2401 TAYLOR DR 2022-08-29 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 2401 TAYLOR DR Permit#: C2004-001 TENANT: [TenName] DESCRIPTION OF WORK: NEW SFR WITH ATTACHED 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 to main plus connections to building IVNew Connection, Size ( A COMee -Cost Estimate ❑ Repair 0 Water System Development Fee Total:$ ❑ Cap-off,quantity 0 Sewer System Development Fee Total: $ ❑ Reconnection to stub 0 Water Service Line (behind meter),Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA ❑ NOT REQUIRED 0 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 0 New Connection, Size -❑ Per Cost Estimate ❑ Meter Only, Size 0 3/4" Detect Meter Only, Service Size ❑Water System Development Fee Total: $ 0 Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA tarNOT REQUIRED Id-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 iit) 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): 0 DCVA(for Domestic service) ❑ RPBA(for Domestic service) 0 DCDA(for Fire service) 'NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: YES, Stormwater Total: $ ip BO.15. 0 YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit If All Hard Surface Fees to be added to Permit# �Zoo4-oat IA NOT REQUIRED *See 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) !.YES-TYPE: At 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) RI Digital copy attached to permit record, Permit# 'pw2,a a 4-00 S' I .Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? &YES-Type 131:=' ❑ NOT REQUIRED Reason: ,µow I So' of-zsc+4v44,4,a!' PUBLIC WORKS PERMIT REQUIRED? li(YES, Permit#PW 2-c.0 4 -oc 5 --Stormwater NPDES Tab Completed in TRAKiT &ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: O0/2-16/24'24 Worksheet Checked By: Date: REVISED 11/27/2019