3405 BELL AVE 2019-09-04 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# elm)j gli ._mod = ILDING PLANNING Intake OK by, ,/'0 IP Date: 9 "L-k -I Intake OK by: Date: Intake Comments: c - E Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ :. to to Residential Building 0 Route to Historic Reviewer Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Add Al&Size 50 $74- 0 Hold in Planning File Drawer y� Garage/Pc----S t. Size 2-145- _SF Zone 2 - 1 Number of ones -2.. Overlay/Agreement On& Basement ❑No Ryes 46 Unfin Nonresidential Use Type of Construction I:E Residential Use — Occupancy Group g Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System ❑Not Req'd Planning/Landscape Inspection Required before Final? Ekes El/No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 7 No ❑Everett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes N.No Additional Notes: VALUATION CALCULATION: Total$ 4 273 Approved By ` _ f Date: 6;7 /14/iq PUBLIC WORKS Intake OK by: "l4 Date: `I/4/1% Additional Notes: Z U/$ `46, # �S Intake Comments: PW Worksheet Needed if: 1Z.E.4e-At...4le. IDE .e..11.. a.x ❑Sys Dev Eval ❑Traffic Mit Eval 4 Sr..dh Ve.L,cg. ❑Site Work or Drainage Proposed Approved By: . - Date: Nfrab6, ?rte• a c SF oc #.►E-• OBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, TAvENe...vs., supportive housing) FIRE DEPARTMENT 1.111Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice •ND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team Tfr2 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required(Permit#: PW ) Fire Alarm: DUpdate Existing ❑New System 0 Not Req'd AND ❑ Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: _ Approved By: Date: Approved By: Date: ii /2I/2.0 l (vi