4728 DARLINGTON LN 2021-12-22 - Laserfiche WebLink

im EVE R E T T PUBLIC WORKS REVIEW WORKSHEET Nom WASHINGTON PROJECT ADDRESS: 4728 DARLINGTON Permit#: C1904-008 TENANT: [TenName] DESCRIPTION OF WORK: ATTACH NEW DOUBLE CAR GARAGE/ADD 55 SF/INTERIOR REMODEL PW Reviewer to select all that apply below: Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and rigation, as selected below) SANITARY SEWER: DOMESTIC WATER RVICE: (Attach Calculation&Cost Est.) ❑ New Connection to m n plus connections to building 0 New Connection ize -0 Per Cost Estimate ❑Alteration 0 Meter Only, Si -❑ Per Cost Estimate ❑ Repair 0 Water Syst Development Fee Total: $ ❑Cap-off,quan 'y 0 Sewer Sy em Development Fee Total:$ ❑ Reconnect' to stub 0 Water rvice Line(behind meter), Size ❑ Backwat Valve 0 Back w Prevention (Outside Building): ❑ RPBA or 0 DCVA kNOT QUIRED NO REQUIRED xplanation/Utility Permit#: Ex nation/Utility P-,- it#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE.. Attach Cost Estimate/Request for Reference) ❑ New Connection, Size 0 New Conn %'tion, Size -0 Per Cost Estimate ❑ Meter Only, Size ❑3/" Deter Meter Only, Service Size ❑Water System evelopment Fee Total: $ ❑ Backf Prevention (Outside Building): 0 DCDA ❑ Backflow Pr ention (Outside Building): 0 DCVA NO� `EQUIRED KNOT REQ RED Explanation/Utility Permit#: Explanatio Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. ❑ NOT REQUIRED Plumbing P mits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ Backflow Pr vention (Inside Building): ❑ DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) g_NOT REQ IRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM VELOPMENT FEES: TRAFFIC MIT ATION FEES: KYES, Stormwater Tot .$ 0 YES,Tr is Mitigation Total: $ 0 Roof Only Fee Bldg Permit(ground hard surfaces fee on PW Permit) 0 S e Attached for calculations/credit A II Hard Surf a Fees to be added to Permit#1Ritt t`1bto-O 22.. IXNO REQUIRED ee Attach Spreadsheet for calculations/credit ❑ NOT REQUIR D Additional Checklis ADDRESS LETTER R IRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑YES—TYPE: 0 R 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL ❑ See ached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ❑ Di 'al copy attached to permit record, Permit# ❑ aved to Address Folder in Development Tech File ll'il OT QUIRED FIRE SPRINKL S REQUIRED? ❑YES—Typ KNOT R IRED Reason: PUBLIC WORKS PERMIT REQUIRED? ES, Pe mit#PW Zvi I got.- 022 �/t ( tormwater NPDES Tab Completed in TRAKiT ADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT ❑ NOT REQUIRED /////..0/�Worksheet Completed By: /!`;. �i�� __ _" � Date: �p 9 �1 arWorksheet Checked By: ' /�'I�t/' Date: ��/ve17 REVISED 4/24/2019