2015 LAKE HEIGHTS DR 2019-11-06 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) I PERMIT# a'('S I +0(—7 BUILDING PLANNING Intake OK by: (-- Date: 14 (0 Intake OK by: Date: Intake Comment . 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/Tl/Addn/Rem Size S Co 44--x 0 Hold in Planning File Drawer Garage/Accessory Struct.Size --- Zone fr- ri of Stories Overlay/Agreement Basement likiNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction V R Residential Use Siva ior ?A.;\,(,) Occupancy Group 4Z.-Z +''( Proposed No. of Dwelling Units: J Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: kjUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount Fire Alarm: ❑Update Existing ❑New System JNot 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: ( Q(-4jS}oiryjoy-J yy)a,Aleferhyt2/Ye(6 r VALUATION CALCULATION: Total$ pr \00/30 , ab0m0 - NO G W m" •....-, Approved By: .4(4.).11:1„ ..�,, U Date: 17,-s j L ..j,4 PUBLIC WORKS Intake OK by Date: /21/y t k Additional Notes: Intake Comments: PW Worksheet Needed if: At 1 . IO S N J r//_• ❑Sys Dev Eval ❑Traffic Mit Eval Q ❑Site Work or Drainage Proposed Store??? d bldg. ❑Backflow Prevention for high hazard: Approved By: Date: ( I t / q (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) OThis 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 CI Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) ❑ See PW Review Worksheet and associated attached items Fire Sprinklers: 1Zupdate Existing El New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System ��& Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑11New System I�-I Not Req'd 0 Is in a Separate Green Folder(loin with this folder for permit issuance) Additional Notes: / .5 �.e.r_,,Cit4 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: d Date: 12,//?/(r ),,Public Works has no scope---PW Not Required ` Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: /z/l1//1 A -,