Laserfiche WebLink
• <br /> ,7L PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 9300 31ST AVE SE Permit#: PW1808-011 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: SINGLE FAMILY 25 LOT SUBDIVISION <br /> PW Reviewer to select all that apply below: 4►'[G-a- T SE.w ea— D N L Y <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br /> SANITARY SEWER: ,ALL. v;rt.,7Y ?Ea."4.rs DOMESTIC WATER SERVICE: (Not Including Cost Estimates) <br /> -New Connection sus.E•, vE��,eyEy,r �EE� 0 New Connection, Size <br /> El Alteration l Meter Only, Size <br /> ❑ Repair ro Et C g -r¢v/4vv•-. ,t-,E,s❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑ Cap-off i,,o ❑ NOT REQUIRED <br /> ❑ Reconnect Explanation/Utility Permit#: <br /> ❑ NOT REQUIRED <br /> Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Not Including Cost Estimates) <br /> 0 New Connection, Size 0 New Connection, Size <br /> ❑ Meter Only, Size 0 3/4"Detect Meter Only, Service Size <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> SNOT REQUIRED fZI-NOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) <br /> s-Yes, Quantity ( , See attached for reference. <br /> ❑ NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> IfiWater Service Line (behind meter), Size <br /> ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> ❑ NOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> ®YES,Water: $ 0 YES, $ <br /> Sewer: $ 0 See Attached Spreadsheet for calculations/credit <br /> ❑ See Attached Spreadsheet for calculations/credit ❑ 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 /> ❑YES—TYPE <br /> ❑ 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# <br /> 3 NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> L4NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> 13-YES, Permit#PW (So$•o I <br /> Ir7-Stormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: � � Date: 9/7 fs <br /> Worksheet Checked By: Date: <br /> REVISED 8/6/2018 <br />