1617 OAKES AVE 2025-12-12 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 1617 OAKES AVE Permit#: PW2207-009 TENANT: [TenName] DESCRIPTION OF WORK: DRIVEWAY AND SITEWORK FOR NEW GARAGE 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 ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑RPBA ❑ DCVA N 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 ® NOT REQUIRED NOT REQUIRED Explanation/Utility Permit# Explanation/Utility Permit# WATER DEPARTMENT COST ESTIMATE NEEDED-(If 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 to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ®YES, ❑ See Attached for calculations/credit ❑YES,Traffic Mitigation Total: $ To be added on PW 12"01'0001 To be added on-In05-bo b ❑See Attached for calculations/credit Quantity charged LAO SF Quantity charged,) ZoSF ® NOT REQUIRED QTY is 21 Ground only❑ all surfaces QTY is 0 Roof only❑ all surfaces ❑ 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 ® NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES-Type Q NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ® YES, Permit#PW 11 -oo,11 2 Stormwater NPDES Tab Completed in TRAKiT Q ADA Tab Completed in TRAKiT 4mpeVbns Added in TRAKiT ❑ NOT REQUIRED '• Worksheet Completed By: hA&"tk VUky Lrlll&, Date: 1 I ICJ I�L7/ Worksheet Completed By:� J Date: 7 113 Ile,2 Z REVISED 12/22/2021