6301 ELLIOTT WAY 2019-09-04 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 1RC03 -Olq BUILDING PLANNING Intake OK by: "I' Date: 5/Ili IR Intake OK by: 14-14. Date: '-b--1)-1,'I Intake Comment, Intake Comments: Assign To: V--• Pe-adi i-arnl) Cdn i>>n- ve, c ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 'Z— 2— Number Number of Stories Z.. Overlay/Agreement Basement E,No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction VResidential Use ,4AJ1A' 'amA _ Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: 1 Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes PrNo 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: redit: RCW 64.55 MF worksheet req'd for permit? ❑Yes egNo ❑Everett School Dista ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yeslo Additional Notes: AZpi as 0r�,p VALUATION CALCULATION: Total $ 87 ��-t1 Approved By: 7X,/..-114‘,./ Date: �j_ZS-ti PUBLIC WORKS Intake OK by 8 1•4 Date: S/f it i i g Additional Notes: 20 / Ws6L Intake Comments: PW Worksheet Needed if: �Lfz.n.�►Coo . 49 'Po.Ni EbAE+t-r ❑Sys Dev Eval ❑Traffic Mit Eval IF cg-0 6A iF-tr.e,...r geerabgCK. !kite Work or Drainage Proposed Approved By: v/, Date•?/5//9 — eo'"'E¢-r,.. 6,1 Sc- ' ❑Backflow Prevention for high hazard: Tp Apu`T .44,�.`� (dental,medical,animals,mortuary,hospital, 1 ieb�44. supportive housing) FIRE DEPARTMENT rtj 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: !AIL his Permit is Approved by Public Works ■ 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) O Review/Inspection Scope-ADD FIRE FEE 0 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: 5 Approved By: Date: Approve. -E >;0/-11-�e� Date: 3� Oi •' - Z'„