421 ROCKEFELLER AVE 2023-05-31 - Laserfiche WebLink

EVERETT • i 112 PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 421 ROCKEFELLER Permit#: PW2007-001 TENANT: [TenName] DESCRIPTION OF WORK: CLEARING FOR NEW SFR-LOTS 10&11 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: D•MESTIC WATER SERVIC • (Attach Calculation&Cost Est.) s.Alew Connection to main plus it connections to building TA ew Connection, Size 3/f -0 Per Cost Estimate ❑Alteration ❑yeter Only, Size -0 Per Cost Estimate ❑ Repair I plater System Development Fee Total: $ 4, t g o.00 ❑ Cap-off,quantity r$'Sewer System Development Fee Total: $ 5,4 2-Z_0 o _ ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA ❑ NOT REQUIRED r^ ,111 Cl NOT REQUIRED Explanation/Utility Permit#: 21 V r U`10 Explanation/Utility Permit#: 2-i U1` Ul0 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/a" Detect Meter Only, Service Size ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA KNOT REQUIRED OT REQUIRED Explanation/Utility Permit#: xplanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. yj 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: peYES, Stormwater Total: $ 6, 0 38•(o $ AYES,Traffic Mitigation Total: $3.197.Oa ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit II Hard Surface Fees to be added to Permit# 200'7- DD I 0 NOT REQUIRED ee Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED C Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) DYES-TYPE: IlgSFR ❑ DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL 14-6ee 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#?W2oo-r- O o I IeSaved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES-Type 4JOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? AYES, Pef mit#PW 2007-DO r Q Stvrmwater NPDES Tab Completed in TRAKiT FDA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: if` � Date: d8/02dt�u s Worksheet Checked By: Date: REVISED 11/27/2019