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PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4602 RIVERFRONT BLVD Permit#: C1902-006 <br /> TENANT: OVERLOOK AT RIVERFRONT <br /> DESCRIPTION OF WORK: NEW SFR DETACHED/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 /> QKNew Connection to main plus ' connections to building 0 New Connection, Size -0 Per Cost Estimate <br /> ❑Alteration tit Meter Only, Size g(yn -0 Per Cost Estimate <br /> ❑ Repair ErWater System Development Fee Total:$ <br /> ❑Cap-off,quantity_ ElSewer, System Development Fee Total: $ 5121. <br /> ❑ Reconnection to stub 0 Water Service Line(behind meter), Size <br /> ❑ Backwater Valve 0 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 0 3/." Detect Meter Only,Service Size <br /> ❑Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA lat NOT 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 /> B(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 /> IX 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 /> 54YES, Stormwater Total: $ &IAD". 0 YES,Traffic Mitigation Total:$ <br /> 0 See Attached Spreadsheet for calculations 0 See Attache Sprea sheet for calculati ns/credit <br /> )�(NOT REQUIRED 2316461 ( *3P6,tol6$N�� KNOT REQUIRED rQ��y�� ` <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> OYES—TYPE: El SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> Et See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> 'Digital copy attached to permit record, Permit# Pk11103--052 <br /> off Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> KNOT REQUIRED <br /> Reason: iJ t 160 p� <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> Nal YES, Permit#PW 1903—OS2 �,{ <br /> '� 11Stormwater NPDES Tab Completed in TRAKiT 'ADA Tab Completed in TRAKiT $t Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: A._ Date: 3/2520/? <br /> Worksheet Checked By: Date: <br /> • REVISED 2/22/2019 <br />