4522 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

1047T PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 4522 RIVERFRONT BLVD Permit#: C1903-003 TENANT: OVERLOOK AT RIVERFRONT DESCRIPTION OF WORK: NEW SFR BASIC/2015 IRC 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: (Attach Calculation&Cost Est.) 1gNew Connection to main plus I connections to building 0 New Connection, Si e -0 Per Cost Estimate ❑Alteration 1$Meter Only,Size II -0 Per Cost Estimate ❑ Repair Et Water System Development Fee Total:$ '34167-,611 ❑Cap-off, quantity ItSewer System Development Fee Total: $512 I.�° ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention(Outside Building): 0 RPBA or 0 DCVA ❑ NOT REQUIRED 0 NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate ❑ Meter Only, Size 0 3/" Detect Meter Only,Service Size ❑Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building): 0 DCDA ❑ Backflow Prevention(Outside Building): 0 DCVA KNOT REQUIRED KNOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) ❑Yes,Quantity , See attached for reference. V NOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ Backflow Prevention(Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) g NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: 'K YES,Stormwater Total: $ 622•�°- 0 YES,Traffic Mitigation Total:$ 0 See Attached Spreadsheet for calculations 0 See Attached Spreadsheet for alculati s redit ❑ NOT REQUIRED KNOT REQUIRED --disfai S24114144 4t11 194 ItzgI3 nrP6 Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) 'EYES-TYPE:`Hi SFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL 53 See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) &Digital copy attached to permit record, Permit#PUIIg03-655 IX Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES-Type vf NOT RE UIRED Reason: 1A1(iVk. 550 PUBLIC WORKS PERMIT REQUIRED_ ? 151 YES, Pe-mit#PW 1903-Os , IliStormwater NPDES Tab Completed in TRAKiT If ADA Tab Completed in TRAKiT N'Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: A Date: Va6/1.4/9 Worksheet Checked By: Date: REVISED 2/22/2019