7420 UPPER RIDGE RD 2022-05-10 - Laserfiche WebLink

- E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 7420 UPPER RIDGE RD Permit#: PW2105-003 TENANT: [TenName] DESCRIPTION OF WORK: SITE WORK FOR 2-LOT SHORT PLAT WITH FULL STREET FRONTAGE 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.) El New Connection to main plus_1_connections to building 0 New Connection, Size_3/4" -0 Per Cost Estimate 0 Alteration ❑ Meter Only, Size -❑ Per Cost Estimate ❑ Repair ❑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): ❑ RPBA or 0 DCVA ❑ NOT REQUIRED rr�� ❑ NOT REQUIRED Explanation/Utility Permit#: ��L(�2'OP' Explanation/Utility Permit#: �/�Z2D2�b vw 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): ❑ DCDA ❑ Backflow Prevention (Outside Building): ❑ DCVA IXI NOT REQUIRED 0 NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PWReviewerto send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. EJ 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): ❑ DCVA(for Domestic service) 0 RPBA(for Domestic service) ❑ DCDA(for Fire service) 0 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, 0 See Attached for calculations/credit 0 YES,Traffic Mitigation Total: $ To be added on PW2105-003 To be added on 0 See Attached for calculations/credit Quantity charged 1,171 SF SF Quantity charged SF 0 NOT REQUIRED Q 0 isg Ground only 0 all hard surfaces QTY is❑ Roof only 0 all hard surfaces 8.32 -To 6ecfneurr h CorA} oz., ❑ NOT REQUIRED "pm✓. -- ar.4.4.) SF"- Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑YES-TYPE: ❑SFR 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) ❑ Digital copy attached to permit record, Permit# ❑Saved to Address Folder in Development Tech File ❑x NOT REQUIRED --ro i5$ue liOu-;(C(tt4 Iwo -Fair ttiuJ SP—R. FIRE SPRINKLERS REQUIRED? ❑YES-Type ❑x NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? 0 YES, Permit#PW2105-003 El Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in TRAKiT n/a Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: ?me pavewoot 10/2Y12021 Date: Worksheet Checked By: 4 Date: /0 p2-150 REVISED 11/27/2019