4703 31ST AVE SE 2021-12-15 - Laserfiche WebLink

IF, E E R E T T WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: q�3 514r AM86 Permit #: PW1909-050 TENANT: LO'r '� OVERLOOK AT RIVERFRONT C1 /q0Q,_0tv DESCRIPTION OF WORK: ' 1 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 ❑ New Connection, Si e - ❑ Per Cost Estimate ❑ Alteration 14 Meter Only, Size 3 n - ❑ Per Cost Estimat ❑ Repair R Water System Development Fee Total: $ 584'e ❑ Cap -off, quantity 511 Sewer System Development Fee Total $ 5! 1701, ❑ 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 19 NOT REQUIRED JR(NOT REQUIRED Explanation/ Utility Permit #: Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED-(lf yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quantity See attached for reference. 11117NOT 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) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) 111(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: $ • ** ❑ YES, Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached for cajculations I credit 9AII Hard Surface Fees to be added to Permit # 0-1109-006 I(NOT REQUIRED ❑ See Attached Spreadsheet for calculations / credit �r"""�` __ ❑ NOT REQUIRED 6Z 3 �P6 PwI�s--0yz Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) $(YES —TYPE: IOF SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL IRSee Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) WDigital copy attached to permit record, Permit # M)C109-050 CKSaved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type SNOT REQ IRED Reason: WLl N 3%f OF FF -PUBLIC WORKS PERMIT REQUIRED? YES, Perm�it # PW —050 NfStormwater NPDES Tab Completed in TRAKiT eADA Tab Completed in TRAKiT l�lnspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: AFl—Date: L6 Li, Worksheet Checked By: Date: HtV/StU 412412019