2712 TAYLOR DR 2023-11-01 - Laserfiche WebLink

Ah E S E R E T T WAPUBLIC WORKS REVIEW WORKSHEET HINGTON PROJECT ADDRESS: 2712 TAYLOR DR Permit #: B2006-012 TENANT: [TenName] DESCRIPTION OF WORK: DESIGN AND CONSTRUCTION OF NEW SFR 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 d connections to building J,New Connection, Size eo %a - ❑ Per Cost Estimate Alteration ❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Repair t, water System Development Fee Total: $ 4.1 90. po ❑ Cap -off, quantity KSewer System Development Fee Total: $ 6 AZZ _&.D ❑ Reconnection to stub ❑ Water Service Line (behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA ❑ NOT REQUIRED �� ( ❑ NOT REQUIRED ,terl Explanation/ Utility Permit #: l Explanation/ Utility Permit #: L ?�U702C 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: $ ❑,3ackflow vention (Outside Building): ❑ DCDA ❑ BackflVPrention (Outside Building): ❑ DCVA OT QUIRED )&NOT RD Expl ation/ Utility Permit #: Explanati Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewerto send cost estimate request to Water Department) ❑ Yes, eEQUIRED tity See attached for reference. &NOT Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) ❑ Backflow P vention (Inside Building): ❑DCVA (for Domestic service) ❑RPBA (for Domestic service) ❑DCDA (for Fire service) P:NOT R UIRED Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM -DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: YES, See ched for calculations / c dit AYES, Traffic Mitigation Total: $ Z. 400.00 To be ad on PW ZOOtb—a 1't To be added on ❑ See Attached for calculations / credit Quantity charged `l SF Quantity charged SF ❑ NOT REQUIRED QTY is Ground only all hard surface QTY is ❑ Roof only ❑ all hard surfaces $ , o o $ ❑ NOT RE Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) DYES —TYPE: jdSFR ❑ 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 # —?W 106 (o - O 1-7 Saved to Address Folder in Development Tech File ❑ NOT IRE SPRINKLERS REQUIRED? DYES —Type I3 rJ ❑ NOT REQUIRED 7. Reason: PUBLIC YES, Permit # PW 200(e -01 7 %Stormwater NPDES Tab Completed in TRAKiT 014ADA Tab Completed in TRAKiT O,jnspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: ' Date: c91�2..5 �'LoZt Worksheet Checked By: Date: REVISED 1112712019