Laserfiche WebLink
41677 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/14/2016 <br /> Permit#: C16011-050 <br /> PROJECT ADDRESS: 31135 31ST DR <br /> DESCRIPTION OF WORK: NEW TOWNHOME LOT NO BLDG 15 <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: EMAIL: <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#: 601803—o13 <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 /> *NO - + <br /> Explanation: AYR, COL, <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> EYES–Amount$ 500.°" // ❑YES–Amount$ <br /> lg Meter Only, 0 Complete Service, Size 3/yr/ 0 3/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO NI NO <br /> Explanation: Explanation: <br /> AlRPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> tJ 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 /> EYES–Amount$ 701 442 KNew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> EYES–Amount$ El See Attached Spreadsheet <br /> ❑ NO–No Change of Use/Other <br /> Explanation: I96O Ili 'kW/16C ci SEWS") <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES–Amount$ El See Attached Spreadsheet <br /> NO 4er 4, p M <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> 18[YES–TYPE 7V0./NH0il& ' 'See Attached Letter vacIScaft. pOle 'O JEffrE y Mks <br /> ❑ NO �.©11E a,Ufacl/Olj. 10 i� QErml'f--4110418131 <br /> / <br /> PW Reviewer: / / " / J Date: <br /> 4; ha 3 8 2818 <br /> REVISED 10/11/2016 <br />