1602 BAKER AVE 2019-10-30 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# (9,04 '-o2S BUILDING . PLANNING Intake OK by: 411i3. Date: 4/1 1J(9 Intake 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 Bldg/TI/Q idn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 'R-2- Number ZNumber of Stories Overlay/Agreement Basement ❑No DYes, Fin/Unfin Nonresidential Use Type of Construction Residential Use dJ -tcketel s'ca 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 before Final? DYes 51,110 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? DYes 0 No El Everett School Dist DMukilteo S ool Dist Add.]RCW 64.55 docs required prior to final? DYes ❑No Additional Notes: j tiO /oo `O-t\ (Y\- €1(1‘t•ir-rAs VALUATION CALCULATION: Total$ 100 4oJ — 110 Approved By: it_ k ), Date: L{"i q-)q PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: OSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: '/I9//4 ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE';DEPARTMENT El Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm DOther: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 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 By: Date: �,,