10330 EVERGREEN WAY GLINT CAR WASH 2023-04-10

r- 4� EV E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: TENANT: DESCRIPTION OF WORK: 10312 EVERGREEN WAY Permit #: PW2104-011 [TenName] CLEARNING, GRADING, DRAINAGE, UTILITIES AND STREET IMPRVMNT Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) SANITARY SEWER: eTlew Connection to main plus 3 connections to building ❑ Alteration ❑ Repair ❑ Cap -off, quantity Sf;C- ❑ Reconnection to stub ❑ Backwater Valve ❑ NOT REQUIRED Explanation/ Utility Permit #: _ IRRIGATION SERVICE: (Not Including Cost Estimates) PHew Connection, Size ❑ Meter Only, Size ❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCVA ❑ NOT REQUIRED Explanation/ Utility Permit #: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) AglooNew Connection, Size - ❑ Per Cost Estimate ❑ Meter Only, Size - ❑ Per Cost Estimate RI -Water System Development Fee Total: $ Eftewer System Development Fee Total: $ ❑ Water Service Line (behind meter), Size O Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA ❑ NOT REQUIRED Explanation/ Utility Permit #: FIRE SERVICE: (Attach Cost Estimate /Request for Reference) ❑ New Connection, Size - ❑ Per Cost Estimate ❑ %" Detect Meter Only, Service Size ❑ Backflow Prevention (Outside Building): ❑ DCDA dAOT REQUIRED Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED-(lf yes, PW Reviewer to send cost estimate request to Water Department) pa —Yes, Quantity -3 , See attached for reference. Z - f s"KV094gow s ! - 8' 20 " w�-aca- c..�,.�fc�•.«+ ❑ 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) ❑ 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: YES, wee Attached for calculations / credit To be added on PW 2104 -e 1 t To be added on Quantity charged G3&1. a6SF Quantity charged SF QTY is round only ❑ all rd surfaces QTY is ❑ Roof only ❑ all hard surfaces $ 1!15,AR4-(v $ ❑ NOT REWIRED Additional Checklists: ❑ YES, Traffic Mitigation Total: $ ❑ See Attached for calculations / credit IIOT REQUIRED ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑ YES — TYPE: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ 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 NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type kNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ES, Permit # PW to 4 -oil ^ormwater NPDES Tab Completed in TRAKiT I!1-"AflA Tab Completed in TRAKiT ,inspections Added in TRAKiT ❑ NOT REQUIRED -ft a��e -� Worksheet Completed zy;;��' Date: 0'? LZO 1 2�0 ZI Worksheet Checked By: REVISED 1112712019 Date: