4715 W VIEW DR 2023-11-01 - Laserfiche WebLink

Ask EVERETT WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 4715 WEST VIEW DR Permit M PW2102-012 TENANT: [TenName] DESCRIPTION OF WORK: EARTHWORK REQUIRED TO CREATE FOUNDATION FOR ADDITION TO SFR 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 ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Alteration ❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Repair ❑ Water System Development Fee Total: $ ❑ Cap -off, quantity ❑ Sewer ystem Development Fee Total: $ ❑ Reconne on to stub ❑ Wat Service Line (behind meter), Size ❑ Back er Valve ❑ Ba flow Prevention (Outside Building): ❑RPBA or ❑DCVA =Utility UIRED T REQUIRED Permit #: Ex lanation/ Utility Permit #: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate /Request for Reference) ❑ New Connection, Size Ve nnection, Size - ❑Per Cost Estimate ❑ Meter Only, Size ct Meter Only, Service Size ❑ Water Sy em Development Fee Total: $ w Prevention (Outside Building): ❑ DCDA ❑ Backfl Prevention (Outside Building): ❑DCVA QUIRED O EQUIRED n/ Utility Permit #: xpi nation/ Utility Permit #: WATER DEPA MENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Qua , See attached for reference. U�NOT R UIRED Plu ing Per (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) ❑ Backflow Pr ntion (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) POT RE IRED Building Permits (Note: Permit Technicians to add all items selected to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT EES: TRAFFIC MITIGATION FEES: 1�ES, RF�See Attached for calculations / c dit ❑ YES, Traffic igation Total: $ To be added on PW To be added on t� 2 f o Z -o ❑ See ched for calculations /credit Quantity charged SF Quantity charged S �IOT QUIRED QTY is El only ❑ all hard surf es QTY is woof only ❑ all hard s rface $ $ Io 4. 2 -7 ❑ NOT REQUIRED Additional Checklists: r►�d ADDRESS LETTER REQUIRED? (If yes (ne address), print out Address Letter from TRAKiT Print Menu and include) ❑ YES — TYPE: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL ❑ SeeAttached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ❑ ' ital copy attached to permit record, Permit # �y, Saved to Address Folder in Development Tech File FNO EQUIRE FIRE SPRI ERS REQUIRED? ❑ YES — pe J!Ft4O REQUIRED Re on: PUBLIC WORKS PERMIT REQUIRED? ❑ YES, Permit # PW r c> Z - o I ZL IM�Stormwater NPDES Tab Completed in TRAKiT RADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ❑ NOT REQUIRED r_ Worksheet Completed By:'% r� Date: Worksheet Checked By: Date: REVISED 11/27/2019