3307 31ST DR 2018-04-11 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/6/2016 Permit# PW1609-007 PROJECT ADDRESS: 3307 31ST DR LOT 188 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?A"YES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: 6/6 04--�oZ FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ❑YES-Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) A'NO Explanation: (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: A On FIRE SERVICE: ❑YES—Amount$ '7 0®— � 0 YES—Amount$ , Meter Only, 0 Complete Service, Size ¢ ❑3/4" Detect Meter Only, 0 Fire Service Size 0 N 0 N 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? pd %YES—Amount$ 70--" _ J `New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect 0 N Explanation: Existing Utility Permit#(if applicable): :_ SYSTEM DEVELOPMENT FEE I/6 %YES Amount$ 7Ye,Z£ ❑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? 00 J YES—Amount$ `- /— 0 See Attached Spreadsheet ❑ NO e / ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) IWYES—TYPE S FR See Attached Letter 0 N 8- 671 Public Works Reviewer Signature Date REVISED 2/24/2016