6930 CARSON RD 2024-02-09 - Laserfiche WebLink

T E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 6930 CARSON RD Permit#: B2102-037 TENANT: [TenName] DESCRIPTION OF WORK: BATHROOM/OFFICE ADDITIONS PLUS COVERED PORCH 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 0 New Connection, Size -❑ Per Cost Estimate ❑Alteration 0 Meter Only, Size -❑ Per Cost Estimate ❑ Repair 0 Water System Development Fee Total: $ ❑ Cap-off,quantity 0 Sewer System Development Fee Total:$ ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ■ :ackwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or❑ DCVA • NOT REQUIRED 'NOT REQUIRED Explanation/Utility Permit#: planation/Utility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Connection, Size ❑ New Connection, Size -0 Per Cost Estimate ❑ Meter Only, Size ❑3/4"Detect Meter Only, Service Size ❑Water System Development Fee Total:$ El ackflow Prevention (Outside Building): ❑ DCDA ■-:ackflow Prevention (Outside Building): 0 DCVA NOT REQUIRED a NOT REQUIRED xplanation/Utility Permit#: Explanation/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. "KNOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) ❑ DCDA(for Fire service) t 4 OT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: AYES, tk See Attached for calculations/credit 0 YES,Traffic Mitigation Total: $ To be added on PW To be added on t20 1-03f 0 See Attached for calculations/credit Quantity charged SF Quantity charged 22.0 SF 1 NOT REQUIRED QTY is 0 Ground only 0 all hard surfaces QTY is Roof only 0 all hard surfaces o $ $ ❑ 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 0 ADU 0 INFILL DWELLING ❑ MULTI-FAMILY 0 COMMERCIAL 0 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 SNOT REQUIRED FIRE SPRINKLERS REQUIRED? DYES—Type NOT REQUIRED R ason: PUBLIC WORKS PERMIT REQUIRED? ❑YES, Permit#PW ❑ Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ?SNOT REQUIRED Worksheet Completed By: 11/4\ Date: 3/16(2 Worksheet Checked By: Date: REVISED 11/27/2019