2009 FAIRFAX AVE 2022-02-04 - Laserfiche WebLink

r-I A. PUBLIC WORKS REVIEW.WORKSHEET PROJECT ADDRESS: 2009 FAIRFAX ST SE Permit #: B1812-010 TENANT: [TenName] DESCRIPTION OF WORK: ADDITION TO SFR, COVERED PORCH & REPL EXTG ROOF W/ TRUSSES 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: $- - - ❑.Cap7off, quantity ._ . -. _...... _ .❑ Sewer -System Development Fee Total:.$ ❑ Reconnection to stub ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑DCVA POT REQUIRED PNOT REQUIRED xplanation/ Utility Permit #: planation/ Utility Permit #: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate / Request for Reference) ❑ New Connection, Size ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter Only, Size ❑'/" Detect Meter Only, Service Size ❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA ❑ Backflow Prevention (Outside Building): ❑ DCVA K NOT REQUIRED O-NOT REQUIRED Explanation/ Utility Permit #: Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED-(/fyes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quantity See attached for reference. WNOT REQUIRED Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit) ❑ Water Service Line (behind meter), Size 9 Backflow Prevention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) NOT REQUIRED Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) TORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: YES, Stormwater Total: $ Q ❑ YES, Traffic Mitigation Total: $ See Attached Spreadsheet for calculations ❑ See Attached Spreadsheet for calculations/credit ❑ NOT PEQUIRED IA NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑ YES — TYPE: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL ❑ See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ❑.Digital copy attached to permit record, Permit # - ❑ Saved to Address Folder in Development Tech File kNOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES Type _NOT REQUIRED _ ason. PUBLIC WORKS PERMIT REQUIRED? ❑ YES, Permit # PW - - - - - - ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT Al REQUIRED - - Worksheet Completed By:Date: f & 1.'9 Worksheet Checked By: Date: 1 REVISED 1r//2019 I' 0,