3405 BELL AVE 2019-09-04 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) -0,I 01- r.\ PERMIT# \.(.1-. 00 BUILDING PLANNING Intake OK by: c /Date: (0 l 1/(v Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer 18) Make this a"W" Permit •❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 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 Residential Use Occupancy Group 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? DYes ❑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? DYes 0 No ❑Everett School Dist DMukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes ❑No Additional Notes: VALUATION CALCULATION: Total$ I7 00 1' Ni• .....elimm„,„4.) i 0 L rn of,i 0 le 6 As- -ttieitrr Kt,002 Approved By: Date: IN p P'fF 7toN roil l-04,62006 PUBLIC WORKS C.Owc' T FE-.91)-- 70 Actilxv Nt4d,rvby: !M Intake OK Date: Additional Notes: 20 is- //26 Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: lo ❑Backflow Prevention for high hazard: /l� (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) OThis project also has a separate concurrent PW Review(Green Folder) El Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 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: ❑Update Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing 0 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: Public Works has no scope---PW Not Required d itionai Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: W—;--)