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Oten. PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/14/2017 <br /> Permit#: PW1708- u <br /> £9 <br /> PROJECT ADDRESS: 450 / 31ST AVE SE L 01-76 <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:41 YES 0 NO W.O.#: <br /> Notes: Associated BIdgJPW'Permit#: /708---0/7 <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: 88 04 FIRE SERVICE: <br /> ❑YES–Amount$ 4tOQ— 0 YES–Amount$ <br /> Meter Only, 0 Complete Service, Size ❑3/"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? <br /> ES–Amount 400 <br /> $ 7Q New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? .23 S <br /> %YES–Amount$ /0 947 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 /> ANO Par d -�or Pt a t rea j <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> AYES–TYPE SPX" , See Attached Letter <br /> 0 N <br /> PW Reviewer: Date: )3 <br /> 9 .0 17 <br /> REVISED 10/11/2016 <br />