616 PECKS DR 2022-02-28 - Laserfiche WebLink

E R E T T PUBLIC WORKS REVIEW WORKSHEET WAS HINGTON PROJECT ADDRESS: 616 PECKS DR Permit #: B2105-023 TENANT: MADISON ELEMENTARY SCHOOL DESCRIPTION OF WORK: NEW 887SF PORTABLE P1, LANDING, AND RAMP TO BE INSTALLED 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.) ❑ New Connection to main plus connections to building ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Alteration ❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Repair ❑ Water System Development Fee Total: $ ❑ Gap- ff, quantity ❑ Sewer System Development Fee Total: $ ❑ Rec nnection to stub ❑ Wqter Service Line (behind meter), Size ❑ Ba water Valve ❑ B ckflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA f!.Pl T REQUIRED OT REQUIRED Exp nation/ Utility Permit #: E planation/ Utility Permit #: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate /Request for Reference) ❑ New Connection, Size ❑ New Co ection, Size - ❑ Per Cost Estimate ❑ Meter Only, Size ❑ 3/4" De Ct Meter Only, Service Size ❑ Water System Development Fee Total: $ ❑ Ba low Prevention (Outside Building): ❑ DCDA ❑ Backflow P vention (Outside Building): ❑ DCVA T REQUIRED OLWOT RE IRED planation/ Utility Permit #: / Explanatio Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Qua tity See attached for reference. At�OT R UIRED Plum %ng P rm%tS (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) ❑ Backflow P evention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) VNOT RE IRED 1 ding Permits (Note: Pe nicians to add all items selected below to associated Building Permi TORMWATER SYSTEM DEVELOPMENT EES: See Attached for calculations / cre t TRAFFIC MITIG ION FEES: 2�,( 'coBLYES, ❑ YES, Traffic itigation Total: $J`q� To be❑ added on PW 2 I G V - ® 4 V o be added on ❑ See A ched for calculations / credit Quantity charged i.22 + SF uantity charged SF ❑ NOT RE UIRED QTY is ❑ Ground only+ -all hard surfaces TY is ❑ Roof only ❑ all hard surfaces $ 322.Z� NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) OYES —TYPE: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL ❑ S e Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ❑ igital copy attached to permit record, Permit # Saved to Address Folder in Development Tech File SNOT EQUIRED FIRE SPRI I'kLERS REQUIRED? ❑ YES —T pe I� NOT EQUIRED Reaso PUBLIC WORKS ERMIT REQUIRED? X:�,ES, Permit PW Z to Co - o 4V rmwater NPDES Tab Completed in TRAKiTA Tab Completed in TRAKiT ❑Inspections Added in TRAKiT ❑ NOT RE IRED Worksheet Completed By� Date: C>Cc IIS.l z� Worksheet Checked By: Date: REVISED 1112712019