4909 NARBECK RD 2023-06-22 - Laserfiche WebLink

_ • • im E V E R E T T PUBLIC WORKS REVIEW WORKSHEET Nom WASHINGTON PROJECT ADDRESS: 4909 NARBECK RD Permit#: PW2010-021 TENANT: [TenName] DESCRIPTION OF WORK: BUILD NEW 2 STORY HOUSE W/BASEMENT AND 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 0 New Connection, Size -❑ Per Cost Estimate I Alteration 0 Meter Only, Size -0 Per Cost Estimate ❑Repair ❑Water System Development Fee Total:$ ❑Cap-off, quantity 0 Sewer System Development Fee Total: $ CI Reconnection to stub %VVater Service Line(behind meter), Size 3i i " ❑ Backwater Valve ackflow Prevention(Outside Building): 0 RPBA or❑ DCVA ❑ NOT REQUIRED I 0 NOT REQUIRED / Explanation/Utility Permit#: Int2 t o l�— b D ( Explanation/Utility Permit#: Val 0(-06 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 LIXNOT REQUIRED txP OT REQUIRED Explanation/Utility Permit#: lanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. bieNOT 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) 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: $ S..f 4 ([04, • ' RYES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfs es fee on PW Permit) 0 See Attached for calculations/credit ►..All Hard Surface Fees to be added to Permit# t' a 0l0-0 7-1 0 NOT REQUIRED ❑ See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED SC-ROL y KeACj 1: Er 5rj 0 i Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ► ES—TYPE: ItcSFR 0 DUPLEX ❑ADU ❑ INFILL DWELLING ❑ MULTI-FAMILY 0 COMMERCIAL rl 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# � J 20@0 -021 Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type XNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? BYES, Pe mit#PW cLo tip o Z\ OIL Stormwater NPDES Tab Completed in TRAKiT r,ADA Tab Completed in TRAKiT Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: °"� Date: 6 a 1-Q Worksheet Checked By: Date: REVISED 11/27/2019