3329 31ST DR 2018-04-11 - Laserfiche WebLink

PUBLIC WORKS g' REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/13/2016 Permit#: PW1609-043 PROJECT ADDRESS: 3329 31ST DR LOT 175 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.#: / r� Notes: Associated Bldg./PW Permit#: 01C04 --o 311 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) O Explanation: PUS-.gam Qt* (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: FIRE SERVICE: RYES—Amount$ 4 �- Jo ❑YES—Amount$ 'Meter Only, 0 Complete Service, Size �/� 0 3/" Detect Meter Only, 0 Fire Service Size ❑ NO 111 NO 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? EYES—Amount$ .Q—° *New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? litYES—Amount$ Ca 0- 0 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? $YES—Amount$ SSI,, 0 See Attached Spreadsheet ❑ NO ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) If(YES—TYPE $r-.. I 'See Attached Letter ❑ NO dUtuk. q-(3-741/6" Public Works Reviewer Signature Date REVISED 2/24/2016