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PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4526 31ST AVE SE Permit#: C1901-001 <br /> TENANT: OVERLOOK AT RIVERFRONT p&j q 01-oi I <br /> DESCRIPTION OF WORK: NEW SFR —Lof 3y <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 /> f New Connection to main plus I connections to building 0 New Connection, Si e -0 Per Cost Estimate <br /> ❑Alteration 1St Meter Only, Size Niin - 0 Per Cost Estimate <br /> ❑ Repair cstWater System Development Fee Total: $ <br /> ❑ Cap-off,quantity fErSewer System Development Fee Total:$6 12.1.°O <br /> ❑ Reconnection to stub ❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑ NOT REQUIRED 0 NOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate <br /> ❑ Meter Only, Size 0 34"Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total:$ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA 'gNOT REQUIRED <br /> laj NOT 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 /> tNOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> ''Water Service Line(behind meter), Size 3 N" <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 /> EYES, Stormwater Total:$ 6Z2.0- 0 YES,Traffic Mitigation Total: $ <br /> 0 See Attached Spreadsheet for calculations 0 See Attached Spre dsheet or calcul ons/credit <br /> ❑ NOT REQUIRED 'NOT REQUIRED _ th fiat PUJI5-0/p1/4 <br /> 220-1 (G394%Qty, 162stce. <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: >Eci SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> lEi See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ISt Digital copy attached to permit record, Permit# R0901-091 <br /> la Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> NOT REQUIRED <br /> Reason: FI COVE, LuraiNi 350 of Ftp <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ' YES, Permit#PW 1101—Oyu <br /> li(Stormwater NPDES Tab Completed in TRAKiT DADA Tab b Completed in TRAKiT ( Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED !,,,�/ /J <br /> Worksheet Completed By: mac Date: /—K6 00/7 <br /> Worksheet Checked By: Date: <br /> REVISED 1/7/2019 <br />