1610 106TH PL SW A, B 2024-12-09

EVE R E T T PUBLIC WORKS REVIE WORKSHEET WASHINGTON PROJECT ADDRESS: 1610106TH PL SE UNITS A, B Permit #: B2401-013 DESCRIPTION OF WORK: NEW DUPLEX W/GARAGE BROOKSIDE ESTATES PW Reviewer to select all that apply below: Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Aoter, 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 3/4"2 METERS DUPLEX - ❑ Per Cost Estimate ❑ Repair ® Water System Development Fee Total: $9,154.00 ❑ Cap -off, uantity ❑ Sewer System Development Fee Total: $ ❑ Reco ection to stub ❑ Water Service Line (behind meter), Size ❑ Bac ater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA ❑ DCVA ® T REQUIRED ❑ NOT REQUIRED xplanation/Utility Permit # MWWD Explanation/Utility Permit # UNIT A 3/4" METER $618 +SDF $4,577 AND UNIT B 3 4" METER 618 + SDF 4577 2�foS- IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate / Request for Referen e) ❑ New Connection, Size ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter �nl ize ❑ %" Det ct MeterOnly, Service Size (-J �S Water em Development Fee Total: $ ❑ Bac ow Prevention (Outside Building): ❑ DCDAh— (Outside Building): ❑ DCVA ® N REQUIRED VPrevention ® EQUIRED xplanation/Utility Permit# ati /Utility Permit # WATER D ARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes uantity , See attached for reference. ®N REQUIRED P/ mbing P mits (Note: Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) Backflow revention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑DCDA (for Fire service) ® NO REQUIRED Building Permits (Note: Permit Technicians to add all items selected below to asso Building ermit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ® YES, ® See Attached for calculations / cre t ® YES, Traffic Mitigation To I: $11,184.00 To be added on PW2402-019 To be added on B2401-013 ❑ See Attached for c culations/credit Quantity charged 1106SF Quantity charged 2894SF ❑ NOT REQUIRED CITY is ® Ground only ❑ all surfaces CITY is ® Roof only ❑ all surfaces $330.47 864.73 s ❑ OT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAMT 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 PWClerical@everettwa.gov) ® Digital copy attached to permit record, Permit #B2401-013 ® Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES Type ® NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ® YES, Permit # PW2402-019 ® Stormwater NPDES Tab Completed in TRAKiT ® ADA Tab Completed in TRAKiT ® Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By:,!9* % Date: 02-10-2024 L 49 Worksheet Reviewed By:>S Date: 02—J-2024