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PUBLIC WORKS <br /> REVIEW WORKSHEET aVer,Zoebe PAC <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/14/2017 <br /> Permit#: PW7704-02 Z. <br /> PROJECT ADDRESS: 4427 29TH Ave SE LOT 24 <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? pit YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C / 703 -03 3 <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 /> XINO <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�yr ❑YES—Amount$ <br /> XMeter Only, 0 Complete Service, Size /q- 0 3/"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO ,1(NO <br /> Explanation. Explanation: <br /> ❑ 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? <br /> 4,0 <br /> ❑YES—Amount$ iO-- ,(New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> 0 NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ,'YES—Amount$_ /Q 977 0 See Attached Spreadsheet L.q r`-e , uSe <br /> ❑ NO—No Change of Use 7 Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? ®p <br /> ❑YES—Amount$ S'4- 0 See Attached Spreadsheet <br /> ❑ NO 121" int'he fer;Z da- 1-2Y-/,‘ <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> J 'S'ES—TYPE ,3-4--=--re , 'See Attached Letter <br /> 0 N <br /> f—/7—/ <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />