Laserfiche WebLink
PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/18/2016 <br /> Permit#: PW1607-029 <br /> PROJECT ADDRESS: 4313 29TH DR SE LOT 104 <br /> DESCRIPTION OF WORK: SITE WORK AND TRAFFIC CONTROL FOR NEW SFR <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: CDCG 3 WLH LP NAME: POLYGON WLH LLC <br /> ADDRESS: CDCG ASSET MANAGEMENT LLC ADDRESS: 11624 SE 5TH ST SUITE 100 <br /> SCOTTSDALE,AZ, 85255 BELLEVUE,WA, 98005 <br /> PHONE: PHONE: 4255867700 <br /> EMAIL: EMAIL: jamie.aubrey@gmail.com <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: PANI ALAN <br /> PHONE: 4255867700 <br /> EMAIL: ALAN.PANI@POLYGONHOMES.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#: <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ATNO <br /> xplanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: 00 FIRE SERVICE: <br /> ❑YES—Amount$ 4$O 3 �� ❑YES—Amount$ <br /> yit Meter Only, 0 Complete Service, Size 4 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO NO <br /> Explanation: Explanation: <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 /> o <br /> %YES—Amount$_ 7©E-- )(New Connection, 0 Alteration/Repair, ❑ Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT Cao TM <br /> AYES—Amount$_ 796c 6c ❑ See Attached Spreadsheet • 1710 <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 /> Ar YES—Amount$ 900° 0 See Attached Spreadsheet <br /> ❑ NO po, wtike$rrck 6 -)4 -/ <br /> ADDRESS LETTER REQUIRED? (If yes(hey assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> , 'YES—TYPE S' FSee Attached Letter <br /> ❑ NO <br /> 514 7—(3—I <br /> Public Works Reviewer Signature Date <br /> REVISED 2124/2016 <br />