4605 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

LEVERETT PUBLIC WORKS REVIEW WORKSHEET i WASHINGTON PROJECT ADDRESS: 4605 RIVERFRONT BLVD --(,e" V1 Permit#: C1906-003 TENANT: OVERLOOK AT RIVERFRONT 4' I x90.6-035 DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1811-002 I 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 0 New Connection, Sip 0 Per Cost Estimate ❑Alteration la Meter Only,Size 3/y/1 -0 Per Cost Estimate ❑ Repair la Water System Development Fee Total: $ 5/957-,9-1 ❑Cap-off, quantity I 'Sewer System Development Fee Total: $5r 121.29 ❑ 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 ❑W Detect Meter Only, Service Size ❑Water System Development Fee Total: $ ❑ Backflow Prevention(Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA *NOT REQUIRED 'It 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. KNOT 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) ❑ RPBA(for Domestic service) 0 DCDA(for Fire service) B1 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, Stormwater Total:$ G220-2 0 YES,Traffic Mitigation Total:$ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for Icullaations/,cre it VIMHard Surface Fees to be added to Permit# 0,/906-003 ISNOT REQUIRED- r r�"��_(` Al ❑See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED etO1928111 63/115► az/p ) 1�5Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) " YES-TYPE: 1 SFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL liir See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) g Digital copy attached to permit record, Permit# Rtrjab‘-0.55 'Saved to Address Folder in Development Tech File ❑ NOT REQUIRED ;EJ,E SPRINKLERS REQUIRED? t YES-Type KNOT REQUIRED Reason: Arc, r' UM&Al 3501 eirr PUBLIC WORKS PERMIT REQUIRED? YES, Permit#PW)906-©35 teStormwater NPDES Tab Completed in TRAKiT KADA Tab Completed in TRAKiT EL/Inspections Added in TRAKiT ❑ NOT REQUIRED I IWorksheet Completed By: ` / 4/\._ Date: 6/26/(1 Worksheet Checked By: Date: REVISED 4/24/2019