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• <br /> PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 1400 W MARINE VIEW DR Permit#: B1801-032 <br /> TENANT: WATERFRONT APARTMENTS <br /> DESCRIPTION OF WORK: WATERFRONT APARTMENTS-SOUTH BLDG <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: 4 CO n& ce-nneejtsr DOMESTIC WATER SERVICE: (Not Including Cost Estimates) <br /> �j New Connection�( • ] New Connection, Size <br /> ❑Alteration -F 410 seal( 1 oia^4 ❑ Meter Only, Size <br /> ❑ Repair 4 ❑ Backflow Prevention Outside Buildin ❑ RPBA or 0 DCVA <br /> ❑ Cap-off 1� ��� 3Y.ur � e COS.' )4NOT REQUIRED ( g) <br /> 10 siiE sews( #3 6mc pUtility Q,u �' 6 rs <br /> ❑ Reconnect Ex lanation/ Permit#: p Qp� FS;�f� �jl <br /> ❑ NOT REQUIRED 00 t ( n T <br /> Explanation/Utility Permit#: 90•^ t.�l` - o C �/ <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Not Including Cost Estimates) <br /> ❑ New Connection, Size 0 New Connection, Size <br /> MMeter Only, Size I I Ted'/4'Detect Meter Only, Service Size (, <br /> Backflow Prevention (Outside Building): XDCVA ❑ Backflow Prevention (Outside Building): ❑ DCDA <br /> ❑ NOT REQUIRED ❑ NOT REQUIRED <br /> Explanation/Utility Permit#: s.'<< — 0 ' Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) <br /> UrYes, Quantity , See attached for reference. <br /> ❑ NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> H <br /> Ig Water Service Line(behind meter), Size el <br /> XBackflow Prevention (Inside Building): Vf DCVA(for Domestic e) 0 RPBA(for Do estic service) 18f se DCDA(for Fire service) <br /> ❑ NOT REQUIRED `$� estic <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: „�_/ <br /> 'EL YES,Water:$ .�t __�`p�'�e�\G\ $YES, $ qq)�qZ.LE Ay 151� f�""T' Val <br /> Sewer:$ �°`� �,� See Attached Spreadsheet for calculations/credit <br /> ' See Attached Spreadsheet for calculations/credit 0 NOT REQUIRED <br /> ❑ 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 /> 1gYES—TYPE IMF �firn _t4s <br /> la 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#_ptt11$01-0116 and 0150/--03a <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> 1st YES—Type 13 <br /> ❑ NOT REQUIRED <br /> Reason: riI C ME <br /> PUBLIC WORKS PERMIT RE UIRED? <br /> EYES, Permit#PWiO <br /> lirStornnwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT inspections Added in TRAKiT <br /> ❑ NOT REQUIRED / <br /> Worksheet Completed By: ` Date: /0 <br /> Worksheet Checked By: F' Date: t" Z3 05 <br /> REVISED 8/6/2018 <br />