Laserfiche WebLink
EVE RETT <br />PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: 3620 W MUKILTEO BLVD, UNIT G Permit #: B2304-044 <br />DESCRIPTION OF WORK: NEW "HARBOR'S EDGE" TOWNHOMES, UNIT G <br />PW Reviewer to select all that apply 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 />® New Connection to main plus 1 connections to building ❑ New Connection, Size _- ❑ Per Cost Estimate <br />❑ Alteration ® Meter Only, Size 1" DOM/FIRE COMBO - ❑ Per Cost Estimat <br />❑ Repair ® Water System Development Fee Total: $4,311.00 <br />❑ Cap -off, quantity ® Sewer System Development Fee Total: $5,580.00 <br />❑ Reconnection to stub ❑ Water Service Line (behind meter), Size_ <br />❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA ❑ DCVA <br />❑ NOT REQUIRED �.y�� ❑ NOT REQUIRED �,.,�1 <br />C6 Explanation/Utility Fermi # Z,�v—t Co3 <br />Explanation/Utility Permit #l� <br />IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate / Request for Reference) <br />❑ New Connection, Size ❑ New Connection, Size - ❑ Per Cost Estimate <br />❑ Meter Only, Size_ ❑ '/<" Detect Meter Only, Service Size_ <br />❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA <br />❑ Backflow Prevention (Outside Building): ❑ DCVA ® NOT REQUIRED <br />® NOT REQUIRED Explanation/Utility Permit #_ <br />Explanation/Utility Permit If <br />WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) <br />❑ Yes, Quantity See attached for reference. <br />® NOT REQUIRED <br />Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br />Backflow Prevention(Inside Building): ❑ DCVA(for Domestic service) ❑ RPBA(for Domestic service) ❑ DCDA(for Fire service) <br />® NOT REQUIRED <br />Building Permits (Note: Permit Technicians to add all items cted below to associated Building Pe <br />it) <br />STORMWATER SYSTEM DEVELOPMENT FEES:TRAFFIC <br />MITIGATION FEES: <br />❑ YES, ❑ See Attached for calculatio credit <br />® YES, Traffic Mitigation Total: $4,993.00 <br />To be added on PW To be added on <br />❑ See Attached for calculations/credit <br />Quantity charged Quantity charged SF <br />❑ NOT REQUIRED <br />CITY is ❑ G my ❑ all surfaces QTY is ❑ Roof only ❑ all surfaces <br />. O� 4 <br />® NOT REQUIRED <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />® YES —TYPE: ®SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />® See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />® Digital copy attached to permit record, Permit # B2304-044 <br />® Saved to Address Folder in Development Tech File <br />❑ NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />® YES —Type NFPA 13D <br />❑ .NOT REQUIRED <br />Reason: CODE REQUIRED <br />PUBLIC WORKS PERMIT REQUIRED? <br />® YES, Permit#PW2205-022 <br />® Stormwater NPDES Tab Completed in TRAKiT ® ADA Tab Completed in TRAKiT ® Inspections Added in TRAKiT <br />❑ NOT REQUIRED <br />p <br />Worksheet Completed BysR.C/'GGrKa d Date: 05111/2023 <br />���.! <br />rJ4 �GF&L Worksheet Reviewed By: !'�LOrLZ` Date: 0511112023 <br />