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Ore' PUBLIC WORKS <br /> REVIEW WORKSHEET ilk <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/25/2016 <br /> Permit#: PW1607-043 <br /> PROJECT ADDRESS: 4404 29TH AVE SE LOT 131 <br /> DESCRIPTION OF WORK: SITE WORK AND TRAFFIC MITIGATION 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?,E(YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: G /607-02 Z <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 /> JEL`NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: n 0 FIRE SERVICE: <br /> ❑YES—Amount$ 4F�D 3/ ID YES—Amount$ <br /> Meter Only, 0 Complete Service, Size Q ❑3/4" Detect Meter Only, 0 Fire Service Size <br /> 0 N ANO <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? 00 <br /> YES—Amount$ 70 kNew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> 0 N <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? f 7. '2 <br /> OYES—Amount$ 7 96 Z. 0 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? Q <br /> %YES—Amount$ 7O0-� 0 See Attached Spreadsheet <br /> ❑ NO - m)/Ce gk ck 6. 14 /C <br /> ADDRESS LETTER REQIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> YES—TYPE $/ eSee Attached Letter <br /> ❑ NO <br /> kg T4s-iC <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />