3313 31ST DR 2018-04-11 - Laserfiche WebLink

OLTPUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/12/2016 Permit#: PW1609-023 PROJECT ADDRESS: 3313 31ST DR LOT 179 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?)YES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: C/ 034 oz-6 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) 0 YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) ft.NO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: FIRE SERVICE: ❑YES—Amount$ 4& ' N ❑YES—Amount$ Meter Only, 0 Complete Service, Size /4' 0 3/" Detect Meter Only, 0 Fire Service Size ❑ NO INNO 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? DYES—Amount$ New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? OYES—Amount$ 9L Z 0 See Attached Spreadsheet s. A(a ❑ NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? YES—Amount$ 3's"/ -' 0 See Attached Spreadsheet/ NO ,,i2 //it-ch awl X. ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) Jed'YES—TYPE 0 See Attached Letter ❑ NO fPLAP tit Pu.-0410 s Reviewer Signatu 411 Date REVISED 2/24/2016