4320 29TH DR SE 2019-03-15 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/25/2016 Permit#: PW1607-046 PROJECT ADDRESS: 4320 29TH DR SE LOT 113 DESCRIPTION OF WORK: SITE WORK AND TRAFFIC MITIGATION FOR NEW SFR CONTACT INFORMATION: OWNER: APPLICANT: NAME: CDCG 3 WLH LP NAME: POLYGON WLH LLC ADDRESS: CDCG ASSET MANAGEMENT LLC ADDRESS: 11624 SE 5TH ST SUITE 100 SCOTTSDALE,AZ,85255 BELLEVUE,WA,98005 PHONE: PHONE: 4255867700 EMAIL: EMAIL: jamie.aubrey@gmail.com CONTACT: 0 Owner 0 Applicant ❑Other NAME: PANI ALAN PHONE: 4255867700 EMAIL: ALAN.PANI@POLYGONHOMES.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required?10 YES 0 NO W.O.#: -7 Notes: Associated Bldg./PW Permit#: C /4,07-0/7 -0/7 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) 1111\10 Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: o 0 FIRE SERVICE: ❑YES—Amount$ 1 O 3� 0 YES—Amount$ Meter Only, 0 Complete Service, Size /4- ❑s/" Detect Meter Only, 0 Fire Service Size ❑ NO ))4.NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? ©0 %YES—Amount$ 70 )(New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? !) RYES—Amount$ 7%2_ 0 See Attached Spreadsheet ��BT ❑ NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? 34 YES—Amount$ 70D DO ❑ See Attached Spreadsheet ❑ NO ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) ,'YES—TYPE SIF-2 0 See Attached Letter ❑ NO Q 2J /-7 -ZS/-(, Public Works Reviewer Signature Date REVISED 2124/2016