5117 SEAVIEW WAY 2019-09-19 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#� `VYK --03,D._- . " LDING 'g Y PLANNING Intake OK b �t� Date: C.�'3 -'l Z Intake OK by:: Date: Intake Commen s: Z- F cid 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 432 5,f: 0.1. jOQ. L 0 OK to Route to Other Departments Bldg/TILOrillize 3if0 Sif: .400/0 0 Hold in Planning File Drawer s.._.:- Garage/Accessory Struct. Size 26g Sf. Zone c(,— S Number of Stories •2 Overlay/Agreement Basement No (Yes ,, 7 Nonresidential Use Type of Construction ` Residential Use 5c- CZ- Occupancy Z Occupancy Group A/((A Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Gsh2 Fire Sprinklers: ❑Update Existing ONew System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes INo 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: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Il No ❑Everett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ bCfl L Approved By:C. --', Date: " f o' /2.,cAY PUBLIC WORKS Intake OK by:__ Date: !.../," Additional Notes: Zo/$ J/LL 0 GL/SOC—.. Intake Comments: /� PW Worksheet Needed if: Wit IV f i 4 ❑Sys Dev Eval ❑Traffic Mit Eval P�GsFd copwris, clyhtfiglyjgrsite Work or Drainage Proposed Approved By: Date: 1,0/3// 10►9 F tee s*be Backflow Prevention for high hazard: ( 1"11 S TG`' (dental,medical,animals,mortuary,hospital, A pun& ooyiJn ii ASI supportive housing) FIRE DEPARTMENT 51Route 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 OSending Fire Notes to Project Team agi This Permit is Approved by Public Works Date: (OK to Route to Other Departments) See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd A Separate PW Permit is Required (Permit#: PW 1811- 012 ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND 1:X 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved Date: if/07 /Zo,