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�_ PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 732 WETMORE AVE Permit#: C1808-012 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: NEW GARAGE W/APARTMENT ABOVE <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 />`� 0 New Connection 0 New Connection, Size <br /> IgAlteration (g I(—01 0 Meter Only, Size <br /> ❑ Repair ❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑ Cap-off KNOT REQUIRED <br /> ❑ Reconnect Explanation/Utility Permit#: <br /> ❑ NOT REQUIRED <br /> Explanation/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 ❑%"Detect Meter Only, Service Size <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> .NOT REQUIRED kl-NOT 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 /> KNOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> i <br /> �piWater Service Line(behind meter), Size 3/4 " "i ' C11045-11.A2- <br /> o Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> ❑ NOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> ,#,SYSTEM DEVELOPMENT FEES: t.JEU) ADO TRAFFIC MITIGATION FEES: <br /> kr YES,Water: $ 940 . o o pp X 116 p t ❑YES,$ <br /> Sewer: $ 1� (o 7 f. 045 �R¢�►T 0 See Attached Spreadsheet for calculations/credit <br /> 0 See Attached Spreadsheet for calculations/credit 'NOT REQUIRED <br /> ❑ NOT REQUIRED <br /> Additional Checklists: <br /> /ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> it YES—TYPE AT)0 <br /> pj See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> gDigital copy attached to permit record, Permit# 180 - p 50 <br /> ❑NOT REQUIRED 1 c pv. A-f-TAt.Mro 17E044.T <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type _ <br /> id-NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> EYES, Permit#PW /$/c - asp <br /> pit_Stormwater NPDES Tab Completed in TRAKiT RADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: ' r Date: /0//$/20 /Yi <br /> cACWorksheet Checked By: 401 i Date: IO /S /7jiJg <br /> REVISED 8/6/2018 <br />