4405 30TH DR SE 2017-09-11 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 10/27/2016 Permit#: PW1611-022� PROJECT ADDRESS: 30TH DR SE LOT 4,0 02('0 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? 9 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) 19 NO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: p0 FIRE SERVICE: ❑YES—Amount$ �d 3 . ❑YES—Amount$ ,`Meter Only, ❑ Complete Service, Size ❑ %" Detect Meter Only, ❑ Fire Service Size ❑ NO 0 N 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-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? 00 L'9 YES—Amount$ 7� X New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? RYES—Amount$ 7 962- ❑ See Attached Spreadsheet 1 -7-77 ❑ NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? a� AYES—Amount$ ESQ- 0S 0 N eh'a"t a/,fc,cl 4-2?^16 ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) 0YES—TYPE . (See Attached Letter ❑ NO y PW Reviewer: Date: REVISED 10/11/2016