705 OLYMPIC BLVD 2022-12-30 - Laserfiche WebLink

• E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 7037 MORGAN RD Permit#: C1908-021 TENANT: [TenName] DESCRIPTION OF WORK: ADDITION OF(3) BEDROOMS FOR AFH/RECONFIGURE BATHROOM FOR 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 ❑ New Connection, Size -0 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 tNOT REQUIRED IJOT REQUIRED planation/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 -0 Per Cost Estimate ❑ Meter Only, Size ❑3/"Detect Meter Only, Service Size ❑Water System Development Fee Total: $ 0 Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA ,NOT REQUIRED NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) 0 Yes, Quantity , See attached for reference. ,ZI 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) )2 NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: it YES, Stormwater Total: $ L3 c/, z3 ❑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# ,NOT REQUIRED ❑ NISee Attached Spreadsheet for calculations/credit T REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑YES—TYPE: 0 SFR ❑ DUPLEX 0 ADU 0 INFILL DWELLING ❑ 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 p9NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? Ftf'YES, Permit#PW 0/O ❑ Stormwater NPDES Tab pleted in TRAKiT ADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: Worksheet Checked By: Date: /a/4- Zb (9 REVISED 4/24/2019