12800 19TH AVE SE 2019-11-15 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# -6'Vr::lort - a5 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. O Route to Residential Building 0 Route to Historic Reviewer O Make this a"W" Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size °At."D 0 Hold in Planning File Drawer Garage/Accessory Struct. Size - Zone G-- 4- Number of Stories Overlay/Agreement p Basement No ❑Yes , Fin/Unfin Nonresidential Use e`% (. Type of Construction - I, Residential Use Occupancy Group '7 Proposed No. of Dwelling Units: Occupancy Load x1-1 Total No. of Dwelling Units: 7 Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes glNo Reason Sprinklers Required: "In Lieu" Fee: Type: Amoun Fire Alarm: Update Existing El New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cre ' . RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑Everett School Dist ❑Mukilt School Dist Add!RCW 64.55 docs required prior to final? ❑Yes Oa No Additional Notes: Vn or u . 011 - nO PSC Or Ci np VALUATION CALCULATION: Total $ •OLD f e i)e:3 O f Gl t i"_yp�-�� ob INA- Z5 � Approved By: , Date: -1-1-19 PUBLIC WORKS Intake OK by:-171104 Date: ./ . ' Lc., I. 4 Additional Notes: Intake Comments: PW Worksheet Needed if: 1 K tE.-io z- T 1 o 14L-4 ❑Sys Dev Eval ❑Traffic Mit Eval ^4'`1' Swp cC ❑Site Work or Drainage Proposed r�J ❑Backflow Prevention for high hazard: Approved By: (:) Date: • f 1�1I ' (dental,medical,animals,mortuary,hospital, I supportive housing) FIRE DEPARTMENT DRoute 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) lEfFire Sprinklers Wire 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: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans- NO FIRE FEE AND 0 Is located in this folder 0 Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) O Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: <6.- i/. 19' Date: 771'//7 riPublic Works has no scope--- PW Not Required Additional Not / / ELECTRICAL `\/ it Zet4 Additional Notes: Approved By: Date: Approved By: Date: I 2.7_, L