4504 31ST AVE SE 2018-12-27 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/18/2017 Permit#: PW1708-014 PROJECT ADDRESS: 4504 31ST AVE SE L of ' . DESCRIPTION OF WORK: SITE WORK FOR A 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?,BYES ❑ NO_ W.O.#: Notes: Associated Bldg./PW Permit#: / 70 027 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) 0 YES—Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) A'NO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: O FIRE SERVICE: ❑YES—Amount$ 4&2 0 YES—Amount$ 'Meter Only, 0 Complete3 Service, Size 4 0 3/4"Detect Meter Only, 0 Fire Service Size ❑ NO 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-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? on 'YES—Amount$ 70 , New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? 2.35-3 AYES—Amount$ JO1 947 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$ O 0 See Attached Spreadsheet X NO Paid Rfeacy�- ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) BYES—TYPE S /1C gSee Attached Letter 0N PW Reviewer: /` Date: fr4 REVISED 10/11/2016