3321 31ST DR 2018-04-11 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/12/2016 Permit#: PW1609-028 PROJECT ADDRESS: 3321 31ST DR LOT 183 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? 0 YES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: C/604-- O30 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) IniNO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: o FIRE SERVICE: ❑YES—Amount$ 'r`/a.0 VC/ )� ❑YES—Amount$ Meter Only, ❑ Complete Service, Size 0 3/4" Detect Meter Only, 0 Fire Service Size ❑ NO NO Explanation: xplanation: ❑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? YES—Amount$ )(New Connection, 0 Alteration/Repair, ❑ Cap-off/Reconnect 0 N Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? 'YES—Amount$ '7-� f Z !n 0 See Attached Spreadsheet S / as/ ❑ 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 0 See Attached Spreadsheet _�/� ❑ NO !,' / elumb e4it g '• ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) ,J -YES—TYPE 0 See Attached Letter ❑ NO erAlb,No. Ale `-':1 %/1 /2p/4_ Publi r^"s Reviewer Signature f' te REVISED 2/24/2016