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477PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/1/2017 <br /> Permit#: PW1708-047 <br /> PROJECT ADDRESS: . fh <br /> DESCRIPTION OF WORK: SITE WORK FOR A 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?.'YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#:e/71;26"— 6/4; <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 /> O <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: p 0 FIRE SERVICE: ' <br /> ❑YES—Amount$ 7 t' 0 YES—Amount$ <br /> ,Meter Only, 0 Complete Service, Size ❑'/<"Detect Meter Only, 0 Fire Service Size <br /> 0N 0N <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? �O <br /> ,BYES—Amount$ 7t� WNew Connection, ❑Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? Z7 <br /> 'YES—Amount$ /1j/997 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 /> pi(NO <br /> Pak' atE <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> , "YES—TYPE s'Fg *Bee Attached Letter <br /> 0N <br /> PW Reviewer: Date: <br /> r� <br /> 2-'23- 17 <br /> REVISED 10/11/2016 <br />