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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 10/27/2016 <br /> Permit#: PW1611-021 <br /> PROJECT ADDRESS: lge)g30TH DR SE LOT ,3 7 UZ� <br /> DESCRIPTION OF WORK: SITE WORK AND TRAFFIC MITIGATION FOR NEW SFR <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: POLYGON WLH LLC NAME: PAN]ALAN/POLYGON <br /> ADDRESS: 4695 MACARTHUR CT 8TH FLR ADDRESS: <br /> NEWPORT BEACH, CA, 92660 <br /> PHONE: PHONE: 4255867700 <br /> EMAIL: EMAIL: <br /> CONTACT: ❑ Owner ❑ 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? 0 YES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <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 /> 19 NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE. r� p© FIRE SERVICE: <br /> ❑YES—Amount$ �1 d 3 ❑YES—Amount$ <br /> OMeter Only, ❑ Complete Service, Size �� ❑3/4" Detect Meter Only, ❑ Fire Service Size <br /> ❑ NO 14 NO <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at prem ise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit# (if applicable): <br /> SEWER FEE? p b <br /> 0 YES—Amount , New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit# (if applicable): <br /> SYSTEM DEVELOPMENT FEE? �-7 <br /> RYES—Amount$ l J0 El See Attached Spreadsheet 2d 2 2`f✓ <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? dd <br /> DYES—Amount$ Se ,1 <br /> ❑ NO eJ���L 0('-ped ¢-L9-/A <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) <br /> DYES—TYPE X See Attached Letter <br /> 0 NO <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />