4621 RIVERFRONT BLVD 2020-12-23 - Laserfiche WebLink

• E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 4621 RIVERFRONT BLVD—tar 4501 Permit#: C1908--001 TENANT: OVERLOOK AT RIVERFRONT 43 DESCRIPTION OF WORK: NEW SFR/015 IRC-RB1811 ��Hag I-001 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 connections to building 0 New Connection, Si e -0 Per Cost Estimate ❑Alteration JE Meter Only, Size 5114 -❑ Per Cost Estimate e0 ❑ Repair EL Water System Development Fee Total:$ 3j 9 ❑ Cap-off, quantity a.Sewer System Development Fee Total:$ 5f I ZI.°O ❑ Reconnection to stub ❑Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA ❑ NOT REQUIRED ❑ 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 -❑ Per Cost Estimate ❑Meter Only, Size ❑%"Detect Meter Only, Service Size ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA SNOT REQUIRED y3'NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. 63(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): ❑ DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) Id NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: Stormwater Total: $ 621.49 ❑YES,Traffic Mitigation Total:$ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) ❑ See Attached for alcul tionns,/�,c(redit pall Hard Surface Fees to be added to Permit# CA908-o0w 'NOT REQUIRED—q�� pica 4 ❑See Attached Spreadsheet for calculations/credit ��_�_p_____'''""""""��'�' _ ❑ NOT REQUIRED Iq`� ��' PG 2�/ �P� TG�I]� ��Z C 1' l �o* Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) AYES—TYPE: D'SFR ❑ DUPLEX ❑ADU ❑ INFILL DWELLING 0 MULTI-FAMILY ❑ COMMERCIAL Wf See Attached Letter, 2 copies(Permit Techs to issue one cqpy to applicant with permits, scan one copy to Jeffrey Marks) IE Digital copy attached to permit record, Permit# 1908 -ON NI/Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type gNOT REQUIRED Reason: pike- Q.ctie WIN 350 or- rrt PUBLIC WORKS PERMIT REQUIRED? EYES, Pe mit#PW Ig08-0I4 Stormwater NPDES Tab Completed in TRAKiT VrADA Tab Completed in TRAKiT kilnspections Added in TRAKiT ❑ NOT REQUIRED �p� p Worksheet Completed By: c1J5 ii t, Date: $ l 549/q li Worksheet Checked By: Date: REVISED 4/24/2019