Laserfiche WebLink
40 • <br /> e EVE R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 2317 VIRGINIA AVE Permit#: B2201-062 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: 18'X 22' DETACHED GARAGE W/10'SIDE WALLS&TRUSSED ROOF <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br /> SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation& Cost Est.) <br /> ❑ New Connection to main plus connections to building ❑ New Connection, Size -❑ Per Cost Estimate <br /> ❑ Alteration ❑ Meter Only, Size -❑ Per Cost Estimate <br /> ❑ Repair ❑ Water System Development Fee Total:$ <br /> ❑ Cap-off, quantity ❑ Sewer System Development Fee Total:$ <br /> ❑ Reconnection to stub ❑ W• ater Se ice Line(behind meter), Size <br /> ❑ Backwater Valve ❑ Backfl Prevention (Outside Building): ❑RPBA ❑ DCVA <br /> • NO-1- QUIRED ® NOT EQUIRED <br /> Explanat' n/Utility Permit# Explan tion/Utility Permit# <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Conn tion, Size ❑ New Conn ction, Size -❑ Per Cost Estimate <br /> ❑ Meter O , Size ❑ w• Dete eter Only,Service Size <br /> ❑ Water ystem Development Fee Total:$ ❑ B• ack w Prevention(Outside Building): ❑DCDA <br /> ❑ Bac ow Prevention (Outside Building): ❑DCVA ® NO REQUIRED <br /> • NO REQUIRED planation/Utility Permit# <br /> E planation/Utility Permit# <br /> WATER DEPA MENT COST ESTIMATE NEEDED-Of yes, PW Reviewer to send cost estimate request to Water Department) <br /> [' Yes, Quaff , See attached for reference. <br /> ® NOT RE IRED <br /> Plumbi Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> Backflow Prevention (Inside Building): ❑DCVA(for Domestic service) ❑RPBA(for Domestic service) ❑DCDA(for Fire service) <br /> ❑ NOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected bel w to associated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT F ES: TRAFFIC MITIGATION FE S: <br /> ® YES, ® See Attached for calculations credit ❑YES,Traffic Mitigatio otal:$ <br /> To be added on PW To be added on B2201-062 ['See Attached r calculations/credit <br /> Quantity charged SF Quantity charged 590SF VI-NOT REQUIRED <br /> QTY is❑ Ground only❑ all surfa.-s QTY is❑ Roof only® all surfaces <br /> $ 158.00 <br /> ❑ NOT REQUIRED <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑ YES—TYPE: ❑ SFR ❑ DUPLEX ❑ADU ❑ INFILL DWELLING ❑ MULTI-FAMILY ❑ COMMERCIAL <br /> ❑ See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ❑ Digita copy attached to permit record, Permit# <br /> ❑ Sav d to Address Folder in Development Tech File <br /> ® NOT QUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑ YES—Type <br /> ® NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ❑YES, Permit#PW <br /> ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT <br /> ® NOT REQUIRED <br /> Worksheet Completed By' Date: vJ 126 V so Zz.. <br /> Worksheet Completed By: Date: <br /> REVISED 12/22/2021 <br />