10725 19TH AVE SE C 2023-04-07 - Laserfiche WebLink

EVERETT WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 10725 19TH AVE SE UNIT C Permit#: C1803-023 TENANT: ZERZURA TOWNHOMES / DESCRIPTION OF WORK: NEW TOWNHOUSE BLDG 4 UNIT 7 �/L.(qO b 92O 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 I connections to building ✓ ❑ New Connection, �ize -CO Per Cost Estimate ❑Alteration Meter Only, Size 1 Do Yfr1 ❑ Per ost Estimate RepairWaterSystemDeveopment FeeTotal $ 395�,- 200 Cap-offquanttySewerSystemDeveopmentFeeTota $is1 Z IReconnectiontostub ❑Water Service Line(behindmeter), Size /Backwater Valve ❑ Backflow Prevention (Outside Building): 0RPBA 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): 0 DCVA 'NOT REQUIRED KNOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(lf yes, PyV Reviewer to send cost estimate req est to Water Department) riYes, Quantity , See attached for reference. �pht1 it) Me4A. 1Y\ tcM Se; ,SCilf dh 1 51201 ❑ 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) 0 RPBA(for Domestic service) ❑ DCDA(for Fire service) la NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: irTRAFFIC MITIGATION FEES: ��// gj YES, Stormwater Total: $ 3 I111,33 ZYES,Traffic Mitigation Total: $ 241001 ❑ 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#f of o2-©30 0 NOT REQUIRED 7. �N� ❑ See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED Additional Checklists: _ jHo ADDRESS LETTER REQU ED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) 81 YES—TYPE: K(SF ❑ DUPLEX ❑ADU 0 INFILL DWELLING 0 MULTI-FAMILY ❑ COMMERCIAL 'See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) fir Digital copy attached to permit record, Permit# a Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? YES—Type I�j P ❑ NOT REQUIRED Reason: 1j j2 (Ave PUBLIC WORKS PERMIT REQUIRED? 'EYES, Permit#PW J Oa—050 ti(Stormwater NPDES Tab Completed in TRAKiT ]g"ADA Tab Completed in TRAKiT ErInspections Added in TRAKiT ❑ NOT REQUIRED q Worksheet Completed By: 7ur1.�� Date: 5 ZI ZOI Worksheet Checked By: Date: REVISED 4/24/2019