909 SE EVERETT MALL WAY IIZUNA CIDER 2019-09-05

Intake & Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# 11 0)....° BUILDING PLANNING Intake OK by: t</ Date: V\1Intake 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 ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bld ddn/Rem Size z a0 2 0 Hold in Planning File Drawer Garage/Accessory Struct. Size 4///0 Zone .. CI— t Z Number of Stories / Overlay/Agreement Basement !No ❑Yes , Fin/Unfin Nonresidential Use \tu0-10Y.CA/1/'-CAX Type of Construction 1/.43 Residential Use Occupancy Group 4 r-Z Proposed No.of Dwelling Units: Occupancy Load 27 Total No. of Dwelling Units: • Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: Erupdate 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 E.No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes wiNo Additional Notes: VALUATION CALCULATION: Total $ L2 O(( i Approved litorrvi, Date: ' 1f 1t t'i r PUBLIC WORKS Intake OK by: Date: V// ilit7/, Additional Notes: Intake Comments: PW Worksheet Needed if: ITSys Dev Eval ❑Traffic Mit Eval � ❑Site Work or Drainage Proposed Approved B� „ Date•, 13�0j/2e/�J / ❑Backflow Prevention for hi�hapard: \Y'...v dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT IRoute 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 ❑New System EA-Not Req'd 0 A Separate PW Permit is Required(Permit#: PW ) Fire Alarm: &pdate Existing El New System"I�Alot Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System Ctf Not Req'd ❑ 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: 4 6r Date: 3 ft,/19 4blic Works has no scope---PW Not Required Additional Not ELECTRICAL .3/2„5/20i? Additional Notes: Approved By: Date: Approved By: Date: e./....,0