5411 OCEAN AVE 2022-02-24 - Laserfiche WebLink

EVE R E TT WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 5411 OCEAN AVE Permit #: C1907-005 TENANT: [TenName] DESCRIPTION OF WORK: SECOND FLOOR ADDITION PW Reviewer to select all that aimly 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 System Development Fee Total: $ ❑ Cap -off, quantity ❑ Sewer System Development Fee Total: $ ❑ Reconnection to stub ❑ Water Service Line (behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA RIOT REQUIRED A�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 RI NOT REQUIRED BNOT REQUIRED Explanation/ Utility Permit #: Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED-(Ifyes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quantity See attached for reference. ®-NOT REQUIRED Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit --for items inside building only) ❑ Backflow Prevention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) R,NOT REQUIRED Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: )DYES, Stormwater Total: $ Z 0" 1. 4 I A-oQ ❑ YES, Traffic Mitigation Total: $ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached for calculations / credit ❑ All Hard Surface Fees to be added to Permit # a.NOT REQUIRED ;14ee Attached Spreadsheet for calculations / credit ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) ❑ YES —TYPE: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL ❑ See 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 # ❑ Saved to Address Folder in Development Tech File NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type gNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑ YES, Permit # PW ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT gNOT REQUIRED Worksheet Completed By: Date: �3 S 20 19 Worksheet Checked By: Date: — REVISED 412412019