9307 18TH AVE W 2025-04-18 - Laserfiche WebLink

LI • EVE R E TT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9307 18TH AVE W Permit#: PWW2003-003 TENANT: [TenName] DESCRIPTION OF WORK: RESPONSE TO VIOLATION OF UNPERMITTED REMOVAL OF A BEAVER DAM 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 0 Per Cost Estimate ❑Alteration 0 Meter Only, Size -0 Per Cost Estimate ❑ Repair 0 Water System Development Fee Total:$ ❑ Cap-off,quantity ❑Sewer System Development Fee Total: $ ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve ❑ ackflow Prevention (Outside Building): 0 RPBA or 0 DCVA ?aim-REQUIRED 6440T 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 -0 Per Cost Estimate ❑ Meter Only, Size 0$/o" Detect Meter Only, Service Size ❑Water System Development Fee Total:$ 0 Backflow Prevention (Outside Building): 0 DCDA 0 Backflow Prevention(Outside Building): ❑ DCVA T REQUIRED X NOT REQUIRED Explanation/Utility Permit#: Ex lanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PWReviewerto send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. j4NOT 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) ❑ DCDA(for Fire service) SNOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ❑YES, Stormwater Total:$ 0 YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit ❑All Hard Surface Fees to be added to Permit# VOT REQUIRED ❑ 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) ❑YES—TYPE: 0 SFR ❑DUPLEX ❑ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 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 SNOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type *NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑YES, Permit#PW ❑ Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT AltblaT REQUIRED Worksheet Completed By: Date: O ' )26'-0 Worksheet Checked By: Date: REVISED 11/27/2019