10524 13TH AVE W 2024-12-02 - Laserfiche WebLink

in EVE R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 10524 13TH AVE W Permit#: PW1807-010 TENANT: [TenName] I o524 u,a•r A DESCRIPTION OF WORK: SITE DEVELOPMENT FOR 2 LOT SHORT PLAT 10524 4-11/4`-r $ S-E_ Za L 2- f.E.4-S 10.52 e) up4%r A PW Reviewer to select all that apply below: 1 o SZ 8 ue4 rr -cj 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.) XNew Connection to main plus 0 connections to building 1$1.New Connection, Size I -0 Per Cost Estimate ❑Alteration 0 Meter Only, Size -❑ Per Cost Estimate ❑ Repair 10524 1052$ ❑Water System Development Fee Total:$ ❑Cap-off, quantity .k 4, 0 Sewer System Development Fee Total: $ ❑ Reconnection to stub I so.4R4, l co,,,1,.3, ❑Water Service Line(behind meter), Size ❑ Backwater Valve 0 Backflow Prevention (Outside,�aildia or❑ DCVA 41Coo.oe .0 c.o. 9�' e ❑ NOT REQUIRED ❑ NOT REQUIRED ram' Es £ cc Explanation/Utility Permit#: AS "e -r A F Explanation/Utility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate ❑ Meter Only, Size ❑W Detect Meter Only, Service Size ❑Water System Development Fee Total: $ 0 Backflow Prevention(Outside Building): ❑ DCDA ❑ Backflow Prevention(Outside Building): ❑ DCVA Id NOT REQUIRED tX NOT REQUIRED Explanation/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. 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): 0 DCVA(for Domestic service) ❑ RPBA(for Domestic service) 0 DCDA(for Fire service) l NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) SJORMWATER SYSTEM DEVELOPMENT FEES: TRA`F C MITIGATI FEES: M YES, Stormwater Total: $ lit( (D. (o Le) ,20 2.42 $.YES,Tr igation Total: 0, 2.00.60 ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 Se tac for calculations/credit KAll Hard Surface Fees to be added to Permit# "?W 1LO1-0 to 0 N EQUIRED )See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) §i1YES-TYPE: ❑ SFR DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL 0 See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) l Digital copy attached to permit record, Permit# '?v4 I$o?- 01 o Prme-css 1-E1-1-12S "rit. id-Saved to Address Folder in Development Tech File � E -ptz,.4-r£p „q-r gut L.ro%w14r ❑ NOT REQUIRED 7' i,r %SSuAKiL£ FIRE SPRINKLERS REQUIRED? Lt YES-Type 131) (ibu _ ..t . -rEa.trd►rt) _ ❑ NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? $YES, Permit#PW I go"- 01 D l.Stormwater NPDES Tab Completed in TRAKiT II .ADA Tab Completed in TRAKiT Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: Co Ii J26/9 Worksheet Checked By: Date: is H z,19 REVISED 4/24/2019