4603 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

E V E R E T T WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 4603 RIVERFRONT BLVD _(pT3t0 Permit#: C1906-004 TENANT: OVERLOOK AT RIVERFRONT ew I90 6-63,G DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1811-001 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.) i(New Connection to main plus I connections to building 0 New Connection, Size -0 Per Cost Estimate ❑Alteration M Meter Only, Size 3/411 -0 Per Cost Estimate ❑ Repair El Water System Development Fee Total:$ 9,95 0_0 o Cap-off, quantity I81 Sewer System Development Fee Total:$5;121.°A ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention(Outside Building): 0 RPBA or 0 DCVA ❑ NOT REQUIRED 0 NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate ❑ Meter Only, Size 0 3/"Detect Meter Only,Service Size ❑Water System Development Fee Total:$ ❑ Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA 14 NOT REQUIRED M NOT 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. '1sNOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ Backflow Prevention(Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) Nti NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: g'YES, Stormwater Total:$ 622.00 ❑YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calc ations credit '2 All Hard Surface Fees to be added to Permit# C1906-00i/ tiNOT REQUIRED-a�, M ❑ See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED 18891 ott (t2 �61b NPI 6l3 (1/01765-64/2 Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) JE(YES-TYPE: SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL 14 See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan one copy to Jeffrey Marks) TB Digital copy attached to permit record, Permit# PtuPR06-O3 0 Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES-Type `SNOT REQUIRED Reason: rl gg.C406, GUf n i 3.50 (Jr F71 DPUBLIC WORKS PERMIT REQUIRED? YES, Permit#PW I906-036 1rStormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT 1Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: SC ��J "� Date: d/g/Z09 Worksheet Checked By: Date: REVISED 4/24/2019