4614 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 4614 RIVERFRONT BLVD -terit5-11 Permit#: C1907-015 TENANT: OVERLOOK AT RIVERFRONT f „''I ) ©L1 DESCRIPTION OF WORK: NEW SFR 2015 IRC-RB1810-002 , 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 I connections to building 0 New Connection, Siz -0 Per Cost Estimate ElAlteration 13(Meter Only, Size 2011,111 - 0 Per Cost Estimate El Repair Water System Development Fee Total: $ 3 q5 , ❑ Cap-off, quantity B'Sewer System Development Fee Total: $ s;MI, V- ❑ Reconnection to stub ❑Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ 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 3/4"Detect Meter Only, Service Size ❑Water System Development Fee Total:$ ❑ Backflow Prevention (Outside Building): ❑ DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA Et NOT REQUIRED lit 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. %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) aNOT 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: $ (,ZZ ❑YES,Traffic Mitigation Total:$ 0 Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit fiXAII Hard Surface Fees to be added to Permit# C.1901-015 'KNOT REQUIRED —OJ ffA'„ ,� ,I ❑ See Attached Spreadsheet for calculations/credit ""�^J 7 ❑ NOT REQUIRED 226-1 .Pe1622NP6� (c'u ' 162gill T Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) EYES-TYPE: Er SFR 0 DUPLEX ❑ADU ❑ INFILL DWELLING 0 MULTI-FAMILY ❑ COMMERCIAL Ig See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ECDigital copy attached to permit record, Permit# Rom-o'1 fir Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES-Type SNOT REQUIRED Reason: F119-E MEI Wli1�I '� Ot OF PUBLIC WORKS PERMIT REQUIRED? EYES, Pern�it#PW 196—OKS 'H Stormwater NPDES Tab Completed in TRAKiT "ADA Tab Completed in TRAKiT lielnspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: A`/ G ci 1 Worksheet Checked By: Date: REVISED 4/24/2019