Laserfiche WebLink
477 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/11/2017 <br /> Permit#: C1707-010 <br /> PROJECT ADDRESS: 2302 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 4 BLDG A <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: MVM DEVELOPMENT AND NAME: Peter Anderson <br /> CONSTRUCTION ADDRESS: 3918 SW Orchard St. <br /> ADDRESS: 19528 VENTURA BOULEVARD SEATTLE,WA,98136 <br /> Tarzana,CA, 91356 PHONE: 2069495828 <br /> PHONE: 8188226560 EMAIL: pga.imagodelineo@msn.com <br /> EMAIL: GMOALEM@GMAIL.COM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: Peter Anderson <br /> PHONE: 2069495828 <br /> EMAIL: pga.imagodelineo@msn.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: S`/C1UA-!6 008 <br /> PW Permit Required? YES 0 NO ` ., � W.O.#: 'e <br /> Notes: g' m,Q,/YL i 1 ) ?�G4471 Associated Bldg./PW Permit#: Pal 1�7 8 <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 /> NO <br /> EI <br /> Explanation: rti26-- SE CASE-/10 SQhYt k(�/ZQ <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE:e, FIRE SERVICE: <br /> P(YES–Amount$ '180. 2� ❑YES–Amount$ <br /> Meter Only, 0 Complete Service, Size *IS 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> 0 N ANO <br /> Explanation: Explanation: <br /> NO.RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> WIN 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? �1 <br /> EYES–Amount$ 7 v I,d 11;(New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> AYES–Amount$ s3-9C. est 0 See Attached Spreadsheet <br /> ❑ NO–No Change of Use/Other <br /> Explanation: i12.-- Ill (no M ) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> EYES–Amount$ W610 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print ut dress letter m TRAKiT Print Men and include) <br /> YES–TYPE 7B�G A/HOME a—See Attached Letter�l�x& at" `4 56P6f if <br /> 0 NO <br /> N384/1, 6 <br /> Awes <br /> PW Reviewer: )0.4,04 <br /> c/ iDate: lQv/ '�-REVISED 10/11/2016 <br />