4611 RIVERFRONT BLVD 2020-10-22 - Laserfiche WebLink

LIN EVE R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 4611 RIVERFRONT BLVD - L-61-*3 Permit#: C1907-009 TENANT: OVERLOOK AT RIVERFRONT 4 PIA)MO-012– DESCRIPTION O—01ZDESCRIPTION OF WORK: NEW SFR 2015 IRC-RB1811-002 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, Si - 0 Per Cost Estimate ❑Alteration Et Meter Only, Size 3 II -0 Per Cost Estimate ❑ Repair .®'Water System Development Fee Total: $ 3/957.4 ❑Cap-off, quantity !8(Sewer System Development Fee Total: $ 5 tit.t ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve 0 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/e" 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 f(NOT REQUIRED Explanation!Utility Permit#: Explanation!Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-Of 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): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) ❑ DCDA(for Fire service) Er NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT�/ FEES: TRAFFIC MITIGATION FEES: EYES, Stormwater Total: $ C l 9P 0 YES,Traffic Mitigation Total:$ �❑,,(Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for alcula ions/credit ELAII Hard Surface Fees to be added to Permit# KNOT REQUIRED— ,Attt/ ❑ See Attached Spreadsheet for calculations!credit 2 L` ❑ NOT REQUIRED 1932 *ibiAt(gt3 Lj '��T/11114 f� etu 50Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) YES–TYPE: g SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL 1T See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) SDigital copy attached to permit record, Permit# 01)1(0V-–0i/Z., la Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES–Type KNOT REQUIRED Reason: F1 ME/ 14/1•1 Irl 550 Or PUBLIC WORKS PERMIT REQUIRED? 'YES, Permit#PW(% -Of t �,/ � }a Stormwater NPDES Tab Completed in TRAKiT ADA Tab Completed in TRAKiT Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: ofi Worksheet Checked By: Date: REVISED 4/24/2019