1023 100TH ST SW 2022-05-12 - Laserfiche WebLink

• ,. E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 1023 100TH ST SW Permit#: PW2006-015 TENANT: [TenName] DESCRIPTION OF WORK: SITEWORK FOR RV HARDT SHORT PLAT 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 IlikNew Connection, Size Z " -g(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 0 Water Service Line(behind meter),Size ❑ Backwater Valve 0 Backflow Prevention(Outside Building): 0 RPBA or 0 DCVA NOT REQUIRED 0 NOT REQUIRED xplanation/Utility Permit#: -vcs- ..c_-r 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 s " Detect Meter Only, Service Size ❑Water System Development Fee Total: $ 09,Backflow Prevention(Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): ❑ DCVA NOT REQUIRED Oft-NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-Of yes, PW Reviewer to send cost estimate request to Water Department) ,r=Yes, Quantity I , See attached for reference. L" .-or, �.A.,,�� >SA- 4 3/+ freE s ❑ 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): CI DCVA(for Domestic service) 0 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: DYES, Stormwater Total: $ /47.es 5Aw '- 4ctiss vg—a- " ❑YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit @('All Hard Surface Fees to be added to Permit# P"- 2oOC.- *z-5 'MOT 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: ❑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# 0 Saved to Address Folder in Development Tech File p-NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type KNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? EYES, Per it#PW 2oc�(o -o r 5' � �/ ormwater NPDES Tab Completed in TRAKiT [FDA Tab Completed in TRAKiT 'Inspections Added in TRAKiT ❑ NOT QUIRED Worksheet Completed By' Date: 03 IZZ1Z4-7- Worksheet Checked By: Date: REVISED 11/27/2019 C171)