3618 W MUKILTEO BLVD 2025-06-17 - Laserfiche WebLink

EVE R E TT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 3618 W MUKILTEO BLVD Permit #: PW2205-022 TENANT: DESCRIPTION OF WORK: SITE WORK FOR HARBORS EDGE (UNIT LOT SUBDVISION) PW Reviewer to select all that appIV 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.) C' New Connection to main plus 1 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: $ ❑ Reconnection to stub ❑ Water Service Line (behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA ❑ NOT REQUIRED ID NOT 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 1-inch ❑ 3/" Detect Meter Only, Service Size Water System Development Fee Total: $ 7,200.00 ❑ Backflow Prevention (Outside Building): ❑ DCDA XBackflow Prevention (Outside Building): XE)e',,'A RPBA 12-4 NOT REQUIRED ❑ NOT REQUIRED Explanation/ Utility Permit #: Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) ID Yes, Quantity 1 See attached for reference. (1) 8-inch Connection to existing main. ❑ 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: i i YES, 0 See Attached for calculations / credit ❑ YES, Traffic Mitigation Total: $ To be added on PW 2205-022 To be added on ❑ See Attached for calculations / credit Quantity charged 46,931 SF Quantity charged SF )(NOT REQUIRED QTY is ❑ Ground only i 1 all hard surfaces QTY is ❑ Roof only ❑ all hard surfaces $ 12,576.62 $ ❑ 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 # ❑ Saved to Address Folder in Development Tech File i i NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type Q NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? 1-4 YES, Permit # PW 2205-022 i i Stormwater NPDES Tab Completed in TRAKiT i i ADA Tab Completed in TRAKiT Inspections Added in TRAKiT ❑ NOT REQUIRED `— D Worksheet Completed By: Date: 11/02/2022 Worksheet Checked By: Date: REVISED 11/27/2019