9634 19TH AVE SE B 2024-01-08 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9634 19TH AVE SE UNIT B Permit #: B2207-059 TENANT: GRAYSON SQUARE TOWNHOMES BLDG K DESCRIPTION OF WORK: NEW TOWNHOUSE - GRAYSON SQUARE BLDG K 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) New Connection to main plus —1_— connections to building ❑ Alteration ❑ Repair ❑ Cap -off, quantity ❑ Reconnection to stub ❑ Backwater Valve ❑ NOT REQUIRED Explanation/Utility Permit # DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) ❑ New Connection, Size - ❑ Per Cost Estimate Meter Only, Size ! - ❑ Per Cost Estimate ❑ Water System Development Fee Total $-6 ❑ Sewer System Development Fee Total: $ 8 ❑ Water Service Line (behind meter), Size ❑ Backflow Prevention (Outside Building): ❑RPBA ❑ DCVA ❑ NOT REQUIRED 1 � Explanation/Utility Permit # 0 71U - 0 -3 (G, IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate / Request for Reference) ❑ New Connection, Size ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter Only, Size ❑ %" Detect Meter Only, Service Size ❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑DCDA ❑ Backflow Prevention (Outside Building) ❑DCVA NOT REQUIRED NOT REQUIRED Explanation/Utility Permit # Explanation/Utility Permit # WATER DEPARTMENT COST ESTIMATE NEEDED-(/fyes, PWReviewerto send cost estimate request to Water Department) ❑ Yes, Quantity , See attached for reference. W1 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) ❑DCVA (for Domestic service) ❑RPBA (for Domestic service) ❑DCDA (for Fire service) M NOT REQUIRED Building Permits (Note Pen -nit Technicians to add all items selected below to associated Building Permit) YES, U See Attached for calculations / credit To be added on PW To be added on Quantity charged SF Quantity charged SF QTY is ❑ Ground only ❑ all surfaces QTY is ❑ Roof only ❑ all surfaces NOT REQUIRED At[ C">-a dh dditional Checklists: YES, Traffic Mitigation Total $ ❑See Attached for calculations/credit NOT REQUIRED ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) [J YES -TYPE: N SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL MSee 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# b1107-069 Saved to Address Folder in Development Tech File ❑ NOT REQUIRED LX YES -Type 13 D ❑ NOT REQUIRED Reason: YES, Permit # PW ZZD2,- D 10 ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT NOT REQUIRED Worksheet Completed By: -VAMjvMX.ziww'(A aAj� Roa PJ Date 0111112%7/0, Worksheet Completed By: REVISED 12/22/2021 Date: