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gn. PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/13/2016 <br /> Permit#: PW1607-018 <br /> PROJECT ADDRESS: 4316 29TH DR SE LOT 115 <br /> DESCRIPTION OF WORK: SITE DEVELOPMENT 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?j4 YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C 1(007--012_ <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 /> J(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$ 46051 ❑YES—Amount$ <br /> %Meter Only, 0 Complete Service, Size ❑'/" 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 /> , YES—Amount$ 70 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? 777i 4t <br /> A YES—Amount$ "796 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? <br /> YES—Amount$ <br /> ?DO 4" 0 See Attached Spreadsheet <br /> CI NO P-.i Yvi,kebr,c,k (0 . 14 -14 <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> gt YES—TYPE S FR. 0 See Attached Letter <br /> ❑ NO <br /> 7 -/3 -It <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />