215 110TH PL SE 2024-11-08 - Laserfiche WebLink

E E R E T T WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 215 110TH PL SE Permit#:B2303-084 DESCRIPTION OF WORK: ADDITIONS&ALTERATIONS TO EXISTING SINGLE FAMILY RESIDENCE 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 ❑ New Connection,size - ❑Per Cost Estimate ❑ Alteration ❑ Meter Only,Size -❑Per Cost Estimate ❑ Repair ❑ Water System Development Fee Total:$ ❑ Cap-off,quantity ❑ Reconnection to stub ❑ Sewer System Development Fee Total:$ ❑ Water service Line(behind meter),Size ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DCVA ® NOT REQUIRED ® NOT REQUIRED Explanation/Utility Permit# Explanation/Utility Permit# IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) ❑ New Connection,Size ❑ New Connection,Size -❑Per Cost Estimate ❑ Meter Only,size ❑ %"Detect Meter Only,Service Size ❑ Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building):❑DCDA ❑ Backflow Prevention(Outside Building):❑DCVA ® NOT REQUIRED ® 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): ❑DCVA(for Domestic service) ❑RPBA(for Domestic service) ❑DCDA(for Fire service) ® NOT REQUIRED Building Permits(Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: I TRAFFIC MITIGATION FEES: ® YES,®see Attached for calculations/credit ❑YES,Traffic Mitigation Total:$ To be added on PW To be added on B2303-084 ❑See Attached for calculations/credit Quantity charged SF Quantity charged 12385F ® NOT REQUIRED QTY is❑Ground only❑all surfaces QTY is❑Roof only®all surfaces $ 331.54 ❑ 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 ❑ADU ❑INFILL DWELLING ❑MULTI-FAMILY ❑COMMERCIAL ❑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 ® NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES Type ® NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑ YES,Permit#PW ❑Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑Inspections Added in TRAKiT ® NOT REQUIRED Worksheet Completed By: /6 [q"qe11G12.C>r!2 Date: 04/19/2023 Worksheet Reviewed By:&z % 74F Date: O4/18/2023