2930 49TH ST SW 2019-09-18 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# C.,I 6/007-09- 4. [f' BUILDING _ PLANNING Intake OK by: it' DateLL� 19 Intake OK by: Date: Intake Comme• Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer O Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addteemnze 1pi30 f 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone , R-S Number of Stories Z.— Overlay/Agreement Basement 1 No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction :ilg7 Residential Use F-1--2.- Occupancy Group e Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: -12-- Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes IdNo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: El Update Existing El 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 XNo DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes INo Additional Notes: ,_,.___---. itid Si Tr-( tri1 ret ve- VALUATION CALCULATION: Total$.3 / O Approved By....----_.._---.1V Date: I2,/ 21 i S PUBLIC WORKS Intake OK by: f.4 Date: 2. 14 /2.619 Additional Notes: Intake Comments: PW Worksheet Needed if: -,1(wp a.ems ecws-7 'P*s+4 s pec 44m_ i W[E. 0sz- 'R�a�e- J- ❑Sys Dev Eval ❑Traffic Mit Eval �o Sty` nRr�- ❑Site Work or Drainage Proposed Approved By: Date: RJo S`:S� • Fv_ F S ❑Backflow Prevention for high hazard: \6 'k�il( (dental,medical,animals,mortuary,hospital, oF 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) DRoute 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 ❑ 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: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: A Public Works has no scope---PW Not Required A••itional ELECTRICAL Z I4'19 Additional Notes:. Approved By: Date: Approved By: Date: