Laserfiche WebLink
g77 PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 3018 46TH PL SE Permit#: PW1812=022 <br /> TENANT: OVERLOOK AT RIVERFRONT C IS10-006 <br /> DESCRIPTION OF WORK: NEW SFR La 36 <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: (Not Including Cost Estimates) <br /> X New Connection 0 New Connection, Siz <br /> ❑Alteration j�,Meter Only, Size 3Jq" <br /> ❑ Repair 0 Backflow Prevention(Outside Building): 0 RPBA or 0 DCVA <br /> ❑ Cap-off 0 NOT REQUIRED <br /> ❑ Reconnect Explanation/Utility Permit#: Q I l 0t1 <br /> ❑ NOT REQUIRED <br /> Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Not Including Cost Estimates) <br /> ❑ New Connection, Size 0 New Connection, Size <br /> ❑ Meter Only, Size 0 3/4" Detect Meter Only, Service Size <br /> ❑ Backflow Prevention(Outside Building): 0 DCVA ❑ Backflow Prevention(Outside Building): 0 DCDA <br /> KNOT REQUIRED /KNOT REQUIRED <br /> Explanation/Utility Permit#: 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 /> tit NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> rr <br /> if Water Service Line(behind meter), Size 3 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 /> SYSTEM DEVELOPMENT FEES: po o� TRAFFIC MITIGATION FEES: <br /> EYES,Water: $ 51•-X2 s S ❑YES, $ <br /> Sewer: $ '{M' G12.1.6/ 0 See Attached Spreadsheet for calculatio s/credit <br /> 0 See Attached Spreadsheet for calculations/credit ''NOT REQUIRED c( paid <br /> in <br /> 1u.1/l <br /> ❑ NOT REQUIRED <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 SFI�. <br /> 'See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ® Digital copy attached to permit record, Permit# Ph//$l-o2-2 <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> NOT REQUIRED <br /> Reason: FIRE CODE On 350 C F1. <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ti(YES, Permit#PW/3/2-O22 <br /> I5rStormwater NPDES Tab Completed in TRAKiT Mr ADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: ,C71 !U'v'► I Date: �0��°�/���g <br /> Worksheet Checked By: Date: <br /> REVISED 8/6/2018 <br />