2810 14TH ST BLDG D 2024-01-04 - Laserfiche WebLink

EVERETT WASHINGTON PROJECT ADDRESS: TENANT: DESCRIPTION OF WORK: --0 PUBLIC WORKS REVIEW WORKSHEET 2810 14TH ST Permit #: C2007-007 BAKER HEIGHTS LEGACY BAKER HEIGHTS LEGACY - BLDG D 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 Fes' New Connection to main plus connections to building t j, New Connection, Size _ - ❑ Per Cost Estimate ❑ Alteration IS( Meter Only, Size " - ❑ Per Cost Estimate XoZ ❑ Repair Water System Development Fee Total: $ 0,00 (eff&iswol ❑ Cap -off, quantity R Sewer System Development Fee Total: $ ().00 (6'fdi�s ❑ Reconnection to stub ❑ Water Service Line (behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA ❑ NOT REQUIRED n f ,r�']� �S3 ❑ NOT REQUIRED am Explanation/ Utility Permit #: �Jw ✓ LkZ.E lanation/ Utility Permit #: ('bPia �clnF.,'ii�� .S'� %rYt' �onE �310% Re 6-r h q t1S Cl W6tr- IRRIGATION SERVICE: (Not Including Cost Estimates) Lt 2kg�E ICE: (Attach Cost Estimate /Request or Reference) ❑ New Connectio , Size [] New Connection, Size - �( Per Cost EStimE ❑ Meter Only, ' e 0 3/4" Detect Meter Only, Service Size 9 X;Z ❑ Water Syst Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA ❑ Backflow revention (Outside Building): ❑ DCVA ❑ NOT REQUIRED W NOT R UIRED Explanation/ Utility Permit #: Z. scA 39`d Explanati n/ Utility Permit #: O ►►��ft7ent)c� �hhS�� ymy,,`` �,WATER DEPA TENT COST ESTIMATE NEEDED-(/f yes, PV�ieow to s�Flrl t estimate regyusl io [I Yes, Quan ' See attached for referencE 19 NOT REOUIRED Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) *Backflow Prevention (Inside Building): ❑ DCVA (for Domestic `service) ❑ RPBA (for Domestic ^service) 14 A (for Fire ❑ NOT REQUIRED U9—(o?y�sl ,l 1 L.l�le►�2, s, l �\ Building Permits (Note: Permit Technicians to add all items se ected below to associated Building Pepfnit) STORMWATER SYSTE DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: {(YES, 04 See Attach for calculations / credit -�wlo 61a9 A �( YES, Traffic itigation Total: $ UQ To be added on P Oa -00 To be add n ' CSC)-f—M-f ❑ See At ched for calculations / credit Quantity charg 61r � t SF Quantity arged� 3}G SF ❑ NOT RE IRED L Wf6, 81J3 A rdArr QTY is I Gr nd only ❑ all hard surfaces QTY is Roof only ❑ all hard surfaces J $ ' 66 . $ ❑ NOT REQLARED i Additional Checklists: ADDRESS LETTER REQUIRE (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) YES — TYPE: ❑ SFR Z1 DUPLEX ❑ ADU ❑ INFILL DWELLING I(MULTI-FAMILY ❑ COMMERCIAL 19 See Attached ketter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) 1K Digital copy tached to permit record, Permit # Q(X got }-OGq Saved to dress Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? YES —Type 13 ❑ NOT REQUIRED Reason: FAZE WDE PUBLIC WORKS PERMIT REQUIRED? YES, Permit # PW 0-0(jLA E(Stormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT k Inspections Added in TRAKiT ❑ NOT REQUIRED () e A n Worksheet Completed By: d Date: 13 �(^ I Worksheet Checked By: REVISED 1112712019 Date: