10200 19TH AVE SE COSTCO BAKERY 2019-11-15

Intake&Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# Z\C?)I ` -CJ BUILDING PLANNING Intake OK by: Date: 1t/2/Ie Intake OK by: Date: Intake Commen /// 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/Addn/Rem Size /LA-` 4=1 -E-!_` 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories -1 Overlay/Agreement Basement IZINo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction d f:2 Residential Use Occupancy Group NA Proposed No. of Dwelli • Units: Occupancy Load j'-7 Total No. of Dwellin• nits: Fire Sprinklers: KlUpdate Existing ['New System ❑Not Req'd Planning/Landsc pe Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: T •e: Amount$ Fire Alarm: Update Existing ONew System ❑Not Req'd School Impa Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No 0Everer School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additio :I Notes: VALUATION CALCULATION: Total$ \0 c.);a.19 Approved By: / Date: \\_Q 2. tO l)r- PUBLIC WORKS .. Intake OK by:--rtJ Date: " I( o2 2.W % Additional Notes: Intake Comments: i PWWorkaheetNeeded If: A L L i w,1TEie-ip CLI:Sys Dev Eval OTraffic Mit Eval / \ht Off,=, "40 ?W IOSite Work or Drainage Proposed Approved By: -----7Date: Il/lam/�Qj Sc -96- OBackflow Prevention for high hazard: //f (dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end --- PW ReviewWorkaheet 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 OCreate 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) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required(Permit#: PW ) Fire Alarm: Update Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing [hew SystemNot Req'd 0 Is in a Separate Green Folder (join with this folder for permit issuance) Additional Notes: El Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: bald.-- Date: ////013 ,Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL , Additional Notes: Approved By: Date: Approved By: Date: