4408 29TH AVE SE 2019-03-15 - Laserfiche WebLink

OLTPUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/30/2016 Permit#: PW1607-062 PROJECT ADDRESS: 4408 29TH AVE SE LOT 129 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 acPOLYGONHOMES.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required? YES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: C/607-030 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ❑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: ©Q FIRE SERVICE: ElYES—Amount$ 0©""^ ❑YES—Amount$ Meter Only, 0 Complete Service, Size 0%"Detect Meter Only, 0 Fire Service Size ❑ NO ,N-NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? 00 YES—Amount$ 7� ./ New Connection, ❑Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? z 45 ,'YES—Amount$ 7962— 0 See Attached Spreadsheet 171 ❑ 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$ 7D0�' 0 See Attached Spreadsheet 0 N Pei^ /14tkej fC' -/- ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) OYES—TYPE (5F/e.... ,I 'See Attached Letter ❑ NO 7-730-/ Public Works Reviewer Signature Date REVISED 2/24/2016