6517 ELLIOTT WAY 2019-09-04 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# '/8"°41101 BUILDING PLANNING Intake OK by: Date: ot/5A 8 Intake OK by: Date: 61--c;-)`‘ Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. g Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 12 37 SW 0 Hold in Planning File Drawer Garage/Accessory Struct.Size /y/,Q Zone PN-- Number of Stories / Overlay/Agreement BasementNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 7' Residential Use 8.6-04.1,J Occupancy Group Proposed No. of Dwelling Units: Occupancy Load / Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System ElNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ONo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: El 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 PI No DEverett School Dist ❑Mukilte chool Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes ONo Additional Notes: VALUATION CALCULATION: Total$ So 0:0 Approved By: iA6 Date: 61.6---)55 PUBLIC WORKS Intake OK by711Z-IPS Date: 915 fi Additional Notes: 2Oj S /2C toSe;" ' Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval SIC INN SC o#. Mite Work or Drainage Proposed �L 441"0-44.oti woL 4. ❑Backflow Prevention for high hazard: Approved By: . Date: 9/61/g (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) ❑This project also has a separate concurrent PW Review(Green Folder) ❑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 ONew System 0 Not Req'd 0 A Separate PW Permit is Required(Permit#: PW Fire Alarm: ❑Update Existing ONew System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ONew System ❑ 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: