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PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4526 RIVERFRONT BLVD Permit#: C1902-005 <br /> TENANT: OVERLOOK AT RIVERFRONT <br /> DESCRIPTION OF WORK: NEW SFR/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 /> ktNew Connection to main plus ( connections to building 0 New Connection, Si 4e -0 Per Cost Estimate <br /> ❑Alteration II(Meter Only, Size 3/y" -0 Per Cost Estimate <br /> ❑ Repair $Water System Development Fee Total: $ 1� . <br /> ❑Cap-off, quantity Sewer System Development Fee Total:$ 12, t es <br /> ❑ Reconnection to stub 0 Water Service Line(behind meter), Size <br /> ❑ Backwater Valve ❑ 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 0 g "Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ 0 Backflow Prevention(Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA SNOT REQUIRED <br /> 'SNOT 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 /> SNOT 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 /> 'NOT 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 /> 'YES, Stormwater Total:$_41,2_ e 0 YES,Traffic Mitigation Total: $ <br /> 0 See Attached Spreadsheet for calculations 0 See Attache Sprea sheet fo calculati n redit <br /> ❑ NOT REQUIREDKNOT REQUIRED — i� <br /> 220 it -ibi l( /t /ii, P') <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> 1�YES-TYPE: lkSFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> WSee Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> 511,Digital copy attached to permit record, Permit# 1'tJ 1/03-05/ <br /> BC Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> KNOT REQUIRED/ ,t <br /> Reason:_£ 5Sa Fi <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> 'YES, Permit#PW(903-OSI <br /> ECStormwater NPDES Tab Completed in TRAKiT ti(ADA Tab Completed in TRAKiT 1E1 Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: Date: 3I251261 R <br /> Worksheet Checked By: Date: <br /> REVISED 2/22/2019 <br />