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'111111 <br /> 1, PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4602 31ST AVE SE Permit#: PW1901-047 <br /> TENANT: OVERLOOK AT RIVERFRONT C. 110/-0/0 <br /> DESCRIPTION OF WORK: NEW SFR-LOT 32 <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 /> ti New Connection to main plus ' connections to building 0 New Connection, Si;e -0 Per Cost Estimate <br /> ❑Alteration Meter Only, Size SW -0 Per Cost Estimate <br /> ❑ Repair Et Water System Development Fee Total: $ 3195 °Q <br /> ❑Cap-off, quantity 5rSewer System Development Fee Total: $5)121. °' <br /> ❑ Reconnection to stub 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑ NOT REQUIRED 0 NOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size 0 New Connection, Size - 0 Per Cost Estimate <br /> ❑ Meter Only, Size 0 3/4"Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total:$ 0 Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA 18(NOT REQUIRED <br /> til NOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-Of 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) <br /> ''Water Service Line(behind meter), Size 3�yn <br /> ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> ❑ 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 /> 119 YES, Stormwater Total: $ 622.112 0 YES,Traffic Mitigation Total:$ <br /> 0 See Attached Spreadsheet for calculations 0 See Attache Spre£A.�,l�adsh et for Iculations/credit <br /> ❑ NOT REQUIRED 71 NOT REQUIRED—Q Cka in WA. CW1 0y2. <br /> 220-111 (63/0611628.0N,P,4� <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> 'DYES—TYPE: 1gSFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> ]S(See Attached Letter, 2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> 119 Digital copy attached to permit record, Permit# 1R01-0143- <br /> lit Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> ft NOT REQUIRED <br /> Reason: FIRE CAL,6,WIT11IN 35171 of <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> RYES, Pejmit#PW 1901"0L1 <br /> Iffi Stormwater NPDES Tab Completed in TRAKiT 'ADA Tab Completed in TRAKiT )S{Inspections Added in TRAKiT <br /> ❑ NOT REQUIREDc/ <br /> Worksheet Completed By: Jw1 Date: O—2oi 1p <br /> Worksheet Checked By: Date: <br /> REVISED 1/7/2019 <br />