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PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4527 RIVERFRONT BLVD Permit#: C1902-003 <br /> TENANT: OVERLOOK AT RIVERFRONT <br /> DESCRIPTION OF WORK: NEW SFR BASIC/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 /> tt New Connection to main plus I connections to building 0 New Connection, Sip -0 Per Cost Estimate <br /> ❑Alteration Meter Only,Size 3164 It -0 Per Cost Estimate <br /> ❑ Repair IitWater System Development Fee Total:$ <br /> ❑Cap-off,quantity )B-Sewer System Development Fee Total: $512.-1,°O <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 04" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ ❑ Backflow Prevention(Outside Building): 0 DCDA <br /> ❑ Backflow Prevention(Outside Building): 0 DCVA trNOT REQUIRED <br /> KNOT 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:$ 0 YES,Traffic Mitigation Total:$ <br /> 0 See Attached Spreadsheet for calculations 0 See Attached S reads e for c Icula'ons/credit <br /> ❑ NOT REQUIRED .I'NOT REQUIRED <br /> Kg 4444_ (6iNtfi P4 13iiiI�P> <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ''YES-TYPE: 1 'SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> ("See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> Wiligital copy attached to permit record, Permit# eWI903-'091 <br /> IliCSaved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> ¢t/NOT REQ IRED t <br /> Reason: /�) i� `00i 4JJ <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> $AYES, Permit#PW MOS-0149 <br /> Z'Stormwater NPDES T-b Completed in TRAKiT 'ADA Tab Completed in TRAKiT Et Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED ' / <br /> Worksheet Completed By: 40 % Date: l5/2 /'7 <br /> Worksheet Checked By: Date: <br /> REVISED 2/22/2019 <br />