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

EVERETT • WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 10719 19TH AVE SE UNIT C Permit#: C1803-017 TENANT: ZERZURA TOWNHOMES DESCRIPTION OF WORK: NEW TOWNHOUSE BLDG 1 UNIT 3 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) `NITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation& Cost Est.) K,1 New Connection to main plus connections to building New Connection, Size -0 Per Cost Estimate ❑Alteration 0Meter Only, Size)"mm Ago-0 Per Cost Estimate ❑ Repair Water System Development Fee Total: $ 3,9.51%1O ❑Cap-off, quantity (Vigi Sewer System Development Fee Total: $51 (21•a ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve 0 Backflow Prevention (Outside Building): 0 RPBA or❑ 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): ❑ DCVA 'NOT REQUIRED 'SNOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) E Yes, Quantity , See attached for reference. (Z)cornnEabytta 'IO �'o.M. cyll (oftflvt se. s-Onills-4Ft ❑ NOT REQUIRED I 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) 2NOT 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: $ 5,141,33 VIsrYES,Traffic Mitigation Total: $ a?/OOP ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) ❑ See Attached for calculations/credit RAII Hard Surface Fees to be added to Permit#ft4)I$02-03a 0 NOT REQUIRED .W -Thra IJh7E' ❑ See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED Additional Checklists: itrartian ADDRESS LETTER REQ ED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) $YES-TYPE: 0 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 ❑ NOT REQUIRED AFIRE SPRINKLERS REQUIRED? AYES-Type 13D ❑ NOT REQUIRED Reason: rl Qin)E PUBLIC WORKS PERMIT REQUIRED? 'AYES, Permit#PW Igo 2--030 �/ 1�Stormwater NPDES Tab Completed in TRAKiT �YADA Tab Completed in TRAKiT XInspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: 5 21 20/ /q Worksheet Checked By: Date: REVISED 4/24/2019