Laserfiche WebLink
PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4528 31ST AVE SE Permit#: PW1901-048 <br /> TENANT: OVERLOOK AT RIVERFRONT n l�p O'_�� <br /> DESCRIPTION OF WORK: NEW SFR-Lot 33 l� <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 /> El Alteration 1f Meter Only, Size 3jy° - 0 Per Cost Estimate <br /> ❑ Repair 18 Water System Development Fee Total: $33`15Y.° <br /> ❑ Cap-off, quantity 81 Sewer System Development Fee Total: $5)121.Q° <br /> ❑ Reconnection to stub 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑ NOT REQUIRED ❑ 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 -❑ Per Cost Estimate <br /> ❑ Meter Only, Size 0 3/"Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ _ 0 Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): ❑ DCVA KNOT REQUIRED <br /> • 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 /> gNOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> 'Water Service Line(behind meter), Size Oh" <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 /> 'YES, Stormwater Total: $ 622.gl ❑YES,Traffic Mitigation Total: $ <br /> 0 See Attached Spreadsheet for calculations ❑ See Attache Spreadshe t for calculations/credit <br /> ❑ NOT REQUIRED KNOT REQUIRED—Q r .�y IA 77 1 Pijros-oya. <br /> ZFIi ot(esti' col1S i1 (JbR ) JJ <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: Vi SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> 'R1 See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> lir Digital copy attached to permit record, Permit# PW1901—o $ <br /> 18(Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> g NOT REQUIRED <br /> Reason: FIRE CAS/ WITNIt' 350/ OF Fil <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> igYES, Permit#PW 1Q01-09S <br /> Stormwater NPDES Tab Completed in TRAKiT 18(ADA Tab Completed in TRAKiT K Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: \7 Z� � Date: 1-18-26161 1 <br /> Worksheet Checked By: Date: <br /> REVISED 1/7/2019 <br />