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161 EVE R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 4617 31ST AVE SE -List. 3c�( Permit#: C1906-008 <br /> TENANT: OVERLOOK AT RIVERFRONT Ro 1 ct -05s <br /> DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1810-004 <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 /> KNew Connection to main plus I connections to building 0 New Connection, SiTe -0 Per Cost Estimate <br /> ❑Alteration '!RE Meter Only, Size 3/410 -0 Per Cost Estimate <br /> ❑ Repair la Water System Development Fee Total: $ 3/157, .4 <br /> ❑ Cap-off,quantity ESewer System Development Fee Total: $5 121.0 <br /> ❑ Reconnection to stub 0 Water Service Line(behind meter), Size <br /> ❑ Backwater Valve ❑ Backflow Prevention(Outside Building): 0 RPBA or 0 DCVA <br /> ❑ NOT REQUIRED 0 NOT REQUIRED <br /> Explanation/Utility Permit#: ORO 66Z. Explanation/Utility Permit#: 0190 6©32 <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 ❑3/"Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA "B[NOT REQUIRED <br /> E'NOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑Yes, Quantity , See attached for reference. <br /> El 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 /> a NOT 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 /> $'YES, Stormwater Total: $ 6ZZ i29 0 YES,Traffic Mitigation Total: $ <br /> ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for alcul.tions/credit <br /> lErAll Hard Surface Fees to be added to Permit# Q1906-608 KNOT REQUIRED -4 I ; , <br /> ❑ See Attached Spreadsheet for calculations/credit off' , �u� <br /> ❑ NOT REQUIRED Iclgii .Q (13/1 <br /> N%f /d2P9 7 41 <br /> Additional Checklists: b <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> P(YES—TYPE: i 'SFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> El See 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# PWIg06-93$ <br /> ®'Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> SNOT REQUIRE <br /> Reason: rhez,e,m, l,(1 jln Ss6' Fli <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> EYES, Permit#PW 1966—©3$ <br /> EStormwater NPDES Tab Completed in TRAKiT 0/ADA Tab Completed in TRAKiT Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: -67114t- G ,71 Date: 03/a9/7 <br /> Worksheet Checked By: Date: <br /> REVISED 4/24/2019 <br />