Laserfiche WebLink
• <br /> • <br /> EVE R E TT PUBLIC WORKS REVIEW WORKSHEET <br /> MIMI WASHINGTON <br /> PROJECT ADDRESS: 406 PECKS DR Permit#: B2308-051 <br /> DESCRIPTION OF WORK: CONVERT EXISTING FINISHED POOLHOUSE INTO ADU <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: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) <br /> ❑ New Connection to main plus connections to building ❑ New Connection,Size - ❑Per Cost Estimate <br /> El Alteration ❑ Meter Only,Size -❑Per Cost Estimate <br /> ❑ Repair ❑ Water System Development Fee Total:$ <br /> ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ <br /> ❑ Reconnecti to stub 0 Water Servic Line(behind meter),Size <br /> El Backwat Valve ❑ Backflow evention(Outside Building):❑RPBA ❑ DCVA <br /> rgi NOT QUIRED J NOT QUIRED <br /> Ex nation/Utility Permit# E anation/Utility Permit# <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) <br /> 0 New Connection,Size ❑ New Connection,Size -❑Per Cost Estimate <br /> ❑ Meter Onl ize 0 %"Detect M r Only,Service Size <br /> ❑ Water S tem Development Fee Total:$ ❑ Backflo revention(Outside Building):❑DCDA <br /> Back w Prevention(Outside Building):❑DCVA NI NO QUIRED <br /> N REQUIRED planation/Utility Permit# <br /> g <br /> xplanation/Utility Permit# <br /> WATER DEPAR ENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Qu ity ,See attached for reference. <br /> fl NOT QUIRED <br /> Plum ing Per is(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow P ention(Inside Building): ❑DCVA(for Domestic service) ❑RPBA(for Domestic service) ❑ DCDA(for Fire service) <br /> oigi NOT EQUIRED <br /> Building Permits(Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGAT N FEES: <br /> 'a YES,❑See Attached for calculations/credit ❑YES,Traffic itigation Total:$ <br /> To be added on PW To be added on ❑S Attached for calculations/credit <br /> Quantity charg SF Quantity charged SF %NOT EQUIRED <br /> QTY is❑G and only❑all surfaces QTY is❑Roof only❑all surfaces <br /> $ $ <br /> NOT QUIRED <br /> 1ditional Checklists: <br /> ADDRESS LETTER REQUIRED? (If es(new assigned address),print out Address Letter fro TRAKiT Print Menu and include) <br /> YES—TYPE:❑SFR ❑DUPLEX ` ADU ❑INFILL DWELLING El MULTI-FAMILY ❑C MERCIAL <br /> See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan o copy to Jeffrey Marks) <br /> Digital copy attached to permit record,Permit# 132�DS'b <br /> 0 Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLE I RE UIRED? <br /> YES Ty <br /> NOT QUIRED ("..) <br /> Rea on: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ❑ YES,Permit#PW <br /> `�❑Stormwat NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑Inspections Added in TRAKiT <br /> [�4 NOT REQUI D <br /> Worksheet Completed By: J//,r, '1K/r►,L Ot,127 It�/ <br /> 1 ' <br /> Worksheet Reviewed ��� Date: OSAS(tii <br /> Y' <br />