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gir PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4520 RIVERFRONT BLVD Permit#: C1903-002 <br /> TENANT: OVERLOOK AT RIVERFRONT <br /> DESCRIPTION OF WORK: NEW SFR BASIC/2015 IRC <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: (Attach Calculation&Cost Est.) <br /> 'New Connection to main plus connections to building 0 New Connection, Si e -0 Per Cost Estimate <br /> ❑Alteration ISt Meter Only, Size 91y 11 - 0 Per Cost Estimate ca <br /> ❑ Repair Et Water System Development Fee Total: $ 3ti <br /> ❑Cap-off, quantity $1 Sewer System Development Fee Total:$51 S9 <br /> ❑ Reconnection to stub 0 Water Service Line(behind meter), Size <br /> ❑ Backwater Valve 0 Backflow Prevention(Outside Building): 0 RPBA or 0 DCVA <br /> ❑ NOT REQUIRED 0 NOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection,Size 0 New Connection, Size -0 Per Cost Estimate <br /> ❑ Meter Only, Size ❑3 "Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA rffi NOT REQUIRED <br /> ',KNOT REQUIRED Explanation/Utility Permit#: <br /> 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 /> SII NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> SNOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> EYES, Stormwater Total:$ E',2�,�O 0 YES,Traffic Mitigation Total: $ <br /> 0 See Attached Spreadsheet for calculations 0 See Attache Spre dsheet fir calcula'on credit <br /> ❑ NOT REQUIRED �L t/� 6 NOT REQUIRED <br /> SIV <br /> lIl TOTdu,l S�j r6 <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> layYES-TYPE: it SFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> E 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# PW1903-051 <br /> EL Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> ❑NOT REQUIRED <br /> Reason: W 35a <br /> 0.4 PI <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> DYES, Permit#PW 1903-05y <br /> 'Stormwater NPDES Tab Completed in TRAKiT NADA Tab Completed in TRAKiT 16(Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: s � J�-� v Date: 3P5/Z019 <br /> Worksheet Checked By: Date: <br /> REVISED 2/22/2019 <br />