9600 SHARON DR EXPLORER MIDDLE SCHOOL 2022-03-11

Ah EVE RETT WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 9600 SHARON DR P 516 Permit #: B2003-021 TENANT: [TenName] DESCRIPTION OF WORK: FOUNDATION WORK AND HOOK UP FOR PORTABLE 5/6 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 System Development Fee Total: $ ❑ Cap -off, quantity ❑ Sewer System Development Fee Total: $ ❑ Reconne tion to stub ❑ Water rvice Line (behind meter), Size ❑ Backw er Valve ❑ Bac ow Prevention (Outside Building): ❑ RPBA or ❑ DCVA *NOT EQUIRED *U6T REQUIRED Expl ation/ 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 ❑ 3/4" Dete t Meter Only, Service Size ❑ Water System Development Fee Total: $ ❑ Back Prevention (Outside Building): ❑ DCDA ❑ Backfl Prevention (Outside Building): ❑ DCVA '*N REQUIRED *NOT EQUIRED Explanation/ Utility Permit #: Expla ation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Q ntity See attached for reference. NOT QUIRED PlU bing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) Backflow evention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) 'NOT UIRED ITwilding Permits (Note: Permit Technicians to N all items selected below to associated Building Permit) ORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: YES, Stormwater Total: $ YES, Traffic Mitigation Total: $ 10 03 ❑ Roof Only Fee on Bldg Permit (ground hard su es n PW Permit ❑ See Attached for calculations / credit All Hard Surface Fees to be added to Permit # O 1 ❑ NOT REQUIRED See 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) ❑ YE/EQUIRE./Q/ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL ached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) opy attached to permit record, Permit # o Address Folder in Development Tech File '*NO// FIRE SPRINKLERS REQUIRED? ❑ YES —Ty '* OT I QUIRED eason: PUBLIC WORKS PERMIT RE Q ED9 YES, Permit # PW ''Stormwater NPDES Tab Completed in TRAKi �*ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT NOT REQUIRED Work�ttest Completed By: Date: / Worksheet Checked By: Date: • REVISED 1112712019