Laserfiche WebLink
PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 3315 SEAWAY BLVD BLDG A Permit#: B1808-012 <br /> TENANT: TERRA POWER <br /> DESCRIPTION OF WORK: TI FOR OFFICES, LAB SPACES IN WAREHOUSE AREA <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br /> SANITARY SEWER: DOMESTIC WATER SERVICE: (Not Including Cost Estimates) <br /> ❑ New Connection 0 New Connection, Size <br /> ❑Alteration 0 Meter Only, Size <br /> ❑ Repair ❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑ Cap-off NOT REQUIRED <br /> ❑ Reconnect Explanation/Utility Permit#: <br /> t3NOT REQUIRED <br /> (planation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Not Including Cost Estimates) <br /> ❑ New Connection, Size 0 New Connection, Size <br /> ❑ Meter Only, Size 0 3/4" Detect Meter Only, Service Size <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA 0 Backflow Prevention (Outside Building): 0 DCDA <br /> KNOT REQUIRED KNOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send',cost estimate request to Water Department) <br /> ❑Yes, Quantity , See attached for reference. <br /> XNOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> ❑Water Service Line(behind meter), Size <br /> ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> KNOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> SYSTEM DEVELOPMENT F5ES: 2�2C1~ TRAFFIC MITIGATION FEES: 2�11. l <br /> YES,Water:SA5%23-851103r i ❑YES, $ O/Imo 292 ,63 t <br /> Sewer:$LU 7-OS.% r;2}���� 70 - co See Attached Spreadsheet fo calculations/credit <br /> " See Attached S readsheet fo calculations/credit 0 NOT REQUIRED _w.A _'M-vre 1T <br /> ❑ NOT REQUIRED 8 fh 17 �►I�w c'rr�a�r <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 <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# <br /> KNOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> 112(YES—Type <br /> ❑ NOT REQUIRED r _ <br /> Reason: QJ�racurhaiut )14 <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ❑YES, Permit#PW <br /> ❑ Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT <br /> NOT REQUIRED <br /> Worksheet Completed By: , I ' 0:Jain/In-- Date: 8/4161.3 <br /> Worksheet Checked By: !1 Date: 8 2 7 1 <br /> REVISED 8/6/2018 <br />