8115 XAVIER WAY 2023-08-08 - Laserfiche WebLink

- E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 8115 XAVIER WAY Permit#: C2007-003 TENANT: [TenName] DESCRIPTION OF WORK: NEW 1108 SQ FT ADDITION TO EXTG RESIDENCE 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 connections to building 0 New Connection, Size -0 Per Cost Estimate 0 Alteration 0 Meter Only, Size -0 Per Cost Estimate ❑Repair 0 Water System Development Fee Total:$ ❑Cap-off, quantity 0 Sewer System Development Fee Total:$ ❑Reconnection to stub 0 Water Service Line(behind meter), Size Backwater Valve ❑Backflow Prevention (Outside Building):0 RPBA or 0 DCVA NOT REQUIRED VNOT REQUIRED Explanation/Utility Permit#: Ex lanation/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:$ ❑Backflow Prevention (Outside Building): ❑ DCDA ❑Backflow Prevention(Outside Building): 0 DCVA %NOT REQUIRED KNOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTM ENT COST ESTIMATE NEEDED-Of yes, PW Reviewer to send cost estimate request to Water Department) '❑Yes, Quantity , See attached for reference. lit 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) OKNOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: EYES, Stormwater Total:$ 1%3.5* OYES,Traffic Mitigation Total:$ 0 Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit RAII Hard Surface Fees to be added to Permit# C.%00} 003 KNOT REQUIRED *See Attached Spreadsheet for calculations/credit ❑NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑YES—TYPE: 0 SFR ❑ DUPLEX ❑ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL O See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) O Digital copy attached to permit record, Permit# O Saved to Address Folder in Development Tech File KNOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type KNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑YES, Permit#PW ❑Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT KNOT REQUIRED Worksheet Completed By: C Date: op,N.0 Worksheet Checked By: C3F4 Date: 10'C(20 REVISED 11/272019