9824 HOLLY DR 2025-08-08 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9824 HOLLY DR UNIT B Permit#: B2210-049 DESCRIPTION OF WORK: NEW MANUFACTURED HOME AS DADU 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:$0.00 ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$0.00 ❑ Reconnection to stub ® Water Service Line(behind meter),Size 3/4" ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):0 RPBA ❑DCVA ❑ NOT REQUIRED 0 NOT REQUIRED Explanation/Utility Permit# .�L3o5- 00 7 Explanation/Utility Permit# U L34)S - ti D 7 IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) O New Connection,Size 0 New Connection,Size -❑ Per Cost Estimate ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size ❑ Water System Development Fee Total:$ ❑ 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-Of-yes,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) 0 RPBA(for Domestic service) ❑DCDA(for Fire service) ® 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 PW2303-019 To be added on B2210-049 ❑See Attached for calculations/credit Quantity charged 624SF Quantity charged 951SF ® NOT REQUIRED QTY is®Ground only❑all surfaces QTY is® Roof only 0 all surfaces $167.11 $254.68 ❑ 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#B2210-049 ®Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES—Type ® NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ® YES, Permit#PWPW2303-019 ®Stormwater NPDES Tab Completed in TRAKiT ®ADA Tab Completed in TRAKiT ®Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: 70tite P01.9e4404 Date:3129/2O23 Worksheet Reviewed By:Sain GtC>C Date: 31211 20 Z3