HomeMy WebLinkAboutSWP272292(2) PROJECT REQUEST FORM
PLANNINGBUILDING/PUBLIC WORKS'
(SOME SECTIONS APPLY TO CIP AND SOME APPLY TO DEVELOPER PROJECTS)
DATE:_ 1/17 CONTACT: TERI WO#
FILE STATUS I ® EXISTING OR ❑ NEW FILE CODE SWP-27-2292
LOCATION I ❑ My Work Space: I ❑ File Bay Shelf#: 23 ❑ Other:
PROJECT NAME:(TERTIARY) N 40TH ST/LAKE WASHINGTON BLVD STORM REPAIR (label line one)
(250 characters max)
Allowable Folder Title: (SECONDAY): MISCELLANEOUS (label line two)
(WORKING FILE)
Go to Utilities Pick List(second Page)
DESCRIPTION OF PROJECT:
ADDRESS/STREET NAME(S):
DEV/CNTR/OWN/CNSLT:
OTHER ALIASES: NOTES/CORRESPONDENCE; 90%DESIGN REVIEW NOTES
Size of Waterline: N/A New & N/A New
Size of Sewerline: N/A New & N/A New
Size of Stormline: N/A New & N/A New
CHECK EACH DISCIPLINE INVOLVED IN PROJECT Ltr Drwg # of sheets
❑ TED(roadway/drainage) ❑
(off site improvements) (include TESC)
❑ TRO (Signalization, Channelization,Lighting) ❑ ❑
❑ WWP (wastewater) 1:1 El
(sanitary sewer main)
❑ WTR(water) (Mains,Valves,Hydrants) ❑ ❑
(inc.composite&HorizontalCtrl)
❑ SWP(surface water imp.) ❑ ❑
(CIP only)(include basin name)
❑ PLR(plan review) (Neccessary for developer files) ❑ (letter only)
PLEASE CHECK THE DISCIPLINES WHICH NEED TO SIGN MYLARS`.
1E] WATER_ ❑ WASTEWATER ❑' SURFACE WATER ❑ TRANSPORTATION ❑ FIRE
FOR FILE MAINTAINANCE USE ONLY
File Codes: Date Entered and Labels Made:
swp272292.doc
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CIP PROJECT-IF'ILE NCKLIST
UTILITIES ° "
FILE TITLE; FOLDER'SIZE* QUANTITY
CORRESPONDENCE Choose Folder size
❑General--------------------------------------------------------------
❑C o n s u l t a n t-----------------------------------------------------------
❑C i ty--------------------------------------------------------------------
❑Other Agencies----------------------------------------------------
❑C o n t ra cto r-----------------------------------------------------------
❑Grants/Loans-------------------------------------------------------
DESIGN/PLANNING
®Design --------------------------------------------------------------- 1 S (1" Shelf) 1
❑Consultant Selection----------------------------------------------
[-]Contracts------------------------------------------------------------
❑Reports/Stud ies/Calculations-----------------------------------
❑Consultant Payments--------------------------------------------
❑ AGREEMENTS ----------------------------------------------------------
❑ SEPA-----------------------------------------------------------------------
❑ PERMITS/PLAN REVIEW--------------------------------------------
❑ EASEMENTS/DEEDS--------------------------------------------------
CONSTRUCTION
❑Bid Info--------------------------------------------------------------
❑Insurance & Legal Review--------------------------------------
❑Contract Document-----------------------------------------------
❑S u b m i tta I s-----------------------------------------------------------
❑Pay Estimates-----------------------------------------------------
❑Change Orders ----------------------------------------------------
❑Inspection/Progress Reports----------------------------------
❑Construction Management Services-------------------------
❑Operations & Maintenance--------------------------------------
❑ LITIGATION --------------------------------------------------------------
LI D--------------------------------------------------------------------------------
❑Public Notification-------------------------------------------------
❑Public Meetings---------------------------------------------------
❑Final Assessment Roll -------------------------------------------
❑Miscellaneous------------------------------------------------------
SAD------------------------------------------------------------------------------
❑Public Notification-------------------------------------------------
❑Public Meetings----------------------------------------------------
[:]Final Assessment Roll -------------------------------------------
❑M iscellaneous-----------------------------------------------------
swp272292.doc