2101 MCDOUGALL AVE 2019-11-06 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# V)0 D' - (fib BUILDING PLANNING Intake OK by: ct-if- Date: i(21/i Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. '14 Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Ay Struct. Size K /SIG S . Zone 1K"`Z_ Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use r— Type of Construction Residential Use 1Z Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: oy\-Q. Fire Sprinklers: ❑Update Existing Chew System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes [14 No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ONew 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 DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑...Yenns 0 No Additional Notes: VALUATION CALCULATION: Total$ 1 E 00 Approved By: Date: \ 2-64,e_CA,C PUBLIC WORKS Intake OK by: Date: 1/2.4] 2 o i 9 Additional Notes: zo!5'- /p E.. Intake Comments: PW Worksheet Needed if: --,^l<-Vv 2,r4a 5-re,a.--; ❑Sys Dev Eval ❑Traffic Mit Eval VAI D Q 'D£c44.. ou tia ❑Site Work or Drainage Proposed Approved By: Se Date: f3 9 t=XI S r i„4 i P. sQszf rc.. ❑Backflow Prevention for high hazard: / / p.a- 4' . (dental,medical,animals,mortuary,hospital, -.p pp vg.-vALaEv w-to-IE S TO supportive housing) FIREDEPARTMENT RouahJisILfoPdafo?PfWRevtie w 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 Prelinjaaly Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Pr ' Team 129 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinkler : Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alar . OUpdate Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Upda a Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: rt1J Nip.I .fit 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: N01 ` aaut. �Es ,yrtftm �,� ELECTRICAL 0t� Additional Notes: 'f9Y aikNr4. Approved By: Date: Approved By: JA-mDate: al g5/Zol (z/ )