421 51ST ST SW 2022-03-02 - Laserfiche WebLink

• E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 421 51ST ST SW Permit#: B1911-004 TENANT: [TenName] DESCRIPTION OF WORK: NEW DETACHED 24'X30' POLE GARAGE/NO HEAT OR PLUMBING 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 -❑ Per Cost Estimate ❑Alteration ❑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 0 Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): 0 RPBA or❑ DCVA ICNOT REQUIRED SiNOT REQUIRED Explanation/Utility Permit#: Explanation/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, Size 0 3 " Detect Meter Only, Service Size ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA SNOT REQUIRED NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-Of yes, PWReviewerto send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. SNOT 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) 0 RPBA(for Domestic service) 0 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: RYES Stormwater Total: $ I$'„25 rnn, 6I,1(I-00 0 YES,Traffic Mitigation Total: $ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) ❑ See Attached for calculations/credit ❑All Hard Surface Fees to be added to Permit# ,M NOT REQUIRED lit 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: ❑SFR ❑ DUPLEX 0 ADU 0 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) ❑ Digital copy attached to permit record, Permit# ❑Saved to Address Folder in Development Tech File Ft NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type SNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? DYES, Permit#P7002-055 IS/Stormwater NPDES Tab Completed in TRAKiT (ADA Tab Completed in TRAKiT ICInspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: 41/20i0 Worksheet Checked By: Date: REVISED 11/27/2019