4404 RIVERFRONT BLVD 2019-03-14 - Laserfiche WebLink

477- PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/23/2016 Permit#: PW1608-045 PROJECT ADDRESS: 4403 29TH DR SE LOT 17 DESCRIPTION OF WORK: SITE WORK AND TRAFFIC MITIGATION FOR 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: PANI ALAN PHONE: 4255867700 EMAIL: ALAN.PANI@POLYGONHOMES.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required?,YES 0 NO W.O.#: j/ Notes: Associated Bldg./PW Permit#: / Q9-045- FIRE SPRINKLER REQUIRED?(by Fire Department/Code) 0 YES—Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) POO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: ° FIRE SERVICE: ❑YE,S—Amount$ 48O 0 YES—Amount$ 'Meter Only, 0 Complete Service, Size 741-- 0 3/4"Detect Meter Only, 0 Fire Service Size ❑ NO 0 N 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? op (YES—Amount$ 70' )(New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect 0 N Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? ?/ 10-0 j�j YES—Amount$ 7962— 0 See Attached Spreadsheet !/ O 1 NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? Xf YES—Amount$ 654°° ❑ See Attached Spreadsheet ❑ NO ` Ric I/vlrKteYiC� �v�G�L died �A,,/DDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) X9 YES—TYPE SF 0 See Attached Letter ❑ NO 8- 23—/C Public Works Reviewer Signature Date REVISED 2/24/2016