4705 31ST AVE SE 2026-02-05 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS R WASHINGTON EVIEW WORKSHEET PROJECT ADDRESS: qJ05 '3/s Permit#: PW1909-051 TENANT: ttT_, '7✓OVERLOOK AT RIVERFRONT C iaaq_a DESCRIPTION OF WORK: 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.) EfNew Connection to main plus _Connections to building ❑ New Connection, Si e -❑ Per Cost Estimate ❑Alteration MWeter Only, Size NA i' - ❑ Per Cost Estimate ❑ Repair Er Water System Development Fee Total.$ ❑ Cap-off, quantity I"Sewer System Development Fee Total:$ , ❑ Reconnection to stub ❑Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ff DCVA ❑ NOT REQUIRED ❑ NOT REQUIRED Explanation/Utility Permit#: Explanation/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 ❑3/4"Detect Meter Only, Service Size ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA ❑ Backflow Prevention (Outside Building): ❑ DCVA KNOT REQUIRED ZLI40T REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(/fyes, PW Reviewerto send cost estimate request to Water Department) ❑Yes, Quantity See attached for reference. IdNOT 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) WNOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: BrYES, Stormwater Total: $ 62...°= ❑YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on P Permit) ❑ See Attached for calpulations/cre it ErAII Hard Surface Fees to be added to Permit# (!/904-00� KNOT REQUIRED fJ ,' � ❑ See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED _S105 /La1 A (v N p PA)�c QyZ Additional Checklists: T� A DRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) YES—TYPE: li�SFR ❑ DUPLEX ❑ADU ❑ INFILL DWELLING ❑ MULTI-FAMILY ❑ COMMERCIAL 19 See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ErDigital copy attached to permit record, Permit# go 1409'ds k Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type SNOT REQU�IRED Reason:_ IJ 160 oP AA P BLIC WORKS PERMIT REQUIRED? YES, Permit#PW I 0 -OS V[Stormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT IlfInspections Added in TRAKiT ❑ NOT REQUIRED � r Worksheet Completed By: Date: Worksheet Checked By: Date: REVISED 412412019