Laserfiche WebLink
ali O 0 <br /> 112 E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 5900 36TH AVE W BLDG B Permit#: B2204-050 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: CONST NEW 85,489 SF CONCRETE TILT-UP-BLDG B <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 /> E New Connection to main plus 1 connections to building ❑ New Connection, Size -❑ Per Cost Estimate <br /> ❑Alteration E Meter Only, Size 2"-❑ Per Cost Estimate <br /> ❑Repair E Water System Development Fee Total: $22979.00 / <br /> ❑ Cap-off,quantity _________"--- E Sewer System Development Fee Total:$29739.00 <br /> ❑ Reconnection to stub ❑ Water Service Line(behind meter), Size <br /> ❑ Backwater Valve ❑ Backflow Prevention (Outside Building):❑RPBA El DCVA <br /> ❑ NOT REQUIRED ,�, c NOT REQUIRED ' tt ff <br /> Explanation/Utility Permit# U1.Z2,\-tk5 /Explanation/Utility Permit 1 1 ©" tp <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size E New Connection, Size 8"-❑ Per Cost Estimate <br /> E Meter Only,Size 2" E '/" Detect Meter Only, Service Size 8" <br /> E Water System Development Fee Total:$22979.00 ' El Backflow Prevention(Outside Building): W)CDA <br /> E Backflow Prevention (Outside Building): DCVA ❑ NOT REQUIRED <br /> ❑'NOT REQUIRED Explanation/Utility Permit#'Al 2.21‘,Oq g' <br /> Explanation/Utility Permit# tut — <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Rev wer to send cost estimate request to Water Department) <br /> ❑ Yes, Quantity , See attached for reference. <br /> SNOT REQUIRED <br /> Plumbing Permits(Note:Permit Technicians to add all items selec ed below to Plumbing Permit-for items inside building only) <br /> Backflow Prevention(Inside Building): ❑DCVA(for Domestic service) ERPBA(for Domestic service) EDCDA(for Fire service) <br /> ❑ NOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIG';, •N FEES: <br /> E YES, E See Attached for calculations/credit E YES,Traffi 1 itigation Total: $( 5,4BO.od <br /> To be added on PW To be added on 204-050 ES;•Attached for calculations/credit <br /> Quantity charged SF Quantity ch ed 85489SF ❑ NOT QUIRED�/ <br /> QTY is El Ground only❑ all surfaces QTY is Roof only❑all surfaces � O <br /> $ 2289 . 5 <br /> NOT REQUIRED <br /> dditional Checklists: <br /> DDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> YES—TYPE: ❑ SFR El DUPLEX ❑ADU CI INFILL DWELLING ❑ MULTI-FAMILY E COMMERCIAL <br /> E See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> E Digital copy attached to permit record, Permit#'622d('o5c) <br /> E Saved to Address Folder in Development Tech File <br /> NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> E YES—Type13 <br /> ❑ NOT REQUIRED <br /> Reason: Use <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> A YES, Permit#PW1612-024 <br /> Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT El Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: _ Date: O 'iti /zd U- <br /> Worksheet Completed By: Date: <br /> REVISED 12/22/2021 <br />