4523 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 4523 RIVERFRONT BLVD Permit#: PW1901-050 TENANT: OVERLOOK AT RIVERFRONT c'ci61_O'� DESCRIPTION OF WORK: NEW SFR-LOT 16 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.) 'New Connection to main plus I connections to building 0 New Connection, Si4e -0 Per Cost Estimate ❑Alteration Cif Meter Only, Size 3/4 -0 Per Cost Estimate ❑ Repair ill Water System Development Fee Total: $31151". S'O ❑Cap-off, quantity @f Sewer System Development Fee Total:$5)121,°4 ❑ Reconnection to stub ❑ 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%" Detect Meter Only, Service Size ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA SNOT REQUIRED 14 NOT 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. I$NOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) it Water Service Line(behind meter), Size 3 ❑ 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: 16J YES, Stormwater Total: $ 622.°Q 0 YES,Traffic Mitigation Total: $ 0 See Attached Spreadsheet for calculations 0 See AttacheSpreadsheet for cnalc.ylations/credit ❑ NOT REQUIRED SNOT REQUIRED-ar i in +4,/,/ r7"0`2, 1928!hipi(04th N,Py� Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) EYES-TYPE: ]$SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL 'Ia[See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) 1g.Digital copy attached to permit record,Permit# 1'(1/1901--050 'g Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES-Type 1St NOT REQUIRED �/ Reason: FIRE cope, i<(IITHIhI 350/ OF 141 PUBLIC WORKS PERMIT REQUIRED? 'BJ YES, Permit#PW f96I-050 'Stormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT V'Inspections Added in TRAKiT ❑ NOT REQUIRED /�� Q Worksheet Completed By: 4Date: 1-131- 16/ 1 Worksheet Checked By: Date: REVISED 1/1/2019