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

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9634 19TH AVE SE UNIT E Permit #: B2207-062 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) SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) M New Connection to main plus connections to building ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Alteration ® Meter Only, Size I" - ❑ Per Cost Estimate ❑ Repair ❑ Water System Development Fee Total: $ ID ❑ Cap -off, quantity ❑ Sewer System Development Fee Total: $'e ❑ Reconnection to stub ❑ Water Service Line (behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑RPBA ❑ 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 ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter Only, Size ❑ 1/4" 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, 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) Backflow Prevention (Inside Building), ❑DCVA (for Domestic service) ❑RPBA (for Domestic service) ❑DCDA (for Fire service) g NOT REQUIRED Building Permits (Note: Permit Technicians to add all Items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ❑ YES, ❑ See Attached for calculations / credit ❑ YES, Traffic Mitigation Total: $ To be added on PW To be added on ❑See Attached for calculations/credit Quantity charged SF Quantity charged SF ® NOT REQUIRED QTY is ❑ Ground only ❑ all surfaces QTY is ❑ Roof only ❑ all surfaces ] NOT REQUIRED all Gl� W MIi Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) YES -TYPE W SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL �f 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 # 13220-1" Div2. Saved to Address Folder in Development Tech File I —I NOT REQUIRED RE SPRINKLERS REQUIRED? ] YES -Type 1 1 NOT REQUIRED Reason PUBLIC WORKS PERMIT REQUIRED? YES, Permit # PW 2.02 - p 10 ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By:yyV Y h Now 'TW 4j 0 -taAAAAb Date: UI Im I Worksheet Completed By: REVISED 12/22/2021 Date: