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0477 PUBLIC WORKS <br /> REVIEW WORKSHEET O/ , /X7/ A5 <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/14/2017 <br /> Permit#: PW1704-024 <br /> PROJECT ADDRESS: 4416 29TH AVE SE LOT 11 <br /> DESCRIPTION OF WORK: SITE WORK AND TRAFFIC MITIGATION FOR NEW SFR <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: POLYGON WLH LLC NAME: PANI ALAN/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? g YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: t / 70 3 O2$ <br /> FIRE SPRINKLER REQUIRED?(bv Fire Department/Code) <br /> ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <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 /> ❑YES—Amount$ 180 3`/r ❑YES—Amount$ <br /> Meter Only, ❑Complete Service, Size /� ❑%"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO NO <br /> Explanation: Explanation: <br /> 0 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? 600 <br /> ❑YES—Amount$ io ,New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ,'YES-Amount$ /O '747 ❑See Attached Spreadsheet L 4l 5e HU use <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? ©p <br /> ❑YES—Amount$ 8S¢-l" �❑See Attached Spreadsheet / f <br /> ❑NO I< T2.N f 1l6 p/67--/c4- �/Q;L: c SFS 7 "2 7-/,‘ <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> tirS'ES—TYPE ��/ , See Attached Letter <br /> CI NO f--/7-/ � <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />