4529 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 4531 RIVERFRONT BLVD Permit#: C1904-012 TENANT: OVERLOOK AT RIVERFRONT t ,Q.)1101„ $ DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1811-001 T W 6 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, SiTe -0 Per Cost Estimate ' Alteration Meter Only, Size 3J*I' - 0 Per Cost Estimate o Repair IR Water System Development Fee Total:$ 3�j5�•- ▪ Cap-off, quantity gSewer System Development Fee Total: $ S,/2/,10 Reconnection to stub 0 Water Service Line(behind meter), Size 0 Backwater Valve ❑ 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) O New Connection, Size 0 New Connection, Size -0 Per Cost Estimate O Meter Only, Size 0'/4"Detect Meter Only, Service Size Water System Development Fee Total: $ 0 Backflow Prevention (Outside Building): 0 DCDA • Backflow Prevention (Outside Building): 0 DCVA ISI NOT REQUIRED NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: 'WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) 0 Yes, Quantity , See attached for reference. 1S[NOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) • Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) ❑ RPBA(for Domestic service) 0 DCDA(for Fire service) KNOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: 'Si YES, Stormwater Total:$ .ceof c..004-012. ❑YES,Traffic Mitigation Total: $ 0 See Attached Spreadsheet for calculations 0 See Attach d Spr adsheet for calculations/credit ❑ NOT REQUIRED K NOT REQUIRED— � Qa M. '& fW -,O'Z ISViii (1246 NN X134 P> 1 Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) 'RYES—TYPE: 'I SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL See Attached Letter,2 copies (Permit Techs to iwciej2ne copy to applicant with permits, scan one copy to Jeffrey Marks) Digital copy attached to permit record, Permit# -OSS IR Saved to Address Folder in Development Tech File O NOT REQUIRED FIRE SPRINKLERS REQUIRED? O YES—Type lit NOT REQUIRED Reason:FIRE CODE I 1411111.1 ✓SO OF I PUBLIC WORKS PERMIT REQUIRED? 1S<YES, Permit#PW Ig04-05$ tit Stormwater NPDES Tab ompleted in TRAKiT 'ADA Tab Completed in TRAKiT Igl Inspections Added in TRAKiT O NOT REQUIRED / Worksheet Completed By: ' I Date: q-25- Worksheet -25 Worksheet Checked By: Date: REVISED 2/2212019