Laserfiche WebLink
PUBLIC WORKS <br />REVIEW WORKSHEET <br />(ATTACH 1 SITE PLAN FOR REVIEW) <br />PROJECT ADDRESS: <br />DESCRIPTION OF WORK: <br />3714 COLBY AVE <br />TOWNHOME UNIT C <br />CONTACT INFORMATION: <br />OWNER: <br />NAME: <br />CLM PROPERTY SOLUTIONS LLC <br />ADDRESS: <br />14751 N KELSEY ST UNIT 105 183 <br />MONROE, WA, 98272 <br />PHONE: <br />4063903676 <br />EMAIL: <br />cxm820@gmail.com <br />CONTACT: ❑ Owner ❑ Applicant ❑Other <br />NAME: CLETE MESSERLY <br />PHONE: 4063903676 <br />EMAIL: cxm820@gmail.com <br />COMMENTS FROM PUBLIC WORKS REVIEWER: <br />PW Permit Required? V YES ❑ NO <br />Notes: <br />Date: 2/5/2018 <br />Permit M C1802-003 <br />APPLICANT: <br />NAME: <br />CLM PROPERTY SOLUTIONS LLC <br />ADDRESS: <br />14751 N KELSEY ST UNIT 105183 <br />MONROE, WA, 98272 <br />PHONE: <br />4063903676 <br />EMAIL: <br />cxm820@gmail.com <br />LAND USE PROJECT <br />W.O. M <br />Associated Bldg./PW Permit m r w 1 g06— 0Z-7 <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 />Explanation: <br />(Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br />WATER FEES? <br />DOMESTIC SERVICE: E, j4M 4VV FIRE SERVICE: <br />YES — Amount $ I ❑ YES — Amount $ <br />❑ Meter Only, Complete Service, Size 3 ❑ 3/" Detect Meter Only, <br />❑ NO b( NO <br />Explanation: Explanation: <br />❑ Fire Service Size <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? qlJ j2S,IV <br />ITYES — Amount $_ ew Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br />❑ NO <br />Explanation: <br />Existing Utility Permit # (if applicable): <br />SYSTEM DEVELOPMENT FEE? <br />19 YES — Amount $ ©. ❑ See Attached Spreadsheet <br />❑ NO — No Change of Use / Other <br />Explanation: <br />ZsF sr--k <br />(Note: Public Works Reviewer to Add Traffic Mitigation to PW Permit (if applicable)) fi-r iy f <br />TRAFFIC MITIGATION FEE? (cvOrrA 4 .SFGt11?R) <br />XY— Amount $ t& ❑ See Attached S readsheet <br />❑ Na a�00 %q60 -WaG >� SbW c.� i7��11Ci-F - j9u"1°CSFs <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Addre,�sLgtte( from TRAKiT Print Men and include) <br />R YES — TYPE �OU M �Y1 G 19 See Attached Letterxa ,/ ofle we"AF,�l �pio PUS Q�/Lm —� �I�y <br />PW Reviewer: A D' j h <br />Date: <br />REVISED 1011112016 <br />