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PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4525 RIVERFRONT BLVD Permit#: PW1901-049 <br /> TENANT: OVERLOOK AT RIVERFRONT QJ <br /> DESCRIPTION OF WORK: NEW SFR-Lot 15 <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 /> VI New Connection to main plus I connections to building 0 New Connection, Si e - 0 Per Cost Estimate <br /> ❑Alteration E(Meter Only, Size 3/1 -0 Per Cost Estimate <br /> ❑ Repair 113 Water System Development Fee Total:$ 3,95 <br /> ❑ Cap-off, quantity UT Sewer System Development Fee Total: $5)/ <br /> ll.sQ <br /> ❑ Reconnection to stub 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑ NOT REQUIRED _ ❑ 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 3/4"Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA IN NOT REQUIRED <br /> 14 NOT 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 /> lit NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) • <br /> (Water Service Line(behind meter), Size .701 <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 /> DYES, Stormwater Total:$ 622.0 0 YES,Traffic Mitigation Total: $ <br /> 0 See Attached Spreadsheet for calculations 0 See Attached Spreadsheet for calculations/credit <br /> ❑ NOT REQUIRED NOT REQUIRED—67.4 aii mai I PCOI/05- O'I <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> lit YES—TYPE: Vi SFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> lit See Attached Letter,2 copies(Permit Techs to issue one copx to applicant with permits, scan one copy to Jeffrey Marks) <br /> fiff Digital copy attached to permit record, Permit# rW 1901-0`Ii <br /> i Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> NOT <br /> hea onRD <br /> FIR.E E <br /> RMr/ %01 OF FH <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> giYES, Permit#PW I90I—pyq <br /> ECStormwater NPDES Tab Completed in TRAKiT ADA Tab Completed in TRAKiT Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED n,� p <br /> Worksheet Completed By: Date: /-"1"--24/9 <br /> Worksheet Checked By: Date: <br /> REVISED 1/7/2019 <br />