4622 RIVERFRONT BLVD 2020-12-23 - Laserfiche WebLink

. • LEN EVERETT PUBLIC WORKS REVIEW WORKSHEET mmi WASHINGTON PROJECT ADDRESS: 4622 RIVERFRONT BLVD Permit#: C1908-019 TENANT: OVERLOOK AT RIVERFRONT it'fW 19Oq —O5Jc1 DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1810-001 —LOT#5j 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) I'New Connection to main plus connections to building 0 New Connection, Siz -0 Per Cost Estimate ❑Alteration N'Meter Only, Size 3 " -❑ Per Cost Estimate ❑ Repair Er Water System Development Fee Total: $ 3/95/"•00 ❑Cap-off, quantity I'Sewer System Development Fee Total: $ 51121. °O 0 Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve 0 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 -0 Per Cost Estimate ❑ Meter Only, Size 0 3/4'Detect Meter Only, Service Size ❑Water System Development Fee Total: $ 0 Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention(Outside Building): 0 DCVA 'KNOT REQUIRED 14NOT 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. la.'NOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) q.Backflow Prevention(Inside Building): 0 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: *YES,Stormwater Total:$ 6ZZ.O0 0 YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) ❑See Attached for calculations/credit I All Hard Surface Fees to be added to Permit# C.IgO -OPj KNOT REQUIRED_ ,�,,.nt 1/1/ ❑ See Attached Spreadsheet for calculations/credit ' �""'NlZ ❑ NOT REQUIRED 21� W q (064 P� ) 1556 41 Nti 04Additional Checklists:,uTOa� J ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) VI YES—TYPE: 14SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL 1 See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) 421.Digital copy attached to permit record, Permit# NII0q--O °1 Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type SNOT RE UIRED r Reason: tA) IIJ 350 OP rti PUBLIC WORKS PERMIT REQUIRED? :YES, Permit#PW FICA—OSct ItStormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT 8finspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: (t* Date: 91/ /Zot'i Worksheet Checked By: Date: REVISED 4/24/2019