3314 56TH ST SW 2021-12-20 - Laserfiche WebLink

Aak VE R E T T WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 3314 56TH ST SW Permit #: C2008-001 TENANT: [TenName] DESCRIPTION OF WORK: ADDN FOR BEDROOM SUITE EXPANSION 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, Size - ❑ Per Cost Estimate ❑ Alteration ❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Repair ❑ Water Sys m Development Fee Total: $ ❑ Cap -off, q ntity ❑ Sewer S tem Development Fee Total: $ ❑ Reconne ion to stub ❑ Water rvice Line (behind meter), Size ❑ Backwa r Valve ❑ ackfl w Prevention (Outside Building): ❑ RPBA or ❑ DCVA NOT R QUIRED kNNOT EQUIRED Explanat' n/ Utility Permit #: Explanation/ Utility Permit #: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate /Request for Reference) ❑ New onnection, Size ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter nly, Size ❑ 3/" De ct Meter Only, Service Size ❑ Water System Development Fee Total: $ ❑ Backflw Prevention (Outside Building): ❑DCDA ❑ Backf ow Prevention (Outside Building): ❑ DCVA JkNOT EQUIRED XNOT EQUIRED Explanation/ Utility Permit #: Explan tion/ tility Permit #: WATER DE ARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) []Yes, Qua it See attached for reference. NOT RE U ED Plumbing Per " s. (No 't Technicians to add all items selected below to Plumbing Permit -for items inside building only) ❑ Backflow r ention ( side ide Building): DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) `NOT RE IRED Build" g Permits (Note: Permit Tech nici ns to add all items selected low to associated Buildi;GATION rmit) STO WATER SYSTEM DEVELOPMENT FE S: TRAFFIC MI FEES: Y S, Stormwater Total: $ 40, 0.� ❑ YES, Tr is Mitigation Total: $ Roof Only Fee on Bldg Per(ground rd surfaces fee on PW Pe it) ❑ S Attached for calculations/ credit All Hard Surface Fees to be added to ermit # G 2.O0$ •001 'NOT EQUIRED See Attached Spreadsheet for calc tions / credit ❑ N T REQUIRED Addi "0 C s: ADDRESS LET R REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) ❑ YES — TYP . ❑ SFR ❑ DUPLEX ❑ ADU ElINFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL ❑ S Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ❑ Digital copy attached to permit record, Permit # aved to Address Folder in Development Tech File 4NOT RE UIRED FIRE SPRI LERS REQUIRED? ❑ YES —T pe j�NOT R QUI D Reason: PUBLIC W RKS PERMIT REQUIRED? ❑ YES, Ptit # PW Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT NOT R QUIRED Workshe t Completed By: Date: to U Worksheet Checked By: Date: to ) REVISED 1112712019