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- PUBLIC WORKS REVIEW WORKSHEET_ <br /> PROJECT ADDRESS: 4603 31ST AVE SE Permit#: C1901-007 <br /> TENANT: OVERLOOK AT RIVERFRONT 4 r W I1o1.-640 <br /> DESCRIPTION OF WORK: NEW SFR -LOD y3 <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 /> g New Connection to main plus I connections to building 0 New Connection, Si -0 Per Cost Estimate <br /> ❑Alteration Meter Only, Size 3 " -0 Per Cost Estimate <br /> ❑ Repair Water System Development Fee Total: $ 3t95 ,Q° <br /> ❑Cap-off, quantity la Sewer System Development Fee Total: $5LL_121. <br /> ❑ Reconnection to stub 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 SNOT REQUIRED <br /> KNOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(If 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 Techni fans to add all items selected below to Plumbing Permit) <br /> NI/Water Service Line(behind meter), Size 9/Hid <br /> ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) ❑ 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 /> RI YES, Stormwater Total: $ 62Z. 22 0 YES,Traffic Mitigation Total:$ <br /> 0 See Attached Spreadsheet for calculations ❑See Attached rea sheet f r calculations/credit <br /> ❑ NOT REQUIRED p KNOT REQUIRED — qA4 /1. 74 ft,0OSo ? <br /> 1953*,k iii(6Icp 9,6.,131.12#N,R> <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> 'YES—TYPE: Igf SFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> Er See Attached Letter,2 copies(Permit Techs to issue one copy� to applicant with permits, scan one copy to Jeffrey Marks) <br /> Pam-olio <br /> copy attached to permit record, Permit#PW -0li0 <br /> %Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> ] NOT REQUIRED <br /> Reason: Ic e COLE( w117116OFFa <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> $'OYES, Permit#PW I43O1'0110 <br /> tErStormwater NPDES Tab Completed in TRAKiT tiirADA Tab Completed in TRAKiT Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED / <br /> Worksheet Completed By: (i��/tI.l'JC/L Date: —O-'2617 <br /> Worksheet Checked By: Date: <br /> REVISED 1/7/2019 <br />