3910 RIVERFRONT BLVD BLDG A 2025-08-15

EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 3910 RIVERFRONT BLVD Permit#: B2003-013 TENANT: [TenName] DESCRIPTION OF WORK: NEW 5 STORY MIXED USE COMMERCIAL/RESIDENTIAL BLDG - BLDG A 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) ,IANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation& Cost Est.) X New Connection to main plus 2 connections to building 0 New Connection, Size -0 Per Cost Estimate ❑Alteration X Meter Only, Size 6" -X Per Cost Estimate--0 ❑ Repair --X Water System Development Fee Total: $300,513.60 ✓ ❑ Cap-off, quantity ,X Sewer System Development Fee Total: $388,926.00 ❑ Reconnection to stub 0 Water Service Line (behind meter), Size ❑ Backwater Valve 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA ❑ NOT REQUIRED a 1IG 0 NOT REQUIRED CQ5 rr7Mkrr k Z O-' Explanation/Utility Permit#: U UEO -O("[ Explanation/Utility Permit#:D v Fees L{ZO(6'O 24 Notes: 1.Sys Dev fees are for residential only(164 units)Tenant space fees to be calculated with TI Permits. 2.DCVA required per separate plumbing permit IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Cori ection, Size 0 New Connection, Size -0 Per Cost Estimate ❑ Meter Only,,,Size %" Detect Meter Only, Service Size 4" ❑Water Syste Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prey tion (Outside Building): 0 DCVA 0 NOT REQUIRED 4,/X NOT REQUIRES',-to be captured with PW Permit Explanation/Utility Permit#: IA, 0.0 CO -021 Explanation/Utility P6rmit#: Notes: /1.DCDA required per separate plumbing permit rZoto-624) WATER DEPARTMENT COST ESTIMATE NEEDED-Of yes, PW Reviewer to send cost estimate request to Water Department) X Yes, Quantity 1 , See attached for reference.-cost estimate for 6"water meter only-connecting to developer installed main. ❑ NOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ✓X Backflow Prevention (Inside Building): X DCVA(for Domestic service) ❑ RPBA (for Domestic service). X DCDA(for Fire service) ❑ NOT REQUIRED p-1,0t0-022 PZOtB o2-0 Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) Zoo 3-0 t 3 STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: �X'YES, Stormwater Total: $7,704.63Vefdd to B2003-013 ly-X-YES, Traffic Mitigation Total: $101,687.00 X Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit 0 All Hard Surface Fees to be added to Permit# 0 NOT REQUIRED X See Attached Spreadsheet for calculations/credit Notes:Determined by Michael Brick from TENW ❑ NOT REQUIRED Traffic Study.Includes residential units and system-wide mitigation fee due under the TMO and their proportionate share of two traffic signals per the DA. Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) 17 X YES-TYPE: 0 SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING ❑ MULTI-FAMILY X COMMERCIAL-MIXED USE X See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) X Digital copy attached to permit record, Permit# B2003-013 X Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ' YES-Type: NFPA 13 ❑ NOT REQUIRED Reason: Fire Code vfUBLIC WORKS PERMIT REQUIRED? X YES, Permit#PW1912-048 X Stormwater NPDES Tab Completed in TRAKiT X ADA Tab Completed in TRAKiT X Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: SCall:441 'Cutest Date: 8/17/2020 REVISED 11/27/2019