIRED Explanation/Utility Permit#: iI9O O Explanation/Utility Permit#: (�,[u c EOM IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate ❑ Meter Only, Size 0 3/4" Detect Meter Only, Service Size ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA ackflow Prevention (Outside Building): 0 DCVA liti,,.IOT REQUIRED NOT REQUIRED Explanation/Utility Permit#: Explanation/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. KNOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ Backflow Prevention(Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) IKNOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) ORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: teYES, Stormwater Total: $ q5•5 C) ❑YES,Traffic Mitigation Total: $ IS-Roof Only Fee on Bldg Permit(ground hard surfa es f e on PW Permit) 0 See Attached for calculations/credit 0 All Hard Surface Fees to be added to Permit# C t Qa' 00g KNOT REQUIRED tfieSee Attached Spreadsheet for calculations/.credit ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) AYES—TYPE: 0 SFR ❑ DUPLEX AADU 0 INFILL DWELLING 0 MULTI-FAMILY ❑ COMMERCIAL ee 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# 'F'v 1 Iei (I- 00 2 r pv A - c Tr, ►SF r f Bkaved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type KNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? YES, P rmit#PW (411 bo2- -.Stormwater NPDES Tab Completed in TRAKiT EIADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: j Date: /f`b4-r Zoi`9 Worksheet Checked By: Date: Ii I-14017 REVISED 4/24/2019