6223 KENWOOD DR 2022-02-17 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 6223 KENWOOD DR Permit #: C1809-005 TENANT: [TenName] DESCRIPTION OF WORK: NEW SFR DETACHED PW Reviewer to select all that apply below: Utility Permits ( te: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) SANITARY SEWER- DOMESTIC WATER SERVICE: (Not Including Cost Estimates) ❑ New Connection ❑ New Connection, Size OLAlteration 0'.0 0 ❑ `Meter Only, Size ❑ Repair ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA ❑ Cap -off P-NOT REQUIRED / ❑ Reconnect Explanation/ Utility Permit #: of sod 005 ❑ NOT REQUIRED o •'s r�►�-'—tea ps -t'a�T of Sawa-r i�A� Explanation/ Utility Permit #: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Not Including Cost Estimates) ❑ New Connection, Size ❑ New Connection, Size ❑ Meter Only, Size ❑ %" Detect Meter Only, Service Size ❑ Backflow Prevention (Outside Building): ❑ DCVA ❑ Backflow Prevention (Outside Building): ❑ DCDA ;.NOT REQUIRED 0440T REQUIRED Explanation/ Utility Permit #: Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quantity See attached for referen e. POT REQUIRED Plumbing Permits (Note: Permit Tech icians to ea* ems selected below to Plumbing Permit) jg�Water Service Line (behind meter), Size3 `❑ Backflow Prevention (Inside Building): ❑DCVA (forDc service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) ❑ NOT REQUIRED Building Permits (Note: Permit Technicians to add all ite s selected below to associated Building PForcalculations/credi SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: DYES, Water: $ 3 SCa Ci, oa No ea-k.�► 9YES, $ .� o, oo Sewer: $ J`, 7 to3 . oo 153 0s� ❑See Attached Spreads ❑ See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) YES — TYPE 5F� I CuP Y A'r-r'A .14 4_10 %� "P" 'PF_VJ-4-A %r 4 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 # C 180 9- pas i f'it I j . -pat ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type KNOT REQUIRED Reason: V44'T++s.4 3.So' m-rD%LPo-r PUBLIC WORKS PERMIT REQUIRED? YES, Permit # PW 0$ IZ- a3l P(Stormwater NPDES Tab Completed in TRAKiT ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: d Date: y 2 13 IZo I S Worksheet Checked By: Date: REVISED 8/6/2018