4521 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

/IIP A PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 4521 RIVERFRONT BLVD Permit#: PW1901-051 TENANT: OVERLOOK AT RIVERFRONT ff DESCRIPTION OF WORK: NEW SFR-Lot 17 C'd�O'Iols 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.) KNew Connection to main plus connections to building 0 New Connection, Si e -0 Per Cost Estimate ❑Alteration Ei Meter Only, Size 911411 - ❑ Per Cost Eskmate00 ❑ Repair till Water System Development Fee Total: $3r15 ❑ Cap-off, quantity E"Sewer System Development Fee Total: $5L121.29 ❑ Reconnection to stub 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA ❑ NOT REQUIRED 0 NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate ❑ Meter Only, Size ❑'/a" Detect Meter Only, Service Size ❑Water System Development Fee Total:$ 0 Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention(Outside Building): 0 DCVA ET NOT REQUIRED KNOT REQUIRED Explanation/Utility Permit#: _ - - Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. NOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) HT Water Service Line(behind meter), Size 31N it o Backflow Prevention (Inside Building): 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) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: II3'YES, Stormwater Total: $ (,22.°- 0 YES,Traffic Mitigation Total: $ 0 See Attached Spreadsheet for calculations 0 See AttachSpr adshe t for calc ations/credit�J ❑ NOT REQUIREDI�1 3 �,� 12:i; N,�,\ E'NOT REQUIRED-� 1r Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) VIYES-TYPE: 1$I SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL IE'See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) Et Digital copy attached to permit record, Permit# PW 1701-051 IS(Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES-Type Et NOT REQUIRED Reason: P1 Imo' Q.01)E, W WHIN 350' OF F14 PUBLIC WORKS PERMIT REQUIRED? 'RYES, Permit#PW 1401-O5( 'Stormwater NPDES Tab Completed in TRAKiT IECADA Tab Completed in TRAKiT KInspections Added in TRAKiT ❑ NOT REQUIRED q F-13-Worksheet Completed By: j�''�Cl/_ ` Date: r7n( 1 Worksheet Checked By: Date: REVISED 1/7/2019