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41/11 <br /> PUBLIC WORKS REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/14/2017 <br /> 5/z- '�l✓eri'ron4 BCVO✓. Permit#: PW1708. 067 <br /> PROJECT ADDRESS: amu "`E€ <br /> DESCRIPTION OF WORK: SITE WORK FORA NEW SFR 1.01-4 <br /> / <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: POLYGON WLH LLC NAME: PANT ALAN I 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 aIPOLYGONHOMES.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? YES 0 NO W.O.#: QQ <br /> Notes: Associated Bldg./PW Permit#:CI7D9 ®2(J <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 0 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: 00 FIRE SERVICE: <br /> 0 YES—Amount$ "TBS , ❑YES—Amount$ <br /> ,Meter Only, 0 Complete Service, Size 3 0 3/4"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO 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? p <br /> %YES—Amount$ 7D2"" KNew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> 0 N <br /> Explanation: <br /> • <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? 20/ <br /> XYES—Amount$ 14, 947 0 See Attached Spreadsheet <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? <br /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> „VIVO Pa rai Q r a LL a-F p(.0-1- <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> A('YES_TYPE S F Ie ,rSee Attached Letter <br /> 0 N <br /> PW Reviewer: Date: <br /> Kirk 9- 1 -17 <br /> REVISED 10/11/2016 <br />