4307 RIVERFRONT BLVD 2018-12-26 - Laserfiche WebLink

es°"-- PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 6/15/2016 Permit#: PW1606-022 PROJECT ADDRESS: 4316 30TH DR SE LOT 147 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: 0 Owner 0 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 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: C A'06 -027 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) 0 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: DaFIRE SERVICE: ❑YES—Amount$ 450- 0 YES—Amount$ 1i"Meter Only, 0 Complete Service, Size 0 3/"Detect Meter Only, 0 Fire Service Size ❑ NO ❑ NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? �1r7 p"YES—Amount$ 7Q , New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? /6840 %YES-Amount$ 7? ,2_ 0 See Attached Spreadsheet ❑ 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$ 7 , 00 -_ 0 See Attached Spreadsheet ❑ NO kr,/Mk b'/'YGk 61¢-/4 ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) OYES—TYPE ;(See Attached Letter ❑ NO Public Works Reviewer Signature Date REVISED 2/24/2016