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E E R E T T PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: 4707 31ST AVE SE ,(ZT g53 Permit #: C1910-001 <br />TENANT: OVERLOOK AT RIVERFRONT <br />DESCRIPTION OF WORK: NEW SFR - 2015 IRC-RB1810-003 <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 />11fNew Connection to main plus _connections to building ❑ New Connection, Si e - ❑ Per Cost Estimate <br />❑ Alteration IN Meter Only, Size 3 n - ❑ Per Cost Estimate <br />❑ Repair R Water System Development Fee Total: $ jjq5 <br />❑ Cap -off, quantity 51 Sewer System Development Fee Total: $ 511 <br />❑ Reconnection to stub ❑ Water Service Line (behind meter), Size <br />❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ 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 ❑ %" Detect Meter Only, Service Size <br />❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA <br />❑ Backflow Prevention (Outside Building): ❑ DCVA 19NOT REQUIRED <br />KNOT REQUIRED Explanation/ Utility Permit #: <br />Explanation/ Utility Permit #: <br />WATER DEPARTMENT COST ESTIMATE NEEDED-(Ifyes, PW Reviewerto send cost estimate request to Water Department) <br />❑ Yes, Quantity See attached for reference. <br />16 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): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) <br />k 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 />19YES, Stormwater Total: $ .!R ❑ YES, Traffic Mitigation Total: $ <br />❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached fnor�c �I ulations / r- <br />IWAIIr dit <br />Hard Surface Fees to be added to Permit # C0910-OOJ .IkNOT REQUIRED PA 4'AL <br />❑ See Attached Spreadsheet for calculations / credit <br />❑ NOT REQUIRED °L33TUTA.� 1376 PIPE11 <br />963 t'l �Gvt�S- <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />q <br />la(YES —TYPE: 9 SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />1a See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />R Digital copy attached to permit record, Permit # nolll0-m <br />IR Saved to Address Folder in Development Tech File <br />❑ NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />❑ YES —Type <br />R(NOT REQUIRED <br />Reason: 1011N :966 OF rA <br />PUBLIC WORKS PERMIT RE UIRED? <br />IK YES, Permit# PW 19 10-0 <br />I(Stormwater NPDES Tab Completed in TRAKiT 19 ADA Tab Completed in TRAKiT Winspections Added in TRAKiT <br />❑ NOT REQUIRED /q <br />Worksheet Completed By: jak Date: <br />Worksheet Checked By: Date: <br />REVISED 412412019 <br />