1624 HOYT AVE B 2024-08-02 - Laserfiche WebLink

EVE R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 1622 HOYT AVE UNIT 1/2 Permit#: B2308-030 )4z4 l `irXUtr1 uptr -, DESCRIPTION OF WORK: CREATE ACCESSORY DWELLING UNIT IN BASEMENT 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 System Development Fee Total:$ ❑ Rec• nection to stub ❑ Wat ervice Line(behind meter),Size ❑ :.ckwater Valve ❑ B flow Prevention(Outside Building):❑ RPBA ❑ DCVA ' OT REQUIRED OT 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 ❑ %"Detect Meter Only,Service Size ❑ Wate System Development Fee Total:$ ❑ B flow Prevention(Outside Building):El DCDA ❑ Ba flow Prevention(Outside Building):❑ DCVA ® OT REQUIRED ® T REQUIRED Explanation/Utility Permit# xplanation/Utility Permit# WATER I •ARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) ❑ Y,- ,Quantity ,See attached for reference. a OT REQUIRED Plumbing Per 's(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) Backflow P ention(Inside Building): ❑ DCVA(for Domestic service) ❑ RPBA(for Domestic service) ❑ DCDA(for Fire service) ig NO EQUIRED Bu ding Permits(Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGA . FEES: ❑ YES,❑See Attached for calculations/credit ❑ YES,Tra.- Mitigation Total:$ To be added on PW To be added on E ee Attached for calculations/credit Quantity ch rged SF Quantity charged SF ,,'.ST REQUIRED QTY is Ground only❑all surfaces QTY is❑ Roof only❑all surfaces $ $ ® NO 'REQUIRED (‘Q Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address),print out Address Letter from TRAKiT Print Menu and include) ® YES—TYPE:❑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# B2308-030 ®Saved to Address Folder in Development Tech File NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES—Type ® NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑ YES,Permit#PW ❑Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ® NOT REQUIRED Worksheet Completed By: 41,11KI1 Y"e'lttvit Date: OFI25/2023 Worksheet Reviewed By ../`� Date: s/Z/ZO23