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EVERETT PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: 3910 RIVERFRONT BLVD Permit #: B2003-013 <br />TENANT: [Ten Name] <br />DESCRIPTION OF WORK: NEW 5 STORY MIXED USE COMMERCIAL/RESIDENTIAL BLDG - BLDG A <br />PW Reviewer to select all that appIV below: <br />Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br />SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) <br />X New Connection to main plus 2 connections to building 0 New Connection, Size - 0 Per Cost Estimate <br />0 Alteration X Meter Only, Size 6" - X Per Cost Estimate <br />0 Repair X Water System Development Fee Total: $300,513.60 <br />0 Cap -off, quantity X Sewer System Development Fee Total: $388,926.00 <br />0 Reconnection to stub 0 Water Service Line (behind meter), Size <br />0 Backwater Valve 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br />0 NOT REQUIRED 0 NOT REQUIRED <br />Explanation/ Utility Permit #: Explanation/ Utility Permit #: <br />Notes: 1. Sys Day fees are for residential only (164 units) Tenant space fees to <br />be calculated with TI Permits. <br />2 . DCVA required per separate plumbing permit <br />IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate /Requestfor Reference) <br />0 New Connection, Size 0 New Connection, Size - 0 Per Cost Estimate <br />0 Meter Only, Size X 3/" Detect Meter Only, Service Size 4" <br />0 Water System Development Fee Total: $ 0 Backflow Prevention (Outside Building): 0 DCDA <br />0 Backflow Prevention (Outside Building): 0 DCVA 0 NOT REQUIRED <br />X NOT REQUIRED —to be captured with PW Permit Explanation/ Utility Permit #: <br />Explanation/ Utility Permit #: Notes: 1. DCDA reauired Per separate Plumbina Permit <br />WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) <br />X Yes, Quantity 1 . See attached for reference. —cost estimate for 6" water meter only -connecting to developer installed main. <br />0 NOT REQUIRED <br />Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) <br />X Backflow Prevention (Inside Building): X DCVA (for Domestic service) 0 RPBA (for Domestic service) X DCDA (for Fire service) <br />0 NOT REQUIRED <br />Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) <br />STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br />X YES, Stormwater Total: $7,704.63 add to B2003-013 X YES, Traffic Mitigation Total: $101,687.00 <br />X Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) 0 See Attached for calculations / credit <br />0 All Hard Surface Fees to be added to Permit # 0 NOT REQUIRED <br />X See Attached Spreadsheet for calculations / credit Notes: Determined by Michael Brick from TENW <br />0 NOT REQUIRED Traffic Study. Includes residential units and system -wide <br />mitigation fee due under the TMO and their proportionate <br />share of two traffic signals per the DA. <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />X YES —TYPE: 0 SFR 0 DUPLEX M ADU 0 INFILL DWELLING 0 MULTI -FAMILY X COMMERCIAL- MIXED USE <br />X See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />X Digital copy attached to permit record, Permit # B2003-013 <br />X Saved to Address Folder in Development Tech File <br />0 NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />X YES —Type: NFPA 13 <br />0 NOT REQUIRED <br />Reason: Fire Code <br />PUBLIC WORKS PERMIT REQUIRED? <br />X YES, Permit # PW1912-048 <br />X Stormwater NPDES Tab Completed in TRAKiT X ADA Tab Completed in TRAKiT X Inspections Added in TRAKiT <br />0 NOT REQUIRED �D��, <br />Worksheet Completed By.,s 174WI en Date: R1712020 <br />REVISED 111=019 <br />