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E R E T T WAS PUBLIC WORKS REVIEW WORKSHEET <br />HINGTON <br />PROJECT ADDRESS: 2916 47TH ST SE Permit #: C1912-006 <br />TENANT: OVERLOOK AT RIVERFRONT 4 <br />DESCRIPTION OF WORK: NEW SFR 2015 IRC - RB1810-002 —(br 362. <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 ( connections to building ❑ New Connection, Si e - ❑ Per Cost Estimate <br />❑ Alteration 19 Meter Only, Size 3 " - ❑ Per Cost Estimate <br />❑ Repair E Water System Development Fee Total: $ <br />❑ Cap -off, quantity 0Sewer System Development Fee Total: $ <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 la( NOT REQUIRED <br />St NOT REQUIRED Explanation/ Utility Permit #: <br />Explanation/ Utility Permit #: <br />WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) <br />❑ Yes, Quantity See attached for reference. <br />9 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 />E,/ 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 />YES, Stormwater Total: $ 62Z. 29 ❑ YES, Traffic Mitigation Total: $ <br />❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached for calculations J credit <br />"All Hard Surface Fees to be added to Permit # C1712-01% (NOT REQUIRED ,,,�{�/ M <br />❑ See Attached Spreadsheet for calculations / credit iii""""`���""" <br />❑ NOT REQUIRED zz'�$ � / / /' Zn NP4 �yO P4� PI,tJ 17�Q$-O'ri2 <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />YES -TYPE: k SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />0 See Attached Letter, 2 copies (Permit Techs to isasue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />ZDigital copy attached to permit record, Permit # 'GJl4l Z-65� <br />ER Saved to Address Folder in Development Tech File <br />❑ NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />❑ YES -Type <br />R1NOT RE filtJE3 <br />Reason: � of Fli <br />P BLIC WORKS PERMIT REQUIRED? <br />YES, Permit # PW Iq(Z—DS.S / <br />IWStormwater NPDES Tab Completed in TRAKiT V ADA Tab Completed in TRAKiT ib(Inspections Added in TRAKiT <br />❑ NOT REQUIRED <br />Worksheet Completed By:n� `V��"`' " Date: �Z <br />Worksheet Checked By: Date: <br />REVISED 1112712019 <br />