9930 19TH AVE SE 2019-11-15 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY PERMIT BUILDING PLANNING Intake OK by. // Date: /05/Zo4cf Intake OK by Intake Comments: Intake Comments: Assign To: V ❑ 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/Addn/Rem Size `Hold in Planning File Drawer Garage/Accessory Struct. Size Zone pJ—Z Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/linfin Nonresidential Use YeuCV\ Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: I Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape inspection Required before Final? ❑Yes 14No 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? ❑Yes 0 No ❑cverett School Dist ❑Mukilte School Dist Add'i RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total Approved By: Date: 11-Z%'115 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: 11 <: DSys Dev Eval ❑Traffic Mit Eval ' 6' ❑Site Work or Drainage Proposed Approved By' t Date: 144. I S ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ;❑Route 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) ❑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) ❑ See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing :New System 0 Not Req'd ❑ A Separate PW Permit is Required (Permit#: PW t�---rr Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND Li 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 Notes: 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: