2235 LAKE HEIGHTS DR 2020-12-23 - Laserfiche WebLink

RE EVE R E T T PUBLIC WORKS REVIEW WORKSHEET mmi WASHINGTON PROJECT ADDRESS: 2235 LAKE HEIGHTS DR Permit#: PW1812-055 TENANT: [TenName] DESCRIPTION OF WORK: BETHANY AT SILVER LAKE-DRIVEWAY/ASPHALT/CLEARING 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 SERVIC (Attach Calculation&Cost Est.) ❑ ew Connection to main plus connections to building 0 New Connection, Size -0 Per Cost Estimate ❑A ration ❑ Meter Only, Size - 0 Per Cost Estimate ❑ Re it FLWater System Devel ment Fee Total: $ AZ, iiotc,.3/ ❑ Cap- uantity Is Sewer System De lopment Fee Total: $ 4' 7, 6I/. to:7 ❑ Reco ion to stub 0 Water Service ' e(behind meter), Size ❑ Bac ater Ive 0 Backflow Prey ntion (Outside Building): 0 RPBA or 0 DCVA NO REQUIRED 0 NOT REQU ED xplanation/Utility Permit#: Explanation tility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attac Cost Estimate/Request for Reference) ❑ New nnecti , Size 0 New Connection, ze -❑ Per Cost Estimate ❑ Meter ly, ze 0%"Detect Me Only, Service Size ❑Water S m Development Fee Total:$ 0 Backflow P vention (Outside Building): 0 DCDA ❑ Backflow vention (Outside Building): 0 DCVA ,'NOT R RED XNOT R UIR Explan ' n/Utility Permit#: planation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) XYes, Quantity See attached for reference. 0 1QE "�p„wi tp�tr TtF a �o caT• - ❑ NOT REQUIRED P umbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ Backflow Prevention (Inside Building): ❑ DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) ®.NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: RYES, Stormwater Total: 34 9'7. 57 m'YES,Traffic ligation Total: $ 12, Qo 72. $.Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See At ched for calculations/credit 0 All Hard Surface Fees to be added to Permit# 0 NOT REQ IRED See Attached Spreadsheet for calculations/credit ❑ O REQUIRED w g t2 -a L i A A$24.48 'P4102,4.4a 41 o+41-Y 0.4 "Ps.' 13,49- _ 9 0 -Bu.._D,.a G. '-e Ez.,4-t1-r Additional Checklists: ADDRESS LETTER RE IRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑YES-TYPE: 0 SF ❑ DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL ❑See Atta ed Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ❑ Digital opy attached to permit record, Permit# ❑ Sav to Address Folder in Development Tech File kNOT REQ ED FIRE SPRINKLER `EQUIRED? ❑YES-Type ❑ NOT RE,:IRED Reason, ❑ :LIC WORKS PERMIT R-*UIRED? RYES, Permit#PW :, ` -O Storm ater N•IES Tab Completed in TRAKiT RADA Tab Completed in TRAKiT El Inspections Added in TRAKiT El NOT EQUIRE► Worksheet Complete. By: Date: 69 2„5/2019 Worksheet Checked By: / Date: 6 Viigoi9 REVISED 4/24/2019