11021 1ST AVE SE 2023-05-22 - Laserfiche WebLink

• RE E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 11021 1ST AVE SE Permit#: B2205-008 TENANT: [TenName] DESCRIPTION OF WORK: REMOVE&REPLACE EXTG DECK,CREATE COVERED DECK&EXPAND 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: $ ❑ Reconnection to stub ❑ Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑RPBA ❑ DCVA ® NOT REQUIRED ® NOT REQUIRED Explanation/Utility Permit# Explanation/Utility Permit# IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate IRe quest 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 Z NOT REQUIRED ® NOT REQUIRED Explanation/Utility Permit# Explanation/Utility Permit# WATER DEPARTMENT COST ESTIMATE NEEDED-Of yes, 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) • NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ® YES, ® See Attached for calculations/credit ❑YES,Traffic Mitigation Total: $ To be added on PW To be added on B2205-008 ❑See Attached for calculations/credit Quantity charged SF Quantity charged 462SF ® NOT REQUIRED QTY is❑ Ground only❑ all surfaces QTY is® Roof only❑ all surfaces $ 123.72 ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out 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 ® NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑ YES, Permit#PW ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ® NOT REQUIRED /f Worksheet Completed By: 0 � '� Date: OG. b.� Izt.7�Z Worksheet Completed By: Date: REVISED 12/22/2021