5010 VIEW DR 2022-03-14 - Laserfiche WebLink

® E R E T T PUBLIC WORKS REVIEW WORKSHEET WAS HINGTDN PROJECT ADDRESS: 5010 VIEW DR Permit #: B2105-024 TENANT: LOWELL ELEMENTARY SCHOOL DESCRIPTION OF WORK: NEW 887SF PORTABLE P8 & LANDING 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: $ ❑ Cap -off, qu tity ❑Sewer Sy tem Development Fee Total: $ ❑ Reconnec ' n to stub ❑ Water rvice Line (behind meter), Size ❑ Backwa r Valve ❑ Back w Prevention (Outside Building): ❑ RPBA or ❑ DCVA W-4NOT QUIRED �-N REQUIRED Explain ion/ Utility Permit #: Ex nation/ 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 nly, Size ❑ %" Det t Meter Only, Service Size ❑ Wat System Development Fee Total: $ ❑ Back w Prevention (Outside Building): ❑ DCDA ❑ Ba flow Prevention (Outside Building): ❑ DCVA 1440 REQUIRED i,N T REQUIRED Ex nation/ Utility Permit #: E lanation/ Utility Permit #: WATER D ARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, rEQU ntity See attached for reference. OTIR P/u ng ermits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) ❑ Backfw revention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) IRR j1 NOT UIRED Building Permits (Nate: Permit echnician add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION EE d�-YES, f9See Attached for calculations /credit auk� ❑YES, TrafficMitig on Tot I: $ To be added on PWZraG - D 4'� To be a ded on ❑See Attache for calcu ations /credit Quantity charged 1041'1 SF Quantit charged SF ❑ NOT REQUI D QTY is ❑ Ground o ly 15-all hard surfaces QTY i ❑ Roof only ❑ all hard surfaces $ 288.8'� $ ❑ NOT REQUIRED Additional Checklists: A ESS-L-ETTER 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 ❑ ye 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 NOT 7QUIRED FIRE SPRINKLERS REQUIRED? ❑ YES -Type ❑ NOT REQUIRED Reason: PUBLIC WORKS P RMIT REQUIRED? 19-YES, Permit # Zto b -a41 �" 194Stor water NPDES Tab Completed in TRAKiT 6ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ❑ NOT REQ ED Worksheet Completed By: � Date: pG b_Worksheet Checked By: Date: Hk V15tU 11F21/2019