Laserfiche WebLink
477- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/27/2017 <br /> Permit#: PW1702-049 <br /> PROJECT ADDRESS: 4927 OCEAN AVE <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW SFR ON LOT 1 Z-0/ j <br /> CONTACT INFORMATION: ESS/002- &7/¢ -©p1- <br /> OWNER: APPLICANT: <br /> NAME: ADAIR ENTERPRISES LLC NAME: ADAIR ENTERPRISES LLC <br /> ADDRESS: 15922E SHORE DR ADDRESS: 15922E SHORE DR <br /> LYNNWOOD,WA, 98087 LYNNWOOD,WA, 98087 <br /> PHONE: PHONE: 4253456437 <br /> EMAIL: EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: LESSLEY MATT <br /> PHONE: 4253456437 <br /> EMAIL: adairenterprises1@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: < <br /> PW Permit Required? YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C' /702. — X? <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 0 YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> %NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: e7 /(60.,5' FIRE SERVICE: <br /> ❑YES—Amount$O ❑YES—Amount$ <br /> 0 Meter Only, 0 Complete Service, Size 0 3/4' Detect Meter Only, 0 Fire Service Size <br /> q ,E(NO <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> ❑Water Department Cost Estimate Needed-Of yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? n 60 t� <br /> ` <br /> X'YES—Amount$ �� ,'New Connection, 0 Alteration/Repair, ❑ Cap-off/Reconnect <br /> 0 N <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? bez,c,"Cf on 4OPI,re ..c2e <br /> ...tsTYES-Amount$ 0 See Attached Spreadsheet /a0 cred f `�f" <br /> ID NO—No Change of Use/Other / `TS r�vtettJ <br /> • Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? /7074- „fCBhe /7- 1-he <br /> ❑o YES <br /> NO —Amount$ 0 See Attached Spreadsheet IL 74A/7:5jet- p 2i <br /> /nay <br /> 174 ve beep, p.61 cv�syie,74Rd g oc <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Printl/lenu and include) <br /> YES—TYPE %.5”F/' kSee Attached Letter �r 7 <br /> ❑ NO „re �7 -/4--1 / <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />