4709 31ST AVE SE 2021-12-15 - Laserfiche WebLink

E E R E T T WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 4709 31ST AVE SE -W 35'\ Permit #: C1910-002 TENANT: OVERLOOK AT RIVERFRONT fW lq' �—M DESCRIPTION OF WORK: NEW SFR 2015 IRC - RB1810-004 { "" PW Reviewer to select all that aloply 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, Si e - ❑ Per Cost Estimate ❑ Alteration 9 Meter Only, Size 51sVI - ❑ Per Cost Estimate N ❑ Repair 19 Water System Development Fee Total: $ ❑ Cap -off, quantity VSewer 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 19 NOT REQUIRED 19 NOT REQUIRED Explanation/ Utility Permit #: Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED-(lfyes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quantity See attached for reference. R NOT REQUIRED Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Pennit-for items inside building only) ❑ Backflow Prevention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) 19 NOT REQUIRED Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: Ef YES, Stormwater Total: $ 62Z. V ❑ YES, Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached for calculations / cre it 1�AI1 Hard Surface Fees to be added to Permit # Cl9/0-002, SfNOT REQUIRED OWA /1L,4 ❑ See Attached Spreadsheet for calculations / credit G/ �/ ❑ NOT REQUIRED �ato tts Z N pw/Fo5vay2 Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) YES —TYPE: V�SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL $rSee Attached Letter, 2 copies (Permit Techs to isjue gr�e cop applicant with permits, scan one copy to Jeffrey Marks) WDigital copy attached to permit record, Permit # � 191 WSaved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type R�NOT REQt� IRED t Reason: b�UIIN 3� aF FN PUBLIC WORKS PERMIT REQU ED? YES, Permit # PW 19 10-0441_ X(Stormwater NPDES Tab Completed in TRAKiT 9(ADA Tab Completed in TRAKiT ifInspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: t � Date: 101, Z 6 Worksheet Checked By: Date: KEV/SED 4/24/2019