4504 RIVERFRONT BLVD 2018-07-25 - Laserfiche WebLink

41E7T PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/1/2017 Permit#: PW1708-©43 PROJECT ADDRESS: . �C�I - LOT' 18 DESCRIPTION OF WORK: SITE WORK FOR A NEW SFR CONTACT INFORMATION: OWNER: APPLICANT: NAME: POLYGON WLH LLC NAME: PANT ALAN/POLYGON ADDRESS: 4695 MACARTHUR CT 8TH FLR ADDRESS: NEWPORT BEACH, CA, 92660 PHONE: PHONE: 4255867700 EMAIL: EMAIL: CONTACT: 0 Owner 0 Applicant ❑Other NAME: PANT ALAN PHONE: 4255867700 EMAIL: ALAN.PANI@POLYGONHOMES.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required?, YES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#:C /708 cQ 4- FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ❑YES—Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: p 0 FIRE SERVICE: ❑YES—Amount$ 7 " 0 YES—Amount$ ,Meter Only, 0 Complete Service, Size ❑3/" Detect Meter Only, 0 Fire Service Size 0N CI 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-(lf yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? 00 AYES—Amount$ 70-` New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect ❑NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? ,YES—Amount$ ID 94 7 0 See Attached Spreadsheet 28 5 -116 ❑ NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑YES—Amount$ 0 See Attached Spreadsheet pi(NO P4)0/ eifredJ ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) AYES—TYPE s �l� l See Attached Letter ❑ NO PW Reviewer: Date: 2 23- /7 REVISED 10/11/2016