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I 111 <br /> EVE RE TT PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 4626 RIVERFRONT BLVD--LoT 0.% 1 Permit#: C1908-005 <br /> TENANT: OVERLOOK AT RIVERFRONT 4 fJj-1 0S'"°I 1 <br /> DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1810-001 <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 /> 'New Connection to main plus I connections to building 0 New Connection, Si e -0 Per Cost Estimate <br /> ❑Alteration W'Meter Only, Size 3j4V -0 Per Cost Estimate <br /> ❑ Repair sr Water System Development Fee Total: $ 3j957-ex• <br /> ❑Cap-off, quantity ®'Sewer System Development Fee Total: $ 5 II/i 44 <br /> ❑ Reconnection to stub ❑Water Service Line(behind meter), Size <br /> ❑ Backwater Valve 0 Backflow Prevention(Outside Building): 0 RPBA or 0 DCVA <br /> ❑ NOT REQUIRED ❑ 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 ❑ New Connection, Size -❑ Per Cost Estimate <br /> ❑ Meter Only, Size ❑3/" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building): ❑ DCDA <br /> ❑ Backflow Prevention(Outside Building): 0 DCVA lgt REQUIRED <br /> KNOT REQUIRED Explanation/Utility Permit* <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(/f 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-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 /> g 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 /> 'IIIYES, Stormwater Total: $ 622.22 0 YES,Traffic Mitigation Total:$ <br /> D Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for Iculati ns/credit <br /> g' $All Hard Surface Fees to be added to Permit# C.190$-065 "NOT REQUIRED <br /> ❑ N0 See Attached REQUIRED Spreadsheet for calc lations/credit TO Z..2ts9 629 p6 E e 0 NP� <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> lit YES-TYPE: 'SFR ❑ DUPLEX ❑ADU 0 INFILL DWELLING 0 MULTI-FAMILY ❑ COMMERCIAL <br /> 'RSee Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> 6irDigital copy attached to permit record, Permit# Q(A ctO$-Dlq <br /> RSaved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> KNOT REQUIRED �j, <br /> Reason: F% Ce/ WIN) ��( ©F rn <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> EYES, Permit#PW 413- tq <br /> 'Stormwater NPDES Tab Corn leted in TRAKiT 1 ADA Tab Completed in TRAKiT (i Inspections Added in TRAKiT <br /> q NOT REQUIRED o <br /> Worksheet Completed By: 4- Date: g`/Zel CI <br /> Worksheet Checked By: Date: <br /> REVISED 4/24/2019 <br />