Laserfiche WebLink
/y- PU IC WORKS REVIEW WORK EET <br /> PROJECT ADDRESS: 4800 DOGWOOD Permit#: B1803-040 <br /> TENANT: VIEW RIDGE COMM CHURCH <br /> DESCRIPTION OF WORK: ADD CLASSROOMS TO EXISTING CHURCH-VIEW RIDGE COMM CHURCH <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 /> ❑ New Connection to main plus connections to building 0 New Connection, Size - ❑ Per Cost Estimate <br /> ❑Alteration ❑ Meter Only, Size -❑ Per Cost Estimate <br /> ❑ Repair 0 Water System Development Fee Total:$ <br /> ❑ Cap-off, quantity 0 Sewer System Development Fee Total:$ <br /> ❑Reconnection to stub 0 Backflow Prevention (Outside Building): 0 RPBA or❑ DCVA <br /> es ter NOT REQUIRED e' 1ST NOT REQUIRED �I <br /> Explanation/Utility Permit#: c-/'fie- Ee I' =irrq Explanation/Utility Permit#: LIS- , C;) S*-+- .// <br /> c>) i..� fgtc7 - �, 4.9 0 <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size v 131 New Connection, Size let -14 Per Cost Estimate <br /> ❑ Meter Only, Size e /4" Detect Meter Only, Service Size -4" <br /> ❑Water System Development Fee Total: $ E'Backflow Prevention (Outside Building): Dr DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA 0 NOT REQUIRED <br /> VNOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) <br /> �'tI'Yes, Quantity / , See attached for reference. uf8/t-p 51 <br /> ❑ NOT REQUIRED cao ( ) ^.^ice 4- <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> ❑Water Service Line(behind meter), Size <br /> ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> KNOT 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: Ij1503 040 <br /> �10 YES, Stormwater Total: $ ,e46 I t iO3'a0 t : <br /> E <br /> l�'YES,Traffic Mitigation Total:$ 4i 'Z 86 --- <br /> I$'See Attached Spreadsheet for calculations I See Attached Spreadsheet for calculations/credit <br /> ❑ NOT REQUIRED 0 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: 0 SFR ❑ DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <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# <br /> ❑ Saved to Address Folder in Development Tech File <br /> NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> j8 YES-Type <br /> ❑ NOT REQUIRED <br /> Reason: Co0.tL <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ,7111 YES, Permit#PW ! j � <br /> Stormwater NPDES T ompleted in TR iT DADA Tab Completed in TRAKiT qInspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: Date: e2/ 22` f , <br /> Worksheet Checked By: Date: / IZZI Z01 9 <br /> REVISED 1/7/2019 <br />