Laserfiche WebLink
4677 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/20/2017 <br /> Permit#: PW1707- .03+ <br /> PROJECT ADDRESS: 1598 30TH DR SE L4,1- 27 <br /> DESCRIPTION OF WORK: SITE WORK FOR A NEW SFR <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: POLYGON WLH LLC NAME: PANI ALAN I POLYGON <br /> ADDRESS: 4695 MACARTHUR CT 8TH FLR ADDRESS: <br /> NEWPORT BEACH,CA,92660 <br /> PHONE: PHONE:• 4255867700 <br /> EMAIL: EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: PANI ALAN <br /> PHONE: 4255867700 <br /> EMAIL: ALAN.PANI@POLYGONHOMES.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?,YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#:t 1707-dp <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES-Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> IKNO <br /> Explanation: - <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> Od <br /> ❑YES-Amount$ 46' 3/ 0 YES-Amount$ <br /> Meter Only, 0 Complete Service, Size 0%"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO *NO <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> ❑Water Department Cost Estimate Needed-(/f yes,PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? 00 <br /> , YES-Amount$ 71 ' ,'New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> XYES-Amount$_ 607 FC, ❑See Attached Spreadsheet q 7 77 <br /> ❑NO-No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES-Amount$ 0 See Attached Spreadsheet <br /> ADDRESS LETTER REQUIRED? (If yet-Mew assigned address),print out Address Letter from TRAKiT Print Menu and include) <br /> %YES-TYPE S FR cirSee Attached Letter <br /> ❑ NO <br /> PW Reviewer:_ Date:. .. <br /> lc/Pt 7-20-/ 7 <br /> REVISED 10/11/2016 <br />