10315 19TH AVE SE BASE FILE 2019-11-15

Intake &Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# C& — Ot 47) BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: 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 Bld6ddn/Rem Size '/ /770 IF 0 Hold in Planning File Drawer Garage/Accessory Struct. Size /t Zone '6-1_'C Number of Stories Overlay/Agreement Basement BNo ❑Yes , Fin/Unfin Nonresidential Use INb tA.S2 es ,\D\ 2.a, wI:\A'liS Type of Construction v8 (-2SvAx\ 4,C,ek_Veiskr Occupancy Group Proposed No. of Dwelling Units: `` Occupancy Load 1.S Total No. of Dwelling Units: Fire Sprinklers: Jpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: A/0 C7141A//i r Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes II No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? :Nes NNo Additional Notes: VALUATION CALCULATION: Total$ 2-0/O00. 00 Approved By:(------- Date: \ \\ ZQ\ PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed i /� ❑Backflow Prevention for high hazard: Approved By• y.�j Date:el /� Zd/9 (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT 0 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) 0 See PW Review Worksheet and associated attached items Fire Sprinklers:,RUpdate Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System .a Not Req'd AND ❑ Is located in this folder Chemical Sup: ❑Update Existing ❑New System Z Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Nos: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By Date: gi/aelr 9 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: (241)