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