4306 RIVERFRONT BLVD 2018-02-21 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/19/2016 Permit#: PW1607-034 PROJECT ADDRESS: 4317 29TH DR SE LOT 106 DESCRIPTION OF WORK: SITE WORK AND TRAFFIC CONTROL FOR NEW SFR CONTACT INFORMATION: OWNER: APPLICANT: NAME: CDCG 3 WLH LP NAME: POLYGON WLH LLC ADDRESS: CDCG ASSET MANAGEMENT LLC ADDRESS: 11624 SE 5TH ST SUITE 100 SCOTTSDALE,AZ, 85255 BELLEVUE,WA, 98005 PHONE: PHONE: 4255867700 EMAIL: EMAIL: jamie.aubrey@gmail.com CONTACT: ❑ Owner ❑ Applicant ❑Other NAME: PANI ALAN PHONE: 4255867700 EMAIL: ALAN.PANI@POLYGONHOMES.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT M PW Permit Required?)Q YES ❑ NO W.O.#: Notes: Associated Bldg./PW Permit#: FIRE SPRINKLER REQUIRED? (by Fire Department/Code) ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) XN O Explanation: (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: p& FIRE SERVICE: ❑ YES—Amount$ 480 r 31 ❑YES—Amount$ XMeter Only, ❑ Complete Service, Size Z4 ❑ 3/4" Detect Meter Only, ❑ Fire Service Size ❑ NO 0N Explanation: Explanation: ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? aD , YES—Amount$ 70 ❑ New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? �� ,DYES—Amount$ 796 2 El See Attached Spreadsheet ❑ NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? Q pv DYES—Amount$ 700 ❑ See Attached Spreadsheet ❑ NO Iyer- M;'ke t?r Ick (P ' 14 -( 6 ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) YES—TYPE s F WSee Attached Letter ❑ NO vB Q Public Works Reviewer Signature Date REVISED 2/24/2016