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PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4529 RIVERFRONT BLVD Permit#: C1903-006 <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 /> KNew Connection to main plus connections to building 0 New Connection, Siz -0 Per Cost Estimate <br /> ❑Alteration jitMeter Only, Size 'I -0 Per Cost Estimate <br /> ❑ Repair 1'Water System Development Fee Total: $_3351. <br /> ❑Cap-off,quantity fitSewer System Development Fee Total:$ 512..1L=° <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 ❑%"Detect Meter Only,Service Size <br /> ❑Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA KNOT REQUIRED <br /> (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 /> KNOT 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 /> DYES, Stormwater Total: $ Oi2 0 YES,Traffic Mitigation Total: $ <br /> 0 See Attached Spreadsheet for calculations 0 See Attached Sprea sheet for alculatio /crgdit <br /> ❑ NOT REQUIREDKNOT REQUIRED—Q x .• , <br /> 11301 -Mid (616 tJ P.6.)13 144 In <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> AYES-TYPE: 1dtSFR 0 DUPLEX 0 ADU ❑ 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 /> Kt Digital copy attached to permit record, Permit# R'UIg03-098 <br /> aSaved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> Ei NOT RE IRED t <br /> Reason: C. lin 5550 d� <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> 'DYES, Per it#PW 1,03-05$' <br /> a Stormwater NPDES Tab Completed in TRAKiT 181'ADA Tab Completed in TRAKiT Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: AlaDate: /Z5-4-e <br /> Worksheet Checked By: Date: <br /> REVISED 2/22/2019 <br />