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

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9634 19TH AVE SE UNIT C Permit #: B2207-060 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 I connections to building ❑ Alteration ❑ Repair ❑ Cap -off, quantity ❑ Reconnection to stub ❑ Backwater Valve ❑ NOT REQUIRED Explanation/Utility Permit # IRRIGATION SERVICE: (Not Including Cost Estimates) ❑ New Connection, Size ❑ Meter Only, Size ❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑DCVA 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 $ ❑ Sewer System Development Fee Total: $ ❑ Water Service Line (behind meter), Size ❑ Backflow Prevention (Outside Building): ❑RPBA ❑ DCVA ❑ NOT REQUIRED Explanation/Utility Permit # FIRE SERVICE: (Attach Cost Estimate / Request for Reference) ❑ New Connection, Size - ❑ Per Cost Estimate ❑ 1/4' Detect Meter Only, Service Size ❑ Backflow Prevention (Outside Building). ❑DCDA ® NOT REQUIRED 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. I� 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) 2 NOT REQUIRED Building Permits (Note Permit 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 0,tj 0j4§alWjjpA M Ll-IUVWIL� dditional Checklists: YES, Traffic Mitigation Total $ ❑See Attached for calculations/credit NOT REQUIRED ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) [RYES -TYPE N SFR [:]DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ 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 # 'B 2- 2D'2 -6 G 0 ® Saved to Address Folder in Development Tech File ❑ NOT REQUIRED N YES -Type 1'6L ❑ NOT REQUIRED Reason YES, Permit # PW Z2 6 Z,-p 10 ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT NOT REQUIRED Date 01 I )-1 I)'0a-)-- Worksheet Completed By: REVISED 12/22/2021 Date: