5108 ALTA DR 2019-09-04 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# v /35-60-1 BUILDING PLANNING / Intake OK by: Date: 512_1/1 q Intake OK by: UWP Date:5/24 1 Intake Comments: Intake Comments: Assign To: I ❑ Route to Commercial Building 0 Attach to Project No. __ 'Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/ elY ize 4So 5 0 Hold in Planning File Drawer Garage/Accessory Struct. Size ' Zone Number of Stories ‘ Overlay/Agreement Basement No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 3 Residential Use 1444+i IcYli)/ ire Occupancy Group Q, Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Olo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Tota Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes `gl No ❑Everett Soho, list ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes EiNo Additional •tes: VALUATION CALCULATION: Total$ 31 i ct SO Approved By:/j/; Date: '�j/?e)//q1/��} PUBLIC WORKS Intake OK by: Date: --0-9/7-0"[7 Additional Notes: 2.0 tI S JfC sf Gc9,53(_% Intake Comments: PW Worksheet Needed if: IkJ flfE e y, `( Z 64/ K4 ❑Sys Dev Eval ❑Traffic Mit Eval 9 /i Mite Work or Drainage Proposed Itt( o 7iv. Approved By: Date: ��3p / ❑Backflow Prevention for high hazard: � �/ (dental,medical,animals,mortuary,hospital, W I Ai0 S rforsupportive housing) FIRE`DEPARTMENT' ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) OFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept.Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE �,,/ 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 4ublic Works has no scope---PW Not.Required Additional Notes: ELECTRICAL Additional Notes: _ Approved By: Date: Approved By:G/�8 ..- � Date: ' /zpl 7 r i