2710 14TH ST BLDG A 2023-12-15 - Laserfiche WebLink

�1 EVE R E T T WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 2710 14TH ST Permit #: C2007-004 TENANT: BAKER HEIGHTS LEGACY DESCRIPTION OF WORK: BAKER HEIGHTS LEGACY - BLDG A PW Reviewer to select all that aj)j)IV below. - Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation s selected below) SANITARY SEWER: DOMESTIC WATER SERVIC . (Attach Calculation & Cost Est.) )(New Connection to main plus ' connections to building © New Connection, Size - j]Per Cost Estimate ❑ Alteration J8(Meter Only, Size - i4 Per Cost Estimate ❑ Repair 14Water System D elopment Fee Total: $ 50 ❑ Cap -off, quantity 9 Sewer Syste evelopment Fee Total: $ ❑ Reconnection to stub Q Water Se ' e Line (behind meter), Size 11 Backwater Valve❑ NOT REQUIRED � 0 NOTtj QUIREDrevention (Outside Qujldjgg?: C�RPBA DCVA Explanation/ Utility Permit #: D� - Oq Expla tion/ Utility Permit #: 3' o/m- In1 S). i- Ins' ahl IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost EsyWate /Request for Reference) New Connection, Size— p New Connection, Size - d Per Cost Estimate ❑ Meter Only, Size �� J29 %" Detect Meter Only, rvice Size 411 tR Water System Development Fee Total: $ as 3�2•00 14 Backflow Prevention utside Building): DC A N Backflow Prevention (Outside Building): DCVA ❑ NOT REQUIRED u 2t03-C� �L ❑ NOT REQUIRED 2 Explanation/ Utili Permit #: '' W 3 �� dq"- Explanation/Utility Permit#: kAZQJ� S his"f� oned"pf1 e maM• WATER DEPARTME T COST ESTIMATE NEEDED-(/fyes, PW Reviewerto send cost estimat request to Water Department) Yes, Quantity 4_T See attached for reference. (gi nsd,�ns m h �^S � ❑ 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 1 VA ` Building Permits (Note: Perm' Technicians to add all items selected below o associated Building Permit) STORMWATER SYSTEM DEV PMENT FEES: / TRAFFIC MITIGATION F S: YES, See Attached for Oculajions / credit _-�PGU ► �tdy � �( YES, Traffic Mitiga ' n Total: $ IQ To be added on PW -0'0 To be added on �- 00 19 See Attache or calculations If credit Quantity charged a SF Quantity charge SF ❑ NOT REQUI D ' ` ��j g�� QTY is Elf Ground my ❑ all hard surfaces QTY is ] R only ❑ all hard surfaces ` y $150$ ❑ NOT REQUIRKID Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned a ss), print out Address Letter from TRAKiT Print Menu and include) RYES - TYPE: ❑ SFR ❑DUPLEX ❑ ADU ILL DWELLING 16 MULTI -FAMILY ❑ COMMERCIAL If See Attached Letter, 2 copies (Permit chs to issue one copy to pplicant with permits, scan one copy to Jeffrey Marks) id Digital copy attached to permit re , Permit # PW 200 T—OO 9Saved to Address Folder injue4iopment Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? il[ YES -Type ❑ NOT REQUIRED Reason: FI RJ57 CADS PUBLIC WORKS PERMIT REQUI ED? YES, Permit PWQ00_--0() 4 Stormwater NPDES Tab Completed in TRAKiT Ild ADA Tab Completed in TRAKiT rl f Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: 'o? t' o2021 Worksheet Checked By: Date: L� REVISED 1112712019