9621 18TH AVE W 2025-08-22 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9621 18TH AVE W Permit#: B2306-005 DESCRIPTION OF WORK: ADDITION TO GARAGE 10.6'X 34.6' 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:$ ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ ❑ Reconnection to stub ❑ Water Service Line(behind meter),Size ❑ Back ater Valve ❑ Backfl Prevention(Outside Building):❑RPBA ❑DCVA ® N REQUIRED ® NO EQUIRED Explanation/Utility Permit# E planation/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 ❑ %"Detect Meter Only,Service Size ❑ Water System Development Fee Total:$ ❑ Bac ow Prevention(Outside Building):❑ DCDA ❑ Back y6w Prevention(Outside Building):❑DCVA ® ner REQUIRED ® N0f REQUIRED Explanation/Utility Permit# Explanation/Utility Permit# WATER DEPARTMENT COST ESTIMATE NEEDED-(/f 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 ciated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ® YES,®See Attached for calculations/cre it ❑YES,Traffic Mitigation Total:$ To be added on PW To be added on B2306-005 ❑Se ttached for calculations/credit Quantity charged SF Quantity charged 400SF ® NOT QUIRED CITY is❑Ground only❑all surfaces QTY is®Roof only❑all surfaces $ 107.12 ❑ 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 L9NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES Type ® NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑ YES,Permit#PW ❑Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑Inspections Added in TRAKiT ® NOT REQUIRED Worksheet Completed By: /l� Date:06/09/2023 Worksheet Reviewed By:Abr � Date: �� I Z3 !,