4609 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 4609 RIVERFRONT BLVD--- - Permit#: C1907-010 TENANT: OVERLOOK AT RIVERFRONT 'QOi-o'(3 DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1811-002 l 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 I connections to building 0 New Connection, Sizp -0 Per Cost Estimate ❑Alteration ITMeter Only, Size We -0 Per Cost Estimate ❑ Repair 'Water System Development Fee Total: $ 3 ste ❑ Cap-off, quantity Er Sewer System Development Fee Total: $ 5! 21. °= ❑ 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%" Detect Meter Only, Service Size ❑Water System Development Fee Total:$ 0 Backflow Prevention(Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA g NOT REQUIRED CNOT 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. 2 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): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Pemmit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: RYES, Stormwater Total: $ 0 YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations redit / EAU Hard Surface Fees to be added to Permit# CDT-Pi ' o NOT REQUIRED ❑ See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED 19Z5 i (614iIi PC, 13I`I 4 w?) ftu19.0t40414- Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) YES—TYPE: Iffi SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL g See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) tii Digital copy attached to permit record, Permit# fG1I ?-O'f3 5(Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type 'NOT REQUIRED Reason: IaWE (NAGE , W(1N %)I OF Pi P BLIC WORKS PERMIT REQUIRED? YES, Permit#PW 1gol--0143 IieStormwater NPDES Tab Completed in TRAKiT ($ADA Tab Completed in TRAKiT inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: AJ,Uh&- J� Date: /c9C1/o20/9 Worksheet Checked By:. Date: REVISED 4/24/2019