Laserfiche WebLink
�* ''. , ... IV V - 11 <br />PUBLIC WORKS REVIEW WORKSHEET <br />PROJECT ADDRESS: 7220 LOWER RIDGE RD Permit #: C1812-001 <br />TENANT: [TenName] <br />DESCRIPTION OF WORK: CONVERT BASEMENT TO ADU <br />PW Reviewer to select all that av'01y 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 />❑ New Connection to main plus connections to building ❑ New Connection, Size - ❑ Per Cost Estimate <br />❑ Alteration ❑ Meter Only, Size - ❑ Per Cost Estimate <br />❑ Repair ❑ Water System Development Fee Total: $ <br />❑ Cap -off, quantity ❑ Sewer System Development Fee Total: $ <br />❑ Reconnection to stub ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA <br />Z`IdOT REQUIRED OT REQUIRED <br />Explanation/ Utility Permit #: Exp nation/ Utility Permit #: <br />IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate / Request for Reference) <br />❑ New Connection, Size ❑ New Connection, Size - ❑ Per Cost Estimate <br />❑ Meter Only, Size ❑ %" Detect Meter Only, Service Size <br />❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA <br />❑ Backflow Prevention (Outside Building): ❑ DCVA INOT REQUIRED <br />I&NOT 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 />,FLWT REQUIRED <br />Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit) <br />❑ Water Service Line (behind meter), Size <br />N❑ ackflow Prevention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) <br />OT 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 />❑ YES, Stormwater Total: $ ❑ YES, Traffic Mitigation Total: $ <br />❑ See Attached Spreadsheet for calculations ❑ See Attached Spreadsheet for calculations/credit <br />NOT REQUIRED NOT REQUIRED <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED? (If yes (now assigned address), printout Address Letter from TRAKiT Print Menu and include) <br />ES — TYPE: ❑ SFR ❑ DUPLEX )ELADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />J "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# G181Z- oo f <br />,(Sr -Saved to Address Folder in Development Tech File <br />❑ NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />❑ YES —Type <br />P-170T REQUIRED <br />Reason: <br />PUBLIC WORKS PERMIT REQUIRED? <br />❑ YES, Permit # PW <br />❑ Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT <br />ANOT REQUIRED <br />Worksheet Completed By: Date: 'A04 jZO! <br />UWorksheet Checked By: lJ `— Date: ( D <br />REVISED 11712019 <br />