3343 31ST DR 2018-04-12 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/13/2016 Permit#: PW1609-039 PROJECT ADDRESS: 3343 31ST DR LOT 171 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: ❑ Owner ❑ 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 /603 "do g FIRE SPRINKLER REQUIRED?(by Fire Department/Code) 0 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: 00 FIRE SERVICE: El YES—Amount$ 48 (i 0 YES—Amount$ ,'Meter Only, 0 Complete Service, Size 4 ❑%"Detect Meter Only, 0 Fire Service Size 0 N %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): SEWER FEE? �7 YES—Amount$ /GS JrNew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect 0 N Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? /38 Q J'�YES—Amount$ 796,7- 0 See Attached Spreadsheet J U ❑ NO-No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? A`YES—Amount$ -3 G7 0 See Attached Spreadsheet ❑ NO Per h4)KeP;ci° etyma G ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) %YES—TYPE SF-ie- gSee Attached Letter ❑ NO 110 / /3 /� Public Works Reviewer Signature Date REVISED 2/24/2016