6727 EVERGREEN WAY BIG LOTS 2019-09-05

Intake &Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# X9.0( — OZL\ LDING PLANNING Intake OK by•(i ! �� Date: ` -- Intake OK by: Date: Intake Commen . es;simoL. Intake Comments: Assign To: tvo ❑ 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 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 Dwelli'g Units: Occupancy Load Total No.of Dwellin• nits: Fire Sprinklers: ❑update Existing ❑New System ❑Not Req'd Planning/Lands =pe Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:T,pe: Amount$ Fire Alarm: El Update Existing ❑New System ❑Not Req'd School Impa' Fee: Total $ Reason Fire Alarm Required: Calculate.. Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Eve r-tt School Dist 'i ukilteo chool Dis Add'I RCW 64.55 docs required prior to final? ❑Yes 0N Add' onal Notes: VALUATION CALCULATION: Total $ \le Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: ��I Date: I (zi �� ❑Backflow Prevention for high hazard: ' (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 ❑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 ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes:CoL Vep 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved B Date: L�'Public Works has no cc.•e PW Not)equir-. pp Y� �ir'��e1 '02.2-->/� � �. Ad•itional Note = % i' riCVF ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: r 14)