15 ALDER ST 2020-01-21 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONL19 PERMIT#i 11CO''b 1 BUILDING PLANNING Intake OK by: k' Date: c?/a7/(7 Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. .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 0 Hold in Planning File Drawer Garage cessory Struc Size 2-46 S,4. Zone 1 Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction VP Residential Use Gftlaa4 `QF-IZ_. Occupancy Group (,. Proposed No. of Dwelling Units: — Occupancy Load Total No.of Dwelling Units: 1-- Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes WNo Reason Sprinklers Required: "In Lieu"Fee:Type: unt$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: edit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ID No ❑Everett School Dist ❑M liteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: fey!MQ/Yu+ Aar__ ✓ } SJtvSeti-- VALUATION CALCULATION: Total$ 6200 r O 52t-backer i A. Eric_ 'I4.70 ,;aim_ ZO- --- 0•-5 nose-d- p. °, Approved By: v__Iire,udi Date: q,Z'].1 I PUBLIC WORKS Intake OK by:l It. Date: i 12:11 l 'F Additional Notes: 2 0 / - /JLC Intake Comments: i i PW Worksheet Needed if: IN -' -' '►-toov ��-C-K- ;[Sys Dev Eval ©Traffic Mit Eval '-f:?L.42.c...4 cel f-s' s-*. IDSite Work or Drainage Proposed Approved B : Date: ////.0, iOBackflow Prevention for high hazard: pp y (dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: This Permit is Approved by Public Works 1 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 O 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: Date: 12 blic Works has no scope---PWANotRequired Additional Note„ r`�`_` ?e2?C2-07.9 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: '� i