3011 35TH ST 2019-04-30 - Laserfiche WebLink

10Jzfr-77PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/21/2017 Permit#: PW1709. 0/2. PROJECT ADDRESS: 30f/ 35TH ST Zet 2 3 DESCRIPTION OF WORK: SITE WORK FOR NEW TOWNHOME CONTACT INFORMATION: OWNER: APPLICANT: NAME: POLYGON WLH LLC NAME: PNW Riverfront LLC ADDRESS: 11624 SE 5TH ST ADDRESS: 11624 SE 5th Street#200 BELLEVUE,WA,98005 BELLEVUE,WA,98005 PHONE: PHONE: 4255867700 EMAIL: EMAIL: nicka@polygonhomes.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?BYES 0 NO W.O.#: Notes: Associated BIdgJPW Permit#: C/601 -��T FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ❑YES—Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) X NO Explanation: (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: f FIRE SERVICE: ID YES—Amount$ A'0� �j ❑YES—Amount$ )(Neter Only, 0 Complete Service, Size 4 0%" Detect Meter Only, 0 Fire Service Size ❑ NO of NO Explanation: planation: ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? Q YES—Amount$ I *New Connection, 0 Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? �� j 1'ES—Amount$ 6'776 0 See Attached Spreadsheet ❑ NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑YES—Amount$ 0 See Attached Spreadsheet j'NO f biz !d erCF-e ADDRESS LETTER REQUIRED? (If yes (new as ed address), print out Address Letter from TRAKiT Print Menu and include) 1(YES—TYPE ...<1,F-ie flIfSee Attached Letter NO PW Reviewer: Date: REVISED 10/11/2016