10210 EVERGREEN WAY 2021-12-22 - Laserfiche WebLink

EVE R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 10210 EVERGREEN WAY Permit#: B2102-034 TENANT: BEST WEST NAVIGATOR INN DESCRIPTION OF WORK: CONST OF 150SF ENCLOSURE LOCATED IN PARKING LOT/ENCLOSURE 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 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 ❑Water Service Line(behind meter),Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA D1OT REQUIREDIOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: 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/"Detect Meter Only, Service Size ❑Water System Development Fee Total:$ 0 Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): ❑DCVA I4IOT REQUIRED ZOT 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) ❑ DCDA(for Fire service) KNOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: YES, 0 See Attached for calculations/credit 0 YES,Traffic Mitigation Total: $ To be added on PW To be added on $21o2'03 4 ❑See Attached for calculations/credit Quantity charged SF Quantity charged 15o SF KNOT REQUIRED QTY is ❑Ground only 0 all hard surfaces QTY is ILRoof only 0 all hard surfaces $ $ 3450 ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TR KiT Print Menu and include) Is--YES—TYPE: ❑SFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY COMMERCIAL $-,See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ("al.Digital copy attached to permit record, Permit#172 t v Z • v3 4 ft¢Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type PINOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑YES, Permit#PW ,..y ❑Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT II-NOT REQUIRED Worksheet Completed By: // Date: 0 2 II-7 1 t Zt Worksheet Checked By: Date: REVISED 11/27/2019