4612 31ST AVE SE 2020-07-13 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 4612 31ST AVE SE Permit#: C1904-009 TENANT: OVERLOOK AT RIVERFRONT `P' l u l j Q Ij_OSs DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1810-001 PW Reviewer to select all that apply below: Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation& Cost Est.) lit New Connection to main plus connections to building 0 New Connection, Si -0 Per Cost Estimate ❑Alteration *1 Meter Only, Size 3 'I -0 Per Cost Estimate ❑ Repair a Water System Development Fee Total: $ 3957.2 ❑ Cap-off,quantity IR Sewer System Development Fee Total: $ 51121•IN ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA ❑ NOT REQUIRED 0 NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate ❑ Meter Only, Size 0 3/" Detect Meter Only, Service Size ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA NOT REQUIRED KNOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: , WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. 'KNOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) ' KNOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: EYES, Stormwater Total:$ 622.0° ori G904.009 0 YES,Traffic Mitigation Total:$ 0 See Attached Spreadsheet for calculations 0 See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED 21�t� L, n��SS61�t , ��S P� gNOT REQUIRED _na,�,�,�., feat m Rows-0 4. Additional Checklists: `�`�""'^^'^� {�'� ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) OYES-TYPE: b4 SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL 1M See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) 151 Digital copy attached to permit record, Permit# n41(104-055 IM Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES-TypeNOT �1 Rhea onREm,RElNAE W�TM. 2J d Q%FI1 PUBLIC WORKS PERMIT REQUIRED? u of YES, Permit#PW 19p4-055 Stormwater NPDES Tab Completed in TRAKiT fil(ADA Tab Completed in TRAKiT KInspections Added in TRAKiT ❑ NOT REQUIRED 01�� N� 05120m Worksheet Completed By: &,,C/wr Wv �J / Date: Worksheet Checked By: Date: REVISED 2/22/2019