4614 31ST AVE SE 2020-07-13 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 4614 31ST AVE SE Permit#: C1903-005 TENANT: OVERLOOK AT RIVERFRONT DESCRIPTION OF WORK: NEW SFR BASIC/2015 IRC 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.) MI New Connection to main plus ' connections to building 0 New Connection, Size -0 Per Cost Estimate ❑Alteration r$Meter Only, Size 3/4, -0 Per Cost Estimate ❑ Repair IR Water System Development Fee Total: $ 315 6° ❑ Cap-off, quantity rgSewer System Development Fee Total: . ❑ Reconnection to stub 0 Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention(Outside Building): 0 RPBA or 0 DCVA ❑ NOT REQUIRED ❑ 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 ❑3 "Detect Meter Only, Service Size ❑Water System Development Fee Total: $ ❑ Backflow Prevention(Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): 0 DCVA IlltNOT REQUIRED `KNOT REQUIRED Explanation!Utility Permit#: Explanation!Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-Of yes, PW Reviewer to send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. ' NOT 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) ❑ DCDA(for Fire service) K NOT 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,E 0 YES,Traffic Mitigation Total:$ 0 See Attached Spreadsheet for calculations 0 See Attached preadsheet for cal ulations/cred't ❑ NOT REQUIRED NOT REQUIRED 2268tilkb411 ( 640111 96 167)g S 1�P ,rm Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) ZYES—TYPE: IgSFR 0 DUPLEX ❑ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL 1(See Attached Letter, 2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) iffrpigital copy attached to permit record, Permit# n41703-054 gr Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type SNOT REQUIRED Reason: rx) �M WO` t'L\ PUBLIC WORKS PERMIT REQUIRED? *YES, Permit#PW 1903 Stormwater NPDES NPDES Tab Completed in TRAKiT eADA Tab Completed in TRAKiT 63/Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: a-6*k_ Date: 5b-i9/4/ Worksheet Checked By: Date: REVISED 2/22/2019