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477 PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4601 RIVERFRONT BLVD Permit#: C1904-013 <br /> TENANT: OVERLOOK AT RIVERFRONT 4 f W I O4_O59 <br /> DESCRIPTION OF WORK: WIRE NEW SFR DETACHED <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 /> st New Connection to main plus t connections to building 0 New Connection, Size -0 Per Cost Estimate <br /> ▪Alteration Meter Only, Size 3J111" -0 Per Cost Estimate <br /> ❑'Repair Ft Water System Development Fee Total:$ 3,95?.40* <br /> o Cap-off, quantity gf Sewer System Development Fee Total: $5,/2/. 42 <br /> Reconnection to stub 0 Water Service Line(behind meter), Size <br /> 0 Backwater Valve p Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> o NOT REQUIRED 0 NOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> o New Connection,Size 0 New Connection, Size -0 Per Cost Estimate <br /> ❑ Meter Only, Size 0 3/" Detect Meter Only, Service Size <br /> Water System Development Fee Total:$ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> 0 Backflow Prevention (Outside Building): 0 DCVA EI NOT REQUIRED <br /> tit 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 /> o 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-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: $ 12-2.12 on C19011-OI3 ❑,YES,Traffic Mitigation Total:$ <br /> 0 See Attached Spreadsheet for calculations 0 See Attached Spreadshee for calcul tions/credit <br /> O NOT REQUIRED 19284140M-(I31,161" 6�y e ` NOT REQUIRED 4 i. m rWriO <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> kYES—TYPE: ti(SFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> IIS See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> a Digital copy attached to permit record, Permit# Pagiay-0S9 <br /> Saved to Address Folder in Development Tech File <br /> D NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> YES—Type <br /> VI NOT REQUIRED <br /> Reason:FIRE QOE( I,Jt1 J 35b Of F <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> EYES, Permit#PW190q—OSI <br /> 'B[Stormwater NPDES Ta Completed in TRAKiT VIADA Tab Completed in TRAKiT 'ii(Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: ilia <br /> Date: "5/241 1p <br /> Worksheet Checked By: Date: <br /> REVISED 2/22/2019 <br />