3010 15TH ST 2019-11-15 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONL17 PERMIT# l- cto3 -Do 4 BUILDING PLANNING Intake OK by: Date: 2/‘//4" Intake OK by:, Date: -5/ ,/ C6 Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. 5I-Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 4 S- O/✓ 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 925 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone (a---.a-- Number of Stories Overlay/Agreement r//,4- Basement ,No ❑Yes , Fin/Unfin Nonresidential Use .J fir-_____ Type of Constructiongro-15Residential Use Occupancy Group Proposed No.of Dwelling Units: I,//k- Occupancy Load Total No.of Dwelling Units: . i'—)a SPIN-6 Fire Sprinklers: ❑Update Existing ❑New System El 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 ❑Not Req'd School Impact Fee: Total $ if/it-- Reason Reason Fire Alarm Required: � Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑ x Yes ILI No El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes NNo Additional Notes: 14! g'9690 0--- VALUATION ._VALUATION CALCULATION: Total$ l5 r30 Approved By: f - Date: 1(( (ti PUBLIC WORKS Intake OK by: 3 Date: 15f 70fq Additional Notes:z 0/5 12C_ 4 U.)-C4-C- Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: di( Date: 3/l9/ (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) OFire Sprinklers ❑Fire Alarm ❑Other: 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: ❑A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans- • FI E AND 0 Is located in this folder O Minimal or No Fire Sc.,,v: ' RE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Sco 4 e 'DD FIRE EE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Da : Public Works has no scope---PW Not Required Additional Notes: ELECTRICA Additional Notes: �/' _/ Approved By: Date: Approved By:,..sj* -4--- Date: `j,/'�,/�?