Laserfiche WebLink
E E R E T T <br />WASHINGTON PUBLIC WORKS REVIEW WORKSHEET <br />PROJECT ADDRESS: 3008 47TH ST SE .-(.OT - j% Permit #: C1910-010 <br />TENANT: OVERLOOK AT RIVERFRONT PW )911---oq 2 <br />DESCRIPTION OF WORK: NEW SFR 2015 IRC - RB1810-001 <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 />K New Connection to main plus _connections to building ❑ New Connection, Si e - ❑ Per Cost Estimate <br />❑ Alteration 15 Meter Only, Size 3 " - ❑ Per Cost Estimate <br />❑ Repair ® Water System Development Fee Total: $ 511?51. <br />❑ Cap -off, quantity I@ Sewer System Development Fee Total: $ -4 42G.21 <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 iff NOT REQUIRED <br />KNOT 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 />N 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 />19 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 />1% YES, Stormwater Total: $ (oZZ. a* ❑ YES, Traffic Mitigation Total: $ <br />❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached for cal ulations / cre 't <br />IM All Hard Surface Fees to be added to Permit #0,191b-010 SNOT REQUIRED (b� <br />❑ See Attached Spreadsheet for calculations / credit <br />❑ NOT REQUIRED7al 1556 Nf t�/ 7 PO <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />10 YES — TYPE: I$SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />K See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />$ Digital copy attached to permit record, Permit # PGA) j91j —0q Z, <br />0 Saved to Address Folder in Development Tech File <br />❑ NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />❑ YES —Type <br />19 NOT REQ IRED"�� <br />Reason :�jl��j <br />PUBLIC WORKS PERMIT REQUIRED? <br />IR YES, Permit # PWJ9OI�SSOSS <br />®' Stormwater NPDES Tab Completed in TRAKiT J8(ADA Tab Completed in TRAKiT It Inspections Added in TRAKiT <br />❑ NOT REQUIRED <br />Worksheet Completed By: A(l/L- Date: uh?s aq <br />Worksheet Checked By: Date: <br />ccv�acu wrzaiz�7a <br />