4805 BAYVIEW LN 2020-06-16 - Laserfiche WebLink

. PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 4805 BAYVIEW LN Permit#: C1809-004 TENANT: [TenName] DESCRIPTION OF WORK: NEW SFR 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: (Not Including Cost Estimates) 4New Connection ❑.New Connection, Size Alteration I i ( o C Dl t 0 Meter Only, Size ❑ Repair %JNl` 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA ❑Cap-off giNOT REQUIRED ❑ Reconnect xplanation/Utility Permit#:i.4 srau..4..a ,tis Q,AiZr o f Neter ❑ NOT REQUIRED 17oz AAAA-r ,a1s-re-c-r.o wi ftE(--000d�0 a4 U �l a Explanation/Utility Permit#: $ii \ IRRI AT!N SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Not Including Cost Estimates) , ❑ N- o nection, Size 0 New Connection, Size ❑ - -r 0 y, -iz: 0 3/" Detect Meter Only, Service Size ❑ ckflow -reve io (Outside Building): 0 DCVA ❑ Backflow Prevention (Outside Building): 0 DCDA tNOT REDIRE: 0 NOT REQUIRED Explanation/Utility -ermit#: Explanation/Utility Permit#: AT:R D •A. ENT COS ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) • Y-s Q an ., , See attached for reference. 'O ' QU -E:r Plumbing Permit (N.te: -e it Technicians to add all items selected below to Plumbing Permit) *Water Service Li,e(';e .'m r), Size 31411 ❑ Backflow Prevent. (I ryd uilding): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) ❑ NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) YSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: YES,Water: $ YES, $ 2, 4oc . 00 ewer: $ 0 See Attached Spreadsheet for calculations/credit See Attached Spreadsheet for calculations/credit 0 NOT REQUIRED ❑ NOT EQUIRED Additional Checklists: 2 Oi g 57,s. -PC'. FE.Es RDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Leti 4 So 6 -BA-AhEw G•r`f ES—TYPE S2_ See Attached Letter,2 copies (Permit Techs to issue one copy to applicant wi ,wr,E rEa _. fill,9• oa Digital copy attached to permit record, Permit#P'vJ 4 ex,/-0 1'7 ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? SEwEa_ 7 /12.04 ❑YES—Type I r , 9$4. 00 ❑ NOT REQUIRED Reason: 2017 SYS. REv. FE;S PUBLIC WORKS PERMIT REQUIRED? /"'�"t£d" = 4 31757.04 a kc -(ja- �YES, Permit#PW 1$0 4- oil 0 Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in I 6C`,44(2" 5, /Z I.o63320 ❑ NOT REQUIRED -A 0 2 487 S ro a,K -- 825 69 Worksheet Completed By: ___- _---- y Li: q903..±d". 625. 01 . MWorksheet Checked By: ill LJA /. Date: i/witaTr REVISED 8/6/2018 •