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PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4606 31ST AVE SE Permit#: PW1901-045 <br /> TENANT: OVERLOOK AT RIVERFRONT 'Lr iq0)_o1z <br /> DESCRIPTION OF WORK: NEW SFR-Lot 30 <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 /> ❑Alteration 2Meter Only, Size 3�y" -0 Per Cost Estimate <br /> ❑ Repair Ef Water System Development Fee Total: $ 3057% <br /> ❑ Cap-off, quantity 15'Sewer System Development Fee Total:$51114.2Z <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 3/4" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ 0 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 /> SNOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> 3 n <br /> 'Water Service Line(behind meter), Size /y <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 /> IB'YES, Stormwater Total: $ 62Z.9 ❑YES,Traffic Mitigation Total:$ <br /> 0 See Attached Spreadsheet for calculations ,�/Y ❑ See Attached Spreadsheet for calculations/credit <br /> � <br /> ❑ NOT REQUIRED )E(NOT REQUIRED..a rah -Rat u/ _oya <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: ISl'SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING ❑ MULTI-FAMILY 0 COMMERCIAL <br /> tikSee Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> tir Digital copy attached to permit record, Permit#Ptulid- q <br /> ($Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> KNOT REQUIRED 1 <br /> Reason: AgeetDE1 mai IQ 350 of iH <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> KYES, Permit#PW 190/-CMS <br /> tormwater NPDES Tab Completed in TRAKiT ADA Tab Completed in TRAKiT E'Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> / I <br /> Worksheet Completed By: j• / Date: ( /8'_ Zol di <br /> Worksheet Checked By: Date: <br /> REVISED 1,7/2019 <br />