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LEVE R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> I WASHINGTON <br /> PROJECT ADDRESS: 4610 RIVERFRONT BLVD-t 1- 33-( Permit#: C1907-017 <br /> TENANT: OVERLOOK AT RIVERFRONT ztp ,�/V 1 tct -050DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1810-002 <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br /> SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation&Cost Est.) <br /> IS'New Connection to main plus I connections to building 0 New Connection, Sizp -0 Per Cost Estimate <br /> ❑Alteration lit Meter Only, Size 3111 -❑ Per Cost Estimate <br /> ❑ Repair Ur Water System Development Fee Total: $ m5T.7=-- <br /> ❑Cap-off, quantity Ef Sewer System Development Fee Total: $ 5�l2I s°-S° <br /> ❑ Reconnection to stub 0 Water Service Line(behind meter), Size <br /> ❑ Backwater Valve 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑ NOT REQUIRED 0 NOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate <br /> ❑ Meter Only, Size ❑%"Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total:$ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention(Outside Building): 0 DCVA SNOT REQUIRED <br /> NOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑Yes, Quantity , See attached for reference. <br /> 'NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ Backflow Prevention(Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> SNOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> STORMWATER SYSTEM DEVLOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> $AYES, Stormwater Total:$ 6i2%2-° 0 YES,Traffic Mitigation Total:$ <br /> ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on P,.�v Permit) 0 See Attached for alcula'ons/cre s it <br /> 1i''All Hard Surface Fees to be added to Permit# C...1904-OJT KNOT REQUIRED 0 / r <br /> ❑ See Attached Spreadsheet for calculations/credit � • extz <br /> di NOT REQUIRED 2.269 4161 <br /> U l ( 4Ime , ozg,O 1/ 11/4112:5). <br /> VPJ' i <br /> 1 <br /> Additional Checklists; <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE: k 'SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> lir Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> Er Digital copy attached to permit record, Permit# f'WI'101056 <br /> 6/Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> eNOT REQUED <br /> Reason: F'We' Mei OW I OF Fri <br /> P BLIC WORKS PERMIT REQUIRED? <br /> tIgL YES, Permit#PW1'101--O <br /> 'Stormwater NPDES Tab Completed in TRAKiT g'ADA Tab Completed in TRAKiT Wnspections Added in TRAKiT <br /> ❑ NOT REQUIRED .'41 <br /> pp q <br /> Worksheet Completed By: ��� Date: 71/ <br /> Worksheet checked By: Date: <br /> REVISED 4/24/2019 <br />