3303 31ST DR 2018-04-11 - Laserfiche WebLink

grrPUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/6/2016 Permit#: PW1609-005 PROJECT ADDRESS: 3303 31ST DR LOT 186 DESCRIPTION OF WORK: NEW TOWNHOME/TRAFFIC MITIGATION CONTACT INFORMATION: OWNER: APPLICANT: NAME: POLYGON WLH LLC NAME: PNW Riverfront LLC ADDRESS: 11624 SE 5TH ST ADDRESS: 11624 SE 5th Street#200 BELLEVUE,WA, 98005 BELLEVUE,WA, 98005 PHONE: PHONE: 4255867700 EMAIL: EMAIL: nicka@polygonhomes.com CONTACT: 0 Owner 0 Applicant ❑Other NAME: PANI ALAN PHONE: 4255867700 EMAIL: ALAN.PANI@POLYGONHOMES.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required?BYES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: C )t 04—02- FIRE SPRINKLER REQUIRED?(by Fire Department/Code) O YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) %NO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: A D 0 FIRE SERVICE: ❑YES—Amount$ f8a — 0 YES—Amount$ . Meter Only, 0 Complete Service, Size ¢ 0%" Detect Meter Only, 0 Fire Service Size ❑ NO ❑ NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? b 0 .�f'YES—Amount$ 70-" ,New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE?00 BYES—Amount$ 7 0 See Attached Spreadsheet 138 ❑ NO—No Change of Use/Other Explanation: (Note:Public Works RevieweP to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? 00 RYES—Amount$ 351 0 See Attached Spreadsheet 0 N p ke. a e rma',L ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) KYES—TYPE S %See Attached Letter ❑ NO kR 8-6 -1 � Public Works Reviewer Signature Date REVISED 2/24/2016