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/Ij-g <br /> PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4606 RIVERFRONT BLVD Permit#: C1903-004 <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 I connections to building 0 New Connection,Si e -0 Per Cost Estimate <br /> ❑Alteration IFMeter Only, Size Ll -0 Per Cost Estimate <br /> ❑ Repair 1&Water System Development Fee Total: $ 395 .9 <br /> ❑Cap-off, quantity IS Sewer System Development Fee Total: $5121- V <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 0%"Detect Meter Only,Service Size <br /> ❑Water System Development Fee Total: $ 0 Backflow Prevention(Outside Building): 0 DCDA <br /> ❑ Backflow Prevention(Outside Building): 0 DCVA SNOT REQUIRED <br /> KNOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-Of 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) ❑ DCDA(for Fire service) <br /> SNOT 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: $ G2'Z 0 YES,Traffic Mitigation Total: $ <br /> 0 See Attached Spreadsheet for calculations 0 See Attached prey sheet for calculatio_ / dit <br /> ❑ NOT REQUIRED 226611,�{�,( / g,0 PG i z.zi41 NOT REQUIRED _� .- <br /> 1 � <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> 1YES-TYPE: EISFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> RSee Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> Et Digital copy attached to permit record, Permit# Pw PD3-o5, <br /> Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> KNOT REQUIRED <br /> Reason: U�RETIRED <br /> `fib 0 t' <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> 'EYES, Permit#PW IQ 03-65.6 <br /> tStormwater NPDES Tab Completed in TRAKiT Ii ADA Tab Completed in TRAKiT $f Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> 1 Worksheet Completed By: Q/ki�'�"/� "" Date: WRS2et9- <br /> Worksheet Checked By: Date: <br /> REVISED 2/22/2019 <br />