3315 31ST DR 2018-04-11 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/12/2016 Permit#: PW1609-024 PROJECT ADDRESS: 3315 31ST DR LOT180 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? 04 YES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: C/404- 12 24 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) 10 Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: FIRE SERVICE: ❑YES—Amount$ 4g0 ❑YES—Amount$ fit Meter Only, 0 Complete Service, Size SA/ 03/4" Detect Meter Only, 0 Fire Service Size ❑ NO I NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-Of yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? PFYES—Amount$ ' t I'New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect 0 N Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? DYES—Amount$ Q AL 0 See Attached Spreadsheet ❑ NO—No Change of Use/Other S.P. /J S r Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? DYES—Amount$ X Si %— 0 See Attached Spreadsheet ❑ NO �7 2'7y1°4. 4 ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) er:i(ES—TYPE , Q 0 See Attached Letter ❑ NO i ier Public Wo -ewer Signature t344.1°1Date REVISED 2/24/2016