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PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4605 31ST AVE SE Permit#: PW1901-044 <br /> TENANT: OVERLOOK AT RIVERFRONT 4, c(col—C°3 <br /> DESCRIPTION OF WORK: NEW SFR-Lot 44 <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 /> 'New Connection to main plus connections to building 0 New Connection, Si?e - 0 Per Cost Estimate <br /> ❑Alteration aMeter Only, Size 3/q" 0 Per Cost Estimate <br /> ❑ Repair g Water System Development Fee Total: $ 3 cict <br /> ❑ Cap-off, quantity a Sewer System Development Fee Total:$4/24.Ite <br /> o Reconnection to stub ❑ 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 3/4" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA 14'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 /> h NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> LI <br /> Water Service Line(behind meter), Size 3 <br /> I <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:$622.tt ❑YES,Traffic Mitigation Total: $ <br /> 0 See Attached Spreadsheet for calculations 0 See Attached Spreadsheet for ca ulations/credit <br /> ❑ NOT REQUIRED RI NOT REQUIRED-daily f,',".'n"l �1 P�(J��^OIIZ <br /> 2010 (636113F4.)13 / ')04) ^'�✓ <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE: 14 SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> El See Attached Letter,2 copies (Permit Techs to issue one coy to applicant with permits, scan one copy to Jeffrey Marks) <br /> IaDigital copy attached to permit record, Permit#pW190/r0y� <br /> KSaved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> 14 NOT REQUIRED <br /> Reason: FIDE coDE, wino& %o OFf9 <br /> PUBLIC WORKS PERMIT RE UIRED? <br /> EYES, Permit#PW 1901-010 <br /> Stormwater NPDES Tab Completed in TRAKiT tirADA Tab Completed in TRAKiT I 'Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: ,/` Date: H7-20/7 <br /> /A <br /> Worksheet Checked By: Date: <br /> REVISED 1/7/2019 _. _ <br />