Laserfiche WebLink
PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4523 31ST AVE SE Permit#: PW1812-028 <br /> TENANT: OVERLOOK AT RIVERFRONT ONO(SIO—olO <br /> DESCRIPTION OF WORK: NEW SFR-LOTLI0 <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: (Not Including Cost Estimates) <br /> KNew Connection 0New Connection, Si'e <br /> ❑Alteration ZMeter Only, Size 3�q" <br /> ❑ Repair 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑ Cap-off 0 NOT REQUIRED '11 <br /> ❑ Reconnect Explanation/Utility Permit#: U181a"0/5 <br /> ❑ NOT REQUIRED <br /> Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Not Including Cost Estimates) <br /> ❑ New Connection, Size 0 New Connection, Size <br /> ❑ Meter Only, Size 0 3/4" Detect Meter Only, Service Size <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA ❑ Backflow Prevention(Outside Building): 0 DCDA <br /> )a(NOT REQUIRED (KNOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) <br /> 0'Yes, Quantity , See attached for reference. <br /> KNOT REQUIRED <br /> Plumbing Permits (Note:Permit Techicians to add all items selected below to Plumbing Permit) <br /> *Water Service Line(behind meter), Size 3714 rl <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 /> SYSTEM DEVELOPMENT FEES• i j. TRAFFIC MITIGATION FEES: <br /> ISCYES,Water: $ �4)951.6(08-7 SF 0 YES, $ <br /> � <br /> Sewer: $ 512 1.°f/. 0 See Attached Spreadsheet for calculations/credit <br /> 0 See Attached Spre dsheet for c Ic lations/credit KNOT REQUIRED '�'���jI j1. ,/ / <br /> ❑ NOT REQUIRED L)t. 02Vir% pad ) <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> j> YES—TYPE 3FI2 <br /> gi See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> M Digital copy attached to permit record, Permit# P11)i$la-ORS' <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> SNOT REQUIRED <br /> Reason: FJRE CEDE, wilt / Of gN• _ <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> YES, Permit#PW lSla'Oa8 <br /> Z Stormwater NPDES Tab Completed in TRAKiT ISt ADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: Date: /a//a/a0/g <br /> Worksheet Checked By: Date: <br /> REVISED 8/6/2018 <br />