Laserfiche WebLink
477- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/24/2017 <br /> Permit#: B1708-035 <br /> PROJECT ADDRESS: 111 SE EVERETT MALL WAY <br /> DESCRIPTION OF WORK: OFFICES TO SALON TENANT IMPROVEMENT <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: NOBLE INVESTMENT ENTERPRISE LLC NAME: 2812 ARCHITECTURE <br /> ADDRESS: 10655 NE 4TH ST STE 901 ADDRESS: <br /> BELLEVUE,WA, 98004 , , <br /> PHONE: PHONE: 4252522153 <br /> EMAIL: EMAIL: DANIELLE@2812ARCHITECTURE.COM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? 0 YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <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: FIRE SERVICE: <br /> ❑YES—Amount$ 0 YES—Amount$ <br /> 0 Meter Only, 0 Complete Service, Size 0%" Detect Meter Only, 0 Fire Service Size <br /> 0 N CI 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-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> ❑YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> l YES—Amount$ a f o 1L1 rg **See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ 'See Attached Spreadsheet <br /> + N O <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES—TYPE 0 See Attached Letter <br /> ❑ NO <br /> PW Reviewer: - . Cz!=.42711"40 <br /> Date: <br /> //75/70 <br /> %/ /70 f <br /> REVISED 10/11/2016 <br />