Laserfiche WebLink
EVE R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 9502 18TH AVE W UNIT R Permit#: B2310-027 <br /> DESCRIPTION OF WORK: NEW SFR-REF RB2306-003 UNIT R <br /> PW Reviewer to select all that apply below:rE <br /> tility Permits (Note:Permit Technicians to Create Utility Perm or Sewer, ater,Fire,and Irrigation,as selected below) <br /> NITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) <br /> New Connection to main plus connections to building ❑ New Connection,Size - 0 Per Cost Estimate <br /> ❑ Alteration ® Meter Only,Size 3/4-INCH-❑Per Cost Estimate <br /> ❑ Repair I ® Water System Development Fee Total:$4,311.00 <br /> El Cap-off,quantity ® Sewer System Development Fee Total:$5,580.00 <br /> El Reconnection to stub ❑ Water Service Line(behind meter),Size <br /> Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPBA El DCV <br /> ❑ NOT REQUIRED / ❑ NOT REQUIRED <br /> Explanation/Utility Permit# Explanation/Utility Permit# <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection,Size El New Connection,Size -❑Per Cost Estimate <br /> El Meter Onl Size El %"Detect eter Only,Service Size <br /> ❑ Water ,stem Development Fee Total:$ ❑ Bac Prevention(Outside Building):❑DCDA <br /> El Ba ow Prevention(Outside Building):❑ DCVA /1 ''ST REQUIRED <br /> I1 1 .OT REQUIRED Explanation/Utility Permit# <br /> Explanation/Utility Permit# <br /> WATER DEPART ENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department <br /> ❑ Yes,Qu ity .See attached for reference. ` �( <br /> El NOT QUIRED U.23�\ ''' C <br /> Plumbing Perm"s(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow Pr ntion(Inside Building): ❑DCVA(for Domestic service) El RPBA(for Domestic service) ❑DCDA(for Fire service) <br /> ® NOT QUIRED <br /> Building Permits(Note:Permit Technicians to add all items selected below to associated Building ermit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> ❑ YES,❑See Attached for calculations/credit ®YES,Traffic Mitigation Total:$4,933.00 <br /> To be added on PW To be added on El See Attached for calculations/credit <br /> Quantity charged SF Quantity charged SF ❑ NOT REQUIRED <br /> QTY is El Ground only❑all surfaces QTY is El Roof only❑all surfaces z. LD Oe1 <br /> $ L.. 21 <br /> ® NOT REQUIRED CiVelAtiit 01A r tAJ 22t I• CIA <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 El DUPLEX ❑ADU ❑INFILL DWELLING El 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 /> ®Digital copy attached to permit record,Permit#B2310-027 <br /> ®Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> El YES—Type <br /> ® NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ❑ YES,Permit#PW <br /> El Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑Inspections Added in TRAKiT <br /> ® NOT REQUIRED <br /> Worksheet Completed By: t7ktdZ eC o4' t Date:/O/10/0203 <br /> Worksheet Reviewed By: u1 ' &J ',O I L.D 12-6 2..3 <br />