9540 HOLLY DR 2025-07-17 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9540 HOLLY DR Permit #: B2310-114 DESCRIPTION OF WORK: NEW SFR SPLIT LEVEL 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 linch - ❑ Per Cost Estimate ❑ Repair ® Water System Development Fee Total: $7,644.00 ❑ Cap -off, quantity ❑ Sewer System Development Fee Total: $ ❑ Reconnection to stub ® Water Service Line (behind meter), Size 110LI-t- , ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA ❑ DCVA ® NOT REQUIRED ❑ NOT REQUIRED V 7-9b5- 0 Zq Explanation/Utility Permit # MWWD Explanation/Utility Permit # SEWER IS MWWD NO SDF 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 ❑ 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 -(If 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) ❑ 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: $5,592.00 To be added on PW 2404-054 To be added on IH23 4-14 ❑ See Attached for calculations/credit Quantity charged 2186SF Quantity charged SF ❑ NOT REQUIRED QTY is ❑ Ground only ® all surfaces QTY is ❑ Roof only ❑ all surfaces $747.00 $0.00 ❑ 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 PWClericol@everettwa.gov) ® Digital copy attached to permit record, Permit # B2310-114 ® 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 24104-054 ® Stormwater NPDES Tab Completed in TRAKiT ® ADA Tab Completed in TRAKiT ® Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: T * Date: 674-26-2024 r� Worksheet Reviewed By: glad �� Date: 674-26-2024