4328 30TH DR SE 2017-09-11 - Laserfiche WebLink

• PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 10/27/2016 Permit#: PW1611-923 PROJECT ADDRESS: 432 30TH DR SE LOTS 8 Oz� DESCRIPTION OF WORK: SITE WORK AND TRAFFIC MITIGATION FOR NEW SFR CONTACT INFORMATION: OWNER: APPLICANT: NAME: POLYGON WLH LLC NAME: PANI ALAN/POLYGON ADDRESS: 4695 MACARTHUR CT 8TH FLR ADDRESS: NEWPORT BEACH, CA, 92660 PHONE: PHONE: 4255867700 EMAIL: EMAIL: CONTACT: ❑ Owner ❑ Applicant ❑Other NAME: PANI ALAN PHONE: 4255867700 EMAIL: ALAN.PANI@POLYGONHOMES.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required? 0 YES ❑ NO W.O.#: Notes: Associated Bldg./PW Permit#: FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) %NO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE. r� p0 FIRE SERVICE: ❑YES—Amount$ [I .'r ❑ YES—Amount$ OMeter Only, ❑ Complete Service, Size �� ❑ 3/d' Detect Meter Only, ❑ Fire Service Size ❑ NO 0 NO Explanation: Explanation: ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) ❑Water Department Cost Estimate Needed-(Ifyes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? �,u J&YES—Amount$ 7U , New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? Z) "YES—Amount$ 9'710 ❑ See Attached Spreadsheet Zv2 Z ❑ NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? t7v 0YES—Amount ArS 0 N ehicaiL o(of d ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) BYES—TYPE S , (See Attached Letter f 0 NO PW Reviewer: Date: REVISED 10/11/2016