4114 HOYT AVE 2019-09-23 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#JIQ.C)(— CCig BUILDING PLANNING Intake OK by: Date: ` 4‘` I 1 Intake OK by: Date: 1 Intake Comments. 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/Addn/Rem Size 4 p;. 0 Hold in Planning File Drawer Garage/Accessory Struct.Size -- Zone. (3'- 2 Number of Stories 2 Overlay/Agreement Basement 0No Oyes, Fin/Unfin Nonresidential Use c \24\I( cp;,pc c,, in\‘�.q Type of Construction V - A Residential Use \ �J Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing New System ❑Not Req'd Planning/Landscape Inspection Required bef Final? ❑Yes 0 N Reason Sprinklers Required: 1'4;ti.41- oa114 "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 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ 150 0045 Approved By:(----- c----) Date: 1 , VS. ZO`- PUBLIC WORKS / Intake OK by:. J& Date: //9/ZOl q Additional Notes: -,c7A Imo- q3 ,4 Intake Comments: PW Worksheet Needed if: AiMre Mo FIA) Sn I ❑Sys Dev Eval ❑Traffic Mit Eval ..mid W No""�GU"___ _ ❑Site Work or Drainage Proposed Approved By: yr Date: /2g( / /(^v' . � ,,,.h..- BkflwPreventionfohghhaard:( d ' / - 0 (,) m-iv •' (dental,medical,animals,mortuary,hospital, I / , Gifted/e supportive housing) FIRE DEPARTMENT ❑Ro'te 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) El 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 NotesJu(2Ap(/{i 1 (c( p/t. I/t ej 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: �' ,.3,; Date: j 1/S J fq Public Works has no scope---PW Not Required / Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved AF:4-- V9/20/01 Date: (2-72,.._