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116 E V E R EJTçPUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGT <br /> PROJECT ADDRESS: 5 31ST AVE SE ^tOr Vi 5 Permit#: C1906-006 <br /> TENANT: OVERLOOK AT RIVERFRONT 4 1104-04- <br /> DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1810-003 <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 /> 14 New Connection to main plus l connections to building 0 New Connection, Sip -0 Per Cost Estimate <br /> ❑Alteration I 'Meter Only, Size 3/y r1— - 0 Per Cost Estimate <br /> ❑ Repair 'Water System Development Fee Total:$ 51121,5 <br /> 3/g5�.w <br /> 5 <br /> ❑Cap-off, quantity ErSewer System Development Fee Total: $ '121,5 <br /> ❑ Reconnection to stub 0 Water Service Line(behind meter), Size <br /> ❑ Backwater4alve 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 0 3/4" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total:$ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention(Outside Building): 0 DCVA g NOT REQUIRED <br /> Ar NOT REQUIRED Explanation/Utility Permit#: <br /> Explanation!Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(lf yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑Yes, Quantity , See attached for reference. <br /> VI 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 /> .KNOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> EYES, Stormwater Total: $ 422,19 0 YES,Traffic Mitigation Total:$ <br /> �❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for -Icu ations! redit <br /> �I All Hard Surface Fees to be added to Permit# C(906-006 Ej'NOT REQUIRED–I I s (11 <br /> ❑See Attached Spreadsheet for calculations/credit ��// <br /> o NOT REQUIRED f -02 2/0g$400 <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> YES–TYPE: SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> la See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> lit Digital copy attached to permit record, Permit# I qO6–O3I- <br /> g Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES–Type <br /> KNOT REQUIRED <br /> Reason: Oa-C s s' ( W'"t l i <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> itif YES, Permit#PW1966-03-1. <br /> Stormwater NPDES Tab Completed in TRAKiT 'ADA Tab Completed in TRAKiT 11Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: Date: e -61 / <br /> Worksheet Checked By: Date: <br /> REVISED 4/24/2019 <br />