Laserfiche WebLink
04"7- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/12/2017 <br /> Permit#: C1707-022 <br /> PROJECT ADDRESS: 2126 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 15 BLDG E <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 DOther <br /> NAME: Peter Anderson <br /> PHONE: 2069495828 <br /> EMAIL: pga.imagodelineo@msn.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: sm lis <br /> PW Permit Required?El YES 0 NO W.O.#: N//l <br /> Notes: SfA._ truStm, SHS- IWO?* Associated Bldg./PW Permit#: PWr3Jq-Uta <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 /> lir NO <br /> Explanation: F e etoE--ito au <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? 1.0( tS <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> EYES—Amount$ ❑YES—Amount$ <br /> g[Meter Only, 0 Complete Service, Size 3 0 3/4'Detect Meter Only, 0 Fire Service Size <br /> ❑ NO Xf NO <br /> Explanation: Explanation: <br /> lV'el RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> N/113 Water Department Cost Estimate Needed-(if yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> Ei YES—Amount$ -qtN" BINew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(ifc�apli�li''cable): <br /> SYSTEM DEVELOPMENTtFEE? <br /> 'YES—Amount$ $}q 6 t9 ❑ See Attached Spreadsheet <br /> ❑ NO—No Change of Use/OthertSol% t. -t� 3$(Q(0 26% t 5qe <br /> Explanation: IS 09 $ (t c.KtI <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> YES—Amount$ aifOO 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print ou�ss L�TR(A�Print Menu and include <br /> DYES—TYPE TWA NrSee Attached Letter " � I �(t l c( <br /> • <br /> PW Reviewer � 'I;.ri/r a El NO <br /> // Date: <br /> REVISED 10/11/2016 <br />