Laserfiche WebLink
01477PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/22/2018 <br /> Permit#: PW1802-033 <br /> PROJECT ADDRESS: 43Z( RIVERFRONT BLVD (LOT 1451 <br /> DESCRIPTION OF WORK: SITE WORK AND TRAFFIC MITIGATION FOR NEW SFR <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: POLYGON WLH LLC NAME: POLYGON WLH LLC <br /> ADDRESS: 11624 SE 5TH ST SUITE 100 ADDRESS: 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE,WA,98005 BELLEVUE,WA, 98005 <br /> PHONE: 4255867700 PHONE: 4255867700 <br /> EMAIL: jamie.aubrey@gmail.com 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#: C./g0q-606 <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$ 500 Ite- / ❑YES-Amount$ <br /> � <br /> Meter Only, 0 Complete Service, Size yi1 0 3/4"Detect Meter Only, 0 Fire Service Size <br /> 0 N ANO <br /> Explanation: Explanation: <br /> 4115 RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> WIkl 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? �,nU <br /> 1:4 YES-Amount$ / ,e B.New Connection, 0 Alteration/Repair, ❑Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> X YES-Amount$i_%6a q. °a 0 See Attached Spreadsheet <br /> ❑ NO-No Change of Use//Other L <br /> Explanation: /-7-73-8-r V sF -� £GQa Er if sewer -add ¢a bldg e mt) <br /> Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> •FFIC MITIGATIO ? <br /> Y -Amou 506-1, .. 0 See Attached Spreadsheet <br /> ❑ NO Lyon PCU frmHf <br /> A I%'ESS LET R REQUIRED? (If yes (new assigned a..re, ), rint out ddress Letter from TRAKiT Print Menu and include) <br /> =+ YES-TYPE sF' 'See Attached Let erX2 —Sca4l. et) -to Jflay ina* <br /> ❑ NO <br /> PW Reviewer: Date: /zzzeis, <br /> v <br /> REVISED 10/11/2016 <br />