10723 19TH AVE SE B 2023-04-07 - Laserfiche WebLink

EVERETT WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 10723 19TH AVE SE UNIT B Permit#: C1803-019 TENANT: ZERZURA TOWNHOMES DESCRIPTION OF WORK: NEW TOWNHOUSE BLDG 3 UNIT 11 e( 19 d(p"DI O 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.) Ut New Connection to main plus ' connections to building ❑ New Connection, Size -0 Per Cost Estimate ❑Alteration &7 Meter Only, Size rban ifute-0 Per Cost Estimate ❑ Repair tit Water System Development Fee Total: $ 3 95f.Q0 ❑ Cap-off, quantity l'Sewer System Development Fee Total: $5/2/,e ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve 0 Backflow Prevention (Outside Building): 0 RPBA or❑ DCVA ❑ NOT REQUIRED ❑ 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 ❑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 aNOT REQUIRED NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost esti ate request to Water D artment) Sj Yes, Quantity g , See attached for reference. (2)ee inedjOYE4-ft Mak. In ma � ert //X/2n« ❑ 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) NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: itYES, Stormwater Total: $ ,1L1I.$3 (YES,Traffic Mitigation Total: $ WO. ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit la All Hard Surface Fees to be added to Permit#P&I802—030 0 NOT REQUIRED N W T ithvg6ril- ❑ See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED Additional Checklists: iv-t4flettle ADDRESS LETTER REQ ED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) 'YES—TYPE: a 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL Et See Attached Letter, 2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) SI Digital copy attached to permit record, Permit# • Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? AYES—Type 1317 ❑ NOT REQUIRED Reason: Figf ttpe PUBLIC WORKS PERMIT REQUIRED? IgYES, Permit#PW I o2-030 �Stormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT tdInspections Added in TRAKiT ❑ NOT REQUIRED �q' Worksheet Completed By: Date: 5 Z) G0q Worksheet Checked By: Date: REVISED 4/24/2019