Laserfiche WebLink
PUBLIC WORKS <br />REVIEW WORKSHEET <br />(ATTACH 1 SITE PLAN FOR REVIEW) <br />Date: 7/312017 <br />Permit #: PW1707-M& <br />PROJECT ADDRESS: 349p 31th Dr LOT //$ <br />046 <br />DESCRIPTION OF WORK: SITE WORK FOR NEW TOWNHOME <br />CONTACT INFORMATION: <br />OWNER: <br />APPLICANT: <br />NAME: POLYGON WLH LLC <br />NAME: <br />PNW Riverfront LLC <br />ADDRESS: 11624 SE 5TH ST <br />ADDRESS: <br />11624 SE 5th Street #200 <br />BELLEVUE, WA, 98005 <br />BELLEVUE, WA, 98005 <br />PHONE: <br />PHONE: <br />4255867700 <br />EMAIL: <br />EMAIL: <br />nicka@polygonhomes.com <br />CONTACT: ❑ Owner ❑ Applicant ❑Other <br />NAME: PANT ALAN <br />PHONE: 4255867700 <br />EMAIL: ALAN.PANI@POLYGONHOMES.COM <br />COMMENTS FROM PUBLIC WORKS REVIEWER: <br />LAND USE PROJECT #: <br />PW Permit Required?RYES ❑ NO <br />W.O. #: <br />Notes: <br />Associated Bldg./PW Permit #: e7 /60� <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 />ExpO <br />Explanation: <br />(Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br />WATER FEES? <br />DOMESTIC SERVICE: ��pp oa r FIRE SERVICE: <br />❑ YES — Amount $ `7'C�0'" ❑ YES — Amount $ <br />Meter Only, ❑ Complete Service, Size ❑ 3/" Detect Meter Only, ❑ Fire Service Size <br />❑ NO )WNO <br />Explanation: Explanation: <br />❑ RPBA Needed at premise? -(Plumbing permit for backtlow device needed due to High -Hazard Site per Tim Markham's review) <br />❑ Water Department Cost Estimate Needed-(Ifyes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br />Existing Utility Permit # (if applicable): <br />SEWER FEE? ©p <br />"YES — Amount $ 00 ^ ❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br />❑ NO <br />Explanation: <br />Existing Utility Permit # (if applicable): <br />SYSTEM DEVELOPMENT FEE? 1332— JP <br />JA"YES — Amount $ 8Z9k ❑ 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 $ ❑ See Attached Sp feadsheet <br />-k1'N Oyfyes <br />ADDRESS LETTER REQUIRED? (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />ArYES — TYPE cS . See Attached Letter <br />❑ NO <br />PW Reviewer: <br />0 <br />REVISED 10/1112016 <br />Date: <br />7 28 / 7 <br />