630 57TH ST SW 2025-11-07 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 630 S€-&EfR9F -t5 1&�S ermit#: B2310-053 DESCRIPTION OF WORK: CONSTRUCTION OF NEW SINGLE FAMILY RESIDENCE-LOT 1 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 1-inch-❑ Per Cost Estimate Repair ® Water System Development Fee Total:$7,644.00 ❑ Cap-off,quantity ® Sewer System Development Fee Total:$6,727.00 ® Reconnection to stub ❑ Water Service Line(behind meter),Size ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DCV ❑ NOT REQUIRED ❑ NOT REQUIRED , 1 2 Explanation/Utility Per it# 2 �� Explanation/Utility Permit#U 14014-0 3 t IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) ❑ New Connection,Size ❑ New Connection,Size -❑Per Cost Estimate ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size ❑ Water System Development Fee Total:$ ❑ Backfl revention(Outside Building):❑ DCDA ❑ Backf. w Prevention(Outside Building):❑DCVA ® REQUIRED ®�EQUIRED Explanation/Utility Permit# Explanation/Utility Permit# WATER DEP TM ENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) ❑ Yes uantity ,See attached for reference. ® T REQUIRED Plumbing Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) Backflow Pr ention(Inside Building): ❑DCVA(for Domestic service) ❑RPBA(for Domestic service) ❑DCDA(for Fire serv" e) ® NO EQUIRED Building Permits(Note:Permit Technicians to add all items selected below to associ d Building Per it) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ® YES,®See Attached for calculations/credit ® YES,Traffic Mitigation Total: 5,592.00 To be added on PW2402-034 To be a ed on ❑See Attached for calcu tions/credit Quantity charged 2384SF Quantity ch d SF ❑ NOT REQUIRED QTY is❑Ground only®all surfaces CITY is oof on all surfaces $747.00 0. NOT REQUIRED Additlonal 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 PWClerical@everettwa.gov) ®Digital copy attached to permit record,Permit#B2310-053 ®Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES Type ® NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑ YES,Permit#PW_Z4*Z.—o3 4- ®Stormwater NPDES Tab Completed in TRAKiT [VADATab Completed in TRAKiT ® Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: 7114d Date:02/29/2024 Worksheet Reviewed By:&* /� Date: ZY-t.l Zo 2y