10719 19TH AVE SE B 2023-04-07 - Laserfiche WebLink

EVERETT WASHINGTON Lill PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 10719 19TH AVE SE UNIT B Permit#: C1803-016 TENANT: ZERZURA TOWNHOMES ,% / /�/ ) , Q /3 DESCRIPTION OF WORK: NEW TOWNHOUSE BLDG 1 UNIT 2 l 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) ANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation& Cost Est.) 11New Connection to main plus I connections to building D New Connection, Size -0 Per Cost Estimate ❑Alteration g Meter Only, Size rnerq pRR-0 Per Cost Estimate ❑ Repair (All Water System Development Fee Total: $ 3 957.41 ❑ Cap-off, quantity /AR Sewer System Development Fee Total: $ 12 I.e. ❑ 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 Explanation/Utility Permit#: 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 3/4" Detect Meter Only, Service Size ❑Water System Development Fee Total: $ 0 Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA KNOT REQUIRED KNOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Departm nt) Et Yes, Quantity a_ , See attached for reference. (2)C 1 neatrnS -ft) r 1akk. or 1 Alit s Er�- on I��s'ioj9 ❑ 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) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) 'KNOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: RAFFIC MITIGATION FEES: EYES, Stormwater Total: $ II I.83 'BYES,Traffic Mitigation Total: $ 1L/OO.Q ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit 'BEAU Hard Surface Fees to be added to Permit# pw/g02-O,o 0 NOT REQUIRED NEW "TWA OM 6 ❑ See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED Additional Checklists: im-Artiorte ADDRESS LETTER REQ ED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) 131 YES—TYPE: NI 0 DUPLEX 0 ADU 0 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) Et Digital copy attached to permit record, Permit# Iii Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? OYES—Type 13 D ❑ NOT REQUIRED Reason: F—l126 0,01 PUBLIC WORKS PERMIT REQUIRED? 'I'ES, Permit#PW 1g02-030 KStormwater NPDES Tab Completed in TRAKiT la/ADA Tab Completed in TRAKiT K Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: 4 2VZ i l Worksheet Checked By: Date: REVISED 4/24/2019