124 W INTERCITY AVE 2022-03-23 - Laserfiche WebLink

r-I E E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 124 W INTERCITY AVE Permit #: B2001-011 TENANT: [TenName] DESCRIPTION OF WORK: CONSTRUCT UNHEATED PORCH ENCLOSURE ON BACK OF EXISTING SFR 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 13 Repair ❑ Water System Development Fee Total: $ ❑ Cap -off, quantity ❑ Sewer System Development Fee Total: $ ❑ Reconne tion to stub ❑ Water Service Line (behind meter), Size ❑ Backw er Valve ❑ Backflow revention (Outside Building): ❑ RPBA or ❑ DCVA AAIOT QUIRED SNOTeg UIRED Explan ion/ 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 eter Only, Service Size ❑ Water �Zr m Development Fee Total: $ ❑ Backflo Prevention (Outside Building): ❑ DCDA ❑ Backfloevention (Outside Building): ❑DCVA ,®-NOT R QUIRED 17LNOT RRED Explanation/ Utility Permit #: Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quan y See attached for reference. NOT REQUIRED Plumbing ermits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) Backflow P evention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) OT RE IRED Ullding Permits (Note: Permit Technicians to add all items selected b w to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ES, Stormwater Total: $ St 4* ❑ YES, Tr Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ SA Attached for calculations / credit W-All Hard Surface Fees to be added to Permit # B2061 -ot I NO REQUIRED ❑ See Attached Spreadsheet for calculations / credit ❑ NOT REQUIRED A ditional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), pr' out Address Letter from TRAKiT Print Menu and include) ❑ YES - TYPE: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL ❑ See ttached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) /L)aved al copy attached to permit record, Permit # to Address Folder in Development Tech File RIOT ED FIRE SPRINKL S REQUIRED? ❑ YES -Type 13 NOT RE IRED TZehison: PUBLIC WORKS JvERMIT REQUIRED? ❑ YES, Permit PW ❑ S rmwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT POT RE IRED Worksheet Completed By. Date: ®Z AZjD 20 Za Worksheet Checked By: Date: