3309 31ST DR 2018-04-11 - Laserfiche WebLink

477" PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/6/2016 Permit#: PW1609-008 PROJECT ADDRESS: 3309 31ST DR LOT 189 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? DYES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: C/404-d 24- FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ❑YES–Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) ]$'NO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: Or) FIRE SERVICE: A ❑YES–Amount$ �r 80— 0 YES Amount$ P1vleter Only, 0 Complete Service, Size 7t 0 3/" 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):0 SEWER FEE? )(YES–Amount$ 70®� KNew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? YES–Amount$ f�p 2 �t°- ❑ See Attached Spreadsheet �3 01 , ❑ NO–No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? p0 RYES–Amount$ - 0 See Attached Spreadsheet 0 N ar/'j(,kt eMGIL ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) PrYES–TYPE SFR ASee Attached Letter ❑ NO 8 -6 -1 Public Works Reviewer Signature Date REVISED 2/24/2016