9502 18TH AVE W M 2025-01-30 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9502 18TH AVE W UNIT M Permit#: B2310-028 DESCRIPTION OF WORK: NEW SFR-REF RB2306-005--UNIT M PW Reviewer to select all that apply below: tility 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 1 connections to building ❑ New Connection,Size - ❑Per Cost Estimate ❑ Alteration ® Meter Only,Size 3/4-INCH-❑ Per Cost Estimate ❑ Repair ® Water System Development Fee Total:$4,311.00 ❑ Cap-off,quantity ® Sewer System Development Fee Total:$5,580.00 ❑ Reconnection to stub ❑ Water Service Line(behind meter),Size ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑ RPBA ❑ DCVA ❑ NOT REQUIRED ❑ NOT REQUIRED Explanation/Utility Permit# Explanation/Utility Permit# IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Requestfor Reference) ❑ New Connection,Size ❑ New Connection,Size -❑Per Cost Estimate ❑ Meter Only,Size ❑ %"Detec eter Only,Service Size ❑ WaterXyseDevelopment Fee Total:$ ❑ Bac w Prevention(Outside Building):❑DCDA ❑ Backflention(Outside Building):❑DCVA ® REQUIRED ® NOT D Explanation/Utility Permit# Exp anation/Utility Permit# WATER DEPART ENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) ❑ Yes,Qua ity ,See attached for reference. M ® NOT UIRED "r W Plumbing Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) Backflow Preve on(Inside Building): ❑DCVA(for Domestic service) ❑ RP BA(for Domestic service) ❑D C DA(for Fire service) ® NOT REQOIRED Building Permits(Note:Permit Technicians to add all items selected below to associated Buildin ermit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ❑ YES,❑See Attached for calculations/credit ® YES,Traffic Mitigation Total:$4,993.00 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 $ S Q Z3 to- 02-? ® NOT REQUIRED 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#B2310-028 ®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 TRAMT ❑Inspections Added in TRAKiT ® NOT REQUIRED Worksheet Completed By: /l� Date:10110/20-93 Worksheet Reviewed By I10 126 Qj3