4628 31ST AVE SE 2021-12-15 - Laserfiche WebLink

Ah E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 4628 31ST AVE SE Permit #: C1908-017 TENANT: OVERLOOK AT RIVERFRONT ?W )90q —c6'+ DESCRIPTION OF WORK: NEW SFR/2015 IRC - RBI 810-002 _OT03ZI 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.) K New Connection to main plus connections to building ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Alteration '® Meter Only, Size 3 ❑ Per Cost Estimate ❑ Repair IR Water System Development Fee Total: $ 3 95f 2 ❑ Cap -off, quantity k Sewer System Development Fee Total: $ .- ❑ Reconnection to stub ❑ Water Service Line (behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ 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 ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter Only, Size ❑ %" Detect Meter Only, Service Size ❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA ❑ Backflow Prevention (Outside Building): ❑ DCVA % NOT REQUIRED V 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. 14 NOT REQUIRED Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) D Backflow Prevention (Inside Building): ❑'DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) 14 NOT REQUIRED Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: 84 YES, Stormwater Total: $ �o2 •`1, ❑ YES, Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached for calcLilations / credit RAI[ Hard Surface Fees to be added to Permit # tnos-01' )?GNOT REQUIRED _w Qpk 1* ❑ See Attached Spreadsheet for calculations / credit / QQ ❑ NOT REQUIRED Z26%� i � p (_610 e6 � b2$ NerhAdditional Checklists:'C�CO�- T ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) Va YES — TYPE: * SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL Rt See Attached Letter, 2 copies (Permit Techs to issue one cop,yy to applicant with permits, scan one copy to Jeffrey Marks) 15 Digital copy attached to permit record, Permit # (p1Al�gOq—©5 19 Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type SNOT REQ IRED Reason: WIN 350� OF �H PUBLIC WORKS PERMIT REQUIRED? YES, Permit # PW M9 1R�Stormwater NPDES Tab Completed in TRAKiT R(ADA Tab Completed in TRAKiT 1dInspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: Worksheet Checked By: Date: REVISED 412412019