4815 BAKER DR 2023-10-25 - Laserfiche WebLink

S EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 4815 BAKER DR Permit#: B2105-038 TENANT: [TenName] DESCRIPTION OF WORK: PROVIDE 144 SF ADDITION FOR KITCHEN REMODEL 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 -❑ Per Cost Estimate ❑Alteration 0 Meter Only, Size - ❑ 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 Kackwater Valve ackflow Prevention (Outside Building): 0 RPBA or 0 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 0 3/4" Detect Meter Only, Service Size ❑Water System Development Fee Total: $ 0ackflow Prevention (Outside Building): 0 DCDA oackflow Prevention (Outside Building): 0 DCVA NOT REQUIRED OT REQUIRED Explanation/Utility Permit#: Explanation/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. NOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ ackflow Prevention (Inside Building): ❑ 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) S RMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: YES, 0 See Attached for calculations/credit �r O �� 0 YES,Traffic Mitigation Total: $ To be added on PW To be added on A See Attached for calculations/credit Quantity charged SF Quantity charged SF OT REQUIRED QTY is 0 Ground only❑all hard surfaces QTY is NMoof only❑all hard surfaces $ $ ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑YES—TYPE: ❑SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 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 IWNOT REQUIRED FIRE SPRINKLERS REQUIRED? 'N❑ ES—Type OT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑YES, Permit#PW ❑ Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in TRAKiT 0 Ins ections dded in TRAKiT NOT REQUIRED Worksheet Completed By: Date: Z7i Z02 I p Worksheet Checked By: Date: O l(2242-o 2-I REVISED 11/27/2019