7814 LARIMER RD B 2022-02-18 - Laserfiche WebLink

a t EVE R E TT WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 7818 LARIMER RD Permit M C1906-010 TENANT: [TenName] DESCRIPTION OF WORK: NEW ADU 798SF (DETACHED) PW Reviewer to select all that apply below: Utility/to its (No :Permit Technicians to Create Utility Perini for Sewer, Water, Fire, and Irri tion, as selected below) SANITAER: DOMESTIC WATER SERV E: (Attach Calculation &Cost Es ❑ New on main plus connections to building ❑New Connection, Size - ❑Per Cost Estimate ❑ Altera❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Repa❑Water System Deve pment Fee Total: $ ❑ Cap-ity ❑ Sewer Syste Dev lopment Fee Total: $ ❑ Recoto stub EWater Service i (behind meter), Size J❑ Backlve ❑Backflow Preve on (Outside Building): ❑ RPBA or ❑ CVA NOTED ❑ NOT REQUIRED Explanaty Permit #: c), e t SjF_?, " c- nation/ Utility Permit #: IRRIGATION SERVI : (Not Including Cost Estimates) FIRE SERVICE; (Attach Cost Estimate /Request for eference) ❑ New Connectio , Size ❑ N/kP tion, Size - ❑ Per Cost Estimate ❑ Meter Only, e ❑ 3/eter Only, Service Size ❑ Water Sys m Development Fee Total: $ ❑ Bvention (Outside Building): ❑ DCDA ❑ Backflo revention (Outside Building): ❑ DCVA NRED A -NOT QUIRED Expility Permit #: Expl ation/ Utility Permit #: WATER DEP MENT COST ESTIMATE NEEDED-(lfyes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Qua ty See attached for reference. W-NOT R UIRED Plumbin ermits ( te: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) ❑ Backflo Prevention (In Ide Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) PLOT QUIRED Building Permit (Note: Permit Technicians to add all items selected below to associated Building Perini STORMWATER SYS EM DEVELOPMENT FEES: TRAFFIC MITIG ON FEES: g.YES, Storm ter otal: $ 2- ?& eY1 C19 ®6a®1® ❑ YES, Traff itigation Total: $ RfRoof Only on Bldg Permit (ground hard surfaces fee on PW Permit) `� ❑ See ttached for calculations / credit ❑ All Hard Su ce Fees to be added to Permit # IP�NO UIRED $-See Attached Spreadsheet for calculations / credit ❑ NOT dditional Checklists: ADDRESS LETTER REQUIRED? (If es (new assigned address), print out Address Letter from TRAKiT Print Menu and include) PI�WES - TYPE: ❑ SFR ❑ DUPL pADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL IKSee Attached Letter, 2 c pies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ,SGDigital copy attached t permit record, Permit # C [ 90(fl ,Saved to Address Fo er in Development Tech File ❑ NOT REQUIRED I RS RE /1RED? ❑ YES ype REQUIRED Reason: PUBLIC WOR ERMIT REQUIRED? 13 YES, P it # PW Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT REQUIRED Worksheet Completed By: Date:- '?//(oj / 0 /9 Worksheet Checked By: Date: REVISED 4/24/2019