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47. PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4620 31ST AVE SE Permit#: C1904-014 <br /> TENANT: OVERLOOK AT RIVERFRONT 4A. wj(tgaq-ok <br /> DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1810-001 <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 /> 1l New Connection to main plus 11 connections to building 0 New Connection, Si e - 0 Per Cost Estimate <br /> ❑Alteration t Meter Only, Size 3!'4 -0 Per Cost Estimate <br /> El Repair St Water System Development Fee Total: $ 5f157, <br /> ❑ Cap-off,quantity IELSewer System Development Fee Total: $$//ZL, <br /> El Reconnection to stub 0 Water Service Line (behind meter), Size <br /> ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> o 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 /> El Meter Only, Size 0 3/" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> Q Backflow Prevention (Outside Building): 0 DCVA SNOT REQUIRED <br /> KNOT 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 /> St NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> • Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> 181 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 /> 1 YES, Stormwater Total: $ 6ZZ•9 on C1904-OJ1 Ii YES,Traffic Mitigation Total: $ <br /> 0 See Attached Spreadsheet for calculations 0 See Attached Spreadsheet for calculation credit <br /> El NOT REQUIRED <br /> $(NOT REQUIRED rG_,AJil )111 <br /> ewe!211141 I �`s <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> RYES-TYPE: 1ffi SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> 1t See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> El Digital copy attached to permit record, Permit# Ajj)Ig01(-060 <br /> 8 Saved to Address Folder in Development Tech File <br /> ❑i NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> O YES-Type <br /> Ur NOT REQUIRED <br /> Reason: FIRE CODE, wrAfrt 350' ttr Fy <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> A YES, Permit#PW(90y'460 111 <br /> Stormwater NPDES Tab Completed in TRAKiT X61 ADA Tab Completed in TRAKiT V(Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED 0,5/.0-0// <br /> Worksheet Completed By: c-4Date: <br /> Worksheet Checked By: Date: <br /> REVISED 2/22/2019 <br />